20071413 Ver 1_Application_20070820

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STATE of NORTH CAROLINA
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DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY DIVISION OF HIGHWAYS LYNDO TIPPETT
GOVERNOR SECRETARY
August 15, 2007 0
Mr. Steve Lund
US Army Corp of Engineers
Asheville Regulatory Field Office
151 Patton Avenue, Room 208
Asheville, N. C. 28801-5006
SUBJECT: Secondary Road Paving/Pipe replacements, SR 1604 (Oak Hollow Road), Iredell County
Dear Mr. Lund:
The North Carolina Department of Transportation proposes to replace six pipes in conjunction with a
secondary road paving project on SR 1604 (Oak Hollow Road) in Iredell County. At site 1 a 24", 33-foot
CMP will be replaced with a 48", 50-foot CMP with inlet headwall and 10 ft of associated riprap for
structure stabilization. At site 2, a 30", 34-foot CMP will be replaced with a 48", 50-foot CMP with inlet
headwall and 10 ft of associated riprap for structure stabilization. The stream channels upstream at each
site 1 and site 2 are comprised of very mucky wet soils. There is a concern of headcutting with installation
of new pipes; therefore, the pipes will be placed on grade and double log sills will be installed in the
upstream stream channel at sites 1 and 2 prior to pipe replacement. At site 3, a 60", 37-foot CMP will be
replaced with a 73" x 55", 60-foot CMPA with inlet and outlet headwall and ] 0 feet of associated riprap
for structure stabilization. The stream channel upstream of this crossing is overwidened and eroding due
to cattle access. Based upon the enclosed upstream reference cross-sections, this section of stream channel
will be reconstructed to normal channel dimensions. A rock-faced bankfull bench will be constructed and
the eroding banks stabilized. Due to the removal of the sharp meander bend immediately upstream of the
pipe inlet, approximately 40 linear feet of stream length will be lost. At site 4, a 48", 54-foot CMP will
be replaced with a 60", 80-foot CMP with outlet headwall and 15 feet of associated riprap for structure
stabilization. Downstream of this crossing, the existing channel runs adjacent to the roadway for
approximately 115 feet. The road is being moved away from the stream channel and the rock
stabilization will be utilized along the bank, above average high water. At site 5, a 24", 37-foot CMP with
a 36", 60-foot CMP with inlet headwall and 10 feet of associated riprap for structure stabilization. Due to
the 4% slope at this crossing, the new pipe will be placed on streambed grade and rock embedded in the
streambed at the pipe outlet in an effort to prevent downcutting. At site 6, a 36", 37-foot CMP will be
replaced with a 36", 50-foot CMP with 10 feet of associated riprap for structure stabilization. Due to the
3.25% slope at this crossing, the new pipe will be placed on streambed grade.

SR 1604, Oak Hollow Road
Page 2
August 15, 2007
Due to the existing site conditions at permit sites 1, 2, 5 and 6, NCDOT requests a waiver from the
Regional Condition 2(b)(e) permit depth specification, for the construction of this project.
Temporary cofferdams and bypass piping will be utilized, as needed, to manage the streams during
construction. Upon project completion, the channel disturbed by the temporary cofferdams will be
restored to pre-project conditions and the area seeded and stabilized. The total scope of the work will
result in 243 feet of permanent impacts to five unnamed tributaries to Dishmon Creek, which is classified
as Class C waters by the Division of Water Quality.
The project is not located within '/z mile of any critical watershed area nor is SR 1604 a rural or urban
arterial; therefore, hazardous spill basins are not required. Enclosed is the hazardous spill basin checklist.
Based upon correspondence with the State Historic Preservation Office (SHPO), dated 4/24/06, the
proposed project area has been reviewed and SHPO has determined that no historic properties will be
affected (ER Number 06-0944). This office has conducted a GIS and field survey for the project
threatened endangered species. The federally listed species for Alexander County (USFWS listed dated
May 10, 2007) include the bog turtle (Clemmys muhlenbergii). Natural Heritage Program records
document the nearest bog turtle location approximately 4.5 miles northwest of the proposed project area
(in Wilkes County). Bog turtles are typically found in bogs, marshes, and wet pastures. There is no
suitable habitat located within the project footprint. T/SA species are not subject to Section 7
consultation; however, no impact on this species is anticipated. NCDOT is recommending a finding of
"no effect" for T&E species.
I have enclosed apre-construction notification for a NW#14, sketches of planned activities, and location
maps relative to the project.
Project information for the 401 Automated Payment Procedure is as follows:
• Work order number: 150459-55120005-120.002007-3855
• TIP #: NA
• Project Category: $200.00 Fee
If you have any questions or concerns, please feel free to contact me at [phone]. Thank you for
your time and consideration to this matter
Respectfully yours,
M.L. Holder, P.E.
Division Engineer
Twelfth Division
BY: ~ /~~, „/~
Trish Simon
Division 12 Environmental Supervisor
Enclosures
Cc: Polly Lespinasse, DWQ, Mooresville Regional Office

Office Use Only: Form Version March OS
2 0 0 7 1 4 1 3
USACE Action ID No. DWQ No.
(ir any part~cu-ar item ~s not applicable to this project, please enter "Not Applicable" or "N/A".)
I. Processing
Check all of the approval(s) requested for this project:
® Section 404 Permit ^ Riparian or Watershed Buffer Rules
^ Section 10 Permit ^ Isolated Wetland Permit from DWQ
® 401 Water Quality Certification ^ Express 401 Water Quality Certification
2. Nationwide, Regional or General Permit Number(s) Requested: NW #14 (WQC#3627)
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
1. Owner/Applicant Information
Name: Mike Holder N C Department of Transportation
Mailing Address: P.O. Box 47
Shelby, North Carolina 28151
Telephone Number: 704-480-9020 Fax Number: 704-480-5401
E-mail Address:
2. Agent/Consultant Information (A signed and dated copy of the Agent Authorization letter
must be attached if the Agent has signatory authority for the owner/applicant.)
Name: Trish Simon
Company Affiliation: N.C. Department of Transportation
Mailing Address: P.O. Box 47
Shelby, North Carolina 28151
Telephone Number: 704-480-9044 Fax Number: 704-480-5401
E-mail Address: tsimon(a,dot.state.nc.us
Page 1 of 8

III. Project Information
Attach a vicinity map clearly showing the location of the property with respect to local
landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property
boundaries and development plans in relation to surrounding properties. Both the vicinity map
and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities must be included. If possible, the maps and plans should
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USACE requires information to be submitted on sheets no larger than 11 by 17-inch format;
however, DWQ may accept paperwork of any size. DWQ prefers full-size construction
drawings rather than a sequential sheet version of the full-size plans. If full-size plans are
reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps are provided.
1. Name of project: Pipe Replacement/Secondary Road Paving SR 1604 (Oak Hollow Road
2. T.I.P. Project Number or State Project Number (NCDOT Only): 12.049021
3. Property Identification Number (Tax PIN): NA
4. Location
County: Iredell Nearest Town: Statesville
Subdivision name (include phase/lot number): NA
Directions to site (include road numbers/names, landmarks, etc.): From Statesville, north on
Hwy 115, turn left onto SR 1598 (Linnet's Mill Road turn right onto SR 1604 and proceed
to sites.
5. Site coordinates (For linear projects, such as a road or utility line, attach a sheet that
separately lists the coordinates for each crossing of a distinct waterbody.)
Decimal Degrees (6 digits minimum): 1) 36°02'24"°N, 81 °00' 17"°W; 2) 36°02'25"°N,
81 °00' 18"°W 3) 36°02'30"°N, 81 °00'29"°W 4) 36°02'32"°N, 81 °00'35"°W 5)
36°02'35"°N, 81°00'46"°W ; 6~ 36°02'38"°N, 81°00'53"°W
6. Property size (acres): < 0.10 acres/permit site: Entire secondary road ~5 acres
7. Name of nearest receiving body of water: Five unnamed tributaries to Dishmon Creek Class
C Waters (from source to Rocky Creek
8. River Basin: Yadkin
(Note -this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http:/ih2o.enr.state.nc.us/admin/maps/.)
9. Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this application: Existing Conditions-pipes on unpaved secondary road
General Land Use- wooded, agricultural.
Page 2 of 8

10. Describe the overall project in detail, including the type of equipment to be used. Secondary
Road paving Project with multiple pipe replacements. 1)Replacement of a 24", 33-foot
CMP with a 48", 50-foot CMP with inlet headwall and 10 ft of associated riprap for
structure stabilization: 2)Replacement of a 30", 34-foot CMP with a 48", 50-foot CMP with
inlet headwall and 10 ft of associated riprap for structure stabilization. The stream channels
upstream at each crossing are comprised of very mucky wet soils. There is a concern of
headcutting with installation of new pipes; therefore, double log sills will be installed in the
upstream stream channel at sites 1 and 2 prior to pipe replacement. 31Replacement of a 60",
37-foot CMP with a 73" x 55", 60-foot CMPA with inlet and outlet headwall and 10 feet of
associated riprap for structure stabilization. The stream channel upstream of this crossing is
overwidened and eroding due to cattle access. This section of stream channel will be
reconstructed to normal channel dimensions (based upon upstream reference cross-sections
and restructured to align the stream channel into the pipe inlet. A rock-faced bankfull bench
will be constructed and the eroding banks stabilized. Due to the removal of the sham_
meander bend immediatel~pstream of the pipe inlet approximately 40 linear feet of
stream length will be lost; 4)Replacement of a 48", 54-foot CMP with a 60", 80-foot CMP
with outlet headwall and 15 feet of associated riprap for structure stabilization. Downstream
of this crossing, the existing channel runs adjacent to the roadway for approximately 115
feet. The road is being moved away from the stream channel and the rock stabilization will
be utilized along the bank (above average high water/ bankfull elevation) 5) Replacement of
a 24", 37-foot CMP with a 36", 60-foot CMP with inlet headwall and 10 feet of associated
riprap for structure stabilization. Due to the 4% slope at this crossing the new pipe will be
placed on streambed grade and rock embedded in the streambed at the pipe outlet in an effort
to prevent downcutting. 6) Replacement of a 36", 37-foot CMP with a 36", 50-foot CMP
with 10 feet of associated riprap for structure stabilization. Due to the 3.25% slope at this
crossing, the new pipe will be placed on streambed grade. Typical heavy equipment
(trackhoe, backhoe, pan, graders etc.) will be used for the construction of this project
11. Explain the purpose of the proposed work: The purpose of the proposed work is to grade
base, and pave an unpaved secondary road to paved road standards and to replace
deteriorating and inadequate pipe
IV. Prior Project History
If jurisdictional determinations and/or permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action ID Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules.NA
V. Future Project Plans
Are any future permit requests anticipated for this project? If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application.
No future permit requests are anticipated at this site.
Page 3 of 8

VI. Proposed Impacts to Waters of the United States/Waters of the State
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. Each impact must be
listed separately in the tables below (e.g., culvert installation should be listed separately from
riprap dissipater pads). Be sure to indicate if an impact is temporary. All proposed impacts,
permanent and temporary, must be listed, and must be labeled and clearly identifiable on an
accompanying site plan. All wetlands and waters, and all streams (intermittent and perennial)
should be shown on a delineation map, whether or not impacts are proposed to these systems.
Wetland and stream evaluation and delineation forms should be included as appropriate.
Photographs may be included at the applicant's discretion. If this proposed impact is strictly for
wetland or stream mitigation, list and describe the impact in Section VIII below. If additional
space is needed for listing or description, please attach a separate sheet.
1. Provide a written description of the proposed impacts: Impacts from pipe length
increase, riprap impacts, and stream reconstruction/restructurin~
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 Type of Wetland Located within Distance to Area of
Site Number Type of Impact (e.g., forested, marsh, 100-year Nearest Impact

(indicate on map)
herbaceous, bog, etc.) Floodplain Stream (acres)
(es/no (linear feet

Total Wetland Impact (acres) 0
3. List the total acreage (estimated) of all existing wetlands on the property: 0
4. Individually list all intermittent and perennial stream impacts. Be sure to identify temporary
impacts. Stream impacts include, but are not limited to placement of fill or culverts, dam
construction, flooding, relocation, stabilization activities (e.g., cement walls, rip-rap, crib
walls, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is proposed,
plans and profiles showing the linear footprint for both the original and relocated streams
must be included. To calculate acreage, multiply length X width, then divide by 43,560.
Stream Impact Perennial Average

Number
Stream Name
Type of Impact
or
Stream Width Impact
Length Area of
Impact
(indicate on Intermittent Before
ma) ? Im act (linear feet) (acres)
1 S' UT to Pipe Increase/Riprap
1
Dishmon Crk
Stabilization Intermittent
1.5 feet 27 feet .0009
1 Log sills 10 feet .0003
1 ,~ Temporary Cofferdams/

Bypass Piping
" 45 feet .0015
2 2"d UT to Pipe Increase/Riprap

Dishmon Crk
Stabilization Intermittent
2 feet 26 feet .001
Page 4 of 8

2 Log sills 10 feet .0004

2 Temporary Cofferdams/
40 feet
0018
Bypass Piping .
3 3`d UT to Pipe Increase/Riprap perennial
8 feet 33 feet .006
Dishmon Crk Stabilization
3 Minor Stream 40 feet 007
Relocation « .
3 Temporary Cofferdams/
" 90 feet 02
Bypass Piping .
4 3`d UT to Pipe Increase/Riprap perennial
8 feet 41 feet .008
Dishmon Crk Stabilization
4 ~, Temporary Cofferdams/ ,~ 50 feet 009
Bypass Piping .
4`~' UT to Pipe Increase/Riprap
5
Dishmon Crk
Stabilization Intermittent
2.5 feet 33 feet .0019

5 Temporary Cofferdams/
40 feet
0023
Bypass Piping .
6 5`~ UT to Pipe Increase/Riprap Intermittent
2
5 feet 23 feet .0013
Dishmon Crk Stabilization .

6 Temporary Cofferdams/
~
30 feet
0017
Bypass Piping .
* 243 feet *.0268 acre

Total Stream Impact (by length and acreage) permanent permanent

*Permanent impacts contained within area of temporary impacts 295 feet .0363 acre
temporary temporary
impacts impacts
5. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.). Open water impacts include, but are not limited to
fill, excavation, dredging, flooding, drainage, bulkheads, etc.
Open Water Impact
Name of Waterbody Type of Waterbody Area of
Site Number
(if applicable) T e of Im act
yP P lake, ond, estua
( P ry, sound, bay,
Impact
(indicate on ma ocean, etc. (acres)

Total Open Water Impact (acres) 0
6. List the cumulative impact to all Waters of the U.S. resultin from the roject:
Stream Impact (acres): Permanent 0.028
Wetland Impact (acres): 0
Open Water Impact (acres): 0
Total Impact to Waters of the U.S. (acres) Permanent 0.028
Total Stream Impact (linear feet): Permanent 266 feet
7. Isolated Waters
Do any isolated waters exist on the property? ^ Yes ®No
Page 5 of 8

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 NO POND IMPACTS
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ^ uplands ^ stream ^ wetlands
Describe the method of construction (e.g., dam embankment, excavation, installation of
draw-down valve or spillway, etc.):
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.):
Current land use in the vicinity of the pond:
Size of watershed draining to pond: Expected pond surface azea:
VII. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts. The road is being_graded and
paved to bring the roadway up to Waved road standards Appropriate erosion control measures
will be in place to prevent sediment from entering the stream channel during construction At
sites 1 and 2, due to the existing mucky streambed conditions the pipe will be placed on rg ade
and log sills will be constructed upstream of the pipe in an effort to prevent stream headcuttina
At site 3, the overwidened channel is being restructured to "normal" channel dimensions (based
upon upstream reference cross-sections) and the alignment shifted to direct flow into the pipe
inlet. Between Stations 37+86 and 39+01 (sites 3 and 4) the stream channel is adjacent to the
roadway. The roadway will be shifted away from the stream and the existing road embankment
will be lowered to provide a bench and the back of the bench (above average high water, will be
armored to provide road stability The proposed pipe grades at sites 5 and 6 are 4% and 3 25%
respectively' therefore in an effort to prevent stream instability the new pipes will be placed on
stream Grade. Additionally rock will be embedded into the stream channel at the pipe outlet at
site 4 to provide additional scour protection.
VIII. Mitigation
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
Page 6 of 8

USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on January 15, 2002, mitigation will be required when
necessary to ensure that adverse effects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed. Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USACE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCEEP concurrence shall be placed on hold as incomplete.
An applicant may also choose to review the current guidelines for stream restoration in DWQ's
Draft Technical Guide for Stream Work in North Carolina, available at
http://h2o.enr.state.nc.us/ncwetlands/strm~ide.html.
1. Provide a brief description of the proposed mitigation plan. The description should provide
as much information as possible, including, but not limited to: site location (attach directions
and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed method of construction. Please attach
a separate sheet if more space is needed.
MITIGATION NOT ANTICIPATED
2. Mitigation may also be made by payment into the North Carolina Ecosystem Enhancement
Program (NCEEP). Please note it is the applicant's responsibility to contact the NCEEP at
[phone] to determine availability, and written approval from the NCEEP indicating
that they are will to accept payment for the mitigation must be attached to this form. For
additional information regarding the application process for the NCEEP, check the NCEEP
website at http://h2o.enr.state.nc.us/wrp/index.htm. If use of the NCEEP is proposed, please
check the appropriate box on page five and provide the following information:
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 (federal/state/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)?
Page 7 of 8

Note: If you are not sure whether a NEPA/SEPA document is required, call the SEPA
coordinator at [phone] to review current thresholds for environmental documentation.
Yes ^ No
3. If yes, has the document review been finalized by the State Clearinghouse? If so, please
attach a copy of the NEPA or SEPA final approval letter. Yes ^ No ^
X. Proposed Impacts on Riparian and Watershed Buffers (required by DWQ)
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required state and local buffers associated with the project. The applicant must also provide
justification for these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
1. Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Meuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 02B .0243 (Catawba) 15A NCAC
2B .0250 (Randleman Rules and Water Supply Buffer Requirements), or other (please
identify )? Yes ^ No
2. If "yes", identify the square feet and acreage of impact to each zone of the riparian buffers.
If buffer mitigation is required calculate the required amount of mitigation by applying the
buffer multipliers.
Zone lm act Required
* P Multi Tier
~C11119YP fPP}~ P /~Ai~.....hi....
3 (2 for Catawba)
Total
* Zone I extends out 30 feet perpendicular from the top of the near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone I .
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.
Existing road width of 18 ft to be widened and paved to 20 feet width Existing impervious
acreage ~2.6 acres. Proposed impervious acreage ~3.0 acres
Page 8 of 8

XII. Sewage Disposal (required by DWQ)
Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of
wastewater generated from the proposed project, or available capacity of the subject facility.
No wastewater is generated from the project.
XIII. Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H .0500) or any Buffer Rules?
Yes ^ No
Is this an after-the-fact permit application? Yes ^ No
XIV. Cumulative Impacts (required by DWQ)
Will this project (based on past and reasonably anticipated future impacts) result in additional
development, which could impact nearby downstream water quality? Yes ^ No
If yes, please submit a qualitative or quantitative cumulative impact analysis in accordance with
the most recent North Carolina Division of Water Quality policy posted on our website at
http://h2o.enr.state.nc.us/ncwetlands. If no, please provide a short narrative description:
Due to the rural location of this roadway in northwestern Iredell County, it is unlikely that the
paving of this secondary road will result in additional development of the surrounding area.
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 8

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Name: GILREATH
Date: 6/11 /2007
Scale: 1 inch equals 1000 feet
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Location: 036° 02' 19.33" N 081 ° 00' 25.95" W
Caption: Secondary Road Paving/Pipe Replacements, SR 1604 (Oak
Hollow Rd), UT's to Dishmon Creek, Yadkin River Basin
Copyright (C)

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EROSION ANI? SEDIMENTATION
~O~I~TTR~L I~L~N
SR /~n4 IREDELL COUNTY
OAK h~o~.~. o w
DATE 06 /~/~
DIVISION OF HIGHWAYS
DEPARTMENT OF TRANSPORTATION
STATE OF NORTH CAROLINA

ROAD 1~1Ah~fE.O~/~ /~DLLOti~-/ COUNTY: (REDEL(_
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WIDTf-I STAKED: !Z/W WIDTf l: MoD FT•
PROPOSED Ih1PROVEML-N"I~: GfU1DE. ©ASE. PAVE
DATE: Duo "21-07
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•~ P. rr~ f•n v nl page
245,03 Temporary Silt Ditch
245.05 Temporary Diversion
893.01 Temporary Silt Fence
890.05 Temporary Slope Drain with Earth Eerm

5.01
Silt Basin Type A

• -----

-
------ --

----
245.VC Silt Basin Type B `~-- %

892.04
Temporary Rock Siit Check Type-A tiI - 1..

895.10 ---••--•-
Temporary Rock Silt Check T e-B
YP •~~ -------- --- ~ I - I4

892.01 ----.._..
Temporary Rock Sediment Dam Type-,^, ...~ --------- --- j I - lr

'

892.02 •-
Temporary Rock Sediment Dam Type-E ---•----•-

-------- I - 18
--- ti
--- ~ I - 20
897.01 Rock Pipe Inlet Protection
o,

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8 Q4.01
... .. ..................
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.. .......

--- - e.o ~ra
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245.04 Stilling Basin ____-_-_--

Rock Inlet Protection:
896.01 Type A ----------------------•-------- A - - ~R -- A ~~ ~'I
30

_
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896.02 Type B ------------------•--._......_. B ~• - OR •- B ~~ ~'I
32
--- -
--
896.03 Type C ..__•-__•-•

VI-1
I\tarch, 1993

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VI-23 March, 1993

NCDOT
HAZARDOUS SPILL BASIN CHECKLIST
Division: 1 ~ County: TrPC1P11 Project ID:
River Basin: Yadkin Bridge No: Pipe Replacement/Secondar~Road
Paving__
Route: SR 1604, Oak Hollow Road
Dishmon Creek, Class C Waters
Water Quality Criteria:
Stream: Five unnamed tributaries to
Yes No
Stream Crossing Blue Line On USGS r r j`"
ORW r r
WSI r
WS II,III OR IV, Crossing Within O.Smi of W.S. Critical Area r r
Roadway Criteria:
Route Designation-
Yes No
Arterial Urban r r
Arterial Rural r r
Additional Site Information:
Yes No
Is a Hazardous Spill Basin Required? r >/
Criteria Based Upon NCDOT "Best Management Practices for the
Protection of Surface Waters" (March, 1997).
'Tributaries 1 and 5- Stream Crossing Blue Line On USGS
Tributaries 2, 3, and 6 -Stream Crossing Not Blue Line On USGS