20140433 Ver 1_Application_20140429

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STATE OF NORTH CAROLINA
DEPARTMENT OF 1'RANSPORTATION
PAT L. MCCRORY
Gove�aox
AprIl 29, 2014
Mr. SYeven Kichefski
Asheville Regulatory Field Office
US Army Corps of Engineers
151 Patton Avenue, Room 208
Asheville, North Carolina 28801-5006
ANTHONY J. TATA
SECRETA2Y
SUBJECT: Pipe Replacement SR 1334 (Mt Olive Church Road), Alexander County
Dear Mr. Kichefski:
The North Carolina Department of Transportation requests authorization to replace a failing pipe
on SR 1334 (Mt Olive Church Road) in Aiexander County. NCDOT proposes to replace the
existing 73 foot, 30” CMP with a 80-foot, 36" CMP. The existing pipe is on �9% slope. It is
proposed that the new pipe to be placed at existing streambed elevation. Due to the site
conditions, NCDOT request a waiver from the Regional Conditions 2(b)(e) permit depth
specification for Yhe construction of this project. Temporary cofferdam/bypass pumping
system will be used to divert the stream around the construcfion site, if needed. Any areas
affected by the temporary cofferdaan will be restored to pre-project conditions.
The scope of Yhe work will result in 7feet of permanent impacts to an unnamed tributary to the
East Prong Lower Little River, which is classified as Class C WaYers by the N.C. Division of
Water Resources.
The project is not located within % mile of any critical watershed area nor is SR ] 334 a rural or
urban arterial; therefore, hazardous spIll basins are not required. Enclosed is The hazardous spill
basin checklist. This office has conducted a GIS and field survey for the project for historical
siYes and threaYened/endangered species sites. No sites listed on the National Register of Historic
Places are located in the vicinity of the project nor did there appear to be any eligible structures.
This office has coizducted a GIS and field survey for the project threatened/endangered species.
The federally lisYed species for Alexander County (USFWS listed date September 22, 2010)
include dwarf-flowered heartleaf (Hexastylis naniflora) and Yhe bog turtle (Glyptemys
rnuhlenbergia�-(T/SA- Threatened due to similarity of appearance). NaYional Heritage Pxogram
records document ihe nearest heartleaf location 14.5 miles southwest of the proposed project area.
The heartleaf is usually found on dry to moist ravine slopes (usually north facing and of
the oak-hickory-pine forest type) and in boggy areas near springheads. There is no
suitable habitat in the proposed project area and no heartleaf species were observed
within the project footprint. No impact on this species is anticipated. Natural Heritage
Program records document the nearest bog turtle locafion A.0 miles northwest of the proposed
project area. Bog turtles are typically found in bogs, marshes, and wet pasYUres_ T/SA species aze
not subjecf to Section 7 consultation; however, there is no suitable habitat located within the
project area and no impact on this species is anticipaTed.

SR 1334, Mt Olive Church Road
Page 2
Apri129, 2014
7 have enclosed a pre-construction nofification for a NW#3, sketches of planned activities and
locarion maps relative to the project.
Project information for Yhe 401 Automated Payment Procedure is as follows:
• Work order number: 150465-55120005-122002ll-3300
• TIP#: NA
• Project Category: $240.00 Fee
If you have any quesYions or concerns please feel free to contact me at (704) A80-90A4. Thank
you for your time and consideration on this matter.
Respectfixlly yours,
Reuben Chandler, P.E.
Division Engineer
Twelfth Division
BY: �'� �
Trish Beam
Division 12 Envvonmental Supervisor
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Corps action ID no.
DWQ project no.
Form Version 1.3 Dec 10 2008
Pre-Construction Noti�cation PCN Form
A. A licant Information
1. Processing
1 a. Type(s) of approval sought from the
Corps: � Section 404 Permit ❑ Section 10 Permit
1b. Specify Nationwide Permit (NWP) number: 3 or General Permit (GP) number:
1 c. Has the NWP or GP number been verified by the Corps? ❑ Yes � No
1 d. Type(s) of approval sought from the DWQ (check all that apply):
� 401 Water Quality Certifcation — Regular ❑ Non-404 Jurisdictional General Permit
❑ 401 Water Quality Certifcation — Express ❑ Riparian Buffer Authorization
1 e. Is this notifcation solely for the record For the record only for DWQ 401 For the record only for Corps Permit:
because written approval is not required? Certification:
❑ Yes � No ❑ Yes � No
1f. Is payment into a mitigation bank or in-lieu fee program proposed for mitigation � yes � No
of impacts? If so, attach the acceptance letter from mitigation bank or in-lieu
fee program.
1 g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h ❑ Yes � No
below.
1 h. Is the project located within a NC DCM Area of Environmental Concern (AEC)? ❑ Yes � No
2. Project Information
2a. Name of project: Pipe replacement, Mt Olive Church Road, SR 1334
2b. County: Alexander
2c. Nearest municipality / town: Taylorsville
2d. Subdivision name:
2e. NCDOT only, T.I.P. or state 12.200211
project no:
3. Owner Information
3a. Name(s) on Recorded Deed: NC DOT Right of Way
3b. Deed Book and Page No.
3c. Responsible Party (for �LC i f
applicable):
3d. Street address:
3e. City, state, zip:
3f. Telephone no.:
3g. Fax no.:
3h. Email address:
Page 1 of 11
PCN Form — Version 1.3 December 10, 2008 Version

4. Applicant Information (if different from owner)
4a. Applicant is: ❑ Agent ❑ Other, specify:
4b. Name: Reuben Chandler
4c. Busines s name N.C. Department of Transportation, Division 12
(if applicable):
4d. Street address: 1710 East Marion Street
4e. City, state, zip: Shelby, NC 28151
4f. Telephone no.: 704-480-9020
4g. Fax no.: 704-480-5401
4h. Email address: [e-mail]
5. AgenUConsultant Information (if applicable)
5a. Name: Trish Beam
5b. Business name N.C. Department of Transportation, Division 12
(if applicable):
Sc. Street address: 1710 East Marion Street
5d. City, state, zip: Shelby, NC 28151
5e. Telephone no.: 704-480-9044
5f. Fax no.: 704-480-5401
Sg. Email address: [e-mail]
Page 2 of 11
PCN Form — Version 1.3 December 10, 2008 Version

B. Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID): NA
1 b. Site coordinates (in decimal degrees): Latitude: 35.9868 Longitude: - 812313
(DD.DDDDDD) (-DD.DDDDDD)
1 c. Property size: <.10 acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to Unnamed tributary to East Prong Lower Little River
proposed project:
2b. Water Quality Classifcation of nearest receiving water: C
2c. River basin: Catawba
3. Project Description
3a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this
application:
An existing pipe on state maintained paved road. Landuse is residential land.
3b. List the total estimated acreage of all existing wetlands on the property:
0
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
100 feet
3d. Explain the purpose of the proposed project:
The purpose of the proposed work is to replace the deteriorating culvert for the safety of the travelling public.
3e. Describe the overall project in detail, including the type of equipment to be used:
Replace the existing 73-foot, 30" CMP with a 80-foot, 36" CMP. The existing pipe is on -9% slope. If is proposed that the
new pipe to be placed at existing streambed elevation at the same slope as the existing pipe.
Temporary cofferdam pumping system will be used to divert the streams around the construction site if needed. All
areas affected by temporary cofferdam system will be restored to pre-project conditions. The Project will be constructed
using typical heavy equipment (trackhoe, backhoe, etc.)
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
project (including all prior phases) in the past? ❑ Yes � No ❑ Unknown
Comments: Jurisdictional stream determination made by
Division 12 DEO.
4b. If the Corps made the jurisdictional determination, what type
of determination was made? ❑ Preliminary ❑ Final
4c. If yes, who delineated the jurisdictional areas? Agency/Consultant Company:
Name (if known): Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
5. Project History
5a. Have permits or certifications been requested or obtained for � Yes � No ❑ Unknown
this project (including all prior phases) in the past?
5b. If yes, explain in detail according to "help file" instructions.
Page 3 of 11
PCN Form - Version 1.3 December 10, 2008 Version

6. Future Project Plans
6a. Is this a phased project? ❑ Yes � No
6b. If yes, explain.
Page 4 of 11
PCN Form — Version 1.3 December 10, 2008 Version

C. Proposed Impacts Inventory
1. Impacts Summary
1 a. Which sections were completed below for your project (check all that apply):
❑ Wetlands � Streams - tributaries ❑ Buffers
❑ Open Waters ❑ Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
2a. 2b. 2c. 2d. 2e. 2f.
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)
Tem ora T
W1 ❑ P❑ T ❑ Yes ❑ Corps
❑ No ❑ DWQ
W2 ❑ P 0 T ❑ Yes ❑ Corps
❑ No ❑ DWQ
W3 ❑ P❑ T ❑ Yes ❑ Corps
❑ No ❑ DWQ
W4 ❑ P❑ T ❑ Yes ❑ Corps
❑ No ❑ DWQ
W5 ❑ P❑ T ❑ �'es ❑ Corps
❑ No ❑ DWQ
W6 ❑ P❑ T ❑ Yes ❑ Corps
❑ No ❑ DWQ
2g. Tofal 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.
3 a. 3 b. 3 c. 3d. 3e. 3f. 3 g.
Stream impact Type of impact Stream name Perennial Type ofjurisdiction Average Impact
number- (PER) or (Corps - 404, 10 sheam length
Permanent (P) or intermittent DWQ — non-404, Width (linear
Temporary (T) (INT)? other) (feet) feet)
S1 � P❑ T �ncrease in pipe UT to East Prong ❑ PER � Corps � �
length Lower Little River � INT � DWQ
Temporary
S2 ❑ P� T Cofferdam/Pump UT to East Prong ❑ PER � Corps 1 100
Around (if Lower Little River � INT � DWQ
needed)
S3 ❑ P❑ T ❑ PER ❑ Corps
❑ INT ❑ DWQ
S4 ❑ P 0 T ❑ PER ❑ Corps
❑ INT ❑ DWQ
S5 ❑ P❑ T ❑ PER ❑ Corps
❑ INT ❑ DWQ
S6 ❑ P❑ T ❑ PER ❑ Corps
❑ INT ❑ DWQ
3h. Total stream and tributary impacts 7*
3i. Comments: *Permanent Impacts
Page 5 of 11
PCN Form — Version 1.3 December 10, 2008 Version

4. Open Waterimpacts
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of
the U.S. then individually list all open water impacts below.
4a. 4b. 4c. 4d. 4e.
Open water Name of waterbody
impact number — (if applicable) Type of impact Waterbody type Area of impact (acres)
Permanent (P) or
Tem orar T
01 ❑P❑T
02 ❑P❑T
03 ❑POT
04 ❑P❑T
4f. Total open water impacts
4g. Comments:
5. Pond or Lake Construction
If ond or lake construction ro osed, then com lete the chart below.
5a. 5b. 5c. Sd. 5e.
Wetland Impacts (acres) Stream Impacts (feet) Upland
Pond ID Proposed use or purpose (acres)
number of pond
Flooded Filled Excavated Flooded Filled Excavated Flooded
P1
P2
5f Total
5g. Comments:
5h. Is a dam high hazard permit required?
❑ Yes ❑ No If yes, permit ID no:
5i. Expected pond surFace area (acres):
5j. Size of pond watershed (acres):
5k. Method of construction:
6. Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer, then complete the chart below. If yes, then individually list all buffer impacts
below. If an impacts require miti ation, then ou 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)
Tem orar T im act re uired?
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
PCN Form — Version 1.3 December 10, 2008 Version

D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
In an effort to avoid additional stream destabilization (headcutting and downcutting), due to the slopes of the pipe, NCDOT
proposes to place the pipe inlet at existing streambed elevation.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for ❑ Yes � No
impacts to Waters of the U.S. or Waters of the State?
2b. Ifyes, mitigation is required by (check all that apply): ❑ DWQ ❑ COfpS
❑ Mitigation bank
2c. If yes, which mitigat ion option will be used for this
project? ❑ Payment to in-lieu fee program
❑ Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
3b. Credits Purchased (attach receipt and letter) Type Quantity
3c. Comments:
4. Complete if Making a Payment to In-lieu Fee Program
4a. Approval letter from in-lieu fee program is attached. ❑ Yes
4b. Stream mitigation requested: linear feet
4c. If using stream mitigation, stream temperature: ❑ warm ❑ cool ❑cold
4d. Buffer mitigation requested (DWQ only): square feet
4e. Riparian wetland mitigation requested: acres
4f. Non-riparian wetland mitigation requested: acres
4g. Coastal (tidal) wetland mitigation requested: acres
4h. Comments:
5. Complete if Using a Permittee Responsible Mitigation Plan
5a. If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
Page 7 of 11
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 riparian buffer that requires ❑ Yes � No
buffer mitigation?
6b. If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation. Calculate the
amount of mitigation required.
6c. 6d. 6e.
Zone Reason for impact Total impact Multiplier Required mitigation
(square feet) (square feet)
Zone 1 3(2 for Catawba)
Zone 2 1.5
6f. Total buffer mitigation required:
6g. If buffer mitigation is required, discuss what type of mitigation is proposed (e.g., payment to private mitigation bank,
permittee responsible riparian buffer restoration, payment into an approved in-lieu fee fund).
6h. Comments:
Page 8 of 11
PCN Form — Version 1.3 December 10. 2008 Version

E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Plan
1 a. Does the project include or is it adjacent to protected riparian buffers identified � Yes � No
within one of the NC Riparian Buffer Protection Rules?
1 b. If yes, then is a diffuse flow plan included? If no, explain why.
Comments: ❑ Yes ❑ No
2. Stormwater Mana ement Plan
2a. What is the overall percent imperviousness of this projed? 0%
2b. Does this project require a Stormwater Management Plan? ❑ Yes � No
2c. If this project DOES NOT require a Stormwater Management Plan, explain why: Complies with NCDOT's individual
NPDES permit NCS000250.
2d. If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
❑ Certified Local Government
2e. Who will be responsible for the review of the Stormwater Management Plan? ❑ DWQ Stormwater Program
❑ DWQ 401 Unit
3. Certified Local Government Stormwater Review
3a. In which local governmenYs jurisdiction is this project? NA
❑ Phase II
3b. Which of the following locally-implemented stormwater management programs ❑ NSW
apply (check all that apply): ❑ USMP
❑ Water Supply Watershed
❑ Other:
3c. Has the approved Stormwater Management Plan with proof of approval been ❑ Yes ❑ No
attached?
4. DWQ Stormwater Pro ram Review
❑ Coastal counties
❑ HQW
4a. Which of the following state-implemented stormwater management programs apply � ORW
(check all that apply): ❑ Session Law 2006-246
❑ Other:
4b. Has the approved Stormwater Management Plan with proof of approval been
attached? ❑ Yes ❑ No
5. DWQ 401 Unit Stormwater Review
5a. Does the Stormwater Management Plan meet the appropriate requirements? ❑ Yes ❑ No
5b. Have all of the 401 Unit submittal requirements been met? ❑ Yes ❑ No
Page 9 of 11
PCN Form — Version 1.3 December 10, 2008 Version

F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
1a. 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)?
1c. If you answered "yes" to the above, has the document review been finalized by the
State Clearing House? (If so, attach a copy of the NEPA or SEPA final approval
letter.) ❑ Yes ❑ No
Comments:
2. Violations (DWQ Requirement)
2a. Is the site in violation of DWQ Wetland Rules (15A NCAC 2H .0500), Isolated
Wetland Rules (15A NCAC 2H .1300), DWQ Surface Water or Wetland Standards, ❑ Yes � No
or Riparian Buffer Rules (15A NCAC 2B .0200)?
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 � No
additional development, which could impact nearby downstream water quality?
3b. If you answered "yes" to the above, submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWQ policy. If you answered "no," provide a short narrative description.
The project is a minimum criteria project which has low potential for cumulative/indirect impacts and will not result in
additional development which could impact water quality.
4. Sewage Disposal (DWQ Requirement)
4a. Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of wastewater generated from
the proposed project, or available capacity of the subject facility.
No wastewater generated from project.
Page ] 0 of 11
PCN Form — Version 1.3 December 10, 2008 Version

5. Endangered Species and Designated Critical Habitat (Corps Requirement)
Sa. Will this project occur in or near an area with federally protected species or � yes � No
habitat?
Sb. Have you checked with the USFWS concerning Endangered Species Act � yes � No
impacts?
❑ Raleigh
Sc. If yes, ind icate the USFWS Field Office you have contacted.
❑ Asheville
Sd. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
NC Natural Heritage Program database and onsite 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?
No salt marshes, oyster reefs, or seagrass beds located in vicinity of project.
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
7a. Will this project occur in or near an area that the state, federal or tribal
governments have designated as having historic or cultural preservation � yes � No
status (e.g., National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?
The State Historic Preservation office resources and the National Register of Historic Places were reviewed for historic
sites in the vicinity of the project.
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? FEMA FIRM panal number: 371038200J
/2. ��� %� �G�% ���- � �`°�9 � �
Applicant/AgenYs Printed Name ApplicanUAgenYs Signature Date
(AgenPs signature is valid only if an authorization letter from the applicant
is provided.)
Page 11 of 11
PCN Form — Version 1.3 December 10, 2008 Version

Pipe Replacement
Mt Olive Church Road, SR 1334
Alexander County
Vicinity Map
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NCDOT
HA7.ARDOUS SPILL BASIN CHECKLIST
Division: i � County: Alexancier Project ID: 12.200211
River Basin: Catawba Bridge No: NA
Route: SR 1334
River
Water Quality Criteria:
Stream: Ut to East Pron� Lower Little
Stream Crossing Blue Line On USGS
ORW
WSI
WS II,III OR IV, Crossing Within 0.5mi of W.S. Critical Area
Roadway Criteria:
Route Designation-
Arterial Urban
Arterial Rural
Additional Site Information:
Is a Hazardous Spill Basin Required?
Yes No
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Criteria Based Upon NCDOT "Best Management Practices for the
Protection of Surface Waters" (March, 1997).
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