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Home My WebLink About20150247 Ver 1_Application_20150305��D IS o z � �m��. 20 � �..� .� .@��. STATE OF NORTH CAROLINA DEPAR� OF TRANSPORTATION PAT McCRORY GovExrrox February 24, 2015 Mr Dave Wanucha NC DENR Division of Water Qualtty 585 Waughtown Street Wmston-Salem, NC 27107 Mr Dave Bailey US Army Corps of Engineers 6508 Falls of the Neuse Surte 120 Raleigh, NC 27615-6814 (Two Copies) Subject: Guilford County, Bali Road (SR 3365) Project Number # WBS #7B.204111 To Whom It May Concern ANTHONY J. TATA SECRETARY oCC�CaMC - D MAR 0 5 2015 DENR - WATER RESOURCES TRqNSPORTATION PERMITTING UNIT The North Carohna Department of Transportation (NCDOTj proposes to pave and widen the shoulder of Bah Road (SR 3365) in Guilford County. The proposed work is necessary in order to reduce future maintenance needs and mcrease traffic safety. An e�ustmg culvert will also be replaced during the proposed pro�ect. Replacement of the culvert is anticipated to be done under a Nationwide 3 Permit authonzed by the USACE. However, the culvert is in Chocolate Creek which is within the Jordan Lake watershed. Since the road will be widened to meet NCDOT standards, the drtch lines will be reahgned which will necessitate the requirement for a buffer authorization from the Division of Water Resources Although the ditch lines are proposed to be realigned, they are proposed to retain the dunensions of the e�cisting ditches which mean that mitigation should not be necessary Total new permanent impacts to the jurisdictional stream are anticipated to be 15 linear feet with temporary unpacts of 20 feet. This package is being sent to the USACE as a courtesy notification for a Nationwide 3 authorization. This package is also being forwarded to the NC Division of Water Quahty for authorization as prescnbed under General Water Quahty Certif'ication #3883 (NW 3) and a wntten buffer authonzation. The following information is being provided to satisfy conditions of the Nationv�nde Permit and General Water Quahty Certiiication. P.O. Box 14996 Greensboro, NC 27415-4996 Telephone No. (336) 334-3192 Fax No. (336) 334-3637 PROJECT INFORMATION Road Name SR Number Pro�ect Length Classification (miles) Bah Road SR 3365 N/A Subdivision River Basm• DWQ Water Quality % Impervious Surface ID Desi ation Chocolate Creek Cape Fear 16-19-8-1-1 WS-V; NSW, N/A Buffer Rulesa" Buffer Rule Conditions (where apphcable) Yes Jordan Lake Protected Species Presentb Mapped Historic CAMA Essenrial Fishery Habitat Pro erties� �c No No No No a Separate documentation attached as needed. See the attached Endangered Species Review Sheet for further informarion: ` When Apphcable - See the attached Histaric Review Letter for further u�formation PIPE REPLACEMENT INFORMATION Site (Station) N/A Stream Type Intermittent Existin Pi e 82 inch X 40 ft Re lace 128" X 83" X 50 ft Construction Pump around Dewatering ABC aggregate or less Method Device* intrusive device Burial Depth At least 20 % of diameter of pipe E/C Plan Date Construction As soon as practicable Duration One week Date Impacts (ft.j 15 feet of permanent stream impacts and approximately 20 sf of temporary stream im acts for dewaterin Special Realignment of roadside ditches, but will retain the design dimensions of the Conditions existin draina e ditches. Restoration Within 15 working days of the pipe extension the natural stream contours will Plan be restored and seeded. Temporary silt screens will be cleaned and removed followin ve etation establishment. RCP = reinforced concrete pipe; CMP = Corrugated metal pipe; CMPA = Corrugated metal pipe arch; E1C = Erosion control. *A less intrusive dewatering device may be used in lieu of the one proposed. MINIMIZATION INFORMATION Impacts will be minimized by strict enforcement of Best Management Practices for the protection of surface waters aad wetlaads, restrictions against the staging of equipment in or adjacent to waters of the US, and coordination (including a pre-construction meeting) with the Division Environmental Officer. MITIGATION INFORMATION Stream mitigatioa is not aaticipated, as the impacts to any individual stream do not exceed 150 feet Wetland mitigation is not anticipated, as wetland impacts do not exceed 0.10 acres and do not occur in a unique aatural wetland. APPLICATION INFORMATION Enclosed please find the Pre-construction NotiScation Form and supporting documeatation for the above referenced project. If you have any questions or need any additional iaformation, please contact Jerry Parker at (336) 256-2063. Your time and effort are appreciated. Smcerely, r � �� /� M Mills, P.E iv�s�on Engineer, Division 7 Enclosures CC Bany Harrington, NCDOT Jeremy Warren, NCDOT Antome White, NCDOT NC Wetlands/401 Unrt �- o�OF W AT�c9QG � � > y O T Office Use Only Corps action ID no DWQ pro�ect no �� S��- y% Form Version 1 3 Dec 10 2008 Pre-Construction Notification PC Form A. A licant Information 1. Processing 1 a Type(s) of approval sought from the Corps � Section 404 Permit ❑ Section 10 Perm�t 1 b Specify Nationwide Permit (NWP) number 3 or General Permit (GP) number NW 3 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 Certification — Regular ❑ Non-404 Junsdictional General Permit ❑ 401 Water Quality Certification — Express � Ripanan Buffer Authorization 1 e Is this notification 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 m-lieu fee program 1 g Is the pro�ect located in any of NC's twenty coastal counties If yes, answer 1 h ❑ Yes � No below 1 h Is the pro�ect located withm a NC DCM Area of Environmental Concem (AEC)� ❑ Yes � No 2. Project Information 2a Name of pro�ect Bali Road 2b County Guilford 2c Nearest municipahty / town Kimesvdle, NC 2d Subdivision name N/A 2e NCDOT only, T I P or state WgS # 7B 204111 pro�ect no 3. Owner Information 3a Name(s) on Recorded Deed 3b Deed Book and Page No �� 2a�5 3c Responsible Party (for LLC if applicable} DENR -WATER RES61�� 3d Street address 3e City, state, zip 3f Telephone no 3g Fax no 3h Emad 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 J M Mdls 4c Business name Division Engineer NCDOT Division Seven (if applicabie) 4d Street address P O Box 14996 4e City, state, zip Greensboro, NC 27415 4f Telephone no 336 334-3297 4g Fax no 4h Emad address 5. AgenUConsultant Information (if applicable) 5a Name Jerry Parker 5b Business name Division Environmental Supervisor (if applicable) 5c Street address P O Box 14996 5d City, state, zip Greensboro, NC 27415 5e Telephone no 336 256-2063 5f Fax no 5g Email address 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) N/A Latitude 35 9562907° N Longitude - 1 b Site coordinates (in decimal degrees) 79 6244700° W (DD DDDDDD) (-DD DDDDDD) 1 c Property size N/A acres 2. Surface Waters 2a Name of nearest body of water (stream, river, etc ) to Chocolate Creek proposed pro�ect 2b Water Quality Classification of nearest receiving water WS-V, NSW 2c River basm Cape Fear 3. Project Description 3a Describe the existing conditions on the site and the general land use in the vicirnty of the pro�ect at the time of this applicat�on Rurai Farmland 3b List the total estimated acreage of all existmg wetiands on the property 0 3c List the total estimated linear feet of all existing streams (intermittent and perennial) on the property 50 ft 3d Explain the purpose of the proposed pro�ect Pave road, repiace undersized and/or damaged pipe, and widen shoulder on the downstream side to decrease maintenance and increase traffic safety 3e Describe the overall pro�ect m detad, mcluding the type of eqwpment to be used The site wdl be de-watered, the old pipe removed and replaced Equipment utdized wdl include backhoe and/or trackhoe The new pipe wdl be instalied at appropnate elevation 4. Jurisdictional Determinations 4a Have �unsdictional wetland or stream determinations by the Corps or State been requested or obtained for this property / pro�ect (including ali pnor phases) in the past� ❑ Yes � No ❑ Unknown Comments 4b If the Corps made the �urisdictional determination, what type � preliminary ❑ Final of determination was made� 4c If yes, who delineated the �urisdictional areas� Agency/Consultant Company Name (if known) Other 4d if yes, list the dates of the Corps �urisdictional determinations or State determinations and attach documentation 5. Project History 5a Have permits or certiflcations been requested or obtained for � Yes � No ❑ Unknown this pro�ect (includmg all prior phases) in the past� 5b If yes, explain in detad according to "help file" instructions Page 3 of 11 PCN Form — Version 1 3 December 10, 2008 Version 6. Future Pro�ect Plans 6a Is this a phased pro�ect� ❑ 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 pro�ect (check all that apply) ❑ Wetlands � Streams - tributanes � 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 �unsdiction 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 WZ � P� T ❑ 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 perenrnal 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 �unsdiction Average Impact number - (PER) or (Corps - 404, 10 stream length Permanent (P) or intermittent DWQ — non-404, width (linear Temporary (T) (�Ni� other) (feet) feet) S1 � P❑ T Chocolate Creek � PER � Corps 2�4ft 20ft Culvert replacement ❑ INT � DWQ permanent S2 ❑ P� T Dewatering Chocolate Creek � PER � Corps 15 ft temp ❑ INT � DWQ S3 ❑ P 0 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 20 ft 3h Total stream and tributary impacts permanent 15 ft temp 3i Comments Page 5 of 11 PCN Form — Version 1 3 December 10, 2008 Version 4. Open Water Impacts If there are proposed impacts to lakes, ponds, estuanes, tnbutaries, sounds, the Atlantic Ocean, or any other open water of the U S then mdividually 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 ora T 01 ❑P�T 02 ❑P�T 03 ❑P�T 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 5d 5e Wetland Impacts (acres) Stream Impacts (feet) Upland Pond ID Proposed use or purpose of (acres) number 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) 5� Size of pond watershed (acres) 5k Method of construction Page 6 of 11 PCN Form — Version 1 3 December 10, 2008 Version 6. Buffer Impacts (for DWQ) If pro�ect wdl impact a protected ripanan buffer, then complete the chart below If yes, then individually list all buffer impacts below If an im acts re wre miti ation, then ou MUST fill out Section D of this form 6a. ❑ Neuse ❑ Tar-Pamlico � Other Jordan Pro�ect is in which protected basin� ❑ Catawba ❑ Randleman 6b 6c 6d 6e 6f 6g Buffer impact number — Reason for Buffer Zone 1 impact Zone 2 impact Permanent (P) impact Stream name mitigation (square feet) (square feet) or Temporary reqwred? T Widen road shoulder on downstream ❑ Yes 61 ❑ P� T side to Chocolate Creek � No 600 sf 400 sf increase traffic safety B2 ❑P�T , �Nos 0 0 B3 ❑P�T ❑Yes ❑ No 6h Total buffer impacts 0 0 6i Comments Although road shoulder wdl be widened and the drainage ditches w�ll be realigned, the proposed ditches will retain the existing design dimensions No travel lanes wdl be added and the minimum reqwred roadway typical section will be used based on traffic and safety considerations D. Impact Justification and Mitigation 1. Avoidance and Minimization 1 a Specifically descnbe measures taken to avoid or mirnmize the proposed impacts in designing pro�ect Impacts will be minimized by utilization of Best Management Practices and by performing work in the dry 1 b Specifically describe measures taken to avoid or mmimize the proposed impacts through construction techniques Best Management Practices will be utdized dunng construction Pre-construction meeting with Environmental Superevisor wdl take place prior to commencing construction 2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State 2a Does the pro�ect require Compensatory Mitigation for ❑ 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 ❑ Corps ❑ Mitigation bank 2c If yes, which mitigation option wdl be used for this pro�ect? ❑ 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 Page 7 of 11 PCN Form — Version 1 3 December 10, 2008 Version 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 Ripanan wetland mitigation requested acres 4f Non-nparian 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 pian, provide a descnption of the proposed mitigation plan 6. Buffer Mitigation (State Regulated Riparian Buffer Rules) — required by DWQ 6a Wdi the pro�ect result in an impact within a protected npanan buffer that requires ❑ Yes � No buffer mitigation� 6b If yes, then identify the square feet of impact to each zone of the nparian 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 nparian 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 5b Have all of the 401 Urnt submittal reqwrements been met� ❑ Yes ❑ No F. Supplementary Information 1. Environmentai Documentation (DWQ Requirement) 1 a Does the pro�ect 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 pro�ect 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 �eview 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 Wetiand Rules (15A NCAC 2H 0500), Isolated Wetland Rules (15A NCAC 2H 1300), DWQ Surface Water or Wetland Standards, ❑ Yes � No or Ripanan Buffer Rules (15A NCAC 2B 0200)� 2b Is this an after-the-fact permit applicatGOn� ❑ 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 Wiil this pro�ect (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 4. Sewage Disposal (DWQ Requirement) 4a Clearly detad the ultimate treatment methods and disposition (non-discharge or discharge) of wastewater generated from the proposed pro�ect, or avadable capacity of the sub�ect facdity NA Page 10 of 11 PCN Form — Version 1 3 December 10, 2008 Version 5. Endangered Species and Designated Critical Habitat (Corps Requirement) 5a Wdl this pro�ect 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 USFVVS Field Office you have contacted ❑ Ashewlle 5d What data sources did you use to determine whether your site wouid impact Endangered Species or Designated Cntical Habitat� US Fish and Wddlife Web S�te 6. Essential Fish Habitat (Corps Requirement) 6a Wdl this pro�ect 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� N/A 7. Historic or Prehistoric Cultural Resources (Corps Requirement) 7a Wdl this pro�ect occur in or near an area that the state, federai or tnbal governments have designated as having historic or cultural preservation � Yes � No status (e g, National Histonc Trust designation or properties significant m North Carolma history and archaeology)� 7b What data sources did you use to determine whether your site would impact historic or archeological resources? National Histonc Register Web Site and the Human Enwronment Unit of NCDOT 8. Flood Zone Designation (Corps Requirement) 8a Will this pro�ect occur in a FEMA-designated 100-year floodplain� ❑ Yes ❑ No 8b If yes, explain how pro�ect meets FEMA requirements 8c What source(s) did you use to make the floodplain determination� � J.M. Mills ��' / ��`� 2-24-15 Applicant/Agent's Printed Name Applicant/AgenYs Signature Date (Ag s signature is valid only if an authonzation letter from the applicant is rovided Page 11 of 11 PCN Form — Version 1 3 December 10, 2008 Version NC DOT BRIDGE MAINT DEPT EROSION CONTROL SEQUENCE COUNTY Guilford PIPE NO. NA S.R. No. 3365 Bali Rd Location:0.3 mi.north of SR 3361-Phillippi Rd Br. No. NA PROJECT No. DESCRIPTION: 7B.204111 Remove existing line of 82" CMP @ 40' long and replace and lengthen with 1@ 128" x 83" aluminized CMPA - 50" Iong.Length to be added downstream Note: All Erosion Control devices 8� proper installation plus maintenance of erosion control will be performed by using - NCDOT Best Management Practices for Construction and Maintenance Activites Manual 1 2 3 4 5 6 7 8 9 10 11 12 Using sandbags or ABC wrapped in filter fabris or other less intrusive devices construct impervious dams up and downnstream of existing pipe. Use water pump to pump water from upstream around work area. Install traffic control to maintain traffic Remove half of existing pipe and excavate to proper grade 1' below streambed. Pump water from excavation into silt bag-- Install silt fence as needed on project. Install 25' of 128" x 83" CMPA Install traffic control to maintain traffic Excavate remaining existing pipe and install remaining new pipe 25' of 128" x 83" CMPA Backfill pipe to proper grade Remove traffic controls Stabilize banks with riprap as needed. Seed and mulch as necessary. APPROXIMATE PROJECT START DATE NA PREPARED BY Alan Levens TSIII APPROVAL TRANSPORTATION SUPERVISOR III Alan Levens DIV BRIDGE ENG Jeremy Warren DATE DATE DATE 12/16/2014 COUNTY Guilford S.R. No. 3365 Bali Rd BRIDGE No NA SEQUENCE1 Using sandbags or ABC wrapped in filter fabris or other less intrusive devices construct impervious dams up and downnstream of existing pipe. Use water pumps to pump water from upstream around work area. install traffic control to maintain traffic LEGENDS � -;� ,� � _ ;� }.z m - �. j�o�„ � �_ � t,q'� ,�?. — -��_:��,::�— ;� _ ��: b �`��.��,�;�;;;-=�v`�„ �'�`�� ,."-�'z�;�'� ,�� r ,RiabblE3;�,�}� �"�a��:wms�.,`�yp.�,tr es�c�°�rx .,��n� COUNTY Guilford S.R. No. 3365-Bali Rd BRIDGE No NA SEQUENCE2 4 Remove half of existing pipe and excavate to proper grade 1' below streambed. 5 Pump water from excavation into silt bag-- Install silt fence as needed on project. Install 25' of 128" x 83" CMPA ..� ►ump streamflow ABC Dam LEGENDS �,� .�s�u�.�.�.��.� -� � m,��.. �� ,��r. �., w,�._„��,� ;'�� , a�� -�;; � "�f,��: ,�,�.-�""^,��'��'�-;�'��'�� 5 �"=_ ,� �� "=�`� �,�fi� �� . �� - r ��= �.;��,��;� COUNTY Guilford S.R. No. 3365-Bali Rd BRIDGE No NA SEQUENCE3 7 Install traffic control to maintain tra�c 8 Excavate remaining existing pipe and install remaining new pipe 25" of 128" x 83" CMPA iump streamflow ABC Dam LEGENDS ,� ��y��«��t�� :��-#, i j�q��;:r;' ��cy;?��r,��a��.c��•,��,��u�a �«�'r �'ti�"�`F�' e"iv�ry , „ �� m�T��j�`�� `; tm�b'v=_��,E_ �1T'E �'aHr 'S`s.-�1N .N ��3� ��-,3'y..J-rn_`a �=�"�'��rcr✓=�#�"� ��'�"�"�+�..�.- � r .c��N�.:�n, ,�� _,n� �.s m�: ,��,�arsr�r,�� SEQUENCE 4 COUNTY Guiiford PIPE NO. na S.R. 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