19950693 Ver 2_More Info Received_20151102

From: Lepsic, Robert <[e-mail]>
Sent: Monday, November 02, 2015 8:14 PM
To: Williams, Ed
Cc: Stanfill, Chris
Subject: RE: Baxter Healthcare - WWTP Improvements 401 permit
Attachments: Baxter Marion_401 Permit Plans_10-30-15.pdf, PCN Baxter pages 5-6.pdf
Follow Up Flag: Follow up
Flag Status: Flagged
Attached is an electronic copy of the site plans/details and revised pages 5 and 6 of the PCN application. The revisions
reflect the new temporary buffer impacts. Also see the responses below.
Let me know if you have any questions.
Rolheirt II....elpslic, IGPWS I Sr. Scientist ..:..:.. .., ,. `-..'
AIRCAIDIS G&M of NC, Inc. 1 801 Corporate Center Drive, Suite 300 1 Raleigh, NC, 27607-5073
T: 919.415.2278 1 M: 919.810.7883 1 F: 919.854.5448
Connect with e..isl www.arcadiis e..is.com II!::::ii,.r]kedJ..r.. l .I[..a i.11.er l If::acebook
ARCADIS, Imagine the result
11[,rarto consider [hc onvlronmcnI)Ororo prim lnq [hist [nrrall,
From: Williams, Ed [mailto:[e-mail]]
Sent: Tuesday, October 20, 2015 3:40 PM
To: Lepsic, Robert <[e-mail]>
Subject: Baxter Healthcare - WWTP Improvements 401 permit
Per our discussion, here are items to be addressed to complete the 401 approval:
1. Please provide an electronic copy of the site plan
when zooming in.
Electronic pdf set of the plan submittal provided.
The current one provided is in small scale and not readable
Sheet dimensions are full-size (22"x34")
2. Please provide cross section details of culvert showing the provisions for aquatic life passage. [15A NCAC 02H
.0506(b)(2)]
A cross section of the proposed 60" RCP pipe that will span underneath the plant access road is provided on Sheet
AR -C-02 (Design Profiles and Sections, 60" RCP — Section @ 0+00). The cross section is cut at the downstrearn
1

end ofthe culvert profile. The culvert is proposed to be ernbedded one -foot to pronnote aquatic life passage as
represented inthe section. EmbedmenLmaterial Loconsist ofnatural channel bedding.
Please provide a detailed engineering plan, profile view, and cross-section of the proposed culvert and effluent
pipe. These drawings must include details regarding stream alignment in relation to pipe alignment, pipe slope,
pipe burial, and dissipater pad. [I54N[4[02H.0502/b\]
ReferLo5heeL4R-[-01(OveraU5iLeP|an)foradeLai|edengineeringp|anshovvingLhea|ignmenLand|ayouLofLhe
proposed 60" pipe culvert and effluent pipe. Re-a|ignmenLofthe sLream is riot required to construct the
proposed 60" pipe culvert. A profile and cross section of the culvert and effluent pipe are located on Sheet AR -C-
02 (Design Profiles and Sections).
4. Please provide a detail showing the proper installation (below the streambed elevation) of the riprap pad at the
culvert and effluent outlets. [I54N[4[02H.0502(b)]
ReferLo5heeL4R-[-O3(DeLai|s,5LormDrainOuL|eL5Labi|izahon)foradeLai|shovvingLhedimensionsand
installation ofthe riprapoutlet stabilization pad.
5. Per Condition 5ofG[388lall work must bedone "in the dqy. Therefore, dewatering methods will benecessary
totemporarily dewmterthe stream channel during pipe installation. Please provide aconstruction sequence that
details the method of dewatering to be utilized at the site and the sequence of construction events to be followed
toensure compliance with this condition. [I54N[4[02H.0502/bV3\]
Dewatering detail for the construction of the proposed 60" culvert provided on Sheet AR -C-03 (Details, Stornn
Pipe Diversion). A construction sequence detailing the construction of the pipe culvert and diversion of strearn
flows during construction is provided on Sheet AR -C-01 (Overall Site Plan, Sequence of Construction for Culveft
"4"(6O"R[P)).
6. Please provide an updated stream impact table for the temporary impact associated with the sediment basin.
The stornn drain outlet stabilization riprap pad will irnpact approxinnately 137 square feet of the strearn
buffer. See attached pages 5and 6ofPCN application.
You can disregard my request for the 20% impervious calculation, since this GC doesn't require a postconstruction
stormwmterp|an. The G[3883isattached.
Please let me know if you have any questions. Thanks
Ed
Ed Williams
Water Quality Regional Operations Section
NCDEQ — Division of Water Resources
1,28 296 4500 office
EFn7ail cxrespomIerice to amI ffom tf?is, ad�ess isoubiect to tf?e
0oil/ Cemlit/ePublic ReoonIs,/Law endo/eybe�Iis, close d/obhh,dpeilies,

0
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I
2
SEQUENCE OF CONSTRUCTION FOR CULVERT "A" 60" RCP):
1. NOTIFY THE ASHEVILLE REGIONAL OFFICE (ARO) INSPECTOR PRIOR TO DISTURBANCE OF THE SITE.
2. INSTALL ALL EROSION AND SEDIMENT CONTROL STRUCTURES AS SHOWN IN THE INITIAL PHASE OF
THE DRAWINGS, OR AS DIRECTED BY THE ENGINEER, AS THE FIRST ITEM OF WORK WITHIN A
GIVEN DRAINAGE AREA. CONSTRUCTION AND INSTALLATION OF ALL SEDIMENT CONTROL
E STRUCTURES SHALL BEGIN DOWNGRADIENT OF THE AREA TO BE DISTURBED AND PROCEED UP
GRADIENT.
T
4
�10
3. CONTRACTOR SHALL AT ALL TIMES MAINTAIN ALL SOIL EROSION AND SEDIMENT CONTROL
STRUCTURES AND PRACTICES THROUGHOUT CONSTRUCTION AND UNTIL PERMANENT STABILIZATION
AND GRASS COVER IS ESTABLISHED.
4. ESTABLISH STREAM WORK ZONE LIMITS IN THE UN—NAMED TRIBUTARY AND CONSTRUCT PIPE
DIVERSION UTILIZING A SAND BAG / STONE BARRIER, SUMP HOLE, DEWATERING PUMP, AND
DISSIPATION STRUCTURE TO BYPASS STREAM FLOWS PER STORM PIPE DIVERSION DETAIL.
5. REMOVE AND REPLACE PIPE CULVERT AS DIRECTED IN THE DRAWINGS.
6. ONCE THE PROPOSED 60—INCH PIPE CULVERT IS INSTALLED, STORM DRAIN OUTLET STABILIZATION
HAS BEEN APPLIED, AND FINAL GRADES ARE ESTABLISHED, APPLY PERMANENT SOIL
STABILIZATION ALONG THE STREAM BANKS IN ACCORDANCE WITH THE PLANS AND CONTRACT
SPECIFICATIONS.
7. NOTIFY THE ARO INSPECTOR AFTER STABILIZATION OF DISTURBED AREAS.
8. UPON ARO INSPECTOR'S APPROVAL, REMOVE TEMPORARY EROSION AND SEDIMENT CONTROL
MEASURES.
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SEE NOTE FOR
CONSTRUCTION
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Infrastructure - Water - Environment - Buildings
LEGAL ENTITY:
ARCADIS G&M OF
NORTH CAROLINA, INC.
CERTIFICATE OF AUTHORIZATION NO. 7917
NOTES:
500—YR FLOOD EL. 1476.2'
BLDG. FLOOR SLABS ® 1477.2'
SEALS
PRELIMINARY
DO NOT USE FOR
CONSTRUCTION
MARION, NC
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3 26 OCT 15 CML PACKAGE N0. 1 REV. 1 AH
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CIVIL PACKAGE NO.1
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24 APR 15
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NO.
DATE
ISSUED FOR
BY
COPYRIGHT: ARCADIS G&M OF
2015 NORTH CAROLINA, INC.
DATE:
PROJECT NO.:
FI LE NAM E:
DESIGNED BY:
DRAWN BY:
CHECKED BY:
SHEET TITLE
OCTOBER 2015
ATLBAXNC.ENO1
AR—C-01
A.
HAGEN
R.
KUNZ
A.
SHARP
CIVIL
OVERALL SITE PLAN
ISCALE:
1 " = 50'
AR -C-01
SHEET 5 OF 10

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EMBED PIPE 1'
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—20 —10
0 10
1455
1450
20
60 RCP -SECTION @ 0+00
14" HDPE - PROFILE
1+10
TO UV STATION
Y
1+20 1+30 1+40
1475
1470
1465
1455
1450
1+50
1475
1470
1465
1460
1455
i sARCADIS
Infrastructure - Water - Environment - Buildings
LEGAL ENTITY:
ARCADIS G&M OF
NORTH CAROLINA, INC.
CERTIFICATE OF AUTHORIZATION NO. 7917
SEALS
PRELIMINARY
DO NOT USE FOR
CONSTRUCTION
MARION, NC
Ba....xreir
NORTH COVE WWTP
ATLBAXNC.EN01
� : 1
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DATE:
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/
GRADE
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/
PROJECT NO.:
ATLBAXNC.ENO1
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OUTLET STABILIZATION -
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AR -C-02_401 P
DESIGNED BY:
A. HAGEN
PROPOSED ��
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DRAWN BY:
R. KUNZ
GRADE
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J. HUGHEY
SHEET TITLE
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RCP ® 2.55%
JOE
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/
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EMBED PIPE 1'
1450
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(BEYOND) ` a- >
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EMBED PIPE 1'
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—20 —10
0 10
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1450
20
60 RCP -SECTION @ 0+00
14" HDPE - PROFILE
1+10
TO UV STATION
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1+20 1+30 1+40
1475
1470
1465
1455
1450
1+50
1475
1470
1465
1460
1455
i sARCADIS
Infrastructure - Water - Environment - Buildings
LEGAL ENTITY:
ARCADIS G&M OF
NORTH CAROLINA, INC.
CERTIFICATE OF AUTHORIZATION NO. 7917
SEALS
PRELIMINARY
DO NOT USE FOR
CONSTRUCTION
MARION, NC
Ba....xreir
NORTH COVE WWTP
ATLBAXNC.EN01
� : 1
1450
—20
—10 0 10
1455
1450
20
14" HDPE -SECTION 0+00
CIVIL
DESIGN PROFILES
AND SECTIONS
SCALE:
HORZ. 1 " = 10' / VERT. 1 " = 5'
AR -C-02
SHEET 9 OF 10
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NO. DATE
ISSUED FOR BY
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EXISTING
DATE:
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/
GRADE
1465
/
PROJECT NO.:
ATLBAXNC.ENO1
- - - IS -
FILE NAME:
AR -C-02_401 P
DESIGNED BY:
A. HAGEN
PROPOSED ��
/
1460
DRAWN BY:
R. KUNZ
GRADE
"
CHECKED BY:
J. HUGHEY
SHEET TITLE
1450
—20
—10 0 10
1455
1450
20
14" HDPE -SECTION 0+00
CIVIL
DESIGN PROFILES
AND SECTIONS
SCALE:
HORZ. 1 " = 10' / VERT. 1 " = 5'
AR -C-02
SHEET 9 OF 10

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NOTES:
1. DISCHARGE PIPE CONTENTS INTO CREEK DOWNSTREAM OF
CONSTRUCTION LIMITS. PIPE SHALL EXTEND A MINIMUM OF
1 -FOOT BELOW CONSTRUCTION.
2. A SEDIMENT FILTER SHALL BE INSTALLED ON PIPE.
3. WATERPROOF SHEETING SHOULD BE SEAMLESS POLYETHYLENE WATERPROOF
SHEETING WITH MINIMUM OF 4 -MIL THICKNESS, AND BE SHEETING
IMPERVIOUS AND RESISTANT TO PUNCTURE, TEARING, AND
ULTRAVIOLET DEGRADATION OF EQUIVALENT.
4. MONITOR DAILY FOR LEAKAGE. MIN, 1'
5. DISSIPATION STRUCTURE SHALL BE MADE OF TYPE 3 RIP RAP. WORK AREA ABOVE
6. DEWATERING PUMP TO BE GODWIN C0150M DRI -PRIME PUMP BASEFLOW
WITH JOHN DEERE 4045TFC03 FINAL TIER 4 ENGINE OR - -
APPROVED EQUAL.
SECTION A -A
SAND BAG /
STONE BARRIER
SUMP HOLE WORK ZONE
(1' MIN.
DEPTH, 3'1 STREAM BELOW
STREAM FLOW
MIN. DIA.) A
CONSTRUCTION LIMITS
A
A
L-
DISSIPATION
STRUCTURE
DEWATERING PLACE DIRT/SEDIMENT
PUMP FILTER ON PIPE TO
COLLECT SEDIMENTS
IN WATER
STORM PIPE DIVERSION
PIPE OUTLET TO FLAT
AREA -
NO WELL-DEFINED
CHANNEL
0
O ° Q�6 A B
00 °�° 0°
do ` W2 c
I IO ° d
°(°�j
`V
00 cc
PLAN
PIPE OUTLET TO
WELL-DEFINED CHANNEL
La I - La
111.
SECTION A -A GEOTEXTILE SECTION B -B
GEOTEXTILE
WIDTH OF WIDTH OF
APRON
APRON
NOTES:
(W2)
EXTEND TO
EXTEN D TO
TOB
1. La IS THE LENGTH OF THE RIPRAP APRON.
7.5'
18.5'
EXTEND TO
EXTEN D TO
2. D = 1.5 TIMES THE MAXIMUM STONE DIAMETER
EL 1465
6'
15'
3'
BUT NOT LESS THAN 6".
3'
7'
3'
7'
3. IN A WELL-DEFINED CHANNEL EXTEND THE APRON
7.5'
UP THE CHANNEL BANKS TO AN ELEVATION OF 6"
ABOVE THE MAXIMUM TAILWATER DEPTH OR TO
THE BANK, WHICHEVER IS LESS.
4. GEOTEXTILE SHOULD BE INSTALLED BETWEEN
THE RIPRAP AND SOIL FOUNDATION.
STORM
DRAIN 0 STABILIZATION
RIPRAP APRON SUMMARY CHART
10 -YR
PIPE
10 -YR FLOW VELOCITY
DIAMETER/
100 -YR (During (During RIPRAP SIZE
APRON
WEIR WIDTH
100 -YR FLOW VELOCITY Construction) Construction) (CALC/USE) STONE DEPTH
LENGTH
HEADWALLID*
(Do)
(cfs) (fps) (cfs) (fps) (d50)
(D)
(La)
A-2
60"
197.71 14.39 NA NA 0.5'/0.5'
1.5'
22'
B-1
30"
NA NA 5.36 5.64 0.2'/0.5'
1.5'
16'
C-1
24"
NA NA 4.75 5.48 0.4'/0.5'
1.5'
13'
D-1
24"
NA NA 9.97 6.59 0.4'/0.5'
1.5'
13'
E-1
12"
NA NA 0.77 3.73 0.2'/0.5'
1.5'
6'
F-1
12"
NA NA 1.77 4.86 0.2'/0.5'
1.5'
6'
G-1
12"
NA NA 0.54 4.14 0.2'/0.5'
1.5'
6'
1-1
18"
NA NA 2.51 3.89 0.2'/0.5'
1.5'
6'
13,500 11.97
L-1
(N. FORK (N. FORK
(WWTP
CATAWBA CATAWBA
OUTFALL)
14"
RIVER) RIVER) 2.48 NA 0.5'/1.0'
2.0'
8'
POND "A"
OUTLET
24"
NA NA 19.81 8.02 0.4'/0.5'
1.5'
13'
POND "B"
OUTLET
18"
NA NA 10.51 7 0.3'/0.5'
1.5'
10'
WIDTH OF WIDTH OF
APRON
APRON
(W1)
(W2)
EXTEND TO
EXTEN D TO
TOB
TOB
7.5'
18.5'
EXTEND TO
EXTEN D TO
EL 1465
EL 1465
6'
15'
3'
7'
3'
7'
3'
7'
4.5'
7.5'
3.5' 9.5'
6' 15'
4.5' 11.5'
3 1 4 1 5 1 6
v Z
v
m
oC0
C NOTES: Q
z
a .
>t_40 O W1 (FT.) p 6++ * THIS PRECAST ENDWALL MAY BE USED FOR THE FOLLOWING H O U
M O --i STANDARDS: 838.01, 838.11, 838.21, 838.27, 838.33, LL J � H z
H Z __q_ > 838.39, 838.51, 838.57, 838.63 AND 838.69. O 0 Cn =
= O D > m * INSTALL PRECAST ENDWALLS WITH WINGS AND PAY w Q Z LL =
�(Z O 1 -off J 1'-0" FOR IN ACCORDANCE WITH SPECIFICATION SECTION 838. Q U H O H
Z = O TI t * USE 4000 PSI CONCRETE. � = z w
• O H PROVIDE ALL REINFORCING STEEL WHICH MEETS ASTM A615 Cn LL 0 J
n 2 Z � I 3 f.- - FOR GRADE 60 AND WELDED WIRE FABRIC CONFORMING O O Cf)
D D _ r / p TO ASTM A185 WITH 2" MIN. CLEARANCE. Z . j
_<H F H2 I H2 * PLACE LIFT HOLES OR PINS IN ACCORDANCE WITH T H
O CS/RCP OSHA STANDARD 1926.704. w O
Z IV H1 H1 * PIPE TO BE GROUTED INTO HEADWALL AT JOB SITE BY r
\ - - - CONTRACTOR
I
ALL ELEMENTS PRECAST TO MEET ASTM C913.
_ _ _ _ _ _ - - - - - �- * WELDED WIRE FABRIC MAY BE SUBSTITUTED FOR REBAR
1 1'-0"" �- J ? AS LONG AS THE SAME AREA OF STEEL IS PROVIDED.
CHAMFER ALL CORNERS 1" OR HAVE A RADIUS OF 1".
io
8" O.C.(TYP.) 6" 8" O.C.(TYP.)
REFER TO CHART REFER TO CHART
FOR BAR SIZE w
r7l FOR BAR SIZE NOTE: THE MINIMUM BAR SIZE SHALL BE #5 BARS � J LU
AT 8 CTS.THE CONTRACTOR WILL HAVE THE OPTION
co 11m E LEVAT ION SIDE TO INCREASE THIS BAR SIZE AS NEEDED. C
r
H C3 0 CA
m N = H Z '
N LU
ENDWALL DIMENSIONS WCL
= 0 Uj CL
Z - - FT. MINIMUM MIN./MAX. MIN./MAX. MIN./MAX. MIN./MAX. MIN./MAX. I--
�o Z PIPE DIA. BAR SIZE H1(FT.) H2(FT.) D (FT.) W1 W2 W
C } 1.0 #5 @ 8" 1.25/2.00 2.00/3.75 1.25/1.75 3.00/3.75 5.50/6.00 0
N = v I a
rn
1.25 #5 @ 8" 1.25/2.00 3.00/3.75 1.25/2.00 3.50/3.75 6.50/6.75 Q 0
H m - - - - - - ---- - 1.50 #5 @ 8" 1.25/2.00 3.00/4.25 1.50/2.50 3.50/3.75 6.50/6.75
2.0 #5 @ 8" 1.50/2.50 4.00/4.75 1.75/2.50 4.00/4.25 7.50/8.25C\1T
m z D 2.5 #5 @ 8" 2.50/3.50 4.00/6.00 2.00/3.00 4.50/5.50 10.00/11.50 H N LU
v
CD 3.0 #5 @ 8" 3.00/3.50 5.00/6.00 2.75/3.50 5.25/5.75 11.50/11.75 w Q C'3
0 O ro �Q•� 3.5 #5 @ 8" 3.25/4.50 6.00/6.75 3.25/3.50 6.00/6.75 12.00/13.25 z W �
m `�� w
CD r l 4.0 #5 @ 8" 3.50/4.50 6.50/7.00 3.25/3.50 6.50/6.75 13.00/13.25
� PLANr+ �
4.5 #5 @ 8 4.00/5.00 6.50/8.50 3.25/4.00 7.00/9.25 13.50/15.75 LL
5.0 #5 @ 8" 4.50/5.00 7.00/8.50 3.25/4.00 7.25/9.25 13.75/15.75
5.5 #5 @ 8" 4.50/5.00 7.50/8.50 3.25/4.00 7.25/9.25 14.00/15.75
6.0 #5 @ 8" 4.50/5.00 7.50/8.50 3.25/4.00 7.75/9.25 14.75/16.75
SHEET 1 OF 1 SHEET 1 OF 1
838.80 838.80
HEADWALL/ENDWALL DETAIL
ARCADIS
Infrastructure - Water • Environment • Buildings
LEGAL ENTITY:
ARCADIS G&M OF
NORTH CAROLINA, INC.
CERTIFICATE OF AUTHORIZATION NO. 7917
SEALS
PRELIMINARY
DO NOT USE FOR
CONSTRUCTION
MARION, INC
ax er
NORTH COVE WWTP
ATLBAXNC.EN01
0 30 OCT 15 401 PERMIT AH
NO. DATE ISSUED FOR BY
COPYRIGHT: ARCADIS G&M OF
2015 NORTH CAROLINA, INC.
DATE:
OCTOBER 2015
PROJECT NO.:
ATLBAXNC.EN01
FILE NAME:
AR
-C-03_401 P
DESIGNED BY:
A.
HAGEN
DRAWN BY:
R.
KUNZ
CHECKED BY:
J.
HUGHEY
SHEET TITLE
SCALE:
CIVIL
DETAILS
NOT TO SCALE
AR -C-03
SHEET 9 OF 10
.

C
V,
LEGEND:
— — — — LIMITS OF DISTURBANCE /
CONSTRUCTION ENTRANCE/EXIT
I�
—❑ SEDIMENT FENCE
ROCK PIPE INLET PROTECTION
® TREE PRESERVATION /
N /F
i TD —► TEMPORARY DIVERSION WILLIAMS RICKY N TRUSTEE OF
' CHECK DAM
RICKY WILLIAM REVOCABLE TRUST
i�
NOTES:
1. THE PROPERTY LINE SHOWN ON THE PLANS IS
APPROXIMATE. THE DELINEATION AND PROPERTY /� TEMPORARY ACCESS ROAD
INFORMATION IS PROVIDED BY MCDOWELL COUNTY
GEOGRAPHIC INFORMATION SYSTEMS, GIS & LAND
RECORDS DEPARTMENT. /
2. STAKE OUT THE 25 -FT STREAM BUFFER FROM PTS. 1 TO
2 AND PTS. 3 TO 4, CLOCKWISE. INSTALL 48" TALL, /
HIGH DENSITY ORANGE POLYETHELENE SAFETY FENCE,
WITH T -POST STAKES, 12 -FOOT ON CENTER. /
3. LIMIT TREE REMOVAL AND CLEARING AND GRUBBING TO
AS REQUIRED TO CONSTRUCT OUTFALL. `N
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4. PROVIDE SKIMMERS FOR EACH SEDIMENT BASIN PER /
DETAIL.
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START FENCE REMOVAL
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infrastructure - Water , Environment - Buildings
LEGAL ENTITY:
ARCADIS G&M OF
NORTH CAROLINA, INC.
_ CERTIFICATE OF AUTHORIZATION NO. 7917
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2 23 OCT 15 NCDENR COMMENTS JH
1 2 OCT 15 CIVIL PACKAGE NO.1 AH
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/I 0 18 SEP 15 NCDENR PERMIT JH
I I NO. DATE ISSUED FOR BY
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PP I COPYRIGHT: ARCADIS G&M OF
2015 NORTH CAROLINA, INC.
DATE: OCTOBER 2015
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y FILE NAME: AR—ES-05
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� DESIGNED BY: A. HAGEN
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SHEET TITLE
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LEGEND:
X/ � �// 1 c
I••
EROSION AND
SEDIMENT CONTROL
EXISTING SITE PLAN
SCALE:
1" = 50'
AR -ES -05
SHEET 5 OF 10

4. Open Water Impacts
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
all buffer impacts
below. If any impacts require mitigation, then you MUST fill out Section D of this form.
impact number (if applicable)
Type of impact
Waterbody Area of impact (acres)
Permanent (P) or
❑X Other:Trout
type
Temporary (T)
6g.
Buffer Impact Reason for impact Stream name
01
Choose one
Choose
02
Choose one
Choose
03
Choose one
Choose
04
Choose one
Choose
4f. Total open water impacts
4g. Comments:
5. Pond or Lake Construction
If pond or lake construction proposed, then complete the chart below.
5a. 5b. 5c. 5d. 5e.
Pond ID number Proposed use or Wetland Impacts (acres) Stream Impacts (feet) Upland
purpose of pond (acres)
Flooded Filled Excavated Flooded Filled Excavated
P1 Choose one
P2 Choose one
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 any impacts require mitigation, then you MUST fill out Section D of this form.
6a. Project is in which protected basin? ❑ Neuse ❑ Tar -Pamlico ❑ Catawba
❑ Randleman
❑X Other:Trout
6b. 6c. 6d.
6e. 6f.
6g.
Buffer Impact Reason for impact Stream name
Buffer
Zone 1 Zone 2
number —
mitigation
impact impact
Permanent (P) or
required?
(square (square
Temporary (T)
feet) feet)
B1 T Sediment basin outlet LIT to North Fork Catawba River
No
137
B2
Yes/No
B3 -
Yes/No
B4 -
Yes/No
B5 -
Yes/No
B6 -
Yes/No
6h. Total Buffer Impacts: 137
61. Comments: The impacts are temporary and the sediment basin will be removed when construction is complete. The area of impact Is a
maintained grass field with no woody vegetation. The additional sediment basin was a requirement of NC Division of Land Quality.
Page 5 of 10

D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project
Even though there are no NCDWR buffer rules for the area, the project was designed to stay outside of 25 foot trout buffer from the top of stream bank
except for the pipe outlet structure and culvert replacement. A temporary impact to the trout buffer will result from the outlet to a sediment basin
required by NC Division of Land Quality. The length of the driveway culvert being replaced was kept to the minimum required. Demolition of the
portions of the existing wastewater treatment plant will allow more water to infiltrate in those areas.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
No tree clearing or building demolition will occur between May 15 and August 15 to avoid potential impacts to the northern long-eared bat. An erosion
and sediment control plan will be prepared and implemented during construction. The stream will be dewatered during the driveway culvert
replacement to prevent sediment from being released to downstream waters. The new culvert will be buried and the existing concrete apron removed
from the stream bed.
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 ❑X 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 will be used for this
El Payment to in -lieu fee program
project?
❑ Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
Type: Choose one Quantity:
3b. Credits Purchased (attach receipt and letter) Type: Choose one Quantity:
Type: Choose one 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: Choose one
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 6 of 10
PCN Form — Version 1.4 January 2009