20072161 Ver 1_Application_20071217

o - _- ,
FRED BAIRD BLACKLEY, ASLA
LANDSCAPE ARCHITECT
504 SOUTH DEKAL,B`BTREET
SHELBY, NORTH CARtOLINA 28150
[phone]
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Project: ,,~J
Project No:
Date: ~.- ~/
Copies Item ~~ Description
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For: APPROVAL INFORMATION RECORD REQUEST REVIEW COMMENT USE `
Remarks:
Copy To:

By:
Via: US MAIL AIRBORNE_'~ PICK UP UPS FAX HAND DELIVER OTHER

07-21 61
Office Use Only: Form Version Mazch OS
USAGE Action ID No. DWQ No.
(If any particular item is not applicable to this project, please enter "loot app-icanie" or °NiA°.~
I. Processing ,
1. heck 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: ~ ~~
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 1 from NCEEP, complete section VIII,
and check here: ^
5. If your project is located in any of North Carolina's twenty coastal counties (listed on page
4), and the project is within a North Carolina Division of Coastal Management Area of
Environmental Concern (see the top of page 2 for further details), check here: ^
II. Applicant Innformation
1. Owner/Applicant Information
Name: ~cu 7l-f C-~~~~ ~~~'~~' ~
Mailing Address: ~'t~ f3c~,c. /S(r~ J
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Telephone Number:
E-mail Address:
2.
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Fax Number: ?fit" 9~ ~-
Agent/Consultant Information (A signed and dated copy of the Agent Authorization letter
must be attached if the Age t has signatory authority for the weer/ap licant.)
Name: .~ ~ G /~. (,~ ~~~ ~ /~
Company Affiliation: ~ C,~Q ~~ ,f ~ W, %~
Mailing Address: ~~ ~ So !AT N ~ G8 ~~?. ~ ~ `~'? ~'~1 ~ c:~

Telephone Number: 7 0 ~a - ~ t~ S~ 17 3 / Fax Number: ~, ~c
E-mail Address:~i2.~~~p ~Zp i3 ~Z L ~~v 7N ,~,il~" . ~'it~ n ~ ~ ~A~`~ ~ ~A~'
Page5of12
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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 alI 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 pmperty 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: ~®1~1 ~` c~i~ ~ > ; o ~~ >~~1i ~ '~ ~c~,(~'~~ ~~C~ ~ ~ / ~/ C
2. T.I.P. Project Number or State Project Number (NCDOT Only):
3. Property Identification Number (Tax PIN):
4. Location
County: ~~ L ~ Nearest Town: /~-r~l~C~~-~~~~ 11~~
Subdivision name (include phase/lot number):
Directions to site (includ road numbers/namess~ landmarks, etc.): ~ ~7~ ~'n~ n/ ~ }~~-~ y V Q~'
5. Site coordinates (For linear projects, such as a road or utility line, attach a sheet that
separately lists the coordinates for each crossin of a distinct waterbody.)
Decimal Degrees (6 digits minimum): ~~ ~7 ~ ~~~ 'E~ SN ~~ °~'
6. Property size (acres): ~~CiN7 dy ~~`~' ~=' ~ ~'~ ~ '~~'~~~
7. Name of nearest receiving body of water: ~ 1~ Ls ~+'J ~ ~
8. River Basin: ~~ d ~ ~r / ~ ~
(Note -this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://h2aenr.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: ~ , < ~ 7 ~7r wA'rj / ~ Co /~~Y ~ w~ T N C~uf N ~'~
~~i'~ ~7~-..~ r ~./ A J~c.~ 2yn ~,, ~`c-"~T,+•~l Ej A N~ <N7Z ~.o, •V f S lu~G ~ ~n.r ~'~
a ~;
Page 6 of 12

10. Describe the overall project in detail, including the type of equipment to be used: G~ ~
C jz~, fl L /~ bJ~~ ''~o k1 ~ ~~ ~ ~"~ ~ i 3 'T r ,.~ cap d
~ A .~ n f= .S 7i.~.J ~' I~o~cciL71 C, ~~ r ,v ~ ~ u U ~ ~'
11. Explain the purpose of the proposed work: N~JA,~Q C.~r2.~'~n ~*~~~~ ~pLL
e n .~~ 1?.~-~'~2 tr i I2~ X~ Coo r~G~ ~y /-~~( .+~~ .~~! 7rc~`eI x~ G D !~ ~~(~~ ~ L ~ ~v re~°
'x,~ .+..~. F-t~T' ~~,~'L~~/ L ~~~ P N ~ C~,c `Ti'tlC-' /S/'c.~=~ .~N ~a f= y
~~ Lv ~~.*~~e~IS°®r'~, ~,~ip~N~/dC. ~,v.~wr~r ~5 ~?~'p,~~/~~•e1C
LV. Prior Project History
V.
VI.
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.
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. ~ f ~~
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. Ati 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 farms 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: S ~J ~ ~~G 1 c ~
'~ _ ~ ~ ~L ~ j c~

Page 7 of 12

2. Individually list wetland impacts. Types of impacts include, but are not limited to
mechanized clearing, grading, fill, excavation, flooding, ditching/drainage, etc. Iior dams,
our•.~ro4uly list imnartc .inP to tenth etnirtfiirP antl flnn[linu_
Wetland Impact ^
Site Number
(indicate on map)
Type of Impact Type of Wetland
(e.g., forested, marsh,
herbaceous, bog, etc.) Located within
100-year
Floodplain
es/no Distance to
Nearest
Stream
(linear feet) Area of
Impact
(acres)
~- ~~~:~ Fa~~ ~~. ~ta~~ ~ ~o ' ~~m .Q~3
/Z ~~C3

Total Wetland Impact (acres) ,0 L~
3. List the total acreage (estimated) of all existing wetlands on the property: ~ • ~
4. Individually list all intermittent and perennial stream impacts. Be sure to identify temporary
impacts. Stream impacts include,. but are not limited to placement off 11 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
,,,net 1,P inclnrlPrl Tn ralcnlate acreage_ mnltinly length X width_ then divide by 43.560.

°~ ~
Stream Impact

Number
indicate on ma

Stream Name

Type of Impact
Perennial or
Intennittent? Average

Stream Width
Before Im act Impact

Length
linear feet Area of

Impact
(acres
N/a - i~ ~3 CK l=~i~T' ~~~nJ~ X35 ~-?~ 1 ~-<_ p, 0~0 i
,~ `' Zq,,, l;~i y~ lam ~z t nl. Z ~ c~ c~. ~ 3 `

-~. ~, t, ~~~K ~,rr~ ~~~~ . - fr Z ~ D. On ~
-~'7 ,~ ,~oc~k.Fa~~ peg - ~ ~s ) ~ Cl.ae~7

Total Stream Impact (by length and acreage)
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 P~rravatinn ~rPt~lving flnnrlinv rlrainaue_ hulkheadS_ etc.
Open Water Impact

Site Number
indicate on ma
Name of Waterbody
(if applicable)

Type of Impact Type of Waterbody

(lake, pond, estuary, sound, bay,
ocean, etc. Area of

Impact
acres

Total Open Water Impact (acres)
Page 8 of 12
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6. List the cumulative im act to all Waters of the U.S. resultin from the ro'ect:
Stream Impact (acres): ~~ ©c
Wetland Impact (acres): f1 `~3
O n Water Im act (acres : Ca
Total Im act to Waters of the U.S. (acres) ~> (.~ ~
Total Stream Im act (linear feet): //J c; ~~.~~ C~~.p~ ~ ~:
~~/~~s~y 1 ~ ~~
7. Isolated Waters
Do any isolated waters exist on the property? ^ Yes ~ No
Describe all impacts to isolated waters, and include the type of water (wetland or stream) and
the size of the proposed impact (acres or linear feet). Please note that this section only
applies to waters that have specifically been determined to be isolated by the USACE.
Pond Creation 1Jr~.
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ^ uplands ^ stream ^ wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.):
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.):
Current land use in the vicinity of the pond:
Size of watershed draining to pond: Expected pond surface area:
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
fmancial 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.
/~ c;iC ~.~,e~~ ~~:. f'~-oPd rC-'.1? ~~~ A ~~ !~ p, p.,~a~ c9f' S"~'~?.~~ ~ .4s
l,..r~ ~ ~- c To ~~C. ~: S t ~ ~ ~ j.~ c Gc~ [~ c~ ~ ~3i~-a~.-+~. G~'c.,®s-s' i~~GS , Gl~oslio ~~'
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N<Z-`~ 1~~',A+~S ~o ,~ocC~ ~.~. ~Vt/Nc~~ ~,i.-./~-~' vim- ~r~ ~`> I°~,Q~'~',
VIII. Mitigation
DWQ - In accordance with ISA 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.
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Page 9 of 12

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.htm L
1. Provide a brief description of the proposed mitigation plan. The description should provide
as much information as passible, 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.
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):
Page 10 of I2

IX. Environmental Documentation (required by DWQ)
1. Does the project involve an expenditure of public (federaUs te/local) funds or the use of
public (federaUstate) land? Yes ^ No
2. If yes, does the project require preparation of an environmental document pursuant to the
requirements of the National or North Cazolina Environmental Policy Act (NEPA/SEPA)?
Note: If you are not sure whether a NEPA/SEPA document is required, call the SEPA
coordinator at [phone] to review current thresholds for environmental documentation.
Yes ^ No
3. If yes, has the document review been finalized by the State Clearinghouse? If so, please
attach a copy of the NEPA or SEPA final approval letter. Yes ^ No ^
X. Proposed Impacts on Riparian and Watershed Buffers (required by DWQ)
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required state and local buffers associated with the project. The applicant must also provide
justification for these impacts in Section VII abo~~ a ~A~pro'posed 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 (Taz-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 multi Tiers.
Zone* ,__ImP~_,~ Multiplier Required
3 (2 for Catawba)
1.5
Total
* Zone 1 extends out 30 feet perpendicular from the top of the near bank of channel; Zone 2 extends an
additiona120 feet from the edge of Zone 1.
3. If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e.,
Donation of Property, Riparian Buffer Restoration /Enhancement, or Payment into the
Riparian Buffer Restoration. Fund). Please attach all appropriate information as identified
within 15A NCAC 2B .0242 or .0244, or .0260.
Page 11 of 12

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. ~,vir/oposed impervious level.~`~ 14" ~ri ~..1 ~" W'~ ~ ~ ~
I~i'L.O (mob l [-~ /G(y7~.A C: C/41.~N7 Ll~J e- 'IV ~~ ® ~/ r ~1~c, l a US

XII. Sewage Disposal (required by DWQ) /~~.~
Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of
wastewater generated from the proposed project, or available capacity of the subject facility.
XIII. Violations (required by DWQ)
Is this site in violation of I~Q Wetland Rules (15A NCAC 2H A500) or any Buffer Rules?
Yes ^ No (~~'~
Is this anafter-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:
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).
ral~~ ~~
Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 12 of 12

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2722 Prince Drive
Lincolnton NC 28092
704/507-0444
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,A'~~
~~-
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Land Resources
Land Quality Section
Michael F. Easley, Governor William G. Ross, ,lr., Secretary
James D. Simons, PG, PE, Director and State Geologist Janet S. Boyer, PE, Regional Engineer
November 16, 2007
LETTER OF APPROVAL WITH MODIFICATIONS
Judson B. Wortman
_ Rutherford Electric Membership Corporation,
Post Office Box 1569
Forest City, North Carolina 28020
RE: Project Name: Womack Road to Pea Ridge Substation
Acres Approved: 9.5
Project ID: POLK-2007-025
County: Polk
Street and City: NC HWY 108, White Oak
River Basin: Broad
Stream Classification: C
Latitude: 35~D 19' 23" Longitude: 82D 06' 08"
Submitted By: Fred B. Blackley, ASLA Landscape Architest
Date Received by LQS: June 22, 2007 and November 13, 2007
Plan Type: Revision
Dear Mr. Wortman:
This office has reviewed the subject erosion and sedimentation control plan. We find
the -plan to be acceptable with modifications and hereby issue this letter of Approval With
Modifications. The Modifications Required for Approval are .listed on the attached. page. This
plan approval shall expire three (3) years following the date of approval, if no land-disturbing
activity has been undertaken, as is required by Title 15A NCAC 4B .0129.
Please be advised that Title 15A NCAC 4B .0118(a) requires
approved erosion control plan be on file at the job site. Also, you shout
to give the Notice required by G.S. 113A-61.1(a) of our right of periodic
compliance with the approved plan.
2090 US Highway 70, Swannanoa, North Carolina, 28778-8211
Telephone [phone] Fax [phone]
wwvy.en r.state.nc.us
An Equal Opportunity /Affirmative Action Employer
that a copy of the
d consider this letter
inspection to insure
NorthCarolina
~aturallt~

Letter of Approval with Modifications
Judson B. Wortman, Rutherford Electric Membership Corporation
November 16, 2007
Page 2 of 3
North Carolina's Sedimentation Pollution Control Program is performance-oriented,
requiring protection of existing natural- resources and adjoining. properties. If, following the
commencement of this project, it is determined that the erosion and sedimentation control
plan is inadequate to meet the requirements of the Sedimentation Pollution Control Act of
1973 (North Carolina General Statute 113A-51 through 66), this office may require revisions
to the plan and implementation of the revisions to insure compliance with the Act.
Acceptance and approval of this plan is conditioned upon your compliance with
Federal and State water quality laws, regulations, and rules. In addition, local city or county
ordinances or rules may also apply to this land-disturbing activity. This approval does not
supersede any other permit or approval.
Please be aware that your project will be covered by the enclosed NPDES General
Stormwater Permit NCG010000 (Construction Activities). You should first become familiar
with all of the requirements for compliance with the enclosed general permit.
Please note that this approval is based in part on the accuracy of the information
provided in the Financial Responsibility Form; which you have provided. You are requested
to file an amended form if there is any change in the information included on the form. In
addition, it would be helpful if you notify this office of the proposed starting date for this
project. Please notify Shawna Riddle or myself if you plan to have apre-construction
conference.
Your cooperation is appreciated.
Sincerely,

Kristin Hicklin
Land Quality Section
Enclosures: Certificate of Approval
Modifications Required for Approval
NPDES Permit
cc: Fred B. Blackley, ASLA Landscape Architest
G:\LQ\Polk\E&SC\2007-025 Womack Road to Pea Ridge Substation\LOAWM 11 16 2007.doc

Letter of Approval with Modifications
Judson B. Wortman, Rutherford Electric Membership Corporation
November 16, 2007
Page 3 of 3
MODIFICATIONS REQUIRED FOR APPROVAL
Project Name: Womack Road to Pea Ridge Substation
Project ID: POLK-2007-025
County: Polk
Reviewed By: Kristin Hicklin
1. This approval is based on the plans submitted by Fred Baird Blackley, ASLA, dated
October 30, 2007, and received by this office on November 13, 2007.
2. .All necessary permits, including those from the US ACOE and NC DWQ, for culvert
__ _
construction in the stream must be obtained prior to construction. If permitting
necessitates revisions to the plan, these revisions shall be submitted to our office prior
to the commencement of the project.
3. All disturbed areas shall be stabilized at the end of each workday.
4. Outlet protection in a creek is not necessary. The pipe aprons shall not to be installed in
the creeks.

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