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HomeMy WebLinkAbout20160187 Ver 1_Application_20160224Carpenter,Kristi From: Slaughter, Johnathan H Sent: Wednesday, February 24, 2016 3:56 PM To: Carpenter,Kristi Subject: FW: SR 1513A, Caldwell, Permit Application Attachments: SR 1513A, Application.pdf; SR 1513A, Topojpg; SR1513A, Plans.pdf From: Slaughter, Johnathan H Sent: Wednesday, February 24, 2016 3:52 PM To: Kichefski, Steven L SAW <Steven.L.Kichefski@usace.army.mil>; Marla Chambers (marla.chambers@ncwildlife.org) <marla.chambers@ncwildlife.org>; Marella Buncick (Marella_Buncick@fws.gov) <Marella_Buncick@fws.gov>; Wanucha, Dave <dave.wanucha@ncdenr.gov>; Reinhardt, Charles C<creinhardt@ncdot.gov>; Eller, Douglas W <dweller@ncdot.gov>; Pilkington, Olivia L<olpilkington@ncdot.gov>; Heavner, Kenneth H<khheavner@ncdot.gov>; Joyce, Jason F<jjoyce@ncdot.gov>; Souther, Zachary S<zssouther@ncdot.gov> Subject: SR 1513A, Caldwell, Permit Application � Please see attached permit application and supporting documents. Additional emails will follow for some due to file size. Call if you have questions. Email correspondence to and from this sender is subject to the N.C. Public Records Law and may be disclosed to third parties. .�;,�; :�► r � >,. � y~ � �'i"(� J't S p Gil"tGt t� U�2 ' i . � 1 `i' Mr. Steve Kichefski �[..T. S. Army Corps of Engineers Asheville Regulatory Field Of�ce 151 Patton Avenue, Rc�om 20$ Asheville, NC 28801-5006 p.�� ������.�' CC�4�errrc�i ���� �.,f�� ,�. �� ��� Secretrary Subject: Nationwide Permit # 14 SR 1513A (Indian Grave Road) Caldwell County, North Carr�l�na Pr�►ject Number: 11C.01445U (D�VR Permit �'�e: �570) Dear Mr. Kichefski: The NC Department of Transportation is schedul�d to grade, drain, b�.se and pa��e �R. 1 S 13.A., Indian Grave Road in �aldwell Cc�unt�. Tatal project length is 2.3 m11es �ith a g�pped ��c�ic�n from stations 69�27 — 76�2�. Impervious surfac� area vv�ll increas� b}� abc�u� 1.�i �.�r��. �I�'his project will involve steep grades with multiple rc�advvay reali�r�ments to el��a�r��.te �-c�rv�s ir� ih� road. Tree clearing is estimated at 21.5 acres. This projec� wi11 r�quir� th� r�p��c�rn���ladditic�� of six wet pipes as shown belaw: Stream Im acts: ::::::;::;:r:::::: :::::::::::::::;::::::::::::::::::::;:::::;:.::::::::;:::::::::::::�::::::;::::::;::::;:::::::;:::::::::::::::::::;:: :::::::::::::.:......... ...::::::::::;;:::::: :;:t::::::::::;:';Y:::;'":;::':'�',:"�::::�::;'2::%ii'`!:"';:ii;;£::>:i::i>ii::. � .....�...�.. ..... .�';:::?:<:'''r'':::i�?::i:i``::i"::::::i::;:::::';i:;:;::.';';:i;�"�;!. � ......... . ... .. . ............�.......... ,. . ........:....... ... . ,.. �.. . ... � .. ....:''ri:::�:::t:>':.:`r:;.:.:'i;':%?>:: ..� . � � ':: � ...,...�.�.: . �..�.,..:.. � ... �...�... ..:.�.�...�:;;.� ........ ....... .. . ..:..... .4................................ . ..., . .. .......... �A' .............. , JI!:................ ............... . ........ :'::"':'.�::::'!:'::'........:.:. .:: :':::":�';.': :''........:.... :.::'.. :. ':?1::'i.... .....::...:::::::.;:.:�.:::.::.::::::::: :.. ... :::.::::..,..:.::., :.:: ::::t::':z::::`::::#::;:i:;;::i,;:;::;.::.::::::...... ....................,..... . ......... ...... ..,........: ......::..... ..�� �; '';�'::;.::::::::;i::;:::::';:::': . �. .. .: :. �`: . . . .. :::::::::::;:::::::; :: ���� �� :, :. ::: �::�:�-:������.�- � . �� . .. . :�'`�� � :��:��;::: :.::;:::::::�:;:::.:::. ��.. � . . . .: ..: �� ��� ::: � �. � . ... ... ............ .. ......... .......................... .......... ........................................ ... ........ .... .... ... . :...... . ...... ...... ... ................ ....................... .... ........................... ..... ........ ............ ......... .......... .. ........:. .. ...... .._.... ..* ............. ...... ................. ........ . .... ..... . .. . .... : ...:... . : :: :.::::::::::::.:::.:.:::.::::::::::.:.:::.:::;.:.:.:::::::::::::.::::::: :::::::.::::::::::::::.:::::.::.::::::::::.:::::::::::::::::::�`::::::.::::::::::�:::::;:::::::::.::::::::::�:::::::::::::::::::::::�:::::::::::::;::::::.:::::.:::;::::::::::::::::::::::::::::::::::::::::::,::::::::::�;::�::::::::::,;::::::::::::.:::::::::.:::::::::::::::::: . ..::.::: ..s. : _:.:::::::::::::::.:,::: ...::::::::::.:::::.:: ... .. . . .. . . . .. . . . , . . . .� � . . . .. . . . . .. . .. . . .. . ..... ... :.: ::::: �.:.�.. .:.:. : ::::::::::.::::::::::::::::::::::::: :: . .. : .. .. .::::: ��::������� :: ::: ::::::::::::.:::;:.::.:::::::::::::::: :: :::::::::::::::.:::: ;::;:::,::::::;��:�::.� ::: �.:�:�::: : .. :. :::::::::::,:�::,::::;:: . .� . . . : �:::::::::::::::::::::::::::::.: :, . . .. . . . :::;:::::..::::.: ............... ........................................................ . ....................................................... . ................. .. �.............................................. ................... .... .. .................. ...................................................... ....... ............... . .. . ..... . ......... . .: .. �:.::.:::r :.::.::::.::.::.::.:.::. . . ., . ::. :;,:::::::::::::: ::: . ��.� .: .. .::.::.. ..::.. .:����;:::;:�:::;::::r ::�::;� :.:::::::::::::::::::::::::::::��.: : �:..��:�� :: ::... : :��:: � ��:�� :: . . ..... .:.. :.. :: ..::.::. ..:... . . . . . ... . � _ �� .:::::.:����. :� . .. ... � �:�. .. 14�41 24"x 39' 24"x 59' 1�' 40' �0' 39-�-U�1 24"x 29' 36"x 128' 14' 60' 1 d�' 4�,+111 18"x 31' 24"x 13 8' 45' 4a' 192' �"t��� ��, l.Xr �7 � 9 9 9 5�+291 18"x 31' 3� x 212 14 l�Q �`�� 57-�-561 24"x 32' 3U"x 168' 14' U' 2�,�' 63�50� R.etain 18''x 1Ui' � 3�r' 4C�' ���'' 24"x 5$' Permanent FiIIIRi ra Im acts = i90' Total l�ro'ec� m�.�ts ='7 � l These new pipe locatlons will all be down slope of the existing crossing lo�c�.tic�� �c� �ir�.�ght��� the curvy road. Deep � 11 sections are the reason for th� longer tha� nc�rmal pip� l�ng���s e.�4 �� c�� the old pipes except at b3+54 will be removed with seed �.nd coir �iber placed c�r� t1�� bank� ��'tl�e daylighted streams. � +r � �► . - State af North Caroiina ( Department of Traz�sportation � Division Elevetl �Ol S�atesviile Road � PC) Box 2S0 � No�th Wilkesboro, NC 28f�59-0250 336 6fi7 91 � 1 T Mr. Stev� Kichefski SI�. 1513A, �ndian Grave Road, Caldwell Febr�ary 24, 2016 A11 of the wet pipes will be too st�ep t� facilitate f�sh passage. � dcan't belie�� thai �sl� ar� pr�sent anyvvay. Riprap dissipaier pads w�11 be plac�d �n top c�f g�s�t��t�1� �°�:br�� �.� cauntersunk into the streambed a.t all pipe c�utleis �o r�du�e scour. F'�pe i�1�is �vi11 b� pla��d at grade to reduce head cut potential. The pipes are too st�ep to ba�k�ll any�a.�� A1so note that there is a large volume c�f trash, tires and deer �arcasses ir� s�ver�l c�f th�se strea��.� due to dumping by locals I pr�sum�. We will r�m�ve �.11 trash from c�ur v��rk �.r��. ar� h�.�l �t tc� the land�ll. There should be no trash burial associ�.ted w�th our proj�ct. The replacement of the above noted wet pipes will r�q��re �emporary dev�ate�in�. � imp�r�iaL�s sandbag dike will be constructed upstream c�f the existing and ne�w pip� 1o�at�a�s �c� ���ate �. small pool. Clean vvater will temporarily be pumped �:round �the �on�tructio� �re�.s and �ill b� d�scharged downstream. Any dirty water lo�at�d insid� af �he cc�nstru�tion ar�as wil� be pu��p�d into a silt bag if necessar�. Once the new pipes ar� in plac�, �th� imp��ic��s dik�s �v��1 b� removed an� preconstruction streambed elevations tivi11 b� restor�d. The wet pipe at station 14�01 carries a�CJT �o Blai� Fork (Class: �� ir� the �at�wb�. �.�v�r asino The remaining wet pipes carry di�`'fe�°ent LTTs to the Yadkin River {C1as�: �, Trout) 1n �h� �adkira River Basin. This project was reviewed for ihe presence of threat�ned and e�d�:nger�d �peci�s. There will be approximatel� 21.5 acres of tr�� cutting a� the project lc�catzan d�� tc� ��t, fll �r� realignment work. Til� NLEB a1�1"� Vl�'glllla. B1�-Eared ]Bat are 1�s��d as a p�a�t��te� �p�c�e� 1� �his county so we are requesting that the Corps of Engineers coc�rdinate �ith th� �.T��' S�c� deter�nine the �mpact ta this species. We would �ecommend a M.�I�L.�� c��l o� tl�is proje��o We do not anticipate any impact to any other feder�.l1� �ist�d speci��. �ultural resource campliance work has beer� ccampleted. I�o archae+�lc�gic�.l ��sour�es ar isto��� properties will be affected by this proj�ct (see att�.ched�. The project impacts should not remcave or d�grade �xi�ting water qu�lity �s�s. Sio� w�.��r vv�ll be rauted throu�h grass or rock lined ditches, C���J�11CI1I1� 011 til�' C�1$��1 �l.I1e 5��7�t�'. �pe s��es �sed -wi11 be th� m�nimum necessary to creat� a safer roadway. By ut�lizln� the �ros�c�� �c��t�c�1 measures outlined in the attachments to thls applic�.tio�:, dowr�stream �vvater qual�ty �t��dards �v�ll be protected. Overall water quality in the area �vill be improved by pavir�g th� .� � travel 1an�se A11 appropriate BMPs will be used during constructian. A�tached is a Preconstruction Not��cation Form, plan sheets �vit� propc�s�d �r�si�n �c�n�rc�l measures, a marked county map and a marked topography map. By copy of this electron�c letter, it is requested th�.t ��rs. �.rla C�harx�b�rs �i�h i�:� ��rt Carolina �Tildlife Resources �tJ1T1I�Cl1SS1011 commer�t directly to �ro� �an�e in� �� 404 Nationwid�e Permit application vvith a copy ser�t to me. By copy of this electronie letter, it is requested that the D�vision o� aier �so�rc�s, 401/'Wetlands Unit, issue the appropriate permit for constructio� of �his proje�t. It is r�qu�sted. that any comments related to the 401 cer�ificat�or� be electron�cally fo�w�.rd�d dire��ly tc� � wi�h a copy sent to the tTS Army �orps of Engineers. We vvcauld like to begin construction as soon as possible. If furth�r �nfor��atic�� is r�quired, please let me know. Your early re�iew and cor�s�deratic�n vvi11 be appreciated. Mr. Steve Kichefski SR 1513A, Indian Grave Road, Caldwell February 24, 2016 ��ncer�ly, �-l�ath S laughter iJ��ision �nvirc�r�rrlental CJf�'i��r Enclosures cc: Marla Chambers, NCWRC .�A.my �hapman, D1V1S1011 Of �Vate�' R�SOUrC�S Dave Wanucha, Dlvisian of Water �2es�aurces Marella Buncick, LTSFW� Mike Pett}�john, PE, D1V1S1011 E11�1I1��i L)oug Eller, District Engineer K.enny Heavner, FE, �ounty I1�a�ntenance En�ine�r Jason Joyce, Roadsid� Environmental Eng�ne�r Zack Souther, RO�.C�Slt�e E11V1�'OI1111�11taI F1�'�CI ���'�'at1011S rT��i1111C1�l.�'1 ��,� ����� ��� �.� ��f�;:.`.: ., � C7ffiGe Use t�nl�: � � �. � � Corps actio� I d n�. � � �' :.,.:.�.:;>�:. ~=� �`� DWC� project nc�. � � r � � � � f �,� ::. . �. }: , { .. . :,... �`:.,::r``:���:j.::::'`':::�:. Farm Version 1 e3 Dec 1� 2�08 Fre-Construction 1`�Totificati�an T'C��T �+�rr�. A. A lic�mt I�f�►r�a�ti�� 1. Pracessing 1a. Type(s} of approv�l sought fram the Car s: � Sec�ion 4�4 F'ermit ❑�ectior� 1 C� F'ermi� p 1 b. Specify Nationwide Permit (NWP) number: 14 ar General F�ermifi (GP} number: 1c. Has the NWP or �P number been verified by the Carps? � Yes � a 1 d. Type(s) of approval sought fram the DWQ (check a�l that apply): (� 401 Water Quality �ertification —�eguJar �j Nan-��4 Jurisdictional General P�rr�it [� 401 Water Quali�y Certification -- Express ❑ Riparian Buffer A�tharizatian 1 e. I� this notific�tion solely for the record For the record an�y f�r DWQ 4a1 For the r�c�rd or�ly f�r ��rps F'ermit: because written approval is nat required'? Certification: ❑ �es � N� [�] ��s o 1 f. is payment into a mitigation bank or in-lieu fee program propc�sed for mitigatic�� � Y�� � a of impacts? If so, attach the acceptance letter from mitigatior� b�nk or in-Iieu fee program. 1 g. Is the project located in any of NC's twenty coastal caunties. If y�s, answer 1 h ❑ Y�� � belaw. � h. Is the project located within a NC DCM Area of Environmental Cancern (AEG)'? � l��s o 2. Project Information 2a. �lame of project: SR 1513A, Indian Grave Road 2b. �ounty: Caldwell 2c. Nearest municipalifiy / tawn: �enoir 2d. Subdivision name: 2e. �I�DOT only, T.I.P. or state ���.p� 4050 project na: 3. Owner Infarmatic�n 3a. I�ame{s) on Recorded Deed: NCDOT 3b. Deed Bonk and Page No. 3c. Responsible Party (for LLC i f applicable): 3d. Street address: 8�1 Statesvilie Raad 3e. City, state, zip: North Wilkesboro, NC 28659 3f. Telephone no.: 336-903-9202 3g. Fax no.: 336-667-4549 3h. Email address: hslaughterC�ncdot.gov F'age i c�f '1 Q P�N Forrn -� Version 1.3 D�cernb�r 1�, 2��8 �I�rsi�n 4�. Applicant Information (if different from owner) 4�. Applicant is: ❑ Agent ❑ Other, specify: 4b. Name. � 4c. Busines s name ��� �_ (i� applicable): 4d. �treet address: 4e. Cifiy, state, �ip: 4f. Tele�hone no.: 4g. F�x no.: 4hn Email address: 5. Agent/Consultani lnformation (if applicable) 5a. �1ame: 5b. Business name (if applicable): 5c. Street address: 5d. Gity, state, zip: 5e. Teiephone no.: 5f. Fax no.. 5g. Email address: P�ge 2 of 1 Q P+�N Form -- �/�r�ian 1.3 �ecerr�b�r '10, 2��� 1�ersi�n �. Project Information and Prior Project Histor� 1. Property Identific�tion � a. Property idenfiification na. (tax PIN or parcel ID): 1 b. Site coordinates in decimal de rees : La�itude: 35.97590 L.angi�ude: -�1.52864 C � ) taD. aDDa�D> �-aa. aa����> ��. P�ope�ty S�Z�: z� ac��� 2, Surface Waters 2a. Name of ne�rest body of water (stream, river, etc.) to �� to Blair F�rk and IJTs tc� �'adkin �.i�e� proposed prc�ject: 2b. Water Quality Classification of nearest receiving water: � and C; Trout 2c. River basin: Catawba and Yadkin 3. Project Description 3a. Describe the existing conditions on the site and the general I�nd use in the vicinity of the project at �h� time c�f this applicati�on: Unpaved road in a rural area. 3b. List the total estimated acreage af all existing wetlands on th� property: 0 3c. List the total estimated linear feet of ail existing streams (intermittent and perenr�ial) �n th� pr�perty. � 15�4 linear feet 3d. Explain the purpose of the propased project: Upgrade roadway. 3e. Describe the overall praject in detail, including the type of eq�ipment ta be used: See attached cover letter. 4. Jurisdictional Determinations 4a. Have jurisdictional wetland or stream determinations by �he Corps or State been requested or obtained for this proper�y / project (including all prior phases) in the past'? � Yes ��1� � iJnkn�vun Comments: 4b. If the Corps made the jurisdictional determination, what type of determination was made? ❑ Preliminary ❑ Finai 4c. If yes, who delineated the jurisdictional areas'? Agency/Consultar�t Cor�pan�: IVame (if known): Other: �d. If yes, list the da�es of the Corps jurisdictional determinafiions or State defiern�inations �r�d ��tach dc�c�mentation. 5. Project History 5a. Haue permits or certificatians been requested or obtained for � Yes � Nc� � nkr���rr� this project (includ�ng all prior phases} in the past? 5b. If yes, explain in detail accarding ta "help file" instruction�. �ee attached cover letter 6. Future Praject Plans 6a. 1s this a phased project? � 1�es � o 6b. If yes, explain. P'age 3 c�f � U P�N F�rm — Version 1.3 C�ecember 1�, 2�C�� �ersi�r� C. Proposed Impacts Inventory 1. Impacts Summary 1 a. VVhich sections were completed below for your project (check all that apply): [� Wetlands � Streams - tributaries ❑ Buffer� ❑ Open Waters ❑ Pand Construction 2. Wetland Impacts If there are wetland impacts proposed on the site, then camplete thi� ques�ion for each wetian� �rea impac��d. 2a. 2b. 2c. 2d. 2e. 2�. Wetland impacfi TYpe o� jurisdictior� number -- Type of imp�ct Type of wetiand Far�sted (Cc�rp� - 404, 10 �Rre� �f impac� Permanent (P) c�r (if known) DWC� — nc�r�-4�4�, ��h�r} (��res) Tem orar T � Y�s � Corps W1 ❑ P ❑ T �� ,�, ❑ ❑ D C� �] Y�s 0 corps W2 ❑ P ❑ T �a DW �] � C� �] Y�s � Corps W3 0 P❑ T N c� IDVi/ � t� ❑ Q � Yes �j Corps W4 ❑ P❑ T fV o D 0 ❑ WQ [� Y�s ❑ Carps W5 C�P❑T N� C! � ❑ WC� ❑ Y�s ❑ �orps W6 ❑ F' [�] T No DW � ❑ C� 2g. Tatal wetland imp�cts 2h. Commenfis: 3. Stream Impacts If there are perennial or intermittent stream impacts (including temporary impacts) proposed �n fihe �ite, ther� cc�mplete thi� questian for ali stream sites impacted. 3a. 3b. 3c. 3d. 3e. 3f. 3g. Stream impact Type of impact Stream nar�e Perennial Type �f jurisdictie�r� A���r�ge Imp�ct number - (PEF�) or (Carps - 40�4, 1� stre�m ler�gth Permanent (P) or intermittent p�� _ n��_4pq,} vvidth (linear Ter�nporarY CT) (INT)? �ther} (fe�t) fe�t) Piping, Riprap & � P�R � Corps S1 � P� T pewaterin UT to Blatr Fork �NT DW � �� � � � � Piping & 11T #1 to Yadkin (� PER � Corps S2 � P� T pewaterin River iNT pW � ��� g ❑ � � Piping, Riprap & UT #2 to Yadkin � P'EFa � Cor�s s 3 � P� T Dewatering River [� INT � DWQ 1 1 9 2 Piping, Riprap & UT #3 ta Nevv � PER � C�rps S4 � P� T Dewaterin River INi DWC� � ��� g ❑ � Piping, Riprap & UT #4 to Yadkin � P�R � Corp� S5 � P� T Dewafierin River INT DWQ � ��� g ❑ � Piping, Riprap & UT #5 to Yadkin � PER �+Corps S6 � P� T Dewaterin River INT DW � ��? � � � � 3h. 'Tc�tal stream and tributary impacts 117p 3i. Camments: 673 pipe, 117 riprap, 380 dewatering Page 4 �f 1 a PCN Fc�rm -- Version 1.3 De��mb�r ��, 2U�� ��rsior� 4. Open Water Impacts If there are proposed impacts to lakes, pands, estuaries, tributarie�, sounds, the P�tlantic t�ce��, ar any o�her ca�en uv�fier c�f fihe U,S. then individualiy list all apen water impacts below. 4�. 4b. 4c. 4d. 4�. 4pen water Name c�f vuaterbody impa�t number - (if applicable} Type of impa�t Wat�rbody typ� r�� �� impa�� (��r�s) Permanenfi (P) or iem orar T t)1 ❑P[�T 02 [�P❑T 03 ❑ PC]T 04 ❑P❑i 4f. Tatal open water impacts 4g. Comments: 5. Pond ar �ake Construction If and or lake construction ro osed, then com lete fihe chart beic�w. 5a. 5b. 5c. 5d. 5�. Wetland Impacts (acres} Stre�m Impacts (feet� lJpl�►r�d Pond I� Proposed use or purpose (�cres) n�mber c�f pond Flaoded Fiiled Exc�vated Flooded Fill�d �x�av�t�ed �'I�od�d P1 P2 5f. Total 5g. Cc�mments: N/A 5h. Is a dam high ha�ard permit required? ❑ Yes � No If yes, permit IC� r�o: 5i. Expected pond surface area (acres): 5j. Size of pond watershed (acres): 5k. Method of construction: 6. Buffer Impacts (for DWQ) If prc�ject wi!! impact a protected ripari�n buffer, then cr�mplete the chart b�low. If yes, ther� individu�lly lis� �II bu�fier im��ct� below. If an im acts require miti ation, then ou IVIUST fill a�fi S�ction D of this fc�rrn. 6�. � Neuse [� T°�r-Pamlic� � C��her: Project is in which protected basin? � Catawb� ❑ Randiem�n 6b. 6�. 6d. 6e. 6i. 6g. Buffer impact number -- Reason �uffer Zane 1 imp�.c� �c�r�� 2 impa�t Permanent (P} ar for Stream name rt�itigation (sq��re fee�} (�quare f���) Tem orar T im act r� uired? C�] Yes e� 0�❑T �v� � � �'�s g� C�P❑T N� C� Q �'es B3 ❑ P ❑ T N� � bh. Tatal buffer impaets 6i. Cc�mments: PageS�f�� P�N Forr�n -- Version 1.3 C�e+�ember 10, 2��8 �`�r�ior� D. Impact Justification and Mitigation 1. A�roidance and Mir�imi�atian 1 a. Specifically describe measures taken to avaid or rninimiz� the proposed impacts in design�ng praj���. The pipe lengths are the minimum needed ta eliminate sharp S-curve� in �he roadway. 1 b. Speci�cally describe measures taken to avoid or minimize the proposed impacts through constructi�n t�chnique�. All apprapri�te BMPs will be used during construction. 2. Compensatory Mitigatian for Impacts to Waters of th� 11. . or Waters af th+e t�t� 2a. Dt�es fihe prc�ject require CQmpensatory Mitigation for � Y�s [� IVn impacts to Waters of the U.S. or Waters of the State? 2b. If yes, mitigation is required by (check all that apply): � DWQ ��orps ❑ IV�itiga�ion bank 2c. 1f yes, which mitigafi ion option will be used for this ra'ect'? (� Payment to in-iieu fee pr�gr�m p J [� Permittee Respc�nsibfe �ifiig�ti�n 3. Camplete if Using a Mitiga�ion Bank 3a. Name of Mitigation Bank: 3b. Credits Purchased (attach r�ceipt and letter) iype Qu�r�tit� 3c. Comments: 4. Complete if Making a Payment to In-lieu Fee Pragram 4a. approval letter from in-lieu fee program is attached. � Y�s 4b. Stream mitigation requested: 1580 linear feet 4c. If using strear� mitigatinn, stream temperafiure: � warm � caol ❑cold 4d. Buffer mitigation requested (DWQ only): square feet 4e. R.iparian wetland mitigation requested: acres 4f. Nnn-riparian wetland mitigation requested: acres 4g. Coastal (tidal) wetland mitigation requested: acres 4h. Cc�mments: 5. Cornplete if Using a Permittee Responsible Mitigation Plan 5a. 1f using a permifitee responsible mitigation plan, provide a descriptian of the prc�posed mitigation pl�r�. Page6c��14 PCN F�rm -- Versic�r� 1.3 D�cer�ber 14, 2��� '�ersior� 6. Buffer Mitigation (State Regulated Riparian Buffer Rufes) �- requ�red by D1�1/C� 6a. Will the project resuit in an impact within a protected riparian b�ffer that requires ��'e� �!�� buffer mitigafiion? 6b. If yes, then identify the square feet of impact to each �one of �he r�parian buffer �h�t requir�� mi�iga�ior�. �alcul�fi� �he amount af mitigation required. 6c, 6d. �e, ���� Reason for impact Total impact �1/lultiplier Required mi�igatior� (square feet) �sq�are �e��j Zone 1 3{2 for Catawb�) Zone 2 1.5 6f. Tatal buffer mitigation required: 6g. If buffer mitigation is required, discuss what fiype of mitigation is proposed (e.g., payment to priv�te nni�igation b�r�k, permittee responsible riparian buffer restoration, payment into an �ppr�ved in-lieu fee fund). 6h. Comments: Pag�%c�f10 P��l Farm -- Versia� 1.3 C�e�ember 1�, 20�� �lersior� E. Stormwater Management and Diffuse Flow Plan �required by C�WQ) 1. Diffuse Flow Plan 1 a. Does the project include or is it adjacent to protected riparian buffers identified Q�,�� ��� within one of the NC Riparian �uffer Protection FZules? 1 b. lf yes, then is a diffuse flow plan included? If na, expl�in why. Q �es ❑ � Cc�mments: 2. Stormwater Mana ement Plan Za. What is the overall percent imperviousness of this praject? % 2b. C�oes this project require a Stormwater Management Plan'? � 1�es Q� 2c. if this project Dt�ES N(�T require a Stormwater Management Plan, expl�ir► why: 2d. if this project DOES require a Stormwafier Management Plan, then provide a brief, narrati�e descriptic�r� �f the pl�r�: Falls under DOT NPDES Permit � �ertified Loc�l t�overnm�nt 2e. Who will be respansible for the review of the 5tormwater Management Plan� ❑ l�i/VQ St�rmvv�ter Program ❑ C�inlQ 401 lJnit 3. Certified Lacal Gavernment Stormwater Review 3a. Ir� which local government's jurisdiction is this project? (� f'hase II ❑ f� �W 3b. Which of �he following locally-implemented stormwater managem�nt pragrams 0���P apply {check all that appiy): [� Water Suppl� iN��ersh+�d [j �th�r: 3c. H�s the appraved Stormwater Management Plan with proof of approval been � Y�s �,] c� attached? 4. DWQ Stormwat+er P'ro ram Review [� �o�st�l �ot�n�ie� ❑ HC� 4a. Which of the following state-implemented stormwater manag�ment progr�ms �pply 0 p� {check all that applY): ❑ Sessior� La� 2006-24� ❑ O�he�: 4b. Has the approved Stormwater Management Plan with proof �� approval been attached? � �'�� � � 5. DWQ 401 Unit 5tarmwater Review 5a. Does the Starmwater Management Plan meet the appropriate requirements'? � Y�� ��� 5b. Have all af the 4�1 Unit submittal requirements been met? � Ye� �� Page8�f10 P�N Form --1/ersion 1.� C�ecember 1�, �0�8 �lersic�r� _ F. 5upplementary Information '1. Er�viranmental Dacumentati�on {DWQ Requirement) 1 a. Does the project involve an expenditure of pubiic (federal/stat�llocal) funds �r the ���� ��� use of publ�c (federal/state) land? 1b. I� you answered "yes" to the above, does �he prc�ject require prep�ratior� af an environmental document pursuant to the requirements of t�e Nation�l or State � Yes �� (North Caralina) Environmenfiai Policy Act �NE�'A/�EPA)? 1 c. If you an�wered "yes" to the above, has the document review been fi�alized by the State Clearing Hc�use? (!f so, attach a copy of the NEPA or SEP� final approval letter.) �j Y�s � � Camments: 2. Violations (DWQ �2equirement) 2a. Is the site in vic�lation of DWQ Wetland Rules (15A NGAC 2H .(�500), Isolated Wetland Rules (15A NCAC 2H .1300), D1NQ Surface Water or 1lV�filand �tar�dards, Q Yes � or Riparian Buffer Rules (15A NCAC 26 .02�0}? 2b. !s this an after-the-fact permit application? j� �'�s ��I� 2c. If you answered "yes" to one or both of the above questions, prc�v�de ar� explanatian of the viola�ion{s): 3. Cumulative Impacts (DWQ Requirement) 3a. Will this project (based on past and reasonably anticipated fu�ure irnpacts) resulfi in ���� ��� additional development, which could impact nearby downstre�m water quality? 3b. If you answered "yes" to the above, submit a qualitative or qu�ntitative cumu�ative im}aa�t �naly�is ir� ac�ordance with th� most recent DWQ policy. If you answered "nn," provide a short narrative description. 4. Sewage Disposal {DWQ Requirement) 4a. Clearly detail �he ultimate treatment methods and disposi�ion (non-discharge �r discharge) of wa�tewa��r generated fror� the propased project, or available capacity of #he subject facility. N/A P�ge 9 �f 10 F�CN F�rm -- ifersic�n 1.3 L�ecember 1�, 2�08 i/�rsi�r� 5. Endangered Species and Designated Critical Habitat (Corps R�quirement) 5a. V1/ill this project occur in or near an area vvith federally protected species or ��.�� ��� h�bit�t? 5b. Have you checked with the USFWS concerning Endangered �pecies l�ct � yes ��� impacts? � R�leigh 5c. If yes, ind icate the U�FWS Field {�ffice you have contacted. [� Ashe�ill� 5d. What data source� did you use to determine whether yaur sit� would impact E�d�ngered 5pecies c�r e�ignated t�ritical Habitat? GIS and visual observation. Requesting that the Corps coordinat� with U��WS regarding th� LEB arrd �BF . 6. Essentiai Fish Habitat (Corps Requirement) 6a. Will this praject occur in or near an area designated as essential fsh habitat? ❑ Yes � fVc� 6b. What data sources did you use to determine whether your sit� would impact Essential Fish �I�bitat? WRG will comment 7. Historic or Prehistoric Cultural Resources (Corps Requ�r�ment) 7a. Will this project occur in or near an area that the state, federai or �rib�l governments have designated as having historic or cultural preservation ❑��� o status (e.g., National Historic Trusfi designation or properties �ignificant in Narth Carolina history and archaeology)? 7b. What data sources did you use to determine whether your site wc�uld impact historic ar �r�h�ol�gic�l re�ource�'? Project submitted �o dHE. 8. Flcaod Zone Designation (Corps Requirement) 8a. Will this project occur in a FEMA-designated 10�-year floodpl�in? ❑ Ves ��lo 8b. If yes, explain how project meets FEMA requirements: 8c. What saurce(s) did you use to make the floodplain determination? ncflo�dmaps J. I--�eath Slaughter �A ,� 21�4�/1 � � � Applicant/Rgent's Printed Name Applicant/Agent's ign�ture ��� (Agent's signature is valid only� �f an aut ization letter from the applican� is provided.) P�ge la �� �a P+�N Forn1-- ilersi�n 1.3 Gecemb�r 14, 2Q4� �ier�ian � r �. � � �tiYodkin S • � �• i � �_" C� • � �ti../> i\1, .. o� , �� � �� o � �u �� 7 �� �,�� J �� �� � �� �`��°� ''�� � � � � � �� � ��. v✓ �`�� � � � � � � � �� �/ � �j v' - �, v `�-� � : , -�' s �,,;d 1 � yy� , �' � _ rn ��i�� ��� �l l 'qn � � i."- / � - _ f; op �.� � �_ � r � � )/� � � � ,� '� o � � � ,. " s. 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'''# , / � _' � '! • � � t, _; � , � � � � , �, . �� _,; ����_� ��,_...,�. _ r. � ,4�,�„ ..,�._w�-_ .,. �<r_�,r� � �R �5�3A �d JaR Gr4y� R ��/.� � �.� � �� � �� . _� _� _ � . �, � ` . ,� � � = � � i # , �r " ;�� , � �# �.t :#t , :.i A � � � _ � . _ ,, . . ; : = �' �`, " l�� �� s S�Fc��T�� � ,��� ��, � �'1� � ' • . : :� M. � �� I .' 1 � I ' `' ��I : �'��- . ��� . �i�" � �� ������ �� _,.--_�.� ..-_�-�..■ ER�ION AND SE�II��NT �ONTROL MEA��RE� s�. � 12�i�i�a �x� �.�}.� �em�orarr �i�� �i�e�n- - - - - - - - - - T+� ��.(}� �etmporary �iversioa� - - - - - - - - - - - - - . .�p -,�,. ���}I �em�rorarr �i�� �' ence - - - - - - - - - - ��.�� ��ecia� �ea�ime�s� �an��o� �ence _ _ _ _ i�t�.d� �e�sporary �erms an� ��ape �rains - - - - - - - - - T� s� 1630.02 ��1� ����� "Y°r�� �---------------� i � �,�.a� 1! 6Y@'1j30P8Pj' �ac� �i�� ��►eck �pge��.- - - - - - - - . � �etaipor�.ry �oc� �il� ��ec� �ppe`� wi�� I�aE�in� �.nc� �olr�crpia�nic�e ���1�?_ - - - - - - - - - � I�(� �erazpor�rp �oc� �i�� ��►ec� �y�re'�- - - - -� �%aE��e%%Cair Fiber �a�E�e----------------- � �a�i�e i� Coir �i�er �a€E�e ♦ wi�h �o�yacrp�amic�e {�i���- - - - - - - - - - - - - - - - - - � ��.��, �eta�pararp �oc� �ec�imen� �aen ��*pe�s�_ - - - - - ��.i� �era�gorary �ac� �edi�nenE �am �ype��- - � ��J..�� �{oc� �ipe �n�e� �edimenE �raP �gp�ee�- - - - - - -�� Z�h�J.� �ocic �ipe �nle� �e�imenE ��ap �y�re �_ _ _� i�.Q� �£i��in� �asin------------------------� ��.�t ��aecia� �Eil�ing �asias- - - - - - - - - - - - - - - � �oc�c �m�eE �edime�$ °�rep: tt��.o� �r�pe �------------------------ !q� 163S.Q2 °rr�� �-------------------------�� �.�Z.� �}'Pe � ------------------------�� ��imta�er �asin---------------------- ��_-___�� �ae�°ea� ��iana�e� ��si*�-------------.�� �n�i��ra�ioaa �asim---------------------� THIS PROJEC� COI�ITAINS �RQSION CQI�ITROL PLAi�1S FOR CLE�,RING A1�ID �RUBBII�fx �'HASE �F ��NSTIZLTCTI01'�. Itoadway Standarcl Dra��zngs i`he €c���€�w�ing rc�ad�va�� e Iish star�dartts as apgear in ''Rc�ad��a�� S�and;�rc1 I3rac��ings"- �t€�ad���a� I3esign Lfnit - I�. C. �epartment €�f �`r�spc�rtatio� = Ralei��, :�. �., ciaied ,ianuary� 2(}12 �nc� the 1ai�st re�-��€s� t�-sereta are appiicab�e tc� tl�is prajeci ar�d b�° referenee herebg• a�-e e€�nsic�ered a part c�f tI ar t$aese p�:�ns, If ��.01 RaiIr€�ad �rc�sic�n C€sntr€rI �}etai€ 1632.01 Rc�c� Intet Sedirrcent Tra� `�`z�pe � ��O�,QI `I`empt�rarcT �il� �ence Ib3?,€l2 Rack �nlet Sec�irnent �'rap 1`�-�se �3 16(}6.�31 S�seeial Sedime�a� �c�€atrcal �en€;e �632.43 R�se�s ir�let �ed'€rne�at Trap FTs-p� � �Erf� 1,�I Grave� �c��strueti�n Entra€�ce 1633.�1 `�`e�npc�rary Rock Si1t �heck '��xpe A �622.(3I �cmpura�` �3erms a€�d �1ape I3r�ins 1633,(12 Tempc�rary R€�ck Si1t Check T��pe � 1�i3�,�i1 I�:iser Basin I634.E�1 Teanpcsrars• �csek �ed'ament �arr� `�yp€; � I :i IEs3€�.�2 �i1t �asin �`y�e � Ib3�.�2 TempQrarf• Raek �edime�t Darta "T�=pe B �63fl.f�3 �I`�mpesrar�� Silt �}iteh 1b35.�1 R�ek Pipe I�let �ecii�nent Trap ��•pe � 263�1.�� �tii�i� �asin 163�.�? Raci� �ipe Intet �ediment Trap �'�Fe � c � �63E1.�� �'em�czr�rc I�i���sicr� �6��3.0� �€�ir ��rer �affle �E�3(3.�6 S�eeia� Sti�li�c� $asir� I6��.0� 'Ie��scar�- �tream �ra�sin� �63�.�� ���atti�� ��ts��I��iica� Erasion Contral Schedule and. Notes 1. �enerally, the arder of installat�on of the eras�on control rneasures will be as fallows: � � � � � � ♦ � • j 1 � � i � � i � � i � • � ♦ � � � 1 : , � j � 1�. Temporary sl�t bas�ns shall be I�stalled befare clear�ng and. grubb�ng begins. B. S�lt fences a�d temparary si�t ditches shall be �nstalled af�er clear�ng and before grading. �. Tem orar�r stone ditch checks wi�h PAI��I or watt es w�th PAl�/I s�a�l be installed in all disturbed areas as soon as �he disturbanc� begins. I�. Final stane ditch checks ar wa�tles shall be installed as soon as ditch line is established. E. P�pe outlet and �nlet protect�on �v�li be done as �oon as the pipe �s �nstalle�. F e Other per�nanent eraslon cont�ol measures are t� b� Imp�emented as soon as pract�c�.l. 2. ���por�.r�y r��l� s��� c����s, ������� be �p�.��d by p�rc�nt grade a�s showr� in t e erosion �an�rol pl�.�. 3. �T�. 5 stone, or �quivalent, will be used fn conjunctian ��th �h� tem.�orary rac� s�lt chec�s in locat�o�s wh�re vva�er is leav�ng �he pr�ject or �nter�ng a pipe. 4e 1�1� dev��e� are �o b� clean�d �ut �vhe� half fu��. 5 a Establish p� �.n��� v�g���.��an per g��und st�.b����a���� ���.r�a l�€���Se ��r s��� b�.sir� ���� s�e �h� �.�t�.�h�d �rc�s��� ����r�� ���.�.s. ���� �s �� b� pl�a��� �� �.�� � p� � ��.���s a�� ��.����s i� �h� ����i�� �a��r�l ���.�� e�.���� ��r ��� ��.�.1 d����� �� ���� �.�d ����.� p��j���t�. ��et P�pe Installation Schedule and Notes 1, Pr�or ta installing any �&SC measures �dent�fy per��.it conditions and impact area lim�ts. 2. Install eroslon eantrol devices. 3. l�/Iana e the water course. The pi�e mus� be place in the dry. Install dewater�ng measures, 4. Remove mater�al and exist�ng pipe whlle limi�ing, material and sed�ment from enter�ng stream and escaping �he pra� ec�. 5. Excavation of stream channel shall nat exceed 10' on either side of ne� pipe or cul�ert unless indicated on per�nit, 6. �'er per�nit cand�t�ons for Carps of Engineers and the �ildlife R�sources Commiss�on, a11 � es in streams 48"or great�r musi be bur�ed l2" e aw strearnbed el�vat�on. ��pes less than 48"musi b� buri�d �rith 20% �f th� diamet�r be1o� st��ambed �l�vatlono ' . - - - � �' . � t ; �. f. ; �' ��` ! � � ! • � � ! ' ! � _ ! i. , ! ! i - - s , S ! - ! 4 � ` .� � :. �': �' � ,, •. ,, _, � -_�.� i ' �` _ _ . s i �� �^ . s '�" s ! i'' • i: !` .t • ! , : _ . � ;! ' ! . . � .! # , ! !' � ,�: # : � �; �' • � �: s _ � � � s _ ; ` ` � �. � i s . ! s. �".��� � i � ; 1 � � � � ��. � �i�� /�r�� �����-�p���r� � ��a��li����c�� �i�� Fr�r�e � ��a�i�i����c�r� �ir�� �r��� ����p��c�r�s ' � � ; � � ] i ' �e���e�er ���c�s, �v�����, d��c��s ' � ���� � ���� f ; �r�� ���p�s ; � � � t t � � � ' � ; � ° 4 { �--�i�� ������ ���� �r��� ` � c��y� ; ��� t , ; _ � � ! ; � " ! ` : [� ��c�p�� ��� �� �. �� ���� �� ���c��� ��d ���; t ������ ����p�� ���� �: � ' � ���� ; r��� ����p�� ���� 2Q � � � � d��� ��� ���c�v��d 4 ; ; ; � � � �� � ���er ; � � 7 d� s f�� ��c� �� �e���r ���� �Q� �� ��� ��� , ��op�� �� � �� c�a� ; � � � � � � -__- E , � ; �� ����� ����� ������ ���� �: � ' � � c���� � ���� � ��� ������� ����� � ����� � ; � � � � _ � -- �eneral Eros�on �on�rol Sequence & Notes far I�I� DOT Proj eets in Trou� Buffer Zones 1. Prlor �o install�ng any EcS'�S� measures ident��y per�ni� eonditions and lmpact area Iimits. Review �raut buffer �arian�e approval eanditlons for an� special prc�vis�ons. �. All mater�als should be on the hand before work Is con�nenced. 3. Install E� devices 4. Worl� vvithin �he buffer zane should be sequen�ed to min�mize the length c�f time that disturbed areas c� are e�posed. Stream banl� stabilizatian, wh�ch includes �he area from the edge of water �tQ the top of ban1�, �hould be hased s� that each day's work is a c€�mp�eted w�rk, 1nc uding provislon �f adequate ground covera 5. CJraded sl� es �.nd fills w�thln the trau� buffer 2on� w�11 wi�h�n 7 ca. endar days of completlon of any hase af g��.d��.� b� pl�.n��d �� �t�����se �rav�d�d v��� �e�par�.� or per�nanen� ground co�erg dev�ces, or structur�s suff�clen� to restr�.i� er�s�on. • .�•� ��- . � - � i . � _ _ i . � �.i f !` . !' i i ' 'i � '! ' ! ! ! !' 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