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Home My WebLink About20160331 Ver 1_Application_20160404Carpenter,Kristi From: Sent: To: Cc: Subject: Attachments: Follow Up Flag: Flag Status: Good afternoon, Allen, Yates Monday, April 04, 2016 1:46 PM Beckwith, Lori SAW Willis, Jason L; DeWit, Benjamin J; Chambers, Marla J; Carpenter,Kristi; Barnett, Kevin SR 2167 Whittemore Branch Road Buncombe County road widening SR 2167 Buncombe PCN.pdf Follow up Completed Please see the attached PCN for one pipe extension on Whittemore Creek during the widening/paving of Whittemore Branch Road in Buncombe County. Pipe extension will total 10 linear feet (LF); 30 LF of the creek will be temporarily dewatered during pipe extension. The PCN contains 28 pages; please let me know if you do not receive all 28 pages. This project has been proposed at least twice in the last few years. Funding has been pulled for various reasons. We respectfully request the natural resource agencies' earliest attention to this matter while funding is available. If you have any questions or need any more information don't hesitate to call. Thank you. Yates Allen Division Environmental Specialist NC Department of Transportation 828 251 6171 office 828 713 1568 mobile ryallen@ncdot.gov 55 Orange Street PO Box 3279 Asheville, NC 28802+3279 ; � � �► � ,r _ Email correspondence to and from this address is subject to the North Carolina Public Records Law and may be disclosed to third parties. Email correspondence to and from this sender is subject to the N.C. Public Records Law and may be disclosed to third parties. Transpartation April 4, 2016 Ms. Lori Beckwith US Army Corps of Engineers 151 Patton Avenue, Room 208 Asheville, NC 28801-5006 Subject Nationwide Permit #14 SR 2167 Whittemore Branch Road State Project No. 13C.011219 Buncombe County, NC Dear Ms. Beckwith: PAT McCRORY Covernor NICHOLASJ.TENNYSON Secretary [ have enclosed a set of plans, a PCN application for NWP #14, and a vicinity map relative to the proposed road widening project on SR 2167 Whittemore Branch Road, Buncombe County, NC. We propose to replace/extend one (l) pipe culvert on Whittemore Branch. Total culvert extension will be 10 linear feet with temporary impervious dikes for dewatering during installation; dewatering will approximate 30 linear feet of stream. The stream is approximately 4 feet wide with a depth of 4 inches. It has a sand, gravel, cobble, and boulder substrate and is classified as WS-II, I-IQW. Existing channel morphology will be maintained upstream and downstream of the culvert. The culvert will be placed below existing streambed elevation whenever possible. Riparian vegetation will be reestablished along disturbed areas associated with the culvert extensions. Stormwater will be diverted through grass-lined ditches or vegetated buffers prior to entering streams. This project may affect, but is not likely to adversely affect the northern long-eared bat (Myotis septentrionalis) (NLEB). Trees composing potentially suitable summer roosting habitat for the NLEB are present. For the proposed action, NCDOT has committed to the conservation measures fisted below: 1) No alterations of a known hibernaculum's entrance or interior environment if it impairs an essential behavioral pattern, including sheltering Northern long-eared bats (January 1 through December 3 l ); 2) No tree removal within a 0.25 mile radius of a known hibernacula (January 1 through December 31); and 3) No cutting or destroying a known, occupied maternity roost tree, or any other trees within a 150-foot radius from the known, occupied maternity tree during the period from June 1 through and including July 3l. �Nothing Compares��. S�a�e oMortL Carolina � Departinenf of Trenspotlalion � Division 13 55 Orange SUeet � PO Uox 3279 � Ashevillq NC 258023279 8282SI6171 T Ms. Lori Beckwith Page —2 SR 2167, E3uncombe County April 4, 2016 NCDOT has determined that the proposed action does not require separate consultation on the grounds that the proposed action is consistent with the final Section 4(d) rule, codified at 50 C.F.R. § 17.40(0) and effective February 16, 2016. Section 7 responsibilities are therefore considered fulfilled. No effect on the remaining county list of federally listed species (threatened or endangered) or designated critical habitat will occur. As a part of the 401 Certification process, the project was processed through the DOT Programmatic Agreement for Minor Project as required by Section 106 of the National Historic Preservation Act of 1966 and GS 121-12(a). No Historic Resources will be affected. By copy ofthis Ietter, we request Marla Chambers, North Carolina Wildlife Resources Commission Western Region Coordinator, to comment directly to the Corps concerning the permit request. By copy of this letter, we are asking tlie Area Roadside Field Operations Engineer, to comment on the above project. Whittemore Creek is classified as WS-II, HQW. The project will not require a trout buffer variance. By copy of this letter, 1 am forwarding one electronic copy of the application package to Kristi Lynn Carpenter, NC Division of Water Resources (DWR), Transportation Permitting Unit with cc to Kevin Barnett, NC DWR Asheville Regional Office for review and comment. Please charge the application fee of $240.00 to WBS element #13C.011219. Please forward comments directly to the Corps with a copy to the Division 13 Environmental O�cer. Your earliest consideration for this request would be greatly appreciated. [f you have any questions or information needs, please contact me at (828) 251-6171. Sincerely, �-��4,C; � ;��:t✓ � Roger D. Bryan Division 13 Environmental Officer Enclosures cc: J.J. Swain, Jr., P.E. Jason Willis Ben DeWit, CPESC Marla Chambers Kristi Lynn Carpenter Kevin Barnett Corps Submittal Cover Sheet Please provide the following info: I. Project Name: SR 2167 Whittemore Branch Road 2. Name of Property Owner/Applicant: NC DOT 3. Name of ConsultandAgent *Agent authorization nceds to bc attached. 4. Related/Previous Action ID number(s): 5. Site Address: 6. Subdivision Name: 7. City: Bamardsville 8. County: Buncombe 9. Lat: 35.79825 Long: 82.45500 (Decimal Degrees Please ) 10. Quadrangle Name: Barnardsville ll. Waterway: Whittemore Creek 12. Watershed: French Broad 13. Requested Action: X Nationwide Permit # 14 General Permit # Jurisdictional Determination Request Pre-Application Request The following information will be completed by Corps office: AID: Prepare File Folder Assign number in ORM Begin Date Authorization: Section 10 Section 404 Project Description/ Nature of Activity/ Project Purpose: Site/Waters Name: Keywords: ATTACHMENT A PRELIMINARY JURISDICTIONAL DETERMINATION FORM BACKGROUNDINFORMATION A. REPORT COMPLETION DATE FOR PRELIMINARY JURISDICTIONAL DETERMINATION (J B. NAME AND ADDRESS OF PERSON REQUESTING PRELIMINARY JD: NC Department of Transportation PO Box 3279 Asheville, NC 288023279 C. DISTRICT OFFICE, FILE NAME, AND NUMBER: D. PROJECT LOCATION(S) AND BACKGROUND INFORMATION: SR 2167 Whitlemore Branch Road in Buncombe County (USE THE ATTACHED TABLE TO DOCUMENT MULTIPLE WATERBODIES AT DIFFERENT SITES) StBte: NC COUflty/pefiSh/b0�0ugh: B�ncombe Clty: Barnartlsville Center coordinates of site (IaUlong in degree decimal format): Lat. as.�sazs °N; Long. -ez.as5oo °�/y. Universai Transverse Mercator: Name of nearest waterbody: Wn�nemo�e c�eek Identify (estimate) amount of waters in the review area: Non-wetland waters: 5s linear feet: 4 width (ft) and/or acres. Cowardin Class: f1Ve��e StfQ21'Tl F�OW: Perennial Wetlands: acres. Cowardin Class: Name of any water bodies on the site that have been identified as Section 10 waters: Tidal: Non-Tidal: E. REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALL THAT APPLY�: � Office (Desk) Determination. Date: � Field Determination. Date(s): 3oMa��nzo,ss�ie��5�i SUPPORTING DATA. Data reviewed for preliminaryJD (check all that apply - checked items should be included in case file and, where checked and requested, appropriately reference sources below): � Maps, plans, plots or plat submitted by or on behalf of the Bpp�1CaI1�C01lSU�t81lt: roadway siraightline drewings showing location of pipe extension � Data sheets prepared/submitted by or on behalf of the appliecant/consultant. Office concurs with data sheets/delineation report. Office does not concur with data sheets/delineation report. ❑ Data sheets prepared by the Corps: ❑ Corps navigable waters' study: ❑ U.S. Geological Survey Hydrologic Atlas: � USGS NHD data � USGS 8 and 12 digit HUC maps ❑✓ U.S. Geological Survey map(s). Cite scale & quad name: Ba��ams��iie: �:za000 ❑ USDA Natural Resources Conservation Service Soil Survey. Citation: ❑ National wetlands inventory map(s). Cite name: ❑ State/Local wetland inventory map(s): ❑ FEMA/FIRM maps: � 100-year Floodplain Eievation is: (National Geodectic Vertical Datum of 1929) 0✓ Photographs: ❑ Aerial (Name & Date): or � Other (Name & Date): 3o Ma«n xo�s � Previous determination(s). File no. and date of response letter: � Other information (please specify): 1. The Corps of Engineers believes that there may be jurisdictional waters of the United States on the subject site, and the permit applicant or other affected party who requested this preliminary JD is hereby advised of his or her option to request and obtain an approved jurisdictional determination (JD) for that site. Nevertheless, the permit applicant or other person who requested this preliminary JD has declined to exercise the option to obtain an approved JD in this instance and at this time. 2. In any circumstance where a permit applicant obtains an individual permit, or a Nationwide General Permit (NWP) or other general permit verification requiring "pre-construction notification" (PCN), or requests verification for a non-reporting NWP or other general permit, and the permit applicant has not requested an approved JD for the activity, the permit applicant is hereby made aware of the following: (1) the permit applicant has elected to seek a permit authorization based on a preliminary JD, which does not make an official determination of jurisdictional waters; (2) that the applicant has the option to request an approved JD before accepting the terms and conditions of the permit authorization, and that basing a permit authorization on an approved JD could possibly result in less compensatory mitigation being required or different special conditions; (3) that the applicant has the right to request an individual permit rather than accepting the terms and conditions of the NWP or other general permit authorization; (4) that the applicant can accept a permit authorization and thereby agree to comply with all the terms and conditions of that permit, inciuding whatever mitigation requirements the Corps has determined to be necessary; (5) that undertaking any activity in reliance upon the subject permit authorization without requesting an approved JD constitutes the applicant's acceptance of the use of the preliminary JD, but that either form of JD will be processed as soon as is practicable; (6) accepting a permit authorization (e.g., signing a proffered individual permit) or undertaking any activity in reliance on any form of Corps permit authorization based on a preliminary JD constitutes agreement that all wetlands and other water bodies on the site affected in any way by that activity are jurisdictional waters of the United States, and precludes any challenge to such jurisdiction in any administrative or judicial compliance or enforcement action, or in any administrative appeal or in any Federal court; and (7) whether the applicant elects to use either an approved JD or a preliminary JD, that JD will be processed as soon as is practicable. Further, an approved JD, a proffered individual permit (and all terms and conditions contained therein), or individual permit denial can be administratively appealed pursuant to 33 C.F.R. Part 331, and that in any administrative appeal, jurisdictional issues can be raised (see 33 C.F.R. 331.5(a)(2)). If, during that administrative appeal, it becomes necessary to make an official determination whether CWA jurisdiction exists over a site, or to provide an official delineation of jurisdictional waters on the site, the Corps will provide an approved JD to accomplish that resuit, as soon as is practicable. This preliminary JD finds that there "may be" waters of the United States on the subject project site, and identifies all aquatic features on the site that could be affected by the proposed activity, based on the foilowing information: IMPORTANT NOTE: The information recorded on this form has not necessarilv been verified bv the Corps and should not be relied upon for later jurisdictional determinations. Signature and date of Regulatory Project Manager (REQUIRED) ' �% 1) ..c �' � 1Ql Sign ure and te of person requesting preliminary JD (REQUIRED, unless obtaining the signature is impracticable) Office Use Only: Corps action ID no. DWQ project no. Form Version 1.3 Dec 10 2008 Pre-Construction Notification (PCN) Form A. Applicant Information 1. Processing 1a. Type(s) of approval sought from the X Section 404 Permit ❑ Section 10 Permit Corps: 1b. Specify Nationwide Permit (NWP) number: 14 or General Permit (GP) number: 1c. Has the NWP or GP number been verified by the Corps? X Yes ❑ No 1 d. Type(s) of approval sought from the DWQ (check all that apply): X 401 Water Quality Certification — Regular ❑ Non-404 Jurisdictional General Permit ❑ 401 Water Quality Certification — Express ❑ Riparian Buffer Authorization te. 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 X No ❑ Yes X No 1f. Is payment into a mitigation bank or in-lieu fee program proposed for mitigation � Yes X No of impacts? If so, attach the acceptance letter from mitigation bank or in-lieu fee program. 1g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1h ❑ Yes X No below. 1 h. Is the project located within a NC DCM Area of Environmental Concem (AEC)? ❑ Yes X No 2. ProJect Information 2a. Name of project: SR 2167 Whittemore Branch Road 2b. County: Buncombe 2c. Nearest municipality / town: Barnardsville 2d. Subdivision name: NIA 2e. NCDOT only, T.I.P. or state 13C.011219 project no: 3. Owner Information 3a. Name(s) on Recorded Deed: North Carolina Department of Trensportation 3b. Deed Book and Page No. N/A 3c. Responsible Party (far LLC if N�A appiicable): 3d. Streetaddress: N/A 3e. City, state, zip: N/A 3f. Telephone no.: N/A 3g. Fax no.: N/A 3h. Email address: N/A Page 1 of 10 nnu r...... �i.....:.... � o n........,.�.... �n onno v...,.:.... 4. Appllcant Informatlon (If different from owner) 4a. Applicant is: North Caroli�a Department of Transportation 4b. Name: J.J. Swain, Jr., P.E., Division Engineer 4c. Business name N.C. Department of Transportation (if applicable): 4d. Street address: 55 Orange Street, P.O. Box 3279 4e. City, state, zip: Asheville, NC 28802 4f. Telephone no.: 828-251-6171 4g. Fax no.: 828-251-6394 4h. Email address: rdbrvan(6DncdoLqov 5. AgentlConsultant Informatlon (If applicable) 5a. Name: N/A 5b. Business name N/A (if applicable): 5c. Street address: N/A 5d. City, state, zip: N/A 5e. Telephone no.: N/A 5f. Fax no.: N/A 5g. Email address: N/A .,..,.,.•, _�,� B. Project Information and Prior Project History 1. Property Identification 1a. Property identification no. (tax PIN or parcel ID): N/A 1b. Site coordinates (in decimal degrees): Latitude: 35.79825° N Longitude: -82.4500°W 1c. Propertysize: 0.1 acre 2. Surface Waters 2a. Name of nearest body of water (stream, river, etc.) to yyh�ttemore Creek proposed project: 2b. Water Quality Classification of nearest receiving water: WS-II; HQW 2c. Riverbasin: French Broad 3. ProJect Description 3a. Describe the existing conditions on the site and the general land use in the vianity of the project at the time of this application: Existing gravel secondary road 3b. List the total estimated acreage of all existing wetlands on the property: 0.0 3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property: Stream parallels roadway for length of project, 2615' or 0.49 mi 3d. Explain the purpose of the proposed project: Increase the typical section and pave the secondary road 3e. Describe the overall project in detail, including the type of equipment to be used: Grade, drain, base and pave the roadway. Extend one pipe on jurisdictional stream. Equipment used will include excavators,trucks and graders, 4. Jurisdictfonal Determinations 4a. Have jurisdictional wetland or stream determinations by the Corps or State been requested or obtained for this property / � yes X No ❑ Unknown project (including all prior phases) in the past9 Comments: field confirmed by NCDOT and DWQ 4b. If the Corps made the jurisdictional determination, what type � preliminary ❑ Final of determination was made? 4c. If yes, who delineated the jurisdictional areas? AgencylConsultant Company: Name (if known): N/A Other: N/A 4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation. 5. Project History 5a. Have permits or certifications been requested or obtained for � yes X No ❑ Unknawn this project (including all prior phases) in the past? 5b. If yes, explain in detail according to "help file" instructions. 6. Future ProJect Plans 6a. Is this a phased project? ❑ Yes X No 6b. If yes, explain. Page 3 of 10 Il/YJ Li.�.M \Lnrv�:..n A 9 Il.......�n4..... d/1 1/�/�O \/..n..:.... C. Proposed Impacts Inventory 1. Impacts Summary 1a. Which sections were completed below for your project (check all that apply): ❑ Wetlands X Streams - tributaries ❑ Butfers ❑ 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. Wetiand impact Type of jurisdiction number — Type of impact Type of wetland Forested (Corps - 404, 10 Area of impact Permanent (P) or (if known) DWQ — non-404, other) (acres) Tem ora T W1 ❑ P❑ T ❑ Yes ❑ Corps ❑ No ❑ DWQ W2 � P� 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 Wg � P� T ❑ Yes ❑ Corps ❑ No ❑ DWQ 2g. Total wetiand Impacts 2h. Comments: 3. Stream Impacts If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this question for all stream sites impacted. 3a. 3b. 3c. 3d. 3e. 3f. 3g. Stream impact Type of impact Stream name Perennial Type of jurisdiction Average Impact number - (PER) or (Corps - 404, 10 stream length Permanent(P)or intermittent DWQ—non-404, width (linear Temporary (T) (INn? other) (feet) feet) S1 X P � T Pipe Culvert Whittemore Creek X PER X Corps 4 10 ❑ INT XDWQ S1 ❑ P X T Dewatering Whittemore Creek X PER X Corps 4 30 ❑ INT X DWQ S2 ❑ P❑ T ❑ PER ❑ Corps ❑ INT ❑ DWQ S2 ❑ P 0 T ❑ PER ❑ Corps ❑ INT ❑ DWQ S3 � P❑ T ❑ PER ❑ Corps ❑ INT ❑ DWQ SS � P❑ T ❑ PER ❑ Corps ❑ INT ❑ DWQ 3h. Total stream and tributary impacts 40 3i. Comments: 10 feet of permanent and 30 feet of temporary impacts at same location. Page 4 of 10 nr.i r...... �i.....:.._ , o n.........�....,n �nno.i.....:.... 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 individuall list all o en water im acts 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 01 ❑P❑T 02 ❑P❑T 03 ❑P❑T 04 ❑P❑T 4f. Total open water impacts 4g. Comments: 5. Pond or Lake Constructlon 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 (acres) number of pond Flooded Filled Excavated Flooded Filled Excavated Flooded P1 P2 5f. Total 5g. Comments: 5h. Is a dam high hazard permit required? ❑ Yes ❑ No If yes, permit ID no: 5i. Expected pond surface area (acres): 5j. Size of pond watershed (acres): Sk. 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 bu(fer impacts below. If an im acts re uire miti ation, then ou MUST fill out Section D of ihis form. 6a. ❑ Neuse ❑ Tar-Pamlico ❑ Other: Project is in which protected basin? ❑ Catawba ❑ Randleman 6b. Bc. 6d. 6e. 6f. 6g. Buffer impact number— Reason Buffer Zone 1 impact Zone 2 impact Permanent (P) or for Stream name mitigation (square feet) (square feet) Tem ora im act re uired? B1 ❑P❑T ❑Yes ❑ No B2 ❑ P � T ❑ Yes ❑ No 63 ❑P❑T ❑Yes ❑ No 6h. Total buffer impacts 6i. Comments: n...... c., a e n D. Impact Justification and Mitigation 1. Avoldance and Minimization 1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project. Minimum pipe length used to obtain needed typical section and shoulder width for safety. 1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques. N/A 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 � payment to in-lieu fee program project9 ❑ Permittee Responsible Mitigation 3. Complete if Using a Mitigation Bank 3a. Name of Mitigation Bank: 3b. Credits Purchased (attach receipt and letter) Type Quantity 3c. Comments: 4. Complete if Making a Payment to In-Ifeu Fee Program 4a. Approval letter from in-lieu fee program is attached. ❑ Yes 4b. Stream mitigation requested: linear feet 4c. If using stream mitigation, stream temperature: ❑ warm ❑ cool ❑cold 4d. Buffer mitigation requested (DWQ only): square feet 4e. Riparian wetland mitigation requested: acres 4f. Non-riparian wetland mitigation requested: acres 4g. Coastal (tidal) wetland mitigation requested: acres 4h. Comments: 5. Complete if Using a Permittee Responsible Mitlgatlon Plan 5a. If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan. Page 6 of 10 nnr.� r...... �i.....:.... � o n.........ti.,. �n onno �i.....:.... 6. Buffer Mitigation (State Regulated Riparlan Buffer Rules) — required by DWQ 6a. Will the project result in an impact within a protected riparian buffer that requires ❑ Yes X No buffer mitigation7 6b. If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation. Calculate the amaunt of mitigation required. 6c. 6d. 6e. Zone Reason for impact Total impact Multiplier Required mitigation (square feet) (square feet) Zone 1 3(2 for Catawba) Zone 2 1.5 6f. Total buffer mitigation required: 6g. If buffer mitigation is required, discuss what type of mitigation is proposed (e.g., payment to private mitigation bank, permittee responsible riparian buffer restoration, payment into an approved in-lieu fee fund). 6h. Comments: �.._.. � ..� , � E. Stormwater Management and Diffuse Flow Plan (required by DWQ) 7. Diffuse Flow Plan 1a. Does the project inciude or is it adjacent to protected riparian buffers identified � Yes X No within one of the NC Riparian Buffer Protection Rules? 1b. If yes, then is a diffuse Flow plan included? If no, explain why. ❑ Yes ❑ No Comments: 2. Stormwater Mana ement Plan 2a. What is the overall percent imperviousness of this project? N/A 2b. Does this project require a Stormwater Management Plan? X Yes ❑ No 2c. If this project DOES NOT require a Stormwater Management Plan, explain why: NC DOT Project 2d. If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan: The project will use BMP's to the Maximum Extent Practicable (MEP) in compliance with NCDOT's NPDES Permit No. 000250 Post Construction Stormwater Program. ❑ Certified Local Government 2e. Who will be responsible for the review of the Stormwater Management Plan? X DWQ Stormwater Program ❑ DWQ 401 Unit 3. Certified Local Government Stormwater Review 3a. In which local governmenYs jurisdiction is this project? N/A ❑ Phase II 3b. Which of the following locally-implemented stormwater management programs ❑ NSW ❑ USMP apply (check all that apply): ❑ Water Supply Watershed X Other: N/A 3c. Has the approved Stormwater Management Plan with proof of approval been ❑ Yes ❑ No attached? 4. DWQ Stormwater Pro ram Review ❑ Coastal counties ❑ HQW 4a. Which of the following state-implemented stormwater management progrems apply � ORW (check all that apply): ❑ Session Law 2006-246 X Other: N/A 4b. Has the approved Stormwater Management Plan with proof of approval been attached? ❑ Yes ❑ No 5. DWQ 407 Unit Stormwater Review 5a. Does the Stormwater Management Plan meet the appropriate requirements? ❑ Yes ❑ No 5b. Have all of the 401 Unit submittal requirements been met? ❑ Yes ❑ No Page 8 of 10 nrr.� r.....,, v...,.:..., e o n.........ti... en �nno v...,.:.... F. Supplementary Information 7. Environmental Documentation (DWQ Requirement) 1 a. Does the project involve an expenditure of public (federal/state/local) funds or the � yes ❑ No use of public (federal/state) land? 1 b. If you answered "yes" to the above, does the project require preparation of an environmental document pursuant to the requirements of the National or State ❑ Yes � No (North Carolina) Environmental Policy Act (NEPA/SEPA)? 1 c. If you answered "yes° to the above, has the document review been finalized by the State Clearing House? (If so, attach a copy of the NEPA or SEPA final approval letter.) ❑ Yes ❑ No Comments: 2. Vlolatlons (DWQ Requirement) 2a. Is the site in violation of DWQ Wetland Rules (15A NCAC 2H .0500), Isolated Wetland Rules (15A NCAC 2H .1300), DWQ Surtace Water or Wetland Standards, ❑ Yes � No or Riparian Buffer Rules (15A NCAC 2B .0200)? 2b. Is this an after-the-fact permit application? ❑ Yes � No 2c. If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s): 3. Cumulative Impacts (DWQ Requlrement) 3a. Will this project (based on past and reasonably anticipated future impacts) result in � yes � No additional development, which could impact nearby downstream water quality? 3b. If you answered "yes" to the above, submit a qualitative or quantitative cumulative impact analysis in accordance with the most recent DWQ policy. If you answered "no," provide a short narrative description. 4. Sewage Disposal (DWQ Requirement) 4a. Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of wastewater generated from the proposed project, or available capacity of the subject facility. N/A Page 9 of 10 �...� �.....,. ".....:.... , � �,...,._�_.,� •,,,,,o ",..,.:.._ 5. Endangered Species and Designated Critical Habitat (Corps Requlrement) 5a. Will this project occur in or near an area with federally protected species or � Yes ❑ No habitat? 5b. Have you checked with the USFWS conceming Endangered Species Act � yes � No impacts? ❑ Raleigh 5c. If yes, indicate the USFWS Field Office you have contacted. ❑ Asheville 5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat? USFWS county species list, field survey (potentially suitable summer roosting habitat [trees] for northern long-eared bat present) 6. Essential Fish Habitat (Corps Requlrement) 6a. Will this project occur in or near an area designated as essential fish habitat? ❑ Yes � No 6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat? Current Maps/Database 7. Historic or Prehistoric Cultural Resources (Corps Requlrement) 7a. Will this project occur in or near an area that the state, federal or tribal governments have designated as having historic or cultural preservation � Yes � No status (e.g., National Historic Trust designation or properties significant in North Carolina history and archaeology)7 7b. What data sources did you use to determine whether your site would impact historic or archeological resources? NC SHPO website: http://gis.ncdcr.gov/hpoweb/. 8. Flood Zone Designatlon (Corps Requirement) Sa. Will this project occur in a FEMA-designated 100-year floodplain? ❑ Yes � No Sb. If yes, explain how project meets FEMA requirements: 8c. What source(s) did you use to make the floodplain determination? NC floodplain Mapping Program website: http://www. ncfloodmaps. com/ Roger D.Bryan n /J �.� ip � z� �l ApplicanUAgenYs Printed Name ApplicanUAg Ps Signature Date (Agent's signature is valid only if an authorization letter from the applicant is rovided. Il...... A /� ..L 9 /� N.C. 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