HomeMy WebLinkAbout20160503 Ver 1_Application_20160812
Carpenter,Kristi
From:Hood, Donna
Sent:Friday, August 12, 2016 1:31 PM
To:Carpenter,Kristi
Subject:FW: Electronic Permit Application, Bridge #160, Stroupe Road (SR 1654), Cleveland
County
Attachments:wetland_area (002).jpg; linear_wetland.jpg; 17BP.12.R.47_EC_Plans.pdf;
bridge_support.jpg; bridge_support2.jpg; bridge_support3.jpg;
modified_permit_table.pdf; permit_drawing.pdf; bat_habitat_assessment.pdf;
signed_NLEB_consultation_form.pdf; permit_application_package.pdf; SMP.xls
Follow Up Flag:Follow up
Flag Status:Completed
Got a NW3….
Can ou put it in BIMS for me?
From: Beam, Patricia
Sent: Friday, August 12, 2016 1:21 PM
To: Hood, Donna <donna.hood@ncdenr.gov>
Subject: FW: Electronic Permit Application, Bridge #160, Stroupe Road (SR 1654), Cleveland County
Here is another one that I threw together in a couple of hours for Bridge #160 on Stroupe Road, so please pardon if
there are any glaring errors. I believe the temporary impacts and the wetland impacts fall under the DWR threshold for
written notification, so I am sending you a courtesy copy. I added the Stormwater managemet plan to your copy
though….
Off to a buffalo meeting
From: Beam, Patricia
Sent: Friday, August 12, 2016 1:17 PM
To: Kichefski, Steven L SAW (Steven.L.Kichefski@usace.army.mil) <Steven.L.Kichefski@usace.army.mil>
Cc: Henderson, Andrew <andrew_henderson@fws.gov>
Subject: Electronic Permit Application, Bridge #160, Stroupe Road (SR 1654), Cleveland County
Attached is the electronic permit application package for a Bridge #160 replacement in Cleveland County. Please let
me know if additional information is required.
For your convenience I have included a link to google maps for the project
site. https://www.google.com/maps/@35.4438444,-
81.4867892,3a,75y,322.95h,72.28t/data=!3m7!1e1!3m5!1s_Mas3pqK_qu61iq2BLXiIw!2e0!6s%2F%2Fgeo2.ggpht.com%
2Fcbk%3Fpanoid%3D_Mas3pqK_qu61iq2BLXiIw%26output%3Dthumbnail%26cb_client%3Dmaps_sv.tactile.gps%26thu
mb%3D2%26w%3D203%26h%3D100%26yaw%3D151.63713%26pitch%3D0!7i13312!8i6656
Per our discussion on Wednesday, but please prioritize this permit application.
Thank you
Trish Beam
Division 12 Environmental Office
1
Email correspondence to and from this sender is subject to the N.C. Public Records Law and may be disclosed to third parties.
2
7i ansportatlon
August 12, 2016
Mr. Steve Kichefski
Asheville Regulatary k'ield Office
US Army Corp of Engineers
151 Patton Avenue
Asheville, NC 28801-5006
PAT McCRORY
Gowernor
NICHOLAS J. TE�NNYSON
s�ae►y
SUBJECT: Bridge#160 Replacement on SR 1654 (Stroupe Road), Cleveland County
Dear Mr. Kichefski:
The North Carolina Department of Tranaportation zequests authorization to replace to replace a
deteriorating 150-foot timber deck bridge witl� a 170-foot concrete bridge on 5R 1654, Stroupe
Road in Cleveland County. It is proposed that there will be 24 feet of temporary impacts for
existi.ng end bent removal to Buffalo Creek (classified WS-III r�vatershed by the Division of
Water Resources. It is anticipated that t�ere wi11 also be �0.02-0.03 acres af fiIl impacts and
�0.(}4-0.07 acres af inechanized land clearing impacts to an adjacent linear wetland {located at
the edge of tiie roadway embankment in an existing utility corridor.
The Division �2 Environmental Office conducted a threatenedlendangered species survey on
September 28, 2015 on Bridge #160 in Cleveland County. The federally listed species for
Cleveland County (i]SFWS listed date April 02, 2015} is the dwarf-flowered k�eartleaf
(Hexastylas naniflora) and the Northern Long-Eared Bat {Myotis septentrtonalis). Based upon
available Natural Heritage Prograin records, the nearest dwarf-flowered heartleaf location
approximately 3.9 miles west of the proposed project area. The heartleaf is usually found on dry
to moist ravi.ne slopes (usually north facing and of the oak hickory-pine forest type) and in boggy
areas near springheads. There did not appear to be suitable habitat within the proposed project
area and no species were observed. No impact on this species is anticipated. . Based upon
available Natural Heritage Prograrn records, the nearest Northern Long-Eared Bat location
approximately 12 miles north of the proposed praject area. During summer, Northern Long-
Eared Bats roost singly or in colonies underneath bark, in cavities, or in crevices of both live and
dead trees. They may also roost in cooler places, like caves and naines. Tree species may be used
based on suitability to retain bark or provide cavities or crevices, It has al.so been found, rarely,
roasting in structures like barns and sheds. Northern long-eared bats spend winter hibernating in
humid caves and mines. Bridge #150 was assessed for suitable bat habitat. The bridge does not
contain suitable habitat and no bat evidence found (Sea attached Bat Habitat Assessment Form).
Trees will be cut around the bridge as part of the project, but there did not appear to be any
suitable roosting trees in the immediate vicinity. The closest listed underground mine, per NHP
database is the Griggs Mines, 1 mile east of the praject site. There are currently no known
hibernacu�um or maternity roost trees in Division 12 counties for NLEB; therefore, the minar
tree clearing and removal of abandoned structures associated with this DOT project would be
�Nothing Compares�.�
Sffite of North C�rolina � Daparlment oflianaportation � Division af Higltweys — Diviaian 12
171p �ast Marion Sd�eet � P.O. Hox 47 � Sl�elby, NC 28151-0047
704 4$0 9020 T
Bridge #160 Replacement, SR 1654 (Stroupe ltoad)
Page 2 of 2
August 12, 2016
exempted from incidental take under the 4(d) Kule. I have attached a copy of the NLEB
streat�nlined consultation form. Per guidance fram US�WS personnel, concurrence is granted by
citing the following website and a 30 day response period is waived.
htt :llwww.fws. ovlasheville/htmisl ro'ect review/NLEB in WNC.html
The praject area is not located witl�un %z mile of any critical watershed area nor is SR 1654 a rural
or urban arterial; therefore, hazardons spill basins aze not required. Enclosed is the hazardous
spill basin checklist. There are no sites listed on the National Register of Historic Places located
in the vicinity of the project and the project has been reviewed and cleared by cultural resources
staff (NCDOT Cultural Resources Review — Intemal Tracking No. l 5-10-Oa14).
I have enclosed a pre-construction notification for a NW#3, plan sheets, photos, and location
maps relative to the project.
If you have any questions or concerns please fee� free to contact rne at (704) 480-9044.
Thank you for your time and consideration on this rnatter.
Respectfixlly yours,
Mark Stafford, P.E.
Divisian Engineer
Twelfth Division
BY: �/� e � J/ . '
�, f lw��
Trish Beam
Division 12 Environmental Supervisor
Oifice Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.3 Dec 9 0 2008
� Pre-Construction Notification (PCN) Form
A. A licant Information
1. Processing
1 a. Type(s) of approval sought from the
Corps: � Section 404 Permit ❑ Section 10 Permit
1 b. Specify Nationwide Permit (NWP) number: 3 or General Permit (GP) number:
1c. Has the NWP or GP number been verified by the Corps? ❑ Yes � No
1d. Type(s) of approval sought from the DWQ (check all that apply):
❑ 401 Water Quality Certification — Regular ❑ Non-404 Jurisdictional General Permit
❑ 401 Water Quality Certifica#ion — Express ❑ Riparian Buffer Authorization
'f e. Is this noti�cation solefy for the record For the reoord oniy for �WQ 401 For the record only for Corps Permit:
because writien appraval is not required? Certifcation:
� Yes ❑ No ❑ Yes � No
1 f. Is payrnent into a mitigation bank or in-lieu fee program proposed for mitigation � Yes
of impacts? If so, attach the acceptance letter from mitigation bank or in-lieu
fee program.
1 g. Is the project located in any of NC's twenty coastal counties. ff yes, answer 1 h�❑ Yes
below.
1 h_Is the project located within a NC DCM Area of Environmental Concem (AEC)? I❑ Yes
2. Project Information
2a. Name of project: SR 1654 {5troupe Road), Bridge #16d
2b. County:
2c. Nearest municipality 1 town:
2d. Subdivision name:
2e. NCDOT only, T.I.P. or state
project no:
3. Owner Informaticn
3a. Name(s) on Recorded Deed:
3b. Deed Book and Page No.
3c. Responsible Parly {for LLC if
applicable}:
3d. Street address:
3e. City, state, zip:
3f. Telephone no.:
3g. Fax no.:
3h. Email address:
Cle�eland
Fallston
17BP.12.R.47
NC DOT Right of Way
►� .
►� .
Page 1 of 11
PCN Form — Version 1.3 December 10, 2008 Vers�on
4. Applicant Information {if different from owner)
4a. Applicant is: ❑ Agent ❑ Other, specify:
4b. Name: Mark Stafford
�4c. Business name N.C. Department af Transportation, Di�ision 12
{if applicable):
4d. Street address: 1710 East Marion Street
4e. City, state, aip: Shelby, NC 28151
4f. Telephane no.: 704-480-9020
4g. Fax no.: 704-4$0-54Q1
4h. Email address: mstafford@ncdot.go�
5. AgentlConsultant Information (if applicable)
5a. Name: Trish Beam
5b. Business name N.C. Department of Transportation, Di�ision 12
{if applicabEe):
5c. Street address: 1710 East Marion Street
5d. City, stake, zip: Shelby, NC 28151
5e. Telephor�e no.: 704-480-9044
5f. Fax no.: 704-480-5401
5g. Email address: pdbeam@ncdot.go�
Page 2 of 11
PCN Farm — Version 1.3 December 10, 2008 V�rs�on
B. Project Information and Prior Project Histary
1. Property Identi�ication
9a. Property identification no. (tax PIN or pa�cel ID): NA
1b. Site coordinates (in decimal degrees): Latitude: 35.4438 Longitude: - 81.4867
(DD.btiD�DD) {-DD.DDDDDD)
1c. Property size: --1.1 acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to Buffalo Creek
proposed project:
2b. Water Quality Classification of nearest recei�ing water: WS-III
2c. Ri�er basin: Broad
S. Project Descriptlon
I 3a. Describe the existing conc�itions on the site and the general land use in the �icinity of the projeci at the time of this
application:
Existing timber bridge: Surrounding landuse designation is forested and croplandlpastur�.
3b. List the total estimated acreage of all existing wetlands on the property:
0
3c. List the tatal estimated linear feet of alf existing streams (intermittent and perennial) on the property:
1 oD feet
3d. Explain the purpose of the proposed project:
The purpose of the propased work is to replace the deteriorating bridge for the safety of the tra�elling public.
3e. bescribe the overall project in detail, including the type of equipment to be used:
The North Carolina Department of Transportation proposes to replace an existing 150-foot timber deck bridge with a 170-
faot concrete bridge on SR 1654, 5troupe Road in Cle�eland County. It is proposed that there will be 2�4 feet of temporary
impacts for endbent removal. It is anticipated that their will be �0.02-0.03 acres of fil[ impacts and -d.d4-0.fl7 acres of
mechanized land clearing to an adjacent linear wetland (located at the edge of the roadway embankment in an existing
utility corridor). All Best Management Practices will be utilized during the course of the project. The Project will be
constructed using typical heavy equipment {trackhoe, backhoe, etc.)
4. Jurisdictional Determir�ations
4a. Have jurisdictional wetland or stream determinations by the
Corps or 5tate been requested or abtained for this property 1
project (including all prior phases) in the past? ❑ Yes � No ❑ Unknown
Comments: Jurisdictional stream/wetland determination
made by Divis9on 12 En�ironmental Office.
4b. If the Corps made the jurisdictionaE deterrrzination, what rype
of determination was made? ❑ Preliminary ❑ Final
4c. If yes, who delineated the jurisdic#ional areas? AgencylConsultant Company:
Name (if known): Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documenkakion.
5. Project History
5a. Have permits or certifications been requested or obtained for � yes � No ❑ Unknown
this project (including all prior phases) in khe past?
5b. If yes, explain En detail according to "help file" instructions.
Page 3 of 11
PCN Form - Version 1.3 December 10, 2008 Version
6. Future Project Plans
6a. Is this a phased project? ❑ Yes � No
Bb, If yes, explain.
Page 4 of 11
PCN Form — Version 1.3 December 10, 2008 Version
C. Proposed lmpacts In�entory
1. Impacts Summary
1a. Which sections were completed below for your projeat {check all that apply):
� Wetlands ❑ Streams - trib�taries ❑ Buffers
❑ Open Waters ❑ Pond Constructian
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this ques6on for each wetEand area impacted.
2a. 2b. 2c. 2d. 2e. 2f.
Wetland 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 Wetland fill ❑ Yes ��ai"ps �0.02-0.03
� No � DWQ
Mechanized land ❑ Yes � Carps
WZ � P� 7 clearing � No � DWQ -0.04-0.07
W3 ❑ P❑ T ❑ Yes ❑ Corps
❑ No ❑ DWQ
W4 ❑ P❑ T ❑ Yas ❑ Corps
❑ No ❑ DWQ
W5 ❑ P 0 T ❑ Yes ❑ Corps
❑ No ❑ DWQ
W6 ❑ P 0 T ❑ Yes ❑ Corps �
❑ No ❑ DWQ
2g. Tatal wetland impacts *0.02-0.03
2h. Comments: *permanent impacts
3. Stream Impacts
If khere are perennial or intermittent stream impacts (including temporary impacts} proposed on the site, then camplete this
question for a�l stream sites impacted.
3a. 3b. 3c. 3d. 3e. 3f. 3g.
Stream impact Type of impact Stream name perennial Type ofjurisdiction A�erage Impact
number - (PER) or (Corps - 404, 10 stream length
Permanent (P) or intermittent DWQ - non-404, width (linear
Temporary (T) (INT)? other) (feet) feet)
S9 ❑�� T End ber�t removal �ufFala Creek � pER � Corps 30 24
❑ INT ❑ DWQ
S2 ❑ P❑ T ❑ PER ❑ Corps
❑ INT ❑ DWQ
S3 ❑ P❑ T ❑ PER ❑ Corps
� ❑ INT ❑ DWQ
S4 ❑ P❑ T I ❑ PER ❑ Corps
❑ INT ❑ DWQ
S5 ❑ P❑ T ❑ PER ❑ Corps
❑INT ❑DWQ
S6 ❑ P❑ T ❑ PER ❑ Corps
� ❑ INT ❑ DWQ
3h. Total stream and tributary imp$cts *24
3i. Comments: "''Temporary impacts
Page 5 of 11
PCN Form - Version �.3 December 10, 2008 Version
4. Open Water Impacts
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, vr any other open water of
the U.S. then indi�idually list a�l open water impacts below.
4a. 4b. 4c. �d. 4e.
Open wafer Name of waterbody
impact number — (if applicable) Type of impack Waterbody type Area of impact {acres)
Permanent {P} or
Tem ora T
01 ❑P❑T
02 ❑P❑T
03 ❑P❑T
04 ❑P�T
4f. ToEal open water impacts
4g. Comments:
5. �ond or Lake Construction
If ond or lake constructian ro osed, then com lete the chart below.
5a. 5b. 5c. 5d. 5e.
Wetland Impacts (acres) Stream Impacts (feet) Upland
Pond I� Proposed use or purpose (acres)
number of pond
Flooded Filled Exca�ated Flooded Filled Exca�ated Fiooded
P1
P2
Sf. 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 bW4)
If project will impact a protected riparian buffer, then complete the chart below. If yes, then individually iist all buffer impacts
below. If an im acts require miti ation, then ou MUST fill out Section D of this form.
6a.
❑ Neuse ❑ Tar-Pamlico ❑ Other:
Project is in which protected basin? ❑ Catawba ❑ Randleman
6b. 6c. 6d. 6e. 6f. 6g.
Buffer impact
number— Reason Buffer Zone 1 impact Zone 2 impact
Permanent (P} or for Stream name mitigakion (square fest) (square feek)
Tem ora T jm act re uired?
B1 ❑P❑T ❑Yes
❑ No
B2 ❑P❑T ❑Yes
❑ ;Vo
B3 ❑P❑T ❑Yes
❑ No
6h. Total buffer impacts
6i. Cvmments:
Page 6 of 11
PCN Form — Version 1.3 December 10, 2008 Version
D. Impact .iustification and Mitigation
7. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
Spanning structure and no supports In acti�e stream channel; therefore no stream impacts.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through canstruction techniques.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of t�e State
2a. Does the project require Compensatory IUlitigation far ❑ Yes � No
impacts to Waters of the U.S. or Waters of the State?
2b. If yes, mitigation is required by {check a11 that apply}: ❑ DWQ ❑ Corps
❑ Mitigation bank
2c. If yes, which mitigation option will be used for this
project? ❑ Payment to in-lieu fee program
❑ Permittee Responsible Mitigation
3. Comple#e 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 �n-lieu Fee Program
4a. Appro�al letter from in-lieu fee program is attached. ❑ Yes
4b. Stream mitigation requested: linear feet
4c. If using stream mitigation, stream temperature: ❑ warm ❑ cool ❑eold
4d. Buffer mitigation requested (DWQ only): square feet
4e. Riparian wetland mitigation reauested: acres
4f. Non-riparian wetland mitigation requested: acres
4g. Coastal (tidal) wetland mitigation requested: acres
4h. Comments:
5. Comptete if Using a Permittee Responsibls Mitigation Plan
5a. If using a permittee responsible mitfgation plan, prorride a description of the proposed mitigatian plan.
Page 7 of 11
PCN Form — Version 1.3 December 10, 2008 Version
6. Buffer Mitigation (State Regulated Riparian Buffer Ru1es) — required by DWQ
6a. Will the project result in an impact within a protected riparian buffer khat requires ❑ Yes � No
buffer mitigation?
6b. If yes, then identify tfi�e square feet of impact to each zone of the riparian buffer thai requires mitigation. Calculate the
amount of mitigation required.
6c. 6d. 6e.
Zone Reason for impact Total impact Multiplier Required mitigation
(square feet) (square feet}
Zone 1 3(2 for Catawba)
Zone 2 � •�
�f. Total buffer mitigation required:
6g. If bufFer mitigation is required, discuss what type of mitigation is proposed (e.g., payment to pri�ate mitigaUon bank,
permittee responsible riparian bufFer restoratian, payment into an appro�ed in-lieu fee fund).
6h. Comments:
Page 8 of 11
PCN Form — Version i.3 December 10, 2008 Version
E. Stormwater Management and Diffuse Flow Plan (required by bWQ)
1. Diffuse Flow Plan
'[a. Does the project include or is it adjacent to protected ri�arian bufFers identified � Yes � No
within one of the NC Riparian Buffer Protection Rules?
9b. If yes, then is a diffuse flow plan included? If no, explain why.
Comments: ❑ Yes ❑ No
2. Stormwater Mana ement Plan
Existing bridge is 24 feet wide;
2a. What is the overall percent imperviousness of this praject? proposed bridge is 33 feet
wide; therefore increase of
BUA is 37.5 %
2b. Does this project require a Stormwater Management Plan? � Yes ❑ No
2c. If this project DOES NOT require a Stormwater Management Plan, explain why:
2d. If this project DOES require a Stormwater Management Plan, then provide a brief, narraiive description of the plan:
Minimal increase in bridge witith. Complies with NCDOT's individual NPD�S permit NCSOU0254; no deck drains fram
bridge directly discharging ta acti�e stream channel.
❑ Certified Local Go�emment
2e. Who will be responsible for the review of the Stormwater Management Plan? ❑ DWQ Stormwater Program
� DWQ 401 Unit
3. Certified Local Government 5tormwater Re�iew
3a. In which local go►►ernment's jurisdiction is this project? NA
❑ Phase II
3b. Which of the following locally-implemented stormwater management programs ❑ NSW
apply (check all that apply): ❑ USMP
❑ Water Supply Watershed
❑ Other:
3c. Has the appro�ed 5tormwater Management Plan with proof of appro�al been ❑ Yes ❑ No
attached?
4. DWQ 5tormwater Pro ram Review
❑ Coastal counties
❑ HQW
4a. Which of the following staie-implemented stormwater management �rograms apply � p�
{check all that apply):
❑ 5ession Law 2Q06-246
❑ Other:
4b. Has the appra�ed Stormwater Management Plan with proof of approval been
attacf�ed? � Yes ❑ No
5. DWQ 401 Unit Stormwater Review
5a. Dves tiie 5tormwater Management Plan meet the appropriate requirements? � Yes ❑ No
5b. Ha�e alf af the 401 Unit submittal requirements been met? � Yes ❑ No
Page 9 of 11
PCN Form — Version 1.3 December 10, 2008 Ve�sion
F. Supplemeniary Information
1. Environmental Documentation (C?WQ Requirement)
1a. Does the project invo[ve an expenditure of public (federallstatellocal) funds or the � Yes ❑ No
use of public (federallstate) land?
1 b. If you answered "yes" to the above, does the project require preparation of an
environmentaf document pursuant to the requirements of the National or State ❑ Yes � No
(Narth Carolina) En�ironmental Policy Act (N�PAISEPA}?
1c. If you answered "yes" to the above, has the document review been finalized by the
State Clearing Mouse? (If so, attach a copy o# the NEPA or SEPA fnal appro�aE
letter.) ❑ Yes ❑ No
Comments:
2. Violations [DWQ Requirement)
2a. Is the site in violation of DWQ Wetland Rules {15A NCAC 2H .050d), Isolated
Wetland Rules (15A NCAC 2H .1300}, DWQ Surface 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, pro�ide an explanation of the violation(s):
3. Cumulative lmpacts (DWQ Requirement)
3a. Will this project {based on past and reasonably anticipated future impacts) resuft in � Yes � IVo
additional de�elopmeni, which could irnpact n�arby downskream water quality?
3b. If you answered "yes" to the above, submit a qualitative or quantitati�e cumulati►re impact analysis in accordance with the
most recent DWQ policy. If you answered "no,° pro�icfe a short narrative description.
�
The project is a minimum criteria project which has low potential for cumu�ati�elindirect impacts �nd wil! not result in
additional de�elapmenk which could impact water qua�ity.
4. Sewage Disposal �DWQ Requirement)
4a. Clearly detail the ultimate treatment methods and disposition {non-discharge or discharge) of wastewater generated �rom
the proposed project, or available capacity of the subject facility.
No wastewater is generated from projeck.
Page 10 of 11
PCN Form — Version 1.3 December 10, 2008 Version
5. Endangered 5pecies and Designated Critical Habitat (Corps Requirement)
5a. Wili this project accur in or near an area with federally protected species or � Yes � No
habitat?
5b. Have you checked with the USFWS concerning Endangered Species Act � Yes ❑ No
impacts?
❑ Raleigh
5c. If yes, indicate the USFWS Field dffice you ha�e oontacted.
� Ashevilfe
5d. What data sources did yo� use to dekermine whether your site would impact Endangered 5pecies or Designated Critical
Habiiat?
NC Natural Heritage Program database and onsite surveys.
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essentiai fish habitat? ❑ Yes � No
6b. What da#a sources did you use to determine whether yaur site would impact Essen#ial Fish Habitat?
No salt marshes, oyster reefs, or seagrass beds located in vicinity af project.
7. Historic or Prehlstoric Cultural Resources (Corps Requirement)
7a. W ill this project occur in or near an area that the state, federal or tribal
governments f�a�e designated as having historic or cultural preser�atian � Yes � No
status (e.g., National Historic Trust designation or properties significant in
f�arth Carolina history and archaeology}?
7b. What data sources did you use to determine whether your site wouid impact historic or archeological resources?
! Cultural Resources review. Tracking number (15-10-0014)
� S. FEood Zone Designation {Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain? � Yes ❑ No
� 8b. Ef yes, explain haw project meets FEMA requirements: NCDOT Hydraulics 000rdination with FEMA
�8c. What source(s) did you use to make the floadplain determinaiion? http:llfris.nc.go�I FEMA FIRM Map # 371026420pJ;
i panel #2642
(�f�/ — , .r' 'r�`� �
�k �.�� � C� � �� J�
�
ApplicantlAgent's Printed Name App�icantlAgent's Signature Date
(Agent's signature is valid only if an autharizaGan letter from the appiicant
is provided.
Page 11 of 11
PCN Forrr� — Version �.3 Qecember 10, 2008 Version
NCDOT
HAZARDOUS SPILL BASIN CHECKLIST
Division: 17 County: (".TPv�ianrl Project ID: 17BP.�2.R.47
River Basin: Broad Bridge No: 160
Route: SR 1654
Water Quality Criteria:
Stream: Buffalo Creek
Stream Crossing Blue Line On USGS
ORW
WSI
WS II,III OR N, Crossing Within O.Smi of W.S. Crit�cal Area
Roadway Crit�ria:
Route Designation-
Arterial Urban
Arteria� Rura.1
Additional Site Information:
Is a Hazardous Spill Basin Required?
Yes No
Yes No
r r
Criteria Based Upon NCDOT "Best Management Practices for the
Protection of Surface Wa�ers" (March, 1997).
Yes No
Bridge #16� Replacement
SR 1654, Stroupe Road
Cleveland County
Vicinity Map
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WEZLAND PERMIT lMPACT SUMMARY
IMPACT URF ATER T
an Existing Existing
Permanent Temp. Excavation Mechanized Clearing Permanent Temp. Channel Channe] Natural
Site Station Structure Fillln Fillln in Clearing in SW SW Impacts Impacts 5tream
No. �Framffo) Size 1 Type Wetlands Wetlands Wetlands in Wetlands Wetlands impacts impacts Permanent Temp. Design
ac ac ac ac ac ac ac ft ft ft
Exisfing End Bent
9 13+34 -L- Removal O.D10 24
Existing End Bent
2 13+72 -L- Removal �.412
i! O�b
TOTALS: 0•0� 0.00 O.OD O.Q��i 0.00 0.00 0,022 0 24 0
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PItOJECf REFEIIENCE NO. SHEEI' NO.
19BP.1R.R.47 P�.1
IbW SHEET MO.
tOAUWAY OESIGN HYDRAlR1G5
L'NGINEER BJGINffR
PTtELIMIN A� PLANS
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PLANS
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PROFILE (HORIZONTAL)
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lel4 MILES +/-
TO NC HWY l8
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LOCATI�1�: STRUCTURE 1�0.160 OT�ER BUFFALO CREEI� 01� STROUP RD. SR 1654
TYPE OF WORK: GRADII�G, DRAII�A GE, PA VI1�G, � S TR UCT URE
SR 1654
STROUP ROAD
BEGIN CONSTRUC
POT Sta, 11+60e00
BEGIN BRID�E
—L— POT STAo l2-1-85,00
POT Stao 16f45o00
i
END BRIDGE
—L— POT STA,14+52,38
THESE EROSION AND SEDIME1�lT CONTROL PLA11IS COMPLY
WITH THE REGULATIONS SET FORTH BY THE
NCG—010000 GENERAL C011ISTRUCTI011i PERMIT EFFECTIVE AUGUST 3, 2011
ISSUED BY THE 11lORTH CAROLINA DEPARTME11rT OF ENVIRONME11rT A1VD
NATURAL RESOURCES DIVISION OF WATER QUALITY.
� � TO LEWIS RO%ID
(�R 1653)
Prepared in the Office ofe
� � � 11tCDOT DIVISI0IV 12
. . .
11tCDOT Contact:
INTERNATIONAL
Michael Baker Engineering, Inc. $TEVE �CKLEY, PE
8000 Regency Parkway, Suite 600
Cary, NC 27518
Professional Corporation License Number:
F-1084
2012 STAI�DARD SPECIFICATI0I�S
TODD H. BUCKNER, PE
LEVEL IIIA NAME
3542
LEVEL IIIA CERTIFICATION NO.
STATE STATE PR�JECT REFERENCE NO. ����� ����L
N�. �H��TS
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STATE PROJ. NO. F. A. PROJ. NO. DESCRIPTION
17BP.12.R.4% PE, R�W, UTILITY, CONST
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THIS PROJECT CONTAINS
EROSION CONTROL PLANS
FOR CLEARING AND
GRUBBING PHASE OF
CONSTRUCTION.
The following roadway english standards as appear in "Roadway Standard Drawings"- Roadway Design
Unit - N. C. Department of Transportation - Raleigh, N. C., dated January 2012 and the latest
revison thereto are applicable to this project and by reference hereby are considered a part of
these plans.
1604.01
1605.01
1606.01
1607.01
1622.01
1630.01
1630.02
1630.03
1630.04
1630.05
1630.06
1631.01
Railroad Erosion Control Detail
Temporary Silt Fence
Special Sediment Control Fence
Gra�el Construction Entrance
Temporary Berms and Slope Drains
Riser Basin
Silt Basin Type B
Temporary Silt Ditch
Stilling Basin
Temporary Diversion
Special Stilling Basin
Matting Installation
1632.01
1632.02
1632.03
1633.01
1633.02
1634.01
1634.02
1635.01
1635.02
1640.01
1645.01
Rock Inlet Sediment Trap Type A
Rock Inlet Sediment Trap Type B
Rock Inlet Sediment Trap Type C
Temporary Rock Silt Check Type A
Temporary Rock Silt Check Type B
Temporary Rock Sediment Dam Type A
Temporary Rock Sediment Dam Type B
Rock Pipe Inlet Sediment Trap Type A
Rock Pipe Inlet Sediment Trap Type B
Coir Fiber Baffle
Temporary Stream Crossing
N
0
N
>
w
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EXCELSIOR
MATTING
FLOW
6� ll
SEDIMENT CONTROL STONE
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O O �O o O � �O D � � � �D �O D
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D� O D � D� O O D� � O D O D �
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STRUCTURAL STONE
2' MIN
EXCELSIOR
MATTING
O� O CP O D � o O D
�O o �O o �O � �O o � � �O �O D �C
�O �O o � �O D � �� O D �O D
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See Inset A
NOTES
PROJECT REFERENCE NO.
17 B P.12 . R.44
ILW SHEET NO.
TODD H. BUCKNER, PE
LEVEL III NAME
SHEET NO.
EC-2
3542
LEVEL III CERTIFICATION NO.
n
� 1'I I[«l 1 F%Ia ■�f%1 �(a � 800o Re�qency Parkway
Suite 60
Ca , NC 27518
INTERNATIONAL NC�icense: F-1o84
USE EXCELSIOR FOR MATTING MATERIAL AND ANCHOR
MATTING SECTION AT TOP AND BOTTOM WITH CLASS B STONE.
PRIOR TO POLYACRYLAMIDE (PAM) APPLICATION, OBTAIN
A SOIL SAMPLE FROM PROJECT LOCATION, AND FROM OFFSITE
MATERIAL, AND ANALYZE FOR APPROPRIATE PAM FLOCCULANT
TO BE APPLIED TO EACH ROCK SILT CHECK.
INITIALLY APPLY
TO TOP OF MATTING
EVENT THAT EQUALS
*T
4 OUNCES OF
SECTION AND
OR EXCEEDS
POLYACRYLAMIDE (PAM)
AFTER EVERY RAINFALL
0.50 INCHES.
INSET A
CLASS B STONE
2' MIN
SECTION B—B
*T = 12" MIN., 18" MAX.
EXCELSIOR
MATTING
CLASS B STONE
�OT TO SCq�E
m
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