20080886 Ver 1_Application_20080529

STATE OF NORTH CAROLINA
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DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY LYNDO TIPPETT
GOVERNOR SECRETARY
May 22, 2008
Mr. Brian Wrenn 080886
Division of Water Quality
401 /Transportation Permitting Unit
1650 Mail Service Center
Raleigh, NC 27699-1650
SUBJECT: Pipe Replacement on SR 2173 (James Farm Road), Iredell County
Dear Mr. Wrenn:
The North Carolina Department of Transportation proposes to replace a deteriorating pipe on SR
2173 (James Farm Road) in Iredell. An existing 7211, 60-foot CMP will be replaced with a 96",
70-foot long CMP with an inlet concrete headwall. Five feet of class lI riprap will be utilized at
the pipe inlet and outlet for structure stabilization. The total scope of the work will result in 15
feet of permanent impacts to Fourth Creek, which is classified as Class C Waters by the Division
of Water Quality. Temporary cofferdams/pumping system will be used to divert the stream
around the construction site as needed. All areas affected by the temporary cofferdams will be
graded and restored to pre-project conditions.
The federally listed species for Iredell County (USFWS listed dated January 31, 2008) include
the dwarf-flowered heartleaf (Hexastylis naniflora) and the bog turtle (Clemmys muhlenbergii).
The Natural Heritage Program records document the nearest dwarf-flowered heartleaf location
approximately 16.7 miles southwest of the proposed project in Catawba County. The heartleaf is
usually found on dry to moist ravine slopes (usually north facing and of the oak-hickory-pine
forest type) and in boggy areas near springheads. The project area is mostly cultivated
agricultural land with a small amount of pine forest. There is no potential habitat within the
proposed project area and no species were observed. The Natural Heritage Program records
document the bog turtle location approximately 12.7 miles north of the proposed project. Bog
turtles are typically found in bogs, marshes, and wet pastures. There is no suitable habitat
located within the project area. No impact on this species is anticipated.
Post Office Box 47 Shelby, North Carolina 28151-0047
May 22, 2008
SR 2173 (James Farm Road)
Page 2
The proposed project will have "no effect" on the Dwarf-flowered heartleaf (Hexastylis
naniflora) or the bog turtle (Clemmys muhlenbergii) species.
No sites listed on the National Register of Historic Places are located in the vicinity of the
project nor did there appear to be any eligible structures. The office is recommending a finding
of "no effect" for historical structures.
The project area is not located within 1/2 mile of any critical watershed area. SR 2173 is not a
rural or urban arterial; therefore, hazardous spill basins are not required. Enclosed is the
hazardous spill basin checklist.
I have enclosed a pre-construction notification for a NW#14, sketches of planned activities and
location maps relative to the project.
Project information for the 401 Automated Payment Procedure is as follows:
• Work order number: 150465-55120005-12B.204911-3855
• TIP#: NA
• Project Category: $240.00 Fee
If you have any questions or concerns please feel free to contact me at [phone]. Thank
you for your time and consideration on this matter.
Respectfully yours,
M.L. Holder, P.E.
Division Engineer
Twelfth Division
BY:
Trish Simon
Division 12 Environmental Supervisor
Enclosures
cc: Polly Lespinasse, Division of Water Quality
Office Use Only: Form Version March 05
USACE Action ID No. DWQ No. 2 0 0 8 0 8 8 6
a A ?._1.....L1.. 11 ..- 9. KT/ A It
(it any particular item is not appucaoie to tn?s prujcci, ptvaNV cuMci ivv`FY"-- - _ .. .1
1. Processing
1. Check all of the approval(s) requested for this project:
? Section 404 Permit ? Riparian or Watershed Buffer Rules
? Section 10 Permit ? Isolated Wetland Permit from DWQ
® 401 Water Quality Certification ? Express 401 Water Quality Certification
2. Nationwide, Regional or General Permit Number(s) Requested: NW 14 (WQC#3627_
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: ?
4. If payment into the North Carolina Ecosystem Enhancement Program (NCEEP) is proposed
for mitigation of impacts, attach the acceptance letter from NCEEP, complete section VIII,
and check here: ?
5. If your project is located in any of North Carolina's twenty coastal counties (listed on page
4), and the project is within a North Carolina Division of Coastal Management Area of
Environmental Concern (see the top of page 2 for further details), check here: ?
II. Applicant Information
1. Owner/Applicant Information
Name: Mike Holder N.C. Devartment of Transportation
Mailing Address: P.O. Box 47
Shelby NC 28151
Telephone Number: 704-480-9020 Fax Number: 704-480-5401
E-mail Address:
2. Agent/Consultant Information (A signed and dated copy of the Agent Authorization letter
must be attached if the Agent has signatory authority for the owner/applicant.)
Name: Trish Simon
Company Affiliation: N.C. Department of Transportation
Mailing Address: P.O. Box 47
Shelby NC 28151
Telephone Number: 704-480-9044 Fax Number: 704-480-5401
E-mail Address: tsimon dot state nc us
Pagel of 8
III. Project Information
Attach a vicinity map clearly showing the location of the property with respect to local
landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property
boundaries and development plans in relation to surrounding properties. Both the vicinity map
and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities must be included. If possible, the maps and plans should
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USACE requires information to be submitted on sheets no larger than 11 by 17-inch format;
however, DWQ may accept paperwork of any size. DWQ prefers full-size construction
drawings rather than a sequential sheet version of the full-size plans. If full-size plans are
reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps are provided.
1. Name of project: SR 2173, James Farm Rd Iredell County Pipe Replacement
2. T.I.P. Project Number or State Project Number (NCDOT Only): 12B.204911
3. Property Identification Number (Tax PIN): N/A
4. Location
County: Iredell Nearest Town: Statesville
Subdivision name (include phase/lot number): N/A
Directions to site (include road numbers/names, landmarks, etc.): From Hickory on I-40
take exit to US 21 N right on James Farm Road proceed -1 mile to site.
5. Site coordinates (For linear projects, such as a road or utility line, attach a sheet that
separately lists the coordinates for each crossing of a distinct waterbody.)
Decimal Degrees (6 digits minimum): 354915.46 ON 0805223.25 °W
6. Property size (acres): <.10 Acre
7. Name of nearest receiving body of water: Unnamed tributary to Fourth Creek
8. River Basin: Yadkin
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://h2o.enr.state.nc.us/admin/mgps/.)
9. Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this application: The site is mostly forested upstream and residential
downstream, Pipe on paved secondar road.
10. Describe the overall project in detail, including the type of equipment to be used: Replace
existing deteriorating 72" 60-foot CMP with a 96" 70-foot long CMP with inlet concrete
Page 2 of 8
headwalls Five feet of class II ripray will be utilized at the new pipe inlet and outlet for
structure stabilization The project will be constructed utilizing typical heave equipment
(trackhoe backhoe, etc.).
11. Explain the purpose of the proposed work: The purpose of the proposed work is to replace
a failing pipe for the safety of the travelling public.
IV. Prior Project History
If jurisdictional determinations and/or permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action ID Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules.
N/A
V. Future Project Plans
Are any future permit requests anticipated for this project? If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application.
No future permit requests are anticipated for this project.
VI. Proposed Impacts to Waters of the United States/Waters of the State
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. Each impact must be
listed separately in the tables below (e.g., culvert installation should be listed separately from
riprap dissipater pads). Be sure to indicate if an impact is temporary. All proposed impacts,
permanent and temporary, must be listed, and must be labeled and clearly identifiable on an
accompanying site plan. All wetlands and waters, and all streams (intermittent and perennial)
should be shown on a delineation map, whether or not impacts are proposed to these systems.
Wetland and stream evaluation and delineation forms should be included as appropriate.
Photographs may be included at the applicant's discretion. If this proposed impact is strictly for
wetland or stream mitigation, list and describe the impact in Section VIII below. If additional
space is needed for listing or description, please attach a separate sheet.
1. Provide a written description of the proposed impacts: Minor impacts from riprap
stabilization and increased pipe length.
2. Individually list wetland impacts. Types of impacts include, but are not limited to
mechanized clearing, grading, fill, excavation, flooding, ditching/drainage, etc. For dams,
separately list impacts due to both structure and flooding.
Page 3 of 8
Wetland Impact

Site Number
(indicate on map)

Type of Impact Type of Wetland

(e.g., forested, marsh,
herbaceous, bog, etc.) Located within
100-year
Floodplain
(es/no) Distance to
Nearest
Stream
(linear feet) Area of
Impact
(acres)

Total Wetland Impact (acres)
3. List the total acreage (estimated) of all existing wetlands on the property: 0
4. Individually list all intermittent and perennial stream impacts. Be sure to identify temporary
impacts. Stream impacts include, but are not limited to placement of fill or culverts, dam
construction, flooding, relocation, stabilization activities (e.g., cement walls, rip-rap, crib
walls, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is proposed,
plans and profiles showing the linear footprint for both the original and relocated streams
mu-,t he included. To calculate acreage, multiply length X width, then divide by 43,560.
Stream Impact
Perennial Average
Impact
Area of
Number Stream Name Type of Impact or Stream Width Length Impact
(indicate on map) Intermittent Before Impact (linear feet) (acres)
I Ut to Fourth increase in pipe length Perennial 6 10 .0014
Creek
upstream/downstream
1 Embankment 10 .0014
stabilization
I Temporary cofferdam/ 10 .0014
bypass piping
Permanent Stream impacts (by length and acreage) 20 .0028
Temporary Stream Impacts (by length and acreage) 10 .0014
Total Stream Impact (by length and acreage) 30 .0042
5. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.). Open water impacts include, but are not limited to
fill, excavation, dredging, floodin , drainage, bulkheads, etc.
Open Water Impact Name of Waterbody Type of Waterbody Area of
Site Number (if applicable) Type of Impact (lake, pond, estuary, sound, bay, Impact
(indicate on ma) ocean, etc.) (acres)

Total Open Water Impact (acres)
6. List the cumulative impact to all Waters of the U.S. resulting from the project:
Stream Impact (acres): Permanent .0028
Wetland Impact (acres): 0
Open Water Impact (acres): 0
Total Impact to Waters of the U.S. (acres) 0
Total Stream Impact (linear feet): Permanent 20
Page 4 of 8
7. Isolated Waters
Do any isolated waters exist on the property? ? Yes ® No
Describe all impacts to isolated waters, and include the type of water (wetland or stream) and
the size of the proposed impact (acres or linear feet). Please note that this section only
applies to waters that have specifically been determined to be isolated by the USACE.
Pond Creation NO POND IMPACTS
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ? uplands ? stream ? wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.):
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.):
Current land use in the vicinity of the pond:
Size of watershed draining to pond: Expected pond surface area:
VII. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts. The existinpipe must be
replaced for the safety of the travelling public
VIII. Mitigation
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on January 15, 2002, mitigation will be required when
necessary to ensure that adverse effects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed. Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
Page 5 of 8
If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USACE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCEEP concurrence shall be placed on hold as incomplete.
An applicant may also choose to review the current guidelines for stream restoration in DWQ's
Draft Technical Guide for Stream Work in North Carolina, available at
http://h2o.enr.state.nc.us/ncwetiands/strmgide.html.
1. Provide a brief description of the proposed mitigation plan. The description should provide
as much information as possible, including, but not limited to: site location (attach directions
and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed method of construction. Please attach
a separate sheet if more space is needed.
MITIGATION NOT ANTICIPATED
2. Mitigation may also be made by payment into the North Carolina Ecosystem Enhancement
Program (NCEEP). Please note it is the applicant's responsibility to contact the NCEEP at
[phone] to determine availability, and written approval from the NCEEP indicating
that they are will to accept payment for the mitigation must be attached to this form. For
additional information regarding the application process for the NCEEP, check the NCEEP
website at htti):Hh2o.enr.state.nc.us/=/index.htm. If use of the NCEEP is proposed, please
check the appropriate box on page five and provide the following information:
Amount of stream mitigation requested (linear feet):
Amount of buffer mitigation requested (square feet):
Amount of Riparian wetland mitigation requested (acres):
Amount of Non-riparian wetland mitigation requested (acres):
Amount of Coastal wetland mitigation requested (acres):
IX. Environmental Documentation (required by DWQ)
1. Does the project involve an expenditure of public (federal/state/local) funds or the use of
public (federal/state) land? Yes ® No ?
2. If yes, does the project require preparation of an environmental document pursuant to the
requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)?
Note: If you are not sure whether a NEPA/SEPA document is required, call the SEPA
coordinator at [phone] to review current thresholds for environmental documentation.
Yes ? No
3. If yes, has the document review been finalized by the State Clearinghouse? If so, please
attach a copy of the NEPA or SEPA final approval letter. Yes ? No ?
Page 6 of 8
X. Proposed Impacts on Riparian and Watershed Buffers (required by DWQ)
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required state and local buffers associated with the project. The applicant must also provide
justification for these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
1. Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Meuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 02B .0243 (Catawba) 15A NCAC
2B .0250 (Randleman Rules and Water Supply Buffer Requirements), or other (please
identify )? Yes ? No
2.
If "yes", identify the square feet and acreage of impact to each zone of the riparian buffers.
If buffer mitigation is required calculate the required amount of mitigation by applying the
buffer multipliers.
Zone* Impact
(square feet) Multiplier Required
Mitigation
1 3 (2 for Catawba)
2 1.5
Total
* Zone 1 extends out 30 feet perpendicular from the top of the near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.
3. If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e.,
Donation of Property, Riparian Buffer Restoration / Enhancement, or Payment into the
Riparian Buffer Restoration Fund). Please attach all appropriate information as identified
within 15A NCAC 2B .0242 or .0244, or .0260.
N/A
XI. Stormwater (required by DWQ)
Describe impervious acreage (existing and proposed) versus total acreage on the site. Discuss
stormwater controls proposed in order to protect surface waters and wetlands downstream from
the property. If percent impervious surface exceeds 20%, please provide calculations
demonstrating total proposed impervious level.
There will be no increase in impervious acreage Appropriate erosion and sedimentation control
measures will be in lace during the pipe replacement.
XII. Sewage Disposal (required by DWQ)
Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of
wastewater generated from the proposed project, or available capacity of the subject facility.
N/A
Page 7 of 8
XIII. Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H .0500) or any Buffer Rules?
Yes ? No
Is this an after-the-fact permit application? Yes ? No
XIV. Cumulative Impacts (required by DWQ)
Will this project (based on past and reasonably anticipated future impacts) result in additional
development, which could impact nearby downstream water quality? Yes ? No
If yes, please submit a qualitative or quantitative cumulative impact analysis in accordance with
the most recent North Carolina Division of Water Quality policy posted on our website at
http://h2o.enr.state.nc.us/ncwetlands. If no, please provide a short narrative description:
The pipe replacement will not result in additional development of the surrounding area.
XV. Other Circumstances (Optional):
It is the applicant's responsibility to submit the application sufficiently in advance of desired
construction dates to allow processing time for these permits. However, an applicant may
choose to list constraints associated with construction or sequencing that may impose limits on
work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and
Threatened Species, accessibility problems, or other issues outside of the applicant's control).
N/A

Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 8 of 8
5108

U)
Existing 72' CMP with inlet
Headwall and approx. 60' long
Proposed 96' OP 70' Long
with a Conc headwall
on the inlet end
Unnamed Tributary
to Fourth Creek
$ Proposed Rip Rap or Shot
No-Less 0 Rock a all Four Corners
1) Pumping system to be used to
divert the stream around the
construction site as needed.
2) Any contaminated water within LL
the construction site is to be
pumped indsto a silt bag
LtJ
3) Silt fence to be placed around A
N
stock pile and projectors it allows
TBM in Existing P Pole
o
4) Upon completion of the project all Assume Elev. 100.0'
?.,
silt fences are to be placed as
needed. Also seeding and mulching
of disturbed areas
CL Prop 96' OF
Ex 72' CbP RD
i
95' oZ
94' pi ? ? • 0?7 -
84.1.75.9' 66.3' 54.8'
Ex Streambed Gradient
93.11
-92.5'
0.6'/55. 1' ¦1.Cr/.
9' Q. 31' 44.9' 54. 1' 61.9' 72.4' 82.4' 92.7 91:
36. 90
43. 1' 1' Ex Pipe Inv 36.8' .9:
41 ' Q v.
Prop Pipe Inv
Ex Pipe Gradient Ex Streambed Gradient
92.5' 92.5'
-92.2' -92.5'
0. 3/ 60' - 0. 5'?. 6-.-6'/47.8, - 0%%
Prop Pipe Gradient
91.5'
-91. 4'
0. 1%
Stream Profile
6' 1 1 ' 12' 7' 21'
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NCDOT
HAZARDOUS SPILL BASIN CHECKLIST
Division: 1 ?- County: Trpdell Project ID:
River Basin: Yadkin Bridge No: Pipe replacement
Route: SR- 2173 (James Farm Rd) - Stream: UT to Fourth Creek
Water Quality Criteria:
Yes No
Stream Crossing Blue Line On USGS r 1-
ORW r r
WSI r- r
WS 11,111 OR IV, Crossing Within 0.5mi of W.S. Critical Area f r
Roadway Criteria:
Route Designation-
Yes No
Arterial Urban r r
Arterial Rural F F
Additional Site Information:
Yes No
Is a Hazardous Spill Basin Required? F F10-
Criteria Based Upon NCDOT "Best Management Practices for the
Protection of Surface Waters" (March, 1997).

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Name: STATESVILLE EAST Location: 035.8233242' N 080.8715467° W
Date: 5/21/2008 Caption: Pipe Replacement, SR 2143 (James Farm Road), UT to Fourth
Scale: 1 inch equals 2000 feet Creek, Class C Waters, Yadkin River Basin
uopyngnt kul iaaa, mapiecn, Inc.
SR 2173 (James Farm Road)
Iredell County

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Downstream Outlet
Upstream