20080456 Ver 1_More Info Received_20080702

Office Use Only:
USACC Action ID No.
DWQ No.
form Version March O?
u8- 046 lv
(If any particular item is not applicable to this project, please enter "Not Applicable" or "VA".)
1. Processing
1. Check all of the approval (s) requested for this project:
X Section 404 Permit Riparian or Watershed Buffer Rules
? Section 10 Permit ? Isolated Wetland Permit from DWQ
X 401 Water Quality Certification ? Express 401 Water Quality Certification
2. Nationwide, Regional or General Permit Ntnnber(s) Requested: N\V 27
3. lfthis notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: ? N/A
4. If payment into the North Carolina Ecosystem Enhancement I'roprarn (N(TTT) is proposed
for mitigation of impacts, attach the acceptance letter from NCEL:P. complete section V111.
and check here: ?N/A
5. If your project is located in any of North Carolina's twenty coastal counties (Ilsted on pa?.?e
4), and the project is within a North Carolina Division of Coastal Managcmcnt Area of
Environmental Concern (see the top of page 2 for further details), check here: ? N/A
11. Applicant Information
o [gC?f qw[g p
Owner/Applicant Information JUL 2 Z006
Name: LEWIS BLACKBURN Auto or.tw Mailing Address:409 STILLWATER RD BOOMER NC. 28606 DsANosTORWA'ERe
Telephone Number: 1-336-921-7028 Fax Number
E-mail Address: bbtirntnach,i!,?,.villces.net
l->;6-921-7029
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: NA N/A _
Company Affiliation:
Mailing Address:
Telephone Number:
E,-mail Address:
Fax Number:
Updated I I/1/200
Paae 5 of 13
111. Project Information
5
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 buildin"s.
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 distrihution purposes. the
USAGE requires information to be submitted on sheets no larger than I I by 17-111ch lornru:
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. 11' 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: HOLLOW SPRINGS CIRCLE
2. T.I.P. Project Number or State Project Number (NCDOT Only): N/A
?. Property Identification Number ("fax PIN)
049
4. Location
County: WILKES/CALDWELL Nearest Town: WILKLRSBORO
Subdivision name (include phase/lot number): N/A _
Directions to site (include road numbers/names, landmarks, etc.): _
Site coordinates (For linear projects, such as a road or utility line,
separately lists the coordinates for each crossing of a distinct waterbody.)
Decimal Degrees (6 digits minimum): n/a °N n/a
6. Property size (acres): I.2 acres _
7. Name of nearest receiving body of water: BEAVER CREEK
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://li2o.enr.state.nc.tts!adnrin/mils,.)
8. River Basin: YADKIN
9. Describe the existing conditions on the site and general land use in the VICIIIity ol'the project
at the time ofthis application: HAY FIELD FOR AGRICULTRAI, tIS]*". PASTURF AN 1)
HAY, STREAM ON PROPERTY
attach a sheet that

Updated I I/I/200i
Page 6 of 13
10. Describe the overall project in detail, including the type of equipment to be used: I RACK
IIOE. POPULAR TREE FELL INTO CREEK AFFTER S"IROM 131 OCKING CRI`hK
AND SENDING WATER INT THE SOFT HAY FIELD
11. Explain the purpose of the proposed work: TO STABILZE STREAM BANKS AND
PREVENT STREAM FROM ERODING FURTIIE INTO PAST. IRF. LAND / HAYFIFI D
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 N-vetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT prt?ject.
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules. NONE
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.
NONE
V1. 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 he
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 he 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 hclov? If additional
space is needed for listing or description. please attach a separate sheet.
Updated 11/1/2005
Page 7 of 13
Provide a written description of the proposed impacts: GRADI,, AND STAMLI/E
STREAM BANKS, FORTIFY TOE AT SLOPES WITH DIMENSION STONI-;.USE ROCK
CROSS VANES AT APPROPRIATE LOCATIONS ALONG CI-IANI :I.
2. Individually list wetland impacts. Types of impacts include. but are not limited tt?
mechanized clearing, grading, fill, excavation, flooding, ditchingo/drainage. etc. For dams.
separately list impacts due to both structure and flooding.
Wetland Impact
Site Number
(indicate on map)
Type of lmpact Type of Wetland
(e.g., forested, marsh,
herbaceous, bog, etc.) Located within LDistance toto
100-year Nearest

Floodplain strewn,
(yes/no) (linear lect) Area of
Impact

(acres)
N/A --- -

Total Wetland Impact (acres)
3. List the total acreage (estimated) of all existing wetlands on the property: O
4. Individually list all intermittent and perennial stream impacts. Be sure to identity temporary
impacts. Stream impacts include, but are not limited to placement of dill or culverts. dam
construction, flooding, relocation, stabilization activities (e.g., cement walls. rip-rap. crib
walls, gabions, etc.), excavation, ditching/straightening, etc. 11'stream relocation is proposed.
plans and profiles showing the linear footprint for both the original and relocated streams
must be included. To calculate acreage, multiply lenuth X width. then divide by 43.360.
I -- , Avcra?zc
Stream Impact lrfalll lnlpecl AICtI O1
Number Stream Name Type of Impact Perennial M"

`
Width I_rn?,th
Impact
(indicate on map) Intermittent
. Bel'ore (linear feet) (acres)
Impact
- l
UT TO BEAVER BANK PERENNIAL 16 F1:I 1
woo FIEF 307
CREEK AND CHANNEL

STABILIZATION
I
Total Stream Im pact (by length and ac reage)

I 1000
36T-1 0
?-- 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
1-i11, excavation, dredging, flooding, drainage, bulkheads, etc. N/A
t dUtCd t I/1/2005
Page 8 of 13
Open Water Impact
Name of Waterbody Iype of Watcrbcxf? /area ol?
Site Number

(if applicable) Type of Impact (lake, pond, estuar??, sound, bav,
Impact
(indicate on map) ocean, etc.) (acres)
N/A

Total Open Water Impact (acres) U
6. List the cumulative impact to all Waters of the U.S. resulting,, from the t?roicct:
Stream Impact (acres): .36730
Wetland Impact (acres): o
i
Open Water Impact (acres): 0
Total Impact to Waters of the U.S. (acres)
Total Stream Impact (linear feet): 367'0
1000
7. Isolated Waters
Do any isolated waters exist on the property? ? Yes X No
Describe all impacts to isolated waters, and include the type of vyter ovctland 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 IJSACI .
8. Pond Creation N/A
If' construction of a pond is proposed, associated wetland and strcam 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 ?strcam ? wetlancls
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. U-out 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 he 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. BANK AND CIIANNFI,
IMPACTS WILL BE LIMITED TO GRADING, AND PLACEMh.NT OF DILL. CROSS
VANES AND DIMENSION STONE FOR SLOPE STABILIZATION. ONLY THOSE ARRAS
OF BANK EROSION WILL BE MODIFIED BY THIS ACTIVITY.
Updated t 1/1/200?
Page 9 of 13
VIII. Mitigation
DWQ - [n 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 Mocliiication of Natiomv iclc
Permits, published in the Federal Register on January 15, 2002, miti-glation will be required whcii
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.
1f mitigation is required for this project, a copy of the mitigation plan must be attached in urdcr
for USAGE 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 (see DWQ vychsitc for most CUITCnt
Version.).
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 Icet)
of mitigation proposed (restoration, enhancement, creation, or preservation). a plan vic\\.
preservation mechanism (e.g., deed restrictions, conservation easement, etc.). and a
description of the current site conditions and proposed method of'construction. Please attach
a separate sheet if more space is needed.
2. Mitigation may also be made by payment into the North Carolina Ecosystem 1 rihanccmeilt
Program (NCEEP). Please note it is the applicant's responsibility to contact the NCI:T:P at
[phone] to determine availability, and written approval from the NCEEP indicatin1-1
that they are will to accept payment for the mitigation must be attached to this loan. 1:()i
additional information regarding the application process for the NCLI_;P, check the NCET;1'
Updated 11/1/200;
Page 10 of 13
website at httl,)://www.iicee.1).iiet/Liakes/iiiIicLireLilace.litiii. 1f use ol' the NC1_ F11 is proposed.
please check the appropriate box on page five and provide the following information:
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 X
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/SFPA)'?
Note: If you are not sure whether a NEPA/SEPA document is rcLluired. call the Sl?,I'A
coordinator at [phone] to review current thresholds For environmental documentation.
Yes ? No ?
3. 11' yes, has the document review been finalized by the State C'learin0house'? 11' so. please
attach a copy of the NEPA or SEPA final approval letter. Yes ? No ?
X. Proposed Impacts on Riparian and Watershed Buffers (required by DWQ)
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required state and local buffers associated with the project. The applicant must also provide
justification for these impacts in Section VII above. All proposed impacts must he listed hercln.
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on ?i
map, whether or not impacts are proposed to the buffers. Correspondence From the DIA ( )
Regional Office may be included as appropriate. Photographs may also he included at the
applicant's discretion.
Amount of stream mitigation requested (linear feet): N/A
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):
Will the project impact protected riparian buffers identified within 15A NCAC 213 .0233
(Neese), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 0213 .0243 (Catawba) 15A NCAC
213 .0250 (Randleman Rules and Water Supply Buffer Requirements). or other (please
identify )? Yes ? No X
2. 11 "yes", identify the square feet and acreage of impact to each zone of the riparian huffel:S.
If buffer mitigation is required calculate the required amount of mitigation by applying the
buffer multipliers.
Zone* ltnpact
(square feet) Multiplier Required
Mitku'ation

1
3 (2 for Catawba) _
2 1.5
updated I 1n/200 5
Page I I of 13
"T'otal
* /.one 1 extends out 30 feet perpendicular fi-0111 the top of the near hank of chimilel: /onc ? eyIC11d." yin
additional 20 feet from the edge of Lonc 1.
3. 11' buffer mitigation is required, please discuss what type of miti?()ation is proposed (i.c..
Donation of Property, Riparian Buffer Restoration / Enhancement. or Pavmcnt into the
Riparian Buffer Restoration Fund). Please attach all appropriate information as identified
within 15A NCAC 2B .0242 or.0244, or.0260.
XI. Stormwater (required by DWQ)
Describe impervious acreage (existing and proposed) versus total acrcagc on the site. Discuss
stormwater controls proposed in order to protect surface waters and wetlands dog-'viisti-cam from
the property. If percent impervious surface exceeds 20%, please provide calculations
demonstrating total proposed impervious level. N/A
XII. Sewage Disposal (required by DWQ)
Clearly detail the ultimate treatment methods and disposition (non-dischar??c or discharge) of
wastewater generated from the proposed project, or available capacity ol'the subject facility.
N/A
XIII. Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (15A NCAC 211 .0500) or any Buffer Rules?
Yes ? No X
Is this an after-the-fact permit application? Yes ? No X
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 X
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 websitc at
http://h2o.ent•.state.ne.us/ncwetlands. If no, please provide a short narrative description:
GRADE AND STABILIZE STREAM BANKS, FORTIFY TOE: A I' SLOPES WITH
DIMENSION STONE,USE ROCK CROSS VANES AT APPROPMATF. LOCATIONS
ALONG CHANEL
updated i 1n/2005
Page 12 of 13
XV. Other Circumstances (Optional):
It is the applicant's responsibility to submit the application sul'Iiciently in adVance of dcsiced
construction dates to allow processing time for these permits. However, an applicant nuty
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 f?ndangered and
Threatened Species, accessibility problems, or other issues outside of the applicant's control).
Z-Z ?-
Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
u,,d,itcd I Iii 20(
Page 13 of 13

http://www2.undersys.com/wilkes/mapfiles/wv391424856960648.pn(, 3/1/2007
HATCHED AREA DELINATES
APPROXIMATELY 5' WIDE STRIP
OF STREAM BANK TO BE
GRADED AND STABLIZED. TOE 4y
WILL BE FORTIFIED AT SLOPES
WITH DIMENSION STONE, ROCK
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CROSS VANES WILL BE PLACED
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