20170742 Ver 1_SR 2310 Application_20170616

STA.TE OF NORTH CARQL[NA
DEPARTM�-;N'I� QF TRt�1VSPORTAT�4�
R�Y COOE'ER
Go��E�noa
June 16, 2017
Mr. Eric Alsn7eyer
U. S. Army Cor�s Qf �ngineers
Raleigh Re�ulatozy Fielc� Office
3331 Heritage Trade Drive, Suiie 105
Wake �c�resi,l�C 2758i
Subject: Natianwide Permit #14
SR 2310, Groce Road
Wilkes C�unty, No�th Carolina
Praject Number: 11C.097028 (DWR Permit Fee: �240)
L�ear Mr. Alsrneyer:
1AMES I�. '�'RQGDON, ZII
S�CRF.TARY
`�`d�e NC Departinent of Transpor-t�tion is scheduled to grade, drain, base and pave S�i
231 �, Groce Road in Willtes Caunty. Total project length is 0.96 miles. Impervious
surface area will increase by about 0.12 acres. This project wi�l ret�uit•e the repl�cer�eni
af two bridbes with pipe and one additional wet pipe as shown below:
Stream �m acts•
E�istina
S�ati��n �tructure Proposec� Riprap Dewat+eri�ag Tmtal
Nu�nber S�ze �'ipe S�z� Im�aacts Impaets
117"x 79"x 40'
35+68 ��ridge #527 C��,4 with 2� 4p 10�
headwalls
36+53' �2"x 25' 42''x 56' 10 40 75
43+00 1'reviousty permitted in 2013 but not constructed yet. Will be built in 2017.
(Brid e #525) See attached ennits.
Perm�Qent Streambe� Fill = 65' $a�nk Stab�liaation = 30'
Tesn orary Dewaterin = 8�' Total Pro'ect Im acQs =�75'
' This pipe is currently perched with a plunge poo� �t the autlet. T�e new pipe wil� be
slightly steeper but we should be aUle to unperch t�ie pipe.
,Llailtng Address^ Telephpne.• (33C) b67-91 1 1 Locatron:
NC ISEPAR"F'MENT �F TRt�NSPO[�T'ATION Fax: [phone] ApUitk55 2
DMS[C3N 11 Custamer Sen�ice: 1-877-358-4968 C1T1', NC Z1P
401 S'I'A'l'F.SUILLL 120AD
NOftTN WILKESSC)R�O, NC 28659 1f'ehsAre. wv,nu.�acdotgov

Mr. Eric Alsmayer
SR 2310, Groce Road
June 16, 2017
All three stream crossings cany different UTs to East Swan Creek (class: WS-I'V) in the
Yadkin River Basin. The replace�neat of these structures will require temporary
dewatering. An impervious sandbag dike will be constructed upstream of the existing
structures to create a small pool. Clean water will temporarily be pumped around the
construction areas and will be discharged downstream. Any dirty water located inside of
the construction areas will be purnped into a silt bag if necessary, Once tl�e new pipes are
in place, �he impervious dikes will be removed and preconstrt�cti�on streambed elevati�ons
will be restored.
This project was revi�ewed for the presence of threatened and endangered specie� in the
field and I have a.lso included a query of the NCIVIIP database. Based on the project area
rnapped with my request, the database search indicates #hat there are no records for rare
species, important natural commuuities, natural areas, ar conservation/managed areas
w�it�ain the proposed projeet boundary, ar within a one-mile radius of the project
boundary. There ruilt be approximately 1.7 acres of tree �cutting at the praject Iocation
due to cuf and fill work. The NLEB is lisied as a protected species in this county but the
project does not fall vv�thin 0.25 miles of any red HUC identified in the SL(�PES spelIed
aut in tk�.e Naiionwide Permit Regional Conditions. We do not anticipate any unpact to
any other federally listed species. This project is not iocated within a traut watershed.
Cultural resaurce campliance work has been completed. �To a�rchaeologicai resources or
historic properties will be affected by this project (see attached).
The project impacts are nat sigrufcant in �ature and shQuld not remove ar degrade
existing water quality uses. Stormwater will be routed through grass or rock pined
ditches, depending on the ditch line slope. Dissipater pads will be insta.11ed at pipe nutlets
as appropriate. Pipe sizes used will be the minimum necessary to create a safe roadway.
By utilizing the erosion ca�trol measures ou�iin.ed in the attachments to this applicatian,
downstream water quality standards wi11 be protected. Overall water quality in the area
will be impraved by paving the ABC travel lanes. All appropriate BMPs will be used
during construction.
Attached is a Preconstruction Nc�tific�tion Form, plan sheets wati� proposed erosian
control mea,sures, a nna.rked county map and a marked topography map.
By capy of this electror�ic letter, i� is requested that the Division of Water Resources,
401/Wetlands Unit, issue the approp�iate permit for cor�;st�uction of this praject. It is
requested that any comrnents related to the 401 certification be electronically forwarded
direcily to me with a copy sent to the US Army Corps of Engineers.
We would like to begin constructian as soon as possible. If ftrrther inforination is
required, piease let nne �Zow, Youx early xeview az�d consideration will be appxeciated.

Mr, Eric Alsmeyer
SR 2310, Crroce Roaci
June 16, 2D17
Sincerely,
Hea�h Slaugbter
Division En�v�ranmental +Qfficer
Enclosures
cc: Amy Chapman, Divisiaz� of Waier Resources
Dave Wanucha, �?ivision af Water Resources
Brian Hamby, CoUnty Maintenance Engineer
Zack Svuther, �oadside Environmental �'ield Operations Technician

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Office Use Onty:
Corps action IQ na.
DWQ project no.
Form Version 1.3 Dec 10 �00$
Prc-Construction Notificafion C Form
A. A licant Infarmation
1. Processing
1 a. 7ype(s} af approual sought from the
Corps: � Seciivn 4Q4 Permit [] Sectian 10 Permit
1 b, Specify Nationwide Permit (NWP} numb�r: 14 or General Permit (GP} number:
1 c. Has the NWP or GP number been rrerified by the Corps? ❑ Yes � No
1 d. 7ype(s} of approvai saught from ttte DWQ (check all that apply):
� 401 Water Quality Certificatian — Regular ❑ Non-404 Jurisdictional General Permit
❑ 401 Water Quaf iiy Certificatian — Express ❑ Riparian Buffer Authorizatian
1e. ls this natification solely for the record For the record only for DWQ 401 For the record only for Corps Permit:
because written approvaE is nat rec{uired? Certification:
❑ Yes � No ❑ Yes � No
1f. Is payment into a mitigation bank or in-lieu fee program proposed for mitigation � Yes ❑ No
of impacts? Ef so, attach the acceptance letter from mitigatian bank ar in-lieu
fee prograrn.
1g. Is the praject located in any of NC's twenty coastal counties. If yes, answer 1 h ❑ Yes � No
below.
1 h. fs #he project located within a NC DCM Area of E�vironmental Concem (AEC)? ❑ Yes � No
2. Project Inforrnation
2a. Name af praject: SR 2310, Grrsce Road
2b. County: Wilkes
2c. Nearest municipaiity 1 town: Boane
2d. Subdivision name:
2e. NCD�T aNy, T.i.P. or state � 1 C.497028
project no:
3. �wner knformatian
3a. Name(s} on Recorded Deed: EVCDOT
3b. Deed Book and E'age No.
3c. Responsible Party (for LLC if
a}aplicable):
3d. Street address: 8D7 Statesville Road
3e. City, state, zip: North Wilkesboro, NC 28659
�f. Telephone na.: 335-903-9202
3g. Fax no.: 336-667-45�9
3h. Email address: hslaug�[e-mail]�
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PCN Fnrm — Version 1.3 December 1�, 2008 Version

�4. Applicant Informatian (if difFerent from owner)
4a. Applicant is: ❑ Agen# ❑ Other, specify:
4b_ Name:
4c. Business name
(if applicable):
4d. Street address:
4e. City, state, zip: �
4f. Telephbne no.:
�g. Fax no.:
4h. Email address:
5. AgentlConsuftant Informatian (if appficable}
5a. Name:
5b. �usiness narne
(if applicable):
5c. Street address:
5d. City, state, zip:
5�. Telephcane na.:
5f. Fa�c no.:
Sg. Email acidress.
Page 2 af 10
PCN Form — Versivn 1.3 december 1Q, 20�8 Version

B. Project Information and Prior Project Hjstory
1. Property Identification
1a. Property identificatian no, (tax PiN or parcel ID):
1 b. Site caordinates (in decimal degrees}: Latitude: 36.17'94B Lc�ngitude: - 80.88251
(DD.D�dddD) {-DD.DDD��D)
1 c. Property size: 5.7 acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to UTs to East Swan Creek
proposed project:
2b. Water Quality Classification o'f nearest recei�ing water: WS-IV
2c. Ri�er basin: Yadkin
3. Praject Description
3a. �escribe the existing conditions on the site and the generaf land use in the vicinity of the project at the time of this
appl ication:
Unpaved secondary road in a rural area..
3b. List the tata! estimated acreage of all existing wetfands on #he property:
0 acres
3c. List the total estimated linear fee� of a!! existing streams {intermit�ent and perennial) on the property:
2pp linear feet
3d. Explain the purpose of the proposed project:
Secondary Road Improvement
3e. Describe the overail prajec# in detaii, including the #y�e of equipment to be used:
See attached c�over letter.
4, Jurisdictiona! De#ecminations
4a. Have jurisdictionai wetland or stream determinatinns by the
Corps or State been requested or obtained for this property !
project (including a{I prior phases) in the Rast? ❑ Yes � No ❑ Unknown
Comments:
4b. If the Corps made th�e jurisdictfonal determination, what type � Preliminary ❑ Final
of deterrrtination was made?
4c. If yes, who delinea#ed the jurisdictional areas? Agency/Consultant Company:
Name (ii knovrm): Ot�ter:
4d. If yes, list ti�e dates of the Corps jurisdictional determinations or S#ate determinations and attach documentakion.
5. Project History
5a. Ha�e permits or certifications been requested or obtained far � Yes � No ❑ Unknown
this proje�t (including all prior phases) in tt�e past7
5b. If yes, explain in datail according to "help fiie° instructions.
B. Future PraJect Plans
6a. Is this a phased project? ❑ Yes � No
6b. If yes, expkain.
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PCN Form — Version 1.3 December 10, 2008 Version

C. Proposed Impacts Inventory
1. Impacts 5ummary
1 a. Which sections ►rvere completed befow for your project (check all that apply):
❑ Wetlands � S#reams - tributaries j] Buffers
❑ Open Waters ❑ Pond Constr'uction
2. Wetland Impacts
If there are wetland impacts proposed on #he site, then complete this questian for each wetland area impacted.
2a. 2b. 2c. 2d. 2e. 2f.
Wetland impact Type of jurisdietion
number— Type of impact Type of wetland Forested (Corps - 40�4, 10 Area of impact
Permanent (P) ar (if knnwn) DWQ — non-4�4, other} (acres}
Tem ra
W� � P❑ T ❑ Yes ❑ Corps
❑ No ❑ DWQ
W� � P❑ T ❑ Yes ❑ Corps
❑ No ❑ DWQ
W3 ❑ P 0 T ❑ Yes ❑ Corps
❑ No ❑ DWQ
�4 � �, ❑ ;� ❑ Yes ❑ Carps
❑ No ❑ DWQ
w� � P� T ❑ Yes ❑ Corps
❑ Nt� ❑ DWQ
�6 ❑ � ❑ T ❑ Yes ❑ Corps
❑ No ❑ DWQ
2g. Total wetland imp�cts
2h. Comments:
3. Stream Impacts
tf there are perennial or intermittent stream impacts (including #erriporary impacts} praposed on the site, then complete this
question for all stream sites impactecl.
3a. 3b. 3c. 3d. 3e_ 3f. 3g.
Stream impac# Type o# impact Stream name Perennial Type af jurisdiction Average Impact
numt�er - (PER) or (Corps - 4d4, 10 stream length
Permanerrt (P) or intermittent pWQ — non-404, wid#h (linear
Temparary (l� (��T)? other) (feeC) f�et)
S1 � P� T Piping, Riprap and UT #1 to East � PER � Corps � ,�a�
dewatering Swaan Creek � INT � DWQ
s2 � P� T Piping, Riprap and UT #2 to Eask � PER � Corps 2 75
dewatering Swan Creek ❑ INT � DVI1Q
S3 ❑ P❑ T ❑ PER ❑ Corps
❑ INT ❑ DWQ
S4 ❑ P❑ T � ❑ PER ❑ Corps
❑ INi ❑ DWQ
S5 ❑ P Q T ❑ PER ❑ Corps
❑ !NT ❑ DWQ
S6 ❑ P❑ T ❑ P�R ❑ Corps
❑ {NT ❑ DWQ
3h. Total stream and tributary impacts 175
3i. Comments: 65' piping, 30' riprap, 84 temporary dewatering
Page 4 of 10
PCN Form — Version 1.3 Decerrtber 10, 2008 Version

4. �pen Water Impacts
If #here are praposed irnpacts to lakes, pands, estuaries, tributaries, saunds, ihe A�antic Ocean, or any ather open water af
the U.S. then indi�idually list all open water impacts below.
4a. 4b. 4c. 4d. 4e.
Open water Name caf waterbody
impact number — (if appiicable} 7ype 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. Comrr►ents:
5. Pond or Lake GonstructSon
If ond or lake canstruction ro osed, then com fete the chart beiow.
5a. 5b. Sc_ 5d. 5e.
Wetland Impacts (acres) Stream Impacts (feefi) Upland
Pond ID proposed use or purpase (acres)
numher of pond
Flooded �illed Exea�ated Flooded Filied Exearrated Flooded
P4
P2
Sf. Total
5g. Comments: N/A
5h. is a dam high hazard permit required?
❑ Yes � No If yss, permit ID no:
5i. Expected pond surface area {acres};
5j. Size of pond watershed (acres}_
5k. Method of constructaon:
6. Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer, then compkete the chart below. If yes, then indi�idually list all buffer impacts
belaw. If an im acks re uire miti ation, then ou MUST fill out Section D af this farm.
6a.
❑ Neuse ❑ Tar-Pamlico ❑ Other:
Project is in which pratected basin? ❑ Catawba ❑ Randleman
6b. 6c. 6d. Be. 6f. 6g.
Buffier impact
number — Reason Suffer Zone 1 impact Zone 2 impact
Permanent (P) or for Stream name mitigation (sq�are feet) (square feet)
Tem ara im act r uired?
B1 ❑P�T ❑Yes
❑ No
B2 ❑P[]T ❑Yes
❑ Na
B3 ❑P��" ❑Yes
❑ tdo
6h. Tota[ buffer impacts
6i. Comments:
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PCN Form — Version 9_3 aecember 1 �, 2008 Version

D. Impact Justi�cation and Mitigation
1. Avoidance and Minimization
1 a. Specificaily describ� measures talcen to avoid or minimize the proposed impacts in designing project.
Proposed pipe le�gths are the shartest needed ta adequately construct the roadway.
1 b. Specifically describe measures taken to avoid ar minimize the propased impacts through construction techniques.
All appropriate BMPs will be used during canstruciian
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensa�ory Mitigatian for � Yes ❑ No
impacts to Waters of the U.S. or Wakers of the State?
2b. If yes, mitigation is required by (check a11 that apply): ❑ DWQ � Corps
� M'rtigation bank
2c. If yes, which mitigation option will be used for tt�is
��o�e�� ❑ Paymer�t to in-lieu #ee program
❑ Rermittee Responsib9e Mitigation
3. Complete ii Using a Mitigatian Bank
3a. Name of Mitigaiion Sank:
3b. Credits Purchased (attach receipt and letter) Type Quantity
3c. Camments:
4. Complete if Making a Payment to In-[ieu Fee Program
4a. A�proual letterfrom in-lieu fee program is attached. � Yes
4b. Stream mi#igation requested: 13D iinear feet
4c. If using stream mitigation, strearn temperature: ❑ warm � cool ❑cold
4d. Buffer mitigatian requested (DWQ oNy): square feet
4e. Riparian wetland mitigation requested: acres
4f. Non-riparian wetland mitigation requested: acres
4g. Coastal (tidal) wet{and mitigatian requested: acres
4h. Comments:
5. Complete if Using a Permittee Responsible Mitigation Plan
5a. ff using a pern�ittee responsible mitigation plan, pro�ide a description of the propased mitigation pfar�.
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PCN Farm — Version 1.3 December 1 Q, 20D8 Versian

6. Buffer Mitigaiian (State Regulated Riparian Buff�r Rufes) — required by DWf,1
6a. Will the project result in an impact within a protectec! riparian buffer thafi requires ❑ Yes � No
buffer mitigatias�?
6b. If yes, then identify the square feet af impact to each zone of the riparian buffer that requires rnitigation. Galculate the
amount of mitigation required�
6c. 6d. 6e.
Zone Reason for impact Total impact Multiplier Required mitigation
(square fieet) (square feet)
Zone 1 3(2 for Gatauv�a)
Zone 2 1.5
6f. i0tal buffer mitigation required:
Bg. I� buffer rni#igation is required, discuss what type of mitigation is proposed {e.g., payment tQ private mitigation bank,
permittee resp�nsible riparian buffer restaration, payment into an approved in-lieu fee fund).
8h. Carr�rr�er�ts:
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PCN Form — Version 1.3 December 10, 20a8 Version

E. Starmwater Management and Diffuse Flaw Plan (required by DWQj
1. Diffuse Flow Plan
1a. Does the project inc[ude or is it adjace�i ta protected riparian buffers identified [f Yes � No
within one oithe NC Riparian Buf#er Protection Rules?
1 b. If yss, then is a diffuse flow plan includec!? If na, expFain why.
Comments: ❑ Yes ❑ No
2. Stormwater Mana ement Plan
2a. What is the o�erall percent imperviousness of this project? 40 °lo
2b. Does this project require a Stormwater Management Plan'? � Yes ❑ No
2c. If this project �OES MOT require a S#armwater Management Plan, explain why:
2d. !f this project �OES require a Stormwater Management Plan, then provide a brief, narrative descriptinn of the plan:
See cover letter.
❑ Certified Local Govemment
2e. Who uvill be responsible #vr the revi�w of the Starmwater Management Plan? ❑ DWQ 5tormwater Program
� {�WQ 401 Unit
3. Certi�ed Local Government StorrrFwater Review
3a. ]n which local govemment's jurisdickion i5 this project?
❑ Phase II
3b. Which of the following locally-implemented starmwater management programs ❑ N5W
apply (check af! that apply): ❑ USMP
❑ Water Supply Watershed
❑ Other:
3c. Fias the approved Stormwater Management Plan with proof of approval been ❑ Yes ❑ No
attached?
4. DWQ Stprmwater Pro rarn Review
❑ Goastal counkies
❑ H4W
4a. Which of the following state-impferriented storrrtwater management programs apply � ORW
(check all tha# apply):
❑ Sessiort Law 2Q06-246
❑ Other:
4b. hlas the appro�ed StorrrFwater Management Plan with praof of appraval been
atkached? ❑ Yes ❑ No
5. DWQ 401 Unit Stormwater Review
5a. Doss #he Stormwater Manag�ment Plan meet #he appropriate requirements? ❑ Yes ❑ Na
5b. Ha�e ail of the 401 Unit submittal requirements �een met? ❑ Yes ❑ Na
F'age $ of 1 a
PCN Form — Versian 1_3 �ecember 1 Q, 2a08 Version

F. Supplementary Information
1. Environmental DocumentatEon {DWQ Requirement)
1 a. Does the project involve an expenditure of public (f�derallstate/local) funds or the � Yes ❑ Na
use of public (federallstate)land?
1 b. !f you answered "yes" to the abo�e, does #he project require preparation of art
ernironm�ntal document pursuant ta the requirements of the National or S#ate ❑ Yes � IVa
{North Carolina� Environmental Policy Act (NEP,AIS�PA)?
ic. If y�u answered "yes" to the abo�e, has the document review besn fnalized by the
State C9earing Hause? {If so, attach a copy of the NEPA or S��'A final approval
le#er.) ❑ Yes ❑ Na
Comments:
2. ViolatEons (DWQ Requiremenf)
2a. Is the site in �iolation of DVIIQ Wetland Rules (15A NCAC 2H .050fl), Isolated
Wetland Ruies (15A NCAC 2�i .1300), DWQ SurFace Water or Wetland Standards, ❑ Yes � No
or Ftiparian Buffer Rules (15A MCAC 2B .4200}?
2b. Is this an after-the-fact permit application? � Yes � No
2c. I� you answered "'yes" to o�te or both of the above questions, provide an explanation of the �iolaiion(s):
3. Cumulative impacts (DWQ Requirement)
3a. Will this praject (based on past and reasanably anticipated future irnpacts} result in � Yes � No
additional development, which could impact nearby downstream water quality?
3b. ff you answered "yes" to #he above, submit a�ualiiati�e ar quantitati�e cumuEative impact analysis in accordance with the
mos# recent DWQ policy. If you answer�d °r�o," provide a short narrative description.
4. Sewage Disposal (D1NQ Requirement}
4a. Clearly detail the ultimate treatment me#hods and dispasition (nan-discharge or discharge) af wastewater generated from
#he proposed project, or availabfe capacity of the subject facility.
NIA
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f'CN Farrn -- Version 1.3 December 9 D, 2608 Versian

5. Endangered Species and Designated Critical Habi#a# (Corps Requireme�t�
5a. Will this project occur in or near an area with federally protected species or � Y�$ � NQ
habita#?
5�. Ha�e yau checked wi#h the USFWS conceming Endangered Species Act � yes � No
impacts?
❑ Raleigh
5c. If yes, indicate the US�UII5 Field Office you ha�e cantacted_
❑ Asheville
5d_ What data sources did you use to deterrr�ine wheth�r yaur site would impact Endangered Species or Designated Crikica[
Habitat?
NHP, GIS and visua! observation.
6. Essential Fish Habitat (Corps Requiremer�t}
Ba. Will this prajec# oecur in or near an area designated as essential fsh habitat? ❑ Yes � No
6b. What data sources did yau use fo determine whether yo�r site wauld impact Essential Fish Habitat?
NOAA
7. His#oric or Prehistoric Cultural Res4urces (Corps Requirementj
7a. �II this project occur in or near an area that the state, federal or tribal
gaverr�rr�en#s have designated as ha�ing historic or cultura� preservation � Yes � No
status {e.g., National Historic Trust dssignation ar properties significant in
North Carolina history and archaeofogy)?
7b. What data sources did you use to determine whether your site would impact historic or archeological resaurces?
Project was review�d by the NGDOT HEU. 1Vo surveys were required.
8. Flood Zone Designatian �Corps Requirement)
8a. Will this project accur in a FEMA-designated 100-year floodpfain? ❑ Yes � No
8b. !# yes, expfain how project meets F�MA requirements:
8c. What saurce(s} did you ease to make the floodplain determination? ncfloodmaps
J. Heath Slaughter ,� 6{161'f 7
Applicant/Agent's Printed Name ApplicantlAgent's nature Date
(Agent's nature is valid only if an aut zation letker frn�n the applicant
is ravided.)
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PCN Fnrm — Version 1.3 Dec�mber 10, 2008 Version