20081811 Ver 1_401 Application_20081208

December 8, 2008 Public Works Department
Engineering Division
city Of Winston-Salem
North Carolina Division of Water Quality 2 Q 8 1 8 1 1 Winston-Salem, aleBox m, 51 27102
401 Wetlands Unit Tel [phone]
1650 Mail Service Center Fax [phone]
Raleigh, NC 27699-1650 wwwcltyofwsorg
RE Application for 401 Water Quality Certification for the replacement of culvert
as part of the road widening improvements to SR 1686 (Shattalon Drive) Forsyth
County, North Carolina City Project No 200502
Dear Sir
Please find the enclosed copies of the Pre-construction Notification (PCN), permit
drawings, design plans and application fee check for $240 00 for the above referenced
prod ect '
The City of Winston-Salem Department of Transportation in agreement with the North
Carolina Department of Transportation is proposing roadway improvements to an
existing portion of Shattalon Drive (SR 1686) from Murray Road (SR 1676) to Bright
Oak Avenue (Private) The project proposes widening the existing two-lane road to a
three-lane road with a center turn-lane The construction of an additional lane will
improve traffic accidents in the area by providing a center turn-lane The outer lanes
throughout the project will be 14 feet to accommodate bicycle traffic
Please call me at 747-6833 with any questions
Sincerely,
ENGINEERING DIVISION
)w xaty,
Todd Love, P E
Project Engineer
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ugpw[g Do
DEC 1 2 2008
DENR WATER QUALITY
WETLANDS AND STORMWATER BRANCH

December 8, 2008
Public Works Department
Engineering Division
City of Winston Salem
North Carolina Division of Water Quality eo Box 2511
Winston-Salem NC 27102
401 Wetlands Unit Ie1 336 727 8000
1650 Mail Service Center Fax [phone]
Raleigh, NC 27699-1650 wwwciryofwsorg
RE Application for 401 Water Quality Certification for the replacement of culvert
as part of the road widening improvements to SR 1686 (Shattalon Drive) Forsyth
County, North Carolina City Project No 200502
Dear Sir
Please find the enclosed copies of the Pre-construction Notification (PCN), permit
drawings, design plans and application fee check for $240 00 for the above referenced
project
The City of Winston-Salem Department of Transportation in agreement with the North
Carolina Department of Transportation is proposing roadway improvements to an
existing portion of Shattalon Drive (SR 1686) from Murray Road (SR 1676) to Bright
Oak Avenue (Private) The project proposes widening the existing two-lane road to a
three-lane road with a center turn-lane The construction of an additional lane will
improve traffic accidents in the area by providing a center turn-lane The outer lanes
throughout the project will be 14 feet to accommodate bicycle traffic
Please call me at 747-6833 with any questions
Sincerely,
ENGINEERING DIVISION
;,?& /aL`G
Todd Love, P E
Project Engineer
PROJECT DESCRIPTION
Impacts to waters of the United States
The project is located in the Yadkin River Basin in Forsyth County Water resources in
the area include Mill Creek and Bethabra Branch Bethabra Branch is a perennial stream
that flows north to south within the project boundaries Bethabra Branch is a tributary to
Mill Creek and does not have an assigned Stream Index Number by the N C Division of
Water Quality
Neither High Quality Waters (HQW), Water Supplies (WS-I or WS-II) occur within 1 0
mile of the project area
Permanent Impacts
There will be a total of 117 linear feet (LF) of permanent stream impacts to Bethabra
Branch (BB) These impacts are associated with the removal of 40 LF of an existing 12'
by 8' arch pipe culvert and placement of an 87 LF of 15' by 9' arch pipe culvert where
BB crosses the roadway Of the 117 linear feet, 47 linear feet will be due to the
replacement of the existing culvert The remaining 70 LF of permanent impacts will
result from Class I rip rap on the stream banks at the pipe inlet and outlet
Temporary Impacts
A total of 20 linear feet (LF) of temporary stream impacts will occur to Bethabra Branch
These impacts are associated with the placement of the new pipe culvert A temporary
impervious dike will be installed at the in-flow and out-flow sides of the pipe culvert for
the purpose of diverting stream flow around or through the construction site
Protect Schedule
The project is scheduled for letting in May of 2009 and date of construction availability
of July 2009 It is anticipated that the culvert construction will be completed during the
summer while school systems are on summer break
Office Use Only: corm Version March 08
USACE Action ID No. DWQ No. 2 0 0 8 1 8 1 1
(If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A" )
1. Processing
I 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 NWP 14 (DWQ GC 3704)
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 ?
IL Applicant Information D [9@ L !J 15
1 Owner/Applicant Information DEC 12 2008
Name City of Winston-Salem, Engineering Department Q6NR _ WATER aUAUTY
Mailing Address ATTN Todd Love, P E , Project Engineer WETIANDSANDSTWWAIER ?
P O Box 2511
Winston-Salem NC 27102-2511
Telephone Number 336-747-6833 Fax Number 336-727-2361
E-mail Address toddmina cityofws org
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
Company Affiliation
Mailing Address
Telephone Number
E-mail Address
Fax Number
Page 5 of 13
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 Shattalon Drive Road Improvements
2 T I P Project Number or State Project Number (NCDOT Only) n/a
3 Property Identification Number (Tax PIN) n/a
4 Location
County Forsyth Nearest Town Winston-Salem
Subdivision name (include phase/lot number)
Directions to site (include road numbers, landmarks, etc) From I-40 Bypass,
Exit North on US 52 Take University Parkway South exit 115-13 towards Winston-Salem
Take right on Shattalon Drive about 1 7 miles
5 Site coordinates (Lat/Long or decimal degrees) 36 1719 °N 80 3035 °W
(Note - If project is linear, such as a road or utility line, attach a sheet that separately lists the
coordinates for each crossing of a distinct waterbody )
6 Property size (acres) -4 acres (1/2 mile of alignment)
7 Name of nearest receiving body of water Mill Creek
8 River Basin Yadkin
(Note - this must be one of North Carolina's seventeen designated mayor river basins The
River Basin map is available at http //h2o eni state nc us/admin/maps/ )
9 Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this application Shattalon Drive is an arterial road which serves commercial
and residential traffic The three-lane roadway will make the road safer for left-turning
motorists Several schools are located with 2 miles of the road project It runs east to west
from University Parkway to Reynolda Road
Page 6 of 13
10 Describe the overall project in detail, including the type of equipment to be used
The project involves '/z mile of widening Shattalon Drive from Murray Road to Bright Oak
Avenue The road will be converted from a 2-lane facility to a 3-lane facility with full curb
and gutter (one lane in each direction with a middle left turn lane) This will involve grading,
paving drainage improvements, culvert replacement, curb and gutter and guardrail
construction Equipment used will be a broad range of paving equipment, backhoe and
wheel loaders motor graders and trucks used in road construction
11 Explain the purpose of the proposed work To improve safety for left turning traffic
movements The existing culvert needs to be replaced because 1 the existing length does not
allow for 3 lane widening section, 2 it is in poor condition, and 3 there is minimal shoulder
section to allow for the culvert to be extended
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
No prior JD's or permits have been requested
V. Future Project Plans
Are any future permit requests anticipated for this project9 If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application
None anticipated This plan is consistent with the City of Winston-Salem's 2030 Long Range
7 ransportation Plan
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
Page 7 of 13
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 An existing 12' x 8' (WxH)
Steel arch pipe culvert will be replaced with an 15' X 9' Steel Arch pipe culvert The existing
culvert is approximately 40 LF in length The new culvert will be 87 LF with rip rap outlet
protection on the stream banks for approximately 40' The new culvert will be buried 1'
Approximately 30' of a portion of the channel at the inlet of the new culvert will be disturbed in
order to construct headwalls and align streamflow into the culvert A temporary impervious dike
measures will be installed on the up and downstream side of the culvert to divert stream flow and
allow for culvert construction The dike will be composed of sandbags or stone line with fabric
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
Wetland Impact
Site Number
(indicate on map)
Type of Impact Type of Wetland
(e g , forested, marsh,
herbaceous, bog, etc) Located within
100-year
Floodplam
( 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 n/a
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
must be included To calculate acreage, multiply length X width, then divide by 43,560
Stream Impact
Number
(indicate on ma)
Stream Name
Type of Impact Perennial or
Intermittent9 Average
Stream Width
Before Impact Impact
Length
(linear feet) Area of
Impact
(acres)
S1 Bethabra Branch P-Culvert/RipRap Perennial 8 117 021
S I Bethabra Branch T - Dike Perennial 8 20 04

Total Stream Impact (by length and acreage) 137 025
Page 8 of 13
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, flooding, drainage, bulkheads, etc
Open Water Impact
Site Number
(indicate on ma) Name of Waterbody
(if applicable)
Type of Impact Type of Waterbody
(lake, pond, estuary, sound, bay,
ocean, etc) Area of
Impact
(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) 0 025
Wetland Impact (acres)
Open Water Impact (acres)
Total Impact to Waters of the U S (acres) 0 025
Total Stream Impact (linear feet) 137
7 Isolated Waters
Do any isolated waters exist on the property9 ? 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
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
Page 9 of 13
The no-build alternative to this project would not address the core purpose and need for the
protect which is to provide congestion relief and traffic safety Side slopes have been reduce to
2 1 slope with guardrail to minimize the length of the culvert
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
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/ncwetlands/strmgide html
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 offsrte), 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
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
Page 10 of 13
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 htty Hh2o enr state nc us/wrp/index htm If use of the NCEEP is proposed, please
check the appropriate box on page three 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 ?
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 )9 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 Multiplier Required
(square feet) Mitigation
1 3 (2 for Catawba)
Page 11 of 13
* 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
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
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 to accordance with
the most recent North Carolina Division of Water Quality policy posted on our websrte at
http //h2o enr state ne us/newetlands If no, please provide a short narrative description
This project provides for the installation of a center turn-lane on Shattalon Drive between
Murray Road and Bright Oak Avenue The widening project in meant to relieve traffic
congestion and improve safety Also sidewalk will be constructed for pedestrian foot traffic
XV. Other Circumstances (Optional):
Page 12 of 13
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)
1l// MO
4plicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided )
Page 13 of 13
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CITY ROADWAY PROJ. NO. 200502 NOT TO I DA TE SCALE 11-6-08
USGS MAP - RURAL HALL QUADRANGLE
IMPERVIOUS DIKE.
Description
This work consists of furnishing, installing, maintaining, and removing an Impervious
Dike for the purpose of diverting normal stream flow around the construction site The
Contractor shall construct an impervious dike in such a manner approved by the
Engineer The impervious dike shall not permit seepage of water into the construction
site or contribute to siltation of the stream The impervious dike shall be constructed of
an acceptable material in the locations noted on the plans or as directed
Materials
Acceptable materials shall include but not be limited to sheet piles, sandbags, and/or the
placement of an acceptable size stone lined with polypropylene or other impervious
fabric
Earth material shall not be used to construct an impervious dike when it is in direct
contact with the stream unless vegetation can be established before contact with the
stream takes place
Measurement and Payment
Impervious Dike will be measured and paid as the actual number of linear feet of
impervious dike(s) constructed, measured in place from end to end of each separate
installation that has been completed and accepted Such price and payment will be full
compensation for all work including but not limited to furnishing materials, construction,
maintenance, and removal of the impervious dike
Payment will be made under
Pay Item Pay Unit
Impervious Dike Linear Foot
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