20090184 Ver 1_Application_20090224

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STATE OF NORTH CAROLINA o
DEPARTMENT OF TRANSPORTATION
BEvERLY EAvEs PERDUE DIVISION OF HIGHWAYS EUGENE A414T1, JR
GOVERNOR SECRETARY
February 19, 2009
North Carolina Division of Water Quality
401 Wetlands Certification Unit ®?
Attn: Mr. Brian Wrenn 0 184
2321 Crabtree Boulevard
Raleigh, NC 27604-2260
Subject: Secondary Road Improvements to SR 1437 (Burris Burleson Road),
Stanly County. WBS Element Number I OC 084043
(DWQ Minor Permit Fee $240 00).
Dear Mr Wrenn-
The North Carolina Department of Transportation (NCDOT) proposes to upgrade SR
1437 (Burris Burlesonl Road) in Stanly County from an unpaved roadway to a paved
roadway. The total project length is 1.5 miles.
Transportation and highway laws of North Carolina (G S. 136-44 6, 136-44.7, 136-44.7A,
136-44.8 and 136-44 9) require the NCDOT to develop annual work programs for
construction and maintenance of secondary roads. These general statutes specifically set
forth requirements for annual construction and paving of existing unpaved roads. Paving
of these roads is performed in priority order as established by the NCDOT for each
unpaved road within a given county. This number is based on characteristics of each
road, including number of homes, schools, churches, businesses, industries, recreational
facilities, traffic counts, presence of school bus routes, and value as a thoroughfare
Burns Burleson Road is scheduled for paving in the 2009-2010 Secondary Roads
Construction Program
Protected Species
The subject project has been reviewed for the presence of federally listed threatened and
endangered species. A two-person hour survey for was conducted for the presence of
Helianthus schweimtzii (Schweinitz's sunflower) on October 29, 2008 by NCDOT
biologists It was determined during the survey that the project area contains potential
habitat, but no species were found A Biological Conclusion of "No Effect" was
rendered.
mn.
716 West Maw Street, Albemarle, NC 28001 9 [phone] 9 Fain [phone]
Impacts to Waters of the United States
This project cannot be completed without unpacts to waters of the United States This
project is located within the Yadkin River Basin (Hydrologic Unit # 03040105) and
stream unpacts to an unnamed tributary to Town Creek will be incurred as a result of this
project being constructed.
Avoidance/Minimization
The proposed impacts to the jurisdictional areas on this project have been minimized as
much as practical. NCDOT's best management practices for the protection of wetlands
and surface waters will be applied during all phases of protect construction in an effort to
eliminate any further impacts.
Summary
The purpose of this letter is to request authorization to construct the proposed project
under Section 401 Water Quality Certificate (WQC) No GC3704.
If you have any questions or need any additional information concerning this project,
please feel free to contact Mr Larry Thompson, Division Environmental Supervisor, at
[phone]
Sincerely,
?975-b4-t-'
Barry S. Moose, PE
Division Engineer
BSM/LBT
cc Polly Lespinasse, NDWQ
Troy Wilson, USFWS
Marla Chambers, NCWRC
John Andrews, Distract II
Area Field Operations Unit
File
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Office Use Only
Corps action ID no
DWQ project no
Form Version 10 November 2008
Pre-Construction [Notification (PCN) Form
A. Applicant Information
1. Processing
la Type(s) of approval sought from the
Corps
T

Section 404 Permit E] Section 10 Permit
1b Specify Nationwide Permit (NWP) number 14 or General Permit (GP) number
11c Has the NWP or GP number been verified by the Corps? ® Yes ? No
l d 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 Certification - Express ? Riparian Buffer Authorization
le Is this notification solely for the record
because written approval is not required? For the record only for DWQ 401
Certification
? Yes ® No For the record only for Corps Permit

® Yes ? No
1f Is payment into a mitigation bank or in-lieu fee program proposed for mitigation
of impacts? If so, attach the acceptance letter from mitigation bank or in-lieu
fee program ? Yes ® No
I g Is the project located in any of NC's twenty coastal counties If yes, answer 1 h
below ? Yes ® No
1h Is the project located within a NC DCM Area of Environmental Concern (AEC)? ? Yes ® No
2 Project Information
2a Name of project SR 1437 (Bums Bureison Road)
2b County Stanly
2c Nearest municipality / town New London
2d Subdivision name N/A
2e NCDOT only, T 1 P or state
project no 10C 084043
3 Owner Information
3a Name on Recorded Deed
3b Deed Book and Page No
3c Responsible Party (for LLC if
applicable)
3d Street address
3e City, state, zip
3f Telephone no
3g Fax no
3h Email address
Page 1 of 11
PCN Form - Version 10 November 2008 Version
Section A. Applicant Information, continued
4 Applicant Information (if different from owner)
4a Applicant is ® Agent ? Other, specify
4b Name Barry S Moose, PE
4c Business name
(if applicable) NC Department of Transportation
4d Street address 716 W Main Street
4e City, state, zip Albemarle, NC 28001
4f Telephone no 704-982-0101
4g Fax no 704-982-3146
4h Email address bsmoose c@ncdot gov
5. Agent/Consultant Information (if applicable)
5a Name
5b Business name
(if applicable)
5c Street address
5d City, state, zip
5e Telephone no
5f Fax no
5g Email address
Page 2 of 11
PCN Form - November 2008 Version
B. Project Information and Prior Project History
1. Property Identification
1a Property identification no (tax PIN or parcel ID)
1 b Site coordinates (in decimal degrees) 35 424331'N - 80 2439'W
1c Property size 10 9 (nght-of-way width x project length) acres
2. Surface (Maters
2a Name of nearest body of water (stream, river, etc ) to Town Creek
proposed project
2b Water Quality Classification of nearest receiving water C
2c River basin Yadkin
3. Project Description
3a Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this
application
SR 1437 is a 15 mile long gravel base road that is 20-feet wide The majority of the surrounding land is used primarily
for agricultural purposes There are three single family residences located on SR 1437
3b List the total estimated acreage of all existing wetlands on the property
0
3c List the total estimated linear feet of all existing streams (intermittent and perennial) on the property
60-feet (60-feet is used due to our ROW being 60-feet and the stream crossing is perpendicular to the roadway)
3d Explain the purpose of the proposed project
The purpose of the project is to improve the safety and service level of the current roadway
3e Describe the overall project in detail, including the type of equipment to be used
The existing unpaved 20-foot wide roadway is proposed to be improved and paved as part of the 2009-2010 secondary
road program The existing gravel base will be reworked, roadway drainage improved and the final product will be paved
The road improvements will be staged by installing erosion control devices prior to beginning the grading portion of the
project Typical road construction equipment will be used Trackhoe, dump trucks, graders, vibratory roller and paving
equipment
4. Jurisdictional Determinations
4a Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property / ® Yes ? No ? Unknown
project (including all prior phases) in the past?
4b If the Corps made the jurisdictional determination, what type ? Preliminary ? Final
of determination was made?
4c If yes, who delineated the jurisdictional areas? Agency/Consultant Company NCDWQ
Name (if known) Polly Lespinasse Other
4d If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation
February 9, 2009
5. Project History
5a Have permits or certifications been requested or obtained for ? Yes ® No ? Unknown
this project (including all prior phases) in the past?
5b If yes, explain in detail according to "help file" instructions
6. Future Project Plans
6a is this a phased project? ? Yes ® No
6b If yes, explain
Page 3 of 11
PCN Form - Version 1 0 November 2008 Version
C. Proposed Impacts Inventory
1 Impacts Summary
la Which sections were completed below for your project (check all that apply)
? Wetlands ® Streams - tributaries ? Buffers
? Open Waters ? Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted
2a 2b 2c 2d 2e 2f
Wetland impact Type of jurisdiction
number - Type of Type of wetland Forested (Corps - 404, Area of impact (acres)
Permanent (P) or impact (if known) DWQ - non-404, other)
Temporary
W1 ? P ? T ? Yes ? No ? Corps
? DWQ
W2 ? P ? T ? Yes ? No ? Corps
? DWQ
W3 ? P ? T ? Yes ? No ? Corps
? DWQ
W4 ? P ? T ? Yes ? No ? Corps
? DWQ
W5 ? P ? T ? Yes ? No ? Corps
? DWQ
W6 ? P ? T ? Yes ? No ? Corps
? DWQ
2g Total wetland Impacts
2h Comments
3. Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this
question for all stream sites impacted
3a 3b 3c 3d 3e 3f
Stream impact Type of Stream name Perennial (PER) or Average stream width (feet) Impact
number - impact intermittent (INT)? length
Permanent (P) or (linear feet)
Temporary (T)
Replace

81 ®P ? T 72" x 30'
CMP with UT to Town
® PER ? INT
5
45
a 72" x Creek
60' CMP
S2 ? P ? T ? PER ? INT
S3 ?P?T ?PER ?INT
S4 ? P ? T ? PER ? INT
S5 ? P ? T ? PER ? INT
S6 ? P ? T ? PER ? INT
3g. Total stream and tributary impacts 45
3h Comments Pipe will be placed on a skew in order to improve stream alignment This will eliminate an additional 15 feet
of stream for a total of 45 linear feet of impacts
Page 4 of 11
PCN Form Version 10 November 2008 Version
C Proposed Impacts Inventory, continued
4. Open Water Impacts
if there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of
the U S then individual) list all o en water impacts below
4a 4b 4c 4d 4e
Open water Name of
impact number waterbody Type of impact Waterbody type Area of impact (acres)
- Permanent (if
(P) or applicable)
Temporary
01 ?P?T
02 ?P?T
03 ?P?T
04 ?P?T
M. Total open water Impacts
4g Comments
Page 5 of 11
PCN Form - November 2008 Version
C Proposed Impacts Inventory, continued
6. Pond or Lake Construction
If and or lake construction pro osed, then complete the chart below
5a 5b 5c 5d 5e
Wetland Impacts (acres) Stream Impacts (feet) Upland
Pond ID Proposed use or (acres)
number purpose of pond
Flooded
Filled
Excavated
Flooded
Filled
Excavated
Flooded
P1
P2
5f Total
59 Comments
5h Is a dam high hazard permit required?
? Yes ? No If yes, permit ID no
51 Expected pond surface area (acres)
5j. Size of pond watershed (acres)
5k Method of construction
6 Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer, then complete the chart below If yes, then individually list all buffer impacts
below If an impacts require mitigation, 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 (square Zone 2 impact
Permanent (P) for impact Stream name mitigation feet) (square feet)
or Temporary required?
61 ?P?T ?Yes ?No
B2 ?P?T ?Yes ?No
B3 ? P ? T ? Yes ? No
6h Tota l buffer impacts
61 Comments
Page 6 of 11
PCN Form - November 2008 Version
D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a Specifically describe measures taken to avoid or minimize the proposed impacts in designing project
The proposed impacts for this project have been limited to those necessary to properly align the replacement pipe with
the existing stream channel and establish a stable shoulder slope Measures will be taken to prevent any additional
impacts to the stream by identifying the crossing as an "Environmentally Sensitive Area" on the construction plan sheets
and delineating the stream with orange bamer fencing
1b Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques
As previously mentioned, the stream will be delineated with orange barrier fencing on both sides of the stream bank prior
to any construction taking place Vegetation removal will be limited to only the areas that will be excavated and erosion
control devices will be installed to reduce the likelihood of sediment loss from the roadway grading operation The stream
will be temporarily dewatered in an effort to prevent sediment loss during the pipe replacement activities Dewatenng
limits will be reviewed pnor to construction taking place
2. Compensatory Mitigation for Impacts to Waters of the U.$ or Waters of the State
2a Does the project require Compensatory Mitigation for
impacts to Waters of the U S or Waters of the State? ? Yes ® No
2b If yes, mitigation is required by (check all that apply) ? DWQ ? Corps

2c
If yes, which mitigation option will be used for this
project" ? Mitigation bank
? Payment to in-lieu fee program

? Permittee Responsible Mitigation
3. Complete 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 In-lieu Fee Program
4a Approval letter from in-lieu fee program is attached ? Yes
4b Stream mitigation requested linear feet
4c If using stream mitigation, stream temperature warm, cool, cold
4d Buffer mitigation requested (DWQ only) square feet
4e Riparian wetland mitigation requested acres
4f Non-npanan wetland mitigation requested acres
4g Coastal (tidal) wetland mitigation requested acres
4h Comments
5. Complete if Using a Permittee Responsible Mitigation Plan
5a If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan
Page 7 of 11
PCN Form - Version 10 November 2008 Version
D. Impact Justification and Mitigation, continued
6 Buffer Mitigation (State Regulated Riparian Buffer Rules) - required by DWO
6a Will the project result in an impact within a protected npanan buffer that requires
buffer mitigation? ? Yes ? No
6b If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation Calculate the
amount of mitigation required
Zone Reason for impact Total impact
(square feet) Multiplier Required mitigation
(square feet)
Zone 1 3 (2 for Catawba)
Zone 2 15
Total buffer mitigation required
6c If buffer mitigation is required, discuss what type of mitigation is proposed (e g , payment to private mitigation bank,
permittee responsible riparian buffer restoration, payment into an approved in-lieu fee fund)
6d Comments
Page 8 of 11
PCN Form - November 2008 Version
E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Plan
la Does the project include or is it adjacent to protected riparian buffers identified ? Yes ® No
within one of the NC Riparian Buffer Protection Rules?
lb If yes, then is a diffuse flow plan included? ? Yes ? No
2. Determination if the Project Requires a Stormwater Management Plan
2a Does the project require a Non-404 Jurisdictional General Permit? ? Yes ® No
2b Is the project subject to General Certification 3704 or 3705? ? Yes ® No
3 Determination of Stormwater Review Jurisdiction
3a Is this project subject to any of the following state-implemented stormwater ? Coastal counties
management programs (check all that apply)? ? HOW
? ORW
If so, attach one copy of the approval letter from the DWQ and one copy of the ? Session Law 2006-246
approved stormwater management plan ®Other NCDOT Phase II
3b In which local government's jurisdiction is this project? Stanly County
3c Is this local government certified to implement a state stormwater program? ? Yes ® No
If so, attach one copy of the approval letter from the local government and one copy
of the approved stormwater management plan (or one copy of the approved
Stormwater management plan stamped as approved)
4 Information Required for DWQ 401 Unit Stormwater Review
The impervious area will remain
the same There is currently
4a What is the overall percent imperviousness according to the most current site plan? an existing 20-foot gravel base
and the proposed paved
roadway width is 20-feet
4b Does this project contain any areas that meet the criteria for "high density" per ? Yes ® No
General Certifications 3704 and 3705?
4c If the site is over 24% impervious and/or contains high density areas, then provide a brief narrative description of the
stormwater management plan
4d Has a completed BMP Supplement Form with all required items been submitted ? Yes ? No
for each stormwater BMP?
Page 9 of 11
PCN Form - Version 10 November 2008 Version
F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
1a Does the protect involve an expenditure of public (federal/state/local) funds or the ® Yes ? No
use of public (federal/state) land?
lb If you answered "yes" to the above, does the protect require preparation of an
environmental document pursuant to the requirements of the National or State ? Yes ® No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1 c If you answered "yes" to the above, has the document review been finalized by the
State Clearing Houser (If so, attach a copy of the NEPA or SEPA final approval
? Yes
? No
letter)
Comments
2. Violations (DWQ Requirement)
2a Is the site in violation of DWQ Wetland Rules (15A NCAC 2H 0500), Isolated
Wetland Rules (15A NCAC 2H 1300), DWQ Surface Water or Wetland Standards, ? Yes ® No
or Riparian Buffer Rules (15A NCAC 2B 0200)?
26 Is this an after-the-fact permit application? ? Yes ® No
2c If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s)
3. Cumulative Impacts (DWQ Requirement)
3a Will this protect (based on past and reasonably anticipated future impacts) result in yes ® No
additional development, which could impact nearby downstream water quality?
3b if you answered 'yes" to the above, submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWQ policy If you answered "no," provide a short narrative description
4. Sewage Disposal (DWQ Requirement)
4a Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of wastewater generated from
the proposed protect, or available capacity of the subject facility
Page 10 of 11
PCN Form - Version 10 November 2008 Version
F. Supplementary Information, continued
5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a Will this project occur 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 Office you have contacted ? Asheville
5d What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
Natural Heritage Program GIS database and field review for suitable habitat
6. Essential Fish Habitat (Corps Requirement)
6a Will this project occur in or near an area designated as essential fish habitat? ? Yes ® No
6b What data sources did you use to determine whether your site would impact Essential Fish Habitat?
South Atlantic Fishery Management Council
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
7a Will this project occur in or near an area that the state, federal or tribal
governments have designated as having historic or cultural preservation ? Yes ® No
status (e g , National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
7b What data sources did you use to determine whether your site would impact historic or archeological resources?
NCDOT GIS database/NCDOT Historic Architecture Group and National Register of Historic Places
8. Flood Zone Designation (Corps Requirement)
8a Will this project occur in a FEMA-designated 100-year floodplain? ® Yes ? No
815 If yes, explain how project meets FEMA requirements
8c What source(s) did you use to make the floodplaln determination? NCDOT GIS data layer (Stanly County Flood Zones)
PE
Barr
S Moose
y
,
? 02/19/09
Applicant/Agent's Printed Name Applicant/Agent's Signature
(Agent's signature is valid only d an authorization letter from the applicant Date
is provided
Page 11 of 11
PCN Form - November 2008 Version
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