20090507 Ver 1_Application_20090506

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STATE OF NORTH CAROLINA sky
DEPARTMENT OF TRANSPORTATION
P.O.BOx25201,RnLOGx,NC 27611-5201 EUGENE A. CONTI, JR.
BEVERLY EAVES PERDUE
GOVERNOR PHONE[phone] SECRETARY
April 30, 2009
Mr. Monte Matthews
U. S. Army Corps of Engineers
Raleigh Regulatory Field Office
3331 Heritage Trade Drive, Suite 105 ® 9 ® 5 07.
Wake Forest, NC 27587
Subject: Nationwide Permit 923
NC 194 Resurfacing
-Avery County, North Carolina
TIP# R-5158 (No DWQ Permit Fee Required)
Dear Mr. Matthews:
The NC Department of Transportation is scheduled to resurface NC 194 in Avery County
from US 19E to SR 1106. Minor widening will occur in a number of locations. A few
paved ditches will be constructed as well. Total project length is approximately 0.91 miles.
The impervious surface area will increase by approximately 0.22 acres. Please note that
we are not proposing to extend the `existing fill slopes. We will however be conducting
some shoulder reconstruction activities once the resurfacing is complete. Several wet
pipes/culverts will be retained. We will however be replacing a few wet pipes at the
following locations:
Stream Impacts:
Station
Number Existing
Structure Size ` Proposed
Structure'Size Riprap,
Im acts ft. Total Impacts at
This Station ft.

4+82 30'x 24" 40'x 24" 10 20
21+00 35'x 18" 40'x 18" 10 15
22+40 40'x 24" 40'x 24" 10 10

Total Stream Im acts = 45 feet
The replacement of the above noted wet pipes will require temporary dewatering. An
impervious sandbag dike will be constructed upstream of the existing culverts to create a
Mr. Monte Matthews
R-5158 (NC 194 Resurfacing, Avery)
Page 2
April 30, 2009
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 pumped into a silt bag if necessary. Total dewatered area for all wet pipe
replacement areas will be approximately 0.006 acres. Once the new pipes are in place, the
impervious dikes will be removed and preconstruction streambed elevations will be
restored.
Permitted Site Coordinates -
Station Latitude Lon itude
4+82 35.97175 -82.01109
21+00 35.97111 -82.00669
22+40 35.97120 -82.00639
The wet pipes in question carry different unnamed tributaries to Threemile Creek (Class:
WS-IV, Trout). This project was reviewed for the presence of threatened and endangered
species on April 16, 2009. This project will have no effect on any federally listed
endangered plant or animal species. The State Historic compliance surveys will be
conducted if requested.
The project impacts are minor in nature and should not remove or degrade existing water
quality uses. Pipe sizes used will be the minimum necessary to create a safe roadway. By
utilizing the erosion control measures outlined in the attachments to this application,
downstream water quality standards will be protected. All appropriate BMPs will be used
during construction.
Attached is a Preconstruction Notification Form, plan sheets with proposed erosion
control measures, a marked county map, a marked topography map and photographs.
By copy of this letter, it is requested that Mr. Ron Linville, Mountain Region Coordinator,
with the North Carolina Wildlife Resources Commission comment directly to you
concerning the 404 Nationwide Permit application with a copy sent to me.' Please note
that although we are not proposing to extend the fill slopes, some of the shoulder
reconstruction work will fall within the 25-foot buffer zone of Threemile Creek. As a
result, we will be requesting a trout buffer variance for this activity.
We would like to begin construction as soon as possible. If further information is
required, please let me know. Your early review and consideration will be appreciated.
Sincerely,
AZO-111;?
Heath Slaughter
Division Environmental Officer
Mr. Monte Matthews
R-5158 (NC 194 Resurfacing, Avery)
Page 3
April 30, 2009
Enclosures
cc: Monte Matthews, US Army Corps of Engineers (1 additional copy)
Ron Linville, Western Piedmont Region Coordinator, NCWRC
Brian Wrenn, Division of Water Quality (2 copies)
Troy Wilson, USFWS
Mike Pettyjohn, PE, Division Engineer
Michael Poe, PE, District Engineer
Joe Laws, PE, Division Project manager
Heath Slaughter, Division Environmental Officer
Neil Trivette, Roadside Environmental Field Operations Engineer
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Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.3 Dec 10 2008
Pre-Construction Notification (PCN) Form
A. Applicant Information
1. Processing -
1a. Type(s) of approval sought from the
Corps: X Section 404 Permit ? Section 10 Permit
tb. Specify Nationwide Permit (NWP) number: 23 or General Permit (GP) number:
I c. Has the NWP or GP number been verified by the Corps? ? Yes X No
Id. Type(s) of approval sought from the DWQ (check all that apply): -
401 Water Quality Certif ication -Regular ? Non-404 Jurisdictional General Permit
? 401 Water Quality Certification - Express ? Riparian Buffer Authorization
le.

NO Is this notification solely for the record
because written approval is not required? For the record only for DWQ 401
Certification:
Yes X ? No For the record only for Corps Permit:

? Yes ? No
If. 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 X No
tg. Is the project located in any of NC's twenty coastal counties. If yes, answer 1h
below. ? Yes X No
1h. Is the project located within a NC DCM Area of Environmental Concern (AEC)? ? Yes X No
2. Project Information
2a. Name of project: R-5158, Resurfacing of NC 194
2b. County: Avery
2c. Nearest municipality / town: Ingalls
2d. Subdivision name:
2e. NCDOT only, T.I.P. or state
project no: R5158
3. Owner Information
3a. Name(s) on Recorded Deed: NCDOT
3b. Deed Book and Page No.
3c. Responsible Party (for LLC 'rf
applicable):
3d. Street address: 801 Statesville Road
3e. City, state, zip: North Wilkesboro, NC 28659
3f. Telephone no.: [phone]
3g. Fax no.: [phone]
3h. Email address: [e-mail]
Page 1 of 11
PCN Form -Version 1.3 December 10, 2008 Version
4. Applicant Information (if different from owner)
4a. Applicant is: ? Agent ? Other, specify:
4b. Name:
4c. Business name
(if applicable):
4d. Street address:
4e. City, state, zip:
4f. Telephone no.:
4g. Fax no.,.
4h. Email address:
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
B. Project Information and Prior Project History
1. Property Identification
Ia. Property identification no. (tax PIN or parcel ID):

1 b. Site coordinates (in decimal degrees):
.97175 Longitude: -82.01109
Latitude: 35
(DD.DDDDDD) (-DD.DDDDDD)
1c. Property size: 5.5 acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to
proposed project: UTs to Threemile Creek
2b. Water Quality Classification of nearest receiving water: WS4V, Trout
2c. River basin: French Broad
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:
Paved Road in Rural Area
3b. List the total estimated acreage of all existing wetlands on the property:
Wetlands are located near the edge of right-of-way at several locations but we are not proposing to extend the fill
slopes toward them.
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
300
3d. Explain the purpose of the proposed project:
Resurface NC 194
3e. Describe the overall project in detail, including the type of equipment to be used:
See attached cover letter
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
project (including all prior phases) in the past?
Comments:
?
Yes XNo ? Unknown
4b. If the Corps made the jurisdictional determination, what type
of determination was made? ? preliminary El Final
4c. If yes, who delineated the jurisdictional areas?
Name (if known): Agency/Consultant Company:
Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
5. Project History
5a. Have permits or certifications been requested or obtained for
this project (including all prior phases) in the past? ? Yes X No ? Unknown
5b. If yes, explain in detail according to "help file" instructions.
6. Future Project Plans
phased proj ect? Yes X No
xplain.
FIfye
Page 3 of 11
PCN Form -Version 1.3 December 10, 2008 Version
C. Proposed Impacts Inventory
1. Impacts Summary
la. Which sections were completed below for your project (check all that apply):
? Wetlands X Streams -tributaries ? Buffers
X 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 impact Type of wetland Forested (Corps - 404, 10 Area of impact
Permanent (P) or (if known) DWQ - non-404, other) (acres)
Temporary T
-
- ? Yes ? Corps
1 P r
1 T
W1 F ? No ? DWQ
? Yes ? Corps
W2 ? P ? T ? No ? DWQ
? Yes ? Corps
W3 ? P ? T ? No ? DWQ
? Yes ? Corps
W4 ? P ? T ? No ? DWQ
? Yes ? Corps
W5 ? P ? T ? No ? DWQ
? Yes ? Corps
W6 ? P ? T ? No ? 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 3 b. 3c. 3d. 3e. 3f. 39
Stream impact Type of impact Stream name Perennial Type of jurisdiction Average Impact
number- (PER) or (Corps-404,10 stream length
Permanent (P) or intermittent DWQ - non404, width (linear
feet)
Temporary (T) (INT)? other) (feet)
S1 X P ? T Pipe Replacement UT#1 to Threemile
Creek X PER
? INT X Corps
X DWQ 1 15
S2 X P ? T Pipe Replacement UT#2 to Threemile X PER X Corps 1 15
Creek INT X DWQ
S3 X P ? T Pipe Replacement UT#3 to Threemile
Creek X PER
INT X Corps
X DWQ 1 15
? PER Corps
54 P O T INT DWQ
? PER ? Corps
S5 ? P ? T ? INT ? DWQ
? PER ? Corps
S6 ? P ? T ? INT ? DWQ
3h. Total stream and tributary impacts 15
3i. Comments:
Page 4 of 11
PCN Form - Version 1.3 December 10, 2008 Version
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 open water impacts below.
4a. 4b. 4c. 4d. 4e.
Open water
impact number- Name of waterbody
(if applicable)
Type of impact
Waterbody type
Area of impact (acres)
Permanent (P) or
Temporary
Ot ? P X T UTs to Threemile Temporary Dewatering total for Streams 0.006
Creek all wet pipes
02 X P T UTs to Threemile Total riprap placement for all Streams 0.001
Creek wet pipes (see cover letter)
03 ?P?T
04 ?P?T
4f. Total open water impacts 0.007
4g. Comments:
5. Pond or Lake Construction
If and or lake construction proposed, then complete the chart below.
5a. 5b. 5c. 5d. 5e.
Wetland Impacts (acres) Stream Impacts (feet) Upland
Pond ID Proposed use or purpose (acres)
number of pond Flooded Filled Excavated Flooded Filled Excavated Flooded
P1
P2
5f. Total
5g. Comments:
5h. Is a dam high hazard permit required?
? Yes ? No If yes, permit ID no:
5i. Expected pond surface area (acres):
5j. Size of pond watershed (acres):
5k. Method of construction:
Page 5 of 11
6. Buffer Impacts (for DWQ)
If project will impact a protected riparia n buffer, then complete the chart below. If yes, then individually list all buffer impacts
below. If an impacts require mitig ation, then you 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. 6 6g.
Buffer impact
number-
Reason
Buffer
pact
Zone 2 i mpact
Permanent (P) or for Stream name mitigation feet) (square feet)
Temporary T impact required?
?Yes
B1 ?P?T ? No
? Yes
B2 ? P ? T ? No
? Yes
B3 ? P ? T ? No
6h. Total buffer impacts
6i. Comments:
Page 6 of 11
D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
All impacts are necessary to improve this roadway. All appropriate BMPs will be used during construction.
lb- Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
All appropriate BMPs will be used during construction
2. Compensatory Mitigation for Impacts to Waters of the U.S. 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 X 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-riparian 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 1.3 December 10, 2008 Version
6. Buffer Mitigation (State Regulated Riparian Buffer Rules) -required by DWQ
6a. Will the project result in an impact within a protected riparian 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 6c.
Reason for impact 6d.
Total impact
(square feet)
Multiplier 6e.
Required mitigation
(square feet)
Zone 1 3 (2 for Catawba)
Zone 2 1.5
6f. Total buffer mitigation required:
6g. 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).
6h. Comments:
Page 8 of 11
E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow,Plan

1 a. Does the project include or is it adjacent to protected riparian buffers identified ? Yes X No
within one of the NC Riparian Buffer Protection Rules?
1 b. If yes, then is a diffuse flow plan included? If no, explain why.
? Yes ? No
Comments:
2. Stormwater Management Plan

2a. What is the overall percent imperviousness of this project? 40%
2b. Does this project require a Stormwater Management Plan? ? Yes X No
2c. If this project DOES NOT require a Stormwater Management Plan, explain why:
2d. If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
? Certified Local Government
2e. Who will be responsible for the review of the Stormwater Management Plan? ? DWQ Stormwater Program
? DWQ 401 Unit
3. Certified Local Government Stormwater Review

3a. In which local government's jurisdiction is this project?
? Phase 11
? NSW
3b. Which of the following locally-implemented stormwater management programs ? USMP
apply (check all that apply): ? Water Supply Watershed
? Other:
3c. Has the approved Stormwater Management Plan with proof of approval been ? Yes ? No
attached?
4. DWQ Stormwater Program Review
? Coastal counties
? HQW
4a . Which of the following state-implemented stormwater management programs apply ? ORW
(check all that apply): ? Session Law 2006-246
? Other:
4b . Has the approved Stormwater Management Plan with proof of approval been
? Yes ? No
attached?
5. DWQ 401 Unit Stormwater Review
5a . Does the Stormwater Management Plan meet the appropriate requirements? ? Yes ? No
5b . Have all of the 401 Unit submittal requirements been met? ? Yes ? No
Page 9 of 11
PCN Form -Version 1.3 December 10, 2008 Version
F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
la. Does the project involve an expenditure of public (federal/state/local) funds orthe ® Yes ? No
use of public (federal state) land?
1b. If you answered "yes" to the above, does the project require preparation of an
environmental document pursuant to the requirements of the National or State ? Yes ®No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1c. If you answered "yes" to the above, has the document review been finalized by the
State Clearing House? (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)?
2b. 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 project (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 a ccordance with the
most recent DWQ policy. If you answered "no," provide a short narrative description.
Resurfacing an existing road
4. Sewage Disposal (DWQ Requirement)
4a . 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 10 of 11
PCN Form - Version 1.3 December 10, 2008 Version
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?
GIS and Visual Inspection
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?
WRC will comment
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?
Visual
8. Flood Zone Designation (Corps Requirement)
8a . Will this project occur in a FEMA-designated 100-year floodplain? ? Yes ® No
8b . If yes, explain how project meets FEMA requirements:
8c . What source(s) did you use to make the floodplain determination? ncfloodmaps.com
J. Heath Slaughter 4/30/09
Applicant/Agent's Printed Name Applicant/Agent's Sig re
(Agent's gnature is valid only if an authorizat letter from the applicant Date
is provided.)
Page 11 of 11

q

End
project
4+82
21+00
n
c?
Name: SPRUCE PINE Location: 035.9749253° N 082.0136818°W
Date: 4/30/2009
Scale: 1 inch equals 2000 feet
1.
3.
5.
2.
4.
6.
1-2) Wetlands adjacent to the proposed resurfacing of NC 194, Avery.
3-4) Threemile Creek (Class: WS-IV, Trout) adjacent to proposed work.
5) Outlet view of wet pipe at station 4+82.
6) Downstream view at station 4+82.
28-APR-2009 10:38
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