20061893 Ver 1_401 Application_20061206

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~ Kimley-Horn
~ and Associates, Inc.
2006 1893
November 21, 2006
North Carolina Department of Environment and Natural Resources
Division of Water Quality •
Attn: Cyndi Karoly Suite 300
1617 Mail Service Center 4651 Charlotte Park Drive
Raleigh, NC 27699-1617 Charlotte, North Carolina
28217
Re: Optimist Club Road Site
NWP # 39 Application Submittal
Denver, Lincoln County, North Carolina
Dear Ms. Karoly:
Enclosed for your review is a copy of a Section 404 Pre-Construction Notification
pursuant to Nationwide Permit #39 for the above reference project. A copy of this
information has also been submitted to the US Army Corp of Engineers to Steve
Chapin's attention. The following information is included as part of the application
submittal:
• Site Location Map
• USGS Topographic Map
• NRCS Soils Map
• Site Aerial
• Impacts Map
• Agent Authorization Form
• Pre-Construction Notification Form
• DWQ Stream Assessment Forms
• Stream Photos
If there is any additional information you need or any way we can assist in
expediting the processing of this application, please do not hesitate to contact me at
[phone] or by email at [e-mail].
Very truly yours,
Kimley-Horn and Associates, Inc.
~~ ~--
Tommy Cousins
Environmental Scientist
Copy: Steve Chapin -USAGE
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USACE Action ID No. DWQ No.
(If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A".)
I. Processing ~~ „L!U~G
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: Nationwide 39
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), ch 0 LI ~'/ ~ ~v,
l~ kr
II. Applicant Information .-
pr ~< ~ ~p~16
1. Owner/Applicant Information ~~~,~, , .,~,~~ ~s~ ~u..,:.; t~r
Name: David Clark, Allison Clark, Walter Clark, CJI'C'"~'o~~~
Mailing Address: P. O. Box 9
Lincolnton. NC 28212
Telephone Number: 704-735-9001 Fax Number: 704-732-3184
E-mail Address:
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: Tommy Cousins
Company Affiliation: Kimley-Horn and Associates
Mailing Address:_ 4651 Charlotte Park Drive, Suite 300
Charlotte. NC 28217
Telephone Number: 704-319-7688 Fax Number: 704-333-0845
E-mail Address: tommy.cousins(a,kimley-horn.com
Updated 11/1/2005
Page 1 of 8

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: Optimist Club Road
2. T.LP. Project Number or State Project Number (NCDOT Only): N/A
3. Property Identification Number (Tax PIN): 4603-17-3216
4. Location
County: Lincoln County, NC Nearest Town: Denver, NC
Subdivision name (include phase/lot number): N/A
Directions to site (include road numbers/names, landmarks, etc.): From Charlotte, take
NC-16 W for 20 miles. Turn left on Triangle Circle. Turn left on Optimist Club Road. Site is
0.8 miles on the right.
5. Site coordinates (For linear projects, such as a road or utility line, attach a sheet that
separately lists the coordinates for each crossing of a distinct waterbody.)
Decimal Degrees (6 digits minimum): 35.2869 °N 81.0079 °W
6. Property size (acres):
7. Name of nearest receiving body of water: Forney Creek
8. River Basin: Catawba
(Note -this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://h2o.enr.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: The existing on-site conditions consist of brush, weeds,
dense woods, floodway and floodplain. For the purposes of this analysis, the existing
conditions were assumed to be brush and woods. The site topography varies from elevation
Updated 11/1/2005
Page 2 of 8

824 ft to elevation 714 ft. Stormwater runoff from the site flows to Forney Creek which runs
through the eastern portion of the site.
10. Describe the overall project in detail, including the type of equipment to be used: TXpical
site rading equipment will be used to mass grade the site and construct a 4850 ft road with
80 ftright-of--way, 12 ft lanes and 2 %2 ft curb and gutter. Four separate parcels will be
graded out.
11. Explain the purpose of the proposed work: The purpose of this work is to provide a road to
access the site.
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 permits have been applied for or received.
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.
No future permits are anticipated for this site.
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
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.
Updated 11/1/2005
Page 3 of 8

1. Provide a written description of the proposed impacts: Three culverts and corresponding
headwalls will be constructed to provide an access road to the entire site.
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,
se arately list im acts due to both structure and floodin .
Wetland Impact
Site Number
(indicate on map)
Type of Impact Type of Wetland
(e.g., forested, marsh,
herbaceous, bog, etc.) Located within
100-year
Floodplain
( es/no) Distance to
Nearest
Stream
(linear feet) Area of
Impact
(acres)

Total Wetland Impact (acres) 0
List the total acreage (estimated) of all existing wetlands on the property:
0
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
Intermittent? Average
Stream Width

Before hn act Impact
Length

(linear feet) Area of
Impact

(acres)
1 UT to Forney Creek Culvert crossing Perennial 7 8 123 .01977
2 UT to Forney Creek Culvert crossing Perennial 3 ft 90 .00620
3 UT to Forney Creek Culvert crossing Perennial 3 ft 86 .00592

Total Stream Impact (by length and acreage) 299 .03189
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) 0
6. List the cumulative
Stream Imna
pact to all Waters of the U.S.
acresl:
from the ro' ect:
.03189
Updated 11/1/2005
Page 4 of 8

Wetland Impact (acres): 0
Open Water Impact (acres): 0
Total Impact to Waters of the U.S. (acres) 0
Total Stream Impact (linear feet): 299
7. Isolated Waters
Do any isolated waters exist on the property? ^ 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.
8. 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
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts. Streams will be crossed
perpendicularly and headwalls will be added to minimize impacts to the streams. Culverts will be
buried one foot below ,grade to provide for aquatic passage.
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
Updated 11/1/2005
Page 5 of 8

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.
1. 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 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.
Payment to the NCEEP In-Lieu Fee Pro r~proposed.
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
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 http://h2o.enr.state.nc.us/wrp/index.htm. If use of the NCEEP is proposed, please
check the appropriate box on page five and provide the following information:
Amount of stream mitigation requested (linear feet): 299 ft
Amount of buffer mitigation requested (square feet): 0
Amount of Riparian wetland mitigation requested (acres): 0
Amount ofNon-riparian wetland mitigation requested (acres): 0
Amount of Coastal wetland mitigation requested (acres): 0
IX. Environmental Documentation (required by DWQ)
Does the project involve an expenditure of public (federal/state/local) funds or the use of
public (federal/state) land? Yes ^ No
Updated 11/1/2005
Page 6 of 8

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 )? 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 Multi tier Required
i~,.,,.,..e F e~~ P r,r:..,..,~.,...
1 I I 3 (2 for Catawba)
2 1.5
Total
* Zone 1 extends out 30 feet perpendicular from the top of the near bank of channel; Zone 2 extends an
additiona120 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 f 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.
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
Updated 11/1/2005
Page 7 of 8

demonstrating total proposed impervious level. Please see attached calculations and plans dated
November 20 2006.
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.
Plans are being submitted to the state with the Fast-Track Application for Gravity Sewers,
Pump Stations and Force Mains.
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 anafter-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 in accordance with
the most recent North Carolina Division of Water Quality policy posted on our website at
http://h2o.enr.state.nc.us/ncwetlands. If no, please provide a short narrative description: The
project is not anticipated to increase development that will further impact streams because the
site is bordered by the new Highway 16 and a CSX railroad where no future development can
occur. It is anticipated that future development will occur in this area due to the future Highway
16 but it is not anticipated this project will be the cause of any future development.
XV. Other Circumstances (Optional):
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).

~9' o~
App4icant/Agent's Signature ~ Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Updated 11/1/2005
Page 8 of 8

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Stream Crossing # 1
Stream Crossing #2
Title Proposed Stream Crossing Photos
Project Optimist Club Road
Prepared For, Lincoln County, North Carolina
Date Project Number Photo Page
12/4/06 I
P'.\OIR333 Clarke Propenics\INR) CLARK OPTIMIST CLUB RO.AD\Fmironnicmal\phom%doc Prepared by Tommy Cousins ~~(~ ~~~

..

Stream Crossing #3
Title Proposed Stream Crossing Photos
Project Optimist Club Road
Prepared For.. Lincoln County, North Carolina
Date Project Number Photo Page
12/4/06 I
P9olrii}) Clarkc Propenics~aN~ CLARK OPTIMIST CLUB ROAD\Emironnicntal\pholos.dce Prepared by Tommy Cousins ~~~ _,,,~„IY

North Carolina Division of Water Quality -Stream Identification Form, Version 3.1
Date: 11/22/2006 Project: Optimist Club Road Latitude:
Evaluator: TBC Site: Stream Crossing 1 Longitude:
Total Points: 26.5
Stream is at least intermittent County: Lincoln Other
e.g. Quad Name:
if ? 19 or perennial if >_ 30
A. Geomorphology Subtotal = 13.5 >Absent Weak Moderate Strong Score .
1a. Continuous bed and bank 0 1 2 3
2. Sinuosit 0 1 2 3
3. In-channel structure: riffle- ool se uence 0 1 2 3
4. Soil texture or stream substrate sortin 0 1 2 3
5. Active/relic flood lain 0 1 2 3
6. De ositional bars or benches 0 1 2 3
7. Braided channel 0 1 2 3
8. Recent alluvial de osits 0 1 2 3
9a. Natural levees 0 1 2 3
10. Headcuts 0 1 2 3
11. Grade Control 0 0.5 1 1.5
12. Natural valle or drains a wa 0 0.5 1 1.5
13. Second or greater order channel on existing
USGS or NRCS ma or other documented evidence. No = 0 Yes - 3
a Man-made ditches are not rated; see discussion in manual
B. Hydrology Subtotal = 7
14. Groundwater flow/dischar e 0 1 2 3
15. Water in channel and > 48 hrs since rain, or
Water in channel -- d or rowin season 0 1 2 3
16. Leaflitter 1.5 1 0.5 0
17. Sediment on lants or debris 0 0.5 1 1.5
18. Or anic debris lines or files Wrack lines 0 0.5 1 1.5
19. H dric soils redoximor hic features resent? No = 0 Yes = 1.5
C. Biology Subtotal =
20b. Fibrous roots in channel 3 2 1 0
21b. Rooted lants in channel 3 2 1 0
22. Cra fish 0 0.5 1 1.5
23. Bivalves 0 1 2 3
24. Fish 0 0.5 1 1.5
25. Am hibians 0 0.5 1 1.5
26. Macrobenthos note diversit and abundance 0 0.5 1 1.5
27. Filamentous al ae; eri h on 0 1 2 3
28. Iron oxidizin bacteria/fun us 0 0.5 1 1.5
29b. Wetland lants in streambed FAC = 0.5; FACW = 0.75; OBL = 1.5; SAV = 2.0; Other = 0
b Items 20 and 21 focus on the presence of upland plants, Item 29 focuses on the presence of aquatic or wetland plants.
Notes: (use back side of this form for additional notes.) Sketch:

North Carolina Division of Water Quality -Stream Identification Form, Version 3.1
Date: 11/22/2006 Project: Optimist Club Road Latitude:
Evaluator: TBC Site: Stream Crossing 2 Longitude:
Total Points: 26.5
Stream is at least intermittent County: Lincoln Other
e.g. Quad Name:
if >_ 19 or perennial if ? 30
A. Geomorphology Subtotal = 16 Absent Weak Moderate Strong Score
1a. Continuous bed and bank 0 1 2 3
2. Sinuosit 0 1 2 3
3. In-channel structure: riffle- ool se uence 0 1 2 3
4. Soil texture or stream substrate sortin 0 1 2 3
5. Active/relic flood lain 0 1 2 3
6. De ositional bars or benches 0 1 2 3
7. Braided channel 0 1 2 3
8. Recent alluvial de osits 0 1 2 3
9a. Natural levees 0 1 2 3
10. Headcuts 0 1 2 3
11. Grade Control 0 0.5 1 1.5
12. Natural vafle or drains a wa 0 0.5 1 1.5
13. Second or greater order channel on existing
USGS or NRCS ma or other documented evidence. No = 0 Yes = 3
e Man-made ditches are not rated; see discussion in manual
B. Hydrology Subtotal = 6.5
14. Groundwater flow/dischar e 0 1 2 3
15. Water in channel and > 48 hrs since rain, or
Water in channel -- d or rowin season 0 1 2 3
16. Leaflitter 1.5 1 0.5 0
17. Sediment on lants or debris 0 0.5 1 1.5
18. Or anic debris lines or files Wrack lines 0 0.5 1 1.5
19. H dric soils redoximor hic features resent? No = 0 Yes = 1.5
C. Biolo Subtotal = 4
20b. Fibrous roots in channel 3 2 1 0
21b. Rooted lants in channel 3 2 1 0
22. Cra fish 0 0.5 1 1.5
23. Bivalves 0 1 2 3
24. Fish 0 0.5 1 1.5
25. Am hibians 0 0.5 1 1.5
26. Macrobenthos note diversit and abundance 0 0.5 1 1.5
27. Filamentous al ae; eri h on 0 1 2 3
28. Iron oxidizin bacteria/fun us 0 0.5 1 1.5
29b. Wetland lants in streambed FAC = 0.5; FACW = 0.75; OBL = 1.5; SAV = 2.0; Other = 0
---
b Items 20 and 21 focus on the presence of upland plants, Item 29 focuses on the presence of aquatic or wetland plants.
Notes: (use back side of this form for additional notes.) Sketch:

w ~~ •
North Carolina Division of Water Quality -Stream Identification Form, Version 3.1
Date: 11/22/2006 Project: Optimist Club Road Latitude:
Evaluator: TBC Site: Stream Crossing 3 Longitude:
Total Points: 29.5

Stream is at least intermittent Lincoln
COUnty: Other
e.g. Quad Name:
if >_ 19 or perennial if ? 30
A. Geomorphology Subtotal = 15.5 Absent Weak Moderate .Strong Score
1a. Continuous bed and bank 0 1 2 3
2. Sinuosit 0 1 2 3
3. In-channel structure: riffle- ool se uence 0 1 2 3
4. Soil texture or stream substrate sortin 0 1 2 3
5. Active/relic flood lain 0 1 2 3
6. De ositional bars or benches 0 1 2 3
7. Braided channel 0 1 2 3
8. Recent alluvial de osits 0 1 2 3
9a. Natural levees 0 1 2 3
10. Headcuts 0 1 2 3
11. Grade Control 0 0.5 1 1.5
12. Natural valle or drains a wa 0 0.5 1 1.5
13. Second or greater order channel on existing
USGS or NRCS ma or other documented evidence. No - 0 Yes - 3
e Man-made ditches are not rated; see discussion in manual
B. Hydrology Subtotal = 7.5
14. Groundwater flow/dischar e 0 1 2 3
15. Water in channel and > 48 hrs since rain, or
Water in channel -- d or rowin season 0 1 2 3
16. Leaflitter 1.5 1 0.5 0
17. Sediment on lants or debris 0 0.5 1 1.5
18. Or anic debris lines or files Wrack lines 0 0.5 1 1.5
19. H dric soils redoximor hic features resent? No = 0 Yes = 1.5
C. Biolo Subtotal = 6.5
20b. Fibrous roots in channel 3 2 1 0
21b. Rooted lants in channel 3 2 1 0
22. Cra Ish 0 0.5 1 1.5
23. Bivalves 0 1 2 3
24. Fish 0 0.5 1 1.5
25. Am hibians 0 0.5 1 1.5
26. Macrobenthos note diversit and abundance 0 0.5 1 1.5
27. Filamentous al ae; eri h on 0 1 2 3
28. Iron oxidizin bacteria/fun us 0 0.5 1 1.5
29b. Wetland lants in streambed FAC = 0.5; FACW = 0.75; OBL = 1.5; SAV = 2.0; Other = 0
b Items 20 and 21 focus on the presence of upland plants, Item 29 focuses on the presence of aquatic or wetland plants.
Notes: (use back side of this form for additional notes.) Sketch:

., . - ,~
AGENT AUTHORIZATION FORM
Name: David Clark
Address: P.O. Box 9
Lincolnton, NC
Phone: [phone]
Project Name/Description: Optimist Club Road Site
Date: November 20, 2006
The Department of the Army
U.S. Army Corps of Engineers, Wilmington District
Attention: Steve Chapin
Field Office: Asheville
Re: Wetland Related Consulting and Permitting
To Whom It May Concern:
I, the current property owner, hereby designate and authorize Kimley-Horn and
Associates, Inc. to act in my/our behalf as my/our agent solely for the purpose of
processing of Section 404 permits and Section 401 Water Quality Certifications
applications and to furnish upan request supplemental information in support of
applications, etc. from this day forward until successful completion of the permitting
process or revocation by the owner.
Authorized this the Z~ day of }.?0~-6C~-; c~sa
17A~; ~ G{~p~21Gt~L.
Print Property Owner's Name Property Owner's Signature
CC: Ms, Cyndi Karoly,
N.C. Wetlands Unit
1650 Mail Service Center
Raleigh, N. C. 27699-1650

., ~.- k12-84-'86 12;89 FF30M-DENB EEP 9197152001 T-437 P02/82 U-022
David Clark
PO Box 9
Lincplnton, NC 28212
r
November 28, 2006
Project: Optimist Club Road Site County: Liecoln
The purpose of this le[ttr is to notify you that the North Carolina Ecosystem Enhancement Progam (NCEEP) is'willing to
accept paymtnt for impacts associated with the above referenced project. Please note that this decision does not assure that
the payment will be approved by the permit issuing agencies as mitigation for project impacts. It is the responsibility of the
applicant to contact these a;eneies to determine ifpayment to the NCEEP will be approved.
This acceptance is valid for six months from the date of this letter. If we have not received a copy of the issued 404
l'ermid4(l~ Certifscation within this time frame, this acceptance will eycpire. It is the appIicant's responsibility to send
copies of the 404/441/LAMA permits to NCEEP. Qnce NCEEP receives a copy of the 404 Permit and/or the 40I
Certification an invoice will be issued and payment must be made.
Based on the information supplied by you the impacts that may require compensatory mitigation are summarized in the
foltowin tsble.
River Basin Stream Impacts (feet) Wetlands Impacts (acres) Buffer I 13ufftr II
CU
(Sq. Pt.) (Sq. Ft.)
Cold Coot Warm Ri arian Non-Ri arian Coastal Ivlarsh
Catawba 0 300 0 0 0 0 0 0
03050101
Upon receipt of payment, EEP will tape responsibility for providing the compensatory mitigation for the permitted impacts
up to a 2:1 mitigation-to-impact ratio, {buffers, Zone 1 at a 3:1 ratio and Zone 2 at a l.S:l ratio). The type and amount of the
compensatory mitigation will be as specified in the Section 404 Permit and/or 401 Water Quality Certification, and/or
CAMA Permit. The mitigation will be performed in accordance with the Marxrorandum of Understanding between the N.'C.
Department of Environment and Natural Resources and the U. S. Army Corps of Engineers dated November 4, 1998.
If you have any questions ar need additional information, please contact Kelly Williams at (919) 71,6-1921.
Sincerely,
i tam b. Gilmore, PE
Drrector
ec: Cyndi Karoly, Wetlands/401 Unit
Amanda Jones, USACE-Asheville
Alan 7ohnson, DWQ-Mooresville
Tommy Cousins, agent (fax)
File
Dl~Gi'~... ~
' . P~ot~~ctr~ ~ct~- Staff
~..
.~ ~~:
!North Carolina Ecosystem Enhancement Program, 1652 Mail Service Center, Raleigh, NC 27699-1652 ! 919-715-04761 www.nceep.ne~
PROGKAM