20060329 Ver 1_COMPLETE FILE_20060226

l ?; it 14 !?P ?i fit I 1;G e f;4 3't J,4 p. €;% aME „ I c 'r' 1,4 if 1C {r #j€ v Ili is 0 1"
-
1638 Brushy Fork Road; Trade, TN 37691
ph/fax. [phone] cell. 828.773.3820
June 19, 2006
Ms. Cindy Karoly
NCDENR DWQ
1650 Mail Service Center
Raleigh, NC 27699-1650
RE: Black Walnut Meadows Subdivision
Ms. Karoly,
r7) IIJ 7-D
V2, D L-o - b 3 2 q
Attached is Black Walnut Meadow Subdivision PCN application courtesy copy. I forwarded
Ian McMillan much of the attached/updaded information March 15'' via fax, all but the soils
map (coverletter attached). Total stream impacts of 40 ft are proposed and therefore DWQ
concurrence is not requested.
If you have any questions or concerns please call me at 423-727-4476, thank you.
1
Sincerely,
Adam Williams, Environmental Specialist Brushy Fork Environmental, Inc
'111111 ?'

1638 Brushy Fork Road; Trade, TN 37691
ph/fax. [phone]
March 15, 2006
Mr. Ian McMillan
NCDWQ 401 Wetlands Unit
RE: Black Walnut Meadows Subdivision
Mr. McMillan,
Attached is the information you requested in our conversation on 3/13/2006 including:
pg 12 of PCN
v Topo map showing approx. project boundaries
o Road X-ing map showing approx. limit of fill
o Typical stream x ing detail
As we discussed, this is an attachment of the DWQ courtesty copy, not DWQ concurrence.
If you have any questions or concerns please call me at 423-727-4476, thank you.
1
Sincerely,
Adam Williams, Environmental Specialist
Brushy Fork Environmental, Inc.

Office Use Only: i Form Vcrsion March 05
USACE Action ID No. DWQ No. V' J1, C) Lo " D 3 "?%?
(If any particular item is not applicable to this project, please enter "Not Applicable" or IVA' )
L Processing
1. 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), check here: ?
177 F7 7.7
FIV,
II. Applicant Information F?j r' = !s
1. Owner/Applicant Information '
Name: i Al Gersing
Mailing Address: 635 Elk Know Drive
Banner Elk NC 28604
Telephone Number: Fax Number:
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:Dave Ramsey
Company Affiliation: R&S Engineering and Construction Corporation
Mailing Address: 61 Glens Blvd
Banner Elk NC 28604
(see attached Agent Authorization letter)
Telephone Number: (727)4094639 Fax Number:
E-mail Address: davidf.ramsey a wrizon.net
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: Black Walnut Meadow- Amette Hollow Road Extension
2. T.I.P. Project Number or State Project Number (NCDOT Only):
3. Property Identification Number (Tax PIN): 1991-14-2198-000
4. Location
County: Watauga Nearest Town: Boone
Subdivision name (include phase/lot number): Black Walnut Meadow
Directions to site (include road numbers/names, landmarks, etc.): Follow Highway 105
south out of Boone Take a right at the bottom of the hill (at blinking light) on Bairds Creek
Road Follow Bairds Creek Road until Arnette Hollow Rd (SR 1140) is on right (-l
Take Amette Hollow road until it dead ends at project site. (see attached Location Man)
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): 36deg 14' ON 81deg 44' °W
6. Property size (acres): 71.576 acres
7. Name of nearest receiving body of water: Hayes Branch
8. River Basin: Watauga River Basin
(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/mapsl.)
9. Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this application: Site is forested with areas of pasture land and christmas tree
farm(s) bordering (agriculture).
Page 6 of 13
10. Describe the overall project in detail, including the type of equipment to be used: Black
Walnut Meadows is a proposed 71 +/- acre subdivision The proposed entrance road to
access the site is located at the dead end of Amette Hollow Road (see attached Photosheet).
A single jurisdictional channel Hayes Branch is located at the site entrance and is proposed
to be impacted during site construction This headwater Class C - intermittent channel (see
attached NCDWQ Stream Classification Form & USACE Stream Quality Assessment
Worksheet) is located at the eastern boundary of the project site (see attached Site Map &
Road Crossing Map) with a width of 2-3 ft.
TyRiical equipment such as bulldozer, tmckhoe dumptruck s) will perform site
excavation/grading,
11. Explain the purpose of the proposed work: The purpose of the proposed work is to create
the Black Walnut Meadows Subdivision. The proposed jurisdictional impacts are crucial to
site access.
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.
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.
VL 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.
Page 7 of 13
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.
1. Provide a written description of the proposed impacts: To access the Project site a 18" HDPE
pipe is proposed to encapsulate Hams Branch a Class C channel, for approximately 40 linear
ft Project impact length(s) are associated with road width itself and it's associated cut and
fill This impact is unavoidable and crucial to access Black Walnut Meadows subdivision.
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 aratel 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
Floodplain
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: 0 ac
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 Impact Impact
Length
linear feet Area of
Impact
acres
Impact 1 Headwaters of
H * Branch Pipe Intermittent 2-3 ft 40 ft -120 sq ft

Total Stream Impact (by length and acreage) 40 ft -120 sq ft
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 eynnvntinn dredging- floodine- 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 im act to all Waters of the U.S. resulting from the project:
Stream Im act linear ft/ac : 40 ft/120 s ft
Wetland Impact acres :
Open Water Impact acres :
Total Impact to Waters of the U.S. acres
Total Stream Impact linear feet :
7. Isolated Waters
Do any isolated waters exist on the property? ? Yes ONO
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 a plication.
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.
Page 9 of 13
The proposed work and associated impacts are intended to allow for development of a
residential subdivision area with minimal impacts to streams The proposed stream impact is
associated with the project entrance road accessing the proposed subdivision area (see Site plan
& Road Crossing map) To minimize land disturbance the proposed road will be constructed
atop the existing farm road grade at the project entrance (see attached Photosheet). A 18"x 40
linear-ft 14DPE is proposed at the proposed road crossing of Haves Branch an intermittent-
headwater reach of a Class-C channel The proposed pipe will be placed below the elevation of
the existing streambed to allow low flow passage of water and aquatic life.
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.tis/newetlands/strmgide.htinl.
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.
N/A
Page 10 of 13
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 ht1p•//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):
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 )? Yes ? No
Page 11 of 13
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.
3.
Impact Required
Zone* ,..,.... _ Multiplier XA;t;?nf; ,,,
1 1 -1 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
additional 20 feet from the edge of Zone 1.
If buffer mitigation is required, please discuss what
Donation of Property, Riparian Buffer Restoration /
Riparian Buffer Restoration Fund). Please attach all
within 15A NCAC 2B .0242 or.0244, or.0260.
type of mitigation is proposed (i.e.,
Enhancement, or Payment into the
appropriate information as identified
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. Total acreage on the site exists as 71.576 acres
acres with impervious acreage <1%. Proposed impervious acreage is approximately 6.70 acres or
9.3% of total subdivision acreage (INCLUDES ALL ROADS AND HOUSE FOOTPRINT(S))
XH. 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.
Septic systems will be installed on-site in accordance with local regulation
MII. 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
Page 12 of 13
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.ne.us/ncwetlands. If no, please provide a short narrative description:
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).
JS 5 0 (A
" CUs A-CP
Xpplicant/Agent's Signature v bate
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 13 of 13

Pr r i
'?; y !
r ? i
Black Walnut Meadows Subidision Location Map
&rMU98
Copyright ®1988-1997, Microsoft CorpDrdon and/or Its suppliers. All rights reserved. Mae" visit our web site at http./tmaps.axpedle.com.
Pop

Black Walnut Mea
Road Cross
Turn Around Typical Where 100 Fool Diameter -ilh 70'

i Subidision
Map I
i
Pavement
?v
r
Proposed
40 ft of
18" HDPE
at
Road Crossing
Existing Farm
1Road C,rade
IM/
Rominger ?J k,,,
203-271
?ry IJ ? `
NOT TO SCALE
Y/ II1 Arne t, to
Holtow Rd,
????? ±R.??IR+.E Brushy Fork Environmental, Inc.
PREPARED " 1638 Brush Fork Road
Q 1 Glens Boulevard ?'
R'%'• Banner Elk. NC 28604 ( ' Trade, TN 37691
Black Walnut Meadows Photosheet
?i

1
d
Ila-
?'
Entrance to the Project Site at the end of Annette Rd. Existing Farm Road near proposed Hayes
(SR 1140) crossing

m
Hayes Branch
,;,}
4
a
}
.:P !4ayeS Branch
{
1 of 1
Headwater drainage area for Hayes Branch
TYPICAL STREAM CROSSING
18' ROAD
COMPACTED FILL
DEPTH VARIES
RIP-RAP RETAINING - 12" MINIMUM
HEADWALLS (w/ WINGWALLS)
ON BOTH SIDES
EXISTING
CREEK
40' of 24"HDPE
PIPE IMPACT
ROAD GRADE
BANK FULL ELEVATION
24" HDPE
- PIPE FILLED TO
10% OF DIAMETER
to allow low-flow
passage of aquatic life
GENERAL NOTES
1. ALL MATERIALS & CONSTRUCTION TO MEET WATAUGA CO. & NCDOT
SPECIFICATIONS.
2. DRAINAGE PIPE < 24" TO BE 14 GA. HALF-COATED, > 24" TO BE
12 GA. HALF-COATED, PIPES AT CREEKS TO HAVE PAVED INVERTS.
3. PIPE LENGTH IS ESTIMATED AT 40' .
4. ADDITIONAL EROSION CONTROL MEASURES WILL BE REQ'D IF SILTATION OCCURS
IN BUFFER AREAS.
5. 6' BENCH CUT WILL BE REQ'D ON SLOPES EXCEEDING 30%.
n
9?6,
i g
i 1 Z

I ?

! y. .
1
yy:p

8 4D ! 3NF e„*

``??

USACE AID# DWQ # Site # (indicate on attached map)
STREAM QUALITY ASSESSMENT WORKSHEET
M
Provide the following information for the stream reach under :assessment.
1. Applicant's name: 2. Evaluator's name: t.. ?? 1 o. t
3. Date of evaluation: 7-470 4. Time of evaluation: l Z/ ?^
5. Name of stream- _ 6. River basin: wc,
7. Approximate drainage area: 3. Stream order. s r'
9. Length of reach evaluated: 0 ` 10. County:
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any): Q <<^
Latitudc (cx. 34.872312): "? G 0 1 C-( I N Longitude (cx. -77.556611):_ 910 e/ ct ' L
Method location determined (circle): GPS Topo Sheet Ortho (Aerial) Photo/GIS Other GIS Oilier
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
n? v Lc, M-(1
14. Proposed channel work (if
r{O `• o -F ('V t t
15. Recent weather conditions: -54 10 ,- (/!
16. Site conditions at time of visit: p , S-:?--
17. Identify any special waterway classifications known: -Section 10 Tidal Waters essential Fisheries Habitat
Trout Waters Outstanding Resource Waters _ Nutrient Sensifivee Waters -Water Supply Watershed (I-IV)
18. Is there a pond or lake located upstream of the evaluation point? YES ( yes, estimate the water surfaco area
19. Does channel appear on USGS quad map? S O 20. Does channel appear on USDA Soil Survey? YES NO
21. Estimated watershed land use: _% Rest enti/al _% Commercial Industrial _Z:go Agricultural
o Forested _% Cleared / Logged _% Other ( )
t
22. Bankfull width: - 23. Bank height (from bed to top of bank):
24. Channel slope down center of stream Flat (0 to 21/o) -Gentle (2 to 4%) -Moderate (4 to 10%) -Steep (>101/0)
25. Channel sinuosity: Straight ?Occasional bends -,Frequent meander -Very sinuous -Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Sco (from r?vcrs -7 commentsr• e4fh
//
Evaluator's Signature ! Date ?/Zv/d
This channel evaluation form is intended to be used only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary a3ses3mcut of streaut
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change - version 06/03. To Comment, please call 919-876-8441 x 26.
STREAM QUALITY ASSESSMENT WORKSHEET
ECOREGION POIN T R?kNGE
SCORE
# CHARACTERISTICS

Coastal
Piedmont
Mountain .
1 Presence of flow / persistent pools in stye 1n, 0-5 0-4 0-5
no flow or saturation = 0; strong flow = maw points)
2 Evidence of past human alteration 0-6 0-5 0-5
extensive alteration = 0; no alteration = may oints
3 Riparian zone
U- 6
0-6
0- 4
U- 5
c.
. no buffer= 0: contiguous, wide butler = may oints
.
4 Evidenc-,, of nutrient or chemical discharges 0-5 0-4 0-4
'
extensive discharges = 0: no discharges = may points)
-
5 Groundwater discharge
0-3
0-4 -
0-4
(no discharge = 0: springs, seeps. wetlands etc. = max points)
Presence of adjacent floodplain 0-4 0-4 0- 2
(no flood lain = 0: extensive Rood lain = max points
7 Entrenchment / floodplain access 0-5 0-4 0-2
(deeply entrenched = 0: frequent flooding; = max points)
8 Presence of adjacent wetlands
' 0-6 0-4 0-2
(no wetlands = 0; lame ad
nCGnt tvetlancfs = m.TK Dints
Charnel sinuosity 0-5 0-4 0-3
extensive channelization = 0: natural meander = max points
10 Sediment input o-5 0-4 0-4
(extensive deposition= 0; little or no sediment = may points)
I I Size & diversity of channel bed substrate NA* 0-4 0-5
fine, homogenous = 0: large, diverse sizes = max points
12 Evidence of cli„ inel ficision or widening 0-5 0-4 0-5
3
(deeply incised = 0: stable bed & banks = max points)

a
13 Presence of major bank failures
0-5
0-5
0-5
(severe erosion = 0: no erosion, stable banks = max points)
p
14 Root depth and density on banks
E?
no visible roots = 0: dense roots throw bout = max points)
0-3
0-4
0-5,

15 Impact by a; riculture, livestock, or timber production
substantial impact =0: no evidence = mat points) 0-5 .0-4 0-5
16 Presence of riffle-pool/rippie-pool complexes

no riffles/ripple.,; or pools= 0: well-developed =max points) 0-3 0- 5 0-6

t
h
17 habitat complexity

little or no habitat = 0: frequent. varied habitats = mar points) 0-6 0-6 0-6
I
1 Canopy coverage over streanibcd
8

no shading vegetation = 0: continuous e mo v = mar oints 0-5 0-5 0-5
d
19 Substrate cmbeddedums NA* 0-4 0-4

dce lv embedded = 0: loose structure = max '
20 Presence orstream invertebrates (see page 4)

(no evidence = 0: common, numerous tv es = max points
U - 4
0 - S
U - 5 O

Q 1

` Presence of amphibians

i
-- 0-4 0-4 0-4
Q
no ev
dence -
0, common numerous types = Max points
O 22 .
Presence of fish
no evidence = 0: common, numerous t
pes = max
oints) 0-4 0-4 0-4
y
p
23 Evidence of wildlife use

no evidence = 0: abundant evidence = max points) 0-6 0 _ 5 0-5
Total Points Possible 100 100 100
TOTAL SCORE (also enter on first page) 3
iucao wiaiai,inMuCS aiu 1101 assessed m coasim streams.
NCDWQStream Classification Form
Project Nam c: 9 (owl River Basin: fib fi Count): ti-)-'1C+- " Evaluator.
•
DWQ Project Number Nearest Named Stream: J tit Latitude: 6 IC('/J Signature:
J, G o
Date: Zt Za `O 6 USGSQUAD: Longitude: O LocatiodDirections:
*PLEASE NOTE: If evaluator and landowner agree that the feature is a man-made ditch, then ase ofthls fora 1s not necessary.
.Ilia, If la the best prvfcmiond frrdgemva oftlu evalaalor, the feaurre lse ntae•made ditch and nor a modeled naturd stream--thlr
rating system should not be used*
Primary Field Indicators (CirdeOneMwnberFerline)
10) Is A 2" Order Or Greater Channel (As Indicated 1-7C",,,
On Tooo Liza Amd10r InFiAl) Present? yes-3 / N?0 I
PRIIIIARYGEOMORPHOLOGYINDICATOR POINTS:_
II.IMMIo_w Ahscnt Weak Moderate StronL-
1) Is There A Groundwater ?
Flow/Discluime Prrscnt? 0 1 1 2! 3
PRBfARYHYDROLOGYINDICATOR POINTS: yPRIA RYBIOLOGYINDICATOR

Secondary Field Indicators: purteoaeNwaberperLme)
3) Does Topography Indicate A
Natural Drainnc Way? 0 .5 1
SECONDARYGEOIIIORPIIOLOGYINDICATORPOINTS: _Z-
1) Is This Year's (Or Last's) Leatliucr
4) Is Water In Cl=ml And >48 lira. Since 0 1.5
Last Xnr»rR Mn? (*/•bIE• rflyrk / ?t n .//rt a9 ?(?r t?fn 7F ?7 n ?rtd nS F l ? ?r
5) Is Thcre Water In Channel During Dry 0 .5 1 1.5
SECONDARYIIYDROLOGYINDICATOR
8) Are Wetland Plants In Streambcd? SAV v Mostly 0111. A1ostly FAM Mostly FAC hlwdy FACU Mostly UM
(' ADZE: If lord Absence Of Ail Platy In g eambed 2 1 .75 .5 0 0
-SrNot:'dAbotrSHn7FhSirsM7&a .1 went-1
1 Ge(morphnfory Ahs nt Weak Moderate Stronn_
1 I)_s There A RiMe-Pool S2gance? I 2 3
2) Is Tbo USDA Texture In Strcambed
SECONDARYBIOLOGYINDICATORPOINTS: I ?
TOTAL POINTS (Primary +Secandary)=, WGreaternanOrEqualToL2PolntsTheStreamIsAtLeastIntermittau)
N-la,45.06 01:02p
Adam Williams
1638 Brushy Fork Road
Trade, TN 37691
PtCfaxf 423.727.4476
Ce1W 828.773.3820
adamtg,tiborline.net
vex
423-727-4476 p.1
To: Mr. Ian McMillan Prom: Adam Williams
Fa= 919-733-6893 Pages: 1 of 6
Phone: Date: March 15, 2006
Ro: Black Walnut Meadow SLbdivision CC:
? Urgent ? For Review ? Plea so Comment ? Pleaso Reply ? Please Recycle
a Commonts
MAR-15-2006 WED 12:57 TEL:[phone]
NANE:DWQ-WETLANDS P. 1
Ma; 15 06 01:02p Adam Williams 423-727-4476 p.3
2.
3.
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.

"Lone" Im act

(square feet
Multiplier Required

Mitigation
1 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
additional 20 feet from the edge of Zonc 1.
If buffer mitigation is required, please discuss what
Donation of Property, Riparian Buffer Restoration /
Riparian Buffer Restoration Fund). Please attach all
within 15A NCAC 213.0242 or .0244, or .0260.
X.I. 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. Total acreage on the site exists as 71.576 acres
acres with impervious acreage <1 % Proposed impervious acreage is approximately 6.70 acres or
9.3% of total subdivision acreage (INCLUDES ALL ROADS AND f10USE FOOTPRINT(S)).
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.
Septic systems will be installed on-site in accordance with local regulation.
VIII. Violations (required by DWQ)
Is this site in violation of DWQ Wctland Rules (15A NCAC 2H .0500) or any Buffer Rules?
Yes ? No N
Is this an after-the-fact permit application? Yes ? No Z
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 ? \o
Page 12 of 13
type of mitigation is proposed (i.e.,
Enhancement, or Payment into the
appropriate information as identified
MAR-15-2006 WED 12:58 TEL:[phone] NAME:DWQ-WETLANDS P. 3
Mar 15 06 01:03p Adam Williams
423-727-4476 p.4

'l - ,. ..

Approx Project

4; '

Gt&WADR

o=04 D.: r u .. T o W w v+ 5.0.
WWWAW-YC/"•
w w?p
7• a 36e.7 R , Du;a Zoom 756
MAR-15-2006 WED 12:58 TEL:[phone] NAME:DWQ-WETLANDS p'. 4
Mar 1,5 06 01:03p Adam Williams
423-727-4476 p.5

Proposed
Road

Propposed
40 ft of
' 24" IiDPE
at
Road Crossing
its of op ed ill
Existing Farm
Road Grade
Centerline
of Hayes
Branch (flogs
along property
boundary)
/ NOT TO SCALE
Black Walnut Meadows Subidision
Road Crossing Map
33A49133 43 TRAM-50
Brushy Fork Environmental, Inc.
PREPARED " 1638 Brushy Fork Road
6 i Glenn Boulevnrd (X, TN 37691
Trade
BY.
' Banner E11c, NC 28604
= 003-5075 Fax [phone] ,
423-727-4476
C MAM davldf r&w3ep9ver1zon.net adamt0tibonline.net
MAR-15-2006 WED 12:59 TEL:[phone] NAME:DWQ-WETLANDS P'. 5
Mar 15 06 01:04p Adam Williams 423-727-4476
TYPICAL STREAM CROSSING
18' ROAD
COMPACTED FILL
1 DEPTH VARIES
- 12" MINIMUM
! RIP-RAP RETAINING
HEADWALLS (w/ WINGWALLS)
ON BOTH SIDES
EXISTING
_
CREEK
40' of 24"HDPE
PIPE IMPACT
ROAD GRADE
BANK FU_L ELEVATION
24" HDPE
- PIPE FILLED TO
10% OF DIAMETER
to allow low-flow
passage of aquatic life
p.6
GENERAL NOTES
1 1. ALL MATERIALS & CONSTRUCTION TO MEET WATAUGA CO. & NCDO-
! SPECIFICATIONS.
2. DRAINAGE PIPE < 24" TO BE 14 GA. HALF-COATED, > 24" TO BE
12 GA. F-ALF-COATED, PIPES AT CREEKS TO HAVE PAVED INVERTS.
j 3. PIPE LENGTH IS ESTIMATED AT 40' .
4. ADDITIONAL EROSION CONTROL MEASURES WILL BE REQ'D IF SILTATION OCCURS
IN BUFFER AREAS.
5. 6' BENCH CUT WILL BE REQ'D ON SLOPES EXCEEDING 30%.
I
MAR-15-2006 WED 13:00 TEL:[phone] NAME:DWO-WETLANDS P. 6