20061527 Ver 1_COMPLETE FILE_20060918

Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Depart ment of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
October 31, 2006
0 (.9 - I IS a `1
DWQ Project # ?96=-1-
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Ron Lewis, D D Burke County
's, Manager L5 ?,
Burke County NOV 3 - 2006
Post Office Box 1486
Morganton, NC 28680 DENR WATER QUALITY
WETI.Al103 AND STORMWATER BRANCH
Subject Property: Burke County Line Road WaterLine Project
Burke County
Approval of 401 Water Quality Certification with Additional Conditions
Dear Mr. Lewis:
You have our approval, in accordance with the attached conditions and those listed
below, to place fill within or otherwise temporarily impact 30 linear feet of streams for
the purpose of utility replacement at the subject properties, as described within your
application dated September 18, 2006. After reviewing your application, we have
decided that the impacts are covered by General Water Quality Certification Number(s)
3374 (GC3374). The Certification (s) allows you to use Nationwide Permit(s) 12 when
issued by the US Army Corps of Engineers (USACE). In addition, you should obtain or
otherwise comply with any other required federal, state or local permits before you go
ahead with your project including (but not limited to) Erosion and Sediment Control,
Non-discharge, stormwater, and buffer regulations. Also, this approval to proceed
with your proposed impacts or to conduct impacts to waters as depicted in your
application shall expire upon expiration of the 404 or CAMA Permit.
This approval is for the purpose that you described in your application. If you change
your project beyond those impacts approved in this certification, you must notify us and
you may be required to send us a new application. If the property is sold, the new
owner must be given a copy of this Certification and approval letter and is thereby
responsible for complying with all conditions. If total fills for this project (now or in the
future) exceed one acre of wetland or 150 linear feet of stream, compensatory
mitigation may be required as described in 15A NCAC 2H .0506 (h). This approval
requires you to follow the conditions listed in the attached certification and any
additional conditions listed below.
The Additional Conditions of the Certification are:
401 Wetlands Certification Unit
1650 Mail Service Center, Raleigh, North Carolina 27699-1650
2321 Crabtree Boulevard, Suite 250, Raleigh, North Carolina 27604
Phone: [phone] / FAX [phone] / Internet: w6 ncwaterqualitv.oro
NOne
hCarolina
aturally
An Equal Opportunity/Affirmative Action Employer - 50% Recycled/10% Post Consumer Paper
Burke County Line Road Waterline
Page 2 of 7
October 31, 2006
1. Impacts Approved
The following impacts are hereby approved as long as all of the other specific
and general conditions of this Certification (or Isolated Wetland Permit) are met.
No other impacts are approved including incidental impacts:
Amount Plan Location or Reference
A roved (Units)
Stream 10 feet UT to Hen Fork
Stream 20 (feet) UT to Hen Fork
2. Erosion & Sediment Control Practices
Erosion and sediment control practices must be in full compliance with all
specifications governing the proper design, installation and operation and
maintenance of such Best Management Practices in order to protect surface
waters standards:
a. The erosion and sediment control measures for the project must be
designed, installed, operated, and maintained in accordance with the most
recent version of the North Carolina Sediment and Erosion Control Planning
and Design Manual.
b. The design, installation, operation, and maintenance of the sediment and
erosion control measures must be such that they equal, or exceed, the
requirements specified in the most recent version of the North Carolina
Sediment and Erosion Control Manual. The devices shall be maintained on
all construction sites, borrow sites, and waste pile (spoil) projects, including
contractor-owned or leased borrow pits associated with the project.
c. For borrow pit sites, the erosion and sediment control measures must be
designed, installed, operated, and maintained in accordance with the most
recent version of the North Carolina Surface Mining Manual.
d. The reclamation measures and implementation must comply with the
reclamation in accordance with the requirements of the Sedimentation
Pollution Control Act.
3. No Waste, Spoil, Solids, or Fill of Any Kind
No waste, spoil, solids, or fill of any kind shall occur in wetlands, waters, or riparian
areas beyond the footprint of the impacts depicted in the Pre-Construction
Notification. All construction activities, including the design, installation, operation,
and maintenance of sediment and erosion control Best Management Practices,
shall be performed so that no violations of state water quality standards, statutes,
or rules occur.
Burke County Line Road Waterline
Page 3 of 7
October 31, 2006
4. No Sediment & Erosion Control Measures w/n Wetlands or Waters
Sediment and erosion control measures shall not be placed in wetlands or waters
to the maximum extent practicable. If placement of sediment and erosion control
devices in wetlands and waters is unavoidable, they shall be removed and the
natural grade restored within six months of the date that the Division of Land
Resources has released the project.
5. Certificate of Completion
Upon completion of all work approved within the 401 Water Quality Certification
or applicable Buffer Rules, and any subsequent modifications, the applicant is
required to return the attached certificate of completion to the 401/Wetlands Unit,
North Carolina Division of Water Quality, 1650 Mail Service Center, Raleigh, NC,
27699-1650.
6. Diffuse Flow
All constructed stormwater conveyance outlets shall be directed and maintained
as diffuse flow at non-erosive velocities through the protected stream buffers
such that it will not re-concentrate before discharging into a. If this is not possible,
it may be necessary to provide stormwater facilities that are considered to
remove nitrogen. This may require additional approval from this Office.
7. Protective Fencing
The outside buffer, wetland or water boundary and along the construction
corridor within these boundaries approved under this authorization shall be
clearly marked with orange warning fencing (or similar high visibility material.
8. Buffer Replanting
Replanting of vegetation within disturbed areas located within 25 feet of the
stream bank associated with the approved temporary impacts to an UT to
Drowning Creek, installation, repair, replacement and/or maintenance must be
done in an "in kind" manner immediately following construction. (Example:
Disturbed areas with pre-existing grassed lawns must be replanted with grass.
Disturbed areas with pre-existing trees or woody vegetation must be replanted
with trees and woody vegetation. Disturbed areas with pre-existing forest
vegetation must be replanted with forest vegetation including at least two
different native hardwood tree species at a density sufficient to provide 320 trees
per acre at maturity. This density can usually be achieved by planting
approximately 436 (10 x 10 spacing) to 681 (8 x 8 spacing) trees per acre.)
Burke County Line Road Waterline
Page 4 of 7
October 31, 2006
9. No Sediment and Erosion Control Measures in Waters
Sediment and erosion control measures shall not be placed in wetlands or waters
to the maximum extent practicable. If placement of sediment and erosion control
devices in wetlands and waters is unavoidable, they shall be removed and the
natural grade restored within six months of the date that the Division of Land
Resources or locally delegated program has released the project.
10. Construction Stormwater Permit NCGO10000
Upon the approval of an Erosion and Sedimentation Control Plan issued by the
Division of Land Resources (DLR) or a DLR delegated local erosion and
sedimentation control program, an NPDES General stormwater permit
(NCG010000) administered by DWQ is automatically issued to the project. This
General Permit allows stormwater to be discharged during land disturbing
construction activities as stipulated by conditions in the permit. If your project is
covered by this permit [applicable to construction projects that disturb one (1) or
more acres], full compliance with permit conditions including the sedimentation
control plan, self-monitoring, record keeping and reporting requirements are
required. A copy of this permit and monitoring report forms may be found at
httpJ/h2o.enr.state.nc.us/su/Forms Documents htm.
11. Temporary Fills
All temporary fill and culverts shall be removed and the impacted area returned
to the original grade, including each stream's original cross sectional dimensions,
planform pattern, and longitudinal bed and bed profile after construction is
complete or within 6 months of the establishment of the crossing, which ever is
sooner, and the various sites shall be stabilized with natural woody vegetation
(except for the maintenance areas of permanent utility crossings) and restored to
prevent erosion. If the crossings are not completely removed and restored as
described above within the specified time above, additional written approval from
this Office must be obtained to modify this condition.
12. Culvert Installation
Culverts required for this project shall be installed in such a manner that the
original stream profiles are not altered. Existing stream dimensions (including the
cross section dimensions, pattern, and longitudinal profile) must be maintained
above and below locations of each culvert. Culverts shall be designed and
installed to allow for aquatic life movement as well as to prevent head cutting of the
streams. If any of the existing pipes are or become perched, the appropriate
stream grade shall be re-established or, if the pipes installed in a perched manner,
the pipes shall be removed and re-installed correctly.
Burke County Line Road Waterline
Page 5 of 7
October 31, 2006
Culvert(s) shall not be installed in such a manner that will cause aggradation or
erosion of the stream up or down stream of the culvert(s). Existing stream
dimensions (including the cross section dimensions, pattern and longitudinal
profile) shall be maintained above and below locations of each culvert. Therefore,
you must provide plans with adequate details that indicate that the current stability
of the stream will be maintained or enhanced. You must receive written approval
from this Office for the above plans before the culvert(s) is installed. Culvert(s)
must be installed according to approved plans.
13. Construction in and within the 25-foot trout buffers should not occur during the
typical October 15 to April 15 trout spawning season.
14. Stringent erosion control measures should be installed where soil is disturbed and
maintained until project completion. Sediment and erosion control measures shall
adhere to the design standards for sensitive watersheds (15A NCAC 4B .0124).
15. Seeding for a temporary cover of wheat, millet, or similar annual grain or permanent
herbaceous cover should occur on all bare soil within five (5) days of ground
disturbing activities to provide long-term erosion control. The projects should be
accomplished in stages instead of leaving large areas exposed to storm events.
Erosion control matting should be used in conjunction with appropriate seeding on
disturbed soils in steep slope and riparian areas. Matting should be secured in place
with staples, stakes, or, wherever possible, live stakes of native trees. Straw mulch
and tall fescue should not be used in riparian areas.
16. Where concrete is used, a dry work area must be maintained to prevent direct
contact between curing concrete and stream water. Water that inadvertently
contacts live concrete should not be discharged to surface waters due to the
potential for water chemistry change and a fish kill.
17. Under no circumstances should rock, sand, or other materials be dredged from the
stream channels under authorization of this permit except, if necessary, in the
immediate vicinity of the crossings. Dredging has severe effects on aquatic life and
disturbance of the natural form of the channel can cause downstream erosion
problems. The natural dimension, pattern, and profile of the channels adjacent to
the pipes should not be modified by widening or changing their depths.
18. Sandbags, flexible pipe, or other diversion structures should be used to avoid
excavation in flowing water. Materials used for flow diversions should be removed
from the stream bed after completing the construction work. Any diversion channels
must be lined with rock and fabric.
19. Any riprap placed for stabilization should be clean and limited to the stream bank
below the high water mark and vegetation should be used above. Rip rap must not
be placed in stream channels in a manner that obstructs fish passage.
Burke County Line Road Waterline
Page 6 of 7
October 3l, 2006
20. Riparian vegetation should be preserved as much as possible. Where vegetation
must be cut, the area should not be grubbed so stumps and roots can resprout.
Native woody vegetation (e.g., rhododendron, dog hobble, silky dogwood, sycamore,
river birch, red maple) should be reestablished upstream and downstream of the
impacted areas if it is removed during construction to provide bank stability and
shading. We encourage the reuse of native plants that must be removed from
permanently disturbed areas.
21. Stream crossings should be made as close to perpendicular to the stream channel
as possible to minimize riparian area disturbance.
22. The stream channels should be restored to stable and natural conditions after
completing the pipe installations.
23.All mechanized equipment operated near surface waters should be inspected and
maintained regularly to prevent contamination of stream waters with fuels, lubricants,
hydraulic fluids or other toxic materials.
24. Discharging hydroseed mixtures and washing out hydroseeders and other
equipment in or adjacent to surface waters is prohibited.
Violations of any condition herein set forth may result in revocation of this Certification
and may result in criminal and/or civil penalties. The authorization to proceed with your
proposed impacts or to conduct impacts to waters as depicted in your application and
as authorized by this Certification, shall expire upon expiration of the 404 or CAMA
Permit.
If you do not accept any of the conditions of this Certification (associated with the
approved wetland or stream impacts), you may ask for an adjudicatory hearing. You
must act within 60 days of the date that you receive this letter. To ask for a hearing,
send a written petition, which conforms to Chapter 150B of the North Carolina General
Statutes to the Office of Administrative Hearings, 6714 Mail Service Center, Raleigh,
N.C. 27699-6714. This certification and its conditions are final and binding unless you
ask for a hearing.
Burke County Line Road Waterline
Page 7 of 7
October 31, 2006
This letter completes the review of the Division of Water Quality under Section 401 of
the Clean Water Act. If you have any questions, please telephone Cyndi Karoly in the
Central Office in Raleigh at 919-733-9721 or Kevin Barnett in the DWQ Asheville
Regional Office at 828-296-4657.
Sincerely,
eel I
Alan W. Klimek, P.E., Director
Division of Water Quality
AWK/khb
Enclosures: GC 3374
Certificate of Completion
Guidelines for Riparian Buffer Establishment
cc: David W. Poore, P.E.
West Consultants, PLLC
405 South Sterling Street
Morganton. NC 28655
USACE Asheville Regulatory Field Office
DWQ 401 Central Office
DLR Asheville Regional Office
File Copy
Central Files
Filename: 06-1527. BurkeCountyLineWaterLine.Approval
Triage Check List
Date: 9/22/06 Project Name: Burke County Line Road Waterline
DWQ #:06-1527
County: Burke
Kevin Barnett, Asheville Regional Office
To:
60-day Processing Time: 9/18/06 to 11/16/06
From: Cyndi Karoly Telephone: [phone]
The file attached is being forwarded to you for your evaluation.
Please call if you need assistance.
? Stream length impacted
? Stream determination
Wetland determination and distance to blue-line surface waters on USFW topo maps
? Minimization/avoidance issues
? Buffer Rules (Meuse, Tar-Pamlico, Catawba, Randleman)
? Pond fill
Mitigation Ratios
? Ditching
? Are the stream and or wetland mitigation sites available and viable?
? Check drawings for accuracy
Is the application consistent with pre-application meetings?
? Cumulative impact concern
1-1
Comments: As per our discussion regarding revision of the triage and delegation processes,
please review the attached file. Note that you are the first reviewer, so this file will need to be
reviewed for administrative as well as technical details. If you elect to place this project on hold,
please ask the applicant to provide your requested information to both the Central Office in
Raleigh as well as the Asheville Regional Office. As we discussed, this is an experimental, interim
procedure as we slowly transition to electronic applications. Please apprise me of any
complications you encounter, whether related to workload, processing times, or lack of a "second
reviewer" as the triage process in Central had previously provided. Also, if you think of ways to
improve this process, especially so that we can plan for the electronic applications, let me know.
Thanks!
RE: Burke County Line Road Waterline Project CDBG
Subject: RE: Burke County Line Road Waterline Project CDBG
From: "David Poore" <davidpoore@bell south. net>
Date: Wed, 20 Sep 2006 14:31:26 -0400
To: "'Laurie Dennison"' <[e-mail]>
Jeff Boss is the County Engineer and Director of General Services
-----Original Message-----
From: Laurie Dennison [mailto:[e-mail]]
Sent: Wednesday, September 20, 2006 2:06 PM
To: [e-mail]
Subject: RE: Burke County Line Road Waterline Project CDBG
DWQ is in need of an individual's name associated with Burke County (as
owner/applicant) to enter the 401 Water Quality Certification permit
application for the above referenced project into the database. Please
reply to this email with that information at your earliest convenience.
Thank you,
Laurie Dennison
Administrative Assistant
DENR-DWQ
Wetlands/401 Unit
1 of 1 9/20/2006 3:09 PM
RE: Burke County Line Road Waterline Project CDBG
Subject: RE: Burke County Line Road Waterline Project CDBG
From: Laurie Dennison <[e-mail]>
Date: Wed, 20 Sep 2006 14:06:03 -0400
To: [e-mail]
DWQ is in need of an individual's name associated with Burke County (as
owner/applicant) to enter the 401 Water Quality Certification permit application
for the above referenced project into the database. Please reply to this email with
that information at your earliest convenience.
Thank you,
Laurie Dennison
Administrative Assistant
DENR-DWQ
Wetlands/401 Unit
1 of 1 9/20/2006 2:06 PM
WEST CONSULTANTS, PLLC
Consulting Engineers
405 South Sterling Street
Morganton, North Carolina 28655
Phone [phone] Fax [phone]
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20081527
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WE ARE SENDING YOU &Altached Under separate cover via the following items.
Shop drawings Prints Plans Specifications Samples
Copy of letter Change order Other:
COPIES DATE NUMBER DESCRIPTION
7 pcm AbKm
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THESE ARE TRANSMITTED as checked below:
,.For your approval Approved as submitted Resubmit copies for approval
For your use Approved as noted Submit copies for distribution
As requested Returned for corrections Return corrected prints
For review and comment Other
FOR BIDS DUE/DATE: PRINTS RETURNED AFTER LOAN TO US
REMARKS
WeT
VCH
COPY TO SIGNED j&41
If enclosures are not as noted, please notify us at once.
PRODUCT 13127M USE WITH 771 ENVELOPE NEBS To Reorder: 1-800-225-6380 or www.nebs.com PRINTED IN U.S.A. A •
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ATTENTION
RE:
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PCW Pb a>'m
Office Use Only: Form Version May 2002
USACE Action ID No. DWQ No. 0 () F 5 2
(If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A".)
1. Processing
Check all of the approval(s) requested for this project:
X Section 404 Permit ? Riparian or Watershed Buffer Rules
? Section 10 Permit ? Isolated Wetland Permit from DWQ
X 401 Water Quality Certification
2. Nationwide, Regional or General Permit Number(s) Requested: NWP-12
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 Wetlands Restoration Program (NCWRP) is proposed for
mitigation of impacts (verify availability with NCWRP prior to submittal of PCN), 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 he
a?/7
H. Applicant Information j
I:
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SEP 1 sous
1. Owner/Applicant Information
Name: BURKE COUNTY VMT A? 6& '' 411 46LI t.Y
Mailing Address: P.O. BOX 1486 'TrA MRANOy
MORGANTON NC 28680
Telephone Number: (828)-439-4391 Fax Number: (828)-439-4396
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: DAVID W. POORE. P.E. CPESC
Company Affiliation: WEST CONSULTANTS PLLC
Mailing Address: 405 SOUTH STERLING STREET
MORGANTON NC 28655
Telephone Number: (828)-433-5661 Fax Number: (828)-433-5662
E-mail Address: davidpoore a,bellsouth.net
Page 5 of 12
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: BURKE COUNTY LINE ROAD WATERLINE PROJECT. CDBG
2. T.I.P. Project Number or State Project Number (NCDOT Only):
3. Property Identification Number (Tax PIN): 277000490877
4. Location
County: BURKE Nearest Town: MORGANTON
Subdivision name (include phase/lot number): N/A
Directions to site (include road numbers, landmarks, etc.): FROM MORGANTON. TAKE
NC 18 SOUTH TO GEORGE HILDEBRAN SCHOOL ROAD SR 1800. TAKE SR 1800
EAST TO SR 1803 TO REEP PARK. GO TO END OF PARKING LOT.
5. Site coordinates, if available (UTM or Lat/Long): N-35*-40.498', W-81 *-26.748'
(Note - If project is linear, such as a road or utility line, attach a sheet that separately lists the
coordinates for each crossing of a distinct waterbody.)
6. Property size (acres): 93.70 ACRES
7. Nearest body of water (stream/river/sound/ocean/lake): HENRY FORK RIVER - G
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 httjy.//h2o.enr.state. tic. 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: EXISTING SITE CONDITIONS ARE WOODED WITH
HIKING TRAILS THROUGH WOODS. WATERLINE WILL BE PLACED IN TRAIL.
LAND USE IS A COUNTY PARK.
Page 6 of 12
10. Describe the overall project in detail, including the type of equipment to be used:
PROJECT INVOLVES INSTALLING A WATERLINE FROM THE END OF THE
EXISTING WATERLINE AT THE END OF THE PARKING LOT THROUGH THE
PARK AND TO AN UNSERVED COMMUNITY ALONG BURKE COUNTY LINE
ROAD. TYPE OF EQUIPMENT USED WILL BE EXCAVATORS.
11. Explain the purpose of the proposed work: PURPOSE IS TO EXTEND WATER
SERVICE TO AN UNSERVED COMMUNITY ALONG BURKE COUNTY LINE ROAD.
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.
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. The applicant must also
provide justification for these impacts in Section VII below. All proposed impacts, permanent
and temporary, must be listed herein, and must be clearly identifiable on an accompanying site
plan. All wetlands and waters, and all streams (intermittent and perennial) must 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.
Page 7 of 12
1. Provide a written description of the proposed impacts: STREAM BANK AND BED WILL
BE DISTURBED WHILE WATERLINE IS BEING PLACED UNDER STREAM. STREAM
BANKS WILL BE REVEGETATED IMMEDIATELY FOLLOWING CONSTRUCTION.
2. Individually list wetland impacts below: N/A
Wetland Impact
Site Number
(indicate on map)
Type of Impact* Area of
Impact
(acres) Located within
100-year Floodplain**
(yes/no) Distance to
Nearest Stream
(linear feet)
Type of Wetland***

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: mechanized clearing, grading, fill,
excavation, flooding, ditching/drainage, etc. For dams, separately list impacts due to both structure and flooding.
** 100-Year floodplains are identified through the Federal Emergency Management Agency's (FEMA) Flood Insurance Rate Maps
(FIRM), or FEMA-approved local floodplain maps. Maps are available through the FEMA Map Service Center at 1-800-358-9616, or
online at http://w??lv.lema.?o?.
*** List a wetland type that best describes wetland to be impacted (e.g., freshwater/saltwater marsh, forested wetland, beaver pond,
Carolina Bay, bog, etc.) Indicate if wetland is isolated (determination of isolation to be made by USACE only).
List the total acreage (estimated) of all existing wetlands on the property: N/A
Total area of wetland impact proposed: N/A
3. Individually list all intermittent and perennial stream impacts below:
Stream Impact
Site Number
(indicate on map)
Type of Impact* Length of
Impact
(linear feet)
Stream Name** Average Width
of Stream
Before Impact Perennial or
Intermittent?
(please specify)
#1 WATERLINE 10 LF U/T HENRY FORK 10 P
#2 WATERLINE 20 LF U/T HENRY FORK 20 P

i . i I I I I
* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: culverts and associated rip-rap,
dams (separately list impacts due to both structure and flooding), relocation (include linear feet before and after, and net loss/gain),
stabilization activities (cement wall, rip-rap, crib wall, 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.
* * Stream names can be found on USGS topographic maps. If a stream has no name, list as UT (unnamed tributary) to the nearest
downstream named stream into which it flows. USGS maps are available through the USGS at 1-800-358-9616, or online at
?MW.us-,s.<„ov. Several intemet sites also allow direct download and printing of USGS maps (e.g., ??,NvwLgj)( one_com,
?Nv.ma x uest.com, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: 30 LF
Page 8 of 12
4. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U. S.) below: N/A
Open Water Impact
Site Number
(indicate on map)
Type of Impact* Area of
Impact
(acres) Name of Watcrbod
y
(if applicable) Type of Waterbody
(lake, pond, estuary, sound,
bay, ocean, etc.)

' List each impact separately and identify temporary impacts. hnpacts include, but are not limited to: fill, excavation, dredging,
flooding, drainage, bulkheads, etc.
5. Pond Creation N/A
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.):
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.
IN ORDER TO SERVE WATER TO THIS STREET. BURKE COUNTY WILL HAVE TO
RUN WATER THROUGH THE PARK AS THE STREET SERVING THE AREA COMES
OFF OF HENRY RIVER ROAD IN CATAWBA COUNTY.
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.
Page 9 of 12
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on March 9, 2000, 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 NCWRP 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.htmi.
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
2. Mitigation may also be made by payment into the North Carolina Wetlands Restoration
Program (NCWRP). Please note it is the applicant's responsibility to contact the NCWRP at
[phone] to determine availability and to request written approval of mitigation prior
to submittal of a PCN. For additional information regarding the application process for the
NCWRP, check the NCWRP website at http:Hh2o.enr.state.nc.us/w_rt)/index.htm. If use of
the NCWRP is proposed, please check the appropriate box on page three and provide the
following information:
Amount of stream mitigation requested (linear feet):
Amount of buffer mitigation requested (square feet):
Amount of Riparian wetland mitigation requested (acres):
Amount of Non-riparian wetland mitigation requested (acres):
Amount of Coastal wetland mitigation requested (acres):
Page 10 of 12
IX. Environmental Documentation (required by DWQ)
Does the project involve an expenditure of public (federal/state) funds or the use of public
(federal/state) land?
Yes X No ?
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 X
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.
Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Meuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and
Water Supply Buffer Requirements), or other (please identify )?
Yes ? No X If you answered "yes", provide the following information:
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* linpact
(square feet) Multiplier Required
Mitigation
1 3
2 1.5
Total
[,one i extends out so feet perpendicular from near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Lone 1.
Page I 1 of 12
If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation
of Property, Conservation Easement, Riparian Buffer Restoration / Enhancement, Preservation or
Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as
identified within 15A NCAC 2B.0242 or.0260. N/A
X1. Stormwater (required by DWQ)
Describe impervious acreage (both 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.
IMPERVIOUS AREA WILL NOT BE CHANGED BY THIS PROJECT.
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.
NO WASTEWATER WILL BE GENERATED BY THIS PROJECT.
XUL Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H.0500) or any Buffer Rules?
Yes ? No X
Is this an after-the-fact permit application?
Yes ? No X
XIV. 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).
Z&
,pplicant/Agent's Signature Date
signature is valid only if an authorization letter from the applicant is provided.)
Page 12 of 12

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D . I . BALL
JOINT PIPE
NOTES:
1. 3'0" MIN. COVER SHALL BE MAINTAINED IN
EMBANKMENTS AND SHALL BE ACHIEVED BY BLASTING IF
NECESSARY.
2. BALL JOINT PIPE SHALL BE LAID INTO RIVER BED
AS DEEP AS POSSIBLE WITHOUT BLASTING, BUT MUST
HAVE A MINIMUM OF 12" OF COVER EVEN IF BLASTING
IS REQUIRED.
BALL JOINT WATERLINE STREAM CROSSING DETAIL
NTS
45 BEND (TYP)
10'
10'
MIRAFI 700X OR
EQUAL FILTER FABRIC
STONE STREAM BANK
STABILIZATION
(TYP)d50 = 6"
d MAX. = 9"
PROPOSED
SANITARY
SEWER OR
WATER LINE
NOTES:
EDGE OF WATER
TOP OF STREAM BANK
PLAN
_,?-PROPOSED SANITARY SEWER
OR WATER LINE
SECTION
1. STONE TO BE WELL GRADED (d50 = 611; d MAX = 911).
2. STONE IS TO BE KEYED INTO EACH SIDE OF STREAM BED AND
EACH END OF THE STABILIZATION 1 FT. DEEP TO PREVENT
EROSION AROUND EDGES OF STABILIZATION.
3. STONE IS TO EXTEND FROM STREAM TO TOP OF STREAM
BANKS.
4. STONE IS TO BE PLACED AT A THICKNESS
OF 14" THROUGHOUT.
STREAM BANK STABILIZATION
14 " STONE-?
rurnvlicoc
PERMANENT & TEMPORARY SEEDING SCHEDULE
3:1 SLOPES OR FLATTER:
1. APPLY AGRICULTURAL LIME AT THE RATE OF 90 LBS11,000 SF.
2. APPLY 10-10-10 COMMERCIAL FERTILIZER AT-THE RATE OF 20 LBS11,000 SF.
3. SEED IN ACCORDANCE WITH THE FOLLOWING SCHEDULE:
DATE; TYPE: PLANTING RATE:
AUG. 15 NOV.1 REBEL FESCUE 300 LBSIACRE
** NOV. 1 - MAR.1 REBEL FESCUE 120 LBSIACRE
RYE (GRAIN) 120 LBSIACRE
MAR. 1 - APR. 15 REBEL FESCUE 300 LBS/ACRE
APR.14 - APR. 15 REBEL FESCUE 300 LBSIACRE
GERMAN MILLET 25 LBSIACRE
4. MULCH WITH STRAW AT THE RATE OF 75 - 100 LBS11,000 SF.
GREATER THAN 3:1 SLOPES:
REVISED 02127104
SEED BED PREPARATION:
1. SURFACE WATER CONTROL MEASURES TO BE INSTALLED ACCORDING TO PLAN.
2. AREAS TO BE SEEDED SHALL BE RIPPED AND SPREAD WITH AVAILABLE TOPSOIL
3° DEEP. TOTAL SEEDBED PREPARED DEPTH SHALL BE 4°-6° DEEP.
3. LOOSE ROCKS, ROOTS, AND OTHER OBSTRUCTIONS SHALL BE REMOVED FROM
THE SURFACE SO THAT THEY WILL NOT INTERFERE WITH ESTABLISHMENT AND
MAINTENANCE OF VEGETATION. SURFACE FOR FINAL SEEDBED PREPARATION,
AT FINISH GRADES SHOWN, SHALL BE REASONABLY SMOOTH AND UNIFORM.
4. IF NO SOIL TEST IS TAKEN, FERTILIZER AND LIME TO BE APPLIED ACCORDING
TO THE SEEDING SPECIFICATIONS. IN ADDITION, PROVIDE 15 LBS11,000 SF
OF SUPERPHOSPATE.
5. IF SOIL TEST IS TAKEN, PROVIDE LIME AND FERTILIZER ACCORDING TO SOIL
TEST REPORT.
6. LIME AND FERTILIZER SHALL BE APPLIED UNIFORMLY AND MIXED WITH SOIL
DURING SEEDBED PREPARATION.
1. APPLY AGRICULTURAL LIME AT THE RATE OF 90 LBS11,000 SF.
2. APPLY 10-10-10 COMMERCIAL FERTILIZER AT THE RATE OF 20 LBS11,000 SF.
3. SEE IN ACCORDANCE WITH THE FOLLOWING SCHEDULE:
DATE
** JUN. 1 SEPT. 1
SEPT. 1 - NOV. 1
** NOV. 1 - MAR. 1
MAR. 1 - JUN. 1
TYPE:
TALL FESCUE
BROWN TOP MILLET
TALL FESCUE AND
UNSCARIFIED SERICEA
LESPEDEZA
RYE (GRAIN)
REBEL FESCUE
TALL FESCUE
PLANTING RATE:
65 LBSIACRE
35 LBSIACRE
150 LBSIACRE
70 LBSIACRE
** TEMPORARY SEEDING IF NEEDED, RESEED SEPT
120 LBSIACRE
150 LBS/ACRE
150 LBSIACRE
1 AT RECOMMENDED RATES.
4. MULCH WITH STRAW AT THE RATE OF 75 - 100 LBS11,000 SF.
AND ANCHOR WITH ASPHALT EMULSION TACK COAT APPLIED AT
A RATE OF 14-28 GAL.11,000 ST.
GRADED SLOPES AND FILLS:
THE ANGLE FOR GRADED SLOPES AND FILLS SHALL BE NO GREATER THAT THE ANGLE
WHICH CAN BE RETAINED BY VEGETATIVE COVER OR ADEQUATE EROSION CONTROL
DEVICES OR STRUCTURES. IN ANY EVENT, SLOPES LEFT EXPOSED SHALL, WITHIN
15 DAYS OF COMPLETION OF ANY PHASE OF GRADING, BE PLANTED OR OTHERWISE
PROVIDED WITH GROUND COVER, DEVICES, OR STRUCTURES SUFFICIENT TO RESTRAIN
EROSION.
GROUND COVER:
A GROUND COVER SUFFICIENT TO RESTRAIN EROSION MUST BE PLANTED OR OTHERWISE
PROVIDED WITHIN 15 WORKING DAYS ON THE PORTION OF THE PROJECT AREA WHICH
FURTHER ACTIVE CONSTRUCTION IS NOT BEING UNDERTAKEN.
**NCDENR MAY REQUIRE ADDITIONAL EROSION CONTROL MEASURES AS REQUIRED**
LAWNS:
EXISTING LAWNS THAT ARE DISTURBED SHALL BE REVEGETATED ACCORDING TO THE
ABOVE SPECIFICATIONS WITH THE FOLLOWING SPECIFICATIONS:
1. ONLY REBEL FESCUE SHALL BE APPLIED.
2. DO NOT USE ASPHALT EMULSION TACK COAT.

Office Use Only: Form Version May 2002
USACE Action ID No. DWQ No. 2 7
(if any particular item is not applicable to this project, please enter "Not Applicable" or "N/A".)
1. Processing
1. Check all of the approval(s) requested for this project:
X Section 404 Permit ? Riparian or Watershed Buffer Rules
? Section 10 Permit ? Isolated Wetland Permit from DWQ
X 401 Water Quality Certification
2. Nationwide, Regional or General Permit Number(s) Requested: NWP-I2
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 Wetlands Restoration Program (NCWRP) is proposed for
mitigation of impacts (verify availability with NCWRP prior to submittal of PCN), 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:
II. Applicant Information ZU06
lb
?FP
1. Owner/Applicant Information 6.,1IvntUcN
Name: BURKE COUNTY crofl - wr.?oR--A!cna
Mailing Address: P.O. BOX 1486
MORGANTON NC 28680

Telephone Number: (828)-439-4391 Fax Number: (828)-439-4396
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: DAVID W. POORE. P.E. CPESC
Company Affiliation:
Mailing Address: WEST CONSULTANTS PLLC
405 SOUTH STERLING STREET
MORGANTON NC 28655

e
Telephone Number: (828)-433-5661 Fax Number: (828)-433-5662
E-mail Address: davidpoore(a bellsouth net
Page 5 of 12
Ill. 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: BURKE COUNTY LINE ROAD WATERLINE PROJECT, CDBG
2. T.I.P. Project Number or State Project Number (NCDOT Only):
3. Property Identification Number (Tax PIN): 277000490877
4. Location
County: BURKE Nearest Town: MORGANTON
Subdivision name (include phase/lot number): N/A
Directions to site (include road numbers, landmarks, etc.): FROM MORGANTON, TAKE
NC 18 SOUTH TO GEORGE HILDEBRAN SCHOOL ROAD SR 1800. TAKE SR 1800
EAST TO SR 1803 TO REEP PARK. GO TO END OF PARKING LOT.
5. Site coordinates, if available (UTM or Lat/Long): N-35*-40.498'. W-81 *-26.748'
(Note - If project is linear, such as a road or utility line, attach a sheet that separately lists the
coordinates for each crossing of a distinct waterbody.)
6. Property size (acres): 93.70 ACRES
7. Nearest body of water (stream/river/sound/ocean/lake): HENRY FORK RIVER - G
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 littp:Hh2o.enr.state.nc.us/adniin/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: EXISTING SITE CONDITIONS ARE WOODED WITH
HIKING TRAILS THROUGH WOODS. WATERLINE WILL BE PLACED IN TRAIL.
LAND USE IS A COUNTY PARK.
Page 6 of 12
10. Describe the overall project in detail, including the type of equipment to be used:
PROJECT INVOLVES INSTALLING A WATERLINE FROM THE END OF THE
EXISTING WATERLINE AT THE END OF THE PARKING LOT THROUGH THE
PARK AND TO AN UNSERVED COMMUNITY ALONG BURKE COUNTY LINE
ROAD. TYPE OF EQUIPMENT USED WILL BE EXCAVATORS.
11. Explain the purpose of the proposed work: PURPOSE IS TO EXTEND WATER
SERVICE TO AN UNSERVED COMMUNITY ALONG BURKE COUNTY LINE ROAD.
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.
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. The applicant must also
provide justification for these impacts in Section VII below. All proposed impacts, permanent
and temporary, must be listed herein, and must be clearly identifiable on an accompanying site
plan. All wetlands and waters, and all streams (intermittent and perennial) must 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.
Page 7 of 12
1. Provide a written description of the proposed impacts: STREAM BANK AND BED WILL
BE DISTURBED WHILE WATERLINE IS BEING PLACED UNDER STREAM. STREAM
BANKS WILL BE REVEGETATED IMMEDIATELY FOLLOWING CONSTRUCTION.
2. Individually list wetland impacts below: N/A
Wetland Impact
Site Number
(indicate on map)
Type of Impact* Area of
Impact
(acres) Located within
100-year Floodplain**
(yes/no) Distance to
Nearest Stream
(linear feet)
Type of Wetland***

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: mechanized clearing, grading, fill,
excavation, flooding, ditching/drainage, etc. For dams, separately list impacts due to both structure and flooding.
** 100-Year floodplains are identified through the Federal Emergency Management Agency's (FEMA) Flood Insurance Rate Maps
(FIRM), or FEMA-approved local floodplain maps. Maps are available through the FEMA Map Service Center at 1-800-358-9616, or
online at httrL.//ww;w.fema.ga.
*** List a wetland type that best describes wetland to be impacted (e.g., freshwater/saltwater marsh, forested wetland, beaver pond,
Carolina Bay, bog, etc.) Indicate if wetland is isolated (determination of isolation to be made by USACE only).
List the total acreage (estimated) of all existing wetlands on the property: N/A
Total area of wetland impact proposed: N/A
3. Individually list all intermittent and perennial stream impacts below:
Stream Impact
Site Number
(indicate on map)
Type of Impact* Length of
Impact
(linear feet)
Stream Name** Average Width
of Stream
Before Impact Perennial or
Intermittent?
(please specify)
#1 WATERLINE 10 LF U/T HENRY FORK 10 P
#2 WATERLINE 20 LF U/T HENRY FORK 20 P

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: culverts and associated rip-rap,
dams (separately list impacts due to both structure and flooding), relocation (include linear feet before and after, and net loss/gain),
stabilization activities (cement wall, rip-rap, crib wall, 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.
* * Stream names can be found on USGS topographic maps. If a stream has no name, list as UT (unnamed tributary) to the nearest
downstream named stream into which it flows. USGS maps are available through the USGS at 1-800-358-9616, or online at
www usgs.,-gy. Several intemet sites also allow direct download and printing of USGS maps (e.g., yxiN .to omic.com,
Nti-\vw.ntan(jiiestLcom, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: 30 LF
Page 8 of 12
4. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.) below: N/A
Open Water Impact

Site Number
(indicate on map)

Type of Impact* Area of

Impact
(acres) Name of
Waterbod
y
(if applicable) Type of Waterbody

(lake, pond, estuary, sound,
bay, ocean, etc.)

' List each impact separately and identify temporary impacts. Impacts include, but are not limited to: fill, excavation, dredging,
flooding, drainage, bulkheads, etc.
5. Pond Creation N/A
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
Describe the method of construction (e.g., dam/embankment, excavation,
draw-down valve or spillway, etc.):
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.):
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.
IN ORDER TO SERVE WATER TO THIS STREET. BURKE COUNTY WILL HAVE TO
RUN WATER THROUGH THE PARK AS THE STREET SERVING THE AREA COMES
OFF OF HENRY RIVER ROAD IN CATAWBA COUNTY.
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.
? wetlands
installation of
Page 9 of 12
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on March 9, 2000, 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 NCWRP concurrence shall be placed on hold as
incomplete. An applicant may also choose to review the current guidelines for stream restoration
in DWQ's Draft Technical Guide for Stream Work in North Carolina, available at
http://h2o.enr. state.nc.us/ncwetlands/strmgide. html.
Provide a brief description of the proposed mitigation plan. The description should provide
as much information as possible, including, but not limited to: site location (attach directions
and/or map, if 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
2. Mitigation may also be made by payment into the North Carolina Wetlands Restoration
Program (NCWRP). Please note it is the applicant's responsibility to contact the NCWRP at
[phone] to determine availability and to request written approval of mitigation prior
to submittal of a PCN. For additional information regarding the application process for the
NCWRP, check the NCWRP website at htjp://h2o.enr.state.nc.us/w_rp/index.htm. If use of
the NCWRP is proposed, please check the appropriate box on page three and provide the
following information:
Amount of stream mitigation requested (linear feet):
Amount of buffer mitigation requested (square feet):
Amount of Riparian wetland mitigation requested (acres):
Amount of Non-riparian wetland mitigation requested (acres):
Amount of Coastal wetland mitigation requested (acres):
Page 10 of 12
IX. Environmental Documentation (required by DWQ)
Does the project involve an expenditure of public (federal/state) funds or the use of public
(federal/state) land?
Yes X No ?
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 X
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.
Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Meuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and
Water Supply Buffer Requirements), or other (please identify )?
Yes ? No X If you answered "yes", provide the following information:
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
(square feet) Multiplier Required
Mitigation
1 3
2 1.5
Total
' Zone 1 extends out 30 feet perpendicular from near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.
Page 11 of 12
If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation
of Property, Conservation Easement, Riparian Buffer Restoration / Enhancement, Preservation or
Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as
identified within 15A NCAC 213.0242 or .0260. N/A
XI. Stormwater (required by DWQ)
Describe impervious acreage (both 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.
IMPERVIOUS AREA WILL NOT BE CHANGED BY THIS PROJECT.
XU. 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.
NO WASTEWATER WILL BE GENERATED BY THIS PROJECT.
XIH. Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (I 5A NCAC 2H .0500) or any Buffer Rules?
Yes ? No X
Is this an after-the-fact permit application?
Yes ? No X
XIV. 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).
ZG
?applicant/Agent's Signature Date
s signature is valid only if an authorization letter from the applicant is provided.)
Page 12 of 12

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Burke Co., NC
L VE
(TYP)
D . I . BALL
JOINT PIPE
NOTES:
1. 3'0" MIN. COVER SHALL BE MAINTAINED IN
EMBANKMENTS AND SHALL BE ACHIEVED BY BLASTING IF
NECESSARY.
2. BALL JOINT PIPE SHALL BE LAID INTO RIVER BED
AS DEEP AS POSSIBLE WITHOUT BLASTING, BUT MUST
HAVE A MINIMUM OF 12" OF COVER EVEN IF BLASTING
IS REQUIRED.
BALL JOINT WATERLINE STREAM CROSSING DETAIL
NTS
45- BEND (TYP)
I
MIRAFI 70OX OR
EQUAL FI L TER FABRIC
STONE STREAM BANK
10' STABILIZATION
1 -1 (TYP)d50 = 6"
d MAX. = 9"
?- PROPOSED
SANITARY
10' SEWER OR
WATER LINE
--
PROPOSED SANITARY SEWER
OR WATER LINE
SECTION
NOTES :
1. STONE TO BE WELL GRADED (d50 = 611; d MAX = 9").
EDGE OF WATER 2. STONE IS TO BE KEYED INTO EACH SIDE OF STREAM BED AND
TOP OF STREAM BANK EACH END OF THE STABILIZATION 1 FT. DEEP TO PREVENT
EROSION AROUND EDGES OF STABILIZATION.
PLAN 3. STONE IS TO EXTEND FROM STREAM TO TOP OF STREAM
BANKS.
4. STONE IS TO BE PLACED AT A THICKNESS
OF 14" THROUGHOUT.
STREAM BANK STABILIZATION
14' STONE
r `
urnvsico?
PERMANENT & TEMPORARY SEEDING SCHEDULE
REVISED 02127104
3:1 SLOPES OR FLATTER:
1. APPLY AGRICULTURAL LIME AT THE RATE OF 90 LBS11,000 SF.
2. APPLY 10-10-10 COMMERCIAL FERTILIZER AT THE RATE OF 20 LBS11,000 SF.
3. SEED IN ACCORDANCE WITH THE FOLLOWING SCHEDULE:
DATE: TYPE: PLANTING RATE:
AUG. 15 NOV.1 REBEL FESCUE 300 LBS/ACRE
** NOV. 1 - MAR.1 REBEL FESCUE 120 LBS/ACRE
RYE (GRAIN) 120 LBS/ACRE
MAR. 1 APR. 15 REBEL FESCUE 300 LBS/ACRE
APR.14 - APR. 15 REBEL FESCUE 300 LBS/ACRE
GERMAN MILLET 25 LBS/ACRE
4. MULCH WITH STRAW AT THE RATE OF 75 - 100 LBS11,000 SF.
GREATER THAN 3:1 SLOPES:
1. APPLY AGRICULTURAL LIME AT THE RATE OF 90 LBS11,000 SF.
2. APPLY 10-10-10 COMMERCIAL FERTILIZER AT THE RATE OF 20 LBS11,000 SF.
3. SEE IN ACCORDANCE WITH THE FOLLOWING SCHEDULE:
DATE: TYPE: PLANTING RATE:
** JUN. 1 SEPT. 1 TALL FESCUE 65 LBSIACRE
BROWN TOP MILLET 35 LBS/ACRE
SEPT. 1 - NOV. 1 TALL FESCUE AND 150 LBSIACRE
UNSCARIFIED SERICEA 70 LBSIACRE
LESPEDEZA
** NOV. 1 MAR. 1 RYE (GRAIN) 120 LBS/ACRE
MAR. 1 - JUN. 1 REBEL FESCUE 150 LBSIACRE
TALL FESCUE 150 LBSIACRE
** TEMPORARY SEEDING IF NEEDED, RESEED SEPT. 1 AT RECOMMENDED RATES.
4. MULCH WITH STRAW AT THE RATE OF 75 - 100 LBS11,000 SF.
AND ANCHOR WITH ASPHALT EMULSION TACK COAT APPLIED AT
A RATE OF 14-28 GAL.11,000 ST.
SEED BED PREPARATION:
1. SURFACE WATER CONTROL MEASURES TO BE INSTALLED ACCORDING TO PLAN.
2. AREAS TO BE SEEDED SHALL BE RIPPED AND SPREAD WITH AVAILABLE TOPSOIL
3" DEEP. TOTAL SEEDBED PREPARED DEPTH SHALL BE 4"-6" DEEP.
3. LOOSE ROCKS, ROOTS, AND OTHER OBSTRUCTIONS SHALL BE REMOVED FROM
THE SURFACE SO THAT THEY WILL NOT INTERFERE WITH ESTABLISHMENT AND
MAINTENANCE OF VEGETATION. SURFACE FOR FINAL SEEDBED PREPARATION,
AT FINISH GRADES SHOWN, SHALL BE REASONABLY SMOOTH AND UNIFORM.
4. IF NO SOIL TEST IS TAKEN, FERTILIZER AND LIME TO BE APPLIED ACCORDING
TO THE SEEDING SPECIFICATIONS. IN ADDITION, PROVIDE 15 LBS11,000 SF
OF SUPERPHOSPATE.
5. IF SOIL TEST IS TAKEN, PROVIDE LIME AND FERTILIZER ACCORDING TO SOIL
TEST REPORT.
6. LIME AND FERTILIZER SHALL BE APPLIED UNIFORMLY AND MIXED WITH SOIL
DURING SEEDBED PREPARATION.
GRADED SLOPES AND FILLS:
THE ANGLE FOR GRADED SLOPES AND FILLS SHALL BE NO GREATER THAT THE ANGLE
WHICH CAN BE RETAINED BY VEGETATIVE COVER OR ADEQUATE EROSION CONTROL
DEVICES OR STRUCTURES. IN ANY EVENT, SLOPES LEFT EXPOSED SHALL, WITHIN
15 DAYS OF COMPLETION OF ANY PHASE OF GRADING, BE PLANTED OR OTHERWISE
PROVIDED WITH GROUND COVER, DEVICES, OR STRUCTURES SUFFICIENT TO RESTRAIN
EROSION.
GROUND COVER:
A GROUND COVER SUFFICIENT TO RESTRAIN EROSION MUST BE PLANTED OR OTHERWISE
PROVIDED WITHIN 15 WORKING DAYS ON THE PORTION OF THE PROJECT AREA WHICH
FURTHER ACTIVE CONSTRUCTION IS NOT BEING UNDERTAKEN.
**NCDENR MAY REQUIRE ADDITIONAL EROSION CONTROL MEASURES AS REQUIRED**
LAWNS:
EXISTING LAWNS THAT ARE DISTURBED SHALL BE REVEGETATED ACCORDING TO THE
ABOVE SPECIFICATIONS WITH THE FOLLOWING SPECIFICATIONS:
1. ONLY REBEL FESCUE SHALL BE APPLIED.
2. DO NOT USE ASPHALT EMULSION TACK COAT.
289 7 BURKE COUNTY DETACH AND RETAIN THIS STATEMENT ??' ' ?'
THE ATTACHED CHECK IS IN PAYMENT OF THE ITEMS DESCRIBED BELOW.
I GENERAL FUND IF NOT CORRECT PLEASE NOTIFY US PROMPTLY. NO RECEIPT DESIRED.
• •
ACCOUNT

AMOUNT
NOMBER
028973
CHECK NO.