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HomeMy WebLinkAbout20051746 Ver 1_Complete File_20050915 oy WA T12tr . O~ 9c.. (;j )i' - r- > - - -I o "'( Michael F. Easley, Governor . William G. Ross Jr., Secretary North Carolina Department of Environment and Natur~l Resources Alan W. Klimek, P.E. Director Division of Water Quality November 10, 2005 CERTIFIED MAIL:' RETURN RECEIPT REQUESTED Mike Wade Mountain River of Cullowee 98 Carrot Trail Cullowhee, NC 28723 Subject Property: Mountain River of Cullowee, Phase 1 Cullowhee, Jackson County DWQ Project # 05-1746 Jackson County m[g@[gDW[g@ N~}V 1 7 Z005 Di""!~ \.j~"?'n -. -/ ~'~I, ~ ~l};(lb'l Ut1tV../TY WE I U.J~DS AND STCRMw~'tEri t:1lft~Nf:;n Project Return Dear Mr. Wade: You have our approval, in accordance with the attached conditions and those listed below, to place fill within or otherwise impact 20 feet of streams for the purpose of road access at the subject property, as described within your application dated September 21, 2005. After reviewing your application, we have decided that the impacts are covered by General Water Quality Certification Number(s) 3404 (GC3404). The Certification(s) allows you to use Nationwide Permit(s) 14 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 appl"ication shall expire upon expiration of the 404 or CAMA Pe.rmit. This approval is for the purpose and design that you described in your application. If you change your project, 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: N~~Carolina /Volurollv 401 Wetlands Certification Unit 1650 Mail Service Center, Raleigh, North Carolina 27699-1650 2321 Crabtree Boulevard, Suite 250, Raleigh, North Carolina 27604 Phone: 919-733-1786/ FAX 919-733-6893/ Internet htto:/Ih2o.enr.state.nc. us/ncwetlands An Equal Opportunity/Affirmative Action Employer - 50% Recycledl1 0% Post Consumer Paper Mountain River of Cullowee Page 2 of6 November 10,2005 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: Stream Amount Plan Location or Reference A roved (Units) 20 (feet) UT to Tuckase ee River 2. Erosion & Sediment Control Practices ---- -- --- _JrQSiQnj;lod-_sediment-.Gontrol~ practices musf - be in -fiJlfcom p liance 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 re~ent 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. Mountain River of Cullowee Page 3 of6 November 10, 2005 4. No Sediment & Erosion Control Measures wIn 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 sub~equent 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 (No Review) 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 stream. 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) for the areas that have been approved to infringe within the buffer, wetland or water prior to any land disturbing activities. 8. Temporary Access Corridor(s) The proposed access corri90r(S) must be the minimum width required to get the construction equipment to the shoreline and shall not exceed 15 feet in width. The number of access corridors should be limited to the minimum number required to get the construction equipment to the shoreline (many times only a single corridor is required) and shall not exceed 2 corridor(s). The access corridor(s) should cross the buffer as close to perpendicular as practicable and disturbance to existing vegetation should be minimized. Mountain River of Cullowee Page 4 of6 November 10,2005 9. Turbidity Standard The turbidity standard of 10 NTUs (Nephelometric Turbidity Units) shall not be exceeded as described in 15 A NCAC 28. .0200. Appropriate sediment and erosion control practices must be used to meet this standard. 10. No Impacts Beyond those in Application 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 Mana~~_l]!ent E@ctLQ8.S,- shall b~ performedso_thatno violatio~s-of-statewater quality standards, statutes, or rules occur. 11. No Sediment and Erosion Control Measures in Wetlands 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 gr locally delegated progra~ has released the project. 12. Construction Stormwater Permit NCG010000 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 distur~ on~_(1}or more-acres], full compliance- with permifconditions including the sedimentation control plan, self-monitoring, record keeping arid reporting requirements are required. A copy of this permit and monitoring report forms may be found at . htto://h2o.enr.state.nc.us/su/Forms Documents.htm. 13. Trout Moratorium The stream is a Class 8 Trout Waters. In order to protect downstream uses for Class B Trout Waters a requirement of this Certification is that any additional work conducted within the stream 'may not occur between the dates of October 15 through April 15. Mountain River of Cullowee Page 5 of6 November 10, 2005 14. Deed Notifications Deed notifications or similar mechanisms shall be placed on all retained jurisdictional wetlands, waters and protective buffers in order to assure compliance for future wetland, water and buffer impact. These mechanisms shall be put in place prior to impacting any wetlands, waters and/or buffers approved for impact under this Certification Approval and Authorization Certificate. A sample deed notification can. be downloaded from the 401/Wetlands Unit web site at http://h20.enr.state.nc.us/ncwetlands. The text of the sample deed notification may be modified as appropriate to suit to this project. 15. Sewer Systems ,'-"" The project shall comply with 15A NCAC 2H .0219(i)(2)(G) and all other State, Federal and local sewer system regulations. 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. Mountain River of Cullowee Page 6 of6 November 10, 2005 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. AWK/khb cc: Patrick Bradshaw, P.E., Bradshaw Engineering, Inc. Post Office Box 1 011 . Waynesville, NC 28786 Cyndi Karoly, DWQ, Wetlands I 401 Permitting Unit USACE Asheville Regulatory Field Office File Copy Central Files Filename: 05-1746. MountainRiveratCullowee.Apprbved Re: [Fwd: Re: [Fwd: Tardies]] Subject: Re: [Fwd: Re: [Fwd: Tardies]] From: Kevin Barnett <Kevin.Barnett@ncmai1.net> Date: Thu, 10 Nov 2005 14:56:55 -0500 To: Ian McMillan <ian.mcmillan@ncmai1.net> CC: Larry Frost <Larry.Frost@ncmai1.net> Hi Ian: All three were issued today. Kevin Ian McMillan wrote: Kevin, I'm really not trying to bug you and this will be my last message on the subject. But, if you need my help with these please let me know as I just learned today that we're off tomorrow. - Thanks, Ian Subject: Re: [Fwd: Tardies] From: Larry Frost <Larry.Frost~ncrnai1.net> Date: Thu, 10 Nov 2005 10:51 :39 -0500 To: Ian McMillan <ian.mcmillan~ncmai1.net> To: Ian McMillan <ian.mcmillan~ncmai1.net> CC: Kevin Barnett <Kevin.Barnett~ncmai1.net> Ian I got a hold of Kevin and he informs me that he will update you on these projects this afternoon. He should be back to the office by 1 :prn. Larry Ian McMillan wrote: Subject: Tardies From: Ian McMillan <ian.mcmillan~ncmai1.net> Date: Wed, 09 Nov 2005 17:02:45 -0500 To: Kevin Barnett <Kevin.Barnett~nclnai1.net> 10f2 11/10/2005 2:57 PM Re: [Fwd: Re: [Fwd: Tardies]] To: Kevin Barnett <Kevin.Barnett@}ncmai1.net> Kevin, would you be able to update me on these? Thanks, Ian 05-1746, Mountain River ofCullowhee, Jackson Co, NW12 9/15/05 11/13/05 05-1733, Gateway Mountain Mulberry Drive, McDowell Co, NW39 9/12/05 11/10/05 05-1739, Owens Bell Water Quality Improvement, Buncombe Co, NW27 9/14/05 11/12/05 Larry Frost - Larry.Frost@ncmail.net North Carolina Dept. of Environment and Natural Resources Asheville Regional Office Division of Water Quality - Water Quality Section 2090 u.s. 70 Highway Swannanoa, NC 28778 Tel: 828-296-4500 Fax: 828-299-7043 Kevin Barnett - Kevin.Barnett@ncmail.net North Carolina Dept. of Environment and Natural Resources Asheville Regional Office Division of Water Quality - Water Quality Section 2090 u.S. 70 Highway Swannanoa, NC 28778 Tel: 828-296-4500 Fax: 828-299-7043 Kevin Barnett <Kevin.Barnett@}ncmai1.net> NC DENR - Asheville Regional Office Division of Water Quality - Water Quality Section 20f2 11/10/2005 2:57 PM Triage Check List Date: 09/19/05 Project Name: Mountain River of Cullowee DWQ #:05-1746 County: Jackson To: Kevin Barnett, Asheville Regional Office 60-day Processing Time: 9/15/05 to 11/13/05 r;'~ ~'.'l'.. l:.M,' C" ',' O. -.' p", 'r'.., ~",i:' it ~ ' ::i r ,;~ iCi" <<... fl " I I f\/'! a iJ L ' 'I . From: Cyndi Karoly Telephone: (919) 733-9721 The file attached is being forwarded to you for your evaluation. Please call if you need assistance. D Stream length impacted D Stream determination D Wetland determination and distance to blue-line surface waters on USFW topo maps Minimization! avoidance issues D Buffer Rules (Neuse, Tar-Pamlico, Catawba, Randleman) D Pond fill D Mitigation Ratios Ditching D Are the stream and or wetland mitigation sites available and viable? D Check drawings for accuracy D Is the application consistent with pre-application meetings? Cumulative impact concern D D D 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! P.O Box 1011 - Waynesville, NC 28786 Phone: 828-452-4410 - Fax: 828-456-5455 www.bradshawengineering.com To: Division of Water Quality 401/Wetlands Unit 1650 Mail Service Center Raleigh, NC, 27699-1650 D}1, V f\/l r f\! T I \ I ph_I. ., _(\r-,\ I'--n t." t L.L I"~ I I- I \ ''oj " LU 2 0 051 746 Dt l,( ~l! SEP 1 5 2005 RE: Submittal for Mountain River of Cullowhee Creek Crossing Jackson County, NC From: Martin A. Shumpert, PE September 13,2005 filE COpy Date: Enclosed please find seven copies of the USCOE Pre-Construction Notification Form for the project noted above and seven sets of creek crossing plans. Also included is a check in the amount of $200.00. If you need additional information regarding this matter, please do not hesitate to contact me at 828-452-4410. " Office Use Only: Form Version May 2002 USACE Action ID No. DWQ No. 2 0 0 5 1 7 4 e (If any particular item is not applicable to this project, please enter ''Not Applicable" or ''N/A''.) I. Processing 1. Check all of the approval(s) requested for this project: ~ Section 404 Permit D D Section 10 Permit D ~ 401 Water Quality Certification f 1[' ~ G"~ 0" ~~ ~,9 '.' .~.1 r: "I..,;.., ,Jj ~;i '.' ,.f .,'" _ . ,j ~ h i !I ',....,.~ tb ~_~ 1_', tJ Riparian or Watershed Buffer Rules ~solated Wetland Permit from DWQ 2. Nationwide, Regional or General Permit Number( s) Requested: 12 3. If this notification is solely a courtesy copy because written approval for the 401 Certification is not required, check here: D 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: 0 ll. 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:D 10), ,~lP"'(~ .n1\'\17r:~1 '-', Applicant Information I~<\' LS ,,::." U.:J i.g, ,'III Uti ~J SEP 1 5 2005 1. Owner/Applicant Information Name: Mr. Mike Wade Mailing Address: 98 Carrot Trail Cullowhee~ NC 28723 DENH - !,i'VATER QUALITY \VETlf\f}:;~ !!!Q S~:;;'::.~~'~~:~,~;:;~ :;:-;:~Cl J Telephone Number: 828-293-2526 E-mail Address: Fax Number: 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: Patrick Bradshaw / Bradshaw Engineering~ Inc. Company Affiliation: President Mailing Address: PO Box 1011 Wavnesville~ NC 28786 Telephone Number: 828-452-4410 Fax Number: 828-456-5455 E-mail Address:patrick@bradshawengineering.com 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 defmed. For administrative and distribution purposes, the USACE requires informati~n 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: Mountain River of Cullowhee 2. T.I.P. Project Number or State Project Number (NCDOT Only): N/A 3. Property Identification Number (Tax PIN): 7569-03-2813 4. Location County: Jackson Nearest Town: Cullowhee Subdivision name (include phase/lot number): Mountain River of Cullowhee.. Phase 1 Directions to site (include road numbers, landmarks, etc.): From Cullowhee.. head SE on NC 1732. Site is approximately 0.6 miles SE of the intersection ofNC 1732 and NC 1731. 5. Site coordinates, if available (UTM or Lat/Long): Lat 35-18-33 N Long 83-09-35 W (Note - If project is linear, such as a road or utility line, attach a sheet that separately lists the coordinates for each crossing ofa distinct waterbody.) 6. Property size (acres): 65 ac 7. Nearest body of water (streamJriver/sound/oceanllake): Tuckasegee River 8. River Basin: Little Tennessee (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/admln/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 llroperty is unimproved woodland and the general land use in the area is unimproved natural area Page 6 of 12 " I I I j 10. Describe the overall project in detail, including the type of equipment to be used: Proiect consists of construction of gravel roadways that will ieventuallv serve the proposed subdivision. Equipment should include a track-hoe (for fustallation of the stormwater culverts) and other mical construction equipment. ! 11. Explain the purpose of the proposed work: Provide roads for the proposed subdivision. I IV. Prior Project History If jurisdictional determinations and/or permits have been requt1sted and/or obtained for this project (including all prior phases of the same subdivision) in the, past, please explain. Include the USACE Action ill Number, DWQ Project Number, applicat,on date, and date permits and certifications were issued or withdrawn. Provide photocopies ;of previously issued permits, certifications or other useful information. Describe previously ~pproved wetland, stream and buffer impacts, along with associated mitigation (where applicabl~). If this is a NCDOT project, list and describe permits issued for prior segments of the satPe T.I.P. project, along with construction schedules. N/A v. Future Project Plans Are any future permit requests anticipated for this project? If sO,idescribe the anticipated work, and provide justification for the exclusion of this work from the cup-ent application. N/A VI. Proposed Impacts to Waters of the United States/Waters ofth~ 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 pr9ject. 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 ~escription of the proposed impacts: of a culvert for a proposed stream crossing. Impacts include installation 2. Individually list wetland impacts below: Wetland Impact Area of Located within Distance to Site Number Type of Impact* Impact IOO-year Floodplain** Nearest Stream Type ofWetland*** (indicate on map) (acres) ~s/no ) (linear feet) N/A * 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. ** tOO-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 htto://www.fema.2:ov. *** 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 Length of Average Width Perennial or Site Number Typ~ of Impact* Impact Stream Name * * of Stream Intermittent? (indicate on map) (linear feet) Before Impact (please specify) r culvert 20 UT l' Perennial * 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.US2:S.2:OV. Several internet sites also allow direct download and printing of USGS maps (e.g., WWW.toDozone.com. www.maoouest.com. etc.). Cumulative impacts (linear distance in feet) to all streams on site: 20 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: Open Water Impact Area of Name of Water body Type of Water body Site Number Type of Impact* Impact (lake, pond, estuary, sound, (indicate on map) (acres) (if applicable) bay, ocean, etc.) N/A , * 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 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): 0 uplands 0 stream 0 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 fmancial 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. Several proposed lots will be inaccessible if this stream crossing is not constructed. VIn. 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 s~e 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 htto:/OOo .em .state.nc. us/ncwetlandsl strmgide.html. 1. Provide a brief description of the proposed mitigation plan. The description should provide as much information as possible, including, but not limited to: site location (attach directions and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet) of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view, preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a description of the current site conditions and proposed method of construction. Please attach a separate sheet if more space is needed. 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 (919) 733-5208 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 htto://h2o.enr.state.nc.us/wro/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): NI A Amount of buffer mitigation requested (square feet): N/A Amount of Riparian wetland mitigation requested (acres): NI A Amount of Non-riparian wetland mitigation requested (acres): N/A Amount of Coastal wetland mitigation requested (acres): N/A 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 0 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 (919) 733-5083 to review current thresholds for environmental documentation. Yes 0 No 0 If yes, has the document review been fmalized by the State Clearinghouse? If so, please attach a copy of the NEPA or SEPA final approval letter. Yes 0 No 0 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 vn 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 (Neuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rilles and Water Supply Buffer Requirements), or other (please identify )? Yes 0 No ~ 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 Multiplier Required (square feet) 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 2B .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. No im ervious area exists or will be created. Culverts will conve 1 stormwater runoff under the proposed gravel roads. 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. N/A XIII. Violations (required by DWQ) Is this site in violation of DWQ Wetland Rules (15A NCAC 2H .0500) or any Buffer Rules? Yes D No ~ Is this an after-the-fact permit application? Yes 0 No ~ 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). N/A ~ .h,. ~ 9/I;)..jdoor -. Applicant/Agent's Signature Date (Agent's signature is valid only if an authorization letter from the applicant is provided.) Page 12 of 12 l-/" " - j.', '. 1 . ---.~ .' . ~ t ~._...'v -. - ! ..!::' . . .r ,.!. ~ '. :---....: 1:...~'. ..., I a~;;~;L' qf":::~< 0 . ~'\ ~ ..:~:.,::.~:::\'t" \\ ... ..:.:."'......:...:-.....--.........-. ~ '. . :'.. .... ""''><) ,....' '. .\,'~'~.~.~~':,;~:t.~~.~~) ;)..~:.; ~ "...o:',.;'~'~..... . 'I ... · :....-#"".)0. .,. J- ,._}-_---.......1\....-\. - J ....:' }J~ ,.... +.;-i..,;~~-~<.. c';. "':' :~..::~,..: , .: ',". ~ ~.~ .' ,- . I~"" '. .""...' ';.,'...'; " .: "~'- .':', '<".' - .. y , : -I . .' '\~ '0 n.~hr~'r')".... :..:~.:~'. .- .'.' .....'>~ I /(,.~..,...,>"-. .!.~..' . <It _~. . .~. ';..; f :V~,. ." V-:". ,.-,. ~:..~. \.~...... ~.; . .~. .::-"'. ./.:' . " ...... . "~ <..~?!.~..<. .' . ",..'~s/;;;-=-.--=:: ",. . .' . ! .. ;~:! ;,6~f {,,:::;':"..'l.. _ ;. ~.~"gr~2r,j ~!-6;_ F\9A(E . . . ...,' i iF"-' ,', --.... ," ...._-t.... . :~ :"-~ ". .... .(; ", ~ ...... o '" ~ '- ~ ;~~; ..CJ\0t~g;~I~ ;.0 'Ci;, ,_ -r;,. VICINITY MAP N.T.S, \ \\1 \ \ \' \ \ ' \ "I' , \' \ \ Y' \\ , 1'\ \ ' \ '\ " \ I PROPERTY \ ~' LINE, (TYP.) \ \ I \\ ,\' , \ ' \' / ) ,I \ / I \ / ~ \ I / / '\ \ \ ' ~ ,!'" \ /' I ~ '--' , \ . / __ ..... II / - ~ IttTr"~ \\ 1 \ \\ i ______ \\ / "- \:\\~-r- \ \ \\ \\ \ \ UN.NAMED TRIBUTARY TO \ \ THE TUCKASEGEE RIVER , \11 ---- PROPERTY / LINE. (TYP.) ~ " . \ .,: m t. ." 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I , I !! / i 'f / I ! 1 : I , , d I I / f I } I , I I I I / \ I I I I I , 'P~~PO~D ROAD I , I I / I (BY OTfERS),. , I , , , , '/ 1/ / j I i , I I{ I I If I ! t { , ~ i I I I ) ! I I I "" / \ \ \ ~g~ G2J-- z ~ :z: g Q,) :s ~'1) Q,) ~ 'i2.3 c:: ~ G0 -0, ~ l:=c:: HW~ c: u.J u.J :z: G :z: u.J -' :> u ~~ ro"' C'<'" rooh C '" o~E ~ ro 0 roC'< " ~eg> O:::xC 0<( " Zu..~ ~cig ~ ~ ~ CC'<.c >- '" "' ro",'O >_ro >ro~ . C'< .0 ~ro;, o-~ ~ ~ ~ 02 CJ n. " 00; 0..>- >- CJ Cl L1J '" <( 0.. L1J '" 0.. ~ ~ ~ ~ " 1 I ' , ) '! N i,1 '11 , /11 : II /1) , I ~I I II I /11 : II I \ \ , \ ,-' _--------.:.---J \. " // ~ ' , ' . --~-, \ /-r ,/ / ! -r-----:'------- " / " , ../' .' PROPOSED / EN,DWALLS/ /'" , , I ----- I ----- (I' ", " v -L_ 7" /,--_:,-,-- ...... ...... '\ i ~ -- I I I ............. '" 0 0 '" b '" '" -, L1J " ~ CJ <;; -- - w >- 0.. L1J <fJ ; , I I I I I I I I I I I I I I I I I I I I I I , ,~ I I I I i f /' ! I ;! EXISTING ! ~IGHTOFWAY : !-I : :; I ,! I I , , : , ! ! I '/. I I I I I , I I ' : I -.. " '- /,/ --- EXISTING,' '" : ROAD! '-." / --------- --- .. " ", ---.. /'" /' ,// /'" ~ PROPOSED' STREAMCROSSJNG,~" /~EECRO~ SECTI~f\J DETA~~_____,,\'," ./ /' / " ./ , ----"""'\'" ~-~-_._. ..~ ,,-"''--'''''''''''' - ,"" , -- ,=\~ , ' , "'\ 0::: W ~ tl1 0::: ::c zu..S= <(00 I- ..J Z ..J ::) ::) o C,,) ~ -/: \ '\ '\ --- \ ':J / '\ ) --- / / , , \ / .' / >-1 z L1J ~ U ------ .............\/ \ ------ / ,J ------ ------ / / PROPOSED GRADE - (!) z Z 0 enOl- enZ() o<(w O:::zen ()<een ~..Jen Wa.o w 0::: 0::: C,,) () ----- --- --- ----. , , , , , \ \ \ \ \ ,.," PROPOSE~\ MATERIAL ; , , I , \ .... EXISTING GRADE .------- ". ...~.. 1 · I............... EXISTING GRADE "\.. : , I , I , I I I , I , I , I , I , I , I , I , I , I , , , , . , . , . , . , , , ...... ._r --------------.-- i i I I PIPE CROSSING INVERT IN = 146,51 INVERT OUT = 141,89 '-'''-- -,,--:.~ PROPOSED 30" CMP ", SHEETS 2 EXISTING STREAM SECfION PROPOSED STREAM SECTION OF NTS NTS 2 EXHIBIT ONLY - DO NOT USE FOR CONSTRUCTION " I rr'('r-;\/t-It J \~...\.II__l' L___Li Office Use Only: Fonn Version May 2002 USACE Action ID No. DWQ No. 2 0 0 .5 1 "7 il S (If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A".) I. Processing 1. Check all of the approval(s) requested for this project: ~ Section 404 Permit D D Section 10 Permit D ~ 401 Water Quality Certification Riparian or Watershed Buffer Rules ~solated Wetland Permit from DWQ 2. Nationwide, Regional or General Permit Number(s) Requested: 12 3. If this notification is solely a courtesy copy because written approval for the 401 Certification is not required, check here: D 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: D II. 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 detm\~c~e,,~~~e".f~,':'; 7r;J"J, r-,. '" " Dl,.::itL..L ""\"i"'" ;", ~:::J~...... :::..:.JU " r{:.., i'e Applicant Information . ""'''''/;ij SEP 1 5 2DCJ5 ,.. 1. Owner/Applicant Information Name: Mr. Mike Wade Mailing Address: 98 Carrot Trail Cullowhee. NC 28723 , D,ENR - WATtR QU!-\UTY \1E'Tl.A:iW3A14l'J,,; UM1Willi:R BFill,NCH Telephone Number: 828-293-2526 E-mail Address: Fax Number: 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: Patrick Bradshaw / Bradshaw Engineering. Inc. Company Mfiliation: President Mailing Address: PO Box 1011 Wavnesville. NC 28786 Telephone Number: 828-452-4410 Fax Number: 828-456-5455 E-mail Address:oatrick@bradshawengineering.com Page 5 of 12 '.... In. 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 fmal 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: Mountain River of Cullowhee 2. T.I.P. Project Number or State Project Number (NCDOT Only): N/A 3. Property Identification Number (Tax PIN): 7569-03-2813 4. Location County: Jackson Nearest Town: Cullowhee Subdivision name (include phase/lot number): Mountain River of Cullowhee~ Phase 1 Directions to site (include road numbers, landmarks, etc.): From Cullowhee~ head SE on NC 1732. Site is approximately 0.6 miles BE of the intersection ofNC 1732 andNC 1731. 5. Site coordinates, if available (UTM or Lat/Long): Lat 35-18-33 N Long 83-09-35 W (Note - Ifproject 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): 65 ac 7. Nearest body of water (streamlriver/sound/ocean/lake): Tuckasegee River 8. River Basin: Little Tennessee (Note - this must be one of North Carolina's seventeen designated major river basins. The River Basin map is available at http://h2o.enr.state.nc.us/admin/maps/.) 9. Describe the existing conditions on the site and general land use in the vicinity of the project at the time of this application: Existing pro{>ertv is unimnroved woodland and the general land use in the area is unimproved natural area Page 6 of 12 . . ., 10. Describe the overall project in detail, including the type of equipment to be used: Proiect consists of construction of gravel roadways that will eventually serve the proposed subdivision. Equipment should include a track-hoe (for installation of the stormwater culverts) and other typical construction equipment. 11. Explain the purpose of the proposed work: Provide roads for the proposed subdivision. 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 ill 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. N/A 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. N/A 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: of a culvert for a proposed stream crossing. Impacts include installation 2. Individually list wetland impacts below: WetIand Impact Area of Located within Distance to Site Number Type of Impact* Impact 100-year Floodplain** Nearest Stream Type ofWetIand*** (indicate on map) (acres) (yes/no) (linear feet) N/A . * 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 htto://www.fema.lwv. *** 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 Length of Average Width Perennial or Site Number Typ~ of Impact* Impact Stream Name * * of Stream Intermittent? (indicate on map) (linear feet) Before Impact (please specify) 1 culvert 20 UT l' Perennial * 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.uSQ:S.Q:ov. Several internet sites also allow direct download and printing of USGS maps (e.g., www.tooozone.com. www.maOQuest.com. etc.). Cumulative impacts (linear distance in feet) to all streams on site: 20 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: Open Water Impact Area of Name of Water body Type of Waterbody Site Number Type of Impact* Impact (if applicable) (lake, pond, estuary, sound, (indicate on map) (acres) bay, ocean, etc.) N/A * 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 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): 0 uplands 0 stream 0 wetlands Describe the method of construction (e.g., damJembankment, 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 fmancial 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. Several proposed lots will be inaccessible if this stream crossing is not constructed. VIn. 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 .. t 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 htto:1 /h2o.enr .state.nc. us/ncwetlandsl strmgide.html. 1. Provide a brief description of the proposed mitigation plan. The description should provide as much information as possible, including, but not limited to: site location (attach directions and/or map, if off site), 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 (919) 733-5208 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 htto://h2o.enr.state.nc.us/wrp/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): NI A Amount of buffer mitigation requested (square feet): N/A Amount of Riparian wetland mitigation requested (acres): NI A Amount of Non-riparian wetland mitigation requested (acres): N/A Amount of Coastal wetland mitigation requested ( acres): NI A 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 D 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 (919) 733-5083 to review current thresholds for environmental documentation. Yes D No D 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 D No D 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 (Neuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rilles and Water Supply Buffer Requirements), or other (please identify )? Yes D N 0 ~ 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 Multiplier Required (square feet) Mitigation 1 3 2 1.5 Total * Zone 1 extends out 30 feet perpendicular from near bank of channel; Zone 2 extends an additiona120 feet from the edge of Zone 1. Page 11 of 12 .~ If buffer mitigation is required, please discuss what type of mitigation is proposed (Le., 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 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. No im ervious area exists or will be created. Culverts will conve 7 stormwater runoff under the proposed gravel roads. 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. N/A XIII. Violations (required by DWQ) Is this site in violation of DWQ Wetland Rules (15A NCAC 2H .0500) or any Buffer Rules? Yes 0 No [gI Is this an after-the-fact permit application? Yes 0 No [gI 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). N/A 4~ 14- ~ Applicant/Agent's Signature Date (Agent's signature is valid only if an authorization letter from the applicant is provided.) q /12-/~[)S- . Page 12 of 12 go> ~ c~ \.J\:'J -- z r=::l '-- :z: t:::.::=J Q.) :5 <2:i) Q.) CO- >- c::-:=1,...- ~ m l.=:J lo.... <C ~ ~"o>-;" ~ r..= C g: HW ~ a:: '-'-' '-'-' :z: <3 :z: '-'-' -' :> u ";;~;~~:r:c'; :i/' """" t.,;,(~ ;/'" . 1'-:~~ 1"",)6_,,:,/ ~ ........ :', t. ......~... - .~,. . f< I;. 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