HomeMy WebLinkAboutPre-Construction Notification.pdfU.S. Army Corps of Engineers South Pacific Division Nationwide Permit Pre-Construction Notification (PCN) Form This fonn integraws rtlquiremcnls oflhc. U.S. Ann)' Corps of Engineers
?\ationwide P(:mlit Program within lh~ South Pacific Division (SPD), including Gcneml .nd Regional COllditions. You :-"fCST 011 out all boxes related 10 Ow work being done. Fill.ble
boxes in Ihis form expall d I' f ad d U..lo naJ space is needed. Box 1 Project Name LaFarge Cerise Mine Culvert Crossing Applicant Name Applicant Title Bill Arrasmith General Manager
Applicant Company, Agency, etc. Applicant's internal tracking number (If any) LaFarge A & C Western US Mailing Address PO Box 368, Glenwood Springs CO 81602 Work Phone with area code
1 Mobile Phone With .<ea code Home Phone with .re. code I Fax # with area code 303-657-4342 970-379-6741 815-483-2372 E-mail Address Relationship of applicant to property: Bill,Arrasmith@lafarge-na,c
om DOwner 0 Purchaser [ZJLess~ Other: Application is hereby made for verification that subject regulated activities associated wIth subject project qualify for authorization under a
U.S. Army Corps of Engineers Nationwide Permit or Permits as described herein. I certify that I am familiar with the information contained in this application and, that to the best of
my knowledge and belief, such information is true, complete, and accurate. I further certify that I possess the authority to undertake the proposed activities. I hereby grant to the
agency to which this application is made the right to enter the above-described location to inspect the proposed, In-progress or completed work. I agree to start work 2DU after all necessary
permits have been received and to comply with'1llf'terms and conditions of the authorization. sign,!lJ~re ~f a~p!!.c~nt I Date (mm/dd/yvyy) ----~ ... -\' ~ ~-.. (~L,jl e:i J 0\:' " \
-'"", ----~ If ;.II1YOIlC other thilCllhc person named as In\,! Applicant wi! I be in contact with the L" .S. A rmy Corps of Engineer::; rcprc:icnting Ihe f\2PlicaJH re"arding this proj'Xt
dunng the permit Druce5!;, Box 2 ~ICST be filled ont, Box 2 Authorized Agent/Operator Name Agent/Operator Title Scott Florin Biologist Agent/Operator Company, Agency, etc. E-mail Address
Klelnfelder West [nco sflorin@klelnfelder.com Mailing Address 300 EAST MINERAL AVE, SUITE 7 LmLETON CO 80122 Work Phone with .rea code .1. Mobile Phone w.lh area code Home Phone With
.re. cade Fax # with area code 303-781-8211 _858"213-1374 303-781-1167 I nereby authorize the above named a~thorized agent to act in my beh.lf as my agent in the processing of this application
and to furnish, upon request, supplemental in.formation in support of this permit application. I understand that I am bound by the actions of mv agent and I understand thalff. fedorarar.state
oermit is issued I or mv aoent must slon the ermit. Sjg~,~~"r~\~f ~~I~nt> ~~_.. . Da:~ ~mr;~~:r;~\ \~> I certify that 1 am timillar with the Information contained In this application,
and that to the best of my knowledge and belief such information is true complete and accurate, Signature of authorized agent ~~ Pate (mm/dd/yyyy) 2119/2013 Page 1 of 10
Box 3 Name of Property Owner(s}, il other than Applicant: Clifford CerIse Ranch Comoanv Owner TItle I Owner Company, Agency, etc, Mailing Address 86 County Road 104 Carbondale Co 81623.9604
Work Phone with area (.ode Mobile Phone WItl1 .re. code I Home Phone With area code 970-618·5899 Box 4 Name of Contractor(5) (if known): NOT KNOWN ATTHIS TIME Contractor Title I Contractor
Company, Agency, etc. Mailing Address Work Phone With orea code I Mobile Phone with area code I Home Phone with....,. code Box 5 Site Number 1 of 1. Project location(s), InclUding street
address, city, county, state, zip code where proposed activity will Occur: County Road 103, Carbondale, CO 81623 Waterbody (If known, otherwise enter "an unnamed tributary to,,):Crystal
Springs Creek Trlbutarv to what known, downstream waterbody:Roaring Fork RIver Latitude & Longitude (O/M/S, PO, or UTM With 101'10): Section, TownshIp, Range: N 39 24' 57", W 107 11'
4" PortIons of sections 26 & 25, TBS, R8BW County Assessor Parcel Number (IndudeCountyname): USGS Quadrangle map name: Garfield County Parcel number 239325300158 Carbondale Watershed
(HUC and watershed n,me'):Roaring Fork, Size of permit area or pnoject boundary: 14010004 0,087 acres 155 linear feet 'ht1i>:1 IWater,!!S<I ••• nvlGl5/'eolons,html Directions to the
project location and other location descriptions, if known: From Glenwood Springs, follow CO highway 82 towards Aspen for approximately 12 miles. Pass the existing laFarge pIt on your
left. Crystal Sprins ROad (County R.oad 103) will be the next left after the LaFarge pit, Follow Crystal Springs lane for approximately 1/3 of a mile to the pnoposed culvert crOSSing,
Which will be on your right, , Page 20f 10 J{evised March 211 2011, For Ille hlOSI n!C(11I VOI'5iOlI Mthls Con\l., ~il.l\ yr11j( (OIPS (jjstrlcl's R":f,lJlatot)' websllc. i I I
Nature of Activity (Description oftha ptQje<:t.lnd~ all feablres): To Install a 140 foot long by 60 Inch diameter culvert In Crystal Springs Creek to allow sIte access for the development
of a new LaFarge Corporation gravel pIt east of County Road 103. Project Purpose (Oescription of the reoson or purpose of 1M project): The exISting LaFarge Corporation gravel pIt just
west of the Project Area has reached the end of Its operational life. LaFarge has come to an agreement wIth the owners of CerIse Ranch to allow the development ota new gravel pit operatIon.
Due to steep grades, access to the property Is not practical along Highway 82. There are home sItes located along the northern edge of the Project Area that would be Impacted by gravel
pIt truck traffic. There are no roads along the eastern boundary of the Project Area. The proposed culvert Installation along Crystal Springs Road (County Road 103) would provIde site
access while avoIding varIous constraints on the northern and southern ends of the Project Area. Bo){ 6 Reason(s) for discharge Into Waters oUhe United States (Do,crlpUon of Why dredged
and/or nil matertal need, to he placed I. Waters of the UnKed Stales): To Install a 140 foot by 60 Inch culvert In Crystal SprIngs Creek In order to construct an entrance drive Into
the oro Dosed LaFarae Qravel pit. Proposed discharge of dredge and/or fill material. Indicate tol:<il surface area In acres and lineal' fellt (where appropriate) of the proposed Impacts
ro Waters of the UnJted States, Indicate water body type (tidal wetland, non-tlda.1 Wetland, riparian wetland, ephemeral sttellm/nver, Interml~nt stream/river, perennial stream/river,
pond/lake, vegetated shallo~, bay/harbor, lagoon, O(:ean, etc.), and Identify the Impact(s) as permanent and/or temporary for each """'DC''''' Nationwide Permit': 'Entor ttoolnmnded
penn~. . .s~.~.N.uorwl<l. Permt rogllatlons I'or'pe'Inlt numbels and Water Body Type I~Wl'l 14 ~ I NII'I' i , I' I Arc.:J, Length I Atea i..engtl, 1M. I LengUl I Arell I Length Are.
I ~ng1h Area T.englh 1~1~1'~ (.xci; 1,['(1"_2' •. i'i" '(i. Iii ?:r':' 'i·'·'iSl;:·i,t . Page 3 of 10 Revised ~3rc.b 21. 2012. ft)rilio must recent verSion of\lIis rom), \'Isli your
Corps DistJlcl'.s Regulatory websile.
Total volume (in cUbic yards) and type(s) of material proposed to be dredged from or discharged Into Waters of the United States: Material TYDe Total Volume Dredged Total Volume Discharged
Rock Slope Protect/on (RSP) Clean spawning gravel River rock Soil/Dlrt/Sllt/Sand/Mud 6,524 Concrete Structure Stumps/Root wads Other: Total: Activity requires a written waiver to exceed
specified limits of the Nationwide Permit? U Yes ~ No If yes, provide Nationwide Permit number and name, limit to be exceeded, and rationale for each requested waiver: ActiVity will
result in the loss of greater than V2-acre of Waters of the United States? LJ Yes ~. No If yes, provide an electronic copy (compact disc) or multiple hard copies (7) of the complete
pcN for appropriate Federal and State Pre-discharge Notification (Se. G""",al Condition #31, P"'·cOi1structlon Notllica~an, AgentY CoOrdlnalk,", SectIon 2 /Uld 4): Describe direct and
Indirect efl'ectS caused by the activity and how the activity has been designed (or modlfled) to have minimal adverse effects on the aqualic environment (5<1<) Genel~' C\l(jd~k," #31,
Precon.<1ttJdlon NoURcaUon, DI<lrkt Engineer's De.;l<lan, Sedion I): Installment of the culvert: will result In the ~Irect loss of approximately 155 feet of natural stream channel. Due
to site constraints and steep topography, It Is not possible to avoid Impacts to Crystal Springs Creek. The length of the culvert has been desIgned to insUre safe site access for the
anticipated truck traffic Into and out of the gravel pit, but minimize impacts to the stream. In addition to the proposed culvert, orIginal designs called for a widenIng of County Road
103 at the Intersection with Highway 82, which would have likely Impacted the stream and/or wetland to the east; however, In an effort to minimize impacts, that proposal was eliminated.
LaFarge has an Erosion and sedimentation Control Plan that will minimize any potential Il110acts to Crvstal SorlnQ Creek durina and after construction. Potential cumulative Impacts of
proposed actlvity(hny)! None Required draw~ and flgu res ts •• eaq, u.s. Amly corps of En~lnee .. DlstJlct's Minimum Stand~"'s Guldonce): Vicinity map: . Attached (or mall cupy !e""ratelv
If applying electronically) To"scale Plan view drawlng(s): [gj Attached (ormall<opys.pa,.telytr,pplylngel~IcaIlY) To-scale elevation and/or Cross Section drawlng(5)~ (gJ Attached (';'mall
copy sep,rotely if .pplvln9~.C~,,"1"'Hv) Numbered and dated pre"proj~ color photographs: lEI Attached Cotman «>pv ,."",.tIlly If applvlnQ ,""'ironically) Sketch drawino(s) or map(s):
·Attach~d (or mall copyseu.",tely lfllllPlying electronically) Page 4 of 10
Has a wetlands/waters of the U.S. delineation been CCrated? [gl Yes, Attached' (or m.~ <Xl»ysep.",tely If applying electronically) No If a delineatIon has been completed, has It been
verified in writing by the Corps? Dyes, Oate ofprelllninarylll' approv4d)urlsd(ctIonal determlnaUon (mmldiJlWvv)! Corps Hie numbe~ [gJ No 'Jf .""liabie. Dt'Qvlde ESIU shaoenlas '(NA0831
for delineated waters For proposed discharges of dredged material resulting from navigation dredging Into Inland or nearshore waters of the U.S. (Including beach nourishment), please
attach3 a proposed sampling and Analysis Plan (SAP) prepared according to tnl.and Testing Manual (lTM) guidelines (Including TItlr [ Informatlon, If available), Dr If dIsposed offshore,
a proposed SAP pre~ared according to the Ocean Disposal Manual. '01 maU copy separa\ely If applying el<ctroniCiilIy Is any portion of the work already complete? U YES Rs] NO If yes describe
the work: Bo)( 7 Authority: Is Section 10 of thtl Rivers and Harbors Act applicable?: 0 YES ~ NO Is Section 404 of the Cleatl Water Act applicable?: 181 YES 0 NO rs the project located
on U.. 5. Army Corps of Engineers pro~rty or easement?: 0 YES ~ NO If yes, has Section 408 process been Initiated?: 0 YES U NO Would the project affect a U.s. Army Corps of Engineers
structure?: 0 YES 18I NO If yes, has 5ectlon 408 process been Initiated?: 0 YES 0 NO Is the project located on other Federal L~ds (USF~ BLM, etc.)?: 0 YES [gj NO Is the prolect located
on Tribal lands?: LJ YES l2IJ NO Box 8 [s the discharge offill Or dredged materi~or which Sectfo1110/404 authorization is sought oart of a largetjllan of develooment?: 181 YES NO If
discharge of fill Dr dredged material Is part of development, name and proposed schedule for that larger development (start-up, duration, and completion dates): The culvert Installation
is part of LaFarge Corporation developing a gravel pit on the Cerise Ranch Property. As previously discussed, There Is no alternative to the proposed access drive due to potential conflicts
With resIdential development, potential hazardous drivIng conditions along CO Highway 82, and steep grades along CO HighWay 82. The proposd start-up date for the project is June, 2013.
location of larger development (if discharge of fill or dredged material Is part of a plan of development, a map of suitable quality and detail of the entire project site should be Included):
Please reference the attached Erosion and Sedlmenwtlon Control Plan which Illustrates the proposed details of the gravel pit. , PageS of It)
Box 9 Measures taken to avoid Bnd minimize Impacts to waters of the United States: It Is not practical to avoid all impacts to Crystal Springs Creek and achieve the project need of constructing
an aCcess drive onto Cerise Ran~h. The length of the culvert has been designed to Insure safe access for the anticipated truck traffic Into and out of the gravel pit. Yet, the culvert
is as short as possible to minimize Impacts to the creek. An additional plan to widen County Road 103 at the Highway 82 has been eliminated because of the potential Impacts to the stream
anil/or wetland to the east. La Farge has an Erosion and Sedimentation Countrol plan (attached) that will minimize any potential slit/sedimentation Impacts to Crystal Springs Creek downstream
ofthe Project Area during and after constrUction. Box 10 Proposed Compensatory Mitigation related to fili/excaVilUon and dredge activities. Indk:ate In acres and linear feet (where appropriate)
the total quantity of Waters of the United States proposed to be created, restored, enhanced and/or preserved (or purposes of prOViding compensatory mitigatiOn. Indicate water body tYpe
(ticI,,1 w",tl~r\d, noo-tldal wetland, rtpart~n wetl~nd, ephemeral stream/rivet, .lntetl)1lttent stre<Im/flver, perennial stream/riVer, pond/lake, vegetated l;hallows, ~y/harbor, lagoon,
ocean, el'C.) or non-JUrisdIctional (uplands'), Indicate mltlgatlon type (perml\tee-responslble on-slte/off'site, mitigation bank, or In-lieu fee program). If the I)1I"gatlon Is purchase
of credits From a mitigation bank, Indicate the bank to be used, If knOWn! • FOr upland$, pI.1ISe Indicate If ~ned as an Uj:>!and !)urfer. Site WotorBody Created Restored Euhanced Preserved
Mitigation Number Type ru.. Length An:4 1..e1.gth Area Lenl!lh Ate. I~"gth Type NA NA NA NA NA NA NA NA NA NA NA Total: If no mitigation Is proposed, proVIde detailed explanation of
whY no mitigation would be necessary; The proposed culvert Instailatlon will Impact approximately 155 linear feet Qf Crystal Springs Creek. No jurisdictional wetiands occur above the
OHWM of the creek. If permlttee--responslble mitigation Is proposed, provide Justlflcatlon for not utilizing a Corpsapproved mitigation bank or In·lieu fee program: Because Impacts to
Crys~1 Springs Creek occur below ordInary high water no wetland mlt/gatfon Is proposed. Therefore no mltigat/on bank credits or In-lieu fee mltlgi1t1ons programs Will be necessary. Has
a draft/conceptual mitigation plan been prepared In accordance with the April 10, 2008, Final Mitigation Rule2 and District Guidelines? )http://www.usace.al1l1y.mIVMlSslons/CIvIlWorkS/RegulatoryProgr
amandPermlls/mIUg~lnfo.aspx 'Sacramento and San Frands<:o DlsIrlol$-http,l/www.spk.usace.ilrmy.mll/organlzatlons/cespl(-oo/regulatory/pdF/Mltfgat1on_Morilt9rin9..Guideltn<j~.pdf 'Los
Angeles Dlstrltt-"ttp;/lwww .• pl.usace.army.mtl/regulatory/nim9..2004_p~f 'Albuquerque Dlstrl':t-ht.1p:llwww •• pa.usace,almY.mIVreg/ml~gatloolSPA%20Flnal%2OMltfgatlon%20Guk:leline,,-OLD.pdf
o Yes, Attached (or mall copy .epara~IY If BppfYing ele<;trQnlcallv) I2SI Nq If no a mltlaatlon Dian must be prepared and submitted If applicable. Page 6 of 10 Revised MiUCb 21. 2011.
i:or1h~ mO,t ft'Ce111 ".,rliinn n(tbil\ form, vhdl }'uur CIl'l1~ Dlslflill'S Ite~ll.l,lIuty \\'eb~ite. i I
MItigation slte(s) Latitude & Longitude (D/M/S, DO, USGS Quadrangle map name(s): or UTM With looeJ:NA NA Assessor Parcel Number(s): Section(s), Townshlp(s), Range(s): NA NA Other location
descriptions, If known: NA DIrections to the mitigation location(s): NA BOl( 11 Threatened or Endangered Species Please 'Istanv federallv-lIsted (Ilr propllsed) threatened or endangered
species or critical habItat {or proposed critical habitat} within the project area (Include scl~ntlflc names (e.g., GenUS species), If known): a. NONE c. No No No Box 12 HistOric properties
and cultural resources: Are any cultural resources of any type known to exist on-site? 0 Yes [gJ No Please list any known historic properties listed, or eligible for listing, on the
National Regillter of Historic Places: a,NONE c.
Page 8 of 10 Rtwiscd Marcll21, 2012. For the nlt'tsL !eceall version (If this fonn, vidt your Corps Dlstrictls Regulatory wtbshe.
BoX 13 section 401 Water Quality Certification: Applying for certification? IZI Yes, Attached (or mall copy separately If applying electronically) 0 No Certification issued? 0 Yes, Attached
(or mall copy separately If applying electronically) 0 No Certification waived? 0 Yes, Attached (Dr mall copy sePilrately if applving electronically) 0 No Certification denied? 0 Yes,
Attached (Dr mall copy sePilrately If applying electronically) 0 No Exempted activity? 0 Yes 0 No Agency concurrence? 0 Yes, Attached 0 No If exempt, state why: Under the Colorado 401
Certification Regulation, all Nationwide permits are certified by statute and do not requite a certification by the WQCD. Applicants for Nationwide Permits do not.need l'O submit any
Information to the WOCD. Box 14 Coastal Zone Management Act: Is the project located within the Coastal Zone? 0 Yes [8J No If yes, applying for a coastal commission-approved Coastal Development
Permit? o Yes, Attached (or mall C<lPy separately If applying electronically) 0 No If no, applying for separate CZMA-conslstency <;ertlflcatlon? o Yes, Attached (or mall copy separately
If applying electronkally) 0 No Permit/ConSistency Issued? 0 Yes, Attached (or mall copy separately IFapplying.electronlcally) 0 No Exempt? 0 Yes 0 No Agency concurrence? 0 Yes, Attached
0 No If exemot. state whv: BOl( 15 List of other certifications or approvals/denials received from other federal, state, or local agencies for Work described In this application: Agency
Type of Approval' Identlflcation Date Date Date Number Aoolled ADO roved Denied NA NA NA NA NA NA • Would Includa but Is not restricted tp loolM. bulldiiili and ood In ermlts Page 9
of 10
Nationwide Permit General Conditions (Ge) checklist: (http:Uwww.goo.govlfdsvslpkgIFR-2012-Q2-211pdfl20!2-3687.Ddf) Check General Condition Rationale for compliance with General Condition
~ 1. Navlaation Crystal Springs Creek is not a naVigable waterway. ~ 2. Aquatic Ufe Movements Culvert Installation will follow best construction practices that will allow the movement
of aquatic organisms after construction. 3. Spawning Areas The area of construction Is not an ideal spawnlna area. 4. Migratory Bird Breedlna Areas The area of construction contains
no breeding habitat.. 5. Shellfish Beds No shelfish beds are known to occur In the Project Area. 6. Suitable Material Clean fill will be utilized to construct the access drive. 7. Water
Supply Intakes No water supplv Intakes occur alona Crystal Sprlnas Creek 8. Adverse Effects from Imcoundments The culvert has been sized to handle 100 year storm event. 9. Management
of Water Flows Tetra-Tech has engineered the culvert to maintain normal and hlah flows. Il$l 10. Rlls Within lOO-Year Floodplains Oystal Springs Creek does not have a mapped FEMA f!oodolain
It9 11. EQuipment Construction eaUioment will not be placed In wetlands. Il:':I 12. Soil Erosion and Sediment Controls Erosion and Sediment Control plan Is attached to the aDPlicatlon.
Il:':I 13. Removal of Temporary Fills NA. No temporary fills are planned as part of the proposed jg action. 14. Proper Maintenance laFarge will Insure that the culvert remains clear
of debris In order to maintain flows. Il:':I 15. Single and Complete Project No other Impacts to jurisdictional wetlands or waters are anticipated. 16. Wild and Scenic Rivers Crvstal
Springs Creek Is not a Wild and Scenic River 17. Tribal Rights NA 18. Endanaered Species See Box 11 above. 19. Migratory Bird and Bald and Golden Eagle NA Permits IlSI 20. Historic Properties
See Box 12 above. ~ 21. Discovery of Previously Unknown Remains Contractor will notify the District Engineer Is any cultural and Artifacts resource remains or artifacts are discovered
during construction. ~ 22. Designated Critical Resource Waters Crystal Springs Creek and the assolcated reach of the Roaring Fork are not listed as Critical Resource Waters 23. Mltloatlon
See Box 10 above. 24. Safety of Imooundment Structures NA 25. Water Quality See Box 13 above. 26. Coastal Zone Manaaement See Box 14 above. 27. Reaional and Case-by-Case Conditions Proiect
complies with CO Realonal Conditions 28. Use of Multiple Nationwide Permits NA 29. Transfer of NationWide Permit Verifications NA 30. Compliance Certification laFarge will sign and return
the certification documentatIon at the completion of construction. f<g 31. Pre-Construction Notification The peN form Will be attached to the NWP application. Page 1Oofl0 Revised March
?-1, 2012.-PM the mOM tecerH vct~lnn ofthls f(lm" visit your Corps District'S RcgulaloJ}1 website.
U.S. ARMY CORPS OF ENGINEERS APPLICATION FOR DEPARTMENT OF THE ARMY PERMIT 3:3 CFR 325. The proponent agency IS CECW~CO·R. OMB APPROVAL NO. 0710·0003 EXPIRES: 28 FEBRUARY 2013 Public
reporMg for this collection of informatJon is estlmaled to average 11 hours per response. including the IIrr.e for re\liewing instruClrons. searching eXistmg dala sources, gathering
and mamlaining tile data r.eeded, and completing and revle'vVing the collectton of mformallon. Send comments regarding this burden estimate or any other aspect of (he colfeclJOn of in/ormation.
rnQluding suggeSlfons for reducmg thIS burden. 10 Depar1menl of Delense. Washington Headquarters, Executive Services and Communications DIrectorate. Information Map.agement DiviSIon
and \0 the Office of Management and Budgel, Paperwork Reduction Project (0710·0003). Respondents should be aware thaI r.otwithslanding any other provision of law. no pefson shall be
subjecllo any penalty for falling to comply Wllh a collectIOn of InformaUon if II does nol display a currently valid OM8 control nlJmber. Please DO NOT RETURN your lorm to either of
those addresses. Completed applications must be submJlfed 10 the Dlstncl Engineer havmg jurisdiction over the location of the proposed aclfvlty. PRIVACY ACT STATEMENT ~horilies: Rivers
and Harbors Act. Section 10. 33 USC 403; Clean Water ACI. Sect:on 404. 33 USC 1344: MClfJr.e Protection, Research. and Sanctuaries Act. Seclion 103. 33 USC 1413: Regllialory Programs
of the Corps of Engil'laers: Final Rlo'le 33 CFR 320-332. Pnnclpal Purpose: Information provided on this form WIll be used In evalualing the appllcalfon for a perm.\. Rouhne Uses: This
InformatIon may be shared with the Department of Jushce and othef federal. stale, and locat government agencies, (lnd the pubtlc Clnd may be m6.de avaiJElble as part of a pUblic nollce
as required by Federal law. SubmISSIon of requested information IS voluntary. however. if 'nlormation IS not provided the pennlt application cannot be evalualed nor can a permit be Issued.
One set of original drawings Of good reproducible copies whIch show the 10eaMn and character of the proposed aetiVlty must be attached 10 this application (see sample draWings andlor
instructIOns) and be subm.lled to the District Engineer havmg JUflsdlclion over Ihe tocaUon of the proposed aCUVIty. An application thalls nol completed In full Will be returned. (ITEMS
1 THRU 4 TO BE FILLED BY THE CORPS) 1. APPLICATION NO. 2. FIELD OFFICE CODE 3. DATE RECEIVED 4. DATE APPLICATION COMPLETE (ITEMS BELOWTO BE FILLED 8YAPPLICANTJ 5. APPLICANT'S NAME 8.
AUTHORIZED AGENTS NM~E AND TITLE (agenlls not required) FIrst -Dill Mldd~e -Company· LaFarge t\ & (' Western CS E-mail Address -Bill. 6. APPLICANT'S ADDRESS: Address-P.O. Box 368 Lasl-Arrasmith
First-Seon Middle -Thomas Company-Kleinfc1der Wt.!st. Inc. E·mall Address· sOur 9. AGENT'S ADDRESS: Address-300 Easl \-linemi Avl.:, Suite 7 City· Glenwood Spring Slate -CQ ZiP -86102
Country -USA C,ty -I.ittlcton Slale· CO 7. APPLICANT'S PHONE NOs. w/AREA CODE 8. ReSidence 970-379·6741 b. Busmess 30)-657-4342 C FaJ( ~15-4SJ-2J72 10. AGENTS PHONE NOs. w/AREA CODE
a. Residence b. Busrness 858-2lJ-IJ74 (ccll) JOJ-781-~211 STATEMENT OF AUTHORIZATION Last -Florill Z'p-80122 COunlry-CSA c. Fax JOJ-7HI-1167 11. I hereby aulhonze. Soo" Florin wI Kleinfelder
to act In my beh,tas· my ager.r·jn~lhe processing 01 this applicalfOn and 10 furnish, upon request. supplementallnformallon iA support Of 1/115 permil appIiCf.l1ion. , \ • ___ ) (, \'"
." __ _ 1 '7's;ThN~ TlJR~ dF jppuc,,;,;· ;;.< "' ?, D{lfEJ.1fd t 0, NAME, LOCATION, AND DESCRIPnON OF PROJECT OR ACTIVITY 12. PROJECT NAME OR TITLE (see InslTuCllons) LHFarge (crise
~·\ine Culvert Crossing 13. NAME OF WATERBODY.IF KNOWN Ilf appliCable) 14. PROJECT STREET ADDRESS (11 applICable) Crystal Springs Creek Address County Road 103 ~1-5-.-LO-C-A~T~'O-N-O~F~PR~O~J=E=C~T--
----------------------~ LahlUde: 'N ]1) l1<::grecs 24' 57" Longitude: 'W 107 degrees II' <l" City. Caroondnlc Slale· CO 16, OTHER LOCATION DESCRIPTIONS, tF K.t~OWN (see InstruClions)
Stale Tax Parcel ID 2J9325300158 MuniCipality Uarfidd COllnt)' Seclion -rnrt of 26 & 25 Townsh!p· Range. RS8W ENG FORM 4345, OCT 2012 PREVIOUS EDITIONS ARE OBSOLETE. Zip· 81623 Page
1013
17. DIRECTIONS TO THE SITE From Glenwood Springs, follow CO Highway 82 towards Aspen for approximately 12 miles. Pass the existing LaFarge pit on your left. Crystal Springs Road (County
Road 103) will be the next left after the Laforge pit. Follow Crystal Springs lane ror approximately 113 ofa mile to the proposed culvert crossing, which will be on your right. 18. Nature
of ActIvity (Description of project. Include all features) To install a 140 foot long by 60 inch diameter culvert, inlet and outlet structures, and liprap in Crystal Springs Creek to
allow construction of an access drive for tbe development of a new LaFarge gravel pit east of County Road 103. The original project design proposed the widening of County Road 103 at
the intersection with Highway 82, which had the likelihood of impacting the adjacent stream/wetland; however, in an effort to limit their impact. LaFarge has redesigned the Project Area
to avoid any streamlwetland impacts adjacent to the County Road 103 and Highway 82 intersection. 19. Project Purpose (Describe the reason or purpose of the project, see Instructions)
The existing LaFarge Corporation gravel pitju't west of the Project Area has reached the end of its operational life. Laforge Corporation has come to an agreement with the owners afthe
Cerise Ranch to allow the development of a new gravel pit operation. Due to steep grades, access to the property is not practical along Highway 82. There are home sites Incated along
the northern edge of the Project Area that would be impacted by truck traffico There are no roads along the eastern boundary of the Project Area. The proposed culvert installation along
Crystal Springs Road (County Road 103) would provide site access while avoiding various constraints on the northern and southern ends of the Project Area. USE BLOCKS 20-23 IF DREDGED
AND/OR FILL MATERIAL IS TO BE DISCHARGED 20. Reason{s) for DISCharge To install a 140 foot by 60 inch culvert, inlet and outlet structures, and riprap would b. placed in Clystal Springs
Creek in order to construct a drivable entrance Into the proposed LaFarge gravel pit operation. 21. Type(s) of Material Being Discharged and the Amounl of Each Type In CUbIC Yards: Type
Type Type Amount In Cubic Yards Amount In Cubic Yards Amounlln Cubic Yards 6,524 cubic yards of structural fill excavated from site. Fill will contain soil and rock up to .811 in diameter
I 22. Surface Area In Acres of Wellands or Other Waters Fnled (see Instructions) Acres or Linear Feel 155 linear feet of stream impact 23. Description of Avoidance. Minimization, and
Compensallon (see Instructions) LaFarge has agreed to completely avoid suoeam/wetland impacts at the Highway 82 and County Road 103 intersection by not widening or redirecting County
Road 103.Due to site constraints"and steep topography, it is not possible to avoid an impacts to Crystal Springs Creek. The length of the culvert has been designed to insure safe site
access for the anticipated truck traffic into and out of the gravel pit. LaFarge has an Erosion and Sedimentation Control Plan (attached) that will minimize any potential impacts to
Crystal Spring Creek during and after construction. ENG FORM 4346, OCT 2012 Paga2of3
24. Is Any Ponion of the Work Already Complete? DYes /!:;No IF YES. DESCRIBE THE COMPLETED WORK 25. Addresses of Adjofning Property O. ..m ers. Lessees-. Etc .. V</hose Prcperty AdjoinS
the Walerbody ~ r IT¢'I) 1/\,101 {.y,t'~'''~'L'l~ ~. .Y Q ~1(i. 1. i'-' ii·.[u~ a Mo;.ro:tT,~f):II' "~II a. Addr6ss-Sec ,'\Uilched Jlst of adjoining prop~ny owner=-. Clty-Slate -ZiP
-b. Address-Clly-51a16-Zip -C. Address-Cily -Slale -ZiP -d. ACldress-Cdy-Stale -ZiP -e. Addre.s.s-City. Stale -ZiP -26. Ust of Olher Certificates or ApprovalS/Dentals received from other
Federal. Stale. or Local AgenCIes for WOlk Descnbed in This Application. AGENCY TYPE APPROVAL' IDENTIFICATION NUMBER DATE APPLIED DATE APPROVED DATE DENIED \ill ~t\ ;\:/\ ?>;.,\ ?>;A
:\A • Would mclude but IS nol restricled to zcnmg. bUl:ding, and flood plain permits 27. Application is hereby made for ponnil or permits 10 authOnze Ihe work descnbed In this application
I certIfy that this information in thiS application IS complete-and accurate, I fUI}!le~ cet1if~t~1 possess !He authOrity to unoertake the work described herE:!ln or am acling as the
duty authoJized agent of the applicanl. ,( /~ , '~;~S(:)',> ;"e~~' '-'<-h~ kL013 . ~ 2/19/2013 SIGNATURE OF APPLICANT DAT SIGNATURE OF AGENT DATE The Application must be signed by the
person who deSIres to undertake the proposed ac1lvity (applicant) or It may be Signed by a duly authorrzed agent if the statement in block 11 has been filled out and Signed. 18 U,S.C.
Sectlon 1001 provides that: Whoever. In any manner Within the Junsdiction of any department or agency of the United Slates knowingly and WIllfully falSIfies, conceals. or covers up a.ny
trick. scheme. or disguises a malerial fact or makes any false. fictitious or fraudulent statements Of representations or makes or uses any false wnling ordocumenl knOWing same to contain
any false, fictitious or fraudulent statements or entry, shall be fined not more than $10,000 or imprisoned not more than five years or both. ENG FORM 4345, OCT 2012 Page30f3
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