20040369 Ver 1_Complete File_20040310

J
State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
Michael F. Easley, Governor
William G. Ross, Jr., Secretary
Gregory J. Thorpe, Ph.D., Acting Director
,;;)30y03(11g
DWQ Project No.: 000307q(0
1••
NC ENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
County: l
Applicant:
Project Name: H '111 or) .)K IN I _?>
Date of Issuance of 401 Water Quality Certification:
O
`l/ 1017_©t3
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 this certificate to the
401/Wetlands Unit, North Carolina Division of Water Quality, 1621 Mail Service Center, Raleigh, NC,
27699-1621. This form may be returned to DWQ by the applicant, the applicant's authorized agent, or the
project engineer. It is not necessary to send certificates from all of these.
Apcant's Certifi ation
I, hard ?rCLr?i -1_ hereby. state that,,to the best of my abilities, due care and .,
diligence was used in the observation of the construction such that the construction was observed to. bebuilt
vi{ithinsubstantial compliance: and ;intent of the 401 Water Quality Certification and Buffer Rules,: the t;.
approved .plans and specifications; and;other supporting materials.
Signature: Date: 9'.es
Agent's Certification
I, , hereby state that, to the best of my abilities, due care and
diligence was used in the observation of the construction such that the construction was observed to be built
within substantial compliance and intent of the 401 Water Quality Certification and Buffer Rules, the
approved plans and specifications, and other supporting materials.
Signature: Date:
Engineer's Certification
Partial Final
I, . , as a duly registered Professional Engineer in the State
of North Carolina, having been authorized to observe (periodically, weekly, full time) the construction of
the project,for the Permittee hereby state that, to the best of my abilities, due care and diligence was used in
the observation of the construction such that the construction was observed to be built within substantial
compliance and intent of the 401 Water Quality Certification and Buffer Rules, the approved plans and
specifications, and other supporting materials.
Signature
Date
Registration No.
Wetlands/401 Unit 1650 Mail Service Center Raleigh, North Carolina 27699-1621
Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/10% post consumer paper
DEPARTMENT OF THE ARMY
WILMINGTON DISTRICT, CORPS OF ENGINEERS
P.O. BOX 1890
WILMINGTON. NORTH CAROLINA 28402-1890
REPLY TO
ATTENTION OF:
Regulatory Division
Action ID No. 200310693
May 25, 2004
Ms. Martha Catlin
Advisory Council on Historic Preservation
1100 Pennsylvania Avenue Northwest
Suite 809
Washington, DC 20004
Dear Ms. Catlin:
D C103,61
WE .A r,',5 / 401 GRQUp
"AY 2 7 2004
'VVA TER
SECTION
This letter is in reference to a Nationwide Permit application of June 3, 2003, for
Department of the Army (DA) authorization to discharge fill material within waters of the United
States, causing adverse impacts to Bridge #449, in Johnston County, North Carolina. Bridge
#449 is eligible for listing in the National Register of Historic Places. The purpose of this letter
is to afford the Council an opportunity to comment on the adverse effect of Undertaking on
Bridge #449, and to file the Memorandum of Agreement.
Any questions regarding this correspondence may be directed to Mr. Michael Bell,
NCDOT Coordinator/Regulatory Project Manager at the Washington Regulatory Field Office,
telephone [phone], extension 26.
Sincerely,
E. David Franklin
Chief, NCDOT Team
Enclosure
Copies Fumished(without enclosure):
Mr. Anthony Roper. P.E.
Acting, Division Engineer, Division 4
North Carolina Department of Transportation
Post Office Box 3165
Wilson, North Carolina 27895-3165
Ms. Renee Gledhill-Earley Mr. Travis Wilson
4617 Mail Service Center Post Office Box 118
Raleigh, North Carolina 277699-4617 Northside, North Carolina 27564
Dr. Gregory J. Thorpe, Ph.D.
Environmental Management Director,
PDEA
North Carolina Department of
Transportation
1548 Mail Service Center
Raleigh, North Carolina 27699-1548
Mr. John Hennessy
Division of Water Qua ity
North Carolina Department of Environment
and Natural Resources
Wetlands Section
1650 Mail Service Center
Raleigh, North Carolina 27699-1621
Mr. Doug Huggett
Division of Coastal Management
1638 Mail Service Center
Raleigh, North Carolina 27699-1638
National Marine Fisheries Service
Pivers Island
Beaufort, North Carolina 28516
Mr. Ronald Mikulak, Chief
Wetlands Protection Section - Region IV
Water Management Division
U.S. Environmental Protection Agency
61 Forsyth Street
Atlanta, Georgia 30303
Mr. Gary Jordan
U.S. Fish and Wildlife Service
Fish and Wildlife Enhancement
Post Office Box 33726
Raleigh North Carolina 27636-3726
2
G Vyt{ L? - ronciiaei F. F-aaiCy, uuvCnwr
O RQG William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
f Alan W. Klimek, P.E. Director
> Division of Water Quality
.? Coleen H. Sullins, Deputy Director
Division of Water Quality
March 18, 2004
Johnston County
DWQ Project No. 040369
NC Moving Ahead Project MA04079 Bridge No. 449 on SR 1173
APPROVAL of NEUSE RIVER BUFFER RULES AUTHORIZATION CERTIFICATE with
ADDITIONAL CONDITIONS
Mr. Anthony Roper, P.E., Acting Division Engineer
NCDOT Division 4
P.O. Box 3165
Wilson, NC 27895-3165
Dear Mr. Roper:
You have our approval, in accordance with the attached conditions, to impact 2400 square feet of protected
riparian buffers in Zone 1 and 800 square feet of protected riparian buffers in Zone 2 for the purpose of
replacing Bridge No. 449 over Driving Branch on SR 1173 in Johnston County. The project shall be
constructed according to your application dated March 3, 2004 and any conditions listed below. This
approval shall act as your Authorization Certificate as required within the Neuse River Area Protection
Rules (15A NCAC 2B .0233). In addition, you should get any other required federal, state or local permits
before you go ahead with your project including (but not limited to) Sediment and Erosion Control.
This approval is only valid 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 authorization and approval letter and is thereby responsible
for complying with all conditions. For this approval to be valid, you must follow the conditions listed
below.
1. The outside buffer, wetland or water boundary as well as along the construction corridor within
these boundaries approved under this Certification shall be clearly marked by orange fabric
fencing for the areas that have been approved to infringe within the buffer; wetland or water prior
to any land disturbing activities to ensure compliance with 15A NCAC 2B .0250.
2. This Certification does not authorize the discharge of waste rock and dirt into the stream or
riparian zone except for permitted areas associated with culvert conditions.
3. All storm water runoff shall be directed to sheet flow through stream buffers at non-erosive
velocities, unless approved otherwise by this certification.
4. During the construction of the project, no staging of equipment of any kind is permitted in waters of
the U.S., or protected riparian buffers.
5. No changes to the horizontal or vertical placement of the stormwater outfall locations, the horizontal
or vertical placement of the culverts, the horizontal or vertical placement of bridges, the horizontal
or vertical placement of grassed swales, or the horizontal or vertical placement of open ditches is
permitted without written approval from the NC Division of Water Quality 401 Wetlands Unit. In
addition, no changes to the flow spreader locations or designs, preformed scour hole locations or
designs are permitted without written approval from the NC Division of Water Quality 401
Wetlands Unit. Any request for changes to the referenced items above will require submittal of a
modification request, with seven copies, and corresponding fees will need to be submitted to the
North Carolina Division of Water Quality.
N. C. Division of Water Quality 1650 Mail Service Center Raleigh, NC 27699-1650 [phone]
Customer Service: 1 800 623-7748

c4
pG
J
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
Coleen H. Sullins, Deputy Director
Division of Water Quality
6. All mechanized equipment operated near surface waters must be regularly inspected and maintained
to prevent contamination of stream waters from fuels, lubricants, hydraulic fluids, or other toxic
materials.
7. Pursuant to NCAC15A 2B.0233(6), sediment and erosion control devices shall not be placed in
Zone 1 of any Neuse Buffer without prior approval by the NCDWQ. At this time, the NCDWQ has
not approved the use of sediment and erosion control devices in Zone 1 anywhere on this project.
Sediment and erosion control devices shall be allowed in Zone 2 of the buffers provided that Zone 1
is not compromised and that discharge is released as diffuse flow.
8. Riparian vegetation must be reestablished within the construction limits of the project by the end of
the growing season following completion of construction. All protected riparian buffers impacted
by the placement of temporary fill or clearing activities shall be restored to the preconstruction
contours and revegetated with native woody species upon completion of the project construction.
9. A post-construction as-built drawing with the restoration activities included shall be submitted to
the DWQ no later than 60 days after the project is closed out by the Department of Transportation.
10. Upon completion of the project, the NCDOT and/or its authorized agents shall complete and
return the enclosed "Certificate of Completion" form to the 401/Wetlands Unit of the NC
Division of Water Quality upon completion of the project. Please include photographs upstream
and downstream of each structure to document correct installation.
If you do not accept any of the conditions of this certification, 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 that 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.
This letter completes the review of the Division of Water Quality under the "No Practical Alternatives"
determination required in 15A NCAC 2B .0233(8). If you have any questions, please contact John
Hennessy at 919-733-5694.
.Klimek, P. .
cc: US Army Corps of Engineers Washington Field Office
DWQ Raleigh Regional Office
File Copy
Central Files
N. C. Division of Water Quality 1650 Mail Service Center Raleigh, NC 27699-1650 [phone]
Customer Service: 1 800 623-7748

A
STATE of NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY LYNDO TIPPETT
GOVERNOR
March 3, 2004
Mr. John Hennessy
Wetlands/401 Unit
NC DENR Division of Water Quality
2321 Crabtree Blvd. Suite 250
Raleigh, NC 27604-2260
(Two Copies)
WET LAN"
MAR 10 2004
?ur??i gas t ? „
Subject: Buffer Authorization for the replacement of Bridge No. 449 over Driving Branch
on SR 1173, Johnston County. Attn Rob: Moving Ahead
Project Number MA04079
Dear John:
In reviewing our file for this project, I determined that we did not have a copy of a buffer
authorization to go along with our 404 permit. As I could not find any evidence that it
had been sent to you I am submitting it now. Only Buffer Rule approval is sought in
writing. You might want to check your files before you process it, on the off chance it
was submitted and went the statutory route. Please find enclosed two copies of the PCN
and 404 Nationwide Permit for the above referenced project. Bridge No. 449 is a very
short (23') and narrow (18') bridge. It will be replaced with a new 60-foot long 28' wide
single span cored slab bridge on the existing alignment. Traffic will use an offsite detour
during construction. There are impacts to buffers but not Waters of the U. S. associated
with this project, as the bridge completely spans the creek and there are no in-stream
bents. The bridge replacement will result in an appropriate hydraulic opening and provide
for increased wildlife passage. Soil disturbing activities are expected on 3,200 square feet
within the buffer (2,400 Zone 1 and 800 Zone 2) of Driving Branch which is located in the
Neuse River Basin and is classified as Class C-NSW ( Index # 27-52-6-1).
Demolition: The bridge will be removed by sawing the deck and lifting it out in sections.
We will excavate behind the end bents and fold them back, then remove them without
dropping any components into the creek. Best Management Practices for the Protection of
Surface Waters and for Bridge Demolition and Removal will be followed.
SECRETARY
[phone] x 2311 jshern(cvdot.state.nc.us
Post Office Box 3165, Wilson, North Carolina 27895-3165

Regulatory Approvals
Section 404 Permit: Mike Bell of the USACE has reviewed of this project and elected to
issue a Nationwide Permit 3 (Maintenance of previously approved structures).
Section 401 Permit: Therefore we anticipate 401 General Certification number 3376 will
apply to this project.
Buffer Rules: As bridges are an allowable use they require written authorization from the
Division of Water Quality. Only Buffer Rule approval is sought in writing.
Please give me a call or email if you have any questions.
Sincerely,
Jamie Shem
Division 4 Environmental Supervisor
U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
n0 ? l ?? /
Action ID. ? . , County. _ ?-?, h./)-
Property Owner/Agent

Description of Activity
.??ection 404 (Clean Water Act, 33 USC 1344) only.
Section 404 and Section 10.
Regional General Permit _rrf ntT'._.ia V,..;t Nnmhar .??
Any violation of the conditions of the Regional General or Nationwide Permit referenced above may subject the
permittee to a stop work order, a restoration order, and/or appropriate legal action.
This Department of the Army Regional General/Nationwide Permit verification does not relieve the undersigned
permittee of the responsibility to obtain any other required Federal, State, or local approvals/permits. The permittee
may need to contact appropriate State and local agencies before beginning work.
By signature below, the permittee certifies an understanding and acceptance of all terms and conditions of this
permit.
Property Owner/Authorized Agent Signature
Regulatory Project Manager Signature
Date /-.? Sao, Expiration Date
SURVEY PLATS, FIELD SKETCH, WETLAND DELINEATION FORM, ETC., MUST BE ATTACHED TO
THE YELLOW (FILE) COPY OF THIS FORM, IF REQUIRED OR AVAILABLE.
CESAW Form 591
Dec 1993
GENERAL PERMIT (REGIONAL AND NATIONWIDE) VERIFICATION
Section 10 (River and Harbor Act of 1899) only.
p 89
ti PTo -
Yoct
? i ! I
' .07
Al
,
256 13
23,2
,' it ?•
z3m
E3
" am ---
93
i _ v
12„
nw
i 1162
Igo 51
1300 i ' 1204 •` ` ,•,232. C2
.71 hq ?• '? - 120.
RN 2
O&A
1-2
>o BENSON
d
Sb
'M xw
19'1 ` • \ 1
I :i3
.. ^ ^ `ran e3a c
I`ITY MAP
NTY )< <?/ys ?c PIPE;I3R?I??
LE 1=
11- 1 n..- . - ..., - c 1 flnr)fyrnnf11l. nn an
nalano
.com
;et a Map Target is 35.38600N, 78.5321°W -
name• search Click here to download a custom typo,
:imaI degrees ;?"`-? :;:. -- .,i.t?oti ?. i?oo .,?_. , ,y_
?? r •? . 'r i? `? :; _'.. _
-gL Lin sec OpOZOIlE.C0A1J
1TM coords t!b2MM also ?:: ? ??? ? ;, •?'?5 ?,
!owntoad
?.._. i
p
)Factory Login `' rfr ?t?;":ur. ?• .r ?? _% '`?'?`?' ?? tfir
it TopoFactoty lnr? ?` >< r t
!ecifications I
)Factory Store
iOw tOma.
topo maps on om11
,ur Web site
r :r, ,• _ ,^- Lt
t digital data AN
Link to us Pr y ,
oJect site r_
rat's New?" e .it .
:he TopoTimes
ess releases
L@-TopgZone T \. ;?--
r +
Awards
Help 27
.. "! <
Map t-
P-S
map symbols
FAQ rl .ti ,? zv--r.'P
support -?'? f ' S , ?? is = ll ?' v !
waa, policy
About us
r f..I
f rf'?!
Jj: * i IS-
Lao
?? ?... . t tom'
:AD INIAP Name:., , , , ' ..,i ' ? •I? ? _ ?, ,. ,, ,.., f,
1 'NTO' ?... nrn?7[2nn?nt u J: J. ?'( .?
ILr
ML SURVEY SHEET #
)L 1 fir" _?,? PIPE/BRIDGE >- /
' ''

I jI

? I!I
I I

I I
I
? ?j 'I
I?
II
I I I
I
I t

i ?I
I I
ll l
I ifjl
I I I
I?I?
1 Il
1?
i' l?l
I I
III i
I
I I

I I
I
! ?
! ?! ?
i
I I

I ?Il?
I I
IIII

I li l
I
I '
I
I I
I
I
I
I I

I
i

! I'
I

! 'j

i•

I ij
j
I I

I
I I
I
1 I

I

'

. I

I

- I
I
I I I

II ?
!
I I I

?

I

l j
I
ili
I
i
I? ?
I
i
ll

I

I
l
I
II
! I
I'

i I
I
i
I
I L
??
!
I
!I

I

I
I
I I Ii I
?i I
III II
?I ?+ I
I.ll
;?
I 1 i
I. 1
II ! I
'II I
I,? I
? ..
?!Iy?/?I
; ??
?
. I i
I

//I'I?
i I
!
? I
I

f

I
I

_ ?
I

I
_
I
I

. I
I
!

I

I

I I
I

I I
I

l

I
I

I
Il j
I

I I

I

l;
i i

II
it

I
I
I
I
I
i I

I
I
I 1
I

I?
I

. ,

??
?
II

I

I
I
!I

I
I
I

I
I?I

i I

I

?

i

I'
I

1?

I

_

I j

I
I
I
I I I
I I , . .. . .; ? I
I I
I
'I II

? ° I
? iil ili I?
I , ?? lil? II
I I
I ? !
I I I
it
I' III
?
I I
i I ? I?

,el
? I
I '

I
I
1
i

I ? 1 ? I
I
I
I I ° 1 I
I I I I
t
i ! ? I ? - --
I i
e
i I ?

- --------- -----
1 '

I I
I I
I '
I
?
1
4
I
! ? I ?I I

Ir
I

I I I II ; '?
' i? ? I
I i
I
?? ? it II
I
- i II ? I ?I,
I I I 1;
? I
I i I I ?
I
I it I I i

,II
I
I I
? II ? ?ilrillli?I I
I ?
!
t !
?II
I ?
I I
I I

I
I , i II I , I , ,,;, ,
I i
, I
I I
I

I I I I I i(
I I I I ? I l i
I ` I ? / I I-- I I i I I I i l?
? ? I
I I l i I I

I , I I I

I
II ?I I'
I I I I I I
II
41--- I i i
Ii?l . i1
III
I
ill HI M II II I I ? i l
I Ii IRT III IIII!IIIIIII' I
I I I
llllllll IlllI illi i t I?il?? im1?
Office Use Only: Form Version October 2001
USACE Action ID No. DWQ No.
If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A" rather than
leaving the space blank.
1. Processing
1. Check all of the approval(s) requested for this project:
N Section 404 Permit
? Section 10 Permit
® 401 Water Quality Certification
® Riparian or Watershed Buffer Rules
2. Nationwide, Regional or General Permit Number(s) Requested:_NWP 3, NWP 14 or GP 31.
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: N
4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for
mitigation of impacts (see section VIII - Mitigation), check here: ?
II. Applicant Information
1. Owner/Applicant Information
Name: Mr. Anthony Roper P E Acting Division Engineer
Mailing Address:_ North Carolina Department of Transportation / Division 4
P n Bn.. 11 4c
VA J 1V?
Wilson_ NC 27895-3165
Telephone Number:_ [phone] Fax Number: [phone]
E-mail Address:
2. Agent 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: Mr. James Shern
Company Affiliation: Division Environmental Officer
Mailing Address:North Carolina Department of Transportation/Division 4
P.O. Box 3165
Wilson. NC 27895-3165
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: ifshernna.dot.state.nc.us
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:_BRIDGE REPLACEMENT
2. T.I.P. Project Number or State Project Number (NCDOT Only):_ N/A
3. Property Identification Number (Tax PIN):_ Not Applicable
4. Location
County:-Johnston Nearest Town: _BENSON,NC
Subdivision name (include phase/lot number): Not Applicable
Directions to site (include road numbers, landmarks, etc.):_ 0.2 MILE SOUTH US 301
5. Site coordinates, if available (UTM or Lat/Long 35.3860 deg N 78.5321 deg W
(Note -If nmiect is linenr CI eh AQ a rna,4 nr I- a,." „ .,L....a a2 • ••
I, - -r - - - -- -------f ?•-?-- »r » 1 v».- 01 U-Mi 1111,, aua,u a WIVUL t1lut separately lists
the coordinates for each crossing of a distinct waterbody.)
6. Describe the existing land use or condition of the site at the time of this application:-
Residential
7. Property size (acres): Less than one tenth acre
8. Nearest body of water (stream/river/sound/ocean/lake):-Driving Branch
9. River Basin: Neuse
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at httli::`-Jh2o.enr.state. nCAis_admi1 mays .)
10. Describe the purpose of the proposed work:-BRIDGE REPLACEMENT
11. List the type of equipment to be used to construct the project: Backhoe, excavator, grader.
Page 6 of 12
12. Describe the land use in the vicinity of this project:-Residential
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.
Not Applicable
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:
Not Applicable
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.
1. Wetland Impacts
Wetland Impact Area of Located within Distance to
Station Number Type of Impact* Impact 100-year Floodplain** Nearest Stream Type of Wetland***
indicate on ma acres es/no (linear feet
N/A N/A no N/A 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.
Page 7 of 12
I10-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 t;!!i__- >>
*** List a wetland type that best describes wetland to be impacted (e.g., freshwater/saltwater marsh, forested wetland beaver pond,
Carolina Bay, bog, etc.)
List the total acreage (estimated) of existing wetlands on the property: Less than 1/1 0th acre
Total area of wetland impact proposed:-N/A
2. Stream Impacts, including all intermittent and perennial streams

Stream Impact
Station Number
(indicate on map)

Type of Impact* Length of

(linear Impact
feet)

Stream Name** Average Width
of Stream
Before Impact
(feet)
Perennial or
Intermittent?
(please specify)
10+00 Slope Stabilize 70' Driving Branch 25' Perennial

--•?• ..?.t- -JJMmciy auu wcuuiy Lcmporary Impacts. impacts mciuae, but are not Iimited 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 losstgain):
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
u.ececw. Several internet sites also allow direct download and printing of USGS maps (e.g.,
mahklur;I. ccmi, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: 70'
3. Open Water Impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any
other Water of the U.S.
Open Water Impact

Site Number
indicate on ma

Type of Impact* Area of

Impact
acres Name of Waterbody

(if
( applicable)
Type of Waterbody
(lake, pond, estuary, sound,
bay, ocean, etc.

.-F- .Jjw .7 a,U JULawly «uipurary impacts. impacts mctuae, but are not limited to: 611, excavation, dredging,
flooding, drainage, bulkheads. etc.
4. Pond Creation
If construction of a. pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ? uplands ? stream ? wetlands
Page 8 of 12
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.): Not Applicable
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.): Not Applicable
Size of watershed draining to pond: na Expected pond surface area: na
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.
Work will be performed within the existing road footprint. Bridge Demolition,
Sedimentation and Erosion Control, and Maintenance Best Management Practices will
be followed for the protection of wetlands and surface waters.
VIII. Mitigation
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits. published in the Federal Register on March 9, 2000,, mitigation will be r:r,nirPti 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
11ttt!A120 eili state.tlr US i1C?tetlatld_strnl??ide html.
Page 9 of 12
L 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.
Not Applicable
2. Mitigation may also be made by payment into the North Carolina Wetlands Restoration
Program (NCWRP) with the NCWRP's written agreement. Check the box indicating that
you would like to pay into the NCWRP. Please note that payment into the NCWRP must be
reviewed and approved before it can be used to satisfy mitigation requirements. Applicants
will be notified early in the review process by the 401/Wetlands Unit if payment into the
NCWRP is available as an option. For additional information regarding the application
process for the NCWRP, check the NCWRP website at 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):
TX. F.nvirnnmPnt71 iln.•.....n..t.,t:..., f"Wn n»?..\
k" TV V
Does the project involve an expenditure of public funds or the use of public (federal/state/local)
land?
Yes ® 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
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 ? Not Applicable
X. Proposed Impacts on Riparian and Watershed Buffers (DWQ Only)
Page 10 of 12
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 213 .0233
(Meuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and
Water Supply Buffer Requirements), or other (please identify Neuse )?
Yes ® 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
(square feet Multiplier Required
Mitigation
1 2400 3 N/A
2 800 1.5 N/A
Total 3200
"Lone 1 extends out 30 feet perpendicular from near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.
if buffer mitigation is required, please discuss what 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.
The project is to replace an existing bridge with a new bridge Bridges are listed as
"Allowable" under the buffer rules and do not require mitigation when permit conditions
are followed.
XI. Stormwater (DWQ Only)
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.
Not Applicable
Page 11 of 12
XII. Sewage Disposal (DWQ Only)
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.
Not Applicable
XIII. Violations (DWQ Only)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H .0500) or any Buffer Rules?
Yes ? No
Is this an after-the-fact permit application?
Yes El 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).
Not Applicable
! //;(
?
licant ent's Signature Date
,nt's signature is valid only if an authorization letter from the applicant is provided.)
0"400 ) /,:::? 71""'y
Page 12 of 12

STATE of NORTH CAROLINA
??: Gry
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY LYNDO TIPPET-17
GOVERNOR SECRETARY
March 3, 2004
Mr. John Hennessy
Wetlands/401 Unit
NC DENR Division of Water Quality
2321 Crabtree Blvd. Suite 250
Raleigh, NC 27604-2260
(Two Copies)
4 403"
WETLANDS 1401 GROUP
MAR X 0 2004
WV 1 ER QUAL,_,'-E`,'zEC3 10iN
Subject: Buffer Authorization for the replacement of Bridge No. 449 over Driving Branch
on SR 1173, Johnston County. Attn Rob: Moving Ahead
Project Number MA04079
Dear John:
In reviewing our file for this project, I determined that we did not have a copy of a buffer
authorization to go along with our 404 permit. As I could not find any evidence that it
had been sent to you I am submitting it now. Only Buffer Rule approval is sou hg t in
writ . You might want to check your files before you process it, on the off chance it
was submitted and went the statutory route. Please find enclosed two copies of the PCN
and 404 Nationwide Permit for the above referenced project. Bridge No. 449 is a very
short (23') and narrow (18') bridge. It will be replaced with a new 60-foot long 28' wide
single span cored slab bridge on the existing alignment. Traffic will use an offsite detour
during construction. There are impacts to buffers but not Waters of the U. S. associated
with this project, as the bridge completely spans the creek and there are no in-stream
bents. The bridge replacement will result in an appropriate hydraulic opening and provide
for increased wildlife passage. Soil disturbing activities are expected on 3,200 square feet
within the buffer (2,400 Zone 1 and 800 Zone 2) of Driving Branch which is located in the
Neuse River Basin and is classified as Class C.-NSW ( Index # 27-52-6-1).
Demolition: The bridge will be removed by sawing the deck and lifting it out in sections.
We will excavate behind the end bents and fold them back, then remove them without
dropping any components into the creek. Best Management Practices for the Protection of
Surface Waters and for Bridge Demolition and Removal will be followed.
[phone] x 2311 jshern(a_,)dot.state.nc.us
Post Office Box 3165, Wilson, North Carolina 27895-3165

Regulatory Approvals
Section 404 Permit: Mike Bell of the USACE has reviewed of this project and elected to
issue a Nationwide Permit 3 (Maintenance of previously approved structures).
Section 401 Permit: Therefore we anticipate 401 General Certification number 3376 will
apply to this project.
Buffer Rules: As bridges are an allowable use they require written authorization from the
Division of Water Quality. Only Buffer Rule approval is sought in writing.
Please give me a call or email if you have any questions.
Sincerely,
Jamie Shem
Division 4 Environmental Supervisor
r
256
2312

- ? A
1 '
- ?l
?roj,,t Site
i
i
INITY MAP
PIPE, BRID -
BENSON
'h••^?` ? nr+? . nn +nraan'c 1 t1Ttl[TI•'?Tf?,t. nn 7T
rya ara+ ? ,?r ?
nalanal com
et a Map Target is 35.38600N, 78.5321°W -
name. search Click here NO download a custom tOpO(
i ma 1 deg rees ?'9F:lDt! A i. DOD
min sec oft -' ?'? 1, -- r `.• •.?i `•. _`_ , , '
mm-0o0 rjs
•2DOCFls»ehutna! /4i?'`` ti-.?'} iS.? ?? L
!ownfoad
Maps
"1 7-
)Factoy Login -^x n
it ToooFactorv •7 a r, 1 4.;+ ;'?` _
?ecifications ea? 'o_ +_• , ?.lI ?,,? , _,`
r t ^r 1?'
)Factory Store
iow to,
man l
topo maps on 0
cur Web site
- 21
t digital data -
Link to us 'Project Set
fiat's New? ..
:he TopoTimes
ess releases
Awards
Help
Mag tips
?_ map symbols f
FAQ A
S- pp V, a
ort
¢-
About us '
(? I t ti'y f
_rr
: ? ?:t : ?• _ , ,•? - r a Lodi
vr?? I. -? i t3ai• f. _
/ r
UAD iVIAP+ Name:\.
DUNTY /
OIL SURVEY SHEET # - TTY PIPE/BRIDGE
i
FA. 10+00
25,
;R-1173
22 BST
FUNNEL FUNNEL DRA
j /
TBM
WOODS
RIP R
POT STA. II+OC
(PK NAIL)
WOODS
z
c•?
D
?Z
?i
WOODS
EOB STA. 10+23.1
(PK NAIL)
RECOMMENDED STRUCTURE
I @ 60' CORED SLAB
NOTE: NO DECK DRAINS
OVER OPEN WATER
WOODS /Jd
RIP RAP
j : 50
1 1 1 1

j

I

I j
i

j H

? j

l I ' ' I

ry 1 1

i I I

i III I

I l i l

i t I I i I I I M

I I

?( I I

I I i I

? I 1 1

I 11

? 11 ! I

i t
? I I I J

I I I il
I I
I I l
I I I
i I I
i I I i
I I i? l
t i
I I
I
? I
i I
l ll I'
iIII
l!i?l i
I I
I?
? ? i
.
? ?
?I
I

. 1
I
?
. I

I I I

? I I I

I I
?
I
I
?i I j i

I

l

i

I
I ?

- -

-- i
I

- I

-?

--- I I

° j
I
i I

--?-- .1 i
I
I
- III ?
1 f
I
i
i 11
I
?
1

?
i

1
?

I
I ?

i I

JL j
All I

1 ?

r

o I I ?

? I ° I 1 I ? I
I I
r ! o o' r- F-

1
e

I I I
I
_
L, Je
I I
I
I
l
1
- - - - - - - - - - - - - - - -

?
j
?
I I - - - - - -
I

--
--
-
---

1 '
I
-----
1 i
I/
I
I 1
l - - - -

I - - - - - - - - - - - - -

I f
l
i
I
1

'
I , 1
1 I I

?. I I
I I
I

I
I I
?
j ?? I I
i ! / I I
I I I I I i ? j l l l I I
I
I

I
? i
I

? 1
I I
I
I I !

I

I I
I rl
I
i
/ I I I I I I I ? I I

I I

? i I 1(
i I ?
I /I 1
I
1

I

I I
I

I I

I j

I

I 1
1 /
I
1 1

I

1
I I
I
I I I ?
ICI i I ?i ? I ? ?I? III? ?? II!' 1 1 1111 1111 I??1 H jjili j" '
Office Use Only: Form Version October 2001
USACE Action ID No. DWQ No.
If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A" rather than
leaving the space blank.
1. Processing
1. Check all of the approval(s) requested for this project:
® Section 404 Permit
? Section 10 Permit
® 401 Water Quality Certification
® Riparian or Watershed Buffer Rules
2. Nationwide, Regional or General Permit Number(s) Requested:_NWP 3, NWP 14 or GP 31
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 (see section VIII - Mitigation), check here: ?
H. Applicant Information
1. Owner/Applicant Information
Name: Mr. Anthony Roper P E Acting Division Engineer
Mailing Address:_ North Carolina Department of Transportation / Division 4
P.O. Box 3165
Wilson. NC 27895-3165
Telephone Number: [phone] Fax Number: [phone]
E-mail Address:
2. Agent 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: Mr. James Shern
Company Affiliation: Division Environmental Officer
Mailing Address: North Carolina Department of Transportation/Division 4
P.O. Box 3165
Wilson. NC 27895-3165
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: ifshern(@dot.state.nc.us
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:-BRIDGE REPLACEMENT.
2. T.I.P. Project Number or State Project Number (NCDOT Only):_ N/A
3. Property Identification Number (Tax PIN):_ Not Applicable
4. Location
County:-Johnston Nearest Town: _BENSON,NC
Subdivision name (include phase/lot number):_ Not Applicable
Directions to site (include road numbers, landmarks, etc.):_ 0.2 MILE SOUTH US 301
5. Site coordinates, if available (UTM or Lat/Long 35.3860 deg N 78.5321 deg W
(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. Describe the existing land use or condition of the site at the time of this application:-
Residential
7. Property size (acres): Less than one tenth acre
8. Nearest body of water (stream/river/sound/ocean/lake):-Driving Branch
9. River Basin:_Neuse
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://Ji2o.enr.state. nc ucjadniui/n t s/.)
10. Describe the purpose of the proposed work:-BRIDGE REPLACEMENT
11. List the type of equipment to be used to construct the project: Backhoe, excavator, grader.
Page 6 of 12
12. Describe the land use in the vicinity of this project:-Residential
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.
Not ADDlicable
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:
Not ADDlicable
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.
1. Wetland Impacts
Wetland Impact Area of Located within Distance to
Station Number Type of Impact* Impact 100-year Floodplain** Nearest Stream Type of Wetland***
indicate on ma acres es/no (linear feet
NIA N/A no N/A N/A
* L'
at 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.
Page 7 of 12
** 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 iut}yi_ 1 : _
*** List a wetland type that best describes wetland to be impacted (e.g., freshwater/saltwater marsh, forested wetland, beaver pond,
Carolina Bay, bog, etc.)
List the total acreage (estimated) of existing wetlands on the property: Less than 1/1 Orh acre
Total area of wetland impact proposed:-N/A
2. Stream Impacts, including all intermittent and perennial streams

Stream Impact
Station Number
(indicate on map)

Type of Impact* Length of
Impact

feet)
(linear
feet)

Stream Name** Average Width
of Stream
Before Impact
(feet)
Perennial or
Intermittent?
(please specify)
10+00 Slope Stabilize 70' Driving Branch 25' 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
Several internet sites also allow direct download and printing of USGS maps (e.g.,
k%N%R.lnalx tiest.c'onl, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: 70'
3. Open Water Impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any
other Water of the U. S.
Open Water Impact
Site Number
Type of Impact* Area of
Impact
Name
Waterbody Type of Waterbody

(lake
pond
estuary
sound

indicate on ma
acres p
(if
applicable) ,
,
,
,
bay, ocean, etc.

Ubt caul impact separatey and identify temporary impacts. Impacts include, but are not limited to: fill, excavation, dredging,
flooding, drainage, bulkheads, etc.
4. Pond Creation
if construction of a. pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ? uplands ? stream ? wetlands
Page 8 of 12
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.): Not Applicable
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.):_ Not Applicable
Size of watershed draining to pond: na Expected pond surface area: na
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.
Work will be performed within the existing road footprint Bridge Demolition
Sedimentation and Erosion Control, and Maintenance Best Management Practices will
be followed for the protection of wetlands and surface waters
VIII. Mitigation
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on 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
htt4l112o enr.state. tic. uslncxvetlands!stmigide.fitill].
Page 9 of 12
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.
Not Applicable
2. Mitigation may also be made by payment into the North Carolina Wetlands Restoration
Program (NCWRP) with the NCWRP's written agreement. Check the box indicating that
you would like to pay into the NCWRP. Please note that payment into the NCWRP must be
reviewed and approved before it can be used to satisfy mitigation requirements. Applicants
will be notified early in the review process by the 401/Wetlands Unit if payment into the
NCWRP is available as an option. For additional information regarding the application
process for the NCWRP, check the NCWRP website at littplj12o.cnr.state. nc.us'ANrpAndes.luIli. 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):
IX. Environmental Documentation (DWQ Only)
Does the project involve an expenditure of public funds or the use of public (federaUstate/local)
land?
Yes ® 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
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 ? Not Ap licable
X. Proposed Impacts on Riparian and Watershed Buffers (DWQ Only)
Page 10 of 12
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 Neuse )?
Yes ® 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's Impact
(square feet Multiplier Required
Mitigation
1 2400 3 N/A
2 800 1.5 N/A
Total 3200
c.viic 1 cUcnc s ME )v ree[ perpenwcuiar trom near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.
If buffer mitigation is required, please discuss what 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.
The proiect is to replace an existing bridge with a new bridge Bridges are listed as
"Allowable" under the buffer rules and do not require mitigation when permit conditions
are followed.
XI. Stormwater (DWQ Only)
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.
Not Applicable
Page I I of 12
t
XII. Sewage Disposal (DWQ Only)
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.
Not Applicable
XHL Violations (DWQ Only)
Is this site in violation of DWQ Wetland Rules (I 5A NCAC 2H .0500) or any Buffer Rules?
Yes ? No
Is this an after-the-fact permit application?
Yes ? 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).
Not Applicable
Signature Date
is valid only if an authorization letter from the applicant is provided.)
;9 N-11N N .400 21x71°1
Page 12 of 12
5
U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Action ID. ?C?3 F d ? / County
GENERAL PERMIT (REGIONAL AND NATIONWIDE) VERIFICATION
Property Owner/Agent 1 h u t -S 1,c,-),q
Address 4-,--v
c % 3" /1 S

Telephone No.(`be,4? / '
Size and Location of project (waterbody, road na a/number, town, etc.) f [ 7?-'?T
Description of Activity
-Zs-ection 404 (Clean Water Act, 33 USC 1344) only.
Section 10 (River and Harbor Act of 1899) only.
Section 404 and Section 10.
Regional General Permit r Na ' wide Permit
Any violation of the conditions of the Regional General or Nationwide Permit referenced above may subject the
permittee to a stop work order, a restoration order, and/or appropriate legal action.
This Department of the Army Regional General/Nationwide Permit verification does not relieve the undersigned
permittee of the responsibility to obtain any other required Federal, State, or local approvals/permits. The permittee
may need to contact appropriate State and local agencies before beginning work.
By signature below, the permittee certifies an understanding, and acceptance of all terms and conditions of this
permit.
Property Owner/Authorized Agent Sigi
Regulatory Project Manager Signature
Date ? 16) -z?
SURVEY PLATS, FIELD SKETCH, WETLAND DELINEATION FORM, ETC., MUST BE ATTACHED TO
THE YELLOW (FILE) COPY OF THIS FORM, IF REQUIRED OR AVAILABLE.
CESAW Forth 591
Dec 1993