20001174 Ver 1_Complete File_20000913

DEPARTMENT OF THE ARMY
WILMINGTON DISTRICT, CORPS OF ENGINEERS
P.O. BOX 1890
WILMINGTON, NORTH CAROLINA 28402-1890
IN REPLY REFER TO
Regulatory Division
November 6, 2000
Action ID No. 200011432 and Nationwide Permit No. 14 (Road Crossing)
Ms. Kristen Shacochis
Division Environmental Officer
North Carolina Department of Transportation
P.O. Box 850
Edenton, North Carolina 27932
Dear Ms. Shacochis:

Reference your application of September 7, 2000, for Department of the Army (DA)
authorization to improve SR 1212 in Perquimans County, North Carolina. The proposal is to
widen the existing soil road and upgrade it to a paved surface. Wetland impacts total 0.17 acres
of non-riverine hardwood forest.
For the purposes of the Corps of Engineers' Regulatory Program, Title 33, Code of Federal
Regulations (CFR), Part 330.6, published in the Federal Register on March 9, 2000, lists
nationwide permits. Authorization, pursuant to Section 10 of the Rivers and Harbors Act of
1899 and Section 404 of the Clean Water Act, was provided for fills for roads crossing waters of
the United States (including wetlands and other special aquatic sites) provided:
a. The width of the fill is limited to the minimum necessary for the actual crossing;
b. The fill placed in waters of the United States is limited to a filled area of no snore than
one-third acre in tidal waters and one-half acre in non-tidal waters. Furthermore, no more than a
total of 200 linear feet of the fill for the roadway can occur in special aquatic sites, including
wetlands;
c. The crossing is culverted, bridged or otherwise designed to prevent the restriction of,
and to withstand, expected highflows and tidal flows and to prevent restrictions of low flows and
the movement of aquatic organisms;
d. The crossing, including all attendant features, both temporary and permanent, is part of
a single and complete project for crossing of a water of the United States; and
e. For fills in special aquatic sites, including wetlands, the permittee notifies the District
Engineer (DE) in accordance with the "Notification" general condition. The notification must
include a compensatory mitigation proposal to offset permanent losses of waters of the United
States.
Your work is authorized under Nationwide Pen-nit 14, provided it is accomplished in strict
accordance with the enclosed Nationwide Permit Conditions and the following special conditions:
a. The North Carolina Department of Transportation (NCDOT) will mitigate the project impacts
by restoring 0.34 acres of non-riverine wetlands at the Dismal Swamp Mitigation Site (DSMS) in Gates
Country;
b. The mitigation work will be undertaken at the DSMS pursuant to the plan entitled,
"Compensatory Mitigation Plan, N.C. Department of Transportation, US 17 Widening, Edenton to
Hertford, Traffic Improvement Project (TIP): R-2208A, Chowan and Perquimans Counties, North
Carolina", dated April 24, 1995, and will be commenced immediately and implemented concurrently
with all phases of construction activities authorized by this permit to the extent necessary to construct,
monitor and maintain 0.34 acres of non-riverine wetlands to the satisfaction of the Corps of Engineers.
This nationwide permit does not relieve you of the responsibility to obtain any required State or
local approval. This permit will be valid for two years from the date of this letter unless the nationwide
authorization is modified, reissued or revoked.
Thank you for your time and cooperation. Questions or comments may be addressed to
Mr. Michael Bell, Washington Regulatory Field Office, Post Office Box 1000, Washington, North
Carolina, 27889, or telephone [phone], extension 26.
Sincerely,
E. David Franklin
Chief, NCDOT Team
Regulatory Division
Enclosures

Copies Furnished (without enclosures)
Mr. John Dorney
NCDEN-DWQ
Wetlands Section
1621 Mail Service Center
Raleigh, North Carolina 27666-1621
Mr. David Cox
North Carolina Wildlife Resources Commission
P.O. Box 118
Northside, North Carolina 27564
Mr. Tom McCartney
U.S. Fish and Wildlife Service
Fish and Wildlife Effliancement
Post Office Box 33726
Raleigh, North Carolina 27636-3726
National Marine Fisheries Service
Pivers Island
Beaufort, North Carolina 28516
Mr. William L. Cox, Chief
Wetlands Protection Section - Region IV
Water Management Division
U.S. Environmental Protection Agency
61 Forsyth Street, S.W.
Atlanta, Georgia 30303
Mr. Doug Huggett
Division of Coastal Management
1638 Mail Service Center
Raleigh, North Carolina 27699-1638
3

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Bill Holman, Secretary
Kerr T. Stevens, Director
° ?°
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
October 20, 2000
Perquimans County
DWQ Project No. 001174
APPROVAL of 401 Water Quality Certification
Mr. William D. Gilmore, P.E., Manager
Planning and Environmental Branch
North Carolina Department of Transportation
P.O. Box 25201
Raleigh, NC, 27611-5201
Dear Mr. Gilmore:
You have our approval, in accordance with the attached conditions and those listed below, to place fill
material in 0.170 acres of wetlands and 40 linear feet of streams for the purpose of improving SR 1212 in
Perquimans County. The project should be constructed in accordance with your application dated
September 7, 2000 and additional correspondence dated October 2, 2000. After reviewing your application,
we have decided that this fill is covered by General Water Quality Certification Number 3259. This
certification corresponds to the Nationwide Permit Number 14 issued by the Corps of Engineers. In
addition, you should acquire any other federal, state or local permits before you proceed with your project
including (but not limited to) Sediment and Erosion Control, Non-Discharge and Water Supply Watershed
regulations. This approval will expire with the accompanying 404 permit, unless otherwise specified in the
Water Quality Certification.
This approval is valid solely for the purpose and design described in your application (unless modified
below). Should your project change. you must notify the DWQ and submit 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 the conditions. If total wetland fills for this project (now or in the future)
exceed one acre, or of total impacts to streams (now or in the future) exceed 150 linear feet, compensatory
mitigation may be required as described in 15A NCAC 2H .0506 (h) (6) and (7). For this approval to
remain valid, you must adhere to the conditions listed in the attached certification.
1.) Upon completion of the project, the NCDOT shall complete and return the enclosed "Certification of
Completion Form" to notify DWQ when all work included in the 401 Certification has been completed.
The responsible party shall complete the attached form and return it to the 401/Wetlands Unit of the
Division of Water Quality upon completion of the project.
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, P.O. Box 27447, Raleigh, N.C. 27611-7447. This certification and its conditions
are final and binding unless you ask for a hearing.
Wetlands/401 Unit 1621 Mail Service Center Raleigh, North Carolina 27699-1621
Telephone [phone] FAX [phone]
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State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Bill Holman, Secretary
Kerr T. Stevens, Director
o
4 0
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
ROAD CROSSING CERTIFICATION GENEItAL CERTIFICATION FOR PROJECTS
ELIGIBLE FOR CORPS OF ENGINEERS NATIONWIDE PERMIT NUMBER 14 (ROAD
CROSSINGS), REGIONAL GENERAL PERMIT 193200031 AND NEUSE/TAR-
PA`ILICO/RANDLEMAN BUFFER RULES
This General Certification is issued in conformity with the requirements of Section 401, Public Laws 92-
500 and 95-217 of the United States and subject to the North Carolina Division of Water Quality (DWQ)
Regulations in 15A NCAC 2H, Section .0500 and 15A NCAC 2B .0200 for the discharge of fill material to
waters and wetland areas as described in 33 CFR 330 Appendix A (B) (14) of the Corps of Engineers
regulations (i.e., Nationwide Permit No. 14 and Regional General Permit 198200031) and for the Neuse,
Tar-Pamlico and Randleman Buffer
Rules (15A NCAC 2B .0233,.0259 and .0250). The category of activities shall include any fill activity for
road crossing and is limited to fill less than one-third of an acre. This Certification replaces Water Quality
Certification Number 2177 issued on November 5, 1987, Water Quality Certification Number 2666 issued
on January 21, 1992, Water Quality Certification Number 2732 issued on May 1, 1992 and Water Quality
Certification Number 3103 issued on February 11, 1997. This WQC is rescinded when the Corps of
Engineers re-authorizes Nationwide
Permit 14 or Regional General Permit 198200031 when deemed appropriate by the Director of the DWQ.
The State of North Carolina certifies that the specified category of activity will-not violate applicable
portions of Sections 301, 302, 303, 306 and 307 of the Public Laws 92-500 and 95-217 if conducted in
accordance with the conditions hereinafter set forth.
Conditions of Certification:
1. Proposed fill or substantial modification of wetlands or waters (including streams) under this General
Certification requires application to and prior written concurrence from the Division of Water Quality;
2. In accordance with North Carolina General Statute Section 143-215.3D(e), any application for a 401
Water Quality Certification must include the appropriate fee. If a project also requires a CAMA Permit,
one payment to both agencies shall be submitted and will be the higher of the two fees;
3. In accordance with 15A NCAC 2H .0506 (h) compensatory mitigation may be required for impacts to
streams and/or wetlands. In addition, buffer mitigation may be required for any project with Buffer
Rules in effect at the time of application. A determination of buffer, wetland and stream mitigation
requirements shall be made for any Certification for this Nationwide Permit. The most current design
and monitoring protocols from DWQ shall be followed and written plans submitted for DWQ approval
as required in those protocols;
4. For any project involving a stream re-alignment, a stream relocation plan must be included with the 401
application for written DWQ approval. Relocated stream designs should include the same dimensions,
patterns and profiles as the existing channel, to the maximum extent practical. The new channel should
be constructed in the dry and water shall not be turned into the new channel until the banks are
stabilized. Vegetation used for bank- stabilization shall be limited to native woody species, and should
include establishment of a 30 foot wide wooded and an adjacent 20 foot wide vegetated buffer on both
sides of the relocated channel to the maximum extent practical. A transitional phase incorporating coir
Wetlands/401 Unit 1621 Mail Service Center Raleigh, North Carolina 27699-1621
Telephone [phone] FAX [phone]
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dll?
State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor IE [? U \??
Bill Holman, Secretary NORTH CAROLINA DEPARTMENT OF
Kerr T. Stevens, Director ENVIRONMENT AND NATURAL RESOURCES
fiber and seedling establishment is allowable. Also, rip-rap may be allowed if it is necessary to maintain
the physical integrity of the stream, but the applicant must provide written justification and any
calculations used to determine the extent of rip-rap coverage requested. If suitable stream mitigation is
not practical on-site, then stream impact will need to be miti;ated elsewhere;
5. Impacts to any stream length in the Neuse, Tar-Pamlico and Randleman River Basins requires written
concurrence from DWQ in accordance with 15A NCAC 213.0233, 15A NCAC 213 .0259 and.0250 and
15A NCAC 2H .0500. New development activities located in the protected 50-foot wide riparian areas
(whether jurisdictional wetlands or not) within the Neuse, Tar-Pamlico and Randleman River Basins
shall be limited to "uses" identified within and constructed in accordance with 15A NCAC 2B .0233,
15A NCAC 213 .0259 and .0250. All new development shall be located, designed, constructed, and
maintained to have minimal disturbance to protect water quality to the maximum extent practicable
through the use of best management practices. Activities listed as "exempt" from these rules do not need
to apply for written concurrence under this Certification;
Placement of culverts and other structures in waters, streams, and wetlands must be placed below the
elevation of the streambed to allow low flow passage of water and aquatic life unless it can be shown to
DWQ that providing passage would be impractical. Design and placement of culverts and other
structures including temporary erosion control measures shall not be conducted in a manner that may
result in dis-equilibrium of wetlands or stream beds or banks, adjacent to or upstream and down stream
of the above structures. The applicant is required to provide evidence that the equilibrium shall be
maintained if requested in writing by DWQ. Additionally, when roadways, causeways or other fill
projects are constructed across FEMA-designated floodways or wetlands, openings such as culverts or
bridges must be provided to maintain the natural hydrology of the system as well as prevent constriction
of the floodway that may result in destabilization of streams or wetlands;
7. If this Certification is used to access building sites, all lots owned by the applicant must be buildable
without additional fill beyond that allowed under other General Certifications. Deed restrictions must be
placed on the remaining wetlands and streams on these lots to restrict future wetland and stream fill.
DWQ shall be sent copies of all deed restrictions applied to these lots;
8. That appropriate sediment and erosion control practices which equal or exceed those outlined in the
most recent version of the "North Carolina Sediment and Erosion Control Planning and Design Manual"
or the "North Carolina Surface Mining Manual" whichever is more appropriate (available from the
Division of Land Resources (DLR) in the DENR Regional or Central Offices) shall be in full
compliance with all specifications governing the proper design, installation and operation and
maintenance of such Best Management Practices in order to assure compliance with the appropriate
turbidity water quality standard;
9. All sediment and erosion control measures placed in wetlands or waters shall be removed and the natural
grade restored within two months after the Division of Land Resources has released the project;
10.Measures shall be taken to prevent live or fresh concrete from coming into contact with waters of the
state until the concrete has hardened;
Wetlands/401 Unit 1621 Mail Service Center Raleigh, North Carolina 27699-1621
Telephone [phone] FAX [phone]
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State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Bill Holman, Secretary
Kerr T. Stevens, Director
d o
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
11. This Certification shall be utilized for roads from natural high ground to natural high ground. The
Certification for Nationwide Permit 18 may not be used in conjunction with this Certification to create
high ground for road access;
12. If an environmental document is required, this Certification is not valid until a Finding of No Significant
Impact (FONSI) or Record of Decision (ROD) is issued by the State Clearinghouse. All water quality-
related conditions of the FONSI or ROD shall become conditions of this Certification;
13.That additional site-specific conditions may be added to projects proposed under this Certification in
order to ensure compliance with all applicable water quality and effluent standards;
14. When written concurrence is required, the applicant is required to use the enclosed "Certification of
Completion Form" to notify DWQ when all work included in the 401 Certification has been completed;
15.Concurrence from.DWQ that this Certification applies to an individual project shall expire three years
from the date of the cover letter from DWQ or on the same day as the expiration date of the
corresponding Nationwide Permit 14 and Regional General Permit 198200031 whichever is sooner.
Non-compliance with or violation of the conditions herein set forth by a specific fill project may result in
revocation of this Certification for the project and may also result in criminal and/or civil penalties.
The Director of the North Carolina Division of Water Quality may require submission of a formal
application for individual certification for any project in this category of activity, if it is determined that the
project is likely to have a significant adverse effect upon water quality or degrade the waters so that existing
uses of the wetland, stream or downstream waters are precluded.
Public hearings may be held for specific applications or group of applications prior to a Certification
decision if deemed in the public's best interest by the Director of the North Carolina Division of Water
Quality.
Effective date: 1 June 2000
DIVISION OF WATER QUALITY
By
Kerr T. Stevens
Director
WQC # 3289
Wetlands/401 Unit 1621 Mail Service Center . Raleigh, North Carolina 27699-1621
Telephone [phone] FAX [phone]
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State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Bill Holman, Secretary
Kerr T. Stevens, Director
DWQ Project No.:
Applicant:
ti
CID El\q
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
County:
Project Name:
Date of Issuance of 401 Water Quality Certification:
Certificate of Completion
Upon completion of all wort: 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.
Applicant'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:
Agent's Certification
Date:
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:
Engineer's Certification
Partial Final
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
Wetlands/401 Unit 1621 Mail Service Center Raleigh, North Carolina 27699-1621
Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 509o rccycled/10% post consumer paper

State of North Carolina
Department of Environment
and Natural Resources .
Division of Water Quality
James B. Hunt, Jr., Governor
Bill Holman, Secretary
Kerr T. Stevens, Director
Y
4 0
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
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
Registration No.
Date
Wetlands/401 Unit 1621 Mail Service Center Raleigh, Notch Carolina 27699-1621
Telephone [phone] FAX [phone]
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State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Bill Holman, Secretary
Kerr T. Stevens, Director
° v
A
L
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
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 John Dorney at 919-733-9646.
Sincerely,
1
?4"4
? Kerr T. Stevens
Attachment
cc: Wilmington District Corps of Engineers
Corps of Engineers Washington Field Office
Washington DWQ Regional Office
File Copy
Central Files
c:\ncdot\SR 1212\wqc\001174wgc.doc
Wetlands/401 Unit 1621 Mail Service Center Raleigh, North Carolina 27699-1621
Telephone [phone] FAX [phone]
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09:16 DIVISION 1 EDENTON 4 1700733995 nu.?iw
Y
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
JAMES B. HUNT JR. DAVID McCOY
GOVERNOR SECRETARY
October 2, 2000
NC DENR, DWQ
401 Wetlands Unit col
1621 Mail Service Center
Raleigh NC 27699
ATTBNTION: John Domey
SUBJECT: Supplemental Information for SR 1212 in Per imans County Requested by DWQ on
September 15, 2000
On September 20, 2000, the NC DOT received your lever indicating additional information for
the 401 Water Quality Certification to impact strcams and - -, - the purpose of improving SR 1212
in Perquimans County. The stream impactcd is a small, unnamc tributary of the Perquimans River. The
pipe in question is presently a 28 foot long pipe that we would li a to extend to 40 feet making the
proposed dimensions of the aluminum pipe 40' by 18 ". No o dimensions but the Icngth will be
changed in the proposed pipe.
Please call me if you require additional information at (252)
Sincerely,
Don Conner, P.B.
Division Engineer
l; 5ten Shacochis, Division nvironmental Officer
Planning & Eaviromnental A =h-Division 1
cc: Gretchen Byrum, P.E. , District 1 NC DOT r
P.O. Box 850, Edenton, NC 27932 - Phone:
(252)4$ -7977
Fax; [phone]
VuG
:0/02/20e
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NORTH CAROLINA DEPARTMENT O F TRANSPORTATION
DIVISION ONE OFFI E
P. 0. BOX 850
EDENTON, NORTH CAROLI A 27932
TELEPHONE [phone]D77
FAX NUMBER (252)-482
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41 8722
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Message

W-

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Bill Holman, Secretary
Kerr T. Stevens, Director
ti
d o 0
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
September 15, 2000
Perquimans County `spf
DWQ Project No. 001174 /s?UFp,
D.R. Conner
NCDOT
P.O. Box 850
Edenton, NC, 27932
Dear Mr. Conner:
On September 13, 2000, the NC Division of Water Quality received your application for a 401 Water
Quality Certification to impact streams and wetlands for the purpose of improving SR 1212 in Perquimans
County. Your application is incomplete since you have not included a list of culvert extensions and associated
stream impacts. For example, plan view sheet 3 of 3 shows a proposed metal pipe, but it is difficult to read
the dimensions of the pipe, there is no scale, and the impacted stream is not described. We do not have
fundamental objections to this project, and should be able to issue the 401 Certification if the requested
information demonstrates minimal stream impacts.
Until this information is received, I will request (by copy of this letter) that the Corps of Engineers place
this project on hold. Also, this project will be placed on hold for our processing due to incomplete
information (15A NCAC 2H.0507(h)). I can be reached at [phone].
Sincerely,
CU
John Domey
Attachment
cc: Corps of Engineers Washington Field Office
Washington DWQ Regional Office
File Copy
Central Files
001174
Division of Water Quality - Non-Discharge Branch
401M/etlands Unit, 1621 Mail Service Center, Raleigh, NC 27699 Telephone [phone] FAX [phone]
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"'PIP
STATE OF NORTH CAROLINA ?1, GFO>
DEPARTMENT OF TRANSPORTAT1 N ,,,,
JAMES B. HUNT, JR.
GOVERNOR
DIVISION OF HIGHWAYS DAVID McCOY
SECRETARY
September 7, 2000
U.S. Army Corps of Engineers
Regulatory Field Office
P.O. Box 1000
Washington, NC 27889-1000
ATTENTION: Mr. Michael F. Bell, PWS
NCDOT Coordinator
Dear Sir,
PAYMENT
RECEIVED

The North Carolina Department of Transportation (NCDOT) is proposing to improve SR 1212 in
Perquimans Co. The existing soil road will be widened and upgraded to a paved surface to
improve safety.
Please find attached a vicinity map along with a plan view of the proposed work and a completed
pre-construction notification form. The NCDOT has minimized impacts through the narrowing
of the typical section to the greatest extent practical within wetland boundaries. However,
wetland impacts will occur as a result of this work. Wetland impacts total 7405 square feet
(0.170 acres). Therefore, the NCDOT proposes to provide compensatory mitigation for these
impacts by debiting 0.34 acres of non-riverine bottomland hardwood forest from the Dismal
Swamp Mitigation site located near the end of SR 1212 on the Gates and Perquimans County
line. The debit of 0.34 acres will leave a balance of 345.4 acres of non-riverine bottomland
hardwood forest remaining at the Dismal Swamp Mitigation Site.
The NCDOT requests that this work be authorized under the provisions of Nationwide Permit
No. 14. By copy of this letter, the NCDOT also requests that the North Carolina Division of
Water Quality issue the appropriate water quality certification. A check for $200.00 is attached
P. O. Box 850 Edenton, NC 27932 Phone: [phone] FAX: [phone]
to cover the permit fees. Work will begin as soon as the permits are issued. Thank you for your
attention to this important matter.
Sincerely,
D. R. Conner, PE
Division Engineer
Kristen Shacochis
Division Environmental Officer
cc: Mr. R.E. Capehart, PE, NCDOT
Mr. David Cox, NCWRC
Ms. Sarah Winslow, NCDMF
Mr. Ron Sechler, NMFS .
Mr. Tom McCartney, USFWS
Mr. John Hennessy, NCDWQ
Ms. Gretchen Byrum, PE, NCDOT
Mr. Ted Sampson, NCDCM
01171 1,
DEM ID:
CORPS ACTION ID:
NATIONWIDE PERMIT REQUESTED (PROVIDE NATIONWIDE PERMIT 4): 14
PRE-CONSTRUCTION NOTIFICATION APPLICATION
FOR NATIONWIDE PERMITS THAT REQUIRE:
1) NOTIFICATION TO THE CORPS OF ENGINEERS
2) APPLICATION FOR SECTION 401 CERTIFICATION
3) COORDINATION WITH THE NC DIVISION OF COASTAL MANAGEMENT
SEND THE ORIGINAL AND (1) COPY OF THIS COMPLETED FORM TO THE APPROPRIATE
FIELD OFFICE OF THE CORPS OF ENGINEERS (SEE AGENCY ADDRESSES SHEET).
SEVEN (7) COPIES SHOULD BE SENT TO THE N.C. DIVISION OF ENVIRONMENTAL
MANAGEMENT (SEE AGENCY ADDRESSES SHEET). PLEASE PRINT.
1. OWNERS NAME: NC Dept. of Transportation
2. MAILING ADDRESS: Post Office Box 850
SUBDIVT_SICN NAME
CITY: Edenton STATE: NC ZIP CODE:
PROJECT LOCATION ADDRESS, INCLUDING SUBDIVISION NAME
FROM MAILING ADDRESS ABOVE):
27932
(IF DIFFERENT
3. TELEPHONE NUMBER (HOME):
(WORK): 252-482-7977
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL,
ADDRESS, PHONE NUMBER:
D. R. Conner, P.E., Division Engineer
5. LOCATION OF WORK (PROVIDE A MAP, PREFERABLY A COPY OF USGS
TOPOGRAPHIC MAP OR AERIAL PHOTOGRAPHY WITH SCALE):
COUNTY: Perquimans NEAREST TOWN OR CITY: Hobbsville
1
SPECIFIC LOCATION (INCLUDE ROAD :LUMBERS, LANDM_kRKS, ETC.):
SR 1212 in Perquimans Countv (Cranev Island Road) Latitude N 36 21.10
Lonaitude W76 30.44
6. IMPACTED OR NEAREST STREAM/RIVER: tributary of the Perquimans River
7a. IS PROJECT LOCATED NEAR WATER CLASSIFIED AS TROUT, TIDAL SALTWATER
(SA), HIGH QUALITY WATERS (HQW), OUTSTANDING RESOURCE 'RATERS (ORW),
WATER SUPPLY (WS-I OR WS-II)? YES [] NO [x] I? YES, EXPLAIN:
7b. IS THE PROJECT LOCATED WITHIN A NORTH CAROLINA DIVISION OF COASTAL
MANAGEMENT AREA OF ENVIRONMENTAL CONCERN (A C)?YES[X] NO[ ]
7c. IF THE PROJECT IS LOCATED WITHIN A COASTAL CCUNTY (SEE PAGE 7 FOR
LIST OF COASTAL COUNTIES), WHAT IS THE LAND USE PLAN (LUP) DESIGNATION
Forest
8a. HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON
THIS PROPERTY? YES [ ] NO [X] IF YES, PROVIDE ACTION I.D. NUMBER OF
PREVIOUS PERMIT AND ANY ADDITIONAL INFORMATION (INCLUDE PHOTOCOPY OF 401
CERTIFICATION) :
8b. ARE ADDITIONAL PERMIT REQUESTS EXPECTED FOR THIS PROPERTY IN THE
FUTURE? YES [ ] NO [X] IF YES, DESCRIBE ANTICIPATED WORK:
9a. ESTIMATED TOTAL NUMBER OF ACRES IN TRACT OF LAND: N/A
9b. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS IJOCA='ED ON PROJECT
SITE:
2
10a. NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT BY:
FILLING: 0.170 acres EXCAVATION:
FLOODING: OTHER:
DRAINAGE: TOTAL ACRES TO BE IMPACTED: 0.170 acres
10b. (1) STREAM CHANNEL TO BE IMPACTED BY THE PROPOSED PROJECT (IF
RELOCATED, PROVIDE DISTANCE BOTH BEFORE 1.20 AFTER RELOCATION) :
LENGTH BEFORE: N/A FT AFTER: N/A FT
WIDTH BEFORE (based on normal high water contours): N/A FT
WIDTH AFTER: N/A FT
AVERAGE DEPTH BEFORE: N/A FT AFTER: N/A FT
(2) STREAM CHANNEL IMPACTS WILL RESULT FROM: (CHECK ALL THAT APPLY)
OPEN CHANNEL RELOCATION: PLACEMENT OF PIPE IN CHANNEL:
CHANNEL EXCAVATION: CONSTRUCTION OF A DAM/FLOODING:
OTHER:
11. IF CONSTRUCTION OF A POND IS PROPOSED, WHAT IS THE SIZE OF THE
WATERSHED DRAINING TO THE POND?
WHAT IS THE EXPECTED POND SURFACE AREA?
12. DESCRIPTION OF PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF
MECHANICAL EQUIPMENT TO BE USED (ATTACH PLANS: 8 1/2" X 11" DRAWINGS
ONLY): Paving SR 1212 (approximately 1.3 Niles)
13. PURPOSE OF PROPOSED WORK: Improve safety and traffic flow on SR 1212
3
14. STATE REASONS WHY IT IS BELIEVED THAT THIS ACTIVITY MUST BE CARRIED
OUT IN WETLANDS. (INCLUDE ANY MEASURES TAKEN TO MINIMIZE WETLAND
IMPACTS): The widening is on an existing location and is a linear
project. Therefore, crossing jurisdictional areas is unavoidable.
15. ;JGU RE REQUIRED :^G GG?iT'-^T j ` ?S i : ND W!T 9T 1FE C`L`T)[ IGE
(U c s Tn /nn NATIGNiAIr hz FE-INE FISHER=--E SSE=- TG`-(SEE AGENG;?
DD SHEraET) n v LIST-ED nn
rro-????ik^?-T_-P?G THE P???rrc^' ''F z= ? i'L ?b1$: ?.?b:a_
PRGPGSED FGR LISTING ENDANGERED -^vrR T :RE ; ENEC SPECIES G=-Gr ITI
T.-HE -:RGPGec PRG4EGT
"rn?a?PrT 1N7 THE P$-F?£4I-T rti.-'rRP?T-F?z-: =' Bo-to-_-= EC:' E•8-3-Y _ T.. _ ...r .?n ? . ,,, ., ..... _ .
DATE rGvzrrnc T!?-zcz-R.rS?:GNs ED _ :Err-THs THESE AGENGIS
17. DOES THE PROJECT INVOLVE AN EXPENDITURE OF PUBLIC FUNDS OR THE USE
OF PUBLIC (STATE) LAND?
YES [X] NO [] (IF NO, GO TO 18)
a. IF YES, DOES THE PROJECT REQUIRE PREPARATION OF AN
ENVIRONMENTAL DOCUMENT PURSUANT TO THE REQUIREMENTS OF THE NORTH
CAROLINA ENVIRONMENTAL POLICY ACT?
YES [] NO [x]
b. IF YES, HAS THE DOCUMENT BEEN REVIEriED THROUGH THE NORTH
CAROLINA DEPARTMENT OF ADMINISTRATION STATE CLEARINGHOUSE?
YES [ ] NO [X]
IF ANSWER TO 17b IS YES, THEN SUBMIT APPROPR=ATE DOCUMENTATION FROM THE
STATE CLEARINGHOUSE TO DIVISION OF ENVIRONMENTAL MANAGEMENT REGARDING
COMPLIANCE WITH THE NORTH CAROLINA ENVIRONMENTAL POLICY ACT.
QUESTIONS REGARDING THE STATE CLEARINGHOUSE REVIEW PROCESS SHOULD BE
DIRECTED TO MS. CHRYS BAGGETT, DIRECTOR STATE CLEARINGHOUSE, NORTH
CAROLINA DEPARTMENT OF ADMINISTRATION, 116 WEST JONES STREET, RALEIGH,
NORTH CAROLINA 27603-8003, TELEPHONE [phone].
4
18. THE FOLLOWING ITEMS SHOULD BE INCLUDED WITH THIS APPLICATION IF
PROPOSED ACTIVITY INVOLVES THE DISCHARGE OF EXCAVATED OR FILL MATERIAL
INTO WETLANDS:
a. WETLAND DELINEATION MAP SHOWING ALL WETLANDS, STREAMS, LAKES
AND PONDS ON THE PROPERTY (FOR NATIONWIDE PERMIT NUMBERS 14, 18, 21,
26, 29, AND 38). ALL STREAMS (INTERMITTENT AND PERMANENT) ON THE
PROPERTY MUST BE SHOWN ON THE MAP. MAP SCALES SHOULD BE 1 INCH EQUALS
50 FEET OR 1 INCH EQUALS 100 FEET OR THEIR EQUIVALENT.
b. IF AVAILABLE, REPRESENTATIVE PHOTOGRAPH OF WETLANDS TO BE
IMPACTED BY PROJECT.
C. IF DELINEATION WAS PERFORMED BY A CCNSULTANT, INCLUDE ALL DATA
SHEETS RELEVANT TO THE PLACEMENT OF THE DELINEATION LINE.
d. ATTACH A COPY OF THE STORMWATER MANAGEMENT PLAN IF REQUIRED.
e. WHAT IS LAND USE OF SURROUNDING PROPERTY Forest
f. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
N/A
g. SIGNED AND DATED AGENT AUTHORIZATION LETTER, IF APPLICABLE.
NOTE: WETLANDS OR WATERS OF THE U.S. MAY NOT BE IMPACTED PRIOR TO:
1) ISSUANCE OF A SECTION 404 CORPS OF ENGINEERS PERMIT,
2) EITHER THE ISSUANCE OR WAIVER OF A 401 DIVISION OF
ENVIRONMENTAL MANAGEMENT (WATER QUALITY) CERTIFICATION, AND
3) (IN THE TWENTY COASTAL COUNTIES ONLY), A LETTER FROM THE
NORTH CAROLINA DIVISION OF COASTAL MANAGEMENT STATING THE PROPOSED
ACTIVITY IS CONSISTENT WITH THE NORTH CAROLINA COASTAL MANAGEMENT
PROGRAM.
OWNER'S/AGENT'S SIGNATURE
(AGENT'S SIGNATURE VALID ONLY
IF AUTHORIZATION LETTER FROM
THE OWNER IS PROVIDED (18g.))
DATE
5
AGENCY ADDRESSES
ENDANGERED SPECIES:
U.S. FISH AND WILDLIFE SERVICE NATICNAL MARINE FISHERIES SERVICE U.S. FISH AND WILDLIFE SERVICE
RALEIGH FIELD OFFICE HABITAT CONSERVATION DIV:SIC:7 ASHE7ILLE FIELD OFFICE
P.O. BOX 33726 PIVERS ISLAND 160 ZILLICOA STREET
RALEIGH, NC 27636-3726 BEAUFORT, NC 23516 ASHE7ILLE, NO 28801
TELEPHONE [phone] TELEPHONE [phone] TELEPHONE;704) 665-1195
HISTORIC RESOURCES:
STATE HISTORIC PRESERVATION OFFICE
N.C. DIVISION OF ARCHIVES AND HISTORY
109 EAST JONES STREET
RALEIGH, NC 27601
TELEPHONE [phone]
STATE REGULATORY AGENCIES:
MR. JOHN DORNEY
DIVISION OF ENVIRONMENTAL MANAGEMENT
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT, HEALTH, AND NATURAL
RESOURCES
4401 REEDY CREEK ROAD
RALEIGH, NORTH CAROLINA 27607
TELEPHONE [phone]
CORPS OF ENGINEERS FIELD OFFICES:
RALEIGH REGULATORY FIELD OFFICE
US ARMY CORPS OF ENGINEERS
6508 FALLS OF THE NEUSE ROAD,
SUITE 120
RALEIGH, NC 27615
TELEPHONE [phone]
MR. STEVE BENTON
DI':ISICN OF COASTAL MANiAGM-ErENT
NORTH CAROL:NIA DEPARTY-NT CF
ENVIRONMENT, HEALTH, AND NATURAL
RESOURCES
PCST OFFICE 30X 27687
RA=EIGH, NOR li CAROLI-LN 27611-7687
TELEPHONE [phone]
FAX [phone]
ASHEVILLE REGULATORY FIELD OFFICE
US ARMY CORPS OF ENGI:+ZERS
151 PATTON AVENUE, ROOM 143
ASHEVILLE, NO 28801-5006
TELEPHONE [phone]
WASHINGTON REGULATORY FIELD OFFICE WI:.MINGTON REGULATORY FIELD OFFICE
US ARMY CORPS OF ENGINEERS US ARMY CORPS OF ENGIN'SERS
POST OFFICE BOX 1000 PCST OFFICE BOX 1890
WASHINGTON, NC 27889-1000 WI:.MINGTON, NC 29402-1890
TELEPHONE [phone] TZ EPHCNE [phone]
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VICINITY MAP
PERQUIMANS COUNTY

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ROUTINE WETLAND DETERMINATION
(1987 COE Wetlands Delineation Manual)
Project/Site : SR 1212 Date : 5/2/00
Applicant/Owner : NCDOT County: Perquimans
Investigator : Lindsey Riddick State : NC
Normal Circumstances? Yes Community ID wetland
Significantly Disturbed (anpical)? Nro Transect ID
Potential Problem Area? No Plot ID :
VFr;FTATInN
Dominant Plant Species Szrat. Ind Domu:ant Plant Species Statt. Ind.
Acer rubrum ess FAC
Taxodium distichurn c OBL
Juncus effusus h FACW+ .
Liquidambar styraciflua c'ss FAC+
Pinus taeda css FAC
Percent Dominance 100.0 %
FAC Neutral Test 100.0%
Nvn
Recorded Data (described below): '
Stream, Lake or Tide Gaug
Aeril Photographs:
Other:
!
Depth of Surface Water 0 in
Depth of Sa=ated Soil 4 iii
Depth to FreeWater in Pit 6 in
Remarks:
I
IS
Wetl=d Hydrology Indicators:
Primary:
Saturated in Upper 12 Inches
Water ylarks
Draina;e Patterns in Wetlands
Secondary:
Rater-Stained Leaves
Soil Series:
Soil Taxonomy Drair'`ge Class:
Do F:Id Observations Confirm Mapped Type?
Profile Description: Matrix Motu: M.atle Texture, Concertions
Depth (in.) Horizon tMunsell Most) (bttmsell N.,;ist) ASunda K Contest Structure, etc.
04 10 YR 311 Sandy Loam
4->10 10 YR 411 Few/Distinct Sandy Loam
Hydric Soil Indicators: Rerrar :
Gleyed or Low-Chroma Colors
i
i
WFTI ANn nF-TFRMINAT1t7N
Is Hydrophytic Vegetation Criteria met? Yes Remarks:
Is Hydrology Criteria met? Yes
Is Hydric Soils Criteria met Yes
Is Sampling Point Within a Wetland? Yes
.I
DEPARTMENT OF TRANSPORTATION
JAMES B. HUNT, JR. DIVISION OF HIGHWAYS DAVID McCOY
GOVERNOR SECRETARY
STATE OF NORTH CAROLINA
U.S. Army Corps of Engineers
Regulatory Field Office
P.O. Box 1000
Washington, NC 27889-1000

September 7, 2000
ATTENTION: Mr. Michael F. Bell, PWS
NCDOT Coordinator
Dear Sir,
PAYMENT
RECEIVED

The North Carolina Department of Transportation (NCDOT) is proposing to improve SR 1212 in
Perquimans Co. The existing soil road will be widened and upgraded to a paved surface to
improve safety.
Please find attached a vicinity map along with a plan view of the proposed work and a completed
pre-construction notification form. The NCDOT has minimized impacts through the narrowing
of the typical section to the greatest extent practical within wetland boundaries. However,
wetland impacts will occur as a result of this work. Wetland impacts total 7405 square feet
(0.170 acres). Therefore, the NCDOT proposes to provide compensatory mitigation for these
impacts by debiting 0.34 acres of non-riverine bottomland hardwood forest from the Dismal
Swamp Mitigation site located near the end of SR 1212 on the Gates and Perquimans County
line. The debit of 0.34 acres will leave a balance of 345.4 acres of non-riverine bottomland
hardwood forest remaining at the Dismal Swamp Mitigation Site.
The NCDOT requests that this work be authorized under the provisions of Nationwide Permit
No. 14. By copy of this letter, the NCDOT also requests that the North Carolina Division of
Water Quality issue the appropriate water quality certification. A check for $200.00 is attached
P. 0. Box 850 Edenton, NC 27932 Phone: [phone] FAX: [phone]
to cover the permit fees. Work will begin as soon as the permits are issued. Thank you for your
attention to this important matter.
Sincerely,
D. R. Conner, PE
Division Engineer
Kristen Shacochis
Division Environmental Officer
cc: Mr. R.E. Capehart, PE, NCDOT
Mr. David Cox, NCWRC
Ms. Sarah Winslow, NCDMF
Mr. Ron Sechler, NMFS
Mr. Tom McCartney, USFWS /
Mr. John Hennessy, NCDWQ
Ms. Gretchen Byrum, PE, NCDOT
Mr. Ted Sampson, NCDCM
DEM ID: Q Q ?eCORPS ACTION ID:
NATIONWIDE PERMIT REQUESTED (PROVIDE NATIONWIDE PERMIT #): 14
PRE-CONSTRUCTION NOTIFICATION APPLICATION
FOR NATIONWIDE PERMITS THAT REQUIRE:
1) NOTIFICATION TO THE CORPS OF ENGINEERS
2) APPLICATION FOR SECTION 401 CERTIFICATION
3) COORDINATION WITH THE NC DIVISION OF COASTAL MANAGEMENT
SEND THE ORIGINAL AND (1) COPY OF THIS COMPLETED FORM TO THE APPROPRIATE
FIELD OFFICE OF THE CORPS OF ENGINEERS (SEE AGENCY ADDRESSES SHEET).
SEVEN (7) COPIES SHOULD BE SENT TO THE N.C. DIVISION OF ENVIRONMENTAL
MANAGEMENT (SEE AGENCY ADDRESSES SHEET). PLEASE PRINT.
1. OWNERS NAME: NC Dept. of Transportation
2. MAILING ADDRESS: Post Office Box 850
SUBDIVISION NAME
CITY: Edenton STATE: NC ZIP CODE:
PROJECT LOCATION ADDRESS, INCLUDING SUBDIVISION NAME
FROM MAILING ADDRESS ABOVE):
27932
(IF DIFFERENT
3. TELEPHONE NUMBER (HOME):
(WORK) : 252-482-7977
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL,
ADDRESS, PHONE NUMBER:
D. R. Conner, P.E., Division Engineer
5. LOCATION OF WORK (PROVIDE A MAP, PREFERABLY A COPY OF USGS
TOPOGRAPHIC MAP OR AERIAL PHOTOGRAPHY WITH SCALE):
COUNTY: Perquimans NEAREST TOWN OR CITY: Hobbsville
1
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ETC.):
SR 1212 in Perquimans County (Craney Island Road) Latitude N306 21.10
Lonaitude W76 30.44
6. IMPACTED OR NEAREST STREAM/RIVER: tributary of the Perquimans River
7a. IS PROJECT LOCATED NEAR WATER CLASSIFIED AS TROUT, TIDAL SALTWATER
(SA), HIGH QUALITY WATERS (HQW), OUTSTANDING RESOURCE WATERS (ORW),
WATER SUPPLY (WS-I OR WS-II)? YES [] NO [x] IF YES, EXPLAIN:-
7b. IS THE PROJECT LOCATED WITHIN A NORTH CAROLINA DIVISION OF COASTAL
MANAGEMENT AREA OF ENVIRONMENTAL CONCERN (AEC)?YES[X] NO[ ]
7c. IF THE PROJECT IS LOCATED WITHIN A COASTAL COUNTY (SEE PAGE 7 FOR
LIST OF COASTAL COUNTIES), WHAT IS THE LAND USE PLAN (LUP) DESIGNATION
Forest
8a. HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON
THIS PROPERTY? YES [ ] NO [X] IF YES, PROVIDE ACTION I.D. NUMBER OF
PREVIOUS PERMIT AND ANY ADDITIONAL INFORMATION (INCLUDE PHOTOCOPY OF 401
CERTIFICATION):
8b. ARE ADDITIONAL PERMIT REQUESTS EXPECTED FOR THIS PROPERTY IN THE
FUTURE? YES [ ] NO [X] IF YES, DESCRIBE ANTICIPATED WORK:
9a. ESTIMATED TOTAL NUMBER OF ACRES IN TRACT OF LAND: N/A
9b. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT
SITE:
2
10a. NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT BY:
FILLING: 0.170 acres EXCAVATION:
FLOODING:
DRAINAGE:
OTHER:
TOTAL ACRES TO BE IMPACTED: 0.170 acres
10b. (1) STREAM CHANNEL TO BE IMPACTED BY THE PROPOSED PROJECT (IF
RELOCATED, PROVIDE DISTANCE BOTH BEFORE AND AFTER RELOCATION):
LENGTH BEFORE: N/A FT AFTER: N/A FT
WIDTH BEFORE (based on normal high water contours): N/A FT
WIDTH AFTER: N/A FT
AVERAGE DEPTH BEFORE: N/A FT AFTER: N/A FT
(2) STREAM CHANNEL IMPACTS WILL RESULT FROM: (CHECK ALL THAT APPLY)
OPEN CHANNEL RELOCATION: PLACEMENT OF PIPE IN CHANNEL:
CHANNEL EXCAVATION: CONSTRUCTION OF A DAM/FLOODING:
OTHER:
11. IF CONSTRUCTION OF A POND IS PROPOSED, WHAT IS THE SIZE OF THE
WATERSHED DRAINING TO THE POND?
WHAT IS THE EXPECTED POND SURFACE AREA?
12. DESCRIPTION OF PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF
MECHANICAL EQUIPMENT TO BE USED (ATTACH PLANS: 8 1/2" X 11" DRAWINGS
ONLY): Paving SR 1212 (approximately 1.3 miles)
13. PURPOSE OF PROPOSED WORK: Improve safety and traffic flow on SR 1212
3
14. STATE REASONS WHY IT IS BELIEVED THAT THIS ACTIVITY MUST BE CARRIED
OUT IN WETLANDS. (INCLUDE ANY MEASURES TAKEN TO MINIMIZE WETLAND
IMPACTS): The widening is on an existing location and is a linear
project. Therefore, crossing jurisdictional areas is unavoidable.
15. YG REQUIRED TG E$N-TZ-r-Trcm THE U.S. `'IUc? =_ ? * nr !FF3 _ ERVIG
---y?r?ice ? ri T ? ? cE
(USFWS) 1D/G N TTGNA !1A E FISHERIES \ (SEE T(`LNGL4_
T DDn SSS TSS-HEE THE ?RES.S-NGE; GF FE;9ER; t;13`_' 131STED arc
HABITAT FGR LISTING -^Tn'`?T'r'Lr'??7rT mD tlAGR:' c?:????Try rS P 1E;•GICC G ?r1TnI;Tic-\L
IT r+ m.
YIBI1TTTt *7 r1 N Ty?::U4!Z-TY??".?Tx ?^?12S Tj BE ?TFEGT^t7 {?,{Z THE PRG'GSED PRGG J7F3GT
DT GGNTAG-TE9! /TTr?t",GH- 2C '-S GNS S _i;GH THESE T(`T NG=-S
CTJ
16. YGv TT zzRS T1LQU;P:iD ?7-?r ? ADDRESSES SHEET) G!^ T rj S_: r ^`?T ? T?TIGN GFI('
- / -}.z_m7-r?cn.'7?7 /v ENGY r??}r ADDRE?'•?i?•?-Ac_-. Yrr.^ ?. T ?/+?7????TI'iE PR"..E?+:? :??5?'i?c a`z._
'(SHPr (S'17'LTf2QREC3T RDI 1G ?ENGS /-` HTSTGDTG
PRGPERTIES-1N THE PEP441 = ARSA ;4HIGii BE AFFEG!;?3-D BY THE : °GPGSED
PRGjEGT-8ATE GGNTACTE
17. DOES THE PROJECT INVOLVE AN EXPENDITURE OF PUBLIC FUNDS OR THE USE
OF PUBLIC (STATE) LAND?
YES [XI NO [] (IF NO, GO TO 18)
a. IF YES, DOES THE PROJECT REQUIRE PREPARATION OF AN
ENVIRONMENTAL DOCUMENT PURSUANT TO THE REQUIREMENTS OF THE NORTH
CAROLINA ENVIRONMENTAL POLICY ACT?
YES H NO [x]
b. IF YES, HAS THE DOCUMENT BEEN REVIEWED THROUGH THE NORTH
CAROLINA DEPARTMENT OF ADMINISTRATION STATE CLEARINGHOUSE?
YES [ J NO [XJ
IF ANSWER TO 17b IS YES, THEN SUBMIT APPROPRIATE DOCUMENTATION FROM THE
STATE CLEARINGHOUSE TO DIVISION OF ENVIRONMENTAL MANAGEMENT REGARDING
COMPLIANCE WITH THE NORTH CAROLINA ENVIRONMENTAL POLICY ACT.
QUESTIONS REGARDING THE STATE CLEARINGHOUSE REVIEW PROCESS SHOULD BE
DIRECTED TO MS. CHRYS BAGGETT, DIRECTCR STATE CLEARINGHOUSE, NORTH
CAROLINA DEPARTMENT OF ADMINISTRATION, 116 WEST JONES STREET, RALEIGH,
NORTH CAROLINA 27603-8003, TELEPHONE [phone].
4
18. THE FOLLOWING ITEMS SHOULD BE INCLUDED WITH THIS APPLICATION IF
PROPOSED ACTIVITY INVOLVES THE DISCHARGE OF EXCAVATED OR FILL MATERIAL
INTO WETLANDS:
a. WETLAND DELINEATION MAP SHOWING ALL WETLANDS, STREAMS, LAKES
AND PONDS ON THE PROPERTY (FOR NATIONWIDE PERMIT NUMBERS 14, 18, 21,
26, 29, AND 38). ALL STREAMS (INTERMITTENT AND PERMANENT) ON THE
PROPERTY MUST BE SHOWN ON THE MAP. MAP SCALES SHOULD BE 1 INCH EQUALS
50 FEET OR 1 INCH EQUALS 100 FEET OR THEIR EQUIVALENT.
b. IF AVAILABLE, REPRESENTATIVE PHOTOGRAPH OF WETLANDS TO BE
IMPACTED BY PROJECT.
C. IF DELINEATION WAS PERFORMED BY A CONSULTANT, INCLUDE ALL DATA
SHEETS RELEVANT TO THE PLACEMENT OF THE DELINEATION LINE.
d. ATTACH A COPY OF THE STORMWATER MANAGEMENT PLAN IF REQUIRED.
e. WHAT IS LAND USE OF SURROUNDING PROPERTY Forest
f. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
N/A
g. SIGNED AND DATED AGENT AUTHORIZATION LETTER, IF APPLICABLE.
NOTE: WETLANDS OR WATERS OF THE U.S. MAY NOT BE IMPACTED PRIOR TO:
1) ISSUANCE OF A SECTION 404 CORPS OF ENGINEERS PERMIT,
2) EITHER THE ISSUANCE OR WAIVER OF A 401 DIVISION OF
ENVIRONMENTAL MANAGEMENT (WATER QUALITY) CERTIFICATION, AND
3) (IN THE TWENTY COASTAL COUNTIES ONLY), A LETTER FROM THE
NORTH CAROLINA DIVISION OF COASTAL MANAGEMENT STATING THE PROPOSED
ACTIVITY IS CONSISTENT WITH THE NORTH CAROLINA COASTAL MANAGEMENT
PROGRAM.
OWNER'S/AGENT'S SIGNATURE
(AGENT'S SIGNATURE VALID ONLY
IF AUTHORIZATION LETTER FROM
THE OWNER IS PROVIDED (18g.))
DATE
5
AGENCY ADDRESSES
ENDANGERED SPECIES:
U.S. FISH AND WILDLIFE SERVICE NATIONAL MARINE FISHERIES SERVICE U.S. FISH A24D WILDLIFE SERVICE
RALEIGH FIELD OFFICE HABITAT CCNSERVATICN DIVISION ASHEVILLE FIELD OFFICE
P.O. BOX 33726 PIVERS ISLAND 1-60 ZILLICCA STREET
RALEIGH, NC 27636-3726 BEAUFORT, NC 28516 ASHEVILLE, NC 28801
TELEPHONE [phone] TELEPHONE [phone]ELEPHONE(704)665-1195
HISTORIC RESOURCES:
STATE HISTORIC PRESERVATION OFFICE
N.C. DIVISION OF ARCHIVES AND HISTORY
109 EAST JONES STREET
RALEIGH, NC 27601
TELEPHONE [phone]
STATE REGULATORY AGENCIES:
MR. JOHN DORNEY
DIVISION OF ENVIRONMENTAL MANAGEMENT
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT, HEALTH, AND NATURAL
RESOURCES
4401 REEDY CREEK ROAD
RALEIGH, NORTH CAROLINA 27607
TELEPHONE [phone]
CORPS OF ENGINEERS FIELD OFFICES:
RALEIGH REGULATORY FIELD OFFICE
US ARMY CORPS OF ENGINEERS
6508 FALLS OF THE NEUSE ROAD,
SUITE 120
RALEIGH, NC 27615
TELEPHONE [phone]
MR. STEVE BENTON
DIVISICN OF COASTAL MA::AGEME:4T
NORTH CAROLINA DE= aRT11ENT OF
ENVIRCNMENT, HEALTH, AND NATURAL
RESOURCES
POST OFFICE BOX 2-687
RALEIGH, NORTH CAROLINA 27611-7687
TELEPHC::E (919) 7?3-2293
FAX [phone]
ASHEVIL:E REGULATORY F=ELD CFFICE
US ARMY CORPS OF NGIN- ERS
151 PATTON AVENUE, ROCH 143
ASHEVIL:.E, NC 28301-5C06
TELEPHONE [phone]
WASHINGTON REGULATORY FIELD OFFICE WILMING:CN REGULATCRY FIELD OFFICE
US ARMY CORPS OF ENGINEERS US ARMY CORPS OF MIGINERS
POST OFFICE BOX 1000 POST OFFICE BOX 1:90
WASHINGTON, NC 27889-1000 WILMING:ON, NC 2:402-.890
TELEPHONE [phone] TELEPHCNE- (910) 2=1-4511
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PERQUIMANS COUNTY
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ROUTINE WETLAND DETERMINATION
(1987 COE Wetlands Delineation Manual)
Project/Site : SR 1212 Date : 5/2100
Applicant/Owner : NCDOT County: Perquimans
Investigator : Lindsey Riddick State : NC
Normal Circumstances? Yes Community ID wetland
Significantly Disturbed (atypical)? No Transect ID
Potential Problem Area? No Plot ID :
VEGETATION
Dominant Plant Species Strat. Ind. Dominant Plant Species Strat. Ind.
Acer rubrum c/ss FAC
Taaodium disticlium c OBL
Juncus effusus h FACW+
Liquidambar styraciilua c/ss FAC+
Pinus taeda c/ss FAC
Percent Dominance 100.0%
FAC Neutral Test 100.0%
1YDROLOGY
Recorded Data (described below):
Stream, Lake or Tide Gaug
Aerial Photographs:
Other:
Depth of Surface Water 0 in
Depth of Saturated Soil 4 in
Depth to FreeWater in Pit 6 in
emar :
Wetland Hydrology Indicators:
Primary:
Saturated in Upper 12 Inches
Water Marks
Drainage Patterns in Wetlands
Secondary:
Water-Stained Leaves
OILS
Soil Series: Drainage Class:
Soil Taxonomy Do Field Observations Confirm Mapped Type?
Profile Description: Matrix Mottle Mottle Texture, Concertions
Depth (in.) Horizon (Munsell Moist) (Munsell Moist) Abundance/Contrast Structure, etc.
04 10 YR 3/1 Sandy Loam
4->10 10 YR 4/1 Few/Distinct Sandy Loam
Gleyed or Low-Chroma Colors
WETLAND DETERMINATION
Is Hydrophytic Vegetation Criteria met? Yes Remarks:
Is Hydrology Criteria met? Yes
Is Hydric Soils Criteria met Yes
Is Sampling Point Within a Wetland? Yes
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