20010682 Ver 1_Complete File_20010504

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
Michael F. Easley, Governor
William G. Ross, Jr., Secretary
Kerr T. Stevens, Director
7?
o
NCDENK.
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
Applicant: ?/ (b 'T (C• M J J rr?!T
Project Name: -S (Z, 11:58 C6re er RJ) LL %, 54- (139 (,,C -et 5A, -341
- Date of Issuance of 401 Water Quality Certification:
QC ?- b1 0 ?3Z 155 .r ec? 6,1 71 1/ /u ?
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.
Applicant's Certification
I, -JOnt G. Nante, , 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 com nc and intent of the 401 Water Quality Certification and Buffer Rules, the
approved plans an K777ecifi d other supporting materials.
Signature: Date:
Agent's Certifica on
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 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
State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
Michael F. Easley, Governor
William G. Ross, Jr., Secretary
Kerr T. Stevens, Director
10
1 Faxh;% •
NC ENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
July 4, 2001
Franklin County
DWQ Project No. 010682
APPROVAL OF 401 Water Quality Certification and ADDITIONAL CONDITIONS and Neuse
River Buffer Rules
Mr. J.G. Nance, P.E., Division Engineer
NCDOT, Division 5
2612 N. Duke Street
Durham, NC 27704
Dear Mr. Nance:
You have our approval, as described in your application dated May 2, 2001, and the addendum dated June
1, 2001, and in accordance with the attached conditions and those listed below, to place fill material in 0.01
acres of jurisdictional wetlands and 38 linear feet of streams. Temporary impacts to 90 linear feet of
streams for the purpose of dewatering the construction site is also authorized. In addition, your are
authorized to impact 3800 square feet of Zone 1 and 3040 square feet of Zone 2 protected riparian buffers
in the Neuse River Basin. The project's purpose is the widening and improving of SR 1138 (Green Road)
from SR 1139 (Sid Mitchell Road) to SR 1134 (Long Mill Road) in Franklin County. The project should
be constructed in accordance with your application dated May 2, 2001, and the addendum dated June 1,
2001. After reviewing your application, we have decided that this fill is covered by General Water Quality
Certification Number 3289. This certification corresponds to the Nationwide Permit Number 14 issued by
the Corps of Engineers. This approval is also valid for the Neuse River buffer rules (15A NCAC 2B .033).
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 when the accompanying 404 permit expires unless
otherwise specified in the General 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). ). This approval shall
expire with the corresponding Nationwide Permit expires or as otherwise provided in the General
Certification. For this approval to be valid, you must follow the conditions listed in the attached
certification and any additional conditions listed below.
1. Stormwater shall be directed to sheetflow at nonerosive velocities through the protected stream buffers.
2. 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.
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
State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
Michael F. Easley, Governor
William G. Ross, Jr., Secretary
Kerr T. Stevens, Director
1 ? •
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
3. For the 90 linear feet of streams being impacted due to site dewatering activties, the site shall be graded
to its preconstruction contours and revegetated with native vegetation.
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.
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, which 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.
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 contact John Hennessy at 919-733-1786, or Steve Mitchell at 919-
571-4700.
Attachment
cc: Wilmington District Corps of Engineers
Corps of Engineers Raleigh Field Office
DWQ Raleigh Regional Office
e?CoPY"'°
Central Files
c:\ncdot\SR 1138\wqc\010682wgc.doc
Sincer y,
evens
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

STATE of NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY
GOVERNOR
June 1, 2001
North Carolina Division of Water Quality
Wetlands/401 Unit
2321 Crabtree Blvd.
Raleigh, NC 27604-2260
Attention: Mr. John Dorney
Supervisor
LYNDO TIPPETT
SECRETARY
Subject: Secondary road improvements to SR 1138 (Green Road) from SR 1139
(Sid Mitchell Road) to SR 1134 (Long Mill Road) in Franklin County.
NCDWQ No. 010682.
Reference: 1. USACE Permit Application (May 2, 2001).
2. NCDWQ notice indication HOLD status of project (May 16, 2001)
The North Carolina Department of Transportation (NCDOT) proposes to upgrade
and pave SR 1138 (Green Road) from SR 1139 (Sid Mitchell Road) to SR 1134 (Long
Mill Road) in Franklin County. A permit application outlining impacts associated with
this project was submitted to the United States Army Corps of Engineers (USACE) and
copied to the North Carolina Division of Water Quality (NCDWQ) on May 2, 2001.
The NCDWQ informed the Division by letter on May 16, 2001 that the
application was incomplete and placed the project on HOLD. In order to complete the
application, the Division is attaching revised Figures 2 and 3. Figure 2 depicts Site 1 and
indicates impacts to a wetland and riparian buffer. Figure 3 depicts Site 2 and indicates
impacts to a stream and riparian buffer. These revised maps attempt to clearly identify
the accurate location of riparian buffer impacts associated with the construction of the
project. These impacts are restricted to within the 60 foot right of way and do not extend
beyond this limit.
Section VII of the Pre-construction Notification states "All wetlands and surface
waters not affected by project construction will be protected from unnecessary
encroachment. No staging of equipment will be allowed in or adjacent to waters of the
U. S. unless necessary for construction." The HOLD notice requests that the application
identify all foreseeable impacts (temporary and permanent) be identified prior to issuance
of the 401 Water Quality Certification and Buffer Authorization.
Division 5, 2612 N. Duke Street, Durham, NC 27704
Phone: [phone] Fax: [phone]
e
The impacts identified in the permit application do identify all foreseeable
impacts (temporary and permanent). Permanent impacts at Site 1 include <0.01 acre fill
in wetlands. Permanent impacts at Site 2 include <0.01 acre fill in surface water and 38
linear feet existing channel impacted. Temporary impacts to the stream from dewatering
activity will involve <0.01 ac of stream bed and 90 linear feet stream channel at Site 2.
Riparian buffer impacts at Site 1 include 1,200 square feet in Zone 1 and 800 square feet
in Zone 2. Riparian buffer impacts at Site 2 include 2,700 square feet in Zone 1 and
2,240 square feet in Zone 2. No other impacts are anticipated for this project.
If you have any questions or need additional information, please contact me at
[phone].
Sincerely,
Christopher A. Murray, P.W.S.
Environmental Officer
cc: Mr. Scott Capps, P.E., NCDOT District Engineer, Henderson
K '
GREEN REDDICK
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reeY ?° Impact)
worse C
UNDERwOOD FAMILY LwrrED
Wetland Impact
FRiH
Riparian Buffer Impact
Site 1
SR 1138 Green Road
Franklin County
Figure 2 P=100'
45
?? x"53
L
M
cReFti
Reoo??k

4YQrT /e 0Ree4l REo%K
TAR-PAMLICO RIVER BASIN BUFF
Riparian Buffer Impact
Stream Impact
UT to Horse Creek
Site 2
SR 1138 Green Road
Franklin County
Figure 3 I"=100'
60 $. ROw
i
i
i
i
r `

STATE of NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY
GOVERNOR
June 1, 2001
North Carolina Division of Water Quality
Wetlands/401 Unit
2321 Crabtree Blvd.
Raleigh, NC 27604-2260
Attention: Mr. John Dorney
Supervisor
LYNDO TIPPETT
SECRETARY
Subject: Secondary road improvements to SR 1138 (Green Road) from SR 1139
(Sid Mitchell Road) to SR 1134 (Long Mill Road) in Franklin County.
NCDWQ No. 010682.
Reference: 1. USACE Permit Application (May 2, 2001).
2. NCDWQ notice indication HOLD status of project (May 16, 2001)
The North Carolina Department of Transportation (NCDOT) proposes to upgrade
and pave SR 1138 (Green Road) from SR 1139 (Sid Mitchell Road) to SR 1134 (Long
Mill Road) in Franklin County. A permit application outlining impacts associated with
this project was submitted to the United States Army Corps of Engineers (USACE) and
copied to the North Carolina Division of Water Quality (NCDWQ) on May 2, 2001.
The NCDWQ informed the Division by letter on May 16, 2001 that the
application was incomplete and placed the project on HOLD. In order to complete the
application, the Division is attaching revised Figures 2 and 3. Figure 2 depicts Site 1 and
indicates impacts to a wetland and riparian buffer. Figure 3 depicts Site 2 and indicates
impacts to a stream and riparian buffer. These revised maps attempt to clearly identify
the accurate location of riparian buffer impacts associated with the construction of the
project. These impacts are restricted to within the 60 foot right of way and do not extend
beyond this limit.
Section VII of the Pre-construction Notification states "All wetlands and surface
waters not affected by project construction will be protected from unnecessary
encroachment. No staging of equipment will be allowed in or adjacent to waters of the
U.S. unless necessary for construction." The HOLD notice requests that the application
identify all foreseeable impacts (temporary and permanent) be identified prior to issuance
of the 401 Water Quality Certification and Buffer Authorization.
Division 5, 2612 N. Duke Street, Durham, NC 27704
Phone: [phone] Fax: [phone]
The impacts identified in the permit application do identify all foreseeable
impacts (temporary and permanent). Permanent impacts at Site 1 include <0.01 acre fill
in wetlands. Permanent impacts at Site 2 include <0.01 acre fill in surface water and 38
linear feet existing channel impacted. Temporary impacts to the stream from dewatering
activity will involve <0.01 ac of stream bed and 90 linear feet stream channel at Site 2.
Riparian buffer impacts at Site 1 include 1,200 square feet in Zone 1 and 800 square feet
in Zone 2. Riparian buffer impacts at Site 2 include 2,700 square feet in Zone 1 and
2,240 square feet in Zone 2. No other impacts are anticipated for this project.
If you have any questions or need additional information, please contact me at
[phone].
Sincerely,
Ac? --c- .
Christopher A. Murray, P.W.S.
Environmental Officer
X
. Is
cc: Mr. Scott Capps, P.E., NCDOT District Engineer, Henderson
t
GREEN REDDIGK.
60 R
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SNIFFY y.GREE
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reek ?° Impacts
?oxse C
UNDEpwOOD FAMILY LimrrED
45
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Limits
Wetland Impact
Riparian Buffer Impact RO
Site 1
SR 1138 Green Road
Franklin County
Figure 2 V=100'

FL

?14,-;,-
lF
cRFFb
RFDD?ck
2k9x/3 ? ` ` ? _ `
41gT7'i
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TAR-PAMLICO RIVER BASIN
Riparian Buffer Impact -;
A ?
Stream Impact
ti°o 2
Site 2
SR 1138 Green Road
Franklin County
Figure 3 P--100'
Temporary placement of sandbags or
Class 2 or Class B rip rap covered with UT to Horse Creek
filter fabric to facilitate temporary
dewatering of stream.
_ 6S
I
I
1
i
401 ISSUED
STATE of NORTH CAROLINA ?IUi?
DEPARTMENT OF TRANSPORTATION: 4
MICHAEL F. EASLEY LTNDTIPPFtTT , L .
GOVERNOR SE
June 1, 2001
North Carolina Division of Water Quality
Wetlands/401 Unit
2321 Crabtree Blvd.
Raleigh, NC 27604-2260
Attention: Mr. John Dorney
Supervisor
Subject: Secondary road improvements to SR 1138 (Green Road) from SR 1139
(Sid Mitchell Road) to SR 1134 (Long Mill Road) in Franklin County.
NCDWQ No. 010682.
Reference: 1. USACE Permit Application (May 2, 2001).
2. NCDWQ notice indication HOLD status of project (May 16, 2001)
The North Carolina Department of Transportation (NCDOT) proposes to upgrade
and pave SR 1138 (Green Road) from SR 1139 (Sid Mitchell Road) to SR 1134 (Long
Mill Road) in Franklin County. A permit application outlining impacts associated with
this project was submitted to the United States Army Corps of Engineers (USACE) and
copied to the North Carolina Division of Water Quality (NCDWQ) on May 2, 2001.
The NCDWQ informed the Division by letter on May 16, 2001 that the
application was incomplete and placed the project on HOLD. In order to complete the
application, the Division is attaching revised Figures 2 and 3. Figure 2 depicts Site 1 and
indicates impacts to a wetland and riparian buffer. Figure 3 depicts Site 2 and indicates
impacts to a stream and riparian buffer. These revised maps attempt to clearly identify
the accurate location of riparian buffer impacts associated with the construction of the
project. These impacts are restricted to within the 60 foot right of way and do not extend
beyond this limit.
Section VII of the Pre-construction Notification states "All wetlands and surface
waters not affected by project construction will be protected from unnecessary
encroachment. No staging of equipment will be allowed in or adjacent to waters of the
U. S. unless necessary for construction." The HOLD notice requests that the application
identify all foreseeable impacts (temporary and permanent) be identified prior to issuance
of the 401 Water Quality Certification and Buffer Authorization.
Division 5, 2612 N. Duke Street, Durham, NC 27704
Phone: [phone] Fax: [phone]
Q
.c
The impacts identified in the permit application do identify all foreseeable
impacts (temporary and permanent). Permanent impacts at Site 1 include <0.01 acre fill
in wetlands. Permanent impacts at Site 2 include <0.01 acre fill in surface water and 38
linear feet existing channel impacted. Temporary impacts to the stream from dewatering
activity will involve <0.01 ac of stream bed and 90 linear feet stream channel at Site 2.
Riparian buffer impacts at Site 1 include 1,200 square feet in Zone 1 and 800 square feet
in Zone 2. Riparian buffer impacts at Site 2 include 2,700 square feet in Zone 1 and
2,240 square feet in Zone 2. No other impacts are anticipated for this project.
If you have any questions or need additional information, please contact me at
[phone].
Sincerely,
Christopher A. Murray, P.W.S.
Environmental Officer
cc: Mr. Scott Capps, P.E., NCDOT District Engineer, Henderson
R,
GREEN REDOICK
A
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JPOK A JGR EN
SHIP,I?Y H.
010 lznpact}
?oxse Creek
UNDERWOOD FAMILY LIMITED
45
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R?vER BAS\N d?
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Wetland Impact
Riparian Buffer Impact
Site 1
SR 1138 Green Road
Franklin County
Figure 2 P=100'
E

GREEN
'?ATri
F GRFFN REG???k
T AR-PAMLICO RIVER BASIN
UT to Horse Creek
60 ft- Row

Site 2
SR 1138 Green Road
Franklin County
Figure 3 111=100'
Riparian Buffer Impact ° • ??
Stream Impact
f •
eea sTA7Eo
STATE of NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY
GOVERNOR
June 1, 2001
North Carolina Division of Water Quality
Wetlands/401 Unit
2321 Crabtree Blvd.
Raleigh, NC 27604-2260
Attention: Mr. John Dorney
Supervisor
LYNDO TIPPETT
SECRETARY
Subject: Secondary road improvements to SR 1138 (Green Road) from SR 1139
(Sid Mitchell Road) to SR 1134 (Long Mill Road) in Franklin County.
NCDWQ No. 010682.
Reference: 1. USACE Permit Application (May 2, 2001).
2. NCDWQ notice indication HOLD status of project (May 16, 2001)
The North Carolina Department of Transportation (NCDOT) proposes to upgrade
and pave SR 1138 (Green Road) from SR 1139 (Sid Mitchell Road) to SR 1134 (Long
Mill Road) in Franklin County. A permit application outlining impacts associated with
this project was submitted to the United States Army Corps of Engineers (USACE) and
copied to the North Carolina Division of Water Quality (NCDWQ) on May 2, 2001.
The NCDWQ informed the Division by letter on May 16, 2001 that the
application was incomplete and placed the project on HOLD. In order to complete the
application, the Division is attaching revised Figures 2 and 3. Figure 2 depicts Site 1 and
indicates impacts to a wetland and riparian buffer. Figure 3 depicts Site 2 and indicates
impacts to a stream and riparian buffer. These revised maps attempt to clearly identify
the accurate location of riparian buffer impacts associated with the construction of the
project. These impacts are restricted to within the 60 foot right of way and do not extend
beyond this limit.
Section VII of the Pre-construction Notification states "All wetlands and surface
waters not affected by project construction will be protected from unnecessary
encroachment. No staging of equipment will be allowed in or adjacent to waters of the
U. S. unless necessary for construction." The HOLD notice requests that the application
identify all foreseeable impacts (temporary and permanent) be identified prior to issuance
of the 401 Water Quality Certification and Buffer Authorization.
Division 5, 2612 N. Duke Street, Durham, NC 27704
Phone: [phone] Fax: [phone]

The impacts identified in the permit application do identify all foreseeable
impacts (temporary and permanent). Permanent impacts at Site 1 include <0.01 acre fill
in wetlands. Permanent impacts at Site 2 include <0.01 acre fill in surface water and 38
linear feet existing channel impacted. Temporary impacts to the stream from dewatering
activity will involve <0.01 ac of stream bed and 90 linear feet stream channel at Site 2.
Riparian buffer impacts at Site 1 include 1,200 square feet in Zone 1 and 800 square feet
in Zone 2. Riparian buffer impacts at Site 2 include 2,700 square feet in Zone 1 and
2,240 square feet in Zone 2. No other impacts are anticipated for this project.
If you have any questions or need additional information, please contact me at
[phone].
Sincerely,
Christopher A. Murray, P.W.S.
Environmental Officer
cc: Mr. Scott Capps, P.E., NCDOT District Engineer, Henderson
'w •
A
FP-
GREEN REDDIDK
t5rlT-q E
'0 q4
Yeek ?° Impacts
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UNDERWOOD FAMILY LIMrfED
45
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Lets ,
JtGK A MGR EN
SHIRLEY H. D
? BuF FER
?,\ VER
? AR,P prJ,L?GG Wetland Impact
Riparian Buffer Impact
Site 1
SR 1138 Green Road
Franklin County
Figure 2 V=100'
g?,c

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cR?Fti
R????ck
SAT r/e cR??N RF?O
TAR-PA'4"CO RIVER BASIN SUP
Riparian Buffer Impact
a.
Stream Impact RM
UT to Horse Creek
Site 2
SR 1138 Green Road
Franklin County
Figure 3 P--100'
60 $. ROW
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wa
STATE of NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY
GovERNoR
June 1, 2001
North Carolina Division of Water Quality
Wetlands/401 Unit
2321 Crabtree Blvd.
Raleigh, NC 27604-2260
Attention: Mr. John Dorney
Supervisor
LYNDO TIPPETT
SECRETARY
Subject: Secondary road improvements to SR 1138 (Green Road) from SR 1139
(Sid Mitchell Road) to SR 1134 (Long Mill Road) in Franklin County.
NCDWQ No. 010682.
Reference: 1. USACE Permit Application (May 2, 2001).
2. NCDWQ notice indication HOLD status of project (May 16, 2001)
The North Carolina Department of Transportation (NCDOT) proposes to upgrade
and pave SR 1138 (Green Road) from SR 1139 (Sid Mitchell Road) to SR 1134 (Long
Mill Road) in Franklin County. A permit application outlining impacts associated with
this project was submitted to the United States Army Corps of Engineers (USACE) and
copied to the North Carolina Division of Water Quality (NCDWQ) on May 2, 2001.
The NCDWQ informed the Division by letter on May 16, 2001 that the
application was incomplete and placed the project on HOLD. In order to complete the
application, the Division is attaching revised Figures 2 and 3. Figure 2 depicts Site 1 and
indicates impacts to a wetland and riparian buffer. Figure 3 depicts Site 2 and indicates
impacts to a stream and riparian buffer. These revised maps attempt to clearly identify
the accurate location of riparian buffer impacts associated with the construction of the
project. These impacts are restricted to within the 60 foot right of way and do not extend
beyond this limit.
Section VII of the Pre-construction Notification states "All wetlands and surface
waters not affected by project construction will be protected from unnecessary
encroachment. No staging of equipment will be allowed in or adjacent to waters of the
U. S. unless necessary for construction." The HOLD notice requests that the application
identify all foreseeable impacts (temporary and permanent) be identified prior to issuance
of the 401 Water Quality Certification and Buffer Authorization.
Division 5, 2612 N. Duke Street, Durham, NC 27704
Phone: [phone] Fax: [phone]
The impacts identified in the permit application do identify all foreseeable
impacts (temporary and permanent). Permanent impacts at Site 1 include <0.01 acre fill
in wetlands. Permanent impacts at Site 2 include <0.01 acre fill in surface water and 38
linear feet existing channel impacted. Temporary impacts to the stream from dewatering
activity will involve <0.01 ac of stream bed and 90 linear feet stream channel at Site 2.
Riparian buffer impacts at Site 1 include 1,200 square feet in Zone 1 and 800 square feet
in Zone 2. Riparian buffer impacts at Site 2 include 2,700 square feet in Zone 1 and
2,240 square feet in Zone 2. No other impacts are anticipated for this project.
If you have any questions or need additional information, please contact me at
[phone].
Sincerely,
ac.--c-
Christopher A. Murray, P.W.S.
Environmental Officer
cc: Mr. Scott Capps, P.E., NCDOT District Engineer, Henderson
j
Site 1
SR 1138 Green Road
Franklin County
Figure 2 111=100'
GREEN REDDICK
60
K A JR.&
?? REEN
SNIRLEY N.C

UNOERwOOD FAMILY LIM(fED
45
?A
Wetland Impact
Riparian Buffer Impact ;X
R
R??ER 6 PS\N ??FFE
R P AM`1GO
reek ?° Irnpact?
?IloYSe C

'('A??F
c?FFti

SAT T /? GReeN REDO
TAR-PAMLICO RIVER BASIN B
UT to Horse Creek
I
6060 it. w
Site 2
SR 1138 Green Road
Franklin County
Figure 3 P--100'
Riparian Buffer Impact a°.
Stream Impact
eaa$[A7po
STATE of NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY
GOVERNOR
June 1, 2001
North Carolina Division of Water Quality
Wetlands/401 Unit
2321 Crabtree Blvd.
Raleigh, NC 27604-2260
Attention: Mr. John Dorney
Supervisor
LYNDO TIPPETT
SECRETARY
Subject: Secondary road improvements to SR 1138 (Green Road) from SR 1139
(Sid Mitchell Road) to SR 1134 (Long Mill Road) in Franklin County.
NCDWQ No. 010682.
Reference: 1. USACE Permit Application (May 2, 2001).
2. NCDWQ notice indication HOLD status of project (May 16, 2001)
The North Carolina Department of Transportation (NCDOT) proposes to upgrade
and pave SR 1138 (Green Road) from SR 1139 (Sid Mitchell Road) to SR 1134 (Long
Mill Road) in Franklin County. A permit application outlining impacts associated with
this project was submitted to the United States Army Corps of Engineers (USACE) and
copied to the North Carolina Division of Water Quality (NCDWQ) on May 2, 2001.
The NCDWQ informed the Division by letter on May 16, 2001 that the
application was incomplete and placed the project on HOLD. In order to complete the
application, the Division is attaching revised Figures 2 and 3. Figure 2 depicts Site 1 and
indicates impacts to a wetland and riparian buffer. Figure 3 depicts Site 2 and indicates
impacts to a stream and riparian buffer. These revised maps attempt to clearly identify
the accurate location of riparian buffer impacts associated with the construction of the
project. These impacts are restricted to within the 60 foot right of way and do not extend
beyond this limit.
Section VII of the Pre-construction Notification states "All wetlands and surface
waters not affected by project construction will be protected from unnecessary
encroachment. No staging of equipment will be allowed in or adjacent to waters of the
U. S. unless necessary for construction." The HOLD notice requests that the application
identify all foreseeable impacts (temporary and permanent) be identified prior to issuance
of the 401 Water Quality Certification and Buffer Authorization.
Division 5, 2612 N. Duke Street, Durham, NC 27704
Phone: [phone] Fax: [phone]

The impacts identified in the permit application do identify all foreseeable
impacts (temporary and permanent). Permanent impacts at Site 1 include <0.01 acre fill
in wetlands. Permanent impacts at Site 2 include <0.01 acre fill in surface water and 38
linear feet existing channel impacted. Temporary impacts to the stream from dewatering
activity will involve <0.01 ac of stream bed and 90 linear feet stream channel at Site 2.
Riparian buffer impacts at Site 1 include 1,200 square feet in Zone 1 and 800 square feet
in Zone 2. Riparian buffer impacts at Site 2 include 2,700 square feet in Zone I and
2,240 square feet in Zone 2. No other impacts are anticipated for this project.
If you have any questions or need additional information, please contact me at
[phone].
Sincerely,
Christopher A. Murray, P.W.S.
Environmental Officer
cc: Mr. Scott Capps, P.E., NCDOT District Engineer, Henderson

FL
GREEN REODIOK l
i
o ?mpact?
?I?orse Creek ?
/ UNOERw000 FAMILY LIMIrE0
t 45
'r
We
Limits
t .
C-A
V
JACK J?R EN
SHIPLEY H
??g E
ROw - -
R..
AVER ? PS?N gUF ? ER
? AR P PM?\GG R
Site 1
SR 1138 Green Road
Franklin County
Figure 2 111=100'
Wetland Impact titit,
Riparian Buffer Impact
•
cRFFti
9F?o'c/r

?ArT /F 6RFFN
REololck
TAR-PAMLICO RIVER BASIN FLUFF
Temporary placement of sandbags or
Class 2 or Class B rip rap covered with
filter fabric to facilitate temporary
dewatering of stream.

Riparian Buffer Impact
Stream Impact

UT to Horse Creek
60 it. RONV
Site 2
SR 1138 Green Road
Franklin County
Figure 3 P__100'
I
I
I
i

STATE of NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY
GOVERNOR
June 1, 2001
North Carolina Division of Water Quality
Wetlands/401 Unit
2321 Crabtree Blvd.
Raleigh, NC 27604-2260
Attention: Mr. John Dorney
Supervisor
LYNDO TIPPETT
SECRETARY
Subject: Secondary road improvements to SR 1138 (Green Road) from SR 1139
(Sid Mitchell Road) to SR 1134 (Long Mill Road) in Franklin County.
NCDWQ No. 010682.
Reference: 1. USACE Permit Application (May 2, 2001).
2. NCDWQ notice indication HOLD status of project (May 16, 2001)
The North Carolina Department of Transportation (NCDOT) proposes to upgrade
and pave SR 1138 (Green Road) from SR 1139 (Sid Mitchell Road) to SR 1134 (Long
Mill Road) in Franklin County. A permit application outlining impacts associated with
this project was submitted to the United States Army Corps of Engineers (USACE) and
copied to the North Carolina Division of Water Quality (NCDWQ) on May 2, 2001.
The NCDWQ informed the Division by letter on May 16, 2001 that the
application was incomplete and placed the project on HOLD. In order to complete the
application, the Division is attaching revised Figures 2 and 3. Figure 2 depicts Site 1 and
indicates impacts to a wetland and riparian buffer. Figure 3 depicts Site 2 and indicates
impacts to a stream and riparian buffer. These revised maps attempt to clearly identify
the accurate location of riparian buffer impacts associated with the construction of the
project. These impacts are restricted to within the 60 foot right of way and do not extend
beyond this limit.
Section VII of the Pre-construction Notification states "All wetlands and surface
waters not affected by project construction will be protected from unnecessary
encroachment. No staging of equipment will be allowed in or adjacent to waters of the
U. S. unless necessary for construction." The HOLD notice requests that the application
identify all foreseeable impacts (temporary and permanent) be identified prior to issuance
of the 401 Water Quality Certification and Buffer Authorization.
Division 5, 2612 N. Duke Street, Durham, NC 27704
Phone: [phone] Fax: [phone]

The impacts identified in the permit application do identify all foreseeable
impacts (temporary and permanent). Permanent impacts at Site 1 include <0.01 acre fill
in wetlands. Permanent impacts at Site 2 include <0.01 acre:fill in surface water and 38
linear feet existing channel impacted. Temporary impacts to the stream from dewatering
activity will involve <0.01 ac of stream bed and 90 linear feet stream channel at Site 2.
Riparian buffer impacts at. Site 1 include 1,200 square feet in Zone 1 and 800 square feet
in Zone 2. Riparian buffer impacts at Site 2 include 2,700 square feet in Zone 1 and
2,240 square feet in Zone 2. No other impacts are anticipated for this project.
If you have any questions or need additional information, please contact me at
[phone].
Sincerely,
Christopher A. Murray, P.W.S.
Environmental Officer
cc: Mr. Scott Capps, P.E., NCDOT District Engineer, Henderson
+ A
FL
o Impa?t?
orse Creekk D
UNDERwOOD FAMILY uMrrE

GREEN REDOICK
y i
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JACK P-JGREEN
SHIRI?Y H.
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Wetland Impact
Riparian Buffer Impact
Site 1
SR 1138 Green Road
Franklin County
Figure 2 1 "=100'
45
N $? M 53
' " ?etlan
i L"?'lts
} t
"A2>
cReFti
RFDD/C'/r
2x9 Temporary placement of sandbags or
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O? filter fabric to facilitate temporary
G? dewatering of stream.
RED -
v .- -V
TAR-pAMLICO RIV I done
ER BASIN BUFFFR?
Riparian Buffer Impact
Stream Impact
UT to Horse Creek
1
60 tt. ROW
z2
Site 2
SR 1138 Green Road
Franklin County
Figure 3 1"=100'

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11q?T/? _ _ 60 {t. ROW
FAR-PAMLICp RIVER , ?arie
BASIN BUFFER oel I
ti?o,?e2 ° I
Riparian Buffer Impact • m
Stream Impact
Site 2
SR 1138 Green Road
Franklin County
Figure 3 111=100'
Temporary placement of sandbags or
Class 2 or Class B rip rap covered with UT to Horse Creek
filter fabric to facilitate temporary
dewatering of stream.
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401 ISSUED
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STATE of NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY LYNDO TIPPETT
GovERNOR SECRETARY
May 2, 2001
U. S. Army Corps of Engineers
Raleigh Regulatory Field Office 010682
6508 Falls of the Neuse Road, Suite 120 Raleigh, NC 27609
Attention: Mr. Eric Alsmeyer
NCDOT Coordinator
Subject: Secondary road improvements to SR 1138 (Green Road) from SR 1139
(Sid Mitchell Road) to SR 1134 (Long Mill Road) in Franklin County.
NCDOT Work Order No. 6.362295.
The North Carolina Department of Transportation (NCDOT) proposes to upgrade
SR 1138 (Green Road) from SR 1139 (Sid Mitchell Road) to SR 1134 (Long Mill Road)
in Franklin County. Total project length is 1.44 miles. Transportation and highway laws
of North Carolina (G.S. 136-44.6, 136-44.7, 136-44.7A, 136-44.8, and 136-44.9) require
the NCDOT to develop annual work programs for construction and maintenance of
secondary roads. These general statutes specifically set forth requirements for annual
construction and paving of existing unpaved roads. Paving of these roads is performed in
priority order as established by the NCDOT for each unpaved road within a given county. rn
This number is based on characteristics of each road, including number of homes,
.?
C-)
:E:
schools, churches, businesses, industries, recreational facilities, traffic counts, presence of -
school bus routes, and value as a thoroughfare. SR 1138 is scheduled to be paved in the r
rn Z
2000-2001 Secondary Roads Construction Program. r
Impacts to Waters of the United States
Construction of the project will necessitate impacts to waters of the United States
at two sites in the Neuse River Basin (Figure 1). Wetland delineations were conducted
using the field delineation method outlined in the 1987 Corps of Engineers Wetland
Delineation Manual (Environmental Laboratory, 1987). U. S. Army Corps of Engineers
(USACE) Wetland Data Forms and a North Carolina Division of Water Quality (DWQ)
Wetland Rating Form are attached to this application.
Division 5, 2612 N. Duke Street, Durham, NC 27704
Phone: [phone] Fax: [phone]

Site 1 41+00 to 41+40-Rt^)
Construction at this site will impact a palustrine forested wetland (PFO 1 B)
(Figure 2). Permanent impacts at the site include <0.01 acre fill in wetlands.
Site 2 65+55-L-)
Construction at this site will impact an unnamed intermittent tributary to Horse
Creek (DWQ Index No. 27-17-(0.3), Best Usage Classification C NSW) (Figure 3). The
existing structure is a 48-inch corrugated metal pipe that is 42 feet long. The replacement
pipe is a 48-inch corrugated metal pipe that is 80 feet long. Permanent impacts at the site
include <0.01 acre fill in surface water and 38 linear feet existing channel impacted.
Waters of the U.S. Mitigation
Avoidance: All wetlands and surface waters not affected by the project will be
protected from unnecessary encroachment. No staging of construction equipment or
storage of construction supplies will be allowed in wetlands or near surface waters. The
original design at Site 1 involved the replacement and extension of the existing 2@ 96
inch corrugated metal pipes at Station 40+50-L-, which convey Horse Creek. After
consulting with the Resident Engineer, it was determined that the pipes are still in good
condition and will not be replaced. This will result in avoidance to Horse Creek at Site 1.
Minimization: The side slopes have been steepened to the extent possible at
jurisdictional sites. Strict enforcement of sedimentation and erosion control Best
Management Practices for the protection of wetlands and surface waters will be enforced
during project construction. Continued coordination will occur with maintenance forces
and the Environmental Officer during construction to minimize impacts to these sites.
The original alignment at Site 2 involved symmetrical widening which would have
resulted in approximately 95 linear feet of stream relocation. After consulting with the
Resident Engineer, the alignment was realigned and shifted to the south. This results in
reduced impacts to the stream channel at Site 2.
Compensatory Mitigation: Construction of the project will result in only minimal
impacts to waters of the United States. Impacts have been avoided and minimized to the
maximum extent possible during the design process. Due to minimal impacts,
compensatory mitigation for stream and wetland impacts will not be provided for this
project.
Dewatering
The NCDOT proposes to temporarily dewater the stream at Site 2 during the
construction of the project. This will involve the temporary placement of sandbags or
Class B or Class 2 rip rap covered with filter fabric in the stream channel approximately
10 feet upstream of the proposed pipe inlet (Figure 3). To maintain water flow during
construction, water upstream of this impervious structure will be temporarily pumped out
and conveyed downstream of the construction activity where it will be allowed to filter
through vegetation before flowing into the stream. The stream will be dewatered less
than a day. This will result in temporary impacts to the surface water. Temporary
impacts to the streams from this activity will result in the dewatering of <0.01 ac of
stream bed and 90 linear feet stream channel at Site 2. The sandbags or rip rap covered
with filter fabric will be removed after construction.
Riparian Buffer Impacts
The project is located in the Neuse River Basin. Please note that Site 1 and Site 2
are depicted on the most recent version of the Grissom, North Carolina topographic
quadrangle (USGS, 1978, photorevised 1987) (Figure 1). Personnel from the Natural
Resource Conservation Service in Franklin County were contacted regarding the status of
the Soil Survey of Franklin County. They stated that this survey has not yet been .
published. Construction impacts at Site 1 and Site 2 involve less than 40 linear feet of
riparian buffer. Based on the impacts to the riparian buffer at these sites, these crossings
are exempt from the Rule.
Protected Species
Plants and animals with federal classifications of Endangered, Threatened,
Proposed Endangered and Proposed Threatened are protected under provisions of Section
7 and Section 9 of the ESA. As of February 7, 2001, there are three federally-protected
species listed for Franklin County. They include dwarf wedgemussel (Alasmidonta
heterodon), Tar spinymussel (Elliptio steinstansana) and Michaux's sumac (Rhus
michauxii). Biological Conclusions of No Effect have been rendered for each species.
Summary
NCDOT proposes to upgrade and pave SR 1138 in Franklin County. Permanent
impacts at Site 1 include <0.01 acre fill in wetlands. Permanent impacts at Site 2 include
<0.01 acre fill in surface water and 38 linear feet existing channel impacted. Temporary
impacts to the streams from dewatering activity will involve <0.01 ac of stream bed and
90 linear feet stream channel at Site 2.
Application is hereby made for a Department of the Army Section 404
Nationwide Permit (NWP) 14 and NWP 33 and DWQ Section 401 Water Quality
Certification (WQC) No. 3289 and No. 3114 for construction of this project. The
NCDOT will comply with all applicable NWP and WQC conditions. In compliance with
Section 143-215.3D(e) of the NCAA we have enclosed a check for $200.00 to act as
payment for processing the Section 401 permit application. A pre-construction
notification is attached with this request. If you have any questions or need additional
information, please contact me at [phone].
Sincee/rely,
Christopher A. Murray, P.W.S.
Environmental Officer
cc: Mr. David Franklin, USACE, Wilmington
Mr. John Dorney, NCDWQ, Raleigh
Mr. David Cox, NCWRC, Creedmoor
Mr. Garland Pardue, USFWS, Raleigh
Mr. Scott Capps, P.E., NCDOT District Engineer, Henderson
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SITE 2
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Project Study Area
SR 1138 Green Road
Franklin County J ?Grissom USGS Topo Map (1978 1987) s r' '?? •? III ?? ??`J 932 > ?J
1:24,000
N Figure 1
\ \ - I? / 1931 _ -
' /I i 1 \? ?\ u 1F CouTSC? / kVke?nton\\ fop
771 722 1.7 ,111, TO N. C. 98 0 " 9 INTERIOR-GEOLOGICAL SURVEY. RESTON, VIRGINIA-1987
R
GREEN REpp1CK
Creek ?° Impact}
-Rorse
UNpERWO0p FAMILY LINKED
45
_ N $o MrOp
0
jACK aJRREEN
SHIRI?Y H'G
AS\N BVF F
P A?`L?GO RgE p\S? vRgEO
? p,Ft- N0? T 0
??,]etland
(1
r N?4
Wetland Impact a
Site 1
SR 1138 Green Road
Franklin County
Figure 2 P=100'

"1q1>
F cR
e641
RF0O,c1t.

4147-T14- GReFN
Reoo1Ck
TAR-PAMLICO RIVCR BASIN BUFFER
Temporary placement of sandbags or
Class 2 or Class B rip rap covered with
filter fabric to facilitate temporary
dewatering of stream.

i
2
Stream Impact
UT to Horse Creek
l
I
i
I
I
Site 2
SR 1138 Green Road
Franklin County
Figure 3 1"=100'
sive 1
DATA FOAM
ROUTINE WETLAND DETERMINATION
0 987 COE Wetlands Delineation Manual)
Project/Site: 5 a- LL3 S G r e- n Q_o Date: kh-L(01
Applicant?Owner: n I r ,1 0'r County: FrA,kj,,
Investigator: C'• t-k j r r c.. State: N L
Do Normal Circumstances exist on the site? es No Community ID: !
Is the site significantly disturbed (Atypical Situation)? Ws Transect ID: W e a .
Is the area a potential Problem Area? Yes Plot ID:
(If needed, explain on reverse.)
VEGETATION
Dominant Plant Species Stratum Indicator Dominant Plant Species Stratum Indicator
1.h,cr.?SfPa,c?r. y,.h,v 1f??? C- ( 9.
r.? ??a
2.
L5
?Gr 5t? r g?, ?'c ,suer 10.
?
[
`
4. 12.
S r r un -} e '4CL-, 13.
6.5. ('y ArAre1 tt_ 14.
7. A`?,s sert?\a?. l F 15.
8. 16.
Percent of Dominant Species that are.OBL, FACW or FAC
(excluding FAC-). ( P)0 ?0
Remarks:
Rte%) encP
o - -t,i't C_ r
5prrles'?L -{- S?Ip
HYDROLOGY
Recorded Data (Describe in Remarks): Wetland Hydrology Indicators:
_
_ Stream, Lake, or ride Gauge Primary Indicators:
_ Aerial Photographs _ loundated
/
_ Other Saturated in Upper 12 Inches
.
No Recorded Data Available _ Water Marks
Drift Lines
_
Sediment Deposits
Field Observations: ? Drainage Patterns in Wetlands
Secondary Indicators (2 or more required):
Depth of Surface Water: (in.) _ Oxidized Root Channels in Upper.) 2 Inches
,? _ Water-Stained Leaves
Depth to Free Water in Pit: C> (in.) _ Local Soil Survey Data
FAC-Neutral Test
Depth to Saturated Soil: (in.) _
_ Other (Explain in Remarks)
Remarks:

SOILS
Map Unit Name 5,4 )Jr-it", 15 U, )keg 0-
(Series and Phase): Drainage Class:

Taxonomy (Subgroup): Field Observations
Confirm Mapped Type? Yes No
Profile Description:
Depth Matrix Color Mottle Colors Mottle Texture, Concretions,
inches Horizon (Munsell Moist) (Munsell Moist) Abundance/Contrast Structure, etc.
O-z- '7.5 K?-SIZ- CA" (a.,,.?

lo -t(ZS'I
f
f Hydric Soil Indicators:
_ Histosol _ Concretions
_ Histic Epipedon _ High Organic Content in Surface Layer in Sandy Soils
_ Sulfidic Odor _ Organic Streaking in Sandy Soils
_. Aquic Moisture Regime _ Listed on Local Hydric Soils List
_ Reducing Conditions Listed on National Hydric Soils List
_
leyed or Low-Chrome Colors _ Other (Explain in Remarks)
Remarks:

WETLAND DETERMINATION
Hydrophytic Vegetation Present? No (Circle) (Circle)
Wetland Hydrology Present? No
Hydric Soils Present? a No Is this Sampling Point Within a Wetland? es No
Remarks:
v
? t ?_Q_ ?
DATA FORM
ROUTINE WETLAND DETERMINATION
(1987 COE Wetlands Delineation Manual)
Project/Site: S tzS Iii i"b ,4 6 re e t lc o exa Date: k 1 Iz(u(
Applicant/Owner: p)C D 6i- County:
Investigator: M`J rf0. State: n! C_
Do Normal Circumstances exist on the site? a No, Community ID:
Is the site significantly disturbed (Atypical Situation)7 es o Transect ID:
Is the area a potential Problem Area? Yes Plot ID:
(If needed, explain on reverse.)
VEGETATION
nt Plant Species
Domin Stratum Indicator Dominant Plant Species Stratum Indicator
a
1.?JbuS 1'_%•t'35 1+ IF AcV)- 9.
2.AC ei (A,(,.y •-. F.4C_
?' 10.
344' ti c. c./ Sf'1f."C y?
' to 11.
4. P f4C 12. I
IA rnJ S a A-A a, GJ'r 13. ?I
r

1
'ACJ2 e- t 15.
8. 16.
Percent of Dominant Species that are.OBL, FACW or FAC ?--
(excluding FAC-).
Remarks:
Q(2vx??nce a? f
?K S ro??-? he ?
5 Dec{ eS G.fi 571 k
HYDROLOGY
_ Recorded Data (Describe in Remarks):
Stream, Lake, or Tide Gauge
_ Aerial Photographs
_ Other
ZNoecorded Data Available
Field Observations:
Depth of Surface Water: (in.)
Depth to Free Water in Pit: (in.)
Depth to Saturated Soil: (in.)
Remarks: ( Q ( 4 CO, a t
Wetland Hydrology Indicators:
Primary Indicators:
_ Inundated
_ Saturated in Upper 12 Inches
_ Water Marks
_ Drift Lines
_ Sediment Deposits
_ Drainage Patterns in Wetlands
Secondary Indicators (2 or more required):
_ Oxidized Root Channels in Upper.12 Inches
_ Water-Stained Leaves
-Local Soil Survey Data
_ FAC-Neutral Test
_ Other (Explain in Remarks)
AZ,? Q?i0c?T' 04- 5j1 k
SOILS
Map Unit Name Iq- S? ?l S0 C U e
(Series and Phase): Drainage Class:

Taxonomy (Subgroup): Field Observations
Confirm Mapped Type? Yes No
Profile Description:
Depth Matrix Color Mottle Colors Mottle Texture, Concretions,
inches Horizon (Munsell Moist) (Munsell Moist) Abundance/Contrast Structure, etc.
C0CIL
-t Z?' S' `1 ?S (6 (o ? (L 5 13 ??.?M
?
Y?
s 'F
?-- c ??
(

r
I .
, ?
,
,nc,
t.?
o?•.?..
Hydric Soi! Indicators: l
_ Histosol _ Concretions
_ Histic Epipedon _ High Organic Content in Surface Layer in Sandy Soils
_ Sulfidic Odor _ Organic Streaking in Sandy Soils
_ Aquic Moisture Regime _ Listed on Local Hydric Soils List
_ Reducing Conditions _ Listed on National- Hydric Soils List j
_ Gleyed or Low-Chroma Colors _ Other (Explain in Remarks)
Remarks:
Nvn- ???r?c so? ? 1 5 e•PseAJ- Pit s?,(e
WETLAND DETERMINATION
Hydrophytic Vegetation Present? Y N (Circle) (Circle)
Wetland Hydrology Present? Yes
Hydric Soils Present? Yes Is this Sampling Point Within a Wetland? Yes
Remarks:
(AJ '4??dC'
P? ??? f -- a f- s? ?e
Approved by H C 2152

WETLAND RATING WORKSHEET (4th VERSION),
Project Name: 5?-W1 S Gf•er-^ laa? County: 1=r'a'\
Nearest Road: 5R-11'S _ Date: z u
Wetland Area (ac): L`Jla? Wetland Width (ft): tS'O t-
Name of Evaluator(s) : c.Nl.,cro2
Wetland Location:
on sound or estuary
Z on or lake
? on n perennial stream
on intermittent stream
within interstream divide
other
SO i l S S?t\ ?ufJa l? UJ1ot.rti?\'lb?
Soil.Series
predominantly organic
(humus, muck or peat)
predominantly mineral (non-sandy)
predominantly sandy
Hvdr'aulic Factors
freshwater brackish
steep topography
ditched or channelized
f total wetland width R t. feet.
Adiacent Land Use:
(Within 1/2 mi upstream,
upslope, or radius)
k/ forested/natural veg. It`s
-? agriculture/urbanized
? impervious surface
Adjacent Special Natural Areas
Dominant Ve_etation
(2 ) 1^lttf f?fJw,
Floodin and Wetness
semipermanently to
permanently flooded or
nundated
? seasonally flooded or
inundated
intermittently flooded or
.temporary surface water
Wetland Type (select one)* no evidence of flooding or
Bottomland Hardwood Forest, surface water
Swamp Forest Bog/Fen
Carolina Bay Headwater Forest
?ocosin Bog Forest
Pine Savannah Ephemeral Wetl nd
Freshwater Marsh ? Other: l???u?ao' .3Cor
*The rating system cannot be applied to salt or brackish marshes or
stream channels.
EW RATING
WATER STORAGE

POLLUTANT REMOVAL
WILDLIFE HABITAT
AQUATIC LIFE VALUE
RECREATION/EDUCATION
-ot 2,
2

x 4.00 = ?Z
`
0
...
, - .. ?_
x 5.00 - l©

'Z . 0 0 b
=
x 4.00 =
x 1.00 = y
WETLAND SCORE
(TOTAL)
* add 1 point if in sensitive watershed and >10o nonpoint disturbance
...•.L._ . /-% -- 1.. .. .... "-1-"= r+r rariillC

\N A
?o.
_ 11
?? ?
-?
o= ?
Pre-Construction Notification (PCN) Application Form
For Section 404 and/or Section 10 Nationwide, Regional and General Permits, Section 401
General Water Quality Certifications, and Riparian Buffer and Watershed Buffer Rules
This form is to be used for projects qualifying for any of the U. S. Army Corps of Engineers' (USACE)
Nationwide, Regional or General Permits as required by Section 404 of the Clean Water Act and/or
Section 10 of the Rivers and Harbors Act, and for the North Carolina Division of Water Quality's
(DWQ) associated General 401 Water Quality Certifications. This form is also to be used for any
project requiring approval under any Riparian Buffer Rules implemented by the N.C. Division of Water
Quality. This form should not be used if you are requesting an Individual 404 Permit or Individual 401
Water Quality Certification. The USACE Individual Permit application form is available online at
http://-ww.saw.usace.army.miI/wetlands/Perm-app.htm.
The USACE is the lead regulatory agency. To review the requirements for the use of Nationwide,
Regional or General permits, and to determine which permit applies to your project, please go to the
USACE website at http://u-w-w.saw.usace.army.mil/wetlands/regtour.htm, or contact one of the field
offices listed at the end of this application. The website also lists the responsible project manager for
each county in North Carolina and provides additional information regarding the identification and
regulation of wetlands and waters of the U. S.
The DWQ issues a corresponding Certification (General or Individual), and cannot tell the applicant
which 401 Certification will apply until the 404 Permit type has been determined by the USACE.
Applicants are encouraged to visit DWQ's 401/Wetlands Unit website at
http://h2o.enr.state.nc.us/ncwetlands to read about current requirements for the 401 Water Quality
Certification Program and to determine whether or not Riparian Buffer Rules are applicable. The
applicant is also advised to read the full text of the General Certification (GC) matching the specific 404
Permit requested. In some cases, written approval for some General Certifications is not required,
provided that the applicant adheres to all conditions of the GC. Applicants lacking access to the internet
should contact DWQ's Central Office in Raleigh at [phone].
Trout Waters Coordination - Special coordination with the North Carolina Wildlife Resources
Commission (NCWRC) is also required for projects occurring in any of North Carolina's twenty-five
counties that contain trout waters. In such cases, the applicant should contact the appropriate NCWRC
regional coordinator (listed by county on the last page of this application).
Page 1 of 12
CAMA Coordination - If the project occurs in any of North Carolina's twenty coastal counties (listed on
the last page of this application) the applicant should also contact the North Carolina Division of Coastal
Management (DCM) at [phone]. DCM will determine whether or not the project involves a
designated Area of Environmental Concern, in which case DCM will act as the lead permitting agency.
In such cases, DCM will require a Coastal Area Management Act (CAMA) Permit and will coordinate
the 404/401 Permits.
USACE Permits - Submit one copy of this form, along with supporting narratives, maps, data forms,
photos, etc. to the applicable USACE Regulatory Field Office (addresses are listed at the end of this
application). Upon receipt of an application, the USACE will determine if the application is complete as
soon as possible, not to exceed 30 days. This PCN form is designed for the convenience of the applicant
to address information needs for all USACE Nationwide, Regional or General permits, as well as
information required for State authorizations, certifications, and coordination. Fully providing the
information requested on this form will result in a complete application for any of the USACE
Nationwide, Regional or General permits. To review the minimum amount of information that must be
provided for a complete PCN for each USACE Nationwide permit, see Condition 13, 65 Fed.Reg. 12893
(March 9, 2000), available at bttp://www.saw.usace.army.mil/wetlaiids/nwpfinal-FedReg.pdf
Processing times vary by permit and begin once the application has been determined to be complete.
Please contact the appropriate regulatory field office for specific answers to permit processing periods.
401 Water Quality Certification or Buffer Rules - All information is required unless otherwise stated
as optional. Incomplete applications will be returned. Submit seven collated copies of all USACE
Permit materials to the Division of Water Quality, 401/Wetlands Unit, 1650 Mail Service Center,
Raleigh, NC, 27699-1650. If written approval is required or specifically requested for a 401
Certification, then a non-refundable application fee is required. In brief, if project impacts include less
than one acre of cumulative wetland/water impacts and less than 150 feet cumulative impacts to
streams, then a fee of $200 is required. If either of these thresholds is exceeded, then a fee of $475 is
required. A check made out to the North Carolina Division of Water Quality, with the specific name of
the project or applicant identified, should be stapled to the front of the application package. For more
information, see the DWQ website at http://h2o.ehnr.state.nc.us/ncwetlands/fees.html. The fee must be
attached with the application unless the applicant is a federal agency in which case the check may be
issued from a separate office. In such cases, the project must be identifiable on the U. S. Treasury check
so that it can be credited to the appropriate project. If written approval is sought solely for Buffer Rules,
the application fee does not apply, and the applicant should clearly state (in a cover letter) that only
Buffer Rule approval is sought in writing. Wetlands or waters of the U. S. may not be impacted prior to
issuance or waiver of a Section 401 Water Quality Certification. Upon receipt of a complete application
for a 401 Certification, the Division of Water Quality has 60 days to prepare a written response to the
applicant. This may include a 401 Certification, an on-hold letter pending receipt of additional
requested information, or denial.
Page 2 of 12
Office Use Only: 010682 Form Version April 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 14 and NWP 33
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: NCDOT/Christopher A. Murray
Mailing Address: 2612 N. Duke Street Durham NC 27704
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: [e-mail]
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:
Company Affiliation:
Mailing Address:
Telephone Number: Fax Number:
E-mail Address:
Page 3 of 12
M. 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: SR 1138 Green Roads from SR 1139 (Sid Mitchell Road) to SR 1134
(Long Mill Road) in Franklin County.
2. T.I.P. Project Number (NCDOT Only): NCDOT Division Project (non-TIP
3. Property Identification Number (Tax PIN): N/A
4. Location
County: Franklin Nearest Town: Purnell
Subdivision name (include phase/lot number): N/A
Directions to site (include road numbers, landmarks, etc.): From Raleigh travel north on US
1 and cross into Franklin County„ turn left and travel west on SR 1138.
5. Site coordinates, if available (UTM or Lat/Long): N/A
(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: Site is
surrounded by a mixture of undeveloped land and scattered residential houses.
7. Property size (acres): Project footprint is 1.44 miles (7603 feet) long and has a right of way
of 60 feet Property size is 10.47 acres
8. Nearest body of water (stream/river/sound/ocean/lake): Site 1: Horse Creek (no impacts to
stream at this site), Site 2: Unnamed Tributary to Horse Creek
9. River Basin: Neuse River
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://h2o enr state.nc.us/admin/maps/.)
Page 4 of 12
10. Describe the purpose of the proposed work: Grade, drain, base pave and erosion control at
SR 1138 (Green Road). At Site 1 (41+00 to 41+40-Rt-) <0.01 acre of wetlands will be
filled. At Site 2 (65+55-L-) the existing 42 foot pipe will be replaced with a 80 foot pipe
The stream at Site 2 will be temporarily dewatered for one day during construction
11. List the type of equipment to be used to construct the project: Excavator, Backhoe
Bulldozer and Grader.
12. Describe the land use in the vicinity of this project: Mixture of undeveloped land and
scattered residential housing.
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.
No previous project jurisdictional determination or permit history associated with site
V. Future Project Plans
Are any additional permit requests anticipated for this project in the future? If so, describe the
anticipated work, and provide justification for the exclusion of this. work from the current
application: None anticipated.
VI. Proposed Impacts to Waters of the United States/Waters of the State
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. The applicant must also
provide justification for these impacts in Section VII below. All proposed impacts, permanent
and temporary, must be listed herein, and must be clearly identifiable on an accompanying site
plan. All wetlands and waters, and all streams (intermittent and perennial) must be shown on a
delineation map, whether or not impacts are proposed to these systems. Wetland and stream
evaluation and delineation forms should be included as appropriate. Photographs may be
included at the applicant's discretion. If this proposed impact is strictly for wetland or stream
mitigation, list and describe the impact in Section VIII below. If additional space is needed for
listing or description, please attach a separate sheet.
Page 5 of 12
L Wetland Impacts
Wetland Impact
Site Number
(indicate on ma)
Type of Impact* Area of
Impact
(acres) Located within
100 year Floodplain**
(es/no) Distance to
Nearest Stream
(linear feet)
Type of Wetland***
Site 1 Fill <0.01 Yes 45 Forested

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: mechanized clearing, grading, fill,
excavation, flooding, ditching/drainage, etc. For dams, separately list impacts due to both structure and flooding.
** 100-Year floodplains are identified through the Federal Emergency Management Agency's (FEMA) Flood Insurance Rate Maps
(FIRM), or FEMA-approved local floodplain maps. Maps are available through the FEMA Map Service Center at 1-800-358-9616, or
online at http:/fwtivA,v.fema.goc.
*** 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: <0.01 acre in
footprint of project.
Total area of wetland impact proposed: <0.01 acre in footprint of project.
2. Stream Impacts, including all intermittent and perennial streams
Stream Impact
Length
Impact Average Width Perennial or
Site Number Type of Impact* r feet)
(linear Stream Name** of Stream Intermittent?
(indicate on ma Before Impact lease s pm*)
Site 2 Fill (pipe) 38 UT Horse Creek 3 feet Perennial
Site 2 Dewater (Temporary) 90 UT Horse Creek 3 feet 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
wiNw.usim2ov. Several intemet sites also allow direct download and printing of USGS maps (e.g., wvywtopozone.con:,
,,vwlv.mapguest.com, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: 38 feet permanent fill and
90 feet temporary dewatering_
3. Open Water Impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any
other Water of the U. S.
Open Water Impact Area of Name of Waterbody Type of Waterbody
Site Number Type of Impact* Impact
(if applicable) (lake, pond, estuary, sound,
(indicate on ma) (acres) bay, ocean, etc.)

* List each impact separately and. identify temporary impacts. Impacts include, but are not limited to: fill, excavation, dredging,
flooding, drainage, bulkheads, etc.
Page 6 of 12
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
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.):
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.):
Size of watershed draining to pond: Expected pond surface area:
VII. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts.
All wetlands and surface waters not affected by project construction will be protected from
unnecessary encroachment No stg& of equipment will be allowed in or adjacent to waters of
the U.S. unless necessary for construction. The side slopes at the jurisdictional site has been
steepened to the maximum extent possible. Strict enforcement of Best Management Practices for
the protection of wetlands and surface waters will be enforced during construction 0& the
smallest amount of fill necessary to complete the project will be placed in waters of the United
States. The original design at Site 1 involved the replacement and extension of 2n 96 inch pipes
which convey Horse Creek. After consulting with the Resident Engineer, it was determined that
the pipes are in good condition and will not be replaced thus avoiding impacts to the stream at
Site 1. The on final alignment at Site 2 involved symmetrical widening which would have
resulted in approximately 95 linear feet of stream relocation After consulting with the Resident
Engineer, the alignment was shifted to the south; thus minimizing stream impacts at Site 2
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
Page 7 of 12
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
h'Ltp://h2o.enr.state.nc.us/ncwetlands/strmgide.html.
Provide a brief description of the proposed mitigation plan. The description should provide
as much information as possible, including, but not limited to: site location (attach directions
and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed method of construction. Please attach
a separate sheet if more space is needed.
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 bttp://h2o.enr.state.nc.us/ivrp/index.ht . 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): NIA
Amount of buffer mitigation requested (square feet): NIA
Amount of Riparian wetland mitigation requested (acres): N/A
Amount of Non-riparian wetland mitigation requested (acres): N/A
Amount of Coastal wetland mitigation requested (acres): N/A
IX. Environmental Documentation (DWQ Only)
Does the project involve an expenditure of public funds or the use of public (federal/state/local)
land?
Yes ® No ?
Page 8 of 12
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 ?
X. Proposed Impacts on Riparian and Watershed Buffers (DWQ Only)
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required state and local buffers associated with the project. The applicant must also provide
justification for these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Meuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and
Water Supply Buffer Requirements), or other (please identify )?
Yes ® No ? 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.
SITE I
Zone* Impact
(square feet Multiplier Required
Mitigation
1 1,200 3
2 800 1.5
Total 2,000
* Zone 1 extends out 30 feet perpendicular from near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.
SITE 2
Zone* Impact Multiplier Required
1 2,700 3
2 2,240 1.5
Total 4,940
* Zone 1 extends out 30 feet perpendicular from near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.
Page 9 of 12
If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation
of Property, Conservation Easement, Riparian Buffer Restoration / Enhancement, Preservation or
Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as
identified within 15A NCAC 2B .0242 or .0260.
N/A
XI. Stormwater (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.
Existing: 6.98 acre impervious surface of 10.47 acre total project size. Proposed: 6.98 acre
impervious surface of 10.47 acre total "roiect size. The erosion control plan for the project is
designed for 900 cubic feet of storage per acre. Erosion and sediment control devices along the
project are comprised of silt fence, temporary rock sediment dam, temporary silt basin,
temporary rock silt check dam and rock pipe inlet sediment trap. All temporarily disturbed areas
will be reveg;etated after construction.
XH. 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.
The project will not generate wastewater.
X1H. 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 ? 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).
C` --? 5* Z' 01
Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 10 of 12
US Army Corps Of Engineers Field Offices and County Coverage
Asheville Regulatory Field Office Alexander Cherokee Iredell Mitchell Union
US Army Corps of Engineers Avery Clay Jackson Polk Watauga
151 Patton Avenue Buncombe Cleveland Lincoln Rowan Yancey
Room 208 Burke Gaston Macon Rutherford
Asheville, NC 28801-5006 Cabarrus Graham Madison Stanley
Telephone: [phone] Caldwell Haywood McDowell Swain
Fax: [phone] Catawba Henderson Mecklenburg Transylvania
Raleigh Regulatory Field Office Alamance Durham Johnston Rockingham Wilson
US Army Corps Of Engineers Alleghany Edgecombe Lee Stokes Yadkin
6508 Falls of the Neuse Road Ashe Franklin Nash Surry
Suite 120 Caswell Forsyth Northampton Vance
Raleigh, NC 27615 Chatham Granville Orange Wake
Telephone: [phone] Davidson Guilford Person Warren
Fax: [phone] Davie Halifax Randolph Wilkes
Washington Regulatory Field Office Beaufort Currituck Jones Pitt
US Army Corps Of Engineers Bertie Dare Lenoir Tyrrell
Post Office Box 1000 Camden Gates Martin Washington
Washington, NC 27889-1000 Carteret* Green Pamlico Wayne
Telephone: [phone] Chowan Hertford Pasquotank
Fax: [phone] Craven Hyde Perquimans *Croatan National Forest Only
Wilmington Regulatory Field Office Anson Duplin Onslow
US Army Corps Of Engineers Bladen Harnett Pender
Post Office Box 1890 Brunswick Hoke Richmond
Wilmington, NC 28402-1890 Carteret Montgomery Robeson
Telephone: [phone] Columbus Moore Sampson
Fax: [phone] Cumberland New Hanover Scotland
US Fis
US Fish and Wildlife Service
Raleigh Field Office
Post Office Box 33726
Raleigh, NC 27636-3726
Telephone: [phone]
Division of Water Quality
401 Wetlands Unit
1650 Mail Service Center
Raleigh, NC 27699-1650
Telephone: [phone]
Fax: [phone]
h and Wildlife Service / National N
US Fish and Wildlife Service
Asheville Field Office
160 Zillicoa Street
Asheville, NC 28801
Telephone: [phone]
Division of Coastal Management
1638 Mail Service Center
[arine Fisheries Service
National Marine Fisheries Service
Habitat Conservation Division
Pivers Island
Beaufort, NC 28516
Telephone: [phone]
North Carolina State Agencies
Division of Water Quality
Wetlands Restoration Program
1619 Mail Service Center
Raleigh, NC 27699-1619
Telephone: [phone]
Fax: [phone]
CAMA and NC Coastal Counties
Beaufort Chowan
Bertie Craven
State Historic Preservation Office
Department Of Cultural Resources
4617 Mail Service Center
Raleigh, NC 27699-4617
Telephone: [phone]
Fax: [phone]
Hertford Pasquotank
Hyde Pender
Page 11 of 12
Raleigh, NC 27699-1638 Brunswick Currituck New Hanover Perquimans
Telephone: [phone] Camden Dare Onslow Tyrrell
Fax: [phone] Carteret Gates Pamlico Washington
NCWRC and NC Trout Counties
Western Piedmont Region Coordinator Alleghany Caldwell Watauga
3855 Idlewild Road Ashe Mitchell Wilkes
Kernersville, NC 27284-9180 Avery Stokes
Telephone: [phone] Burke Surry
Mountain Region Coordinator Buncombe Henderson Polk
20830 Great Smoky Mtn. Expressway Cherokee Jackson Rutherford
Waynesville, NC 28786 Clay Macon Swain
Telephone: [phone] Graham Madison Transylvania
Fax: [phone] Haywood McDowell Yancey
Page 12 of 12
401 ISSUED
sm
My - 4 2t?j

STATE of NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY
GovERNoR
U. S. Army Corps of Engineers
Raleigh Regulatory Field Office
6508 Falls of the Neuse Road, Suite 120
Raleigh, NC 27609
May 2, 2001
Attention: Mr. Eric Alsmeyer
NCDOT Coordinator
LYNDO TIPPETT
SECRETARY
01068,2
Subject: Secondary road improvements to SR 1138 (Green Road) from SR 1139
(Sid Mitchell Road) to SR 1134 (Long Mill Road) in Franklin County.
NCDOT Work Order No. 6.362295.
The North Carolina Department of Transportation (NCDOT) proposes to upgrade
SR 1138 (Green Road) from SR 1139 (Sid Mitchell Road) to SR 1134 (Long Mill Road)
in Franklin County. Total project length is 1.44 miles. Transportation and highway laws
of North Carolina (G. S. 136-44.6, 136-44.7, 136-44.7A, 136-44.8, and 136-44.9) require
the NCDOT to develop annual work programs for construction and maintenance of
secondary roads. These general statutes specifically set forth requirements for annual
construction and paving of existing unpaved roads. Paving of these roads is performed in
priority order as established by the NCDOT for each unpaved road within a given county.
This number is based on characteristics of each road, including number of homes,
schools, churches, businesses, industries, recreational facilities, traffic counts, presence of
school bus routes, and value as a thoroughfare. SR 1138 is scheduled to be paved in the
2000-2001 Secondary Roads Construction Program.
Impacts to Waters of the United States
-a 3?
Construction of the project will necessitate impacts to waters of the United States M
at two sites in the Neuse River Basin (Figure 1). Wetland delineations were conducted C7 -<
rnEz
using the field delineation method outlined in the 1987 Corps of Engineers Wetland < rI
Delineation Manual (Environmental Laboratory, 1987). U. S. Army Corps of Engineers r-M Y-'
CD --q
(USACE) Wetland Data Forms and a North Carolina Division of Water Quality (DWQ)
Wetland Rating Form are attached to this application.
Division 5, 2612 N. Duke Street, Durham, NC 27704
Phone: [phone] Fax: [phone]
2
Site 1 (41+00 to 41+40-Rte
Construction at this site will impact a palustrine forested wetland (PFOIB)
(Figure 2). Permanent impacts at the site include <0.01 acre fill in wetlands.
Site 2 65+55-L=)
Construction at this site will impact an unnamed intermittent tributary to Horse
Creek (DWQ Index No. 27-17-(0.3), Best Usage Classification C NSW) (Figure 3). The
existing structure is a 48-inch corrugated metal pipe that is 42 feet long. The replacement
pipe is a 48-inch corrugated metal pipe that is 80 feet long. Permanent impacts at the site
include <0.01 acre fill in surface water and 38 linear feet existing channel impacted.
Waters of the U.S. Mitigation
Avoidance: All wetlands and surface waters not affected by the project will be
protected from unnecessary encroachment. No staging of construction equipment or
storage of construction supplies will be allowed in wetlands or near surface waters. The
original design at Site 1 involved the replacement and extension of the existing 2@ 96
inch corrugated metal pipes at Station 40+50-L which convey Horse Creek. After
consulting with the Resident Engineer, it was determined that the pipes are still in good
condition and will not be replaced. This will result in avoidance to Horse Creek at Site 1.
Minimization: The side slopes have been steepened to the extent possible at
jurisdictional sites. Strict enforcement of sedimentation and erosion control Best
Management Practices for the protection of wetlands and surface waters will be enforced
during project construction. Continued coordination will occur with maintenance forces
and the Environmental Officer during construction to minimize impacts to these sites.
The original alignment at Site 2 involved symmetrical widening which would have
resulted in approximately 95 linear feet of stream relocation. After consulting with the
Resident Engineer, the alignment was realigned and shifted to the south. This results in
reduced impacts to the stream channel at Site 2.
Compensatory Mitigation: Construction of the project will result in only minimal
impacts to waters of the United States. Impacts have been avoided and minimized to the
maximum extent possible during the design process. Due to minimal impacts,
compensatory mitigation for stream and wetland impacts will not be provided for this
project.
Dewatering
The NCDOT proposes to temporarily dewater the stream at Site 2 during the
construction of the project. This will involve the temporary placement of sandbags or
Class B or Class 2 rip rap covered with filter fabric in the stream channel approximately
10 feet upstream of the proposed pipe inlet (Figure 3). To maintain water flow during
construction, water upstream of this impervious structure will be temporarily pumped out
and conveyed downstream of the construction activity where it will be allowed to filter
through vegetation before flowing into the stream. The stream will be dewatered less
than a day. This will result in temporary impacts to the surface water. Temporary
impacts to the streams from this activity will result in the dewatering of <0.01 ac of
stream bed and 90 linear feet stream channel at Site 2. The sandbags or rip rap covered
with filter fabric will be removed after construction.
Riparian Buffer Impacts
The project is located in the Neuse River Basin. Please note that Site 1 and Site 2
are depicted on the most recent version of the Grissom, North Carolina topographic
quadrangle (USGS, 1978, photorevised 1987) (Figure 1). Personnel from the Natural
Resource Conservation Service in Franklin County were contacted regarding the status of
the Soil Survey of Franklin County. They stated that this. survey has not yet been.
published. Construction impacts at Site 1 and Site 2 involve less than 40 linear feet of
riparian buffer. Based on the impacts to the riparian buffer at these sites, these crossings
are exempt from the Rule.
Protected Species
Plants and animals with federal classifications of Endangered, Threatened,
Proposed Endangered and Proposed Threatened are protected under provisions of Section
7 and Section 9 of the ESA. As of February 7, 2001, there are three federally-protected
species listed for Franklin County. They include dwarf wedgemussel (Alasmidonta
heterodon), Tar spinymussel (Elliptio steinstansana) and Michaux's sumac (Rhus
michauxii). Biological Conclusions of No Effect have been rendered for each species.
Summary
NCDOT proposes to upgrade and pave SR 1138 in Franklin County. Permanent
impacts at Site 1 include <0.01 acre fill in wetlands. Permanent impacts at Site 2 include
<0.01 acre fill in surface water and 38 linear feet existing channel impacted. Temporary
impacts to the streams from dewatering activity will involve <0.01 ac of stream bed and
90 linear feet stream channel at Site 2.
Application is hereby made for a Department of the Army Section 404
Nationwide Permit (NWP) 14 and NWP 33 and DWQ Section 401 Water Quality
Certification (WQC) No. 3289 and No. 3114 for construction of this project. The
NCDOT will comply with all applicable NWP and WQC conditions. In compliance with
Section 143-215.3D(e) of the NCAA we have enclosed a check for $200.00 to act as
payment for processing the Section 401 permit application. A pre-construction
notification is attached with this request. If you have any questions or need additional
information, please contact me at [phone].
4
Sincerely,
Christopher A. Murray, P.W.S.
Environmental Officer
cc: Mr. David Franklin, USACE, Wilmington
Mr. John Dorney, NCDWQ, Raleigh
Mr. David Cox, NCWRC, Creedmoor
Mr. Garland Pardue, USFWS, Raleigh
Mr. Scott Capps, P.E., NCDOT District Engineer, Henderson
LA,
k, 01no
n \+l'
6
Q D39 IV 1 1140
\Vi
48
Begin Pro
SITE 2
_ _ o\ a h ?1?, ?,' \ 1 1134
??, ??. o {;1? \ !!: SITE End Project j
11 ? ( v? Tras? ?• / r
-? ??\\ tl E? $1• ?j a 1111 / ( //.,1 \? D\}
1 \ ?? r 1. \
\ ?\ v
1923/ v ? i `--u? ?? / -? ?--? ? ?' ? 1 ? / `i ? ? ? ? ? ? ??? lj ??/`"/ ( ??
1 r
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I ?, I? \ _/? ??\, I! \ _400. ? `'` , ? / `)?? /1z?,` ??/ ? ;J' ;?\?J$ ? 'F???)J ,?' •1?'\?
• lsurnel?\\. ' /,'
487. ?
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\ ?•? \'`??? ?9 J ` ' _ ;0\?1?;\\ /%
i+ 35??..? s00\ .A ti i v \
0-
Project Study Area
SR 1138 Green Road
N,
_ Franklin County
Grissom USGS Topo Map (1978, 1987) % "°r ??? ?''•%,;?\?'`; ?a3z ??\ -
X, •/
N Figure 1 1:24,000
?'?? ?, ..1924 ? • ?\ \ ` r "? ?."' ?'-?
Cem - 1431 \ \. I \l ( \\J
i \ \ yy q \
'Course' % - s^a?nlon^, !` '\ \\ boo' ?-
721 Z^jrgnn 722 1.7 M1. 7'0 Al. C. 98 s 0 INTERIOR--GEOLOGICAL SURVEY, RESTON. VIRGINIA-1967
GREEN REDDI?K
R
R & \'
SHIR?LEY N GREEN
Wetland Impact a

Site 1
SR 1138 Green Road
Franklin County
Figure 2 P=100'
g ASSN gOF FER
R P AMA \C0? 6 p?S?uRggO
A NpI

ONDE(?NOOD FAMILY LIMffED
Creek (11o Impart)
F?orse
?1a1lF
c9FFN
9F???ck
S. \ 7 Q
41477-le GRFFN
ReGOICk
TAR-PAMLICO RIVER BASIN BUFF
Temporary placement of sandbags or
Class 2 or Class B rip rap covered with
filter fabric to facilitate temporary
dewatering of stream.
i
ire
Stream Impact
UT to Horse Creek
717
Site 2
SR 1138 Green Road
Franklin County
Figure 3 1 "=100'
S?? 1
DATA FORM
ROUTINE WETLAND DETERMINATION
(1987 COE Wetlands Delineation Manual)
Project/Site: S IZ S G r e- .% 2-0 Date: 11 lz(ot
Applicant%Owner: OT County: Fr-,, t,
Investigator: C', t-\, a r r w State: A11 t,
Do Normal Circumstances exist on the site? es No Community ID:
Is the site significantly disturbed (Atypical Situation)? Ws Transect ID: W e J .
Is the area a potential Problem Area? Yes Plot ID:
(If needed, explain on reverse.)
VEGETATION
Dominant Plant Species Stratum Indicator
Dominant Plant Species Stratum Indicator
1. h i C! ?StPA ? U ?. V ? rout t-
?9, -1! -.L=L= 9•
Ltf!EIU Ct r fy{Qc , Ali-1.1-_ 10.
3 er - P"F4 G 11.
4. -r F#C- 12.
s r r ?n t'?a r?? t 13.
6. 5+fiY_ A AreA 14.
7. A ?ti?S Se-;r ?\4 ?. i FIIC--J 15.
8. 16.
Percent of Dominant Species that are OBL, FACW or FAC
(excluding FAC-).
? n
I no
Remarks:

HYDROLOGY
Recorded Data (Describe in Remarks): Wetland Hydrology Indicators:
_
_ Stream, Lake, or Tide Gauge Primary Indicators:
Aerial Photographs ! Igundated
/
Other Saturated in Upper 12 Inches
,
_
No Recorded Data Available Water Marks
Drift Lines
_
Deposits
Field Observations: ?Drainage Patterns in Wetlands
7 Drainage
Secondary Indicators (2 or more required):
Depth of Surface Water: (in.) _ Oxidized Root Channels in Upper.12 Inches

«
+ _ Water-Stained Leaves
O
(in.)
Depth to Free Water in Pit: _ Local Soil Survey Data
FAC-Neutral Test
Depth to Saturated Soil: (in.) _
_ Other (Explain in Remarks)
Remarks: \

SOILS
Map Unit Name So,t ordt", 1? Un qk, 11%)keg
(Series and Phase): Drainage Class:

Taxonomy (Subgroup): Field Observations
Confirm Mapped Type? Yes No
Profile Description:
Depth Matrix Color Mottle Colors Mottle Texture, Concretions,
inches Horizon (Munsell Moist) (Munsell Moist) Abundance/Contrast Structure, etc.
O-Z ?•s 't IL 1Z- cA...., co.,,.,,,
Z S `t e-516 G?0.n ( o a ,'
5C%Ak'-' CA' kat..
%
{
Hydric Soil Indicators:
_ Histosol Concretions
_
_ Histic Epipedon _ High Organic Content in Surface Layer in Sandy Soils
_ Sulfidic Odor _ Organic Streaking in Sandy Soils
_ Aquic Moisture Regime _ Listed on Local Hydric Soils List
Reducing Conditions _
?1,leyed or Low-Chroma Colors Listed on National Hydric Soils List
O
h
E
l
_ t
er (
xp
ain in Remarks)
Remarks:
?-{?Jr?c- 54 i5 f-e Se 4-P,
WETLAND DETERMINATION
Hydrophytic Vegetation Present? No (Circle) (Circle)
Wetland Hydrology Present? No
Hydric Soils Present? a No Is this Sampling Point Within a Wetland? es No
Remarks:
• ? e} \??.7 % q l l ..?..?,?/,? ? ?4r q ?`-?CxfI-S 4 r ? ? l P SQ^?'- 4 ?" S/ ' C
pp

DATA FORM
ROUTINE VIJETLAND DETERMINATION
0 987 COE Wetlands Delineation Manual)
Project/Site: 5f- tl3 °o ,, G re e r• Date: 0(L(o(
Applicant?Owner: Al Lb 6T- County: Frc... r.1..,
Investigator: wl,J r r0.. State: A1 C-
Do Normal Circumstances exist on the site? )e fun Community ID: <1 fe
Is the site significantly disturbed (Atypical Situation)7 es o Transect ID: an
Is the area a potential Problem Area? Yes Plot ID:
(If needed, explain on reverse.)
VEGETATION
nt Plant Species Stratum Indicator
Domin Dominant Plant Species Stratum Indicator
a
1.?_ JbuS Garcly't05 + IF AC ) 9.
2. A c e e- (A,('0 .r 'I?,? F f}• G 10.
31,14 r (--.c. (,j,- fA-C-f- 11.
4. u 12. I
T
co+--
s.tAtnJS GA04ro* 13. ?
?
6. (JAJ552rl) t,?a Pr CV 14. f
7. A c 12 t r ? r ,j .--. 5(5 ?i4e- 15.
8. 16.
Percent of Dominant Species that are.OBL, FACW or FAC -?
(excluding FAC-).
Remarks:
peCi es a.¢-- S( k
HYDROLOGY
Recorded Data (Describe in Remarks): Wetland Hydrology Indicators:
_
Stream, Lake, or Tide Gauge Primary Indicators:
_ Aerial Photographs _ Inundated
Other _ Saturated in Upper 12 Inches
No Rec_orded Data Available _ Water Marks
Drift Lines
_
_ Sediment Deposits
Field Observations: _ Drainage Patterns in Wetlands
Secondary indicators (2 or more required):
Depth of Surface Water: (in.) _ Oxidized Root Channels in Upper.12 Inches
_ Water-Stained Leaves
Depth to Free Water in Pit: (in.) -Local Soil Survey Data
_ FAC-Neutral Test
Depth to Saturated Soil: (in.) _ Other (Explain in Remarks)
Remarks: ?..)t.?'\Gn? N?tJ?0?0ot`'1 t5 AJ?- PJIO,L°•?T 4Cf j?
SOILS
Map Unit Name %J r ue..i ,5 v /? P u ?<<i N @?
(Series and Phase): Drainage Class:
Field Observations
Taxonomy (Subgroup): Confirm Mapped Type? Yes No
Profile Description:
Depth Matrix Color Mottle Colors Mottle Texture, Concretions,
inches Horizon (Munsell Moist) (Munsell Moist) Abundance/Contrast Structure, etc.

Sl (L S-13;
?
i I
Hydric Soil Indicators:
_ Histosot _ Concretions
_ Histic Epipedon _ High Organic Content in Surface Layer in Sandy Soils
_ Sulfidic Odor _ Organic Streaking in Sandy Soils
_ Aquic Moisture Regime _ Listed on Local Hydric Soils List
_ Reducing Conditions _ Listed on National Hydric Soils List I
_ Gleyed or Low-Chroma Colors _ Other (Explain in Remarks)
Remarks:
a
Sol ?
) 15 e/eWAI- Pt
WETLAND DETERMINATION
Hydrophytic Vegetation Present? ?Y811 N (Circle) (Circle)
Wetland Hydrology Present? s
Hydric Soils Present? s Is this Sampling Point Within a Wetland? Yes / to
Remarks:
PrP?e? f-- a f 5-1 ?e
Approved by H U AC / 2

(? , V-.0- ?
WETLAND RATING WORKSHEET (4th VERSION).
Project Name: 5 R-tl?t3 G??c?. as County: Pr'onk•
Nearest Road: P- t s, Date: t z u
Wetland Area (ac): 4a.lac. a,. Wetland Width (ft): 150 t--
Name of Evaluator(s) : c.tk-, row
Wetland Location:
on sound or estuary
/ pond or lake
? on perennial stream
on intermittent stream
within interstream divide
other
So i t s Sa?? c)?c,te K ?y Uno,..•.,\ab1 R
Soil Series
predominantly organic
(humus, muck or peat)
predominantly mineral
predominantly sandy
Hydraulic Factors
(non-sandy)
freshwater brackish
steep topography
ditched or channelized
.? total wetland width > 100 feet.
Adiacent Land Use:
(Within 1/2 mi upstream,
upslope, or radius)
? forested/natural veg. ttS o
-7 agriculture/urbanized -S
? impervious surface 5__ ?' -
Adjacent Special Natural Areas
Dominant Vezetation
( 1 ) A1tcr?ie?;?r. y.M.?e?.r.
(2) Au nA-,r,t,?
(3) L Ac...,....bar
Flooding and Wetness
semipermanently to
permanently flooded or
.nundated
? seasonally flooded or
inundated
intermittently flooded or
temporary surface water
wetland Tvne (select one)* no evidence of flooding or
Bottomland Hardwood Forest* surface water
Swamp Forest Bog/Fen
Carolina Bay Headwater Forest
P•ocosin Bog Forest
Pine Savannah Ephemeral Wetl na
Freshwater Marsh ? Other: V, (0,
*The rating system cannot be applied to salt or brackish marshes or
stream channels.
ING
DEW RAT
WATER STORAGE
LNE .3 •i. ( 1J ?. !. .. ..... •.. _ ?i L. ?
POLLUTANT REMOVAL
WILDLIFE HABITAT 2
AQUATIC LIFE VALUE
RECREATION/EDUCATION ILI
* Add 1 point if in sensitive watershed
t _ - t I'7 -. I .. .. . .... " - , I -. a n
x 4.00 = ?Z
X 5.00 = cv
00
b
x 4.00 =
X 1.00 = y
and >10"113 nonpoint disturbance
r rnA i ttc
= 4 ?S
WETLAND SCORE 1
(TOTAL)
r°
o \JN A
Pre-Construction Notification (PCN) Application Form
For Section 404 and/or Section 10 Nationwide, Regional and General Permits, Section 401
General Water Quality Certifications, and Riparian Buffer and Watershed Buffer Rules
This form is to be used for projects qualifying for any of the U.S. Army Corps of Engineers' (USACE)
Nationwide, Regional or General Permits as required by Section 404 of the Clean Water Act and/or
Section 10 of the Rivers and Harbors Act, and for the North Carolina Division of Water Quality's
(DWQ) associated General 401 Water Quality Certifications. This form is also to be used for any
project requiring approval under any Riparian Buffer Rules implemented by the N.C. Division of Water
Quality. This form should not be used if you are requesting an Individual 404 Permit or Individual 401
Water Quality Certification. The USACE Individual Permit application form is available online at
http://w-ww. saw.usace.army. mil/wetlands/Perm_app. htm.
The USACE is the lead regulatory agency. To review the requirements for the use of Nationwide,
Regional or General permits, and to determine which permit applies to your project, please go to the
USACE website at http://vAvvv.saw.usace.arLny.mil/wetlands/regtour.htm, or contact one of the field
offices listed at the end of this application. The website also lists the responsible project manager for
each county in North Carolina and provides additional information regarding the identification and
regulation of wetlands and waters of the U. S.
The DWQ issues a corresponding Certification (General or Individual), and cannot tell the applicant
which 401 Certification will apply until the 404 Permit type has been determined by the USACE.
Applicants are encouraged to visit DWQ's 401/Wetlands Unit website at
http:Hh2o.enr.state.nc.us/newetlands to read about current requirements for the 401 Water Quality
Certification Program and to determine whether or not Riparian Buffer Rules are applicable. The
applicant is also advised to read the full text of the General Certification (GC) matching the specific 404
Permit requested. In some cases, written approval for some General Certifications is not required,
provided that the applicant adheres to all conditions of the GC. Applicants lacking access to the internet
should contact DWQ's Central Office in Raleigh at [phone].
Trout Waters Coordination - Special coordination with the North Carolina Wildlife Resources
Commission (NCWRC) is also required for projects occurring in any of North Carolina's twenty-five
counties that contain trout waters. In such cases, the applicant should contact the appropriate NCWRC
regional coordinator (listed by county on the last page of this application).
Page 1 of 12
CAMA Coordination - If the project occurs in any of North Carolina's twenty coastal counties (listed on
the last page of this application) the applicant should also contact the North Carolina Division of Coastal
Management (DCM) at [phone]. DCM will determine whether or not the project involves a
designated Area of Environmental Concern, in which case DCM will act as the lead permitting agency.
In such cases, DCM will require a Coastal Area Management Act (CAMA) Permit and will coordinate
the 404/401 Permits.
USACE Permits - Submit one copy of this form, along with supporting narratives, maps, data forms,
photos, etc. to the applicable USACE Regulatory Field Office (addresses are listed at the end of this
application). Upon receipt of an application, the USACE will determine if the application is complete as
soon as possible, not to exceed 30 days. This PCN form is designed for the convenience of the applicant
to address information needs for all USACE Nationwide, Regional or General permits, as well as
information required for State authorizations, certifications, and coordination. Fully providing the
information requested on this form will result in a complete application for any of the USACE
Nationwide, Regional or General permits. To review the minimum amount of information that must be
provided for a complete PCN for each USACE Nationwide permit, see Condition 13, 65 Fed.Reg. 12893
(March 9, 2000), available at http://www.saw.usace.army.mil/wetlands/nwpfinalFedRec-,.-odf
Processing times vary by permit and begin once the application has been determined to be complete.
Please contact the appropriate regulatory field office for specific answers to permit processing periods.
401 Water Quality Certification or Buffer Rules - All information is required unless otherwise stated
as optional. Incomplete applications will be returned. Submit seven collated copies of all USACE
Permit materials to the Division of Water Quality, 401/Wetlands Unit, 1650 Mail Service Center,
Raleigh, NC, 27699-1650. If written approval is required or specifically requested for a 401
Certification, then a non-refundable application fee is required. In brief, if project impacts include less
than one acre of cumulative wetland/water impacts and less than 150 feet cumulative impacts to
streams, then a fee of $200 is required. If either of these thresholds is exceeded, then a fee of $475 is
required. A check made out to the North Carolina Division of Water Quality, with the specific name of
the project or applicant identified, should be stapled to the front of the application package. For more
information, see the DWQ website at http://h2o.ehnr.state.nc.us/newetlands/fees.html. The fee must be
attached with the application unless the applicant is a federal agency in which case the check may be
issued from a separate office. In such cases, the project must be identifiable on the U.S. Treasury check
so that it can be credited to the appropriate project. If written approval is sought solely for Buffer Rules,
the application fee does not apply, and the applicant should clearly state (in a cover letter) that only
Buffer Rule approval is sought in writing. Wetlands or waters of the U.S. may not be impacted prior to
issuance or waiver of a Section 401 Water Quality Certification. Upon receipt of a complete application
for a 401 Certification, the Division of Water Quality has 60 days to prepare a written response to the
applicant. This may include a 401 Certification, an on-hold letter pending receipt of additional
requested information, or denial.
Page 2 of 12
Office Use Only: 0106 8 Form Version April 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 14 and NWP 33
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: NCDOT/Christopher A. Murray
Mailing Address: 2612 N. Duke Street. Durham NC 27704
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: cmurrayndot.state.nc.us
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:
Company Affiliation:
Mailing Address:
Telephone Number: Fax Number:
E-mail Address:
Page 3 of 12
M. 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: SR 1138 (Green Road) from SR 1139 (Sid Mitchell Road) to SR 1134
(Loniz Mill Road) in Franklin County.
2. T.I.P. Project Number (NCDOT Only): NCDOT Division Project (non-TT'
3. Property Identification Number (Tax PIN): N/A
4. Location
County: Franklin Nearest Town: Purnell
Subdivision name (include phase/lot number): N/A
Directions to site (include road numbers, landmarks, etc.): From Raleigh travel north on US
1 and cross into Franklin Count turn left and travel west on SR 1138.
5. Site coordinates, if available (UTM or Lat/Long): N/A
(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: Site is
surrounded by a mixture of undeveloped land and scattered residential houses.
7. Property size (acres): Project footprint is 1.44 miles (7603 feet) long and has a right of way
of 60 feet Property size is 10.47 acres
8. Nearest body of water (stream/river/sound/ocean/lake): Site 1: Horse Creek (no impacts to
stream at this site), Site 2: Unnamed Tributary to Horse Creek
9. River Basin: Neuse River
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http-..//h?o enr state.nc.us/admin/mapsi.)
Page 4 of 12
10. Describe the purpose of the proposed work: Grade, drain, base pave and erosion control at
SR 1138 (Green Road). At Site 1 (41+00 to 41+40-Rt-) <0.01 acre of wetlands will be
filled. At Site 2 (65+55-L-) the existing 42 foot pipe will be replaced with a 80 foot pipe
The stream at Site 2 will be temporarily dewatered for one day during construction
11. List the type of equipment to be used to construct the project: Excavator, Backhoe
Bulldozer and Grader.
12. Describe the land use in the vicinity of this project: Mixture of undeveloped land and
scattered residential housing.
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.
No previous project jurisdictional determination or permit history associated with site
V. Future Project Plans
Are any additional permit requests anticipated for this project in the future? If so, describe the
anticipated work, and provide justification for the exclusion of this, work from the current
application: None anticipated.
VI. Proposed Impacts to Waters of the United States/Waters of the State
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. The applicant must also
provide justification for these impacts in Section VII below. All proposed impacts, permanent
and temporary, must be listed herein, and must be clearly identifiable on an accompanying site
plan. All wetlands and waters, and all streams (intermittent and perennial) must be shown on a
delineation map, whether or not impacts are proposed to these systems. Wetland and stream
evaluation and delineation forms should be included as appropriate. Photographs may be
included at the applicant's discretion. If this proposed impact is strictly for wetland or stream
mitigation, list and describe the impact in Section VIII below. If additional space is needed for
listing or description, please attach a separate sheet.
Page 5 of 12
1. Wetland Impacts
Wetland Impact
Site Number
(indicate on ma)
Type of Impact* Area of
Impact
(acres) Located within
100-year Floodplain**
es/no Distance to
Nearest Stream
linear feet)
Type of Wetland***
Site 1 Fill <0.01 Yes 45 Forested

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: mechanized clearing, grading, fill,
excavation, flooding, ditching/drainage, etc. For dams, separately list impacts due to both structure and flooding.
** 100-Year floodplains are identified through the Federal Emergency Management Agency's (FEMA) Flood Insurance Rate Maps
(FIItM), or FEMA-approved local floodplain maps. Maps are available through the FEMA Map Service Center at 1-800-358-9616, or
online at http://xN-v AN. Pema.gov.
*** 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: <0.01 acre in
footprint of project
Total area of wetland impact proposed: <0.01 acre in footprint of project.
2. Stream Impacts, including all intermittent and perennial streams
Stream Impact
Impact
Length Average Width Perennial or
Site Number Type of Impact* r feet)
(linear Stream Name** of Stream Intermittent?
(indicate on ma Before Impact lease specify)
Site 2 Fill (pipe) 38 UT Horse Creek 3 feet Perennial
Site 2 Dewater (Temporary) 90 UT Horse Creek 3 feet 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
xNAN v.usgs.gov. Several internet sites also allow direct download and printing of USGS maps (e.g., wyow.topozone.com,
NytivW.ma7pq1qest.com, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: 38 feet permanent fill and
90 feet temporaa dewatering
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.)

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: fill, excavation, dredging,
flooding, drainage, bulkheads, etc.
Page 6 of 12
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
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.):
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.):
Size of watershed draining to pond: Expected pond surface area:
VII. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts.
All wetlands and surface waters not affected by project construction will be protected from
unnecessary encroachment. No stagin of equipment will be allowed in or adjacent to waters of
the U.S. unless necessary for construction The side slopes at the jurisdictional site has been
steepened to the maximum extent possible Strict enforcement of Best Management Practices for
the protection of wetlands and surface waters will be enforced during construction Only the
smallest amount of fill necessary to complete the project will be placed in waters of the United
States. The original design at Site 1 involved the replacement and extension of 2@ 96 inch pipes
which convey Horse Creek. After consulting with the Resident Engineer it was determined that
the pipes are in good condition and will not be replaced thus avoiding impacts to the stream at
Site 1. The original alignment at Site 2 involved symmetrical widening which would have
resulted in approximately 95 linear feet of stream relocation After consulting with the Resident
Engineer, the alignment was shifted to the south, thus minimizing stream impacts at Site 2
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
Page 7 of 12
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USACE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCWRP concurrence shall be placed on hold as
incomplete. An applicant may also choose to review the current guidelines for stream restoration
in DWQ's Draft Technical Guide for Stream Work in North Carolina, available at
http://h2o enr state nc us/newetlands/strmgide_html.
Provide a brief description of the proposed mitigation plan. The description should provide
as much information as possible, including, but not limited to: site location (attach directions
and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed method of construction. Please attach
a separate sheet if more space is needed.
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 http://h-o enr st ite.nc.us/ivrp/index.htm. If
use of the NCWRP is proposed, please check the appropriate box on page three and provide
the following information:
Amount of stream mitigation requested (linear feet): N/A
Amount of buffer mitigation requested (square feet): N/A
Amount of Riparian wetland mitigation requested (acres): NIA
Amount of Non-riparian wetland mitigation requested (acres): N/A
Amount of Coastal wetland mitigation requested (acres): N/A
IX. Environmental Documentation (DWQ Only)
Does the project involve an expenditure of public funds or the use of public (federal/state/local)
land?
Yes ® No ?
Page 8 of 12
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 ?
X. Proposed Impacts on Riparian and Watershed Buffers (DWQ Only)
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required state and local buffers associated with the project. The applicant must also provide
justification for these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Meuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and
Water Supply Buffer Requirements), or other (please identify )?
Yes ® No ? 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.
SITE 1
Zone* s Impact
feet
Multiplier
Required
Mitigation
1 1,200 3
2 800 1.5
Total 2,000
{ Gone 1 extends out 3U feet perpendicular from near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.
SITE 2
Zone* s Impact
feet Multiplier Mitigation
1 2,700 3
2 2,240 1.5
Total 4,940
* Zone I extends out 30 feet perpendicular from near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.
Page 9 of 12
If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation
of Property, Conservation Easement, Riparian Buffer Restoration / Enhancement, Preservation or
Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as
identified within 15A NCAC 2B .0242 or .0260.
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.
Existing: 6.98 acre impervious surface of 10.47 acre total project size. Proposed: 6.98 acre
impervious surface of 10.47 acre total project size. The erosion control plan for the project is
designed for 900 cubic feet of storage per acre. Erosion and sediment control devices along the
project are comprised of silt fence, temporary rock sediment dam, temporary silt basin,
temporary rock silt check dam and rock pipe inlet sediment trap. All temporarily disturbed areas
will be revegetated after construction.
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.
The project will not generate wastewater.
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 ? 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).
Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 10 of 12
US Army Corps Of Engineers Field Offices and County Coverage
Asheville Regulatory Field Office Alexander Cherokee Iredell Mitchell Union
US Army Corps of Engineers Avery Clay Jackson Polk Watauga
151 Patton Avenue Buncombe Cleveland Lincoln Rowan Yancey
Room 208 Burke Gaston Macon Rutherford
Asheville, NC 28801-5006 Cabarrus Graham Madison Stanley
Telephone: [phone] Caldwell Haywood McDowell Swain
Fax: [phone] Catawba Henderson Mecklenburg Transylvania
Raleigh Regulatory Field Office Alamance Durham Johnston Rockingham Wilson
US Army Corps Of Engineers Alleghany Edgecombe Lee Stokes Yadkin
6508 Falls of the Neuse Road Ashe Franklin Nash Surry
Suite 120 Caswell Forsyth Northampton Vance
Raleigh, NC 27615 Chatham Granville Orange Wake
Telephone: [phone] Davidson Guilford Person Warren
Fax: [phone] Davie Halifax Randolph Wilkes
Washington Regulatory Field Office Beaufort Currituck Jones Pitt
US Army Corps Of Engineers Bertie Dare Lenoir Tyrrell
Post Office Box 1000 Camden Gates Martin Washington
Washington, NC 27889-1000 Carteret* Green Pamlico Wayne
Telephone: [phone] Chowan Hertford Pasquotank
Fax: [phone] Craven Hyde Perquimans *Croatan National Forest Only
Wilmington Regulatory Field Office Anson Duplin Onslow
US Army Corps Of Engineers Bladen Harnett Pender
Post Office Box 1890 Brunswick Hoke Richmond
Wilmington, NC 28402-1890 Carteret Montgomery Robeson
Telephone: [phone] Columbus Moore Sampson
Fax: [phone] Cumberland New Hanover Scotland
US Fis
US Fish and Wildlife Service
Raleigh Field Office
Post Office Box 33726
Raleigh, NC 27636-3726
Telephone: [phone]
Division of Water Quality
401 Wetlands Unit
1650 Mail Service Center
Raleigh, NC 27699-1650
Telephone: [phone]
Fax: [phone]
h and Wildlife Service / National N
US Fish and Wildlife Service
Asheville Field Office
160 Zillicoa Street
Asheville, NC 28801
Telephone: [phone]
Division of Coastal Management
1638 Mail Service Center
[arine Fisheries Service
National Marine Fisheries Service
Habitat Conservation Division
Pivers Island
Beaufort, NC 28516
Telephone: [phone]
North Carolina State Agencies
Division of Water Quality
Wetlands Restoration Program
1619 Mail Service Center
Raleigh, NC 27699-1619
Telephone: [phone]
Fax: [phone]
CAMA and NC Coastal Counties
Beaufort Chowan
Bertie Craven
State Historic Preservation Office
Department Of Cultural Resources
4617 Mail Service Center
Raleigh, NC 276994617
Telephone: [phone]
Fax: [phone]
Hertford Pasquotank
Hyde Pender
Page 11 of 12
Raleigh, NC 27699-1638 Brunswick Currituck New Hanover Perquimans
Telephone: [phone] Camden Dare Onslow Tyrrell
Fax: [phone] Carteret Gates Pamlico Washington
NCWRC and NC Trout Counties
Western Piedmont Region Coordinator Alleghany Caldwell Watauga
3855 Idlewild Road Ashe Mitchell Wilkes
Kernersville, NC 27284-9180 Avery Stokes
Telephone: [phone] Burke Surry
Mountain Region Coordinator Buncombe Henderson Polk
20830 Great Smoky Mtn. Expressway Cherokee Jackson Rutherford
Waynesville, NC 28786 Clay Macon Swain
Telephone: [phone] Graham Madison Transylvania
Fax: [phone] Haywood McDowell Yancey
Page 12 of 12

L
O Poo
STATE of NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY
GovERNoR
May 8, 2001
North Carolina Department of Environment and Natural Resources
Division of Water Quality
2321 Crabtree Blvd.
Raleigh, NC 27604-2260
Attention: Mr. John Dorney
Supervisor
LYNDO TIPPETT
SECRETARY
Subject: Secondary road improvements to SR 1138 (Green Road) from SR 1139
(Sid Mitchell Road) to SR 1134 (Long Mill Road) in Franklin County.
NCDOT Work Order No. 6.362295.
The North Carolina Department of Transportation (NCDOT) proposes to upgrade
SR 1138 (Green Road) from SR 1139 (Sid Mitchell Road) to SR 1134 (Long Mill Road)
in Franklin County. The permit application package for this project was forwarded
to the Division of Water Quality on May 2, 2001. I may have inadvertently
forwarded only six copies of the permit application instead of the seven, as required
by the DWQ. Please accept an additional copy of this permit application. If you
have any questions or need additional information, please contact me at [phone].
Sincerely,
Christopher A. Murray, P.W.S.
Environmental Officer
Division 5, 2612 N. Duke Street, Durham, NC 27704
Phone: [phone] Fax: [phone]
e.es AATEo
`, w+a
aaw,?'
STATE of NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY
GovERNOR
May 2, 2001
U. S. Army Corps of Engineers
Raleigh Regulatory Field Office
6508 Falls of the Neuse Road, Suite 120
Raleigh, NC 27609
Attention: Mr. Eric Alsmeyer
NCDOT Coordinator
LYNDO TIPPETT
SECRETARY
Subject: Secondary road improvements to SR 1138 (Green Road) from SR 1139
(Sid Mitchell Road) to SR 1134 (Long Mill Road) in Franklin County.
NCDOT Work Order No. 6.362295.
The North Carolina Department of Transportation (NCDOT) proposes to upgrade
SR 1138 (Green Road) from SR 1139 (Sid Mitchell Road) to SR 1134 (Long Mill Road)
in Franklin County. Total project length is 1.44 miles. Transportation and highway laws
of North Carolina (G.S. 13644.6, 136-44.7, 136-44.7A, 136-44.8, and 136-44.9) require
the NCDOT to develop annual work programs for construction and maintenance of
secondary roads. These general statutes specifically set forth requirements for annual
construction and paving of existing unpaved roads. Paving of these roads is performed in
priority order as established by the NCDOT for each unpaved road within a given county.
This number is based on characteristics of each road, including number of homes,
schools, churches, businesses, industries, recreational facilities, traffic counts, presence of
school bus routes, and value as a thoroughfare. SR 1138 is scheduled to be paved in the
2000-2001 Secondary Roads Construction Program.
Impacts to Waters of the United States
Construction of the project will necessitate impacts to waters of the United States
at two sites in the Neuse River Basin (Figure 1). Wetland delineations were conducted
using the field delineation method outlined in the 1987 Corps of Engineers Wetland
Delineation Manual (Environmental Laboratory, 1987). U. S. Army Corps of Engineers
(USACE) Wetland Data Forms and a North Carolina Division of Water Quality (DWQ)
Wetland Rating Form are attached to this application.
Division 5, 2612 N. Duke Street, Durham, NC 27704
Phone: [phone] Fax: [phone]
R
Site 1 (41+00 to 41+40-Rt-)
Construction at this site will impact a palustrine forested wetland (PFO 1 B)
(Figure 2). Permanent impacts at the site include <0.01 acre fill in wetlands.
Site 2 65+55-L-)
Construction at this site will impact an unnamed intermittent tributary to Horse
Creek (DWQ Index No. 27-17-(0.3), Best Usage Classification C NSW) (Figure 3). The
existing structure is a 48-inch corrugated metal pipe that is 42 feet long. The replacement
pipe is a 48-inch corrugated metal pipe that is 80 feet long. Permanent impacts at the site
include <0.01 acre fill in surface water and 38 linear feet existing channel impacted.
Waters of the U.S. Mitigation
Avoidance: All wetlands and surface waters not affected by the project will be
protected from unnecessary encroachment. No staging of construction equipment or
storage of construction supplies will be allowed in wetlands or near surface waters. The
original design at Site 1 involved the replacement and extension of the existing 2@ 96
inch corrugated metal pipes at Station 40+50-L-, which convey Horse Creek. After
consulting with the Resident Engineer, it was determined that the pipes are still in good
condition and will not be replaced. This will result in avoidance to Horse Creek at Site 1.
Minimization: The side slopes have been steepened to the extent possible at
jurisdictional sites. Strict enforcement of sedimentation and erosion control Best
Management Practices for the protection of wetlands and surface waters will be enforced
during project construction. Continued coordination will occur with maintenance forces
and the Environmental Officer during construction to minimize impacts to these sites.
The original alignment at Site 2 involved symmetrical widening which would have
resulted in approximately 95 linear feet of stream relocation. After consulting with the
Resident Engineer, the alignment was realigned and shifted to the south. This results in
reduced impacts to the stream channel at Site 2.
CompensatoryMitigation: Construction of the project will result in only minimal
impacts to waters of the United States. Impacts have been avoided and minimized to the
maximum extent possible during the design process. Due to minimal impacts,
compensatory mitigation for stream and wetland impacts will not be provided for this
project.
Dewatering
The NCDOT proposes to temporarily dewater the stream at Site 2 during the
construction of the project. This will involve the temporary placement of sandbags or
Class B or Class 2 rip rap covered with filter fabric in the stream channel approximately
10 feet upstream of the proposed pipe inlet (Figure 3). To maintain water flow during
construction, water upstream of this impervious structure will be temporarily pumped out
and conveyed downstream of the construction activity where it will be allowed to filter
through vegetation before flowing into the stream. The stream will be dewatered less
than a day. This will result in temporary impacts to the surface water. Temporary
impacts to the streams from this activity will result in the dewatering of <0.01 ac of
stream bed and 90 linear feet stream channel at Site 2. The sandbags or rip rap covered
with filter fabric will be removed after construction.
Riparian Buffer Impacts
The project is located in the Neuse River Basin. Please note that Site 1 and Site 2
are depicted on the most recent version of the Grissom, North Carolina topographic
quadrangle (USGS, 1978, photorevised 1987) (Figure 1). Personnel from the Natural
Resource Conservation Service in Franklin County were contacted regarding the status of
the Soil Survey of Franklin County. They stated that this survey has not yet been
published. Construction impacts at Site 1 and Site 2 involve less than 40 linear feet of
riparian buffer. Based on the impacts to the riparian buffer at these sites, these crossings
are exempt from the Rule.
Protected Species
Plants and animals with federal classifications of Endangered, Threatened,
Proposed Endangered and Proposed Threatened are protected under provisions of Section
7 and Section 9 of the ESA. As of February 7, 2001, there are three federally-protected
species listed for Franklin County. They include dwarf wedgemussel (Alasmidonta
heterodon), Tar spinymussel (Elliptio steinstansana) and Michaux's sumac (Rhus
michauxii). Biological Conclusions of No Effect have been rendered for each species.
Summary
NCDOT proposes to upgrade and pave SR 1138 in Franklin County. Permanent
impacts at Site 1 include <0.01 acre fill in wetlands. Permanent impacts at Site 2 include
<0.01 acre fill in surface water and 38 linear feet existing channel impacted. Temporary
impacts to the streams from dewatering activity will involve <0.01 ac of stream bed and
90 linear feet stream channel at Site 2.
Application is hereby made for a Department of the Army Section 404
Nationwide Permit (NWP) 14 and NWP 33 and DWQ Section 401 Water Quality
Certification (WQC) No. 3289 and No. 3114 for construction of this project. The
NCDOT will comply with all applicable NWP and WQC conditions. In compliance with
Section 143-215.3D(e) of the NCAA we have enclosed a check for $200.00 to act as
payment for processing the Section 401 permit application. A pre-construction
notification is attached with this request. If you have any questions or need additional
information, please contact me at [phone].
Sincerely,
Christopher A. Murray, P.W.S.
Environmental Officer
cc: Mr. David Franklin, USACE, Wilmington
Mr. John Dorney, NCDWQ, Raleigh
Mr. David Cox, NCWRC, Creedmoor
Mr. Garland Pardue, USFWS, Raleigh
Mr. Scott Capps, P.E., NCDOT District Engineer, Henderson
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Project Study Area
SR 1138 Green Road
_ l
Franklin County
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SR 1138 Green Road
Franklin County
Figure 2 111=100'
'Ay

'91>F
cReFN
RF?O?ck

SAT T /F GREEN
RF?Q?c/r
TAR-PQMLICO RIVBR BASIN BUFF
Temporary placement of sandbags or
Class 2 or Class B rip rap covered with
filter fabric to facilitate temporary
dewatering of stream.

UT to Horse Creek

?? ? `I?°r?1 2
? ? ore
Stream Impact
Site 2
SR 1138 Green Road
Franklin County
Figure 3 I"=100'
S i've- 1
DATA FORM
ROUTINE WETLAND DETERMINATION
0 987 COE Wetlands Delineation Manual)
Project/Site: 5A- 8 G r e ,, IC o Dater k -L(o(
Applicant/Owner: n I C ,I o7 County: Fra„ k?,.?
Investigator: TI-k,1 rrw State: N L
Do Normal Circumstances exist on the site? s No
Is the site significantly disturbed (Atypical Situation)? s Community ID: l
Transect ID: Wei a
Is the area a potential Problem Area? Yes Plot ID:
(If needed, explain on reverse.)
VEGETATION
Dominant Plant Species Stratum Indicator Dominant Plant Species Stratum Indicator
fi? -F- AC-1 9.
2 b El Q t o r e f aC Ao-- t ptc{-
' 10.
3. Ae
r F R C- 11.
4. ln, T- F#C- 12.
5. r run -i 'rya 1'}}Ct") 13.
6.
A (,,[ A I !Q re, tL 14.
//11
7. /'i (1?S ?efC ?`a?t 1 F19CIJ'I- 15.
8. 16.
Percent of Dominant Species that are OBL, FACW or FAC
(excluding FAC-). In n c,
Remarks:
?ceV ?ten?P
??-.???p??.?c
SPe?,?s??- step
HYDROLOGY
_ Recorded Data (Describe in Remarks): Wetland Hydrology Indicators:
_ Stream, Lake, or Tide Gauge Primary Indicators:
Aerial Photographs _ Inundated
_ Other 'Saturated in Upper 12 Inches
No Recorded Data Available _ Water Marks
_ Drift Lines
Sediment Deposits
Field Observations: ?Drainage Patterns in Wetlands
Secondary Indicators (2 or more required):
Depth of Surface Water: (in.) _ Oxidized Root Channels in Upper.12 Inches
Water-Stained Leaves
Depth to Free Water in Pit: (in.) _ Local Soil Survey Data
_ FAC-Neutral Test
Depth to Saturated Soil: (in.) _ Other (Explain in Remarks)
Remarks:

DATA FORM
ROUTINE WETLAND DETERMINATION
0 987 COE Wetlands Delineation Manual)
Project/Site: 4 P- 1 13' b A 6 f e e r, ?. C 'a Date: Q(z-(o (
Applicant/Owner: Qtr D 6r County: Frc_-, tk.t .?
Investigator: C. I-?l; rr2? State: ?1 L

(? Mn a
Do Normal Circumstances exist on the site?
Community ID: ?(?
Is the site significantly disturbed (Atypical Situation)? es o Transect ID: a?
Is the area a potential Problem Area? Yes Plot ID:
(If needed, explain on reverse.)
VEGETATION
nt Plant Species Stratum Indicator
Domin Dominant Plant Species Stratum Indicator
a
1. LJboS Gr.A %:i-t')51+_ IF 9.
2. Ac er -``.(',3
3 5 , si h ro,c,
4. T ??}C 12. I
co r
5. l A MJS CAa.A-o, 13. I
? p
6. RfJA?S 5ef,)1 Cl) 14.
7. A C R l ! ?? f C) 15.
g, 16.
Percent of Dominant Species that are .OBL, FACW or FAC C--
(excluding FAC-). J
Remarks:
Q(ev-,l2nce- 9raQ?,..?t-rc 5 Deco e5 a l- Sr k::)
HYDROLOGY
Recorded Data (Describe in Remarks): Wetland Hydrology Indicators:
_
Stream, Lake, or Tide Gauge Primary Indicators:
_ Aerial Photographs _ Inundated
Other
Z _ Saturated in Upper 12 Inches
_
Noecorded Data Available _ Water Marks
Drift Lines
_
_ Sediment Deposits
Field Observations: _ Drainage Patterns in Wetlands
Secondary Indicators (2 or more required):
Depth of Surface Water: (in.) _ Oxidized Root Channels in Upper.12 Inches
_ Water-Stained Leaves
Depth to Free Water in Pit: (in.) _ Local Soil Survey Data
_ FAC-Neutral Test
Depth to Saturated Soil: (in.) _ Other (Explain in Remarks)
Remarks: t p
AiD
?- e?i.?{ or? 5ife

WETLAND RATING WORKSHEET (4th VERSION)..
Project Name: 5 R- W5 Gr?s? R-aA? County: Pro'\V_ ??
Nearest Road: P- I's Date: t t u
Wetland Area (ac): <Q,lc.c r,. eetcr,..l- Wetland Width (ft): tS'o Name 'of Evaluator(s) : c. t--, cr.
Wetland Location:
on sound or estuary
Z on or lake
? on n perennial stream
on, intermittent stream
within interstream divide
other
So i 1 s Sa?? C)'JC0 •? ?y Un,,.,r.,\?b? ?
Soil Series
predominantly organic
(humus, muck or peat)
V/ predominantly mineral (non-sandy)
predominantly sandy.
Hvdr'aulic Factors
freshwater brackish
steep topography.
ditched or channelized
./ total wetland width > 100 'feet.
Adjacent Land Use:
(within 1/2 mi upstream,
upslope, or radius)
? forested/natural veg.
- 7 agriculture/urbanized ?D a
? impervious surface
Adjacent Special Natural Areas
Dominant Vezetation
(2) Flooding and Wetness
semipermanently to
permanently flooded or
/inundated
? seasonally flooded or
inundated
intermittently flooded or
.temporary surface water
wetland Tvoe (select one)* no evidence of flooding or
Bottomland Hardwood Forest, surface water
Swamp Forest Bog/Fen
Carolina Bay Headwater Forest
?ocosin Bog Forest
Pine Savannah Ephemeral Wetl nd
Freshwater Marsh ? Other: 1?1w?waokVor?, t -
*The rating system cannot be applied to salt or brackish marshes or
stream channels.
DE1! RAT I NG
WATER STORAGE.
INE
POLLUTANT REMOVAL
WILDLIFE HABITAT
AQUATIC LIFE VALUE
RECREATION/EDUCATION
2
1-
Add 1 point if in sensitive watershed
x 4.00 = (Z
x 5.00 = t0
b
:2.00 =
x 4. 00 =._._
x 1.00 = v
WETLAND SCORE
(TOTAL)
and >101,110 nonpoint disturbance

is
Pre-Construction Notification (PCN) Application Form
For Section 404 and/or Section 10 Nationwide, Regional and General Permits, Section 401
General Water Quality Certifications, and Riparian Buffer and Watershed Buffer Rules
This form is to be used for projects qualifying for any of the U.S. Army Corps of Engineers' (USACE)
Nationwide, Regional or General Permits as required by Section 404 of the Clean Water Act and/or
Section 10 of the Rivers and Harbors Act, and for the North Carolina Division of Water Quality's
(DWQ) associated General 401 Water Quality Certifications. This form is also to be used for any
project requiring approval under any Riparian Buffer Rules implemented by the N.C. Division of Water
Quality. This form should not be used if you are requesting an Individual 404 Permit or Individual 401
Water Quality Certification. The USACE Individual Permit application form is available online at
http://wwur. saw. usace. army. mil/wetlands/Perm?app. htm.
The USACE is the lead regulatory agency. To review the requirements for the use of Nationwide,
Regional or General permits, and to determine which permit applies to your project, please go to the
USACE website at http://www.saw.usace.army.mil/wetlands/regtour.htm, or contact one of the field
offices listed at the end of this application. The website also lists the responsible project manager for
each county in North Carolina and provides additional information regarding the identification and
regulation of wetlands and waters of the U. S.
The DWQ issues a corresponding Certification (General or Individual), and cannot tell the applicant
which 401 Certification will apply until the 404 Permit type has been determined by the USACE.
Applicants are encouraged to visit DWQ's 401/Wetlands Unit website at
http://h2o.enr.state.nc.us/newetlands to read about current requirements for the 401 Water Quality
Certification Program and to determine whether or not Riparian Buffer Rules are applicable. The
applicant is also advised to read the full text of the General Certification (GC) matching the specific 404
Permit requested. In some cases, written approval for some General Certifications is not required,
provided that the applicant adheres to all conditions of the GC. Applicants lacking access to the internet
should contact DWQ's Central Office in Raleigh at [phone].
Trout Waters Coordination - Special coordination with the North Carolina Wildlife Resources
Commission (NCWRC) is also required for projects occurring in any of North Carolina's twenty-five
counties that contain trout waters. In such cases, the applicant should contact the appropriate NCWRC
regional coordinator (listed by county on the last page of this application).
Page 1 of 12
CAMA Coordination - If the project occurs in any of North Carolina's twenty coastal counties (listed on
the last page of this application) the applicant should also contact the North Carolina Division of Coastal
Management (DCM) at [phone]. DCM will determine whether or not the project involves a
designated Area of Environmental Concern, in which case DCM will act as the lead permitting agency.
In such cases, DCM will require a Coastal Area Management Act (CAMA) Permit and will coordinate
the 404/401 Permits.
USACE Permits - Submit one copy of this form, along with supporting narratives, maps, data forms,
photos, etc. to the applicable USACE Regulatory Field Office (addresses are listed at the end of this
application). Upon receipt of an application, the USACE will determine if the application is complete as
soon as possible, not to exceed 30 days. This PCN form is designed for the convenience of the applicant
to address information needs for all USACE Nationwide, Regional or General permits, as well as
information required for State authorizations, certifications, and coordination. Fully providing the
information requested on this form will result in a complete application for any of the USACE
Nationwide,.Regional or General permits. To review the minimum amount of information that must be
provided for a complete PCN for each USACE Nationwide permit, see Condition 13, 65 Fed.Reg. 12893
(March 9, 2000), available at http://wwvv.saw.usace.army mil/wetlands/nwpfina]FedReg pdf.
Processing times vary by permit and begin once the application has been determined to be complete.
Please contact the appropriate regulatory field office for specific answers to permit processing periods.
401 Water Quality Certification or Buffer Rules - All information is required unless otherwise stated
as optional. Incomplete applications will be returned. Submit seven collated copies of all USACE
Permit materials to the Division of Water Quality, 401/Wetlands Unit, 1650 Mail Service Center,
Raleigh, NC, 27699-1650. If written approval is required or specifically requested for a 401
Certification, then a non-refundable application fee is required. In brief, if project impacts include less
than one acre of cumulative wetland/water impacts and less than 150 feet cumulative impacts to
streams, then a fee of $200 is required. If either of these thresholds is exceeded,.then a fee of $475 is
required. A check made out to the North Carolina Division of Water Quality, with the specific name of
the project or applicant identified, should be stapled to the front of the application package. For more
information, see the DWQ website at http://h2o.ehnr-state.nc.us/ncwetlands/fees.html. The fee must be
attached with the application unless the applicant is a federal agency in which case the check may be
issued from a separate office. In such cases, the project must be identifiable on the U.S. Treasury check
so that it can be credited to the appropriate project. If written approval is sought solely for Buffer Rules,
the application fee does not apply, and the applicant should clearly state (in a cover letter) that only
Buffer Rule approval is sought in writing. Wetlands or waters of the U.S. may not be impacted prior to
issuance or waiver of a Section 401 Water Quality Certification. Upon receipt of a complete application
for a 401 Certification, the Division of Water Quality has 60 days to prepare a written response to the
applicant. This may include a 401 Certification, an on-hold letter pending receipt of additional
requested information, or denial.
Page 2 of 12
Office Use Only: Form Version April 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
Z Riparian or Watershed Buffer Rules
2. Nationwide, Regional or General Permit Number(s) Requested: NWP 14 and NWP 33
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: NCDOT/Christopher A. Murray
Mailing Address: 2612 N Duke Street Durham NC 27704
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: [e-mail]
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:
Company Affiliation:
Mailing Address:
Telephone Number: Fax Number:
E-mail Address:
Page 3 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: SR 1138 (Green Road) from SR 1139 (Sid Mitchell Road) to SR 1134
(Long Mill Road) in Franklin County.
2. T.I.P. Project Number (NCDOT Only): NCDOT Division Project (non-T1P)
3. Property Identification Number (Tax PIN): N/A
4. Location
County: Franklin Nearest Town: Purnell
Subdivision name (include phase/lot number): N/A
Directions to site (include road numbers, landmarks, etc.): From Raleigh, travel north on US
1 and cross into Franklin County, turn left and travel west on SR 1138.
5. Site coordinates, if available (UTM or Lat/Long): N/A
(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: Site is
surrounded by a mixture of undeveloped land and scattered residential houses.
7. Property size (acres): Project footprint is 1.44 miles (7603 feet) long and has a right of way
of 60 feet. Property size is 10.47 acres.
8. Nearest body of water (stream/river/sound/ocean/lake): Site 1: Horse Creek (no impacts to
stream at this site); Site 2: Unnamed Tributary to Horse Creek.
9. River Basin: Neuse River
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at httn://h2o.enr.state.nc.us/adminlmaps/.)
Page 4 of 12
10. Describe the purpose of the proposed work: Grade, drain, base pave and erosion control at
SR 1138 (Green Road). At Site 1 (41+00 to 41+40-Rt-), <0.01 acre of wetlands will be
filled At Site 2 (65+55-L-) the existing 42 foot pipe will be replaced with a 80 foot pipe.
The stream at Site 2 will be temporarily dewatered for one day during construction.
11. List the type of equipment to be used to construct the project: Excavator, Backhoe,
Bulldozer and Grader.
12. Describe the land use in the vicinity of this project: Mixture of undeveloped land and
scattered residential housing,
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.
No previous project jurisdictional determination or permit history associated with site.
V. Future Project Plans
Are any additional permit requests anticipated for this project in the future? If so, describe the
anticipated work, and provide justification for the exclusion of this . work from the current
application: None anticipated
VI. Proposed Impacts to Waters of the United States/Waters of the State
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. The applicant must also
provide justification for these impacts in Section VII below. All proposed impacts, permanent
and temporary, must be listed herein, and must be clearly identifiable on an accompanying site
plan. All wetlands and waters, and all streams (intermittent and perennial) must be shown on a
delineation map, whether or not impacts are proposed to these systems. Wetland and stream
evaluation and delineation forms should be included as appropriate. Photographs may be
included at the applicant's discretion. If this proposed impact is strictly for wetland or stream
mitigation, list and describe the impact in Section VIII below. If additional space is needed for
listing or description, please attach a separate sheet.
Page 5 of 12
1. Wetland Impacts
Wetland Impact
Site Number
(indicate on ma)
Type of Impact* Area of
Impact
(acres) Located within
100 year Floodplain**
es/no) Distance to
Nearest Stream
(linear feet)
Type of Wetland***
Site 1 Fill <0.01 Yes 45 Forested

T List each impact separately and identify temporary impacts. Impacts include, but are not limited to: mechanized clearing, grading, fill,
excavation, flooding, ditching/drainage, etc. For dams, separately list impacts due to both structure and flooding.
** 100-Year floodplains are identified through the Federal Emergency Management Agency's (FEMA) Flood Insurance Rate Maps
(FIRM), or FEMA-approved local floodplain maps. Maps are available through the FEMA Map Service Center at 1-800-358-9616, or
online at http://w1N-w.fema.gov.
*** 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: <0.01 acre in
footprint of project.
Total area of wetland impact proposed: <0.01 acre in footprint of project.
2. Stream Impacts, including all intermittent and perennial streams
Stream Impact
Site Number
indicate on ma)
Type of Impact*
Length of Impact
.,. (linear feet)
Stream Name** Average Width
of Stream
Before Impact Perennial or
Intermittent?
lease specify)
Site 2 Fill (pipe) 38 UT Horse Creek 3 feet Perennial
Site 2 Dewater (Temporary) 90 UT Horse Creek 3 feet 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 (untamed 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
Nvv%-.usas.aov. Several intemet sites also allow direct download and printing of USGS maps (e.g., wkvwtopozonexom,
tivXrlv.ma1 ixa test.com, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: 38 feet permanent fill and
90 feet temporary dewatering.
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)
(if Name applicable) Wate) Type of Waterbody
(lake> Pond> estuary, sound,

bay, ocean, etc.)

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: fill, excavation, dredging,
flooding, drainage, bulkheads, etc.
Page 6 of 12
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
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.):
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.):
Size of watershed draining to pond: Expected pond surface area:
VII. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts.
All wetlands and surface waters not affected by project construction will be protected from
unnecesspa encroachment No staging of equipment will be allowed in or adjacent to waters of
the U.S. unless necessary for construction The side slopes at the jurisdictional site has been
steepened to the maximum extent possible Strict enforcement of Best Management Practices for
the protection of wetlands and surface waters will be enforced during construction. Only the
smallest amount of fill necessary to complete the project will be placed in waters of the United
States The original design at Site 1 involved the replacement and extension of 2@ 96 inch pipes
which convey Horse Creek After consulting with the Resident Engineer, it was determined that
the pipes are in good condition and will not be replaced thus avoiding impacts to the stream at
Site 1 The original alignment at Site 2 involved symmetrical widening which would have
resulted in approximately 95 linear feet of stream relocation. After consulting with the Resident
Engineer, the alignment was shifted to the south, thus minimizing stream impacts at Site 2.
VIlI. 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 maybe appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and maintaining wetland
Page 7 of 12
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USACE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCWRP concurrence shall be placed on hold as
incomplete. An applicant may also choose to review the current guidelines for stream restoration
in DWQ's Draft Technical Guide for Stream Work in North Carolina, available at
http://h2o.enr.state.nc.us/ncwetlands/strmgide.html.
Provide a brief description of the proposed mitigation plan. The description should provide
as much information as possible, including, but not limited to: site location (attach directions
and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed method of construction. Please attach
a separate sheet if more space is needed.
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 li!tp://h2o.enr.state.ne.us/iv.rp/index.ht . 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): N/A
Amount of buffer mitigation requested (square feet): N/A
Amount of Riparian wetland mitigation requested (acres): N/A
Amount of Non-riparian wetland mitigation requested (acres): N/A
Amount of Coastal wetland mitigation requested (acres): N/A
IX. Environmental Documentation (DWQ Only)
Does the project involve an expenditure of public funds or the use of public (federal/state/local)
land?
Yes ® No ?
Page 8 of 12
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 ?
X. Proposed Impacts on Riparian and Watershed Buffers (DWQ Only)
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required state and local buffers associated with the project. The applicant must also provide
justification for these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Meuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and
Water Supply Buffer Requirements), or other (please identify )?
Yes ® No ? 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.
SITE 1
Zone* Impact
(square feet Multiplier Required
Mitigation
1 1,200 3
2 800 1.5
Total 2,000
" Zone 1 extends out 30 feet perpendicular from near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.
SITE 2
Zone* Impact
(square feet Multiplier Required
Mitigation
1 2,700 3
2 2,240 1.5
Total 4,940
" Lone 1 extends out 3U teet perpendcular trom near bank of channel; Gone 2 extends an
additional 20 feet from the edge of Zone 1.
Page 9 of 12
If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation
of Property, Conservation Easement, Riparian Buffer Restoration / Enhancement, Preservation or
Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as
identified within 15A NCAC 2B .0242 or.0260.
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.
Existing: 6.98 acre impervious surface of 10.47 acre total project size. Proposed: 6.98 acre
impervious surface of 10.47 acre total project size. The erosion control plan for the project is
designed for 900 cubic feet of storage per acre. Erosion and sediment control devices along the
project are comprised of silt fence temporary rock sediment dam, temporary silt basin,
temporary rock silt check dam and rock pipe inlet sediment trap All temporarily disturbed areas
will be revegetated after construction.
XH. 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.
The project will not generate wastewater.
YJH. 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 ? 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).
Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 10 of 12
US Army Corps Of Engineers Field Offices and County Coverage
Asheville Regulatory Field Office Alexander Cherokee Iredell Mitchell Union
US Army Corps of Engineers Avery Clay Jackson Polk Watauga
151 Patton Avenue Buncombe Cleveland Lincoln Rowan Yancey
Room 208 Burke Gaston Macon Rutherford
Asheville, NC 28801-5006 Cabarrus Graham Madison Stanley
Telephone: [phone] Caldwell Haywood McDowell Swain
Fax: [phone] Catawba Henderson Mecklenburg Transylvania
Raleigh Regulatory Field Office Alamance Durham Johnston Rockingham Wilson
US Army Corps Of Engineers Alleghany Edgecombe Lee Stokes Yadkin
6508 Falls of the Neuse Road Ashe Franklin Nash Surry
Suite 120 Caswell Forsyth Northampton Vance
Raleigh, NC 27615 Chatham Granville Orange Wake
Telephone: [phone] Davidson Guilford Person Warren
Fax: [phone] Davie Halifax. Randolph Wilkes
Washington Regulatory Field Office Beaufort Currituck Jones Pitt
US Army Corps Of Engineers Bertie Dare Lenoir Tyrrell
Post Office Box 1000 Camden Gates Martin Washington
Washington, NC 27889-1000 Carteret* Green Pamlico Wayne
Telephone: [phone] Chowan Hertford Pasquotank
Fax: [phone] Craven Hyde Perquimans *Croatan National Forest Only
Wilmington Regulatory Field Office Anson Duplin Onslow
US Army Corps Of Engineers Bladen Harnett Pender
Post Office Box 1890 Brunswick Hoke Richmond
Wilmington, NC 28402-1890 Carteret Montgomery Robeson
Telephone: [phone] Columbus Moore Sampson
Fax: [phone] Cumberland New Hanover Scotland
US Fish and Wildlife Service / National Marine Fisheries Service
US Fish and Wildlife Service US Fish and Wildlife Service National Marine Fisheries Service
Raleigh Field Office Asheville Field Office Habitat Conservation Division
Post Office Box 33726 160 Zillicoa Street Pivers Island
Raleigh, NC 27636-3726 Asheville, NC 28801 Beaufort, NC 28516
Telephone: [phone] Telephone: [phone] Telephone: [phone]
North Carolina State Agencies
Division of Water Quality
401 Wetlands Unit
1650 Mail Service Center
Raleigh, NC 27699-1650
Telephone: [phone]
Fax: [phone]
Division of Water Quality
Wetlands Restoration Program
1619 Mail Service Center
Raleigh, NC 27699-1619
Telephone: [phone]
Fax: [phone]
State Historic Preservation Office
Department Of Cultural Resources
4617 Mail Service Center
Raleigh, NC 27699-4617
Telephone: [phone]
Fax: [phone]
Division of Coastal Management
1638 Mail Service Center
CAMA and NC Coastal Counties
Beaufort Chowan
Bertie Craven
Hertford Pasquotank
Hyde Pender
Page 1 l of 12
Raleigh, NC 27699-1638 Brunswick Currituck New Hanover Perquimans
Telephone: [phone] Camden Dare Onslow Tyrrell
Fax: [phone] Carteret Gates Pamlico Washington
NCWRC and NC Trout Counties
Western Piedmont Region Coordinator Alleghany Caldwell Watauga
3855 Idlewild Road Ashe Mitchell Wilkes
Kernersville, NC 27284-9180 Avery Stokes
Telephone: [phone] Burke Surry
Mountain Region Coordinator Buncombe Henderson Polk
20830 Great Smoky Mtn. Expressway Cherokee Jackson Rutherford
Waynesville, NC 28786 Clay Macon Swain
Telephone: [phone] Graham Madison Transylvania
Fax: [phone] Haywood McDowell Yancey
Page 12 of 12
N. C. DEPARTMENT OF TRANSPORTATION
TRANSMITTAL SLIP DATE
TO: // REF. NO. OR ROOM, BLDG.
J O h e ?e
FROM: REF. NO. OR ROOM, BLDG.
L) r rQ
ACT CON
? NOTE AND FILE ? PER OUR CONVERSATION
?NOTE AND RETURN TO ME ?PER YOUR REQUEST
? RETURN WITH MORE DETAILS ?FOR YOUR APPROVAL
??-
El NOTE AND SEE ME ABOUT THIS ..//)) OW FOR YOUR INFORMATION
? PLEASE ANSWER ? FOR YOUR COMMENTS
? PREPARE REPLY FOR MY SIGNATURE ? SIGNATURE
? TAKE APPROPRIATE ACTION ? INVESTIGATE AND REPORT
COMMENTS:

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