20010713 Ver 1_Complete File_20010510

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
DWQ Project No.:
Applicant:
Project Name: ?$
Date of Issuance of
1071
1 • • UPS
L-4)
A"Woft 0000-09000%
r
? cyst
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
County: N rc-A 1= k n
)Jn . 12.6 oucr-Pr4c-&l-ree r2eicv„ 52161 6
Water Quality Certification: 6- m- 01
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.
Applicannti's Certification
J IN , 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 spec' cat s, and other supporting materials. /
Signature: v Date: /
Agent's Certificati n
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:
Engineer's Certification
Partial Final
Date:
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 1621 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
DWQ Project No.:
Annlicant:
EOM,;
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
County:
Project Name:
Date of Issuance of 401 Water Quality Certification:
Certificate of Completion
Upon completion of all 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, , hereby state that, to the best of my abilities, due care and
diligence was used in the observation of the construction such that the construction was observed to be built
within substantial compliance and intent of the 401 Water Quality Certification and Buffer Rules, the
approved plans and specifications, and other supporting materials.
Signature:
Agent's Certification
Date:
I, , hereby state that, to the best of my abilities, due care and
diligence was used in the observation of the construction such that the construction was observed to be built
within substantial compliance and intent of the 401 Water Quality Certification and Buffer Rules, the
approved plans and specifications, and other supporting materials.
Signature:
Engineer's Certification
Partial Final
Date:
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 1621 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
11F5WA
4 •
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
11.This Certification shall be utilized for roads from natural high ground to natural high ground. The
Certification for Nationwide Permit 18 may not be used in conjunction with this Certification to create
high ground for road access;
12. If an environmental document is required, this Certification is not valid until a Finding of No Significant
Impact (FONSI) or Record of Decision (ROD) is issued by the State Clearinghouse. All water quality-
related conditions of the FONSI or ROD shall become conditions of this Certification;
13.That additional site-specific conditions may be added to projects proposed under this Certification in
order to ensure compliance with all applicable water quality and effluent standards;
14. When written concurrence is required, the applicant is required to use the enclosed "Certification of
Completion Form" to notify DWQ when all work included in the 401 Certification has been completed;
15. Concurrence from DWQ that this Certification applies to an individual project shall expire three years
from the date of the cover letter from DWQ or on the same day as the expiration date of the
corresponding Nationwide Permit 14 and Regional General Permit 198200031 whichever is sooner.
Non-compliance with or violation of the conditions herein set forth by a specific fill project may result in
revocation of this Certification for the project and may also result in criminal and/or civil penalties.
The Director of the North Carolina Division of Water Quality may require submission of a formal
application for individual certification for any project in this category of activity, if it is determined that the
project is likely to have a significant adverse effect upon water quality or degrade the waters so that existing
uses of the wetland, stream or downstream waters are precluded.
Public hearings may be held for specific applications or group of applications prior to a Certification
decision if deemed in the public's best interest by the Director of the North Carolina Division of Water
Quality.
Effective date: 1 June 2000
- - - - DIVISION OF WATER QUALITY
By
Kerr T. Stevens
Director
WQC # 3289
Wetlands/401 Unit 1621 Mail Service Center Raleigh, North Carolina 27699-1621
Telephone [phone] FAX [phone]
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
• •
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
the physical integrity of the stream, but the applicant must provide written justification and any
calculations used to determine the extent of rip-rap coverage requested. If suitable stream mitigation is
not practical on-site, then stream impact will need to be mitigated elsewhere;
5. Impacts to any stream length in the Neuse, Tar-Pamlico and Randleman River Basins requires written
concurrence from DWQ in accordance with 15A NCAC 2B.0233, 15A NCAC 2B .0259 and .0250 and
15A NCAC 2H.0500. New development activities located in the protected 50-foot wide riparian areas
(whether jurisdictional wetlands or not) within the Neuse, Tar-Pamlico and Randleman River Basins
shall be limited to "uses" identified within and constructed in accordance with 15A NCAC 2B .0233,
15A NCAC 2B .0259 and .0250. All new development shall be located, designed, constructed, and
maintained to have minimal disturbance to protect water quality to the maximum extent practicable
through the use of best management practices. Activities listed as "exempt" from these rules do not need
to apply for written concurrence under this Certification;
6. Placement of culverts and other structures in waters, streams, and wetlands must be placed below the
elevation of the streambed to allow low flow passage of water and aquatic life unless it can be shown to
DWQ that providing passage would be impractical. Design and placement of culverts and other
structures including temporary erosion control measures shall not be conducted in a manner that may
result in dis-equilibrium of wetlands or stream beds or banks, adjacent to or upstream and down stream
of the above structures. The applicant is required to provide evidence that the equilibrium shall be
maintained if requested in writing by DWQ. Additionally, when roadways, causeways or other fill
projects are constructed across FEMA-designated floodways or wetlands, openings such as culverts or
bridges must be provided to maintain the natural hydrology of the system as well as prevent constriction
of the floodway that may result in destabilization of streams or wetlands;
7. If this Certification is used to access building sites, all lots owned by the applicant must be buildable
without additional fill beyond that allowed under other General Certifications. Deed restrictions must be
placed on the remaining wetlands and streams on these lots to restrict future wetland and stream fill.
DWQ shall be sent copies of all deed restrictions applied to these lots;
That appropriate sediment and erosion control practices which equal or exceed those outlined in the
most recent version of the "North Carolina Sediment and Erosion Control Planning and Design Manual"
or the "North Carolina Surface Mining Manual" whichever is more appropriate (available from the
Division of Land Resources (DLR) in the DENR Regional or Central Offices) shall be in full - - - - -
compliance with all specifications governing the proper design, installation and operation and
maintenance of such Best Management Practices in order to assure compliance with the appropriate
turbidity water quality standard;
9. All sediment and erosion control measures placed in wetlands or waters shall be removed and the natural
grade restored within two months after the Division of Land Resources has released the project;
10. Measures shall be taken to prevent live or fresh concrete from coming into contact with waters of the
state until the concrete has hardened;
Wetlands/401 Unit 1621 Mail Service Center Raleigh, North Carolina 27699-1621
Telephone [phone] FAX [phone]
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
ILTTWAA
•
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
ROAD CROSSING CERTIFICATION GENERAL CERTIFICATION FOR PROJECTS
ELIGIBLE FOR CORPS OF ENGINEERS NATIONWIDE PERMIT NUMBER 14 (ROAD
CROSSINGS), REGIONAL GENERAL PERMIT 198200031 AND NEUSE/TAR-
PAMLICO/RANDLEMAN BUFFER RULES
This General Certification is issued in conformity with the requirements of Section 401, Public Laws 92-
500 and 95-217 of the United States and subject to the North Carolina Division of Water Quality (DWQ)
Regulations in 15A NCAC 2H, Section .0500 and 15A NCAC 2B .0200 for the discharge of fill material to
waters and wetland areas as described in 33 CFR 330 Appendix A (B) (14) of the Corps of Engineers
regulations (i.e., Nationwide Permit No. 14 and Regional General Permit 198200031) and for the Neuse,
Tar-Pamlico and Randleman Buffer Rules (15A NCAC 2B .0233, .0259 and .0250). The category of
activities shall include any fill activity for road crossing and is limited to fill less than one-third of an acre.
This Certification replaces Water Quality Certification Number 2177 issued on November 5, 1987, Water
Quality Certification Number 2666 issued on January 21, 1992, Water Quality Certification Number 2732
issued on May 1, 1992 and Water Quality Certification Number 3103 issued on February 11, 1997. This
WQC is rescinded when the Corps of Engineers re-authorizes Nationwide
Permit 14 or Regional General Permit 198200031 when deemed appropriate by the Director of the DWQ.
The State of North Carolina certifies that the specified category of activity will not violate applicable
portions of Sections 301, 302, 303, 306 and 307 of the Public Laws 92-500 and 95-217 if conducted in
accordance with the conditions hereinafter set forth.
Conditions of Certification:
1. Proposed fill or substantial modification of wetlands or waters (including streams) under this General
Certification requires application to and prior written concurrence from the. Division of Water Quality;
2. In accordance with North Carolina General Statute Section 143-215.3D(e), any application for a 401
Water Quality Certification must include the appropriate fee. If a project also requires a CAMA Permit,
one payment to both agencies shall be submitted and will be the higher of the two fees;
3. In accordance with 15A NCAC 211.0506 (h) compensatory mitigation may be required for impacts to
streams and/or wetlands. In addition, buffer mitigation may be required for any project with Buffer
Rules in effect at the time of application. A determination of buffer, wetland and stream mitigation
requirements shall be made for any Certification for this Nationwide Permit. The most current design
and monitoring protocols from DWQ shall be followed and written plans submitted for DWQ approval
as required in those protocols;
4. For any project involving a stream re-alignment, a stream relocation plan must be included with the 401
application for written DWQ approval. Relocated stream designs should include the same dimensions,
patterns and profiles as the existing channel, to the maximum extent practical. The new channel should
be constructed in the dry and water shall not be turned into the new channel until the banks are
stabilized. Vegetation used for bank stabilization shall be limited to native woody species, and should
include establishment of a 30 foot wide wooded and an adjacent 20 foot wide vegetated buffer on both
sides of the relocated channel to the maximum extent practical. A transitional phase incorporating coir
fiber and seedling establishment is allowable. Also, rip-rap may be allowed if it is necessary to maintain
Wetlands/401 Unit 1621 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 T •
10 on% wow
NC ENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
June 15, 2001
Franklin County
DWQ Project No. 010713
APPROVAL OF 401 Water Quality Certification and ADDITIONAL CONDITIONS and Tar-
Pamlico River Buffer Rules
Mr. J.G. Nance, Division Engineer
NCDOT, Division 5
2612 N. Duke Street
Durham, North Carolina 27704
Dear Mr. Nance:
You have our approval, as described in your application dated May 7, 2001, and in accordance with the
attached conditions and those listed below, to place fill material in 0.01 acres of jurisdictional wetlands and
70 linear feet of streams. The impacts are authorized solely for the replacement of Bridge 126 on SR 1616
in Franklin County. In addition, temporary impacts to 80 linear of streams for the purposes of dewatering
the site during construction are authorized by this certification. The project should be constructed in
accordance with your application dated May 7, 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
Tar-Pamlico River Buffer Rules (15A NCAC 2B .0259). You are authorized to impact 1875 square feet of
buffers for purposes of dewatering and construction activities. 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 1621 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
/ ••
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
3. All authorized temporary impacts to the Tar-Pamlico Riparian buffers located outside the 70 feet of
culverted stream shall be restored to natural grade and revegetated with native tree species upon
completion of the project construction.
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 telephone John Dorney at 919-733-1786.
Sincerely,
err T. Stevens
Attachment
cc: Wilmington District Corps of Engineers
Corps of Engineers Raleigh Field Office
DWQ Raleigh Regional Office
File Copy
Central Files
c:\ncdot\SR 1616\wgc\010713wgc.doc
Wetlands/401 Unit 1621 Mail Service Center Raleigh, North Carolina 27699-1621
Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post consumer paper
?d ram-+r
STATE of NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY
GOVERNOR
May 7, 2001
U. S. Army Corps of Engineers
401 Iftian
LYNDO TIPPETT
SECRETARY
Raleigh Regulatory Field Office 7:0
6508 Falls of the Neuse Road, Suite 120 C-D
Raleigh, NC 27609 o10713
rn ZZ
rn
rn?
Attention: Mr. Eric Alsmeyer o --?
NCDOT Coordinator
Subject: Replacement of Bridge No. 126 over Peachtree Creek on SR 1616 in
Franklin County. NCDOT State Project No. 5.3652.
The North Carolina Department of Transportation (NCDOT) plans to replace
Bridge No. 126 over Peachtree Creek on SR 1616 in Franklin County (Figures 1 and 2).
The existing bridge was constructed in 1960 and has a timber floor on timber joist piles.
This bridge is currently in poor condition; it is structurally deficient with a sufficiency
rating of 46 out of 100 points. It has been determined that this structure must be
replaced. The proposed replacement structures are 2 @ 142 inch x 97 inch. aluminum
arch pipes that are 60 feet in length.
Impacts to Waters of the United States
Bridge Eeplacement
Construction of the project involving replacement of the existing bridge will
necessitate impacts to waters of the United States in the Tar-Pamlico River Basin (Figure
2). Here, the project crosses Peachtree Creek (DWQ Index No. 28-68-1, Best Usage
Classification C NSW). At the project site, the system can be described as a very low
flow beaver swamp. Impacts associated with the project from the replacement of the
existing bridge with two aluminum arch pipes (and minimal amounts of rip rap) include
70 feet existing channel impacted, 0.07 acre fill in surface water and <0.01 acre fill in
wetlands. The wetland is described as Palustrine, Emergent, Non-persistent with a
saturated water regime (PEM213). 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
Division 5, 2612 N. Duke Street, Durham, NC 27704
Phone: [phone] Fax: [phone]
2
Data Forms and a North Carolina Division of Water Quality (DWQ) Wetland Rating
Form are attached to this application.
Dewat ri
The NCDOT proposes to temporarily dewater the stream at the site of the bridge
replacement during the construction of the project (Figure 2). The NCDOT will work
from the existing road bed and place sheet piling in the water to dewater the work zone.
A bypass pumping operation will be utilized to manage the flow from the watercourse
during construction. 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. Water that flows into the work zone during construction will be pumped
out and transferred to a silt bag before being allowed to filter through vegetation before
flowing into the stream. The stream will be dewatered during the life of the project,
which is approximately 14 days. Once the new structures are completed, the NCDOT
will remove the sheet piling from the creek.
This entire activity will result in temporary impacts to waters of the United States.
Temporary impacts to the stream from this activity will result in the dewatering of 0.09
acre of stream bed and 80 linear feet of stream channel.
Bridge Demolition and Removal
Bridge No. 126 has a timber floor on timber joist piles. The bridge will be
removed under Case 3, where there are no special restrictions beyond those outlined in
Best Management Practices for Protection of Surface Waters and Best Management
Practices for Bridge Demolition and Removal. The bridge will be removed without
dropping components into the water.
Waters of the U.S. Mitigation
Avoidance: All wetlands or 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 or near wetlands or surface waters
unless needed during construction.
Minimization: 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 waters of the
United States.
Compensatory Mitigation: Construction of the project will result in only minimal
impacts to waters of the United States. Impacts have been minimized to the maximum
extent possible during the design process. Due to minimal impacts, compensatory
mitigation for impacts to waters of the U.S. will not be provided for this project.
Riparian Buffer Impacts
The construction of the project involves a road crossing of a stream that is subject
to the Tar-Pamlico River Riparian Buffer Rule. Peachtree Creek is depicted on the most
recent version of the Justice, North Carolina topographic quadrangle (USGS, 1979)
(Figure 1). Personnel from the Natural Resource Conservation Service in Franklin
County stated that the Soil Survey of Franklin County has not yet been published. The
construction of the project impacts 1,875 square feet in Zone 1, 0 square feet in Zone 2
and 50 linear feet of riparian buffer.
The NCDOT is requesting that the North Carolina Division of Water Quality
(DWQ) complete a "no practicable alternatives" determination. The NCDOT certifies
that the criteria documented in Sub-Item (8)(a) of the buffer rules (which find that there
are no practical alternatives to the project) are met. The NCDOT requests an
Authorization Certificate for this project. Information supporting that there are no
practical alternatives for the issuance of this certification is summarized below:
• The existing structure has a sufficiency rating of 46 out 100 points. Improvements
must be conducted at the site to allow the roadway to remain open for traffic.
• The decision to replace the bridge with two aluminum arch pipes is partially based on
fiscal accountability and responsibility. The replacement of the existing structure
with a bridge would cost approximately $150,000. The replacement of the existing
structure with two aluminum arch pipes would cost approximately $50,000.
• The replacement of the existing structure with two aluminum arch pipes reduces long-
term maintenance and provides increased public safety. It has been documented that
pipes require less maintenance than bridges. Additionally, bridge rails often are
broken or sheared during accidents. Structures that utilize aluminum arch pipes do
not utilize bridge rail and are considered safer structures.
• Best Management Practices for the Protection of Surface Waters and Best
Management Practices for Bridge Demolition and Removal will be enforced during
the life of the project.
• The design of the project has reduced the footprint of the project as much as possible
to allow for only the amount of fill necessary to complete the project.
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.
4
Permit Issues
Construction of the project will necessitate impacts to waters of the United States.
Application is hereby made for a Department of the Army Section 404 Nationwide
Permit (NWT) 14 and NWP 33 and DWQ Section 401 Water Quality Certification
(WQC) No. 3289 and WQC No. 3114.
Summary
NCDOT proposes to replace Bridge No. 126 on SR 1616 over Peachtree Creek in
Franklin County. The proposed replacement structures are 2 @ 142 inch x 97 inch
aluminum arch pipes that are 60 feet in length. Impacts associated with the project from
the replacement of the existing bridge with two aluminum arch pipes (and minimal
amounts of rip rap) include 70 feet existing channel impacted, 0.07 acre fill in surface
water and <0.01 acre fill in wetlands. Temporary impacts to the stream from dewatering
will result in the dewatering of 0.09 acre of stream bed and 80 linear feet of stream
channel.
Construction of the project will result in impacts to the riparian buffer. Riparian
construction impacts associated with bridge replacement include 1,875 square feet in
Zone 1, 0 square feet in Zone 2 and 50 linear feet of riparian buffer. Based on the
impacts to the riparian buffer at this site, this crossing is allowable. The NCDOT is
requesting that the NCDWQ complete a "no practicable alternatives" determination and
subsequently issue an Authorization Certificate for this project.
The NCDOT asks that the construction of this project be authorized under a
Section 404 NWP 33 and NWP 14 and WQC No. 3289 and 3114. The NCDOT will
adhere to all applicable Section 404 NWPs, Section 401 WQCs and riparian buffer
conditions. 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. Dallie Bagwell, NCDOT Bridge SuperintendQut, Vglpigh
\ Crossroads M 344 ?Cedu Rock
- - High h • / a" 336 #? ?h•. \
r ( \ \ ,,`' 161!5 ?i ?' J \ ~l
OPO
36
/ f (" \? \\, ?'-` tom`- \ \` ? \./? -ll.?; ??? v ? ? . ? i 1 ) / ??-/ / `_ \ ? '? ? ? - /?'
il?,l, ? 7 / ',?l ? ?.., ? ` ? t j /, ti,'?S ? ?? ? I \\ ?/?.??' !') r \? f ? :?'l ' ( ?%P ! ??' 1,`?-=-- ; f j '\ ?` '- ^-/ ?c I
1 - 1 \
Protect Site
r f
r"? 1623. _ II ??? ? VA l?; ? ,. ' ?? /,/ ???? ?? `?!• ? ! ? 1 ? f 'VA,
-! (-IQ IL
J \C? ?,
O
kemonal Cl Ce 1639
aL;1lingO `2
Park L j mu
I , , [ (?Biv12
1
I ` \111

Cem

0.

026 -- \\ 1
\
Q 1
624
8M 332 '

%
1
/ ) e
r#

SW R-mA
Temporary placement of
sheet piling to facilitate
temporary dewatering of
stream.
Zone 2 ° 20e 1 ` - - Zone 1 - - -
S r2-?? ho
?°?? J ? ?? ? •? ? ? ? Zone 1
ti
Temporary placement
sheet piling to facilitate
temporary dewatering of
pt t7C N j 9 E k C +Z c k stream.
S VV q AA
RIP RAP ?L
WETLAND 3r_
Site 1
Replacement of Bridge No. 126
over Peachtree Creek on SR 1616
Franklin County
Figure 2 1"=50'
DATA FORM
ROUTINE WETLAND DETERMINATION
(1987 COE Wetlands Delineation Manual)
Project/Site: gr;?,?c ;LJzti ....
sR- l6(6 Date: 4/91'o1
,
Applicant/Owner: NLz,,X County: t=rAn?c l;.,
Investigator: c. ret State: N c
Do Normal Circumstances exist on the site? (RD o Community ID: e-? ^9
Is the site significantly disturbed (Atypical Situation)? Yes Transect ID: S,,
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
9.
12._os_ tk.tu'S#ram 10.
!( 3.?ct -c- 11.
4. Gr e-)c _ '- 12.

5. I
13.
6. 14.
7. 15.
8. 16. !
Percent of Dominant Species that are OBL, FACW or FAC
(excluding FAC-). 0 v
Remarks: `
?cevc2 fcL SQecZeg of s,?
HYDROLOGY
Recorded Data (Describe in Remarks): Wetland Hydrology Indicators:
_
_ Stream, Lake, or ride Gauge Primary Indicators:
_ Aerial Photographs Inundated
_
_ Other Saturated in Upper 12 Inches
No Recorded Data Available -Water Marks
_ ?Drift Lines
_
Sediment Deposits
Field Observations 2rainage 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: `
SOILS
Map Unit Name 1'c 5 0 Sv t J B`-~L lS U A e'J Wt S ?e
(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.
2. S`'? S/ I 7 51 ?/ ?+ CO^^waJ J.$ C1a-t
"Z
5 1 2.5 "1 S 1
z• S ` l 5 t6 Cl
(e

q ti
st--'
.

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
-,-Gfeyed or Low-Chroma Colors _ Other (Explain in Remarks) E
Remarks:
14c, ktLc- 5t% ,s -?re>e/?+ a?- S)
WETLAND DETERMINATION
Hydrophytic Vegetation Present? as No (Circle) (Circle)
Wetland Hydrology Present? No
Hydric Soils Present? es No Is this Sampling Point Within a Wetland? (?e3,, No
Remarks: ???
Approve by HQU C 2/ 2
DATA FORM
ROUTINE WETLAND DETERMINATION
(1987 COE Wetlands Delineation Manual)
Project/Site: Qjr , x c
g_M j ? Z 6 16 ( 6 Date: Y k(a
?
Applicant/Owner: nJ C_bler County: Fr a,Ar-l,,.,
Investigator: C. ,.; r r c, State: Al I
Do Normal Circumstances exist on the site? No Community ID: u c,
Is the site significantly disturbed (Atypical Situation)? o Transect ID: S?Ee I
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. eNM_ `On [e.0 aft }-} FAC 9.
2.AIAXr ,1 ,n.2 e .IQ. F/4c V 1o.
Pegluto 11.
4-.?C1?4ria w-, erll?a ?? `Ac`) 12.
I
c 13.
I
6. 14.
7. 15.
8. 16.
Percent of Dominant Species that are OBL, FACW or FAC
(excluding FAC-).
Remarks:
?(ekjC?c/1 Ce
SPec,??gtS,ka
HYDROLOGY
Recorded Data (Describe in Remarks): Wetland Hydrology Indicators:
_
Stream, Lake, or ride 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:

SOILS
Map Unit Name 'o1E- 5.a S-1 At --? » tj A e, L/,5 /,,4, 441
(Series and Phase): Drainage Class:
Taxonomy (Subgroup): Field Observations
Confirm Mapped Type? Yes No
Profile Description:
Depth Matrix Color
inches Horizon (Munsell Moist) Mottle Colors Mottle Texture, Concretions,
(Munsell Moist) Abundance/Contrast St
ructure, etc.
0 l to -A (L I L r\
0.
t
?
_ a?
?Z? _lsL`LQ?a?6 !
/
(o?ttZ ZIt ?PW?cQ,ttinef ?1?•?tdg,?
,
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
_ Gleyed or Low-Chroma Colors _ Other (Explain in Remarks)
Remarks:
? Off' butt
15 N,
1e Sc.-At 4 - 5,4ze
WETLAND DETERMINATION
F drophytic Vegetation Present? Yes No ircle) (Circle)
etland Hydrology Present? Yedric Soils Present? Yes o Is this Sampling Point Within a Wetland? Yes No
Remarks:
trec rA r A ?- 4, kr-5 ci, P,- A t3-1-
?(tc c. -- cc? stye
Approve by H C 2i

WETLAND RATING WORKSHEET (4th VERSION),
Project Name: $ r t "Ale . t (, o,.SR- X 616 County: erelk,% k_ It
Nearest Road: 5a-t61I- Date:. iI-q('v
Wetland Area (ac): -40.1 Wetland Width (f t): so??-
Name of Evaluator(s):
Wetland Location:
on sound or estuary
pond or lake
on perennial stream (?e_4o4v
on intermittent stream
within interstream divide
other
Soils
Soil Series 1-5 U 061L5??
predominantly organic
,(humus, muck or peat)
/ predominantly mineral (non-sandy)
predominantly sandy
H,idrau l is 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. y
agriculture/urbanized
impervious surface
Adjacent Special Natural Areas
Dominant Ya2etation
OalLtStteS
(2)
(3)
Cam ?x .
r loo in; and Wetness
semipermanently to
permanently flooded or
inundated
seasonally flooded or
inundated
intermittently flooded or
.temporary surface water
Wetland Tvve (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 Wetland
Freshwater Marsh Other: Wee C%W% wggtl"
*The rating system cannot be applied to salt or brackish marshes or
stream channels.
DEM. RAT I•NG
A
WATER STORAGE -3 x 4.00
... .?V ?...S £.sv .RLL 117 F? .?,i. i?1J h.4a .. .r .. •L•:. .. 'J 4t ? .. JV . .. ? ? r
POLLUTANT REMOVAL 3 * x 5.00 = 1`5
WILDLIFE H AB I TAT _ .2. 00
AQUATIC LIFE VALUE ? x 4.00
=

RECREATION/EDUCATION x 1.00
WETLAND SCORE = J ?" 5 l
(TOTAL)
* Add 1 point if in seisitive watershed and >101 ncnpoint disturbance
m; 1A nncrruom nnelnnP nr radius.

O? \N A
-.off' rt ,e,?G
L L y
>r
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://www.saw.usace.army,mil/wettands/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/re-tour.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://h?o.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 http://w-ww.saw.usace.army.mil/wetlands/=finalFedReg.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: 010713 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
2 401 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.)
Company Affiliation:
Mailing Address:
Telephone Number: Fax Number:
E-mail Address:
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
Page 3 of 12
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USACE requires information to be submitted on sheets no larger than 11 by 17-inch format;
however, DWQ may accept paperwork of any size. -DWQ prefers full-size construction
drawings rather than a sequential sheet version of the full-size plans. If full-size plans are
reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps are provided.
1. Name of project: Bridge No. 126 over Peachtree Creek on SR 1616, Franklin County
2. T.I.P. Project Number (NCDOT Only): NCDOT Division Project (non-TIP)
3. Property Identification Number (Tax PIN):
4. Location
County: Franklin Nearest Town: Stallings Crossroads
Subdivision name (include phase/lot number):
Directions to site (include road numbers, landmarks, etc.): From Louisburg, travel north on
US 401 to its intersection with NC 581/NC 56. From here, turn right and travel east on NC
581/NC 56 to Mapleview. At Mapleview, travel on NC 58 to its intersection with SR 1616.
From here, turn right and travel south on SR 1616 approximately 1.7 miles to project.
5. Site coordinates, if available (UTM or Lat/Long):
(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 wooded land and agricultural land.
7. Property size (acres): Project footprint is approximately 0.17 acre.
8. Nearest body of water (stream/river/sound/ocean/lake): Peachtree Creek
9. River Basin: Tar-Pamlico 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/.)
10. Describe the purpose of the proposed work: Replacement of Bridge No. 126 over
Peachtree Creek on SR 1616 in Franklin County. The replacement structures are 2 @ 142
inch x 97 inch aluminum pipes that are 60 feet in length. Additionally, the project site will
be dewatered utilizing sheet piling during. construction.
11. List the type of equipment to be used to construct the project: Excavator, crane,
backhoe and pump.
Page 4 of 12
12. Describe the land use in the vicinity of this project: Mixture of wooded land and
agricultural land.
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 (Permanent) <0.01 Yes Adjacent Emergent

* 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 l.tt?rlha ???v. fema. aov.
*** 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: Up to 0.01 ac in
project study area.
Total area of wetland impact proposed: <0.01 acre from project construction.
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 leasespecify)
Site 1 Fill (pipelriprap) 70 Peachtree Creek 35 feet Perennial
Site 1 Dewater (Temporary) 80 Peachtree Creek 35 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 losstgain),
stabilization activities (cement wall, rip-rap, crib wall, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is
proposed, plans and profiles showing the linear footprint for both the original and relocated streams must be included
Stream names can be found on USGS topographic maps. If a stream has no name, list as UT (unnamed tributary) to the nearest
downstream named stream into which it flows. USGS maps are available through the USGS at 1-800-358-9616, or online at
-,"V"!.us9s.60 v. Several internet sites also allow direct download and printing of USGS maps (e.g., e-vww.topozone.com,
-%v?AAv.mapquest.com, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: 70 feet permanent fill and
80 feet dewatering which is a temporary impact.
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, ean, 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.
The existing bridge is structurally deficient and must be replaced. All wetlands and surface
waters not affected by construction will be protected from unnecessary encroachment No
staging of construction equipment or storage of construction supplies will be allowed in or near
wetlands or surface waters unless needed during construction. 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 waters of the United States. The design of the project has reduced the footprint of the project
as much as possible to allow for only the amount of fill necessary to safely complete the project
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,
Page 7 of 12
but are not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USACE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCWRP concurrence shall be placed on hold as
incomplete. An applicant may also choose to review the current guidelines for stream restoration
in DWQ's Draft Technical Guide for Stream Work in North Carolina, available at
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 http://h-)o.enr.state.nc.ushs-m/inclex.litiii. 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. Required
Zone* Irnpact
(square feet) Multiplier
Mitigation
1 1,875 3
2 0 1.5
Total 1,875
* 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.
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.
Not Applicable
Page 9 of 12
Xl. 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: 0.03 acre impervious surface of 0.17 acre total project size.
Proposed: 0.03 acre impervious surface of 0.17 acre total project size.
Erosion control measures will be placed in a manner to preclude sediment from leaving the site.
All temporarily disturbed areas will be revegetated immediately 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-fast 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).
6L4. n7:1? 5 - 7- o I
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 276994617
Telephone: [phone]
Fax: [phone]
Page 11 of 12
CAMA and NC Coastal Counties
Division of Coastal Management Beaufort Chowan Hertford Pasquotank
1638 Mail Service Center Bertie Craven Hyde Pender
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
p10713

STATE of NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY
GOVERNOR
May 7, 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: Replacement of Bridge No. 126 over Peachtree Creek on SR 1616 in
Franklin County. NCDOT State Project No. 5.3652.
The North Carolina Department of Transportation (NCDOT) plans to replace
Bridge No. 126 over Peachtree Creek on SR 1616 in Franklin County (Figures 1 and 2).
The existing bridge was constructed in 1960 and has a timber floor on timber joist piles.
This bridge is currently in poor condition; it is structurally deficient with a sufficiency
rating of 46 out of 100 points. It has been determined that this structure must be
replaced. The proposed replacement structures are 2 @ 142 inch x 97 inch aluminum
arch pipes that are 60 feet in length.
Impacts to Waters of the United States
Bridge Replacement
Construction of the project involving replacement of the existing bridge will
necessitate impacts to waters of the United States in the Tar-Pamlico River Basin (Figure
2). Here, the project crosses Peachtree Creek (DWQ Index No. 28-68-1, Best Usage
Classification C NSW). At the project site, the system can be described as a very low
flow beaver swamp. Impacts associated with the project from the replacement of the
existing bridge with two aluminum arch pipes (and minimal amounts of rip rap) include
70 feet existing channel impacted, 0.07 acre fill in surface water and <0.01 acre fill in
wetlands. The wetland is described as Palustrine, Emergent, Non-persistent with a
saturated water regime (PEM2B). 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

n
rri
Division 5, 2612 N. Duke Street, Durham, NC 27704
Phone: [phone] Fax: [phone]
2
Data Forms and a North Carolina Division of Water Quality (DWQ) Wetland Rating
Form are attached to this application.
Dewatering
The NCDOT proposes to temporarily dewater the stream at the site of the bridge
replacement during the construction of the project (Figure 2). The NCDOT will work
from the existing road bed and place sheet piling in the water to dewater the work zone.
A bypass pumping operation will be utilized to manage the flow from the watercourse
during construction. 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. Water that flows into the work zone during construction will be pumped
out and transferred to a silt bag before being allowed to filter through vegetation before
flowing into the stream. The stream will be dewatered during the life of the project,
which is approximately 14 days. Once the new structures are completed, the NCDOT
will remove the sheet piling from the creek.
This entire activity will result in temporary impacts to waters of the United States.
Temporary impacts to the stream from this activity will result in the dewatering of 0.09
acre of stream bed and 80 linear feet of stream channel.
Bridge Demolition and Removal
Bridge No. 126 has a timber floor on timber joist piles. The bridge will be
removed under Case 3, where there are no special restrictions beyond those outlined in
Best Management Practices for Protection of Surface Waters and Best Management
Practices for Bridge Demolition and Removal. The bridge will be removed without
dropping components into the water.
Waters of the U.S. Mitigation
Avoidance: All wetlands or 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 or near wetlands or surface waters
unless needed during construction.
Minimization: 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 waters of the
United States.

Compensatory Mitigation: Construction of the project will result in only minimal
impacts to waters of the United States. Impacts have been minimized to the maximum
extent possible during the design process. Due to minimal impacts, compensatory
mitigation for impacts to waters of the U.S. will not be provided for this project.
Riparian Buffer Impacts
The construction of the project involves a road crossing of a stream that is subject
to the Tar-Pamlico River Riparian Buffer Rule. Peachtree Creek is depicted on the most
recent version of the Justice, North Carolina topographic quadrangle (USGS, 1979)
(Figure 1). Personnel from the Natural Resource Conservation Service in Franklin
County stated that the Soil Survey of Franklin County has not yet been published. The
construction of the project impacts 1,875 square feet in Zone 1, 0 square feet in Zone 2
and 50 linear feet of riparian buffer.
The NCDOT is requesting that the North Carolina Division of Water Quality
(DWQ) complete a "no practicable alternatives" determination. The NCDOT certifies
that the criteria documented in Sub-Item (8)(a) of the buffer rules (which find that there
are no practical alternatives to the project) are met. The NCDOT requests an
Authorization Certificate for this project. Information supporting that there are no
practical alternatives for the issuance of this certification is summarized below:
• The existing structure has a sufficiency rating of 46 out 100 points. Improvements
must be conducted at the site to allow the roadway to remain open for traffic.
• The decision to replace the bridge with two aluminum arch pipes is partially based on
fiscal accountability and responsibility. The replacement of the existing structure
with a bridge would cost approximately $150,000. The replacement of the existing
structure with two aluminum arch pipes would cost approximately $50,000.
• The replacement of the existing structure with two aluminum arch pipes reduces long-
term maintenance and provides increased public safety. It has been documented that
pipes require less maintenance than bridges. Additionally, bridge rails often are
broken or sheared during accidents. Structures that utilize aluminum arch pipes do
not utilize bridge rail and are considered safer structures.
• Best Management Practices for the Protection of Surface Waters and Best
Management Practices for Bridge Demolition and Removal will be enforced during
the life of the project.
• The design of the project has reduced the footprint of the project as much as possible
to allow for only the amount of fill necessary to complete the project.
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.
4
Permit Issues
Construction of the project will necessitate impacts to waters of the United States.
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 WQC No. 3114.
Summary
NCDOT proposes to replace Bridge No. 126 on SR 1616 over Peachtree Creek in
Franklin County. The proposed replacement structures are 2 @ 142 inch x 97 inch
aluminum arch pipes that are 60 feet in length. Impacts associated with the project from
the replacement of the existing bridge with two aluminum arch pipes (and minimal
amounts of rip rap) include 70 feet existing channel impacted, 0.07 acre fill in surface
water and <0.01 acre fill in wetlands. Temporary impacts to the stream from dewatering
will result in the dewatering of 0.09 acre of stream bed and 80 linear feet of stream
channel.
Construction of the project will result in impacts to the riparian buffer. Riparian
construction impacts associated with bridge replacement include 1,875 square feet in
Zone 1, 0 square feet in Zone 2 and 50 linear feet of riparian buffer. Based on the
impacts to the riparian buffer at this site, this crossing is allowable. The NCDOT is
requesting that the NCDWQ complete a "no practicable alternatives" determination and
subsequently issue an Authorization Certificate for this project.
The NCDOT asks that the construction of this project be authorized under a
Section 404 NWP 33 and NWP 14 and WQC No. 3289 and 3114. The NCDOT will
adhere to all applicable Section 404 NWPs, Section 401 WQCs and riparian buffer
conditions. 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. Dallie Bagwell, NCDOT Bridge SuperintendQat, Pglpigh

\\. , Ma11111gs - J , /
- \- - . • Crossroads Q? j M IJ?I BM 344 Cedu Rock /
336
High h-
r
- S6
I.J
-`-? jam- ' r-J" .,? , 36. <; ) w'? ,,_``??` , ? •'\ ? }I ;:\-? ??I ?? \ _. \ \ ? i /, /I,.
?/? ? ? `\ (l\????? ` w?1\ _. / r r-\\ •?-I i I " \II ` : ?/?? \?f>\ vi ?\J'1 `J !? J / i, V \ ? (;? ? '_? ?;
` ? ?` .?\\ \?; \ l r. rr- ? ??,l?j '? ? po / ?( ??l?r(/?? ? ? .. ? ? . ?t I (1 'III ,? ? r' 1 `? ? f
/l \ ?` ?1 JI 1 Ja r
I 1.
,' / ? . ice-/-1 ? O ? ??-- -/ ; rte` P??,'?? \?.-?-- ! `?--- \ •?
i _Project Site
?i-
r\ , rv
350 III / \\ II ) j 4!? l /' ) / J f /, ` / \? / J '
\ i III o r }
` \ '' ?, ? 1 U ^•\\.? \\ I^? II } --' , \ (__?? / % ? ^? ^- r 1 ,_. _ ? \ ?' 111 i
I) \\ IL ' ?? / / \
Memorial Ch II, 1 \
1639 \ _? ` ?l \ \ `
(1 Stalling's,it?/?
Memorial Park S11C6
? `? /- i ? ,`? \. • ?`- ` / ` I 1416 ? - 1 - L
CIV P" 1:617)
r ( = /ti i
y
''? _ ?>
I ^

x'624

? ? 1. t• d

S W t-+ MP
CBE)pVEO
Temporary placement of
sheet piling to facilitate
temporary dewatering of
stream.
zone 1 t
Zone 2 -- -
do
pE,RC t4 -9 E
S tivAMJP
RIP RAP 9
WETLAND!
Site 1
Replacement of Bridge No. 126
over Peachtree Creek on SR 1616
Franklin County
Figure 2 1'7--50'

P---Ine 1
Zone 1
Temporary placement
sheet piling to facilitate
temporary dewatering of
C k stream.
DATA FORM
ROUTINE WETLAND DETERMINATION
(1987 COE Wetlands Delineation Manual)
Project/Site: 6 r! Az.,t_ L %7_A -, %(L 1616 Date: 4/9t.,
Applicant)Owner: Nc_t,, X County: hrgnKl:n
Investigator: c. State: nt c
Do Normal Circumstances exist on the site? Yes Lo Community ID: e.?
Is the site significantly disturbed (Atypical Situation)? Yes Transect ID: S,
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
9.
2. V=o?ja ne.Lu 10.
I
13. AC r c.J? t S? 1E Ac_ 11.
4. CGr elc 12.

5. 1
13. h
6. 14. i
7. 15. I
8. 16.
Percent of Dominant Species that are OBL, FACW or FAC
(excluding FAC-). 0 O
Remarks:..
?Ce`'?lenc? e co ?cC_ SQeCL"e af- s?
HYDROLOGY
Recorded Data (Describe in Remarks): Wetland Hydrology Indicators:'
_
_ Stream, Lake, or ride Gauge Primary Indicators:
_ Aerial Photographs _ Inundated
Other
_
-laturated in Upper 12 Inches
No Recorded Data Available _ Water Marks
_ ,"Drift Lines
_
Sediment Deposits
Field Observations: / rainage 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: f) (in.) -Local Soil Survey Data
_ FAC-Neutral Test
Depth to Saturated Soil: (in.) _ Other (Explain in Remarks)
Remarks: `
e le 5 9- At'--
SOILS
Map Unit Name *?-50 SJ { J 2? l3 U A e Q
(Series and Phase): Drainage Class:

Taxonomy (Subgroup): Field Observations
Confirm Mapped Type? Yes No
Profile Descriotion:
Depth Matrix Color Mottle Colors Mottle Texture, Concretions,
inches Horizon (Munsell Moist) (Munsell Moist) Abundance /Contrast Structure, etc.
_ 2•s"I S?I ?S `1 sIG Co.,J"-jTt?,??,?a- c+a -, ?o a.M
5 1 Z 2.5 yt S I 1 Z• S ti S (? c? -"-U,.. A ,s h ..cf ?.,5
c(a..
! e
•
?
.
?
Qom,
N
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 Lis:
-,eGfeyed or Low-Chroma Colors _ Other (Explain in Remarks) E
Remarks:
144, tQtt. c S?,` ?s ?reS2J1+ a? S) ?
WETLAND DETERMINATION
Hydrophytic Vegetation Present? es No (Circle) (Circle)
Wetland Hydrology Present? a No
Hydric Soils Present? es No Is this Sampling Point Within a Wetland? (t No
Remarks:
Approved by HQUSACE 1/92
DATA FORM
ROUTINE WETLAND DETERMINATION
(1987 COE Wetlands Delineation Manual)
Project/Site: & ,Jl yr
?,g.._h1u. Q6 S? phi 6
Date: YWo(
Applicant?Owner: nJ C_b"oT- County:
Investigator: C. f%ki r r State:
Do Normal Circumstances exist on the site? No
e) Community ID: u ?
Is the site significantly disturbed (Atypical Situation)?
(qTo Transect ID: S,k
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. a Xz `Gn t a atoms ?i _ FAC 9.
2.AI,,ru.. U,n¢ c .?? -L± FACU 1o.
Fegtvc G 9 n EF 11.
4. 540-1k4r t a wn 4 ell e, ?t FA cJ 12.
C 13. i!
6. 14.
7. 15.
8. 16. i
Percent of Dominant Species that ara OBL, FACW or FAC ./
`
(excluding FAC-). j
Remarks:
` p
(euc,\t /t c? a"C" ?l ??1- 1
hit d•r? ??,? }< < S P e c, P 5 4 t 5 ? l?'
HYDROLOGY
_ Recorded Data (Describe in Remarks): Wetland Hydrology Indicators:
Stream, Lake, or ride 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:

SOILS
Map Unit Name lE"5e?? S?rI??-i
(Series and Phase): Drainage Class
Taxonomy (Subgroup): Field Observations
Confirm Mapped Type? Yes No
Profile Description:
Depth Matrix Color
inches Horizon (Munsell Moist) Mottle Colors Mottle Texture, Concretions,
(Munsell Moist) Abundance/Contrast Str
t
uc
ure, etc.
(L -5 11
t_?
0.
(
,
?
a 4
.
2 6 l
nn A
f o M 2 21 1 ?-Pw. AL5 trnc ?(c•`? 0 4 e
I
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 Listed on Local Hydric Soils List
_ Reducing Conditions _ Listed on National Hydric Soils List
_ Gleyed or Low-Chroma Colors _ Other (Explain in Remarks)
Remarks:
`
?j 0"- h?C?? dot l ;5
-1
ceSt.n"f' q-4- 5 r-1ke
WETLAND DETERMINATION
Hydrophytic Vegetation Present? Yes No ircle) (Circle)
Wetland Hydrology Present? Yes
Hydric Soils Present? Yes o Is this Sampling Point Within a Wetland? Yes No
Remarks:
?01n-Uu-?\r"A j -l ?? Mires ?GrAr...k k,-5 C" 'e- A o-F-
PleSc??-- ctf- Si?Q
Approve by HQUSACt 2/9

WETLAND RATING WORKSHEET (4th VERSION),

Project Name, $ctt??,? M., 126 o..50-AL4
_
Nearest Road: so- t6t6
Wetland Area (ac): e-o.1
Name of Evaluator(s):
Wetland Location:
on sound or estuary
pond or lake
on perennial stream
on. intermittent stream
within interstream divide
other
Soils Q
\5 K s no
Soil Series
predominantly organic
,( humus, muc'.c or peat)
/ predominantly mineral (non-sandy)
predominantly sandy
Hvdr'au 1 is Factors
freshwater brackish
steep topography
ditched or channelized
total wetland width > 100 -feet.
Adjacent Land Use:
(Within 1/2 mi ups-Cream,
upslope, or radius)
forested/natural veg. ft
agriculture/urbanized
-? impervious surface
Adjacent Special Natural Areas
Dominant Vezetation
. . ( ,? ) C??a. OutdStte?
F1oo sing and Wetness
semipermanently to
permanently flooded or
inundated
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
Pocosin Bog Forest
Pine Savannah Ephemeral Wetland
Freshwater Marsh Other: Wee- ^croos a+ beaver- Q??? .
*The rating system cannot be applied to salt or brackish marshes or
stream channels.
RAT I-NG
DEM
22 = Z''
WATER STORAGE J x 4.00
.ivK, ;_sIi'vC? .LiIE ,i• Z; i... ..a.. _` . „__ i v - r
POLLUTANT REMOVAL 3 * -
x 5.00 =
00 =
.2
WILDLIFE HABITAT . _
AQUATIC LIFE VALUE x 4.00 = _
Z '
RECREATION/EDUCATION x 1.00 =

W ETLAND SCORE =
(TOTAL)
* Add 1 point if in sensitive watershed and >101"10 nonpoint disturbance
nn-zlnnp. nr radius.
County: eraN.F•1tr1
Date: Lt(q ( ar
Wetland Width (ft): log+-
1 L
oh 7,
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://www.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/reglour.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 http://w-ww.saw.usace.army.mil/wetlands/nwpfinalFedReg.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: 010713 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: ?
II. 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:
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
Page 3 of 12
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USACE requires information to be submitted on sheets no larger than 11 by 17-inch format;
however, DWQ may accept paperwork of any size. DWQ prefers full-size construction
drawings rather than a sequential sheet version of the full-size plans. If full-size plans are
reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps are provided.
1. Name of project: Bridge No. 126 over Peachtree Creek on SR 1616. Franklin County
2. T.I.P. Project Number (NCDOT Only): NCDOT Division Project (non-TIP)
3. Property Identification Number (Tax PIN):
4. Location
County: Franklin Nearest Town: Stallings Crossroads
Subdivision name (include phase/lot number):
Directions to site (include road numbers, landmarks, etc.): From Louisburg, travel north on
US 401 to its intersection with NC 581/NC 56. From here, turn right and travel east on NC
581/NC 56 to Mapleview. At Mapleview, travel on NC 58 to its intersection with SR 1616.
From here, turn right and travel south on SR 1616 approximately 1.7 miles to project.
5. Site coordinates, if available (UTM or Lat/Long):
(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 wooded land and agricultural land.
7. Property size (acres): Project footprint is approximately 0.17 acre.
8. Nearest body of water (stream/river/sound/ocean/lake): Peachtree Creek
9. River Basin: Tar-Pamlico 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/.)
10. Describe the purpose of the proposed work: Replacement of Bridge No. 126 over
Peachtree Creek on SR 1616 in Franklin County. The replacement structures are 2 @ 142
inch x 97 inch aluminum pipes that are 60 feet in length. Additionally, the project site will
be dewatered utilizing sheet piling during construction.
11. List the type of equipment to be used to construct the project: Excavator, crane,
backhoe and pump.
Page 4 of 12
12. Describe the land use in the vicinity of this project: Mixture of wooded land and
agricultural land.
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 nroiect 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 (Permanent) <0.01 Yes Adjacent Emergent

* 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
(FW, or FEMA-approved local floodplain maps. Maps are available through the FEMA Map Service Center at 1-800-358-9616, or
a#tti:iiu ?v?v.fema. ao? .
online at'
*** 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: Up to 0.01 ac in
project study area.
Total area of wetland impact proposed: <0.01 acre from project construction.
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 leasespecify)
Site 1 Fill (pipe/riprap) 70 Peachtree Creek 35 feet Perennial
Site 1 Dewater (Temporary) 80 Peachtree Creek 35 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 losstgain),
stabilization activities (cement wall, rip-rap, crib wall, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is
proposed, plans and profiles showing the linear footprint for both the original and relocated streams must be included.
Stream names can be found on USGS topographic maps. If a stream has no name, list as UT (unnamed tributary) to the nearest
downstream named stream into which it flows. USGS maps are available through the USGS at 1-800-358-9616, or online at
xvwxv.usas.goa. Several intemet sites also allow direct download and printing of USGS maps (e.g., ,vwwtopozonexoni,
wv,w.map4uest.com, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: 70 feet permanent fill and
80 feet dewatering which is a temporary impact.
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
Wate Type of Waterbody
Site Number Type of Impact* Impact le)
p
(if applicable) (lake, pond, estuary, sound,
(indicate on map) (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.
The existing bridge is structurally deficient and must be replaced All wetlands and surface
waters not affected by construction will be protected from unnecessary encroachment No
staging of construction equipment or storage of construction supplies will be allowed in or near
wetlands or surface waters unless needed during construction 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 waters of the United States. The design of the project has reduced the footprint of the project
as much as possible to allow for only the amount of fill necessary to safely complete the project
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,
Page 7 of 12
but are not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USACE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCWRP concurrence shall be placed on hold as
incomplete. An applicant may also choose to review the current guidelines for stream restoration
in DWQ's Draft Technical Guide for Stream Work in North Carolina, available at
http://h2o.enr.state.nc.us/ncwetlands/stringide.html.
1. Provide a brief description of the proposed mitigation plan. The description should provide
as much information as possible, including, but not limited to: site location (attach directions
and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed method of construction. Please attach
a separate sheet if more space is needed.
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://h2o.enr.state.nc.tis/N. -mlindex.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): 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 213 .0259 (Tar-Pamlico), 15A NCAC 213 .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.
Zone* s unre f t Multiplier Retqu red
1 1,875 3
2 0 1.5
Total 1,875
crone 1 extenas out su teet perpenatcular trom near bank of channel; Gone l extends an
additional 20 feet from the edge of Zone 1.
If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation
of Property, Conservation Easement, Riparian Buffer Restoration / Enhancement, Preservation or
Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as
identified within 15A NCAC 2B .0242 or .0260.
Not Applicable
Page 9 of 12
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: 0.03 acre impervious surface of 0.17 acre total project size.
Proposed: 0.03 acre impervious surface of 0.17 acre total project size.
Erosion control measures will be placed in a manner to preclude sediment from leaving the site.
All temporarily disturbed areas will be revegetated immediately 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.
XHL 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).
S-7 n 1
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]
h and Wildlife Service / National N
US Fish and Wildlife Service
Asheville Field Office
160 Zillicoa Street
Asheville, NC 28801
Telephone: [phone]
[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
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]
Page 11 of 12
CAMA and NC Coastal Counties
Division of Coastal Management Beaufort Chowan Hertford Pasquotank
1638 Mail Service Center Bertie Craven Hyde Pender
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 272849180 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