20011295 Ver 1_Complete File_20010828

• ' :' FWATF
Q R Michael F. Easley
4 QG Governor
C? r William G. Ross, Jr., Secretary
> -i Department of Environment and Natural Resources
`C Gregory J. Thorpe, Ph.D.
Acting Director
Division of Water Quality
?uc
DWQ Project No.: ??Zq County: L??-P ` 4
Applicant: G ER44L ME"_T nqC- -RA a 7'la P-J
Project Name: S?Z2-7 o S arc r 7-C- 11F iii' yyrY ..._
Date of Issuance of 401 Water Quality Certification: C3 -3/ - Zoo 1 WIfT9ttUP?„
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, TP =?C•AAM , 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 pl ad sp fications, and other supporting materials.
Signature: Date: - / - 0Z-
Agent's Certification
I, . . hereby state that, to the best of my abilities, due care..and
diligence was used in the observation of the construction such that the construction was observed to be built
within substantial compliance and intent of the 401 Water Quality Certification and Buffer Rules, the
approved plans and specifications, and other supporting materials.
Signature: Date•
If this project was designed by a Certified Professional
I, , as a duly registered Professional (i.e., Engineer,
Landscape Architect, Surveyor, ect.) 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 Registration No. Date
NCDFNR
Division of Water Quality 1650 Mail Service Center Raleigh, NC 27699-1650
Wetlands/401 Unit: [phone]
Fax: [phone]
W AT ?9QG
o
Michael F. Easley, Governor
William G. Ross Jr., Secretary -
North Carolina Department of Environment and Natural Resources
Gregory J. Thorpe, Ph.D.
Acting Director
Division of Water Quality
August 31, 2001
Guilford County
DWQ Project No. 011295
Upgrade of SR 2708 (Pritchett Road)
APPROVAL of 401 Water Quality Certification with Additional Conditions
Mr. S.L. Hall, District Engineer
NCDOT District 2, Division 7
1584 Yanceyville Street
Greensboro, NC 27415
Dear Mr. Hall:
You have our approval, in accordance with the attached conditions and those listed below, to
permanently impact 90 linear feet of unnamed tributaries to the Haw River in order to upgrade SR
2708 (Pritchett Road) in Guilford County. The project should be constructed in accordance with your
application dated 30 July 2001 (received 28 August 2001). After reviewing your application, we have
decided that this fill is covered by General Water Quality Certification No. 3289 corresponding to the
U.S. Army Corps of Engineers Nationwide Permit Number 14. In addition, you should acquire any
other federal, state or local permits before you proceed with your project including (but not limited to)
Sediment and Erosion Control, Non-Discharge and Water Supply Watershed regulations. This
approval will expire with the accompanying 404 permit unless otherwise specified in the Water
Quality Certification.
This approval is only valid for the purpose and design that you described in your application except as
modified below. If you change your project, you must notify us, in writing, and send us 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 conditions. If total wetland fills for
this project (now or in the future) exceed one acre, or if stream impacts exceed 150 linear feet,
compensatory mitigation may be required as described in 15A NCAC 2H.0506 (h) (6) and (7). For
this approval to be valid, you must follow the conditions listed in the attached certification and any
additional conditions listed below.
1. Sedimentation and erosion control, stormwater management, and buffer requirements for WS-IV
Waters as specified in 15A NCAC 213 .0216.
2. Temporary or permanent herbaceous vegetation shall be planted on all bare soil within 10 days of
ground-disturbing activities to provide long term erosion control. .
3. All pipes required for this project shall be installed in such a manner that the original ,stream
profiles are not altered (i.e. the depth of the channel must not be reduced by a widening of the
streambed). Existing stream dimensions are to be maintained above and below locations of pipe ,
extensions. Pipes shall be installed one foot below the stream to allow for fish and other wildlife
movement.
4. All work shall be performed during low flow conditions.
North Carolina Division of Water Quality, 401 Wetlands Certification Unit,
1650 Mail Service Center, Raleigh, NC 27699-1650 (Mailing Address)
2321 Crabtree Blvd., Raleigh, NC 27604-2260 (Location)
919-733-1786 (phone), 919-733-6893 (fax), http://h2o.enr.state.nc.uslncwetlands/
5. All mechanized equipment operated near surface waters must be regularly inspected and
maintained to prevent contamination of stream waters from fuels, lubricants, hydraulic fluids, or
other toxic materials.
6. The presence of equipment in the channels must be minimized. Under no circumstances must
rock, sand or other materials be dredged from the wetted stream channel under authorization of
this permit, except in the immediate vicinity of the culverts.
7. Existing vegetated buffers shall not be mowed in order to utilize it for storm water sheet flow.
8. Use of rip-rap for bank stabilization is to be minimized; rather, native vegetation is to be planted
when practical. If necessary, rip-rap must be limited to the stream bank below the high water
mark, and vegetation must be used for stabilization above high water.
9. Rock silt screens at culvert outlets shall be removed at project completion.
Upon completion of the project, the NCDOT shall complete and return the enclosed
"Certificate of Completion" form to notify NCDWQ 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 NC Division of Water Quality upon
completion of the project.
If you do not accept any of the conditions of this certification, you may ask for an adjudicatory
hearing. You must act within 60 days of the date that you receive this letter. To ask for a hearing,
send a written petition that conforms to Chapter 150B of the North Carolina General Statutes to the
Office of Administrative Hearings, 6714 Mail Service Center, Raleigh, N.C. 27699-6714. This
certification and its conditions are final and binding unless you ask for a hearing.
This letter completes the review of the Division of Water Quality under Section 401 of the Clean
Water Act. If you have any questions, please telephone Ms. Cynthia Van Der Wiele at 919.-733-9646
or Ms. Jennifer Frye of the Winston-Salem Regional Office at 336.771.4600. :
ya?4 01 12 9 5
FILE COPY
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY 1584 YANCEYVILLE STREET, GREENSBORO, NC 27415 LYNDO TIPPETT
GOVERNOR SECRETARY
July 30, 2001
NC DENR Division of Water Quality
1650 Mail Service Center
Raleigh, NC 27699 401
ATTN: Ms. Cynthia Van der Wiele
Wetlands/401 Unit
Dear Ms. Van Der Wiele:
SUBJECT: Guilford County, Upgrade of Pritchett Road (SR 2708) from an unpaved secondary
road to a paved secondary road.
Please find seven (7) copies a Pre-Construction Notification Application package attached for your
review. If you have any questions or need any additional information, please contact Len Smith
[phone] or Paul Ingram at [phone]. Thank you for your time and assistance.
Sincerely,
-el
S. L. Hall
District Engineer, District 2, Division 7
cc: Mrs. Jean Manuele, USACE
Mr. Lenwood Smith, II, PWS, NCDOT

PHONE [phone] FAX [phone]
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STATE of NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY
GOVERNOR
June 30, 2001
U.S. Army Corps of Engineers
Regulatory Field Office
6508 Falls of the Neuse Road, Suite 105
Raleigh, North Carolina 27615
ATTN: Mrs. Jean Manuele
NCDOT Coordinator
Dear Mrs. Manuele:
LYNDO TIPPETT
SECRETARY
SUBJECT: Guilford County, Upgrade of Pritchett Road (SR 2708) from and unpaved secondary
road to a paved secondary road.
The North Carolina Department of Transportation (NCDOT) proposes to upgrade Pritchett Road
(SR 2708) from an unpaved to a paved secondary road to reduce future maintenance needs and
increase traffic safety. The bed of the road is also being raised at Site 1 to alleviate flooding of the
travel lane. Total project length is 1.77 miles.
This activity will result in the impacts to waters of the Unites States including streams and wetlands.
Stream impacts will result from the replacement and extension of crossline pipesto facilitate travel
lane and shoulder widening during upgrade. The pipe replacements, which are occurring in waters
within the Cape Fear River Basin, are as follows:
Site Existing Proposed - Stream Type Impacts (ft)
1 2@ 32' of 48" RCP 60' of 142"X 91" CSPA Perennial 28 (pm), 20 (tmp),
20( )
2 38' of 48" CMP 60' of 54" Perennial 22 (pm), 20 (tmp),
20( )
Cumulative Impacts 50(pm), 40(tmp),
40( )
RCP = reinforced concrete pipe; CMP = corrugated metal pipe; CMPA = corrugated metal pipe arch,
CSPA = corrugated steel pipe arch
pm = permanent; tmp = temporary; rp = rip-rap energy dissipaters placed above ordinary high water.
P. O. Box 14996 Greensboro, NC 27415-4996 Telephone No. [phone] Fax No. [phone]
Page 2
Mrs. Manuele
July 30, 2001
Temporary impacts will result from the placement of sand bags, cofferdams, or sheet piles during
the dewatering operation. Following completion of the pipe replacement activity, all dewatering
structures will be entirely removed, and natural stream contours will be restored and seeded.
Wetland impacts will result from the placement of fill material to facilitate travel lane and shoulder
improvement, and elevation of the roadway. Wetland impacts will occur at Site 1. The wetland
being impacted is a palustrine forested and scrub-shrub wetland that is bisected by SR 2708.
Wetland impacts will equal 0.02 acres.
Required mitigation is not anticipated, as the impacts to any individual stream or wetland do not
exceed 150 feet or 0.10 acres, and no High Quality or Outstanding Resource Waters, or unique
natural wetlands occur in the project area. No Threatened or Endangered species were observed
during field surveys conducted by Len Smith for species known tooccur in or close to Guilford
County. Records from the NCDOT Historic Architect indicate compliance with the National
Historic Preservation Act. Secondary impacts will be minimized by strict enforcement of Best
Management Practices for the protection of surface waters, restrictions against the staging of
equipment in or adjacent to waters of the US, and coordination with the Division Environmental
Officer.
The NCDOT anticipates that the proposed filling activities will be authorized under Nationwide
Permit 14 and the dewatering operation will be authorized under NWP 33. This application is
intended as a request for formal written authorization from USACE to place fill in the wetland at
Site 1 under NWP 14, and dewater streams at Sites 1 and 2 under NWP 33. This application is also
intended as request for written authorization from the NC Division of Water Quality for filling
activities at Sites 1 and 2 under General Water Quality Certificate #3289 (NWP 14). Enclosed
please find the project site map and the pre-construction notification form for the above referenced
project. Construction is anticipated to begin as soon as practicable following authorization and take
3 weeks to complete.
P. O. Box 14996 Greensboro, NC 27415-4996 Telephone No. [phone] Fax No. [phone]
Page 3
Mrs. Manuele
June 11, 2001
I&-you-have any questions or need any additional information, please contact Len Smith (336) 375-
5589 or Paul Ingram at [phone]. Your time and effort are appreciated.
Sincerely,
s. L Wag/v,
S. L. Hall
District Engineer, District 2, Division 7
cc: Ms. Cynthia Van der Wiele, NCDWQ
Mr. Lenwood Smith, H, PWS, NCDOT
P. O. Box 14996 Greensboro, NC 27415-4996 Telephone No. [phone] Fax No. [phone]

OF
Pre-Construction Notification (PCN) Application Form
For Section 404 and/or Section 10 Nationwide, Regional and General Permits, Section 441
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://v;".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/regiour.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 11
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?t, a ong with supporting narratives, maps, data forms,
photos, etc. to the applicable USACE Regulatory Field Office (addresses are listed at the end of this
application). Upon receipt of an application, the USACE will determine if the application is complete as
soon as possible, not to exceed 30 days. This PCN form is designed for the convenience of the applicant
to address information needs for all USACE Nationwide, Regional or General permits, as well as
information required for State authorizations, certifications, and coordination. Fully providing the
information requested on this form will result in a complete application for any of the USACE
Nationwide, Regional or General permits. To review the minimum amount of information that must be
provided for a complete PCN for each USACE Nationwide permit, see Condition 13, 65 Fed.Reg. 12893
(March 9, 2000), available at http://www.saw.usace.army.mil/wetlands/nwpfinalFedReg.12df
Processing times vary by permit and begin once the application has been determined to be complete.
Please contact the appropriate regulatory field office for specific answers to permit processing periods.
401 Water Quality Certification or Buffer Rules - All information is required unless otherwise stated
as optional. Incomplete applications will be returned. Submit seven collated copies of all USACE
Permit materials to the Division of Water Quality, 401/Wetlands Unit, 1650 Mail Service Center,
Raleigh, NC, 27699-1650. If written approval is required or specifically requested for a 401
Certification, then a non-refundable application fee is required. In brief, if project impacts include less
than one acre of cumulative wetland/water impacts and less than 150 feet cumulative impacts to
streams, then a fee of $200 is required. If either of these thresholds is exceeded, then a fee of $475 is
required. A check made out to the North Carolina Division of Water Quality, with the specific name of
the project or applicant identified, should be stapled to the front of the application package. For more
information, see the DWQ website at http://h2o.ehnr.state.nc.us/newetlands/fees.html. The fee must be
attached with the application unless the applicant is a federal agency in which case the check may be
issued from a separate office. In such cases, the project must be identifiable on the U.S. Treasury check
so that it can be credited to the appropriate project. If written approval is sought solely for Buffer Rules,
the application fee does not apply, and the applicant should clearly state (in a cover letter) that only
Buffer Rule approval is sought in writing. Wetlands or waters of the U. S. may not be impacted prior to
issuance or waiver of a Section 401 Water Quality Certification. Upon receipt of a complete application
for a 401 Certification, the Division of Water Quality has 60 days to prepare a written response to the
applicant. This may include a 401 Certification, an on-hold letter pending receipt of additional
requested information, or denial.
Page 2 of i 1
Office Use Only; Form Version Apri12001
USACE Action ID No. DWQ No. ®1 1 2 9 5
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: 14 & 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:_ Mr. J.M. Mills, PE., Division Engineer - Division 7
Mailing Address: 1584 Yanceyville Street
Greensboro, NC 27415
Telephone Number: (336) 3343192 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: Mr. S.L. Hall, District 2 Engineer
Company Affiliation: NCDOT - Division 7
Mailing Address: 1584 Yanceyyille Street
Greensboro, NC 27415
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: [e-mail]
Page 3 of 11
M. Project Information
Attach a vicinity map clearly showing the location of the property with respect to local
landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property
boundaries and development plans in relation to surrounding properties. Both the vicinity map
and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities must be included. If possible, the maps and plans should
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USACE requires information to be submitted on sheets no larger than Z I 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: Pritchett Road (SR 2708)
2. T.I.P. Project Number (NCDOT Only): 6.492741 (No_ n?Tip)
3. Property Identification Number (Tax PIN): N/A
4. Location
County: Guilford Nearest Town: Browns Summit
Subdivision name (include phase/lot number):
Directions to site (include road numbers, landmarks, etc.): The project is accessed from US
Hwy 29 by heading east on NC150 for 4.31 miles. At the intersection of NC 150 and NC-
160 proceed east onto Osceola-Ossippee Road SR 2705). Proceed fora distance of 1.9
miles and turn left onto Pritchett Road (SR 2708). Site 1 is ap roximately 7250 feet north of
the intersection of SR 2705 and SR 2708. Site 2 is approximate8225 feet north of the
intersection.
5. Site coordinates, if available (UTM or Lat/Long): . See the attached USGS map.
(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:
ResidentW Agricultural
7. Property size (acres): N/A
8. Nearest body of water (stream/river/sound/ocean/lake): UT to Haw River
9. River Basin: Cape Fear
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://h2o.enr.state.nc.us/admin/maps/.)
Page 4 of 1 l
10. Describe the purpose of the proposed work: Upgrade of an unpaved secondary road to a
paved secondary road. Paving and widening are being conducted to reduce future
maintenance costs, bring; the road up to current construction standards, increase traffic safety,
and reduce travel lane flooding.
11. List the type of equipment to be used to construct the project: Road construction
equipment
12. Describe the land use in the vicinity of this project: Hardwood forest
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.
N/A
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: N/A
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 11
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***

I
- - Placement of fill
to facilitate road
and shoulder

widening.

0.02

No

Floodplain - 0
PFOIE. See that attached
data sheet for further
information.

* 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 hU://www.fema.gov.
**?' List a wetland type that best describes wetland to be impacted (e.g., freshwater/saltwater marsh, forested wetland, beaver pond,
Carolina Bay, bog, etc.)
List the total acreage (estimated) of existing wetlands on the property: N/A
Total area of wetland impact proposed: 0.02
2. Stream Impacts, including all intermittent and perennial streams
Stream Impact
Site Number
indicate on ma
Type of Impact* Length of
Impact
linear feet
Stream Name** Average Width
of Stream
Before Impact Perennial or
Intermittent?
leasespecify)

1
Pipe replacement 28 (pm),
20 (tmp)
20 (rp)
UT to Haw River
10,
Perennial

1
Pipe replacement 22 (pm),
20 (tmp)
20 (rp)
UT to Haw River
5.0'
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
www.usgs.gov. Several internet sites also allow direct download and printing of USGS maps (e.g., www.tolozone.com,
www.mapquest.com, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: 50 - permanent (Dra 40
- temporM (tmp .. 440_rip rap (W).
Page 6 of 11
3. Open Water Impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any
other Water of the U.S.
Open Water Impact
Site Number

indicate on ma
Type of Impact* Area of
Impact

acres
(if Name p Waterbody
applicable) Type of Waterbody

(lake, pond, estuary, sound,
bay, ocean, etc.
N/A _

List each impact separately and identify temporary impacts. Impacts include, but are not limited to: fill, excavation, dredging,
flooding, drainage, bulkheads, etc.
4. Pond Creation
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ? uplands ? stream ? wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.): N/A
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.): N/A
Size of watershed draining to pond: N/A Expected pond surface area: N/A
V H. 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.
Pipe replacement activities and widening activities are necessary to increase travel lane and
shoulder width to current construction standards. Fill slopes must also be increased to allow for
raising of the bed to reduce flooding of the travel lane. Impacts will be minimized by strict
enforcement of Best Management Practices (BMPs) for the protection of wetlands and surface
waters, restrictions against the staging of equipment in or adjacent to waters of the US and
coordination with the Division Environmental Officer.
Page 7 of I I
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 ma otice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on March 9, 2000, mitigation will be required when
necessary to ensure that adverse effects to the aquatic environment are minimal. . Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed. Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USACE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCWRP concurrence shall be placed on hold as
incomplete. An applicant may also choose to review the current guidelines for stream restoration
in DWQ's Draft Technical Guide for Stream Work in North Carolina, available at
http://h2o.enr.state.nc.us/ncwettan.ds/strmpide.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.
A finding of insignificant impact is anticipated. Cumulative impacts are less than 010 acres
for wetlands and 150 feet for streams. The maximum amount of permanent impact to a
single perennial stream is 28 linear feet. Downstream habitats will also benefit from the
project due to reduced entry of sediment and other pollutants into the water during flooding
events.
Page 9 of 11
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:/ni2o.enr.stcite.nc.us/wn)/index.htm. If
use of the NCWRP is proposed, please check the appropriate ox on page ee 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 ?
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 Z If you answered "yes", provide the following information:
Page 9 of I I
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* Impact
(square feet Multiplier
Mitigation
1
2
Total
* 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.
Lf 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.
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.
In accordance with theFebruarv 25. 1991 delegation agreement one cony of the sediment and
erosion control plan will be submitted to DENR - Division of Land Resources and NCDOT
Roadside Environmental prior to construction.
XII. Sewage Disposal (DWQ Only)
Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of
wastewater generated from the proposed project, or available capacity of the subject facility.
XM Violations (DWQ Only)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H.0500) or any Buffer Rules?
Yes ? No 11
Is this an after-the-fact permit application?
Yes ? No ?
Page 10 of I 1
XIV. Other Circumstances (Optionan:
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).
L.
z4
Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 11 of 11
l
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Name: OSSIPEE Location: 17 627625 E 4011387 N
Date: 8/17/2001 Caption: Location of regulated activities on Pritchett Road - SR 2708
Scale: 1 inch equals 2000 feet
EROSION CONTROL FLAN
v
C
N
T
y
IYt
A
P
ROCKINGHAM- COUNTY
of
NC 150 2706: 2719
US 29
OSCE.OIA 1705 709
C61
NC 150
2733 2219
US 29
NC 61
60 Ft,
RIGHT OF WAY
6' 10' 10' 6' 4'
Shoulder 4T?hould& Ditch Slope
1" I FT U4" I FT 1/4" 1 V/ Slope 2:1 3;1 2:1
Compacted A S C
TYPICAL CROSS - SECTION ,- -
LI-J. T„ 0-_1-
.. EIP.- Found.- .: O - POT
6 PI - P.INC (D .. PC or:PT
P.dwer, Tele. Pole -:- Pedest
Guy Wire Anchor w Well
Si ht.Distance ® Witness Post
e Sat' Dish. ` 4 Shrub
Tree -Tree Line
- -- = Exist, Property-Line'
- = - = - Exist; Side Ditch
Proposed RIW
- - •Existin NVI.
i-?-r- R. R. Tracks
- UCT- Under Ground Cable
Exist. Drainage Pipe
I - x - Fence Line

PROJECT LEGEND
POWER POLE D GUY WIRL
® TELEPHONE PEDESTAL -'- FENCELINE
® WELL/ WELLHOUSE -"--- EXISTING R/W
ExIsrm IRON PIPE PROPOSED R/W
O IRON NOT FOUND
NOTE : ANY POINTS ON MA1' OTHER'1'HAN LEGEND POINTS WILL BE LABS, LED ON MAR
L-rosion control _ Sequence of operations 2-26-92
1 Review Erosion Control Plans and Standards. Identify all
release points (outlets of crossline pipes, tail ditches,
roadway ditches; fill slopes, etc.)
2. Install all measures 4 release points prior to clearing 6
grubbing. See Erosion Control standards for proper
installation.
3. Begin grading operations - install all other measures as
grading progresses and monitor their effectiveness.' If
any measures need to be changed, consult Highway
Maintenance Engineer. Show changes on Erosion Control
Plans.
4. Locate all borrow pits and waste areas with their erosion
control measures on Erosion Control Plans 'or attach a
separate sheet showing same.
5. Before moving to next job site, review all measures.for
effectiveness; make any adjustments, clean-outs, or-
repair; call Roadside Environmental Department for
installation of a ditch liner and seeding and mulching
of all disturbed areas.
6. Continue to check and maintain all measures after each
- significant rainfall until all disturbed areas become
stabilized.
7. Fill in all silt basins and silt ditches; remove all silt
fences and slope drains; redistribute all' stone from silt
checks, sediment dams, and silt screens. Seed and -mulch
disturbed areas.
EROSION CONTROL LEGEND
TEMP. ROCK SED. DAM - TYPE A
® TEMP. ROCK SED. DAM - TYPE B
TEMP. ROCK SILT CHECK DAM -TYPE B
?-- F. G. ROVING OR E. C. MATTING
E E E--E-
- STONE LINER
-I}}-}{! TEMP. SILT FENCE
.1 nt.t n.n.nrrnt
. B'R?_ _.. _......._R-
ROCK SILT SCREEN
0 PIPE OUTLET PROTECTION
--? --?- EARTH BERM
TEMP. SLOPE DRAIN
-TSD- TEMP. SILT DITCH
SILT BASIN - TYPE B (MIN. 10'x2'x3')
s . f c'
NOTE : ALL SILT BASINS l Qx2x3
UNLESS NOTED OTHERWISE
ohcl
O
HAZEL M. APPLE, UT & EDWARD C, & PATRICIA A.
SMITH
08 2133-742 DB5003-814
WETLAND
SOUNDERY
END (A-9)
ETLAND
BOUNDERY W? o
START (A-1)
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BOUNDERY START (9-1)
IV ° END (8-11)
Jq?'P jr
P1=74+25.56
y?k o 647045'40" RT
c" ° (,t? G = l.?e't ?°"' R=203.28'
o - T=90.00'
° L=169.45'
LC=164.59'
D=28'11'07"
E=19.03
i
NOTE : ALL SILT BASINS
UNLESS NOTED C
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NANNIE B. PRITCHETT
DB 2133-742
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NATURAL RESOURCE EVALUATION SHEET
State Project # SR Number Road Name County Investigator(s)
6.492741 2708 Pritchett Road Guilford Len Smith
Date: River Basin: Water Quality Designation Buffer Rules (YIN)
08/10/01 Cape Fear C NSW No
Primary Land Use Percent Residential Percent Agricultural: Percent Unmaintained:
Agriculture 20 60 20
Streams
Waters of the US
Station Stream Name Perennial or
Intermittent Ave. Wdth
(OHWM) Ave. Dpth
OHWM Ave. Wdth
OB Ave. Dpth
OB Notes
72+34 UT to Haw River Perennial 10' 1.0' 10.0' 1.5'
82+19 UT to Haw River Perennial 5.0' 0.7' 7.0' 4.0'

01 MM = Measurements made from Ordinary High Water Marker, TOB = Measurements made from the
Top of the Bank
Wetlands

Station Within 100-year
Floodplain Distance to
Nearest Stream
linear feet)
Cowardin Classification
Dominant Plants

72+34
A/0
0'
PFO/SS1E Red maple, American elm, American
sycamore, swamp dogwood, alder,
wood reed, deer-tongue witch ass

Open Water

Station Name of Waterbody
if applicable) Type of
Waterbod
M.M. Name of Waterbody
if applicable) Type of Waterbody

General Notes/Comments:
j
Division Environmental Officer / Dd-e
ENDANGERED SPECIES REVIEW FOR DIVISION 7
DISTRICT 2
State Project # SR Number Road Name Conn
6.492741 2708 Pritchett Road Guilford
Guilford County
Bald Eagle (Haliaeetus leucocephalus). Lake Higgins Area
Is the activity within the primary or secondary zone Yes ? No
James s in ussel (Pleurobema collina - Roanoke Basin
Habitat Survey Date Investigator(s) Man-hours Comments/Findings
N/A
Potential Species (Listed in Nearby Counties)
Schweinitz's sunflower lHelianthus .seirweinilWA Mav he curveved fnr frnm late. Aiimiet to rlntnhar
Habitat Survey Date Investigator(s) Man-hours Comments/Findings
No 12/01/00 &
08/10/01 Len Smith 1.0
General Notes/Comments:
Division Environmental Officer D de
NCDOT
HAZARDOUS SPILL BASIN CHECKLIST
Division: Seven County: Guilford Project ID: 6.492741
River Basin: Cape Fear Bridge No: N/A
Route: 2708
Water Quality Criteria:
Stream: UT to Haw River
F
ORW
WSI
WS II,III OR IV, Crossing Within 0.5mi of W. S. Critical Area
Roadway Criteria:
Route Designation-
Yes No
Arterial Urban r F
Arterial Rural 17 F
Additional Site Information:
Yes No
Is a Hazardous Spill Basin Required? r, r-
Yes No
r
r
r F
r F,
Criteria Based Upon NCDOT "Best Management Practices for the
Protection of Surface Waters" (March, 1997).
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N. C. D. O. T.
BRIDGE MAINTENANCE UNIT
EROSION CONTROL SEQUENCE
AND CONSTRUCTION SEQUENCE
GUILFORD COUNTY
---PIPE REPLACEMENT
S. R. NO. 2 7(ZaL--Flly% . C`f T R
PROJECT NO. t^?L. 41262:a
DESCRIPTION: REMOVAL OF EXISTING PIPES OR PIPE AND REPLACE WITH
NEW PIPES OR PIPE / @ "2 311& 'S-3' ,`
1. CONSTRUCT DAM AT UPSTREAM AND DOWNSTREAM ENDS OF PIPE
USING ABC STONE
2. SILT FENCE WILL BE INSTALLED AS NEEDED.
3. USE WATER PUMP TO DIVERT WATER FROM UPSTREAM TO
DOWNSTREAM
4. PUMP WATER OUT OF EXCAVATION AREA INTO SILT BAG AND BEGIN
. EXCAVATING AREA FOR NEW PIPE
5. INSTALL NEW PIPE OR PIPES, BACKFILL ', STABILIZE BANKS WITH RIP
RAP AND REMOVE DOWNSTREAM DAM THEN UPSTREAM DAM
6. SEED AND MULCH AREAS NECESSARY
PREPARED BY DATE 72S7-a
' BRI E MAIN '. RVISOR
APPROVAL DATE
DIVISIO BRIDG MAINT. ENGI ER _
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N. C. D. 0. T.
BRIDGE MAINTENANCE UNIT
EROSION CONTROL SEQUENCE
AND CONSTRUCTION SEQUENCE
GUILFORD COUNTY
PIPE REPLACEMENT
S. R. NO.I?Felt
PROJECT NO. S,
DESCRIPTION: REMOVAL OF EXISTING PIPES OR PIPE AND REPLACE WITH
NEW PIPES OR PIPE @ l/07 X ?-r/ ?t
1. CONSTRUCT DAM AT UPSTREAM AND DOWNSTREAM ENDS OF PIPE
USING ABC STONE
2. SILT FENCE WILL BE INSTALLED AS NEEDED.
3. USE WATER PUMP TO DIVERT WATER FROM UPSTREAM TO
DOWNSTREAM
4. PUMP WATER OUT OF EXCAVATION AREA INTO SILT BAG AND BEGIN
EXCAVATING AREA FOR NEW PIPE
5. INSTALL NEW PIPE OR PIPES, BACKFILL , STABILIZE BANKS WITH RIP
RAP AND REMOVE DOWNSTREAM DAM THEN UPSTREAM DAM
6. SEED AND MULCH AREAS NECESSARY
-lj
PREPARED BY Z" , DATE
B GE At. ERVIS
APPROVAL DATE $ -'7 -p 1
DIVISION B E MAINT. ENGINEER
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View of the upstream portion of the wetland (Unit A) located at Site 1. Note stream in the background.
View of the upstream portion of the wetland (Unit B) located at site 1. Note stream in the foreground.
Site 2 - Inlet of the pipe being replaced.
Site 2 - View upstream from the pipe being replaced.
Site 2 - Outlet of the pipe being replaced.
Site 2 - View downstream from the pipe being replaced.
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