20011619 Ver 1_Complete File_20011106

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State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
Michael F. Easley, Governor
William G. Ross, Jr., Secretary
Gregory J. Thorpe, Ph.D., Acting Director
DWQ Project No.: D 11 b I Ii
A licant• 0 C- "D CT-
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
County: Fr cU W,,
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Project Name: ?r d -)J,, y! dyes u^ y7-t0 5AJ1 CC4 y., f R-- ??{s
Date of Issuance of 401 Water Quality Certification: 17-- 0 75' o t
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, . Af -. P _, 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 co ance and intent of the 401 Water Quality Certification and Buffer Rules, the
approved plans a spe ions, and other supporting materials.
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Signature: Date:
Agent's Certi >{cation
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:
1, , 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 Registration No.
Date
Wetlands/401 Unit 1650 Mail Service Center Raleigh, North Carolina 27699-1621
f Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post consumer paper
.m
State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
I?
Michael F. Easley, Governor NCDENR
William G. Ross, Jr., Secretary NORTH CAROLINA DEPARTMENT OF
Gregory J. Thorpe, Ph.D., Acting Director ENVIRONMENT AND NATURAL RESOURCES
December 3, 2001
Franklin County
DWQ Project No. 011619
APPROVAL OF 401 Water Quality Certification and ADDITIONAL CONDITIONS and Tar-
Pamlico River Buffer Rules
Mr. J.G. Nance, P.E., Division Engineer
NCDOT, Division 5
2612 N. Duke Street
Durham, NC 27704
Dear Mr. Nance:
You have our approval, as described in your application dated November 5, 2001, and in accordance with
the attached conditions and those listed below, to place fill material in 0.01 acres of wetlands, 190 linear
feet of streams, and 3250 square feet of protected riparian buffers. The purpose of the project the
replacement of Bridge Number 149 over an unnamed tributary to Sandy Creek on SR 1457 in Franklin
County. The project shall be constructed in accordance with your application dated November 5, 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). 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 mast 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
mit gation may be r as descrt?ied in 15A NCAC 2H .0506
equired (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 sheetfiow at nonerosive velocities through the protected stream buffers.
2. Upon completion of the prgect, 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 Tesponsible party'shall complete the'attached form and return it to the 401%Wetlands Unit of th
e '
Division of Water Quality upon completion of the project.
Wetlands/401 Unit 1650 Mail Service Center Raleigh, North Carolina 27699-1621
Telephone [phone] FAX [phone]
An Equal Oppormaity Affirmative Action Employer 50% recycled110% post consumer paper
State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
e0?
Michael F. Easley, Governor NCDENR
William G. Ross, Jr., Secretary NORTH C:AROUNA DEPARTMENT OF
Gregory J. Thorpe, Ph.D., Acting Director ENVIRONMENT AND NEURAL RESOURCES
If you do not accept any of the conditions of this ceztificatkm, Sou may ask for an adjofficatory hearing.
You must act within 60 days of the date that you ze-ceive this lemer. To zrk for a hearla&r send a written
pension, which conforms to Chapter 150B of the tiOrth Carvlinz General Statutes to the Office of
Administrative Hearings, P.O. Box 27447, Ralei m, N.C. 2-7611-7447. 71his certification and its conditions
are final and binding unless you ask for a hearbv-
This truer completes the review of the Division sf Water Qnaliryr under action 401 cif the Clean Water
Aca. If you have any questions, please contact k2w HennesFyy it 919-7 -5694, or Ste Mitchell at 919-
571-4700.
ii
Agent
cc-- Wilmington District Corps of Engineers
Corps of Engineers Raleigh Field Office.
DWQ Raleigh Regional Office
File Copy
Central Files
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WsdbudW401 Unit 165OMailServicetee{ IF.-kigh, NodbCarolma 27699-1621
Telephone [phone] FADS 7:3-9959
An Equal Oppa=4 Affmna6os Aadm Empla, - 50% =;--:jc*:II-t0% pcoaassmmer per
'N. C. DEPARTMENT OF TRANSPORTATION
TRANSMITTAL SLIP DATE

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? NOTE AND FILE ? PER OUR CONVERSATION
? NOTE AND RETURN TO ME ? PER YOUR REQUEST
? RETURN WITH MORE DETAILS ? FOR YOUR APPROVAL
? NOTE AND SEE ME ABOUT THIS ? FOR YOUR INFORMATION
? PLEASE ANSWER ? FOR YOUR COMMENTS
? PREPARE REPLY FOR MY SIGNATURE ? SIGNATURE
? TAKE APPROPRIATE ACTION ? INVESTIGATE AND REPORT
COMMENTS:
01 1619

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STATE of NORTH CAROLINA
011619
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY LYNDO TIPPETT
GOVERNOR SECRETARY
November 5, 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
Subject: Replacement of Bridge No. 149 over an unnamed tributary to Sandy Creek
on SR 1457 in Franklin County. NCDOT State Project No. 5.3652.
The North Carolina Department of Transportation (NCDOT) plans to replace
Bridge No. 149 over an unnamed perennial tributary to Sandy Creek in Franklin County
(Figure 1). At the project study site, the creek flows over exposed bedrock. The existing
bridge was constructed in 1959 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 40 out
of 100 points. It has been determined that this structure must be replaced. The proposed
replacement structure is a 1@ 24 foot x 5 foot 9 inch corrugated aluminum arch box
culvert on footings with endwalls that is 65 foot long. Please note that this structure is a
bottomless culvert.
Impacts to Waters of the United States
Construction of the project involving replacement of the existing bridge will
necessitate impact to waters of the United States in the Tar-Pamlico River basin. Here
the project crosses an unnamed perennial tributary to Sandy Creek (DWQ Index No. 28-
28-1-(14), Best Usage Classification C NSW). High Quality Water Guidelines will be
followed during project construction.
Bridge Demolition and Removal
Bridge No. 149 has a timber floor covered with broken asphalt on timber joist
piles. The bridge will be removed under Case 3, where there are no spacial.restrictions
beyond those outlined in Best Management Practices for Bridge Demolition and
Removal. A turbidity curtain will be placed around the existing wing wall abutment if
necessary to reduce sedimentation during construction activity.
Division 5, 2612 N. Duke Street, Durham, NC 27704
Phone: [phone] Fax: [phone]
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Bridge Replacement
Impacts associated with the project from the replacement of the existing bridge
with a corrugated aluminum arch box (including minimal amounts of rip rap to protect
the structure) include 85 feet existing channel impacted, 0.06 acre fill in surface water,
<0.01 acre excavation in wetlands and <0.01 acre fill in wetlands. The wetland is
described as Palustrine, Emergent, Non-persistent, Scrub-shrub, broad-leaved deciduous
with a saturated water regime. Wetland delineations were conducted using the field
delineation method outlined in the 1987 Corps of Engineers Wetland Delineation Manual
(Environmental Laboratory, 1987). U.S. Army Corps of Engineers (USACE) Wetland
Data Forms and a North Carolina Division of Water Quality (DWQ) Wetland Rating
Form are attached to this application.
Dewaterina
The NCDOT may have to dewater this low flow perennial stream during the
construction of the project. This may involve the temporary placement of sandbags or rip
rap covered with filter fabric in the stream channel approximately 10 feet upstream of the
proposed culvert inlet and approximately 10 feet downstream of the proposed culvert
outlet. To maintain water flow during construction, water upstream of this impervious
structure will be temporarily pumped out and conveyed downstream of the construction
activity where it will be allowed to filter through vegetation before flowing into the
stream. The stream will be dewatered less than three weeks. This will result in
temporary impacts to the surface water. Temporary impacts to the streams from this
activity will result in the dewatering of 0.07 ac of stream bed and 105 linear feet stream
channel. The sandbags or rip rap covered with filter fabric will be removed after
construction.
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.
Minimization: High Quality Water guidelines 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 corrugated aluminum arch box culvert reduces impacts to the stream bottom.
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.
j
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. The unnamed tributary to Sandy Creek is
depicted on the most recent version of the Gold Sand, North Carolina topographic
quadrangle (USGS, 1978, photoinspected 1981) (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 3,250 square
feet in Zone 1, 0 square feet in Zone 2 and 65 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:
e The existing structure has a sufficiency rating of 40 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 a corrugated aluminum arch box culvert is
partially based on fiscal accountability and responsibility. The replacement of the
existing structure with a corrugated aluminum arch box culvert is less than
replacement with a bridge structure. Please note that this structure is a bottomless
culvert, which reduces impacts to the stream bottom.
• The replacement of the existing structure with a corrugated aluminum arch box
culvert reduces long-term maintenance and provides increased public safety. It has
been documented that this structure will require less maintenance than a bridge.
Additionally, bridge rails often are broken or sheared during accidents. Structures
that utilize a corrugated aluminum arch box does not utilize bridge rail and are
considered safer structures.
• High Quality Water Guidelines 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). A Biological Conclusion of No Effect was rendered for Michaux's sumac
based on a plant-by-plant survey. No species were observed during the site visit.
4
A mussel survey was conducted at the site on October 8, 2001 by NCDOT
biologists Jeff Burleson and Sharon Snider and Division 5 Environmental Officer Chris
Murray. Mussel surveys were conducted at the bridge site and for a distance of 600 feet
downstream and 100 feet upstream of the project crossing. No mussels, clams or snails
were found during 2 man-hours of survey time. Given the survey results, it is apparent
that neither dwarf wedgemussel nor Tar spinymussel occur in the project footprint.
However, populations of Tar spinymussel are located 3 river miles downstream in Sandy
Creek at the NC 58 crossing. A Biological Conclusion of Not Likely To Adversely
Affect is rendered for this species, which was concurred by Ms. Judith Johnson of the
North Carolina Wildlife Resource Commission (NCWRC) on October 24, 2001, as long
as the following conditions are met:
• There will be a moratorium on clearing and grubbing (no work) between November
15 and April 1.
• NCDOT Bridge Superintendent or the Division Environmental Officer will provide
written invitation to the NCWRC (Non Game and Protected Species Branch) and the
U.S. Fish and Wildlife Service prior to construction.
• The erosion control plan for protected aquatic species (High Quality Water
Guidelines) will be used. These plans include the following requirements:
1. Sediment and erosion controls must be in place prior to land clearing activities.
All reasonable and practicable efforts will be made to preclude sediment from
either bridge demolition or construction activities from reaching the stream.
2. "Environmentally Sensitive Areas" will be defined on the plans, which consist of
a 50-foot buffer zone on both sides of the stream.
3. The NCDOT may perform clearing operations, but not grubbing operations in the
"Environmentally Sensitive Areas", until immediately prior to beginning grading
operations.
4. Once grading operations begin in "Environmentally Sensitive Areas", as
specified on the plans, work will progress in a continuous manner until complete.
5. Seeding and mulching will be performed immediately following grade
establishment.
6. Stage seeding will be performed on cut and fill slopes as grading progresses.
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. 149 over an unnamed perennial tributary
to Sandy Creek in Franklin County. The proposed replacement structure is a 1@ 24 foot
x 5 foot 9 inch corrugated aluminum arch box on footings with endwalls that is 65 foot
long. Please note that this structure is a bottomless culvert. Impacts associated with the
project from the replacement of the existing bridge with the corrugated aluminum arch
box (including minimal amounts of rip rap to protect the structure) include 85 feet
existing channel impacted, 0.06 acre fill in surface water, <0.01 acre excavation in
wetlands and <0.01 acre fill in wetlands. Temporary impacts to the stream from
dewatering will result in the dewatering of 0.07 acre of stream bed and 105 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 3,250 square feet in
Zone 1, 0 square feet in Zone 2 and 65 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,
istopher A. Murray, P.W.S.
Environmental Officer
cc: Mr. John Dorney, NCDWQ, Raleigh
Mr. Dallie Bagwell, NCDOT Bridge Superintendent, Raleigh

AT
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Pre-Construction Notification (PCN) Application Form
For Section 404 and/or Section 10 Nationwide, Regional and General Permits, Section 401
General Water Quality Certifications, and Riparian Buffer and Watershed Buffer Rules
This form is to be used for projects qualifying for any of the U.S. Army Corps of Engineers' (USACE)
Nationwide, Regional or General Permits as required by Section 404 of the Clean Water Act and/or
Section 10 of the Rivers and Harbors Act, and for the North Carolina Division of Water Quality's
(DWQ) associated General 401 Water Quality Certifications. This form is also to be used for any
project requiring approval under any Riparian Buffer Rules implemented by the N.C. Division of Water
Quality. This form should not be used if you are requesting an Individual 404 Permit or Individual 401
Water Quality Certification. The USACE Individual Permit application form is available online at
http://w-ww. s,iw.usace. army. rail/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://uw)v.sativ.usace.arrny.mil/wetlands/regttour.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, 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 httop1/,ti-vvw.saw.usao-0.army.rnil/wet lands/r:.wpfinaJIFed?
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 htt//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 11
Office Use Only: 01 161 ^ Form Version April 2001
USACE Action ID No. DWQ No. t?.
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
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 11
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. 149 over an unnamed tributary to Sandy Creek on SR 1457 in
Franklin County
2. T.I.P. Project Number or Work Order: Work Order No. 5.3652
3. Property Identification Number (Tax PIN):
4. Location
County: Franklin Nearest Town: Louisburg
Subdivision name (include phase/lot number):
Directions to site (include road numbers, landmarks, etc.): From Louisburg, travel on
northeast on NC 561, turn right on SR 1451 and travel southeast, turn right on SR 1456 and
travel south, turn left on SR 1457 and travel east to project site.
5. Site coordinates, if available (UTM or Lat/Long): 17 757408E 4004066N UTM
(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 70 feet longL and 105 wide. Property size is
approximately 0.2 acre.
8. Nearest body of water (stream/river/sound/ocean/lake): Unnamed tributary to Sandy 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/maw.)
10. Describe the purpose of the proposed work: Replacement of Bridge No. 149 over an
unnamed tributary to Sandy Creek on SR 1457 in Franklin County. The replacement
structure is 1 @ 24 foot x 5 foot 9 inch corrugated aluminum arch box culvert.
11. List the type of equipment to be used to construct the project: Excavator, crane,
backhoe and bulldozer.
Page 4 of 11
12. Describe the land use in the vicinity of this project: 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.
1. 'Wetland m pacts
Wetland Impact Type of Area of Located within Distance to
Site Number Impact* Impact 100 yearFloodplain** Nearest Stream Type of Wetland***
(indicate on ma) (acres) (es/no) (linear feet)
Site 1 Excavation <0.01 No Adjacent Emergent-Scrub-Shrub
Site 1 Fill <0.01 No Adjacent Emergent-Scrub-Shrub
List each unpact 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 litto:/H A-viv. fema. goy.
*** List a wetland type that best describes wetland to be impacted (e.g., freshwater/saltwater marsh, forested wetland, beaver pond,
Carolina Bay, bog, etc.)
List the total acreage (estimated) of existing wetlands on the property: <0.01 acre
Total area of wetland impact proposed: <0.01 acre
Page 5 of 11
2. Stream Impacts, including all intermittent and perennial streams
Stream Impact Average Width of Perennial or
Site Number
(indicate on
Type of Impact* Length of Impact

(linear feet)
Stream Name**
Stream Before Intermittent?

(please
map) Impact specify)
Site 1 Rip rap placed along streambank 20 UT Sandy Creek 12 feet Perennial
Site 1 Placement of structure at creek 65 UT Sandy Creek 12 feet Perennial
Site 1 Temporary Dewatering 105 UT Sandy Creek 12 feet Perennial
List each impact separately and identity temporary impacts. Impacts include, but are not limited to: culverts and associated rip-rap,
dams (separately list impacts due to both structure and flooding), relocation (include linear feet before and after, and net loss/gain),
stabilization activities (cement wall, rip-rap, crib wall, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is
proposed, plans and profiles showing the linear footprint for both the original and relocated streams must be included
* * Stream names can be found on USGS topographic maps. If a stream has no name, list as UT (unnamed tributary) to the nearest
downstream named stream into which it flows. USGS maps are available through the USGS at 1-800-358-9616, or online at
Several intemet sites also allow direct download and printing of USGS maps (e.g., %N ,-i v toptyorae
liV':W1-1]'1D 1!Q Lcoln,etc.).
Cumulative impacts (linear distance in feet) to all streams on site: 85 feet permanent fill
alona/at streambank and 105 feet temporary impacts for dewatering.
3. Open Water Impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any
other Water of the U. S.
Open Water Impact
Site Number
(indicate on ma)
Type of Impact* Area of
Impact

(acres)
(if Name applicable) Wate) Type of Waterbody
(lake, pond, estuary, sound,

bay, ocean, etc.)

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: fill, excavation, dredging,
flooding, drainage, bulkheads, etc.
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
Page 6 of 11
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. Strict enforcement of sedimentation and erosion control High
Quality Water Guidelines 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 necessarto
safely complete the proiect. The replacement structure is a bottomless culvert which reduces
impacts to the stream.
VHL Mitigation
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on March 9, 2000, mitigation will be required when
necessary to ensure that adverse effects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed. Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USACE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCWRP concurrence shall be placed on hold as
incomplete. An applicant may also choose to review the current guidelines for stream restoration
in DWQ's Draft Technical Guide for Stream Work in North Carolina, available at
http://'h2o.enr.state.ne.usfncwetlands/strmgide.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.
Page 7 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 1 :;(t?2?. zlr.state.nc. ? l i, /ia dex.hial. 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 ?
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.
Page 8 of 11
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 El 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* (sqImpact uare feet) Multiplier Mitigation
1 3,250 3
2 0 1.5
Total 3,250
* 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
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 0.2 acre total project size.
Proposed: 0.03 acre impervious surface of 0.2 acre total project size
High Quality Water Guidelines and other erosion control measures will be placed in a manner to
preclude sediment from leaving the site All temporarily disturbed areas will be reve eg tated
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.
XM. 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
Page 9 of 11
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).
I C11, S'- ok
Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
US Army Corps Of Engineers Field Offices and County Coverage
Asheville Regulatory Field Office Alexander Cherokee Iredell Mitchell
US Army Corps of Engineers Avery Clay Jackson Polk
151 Patton Avenue Buncombe Cleveland Lincoln Rowan
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
US Army Corps Of Engineers Alleghany Edgecombe Lee Stokes
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
US Army Corps Of Engineers Bertie Dare Lenoir
Post Office Box 1000 Camden Gates Martin
Washington, NC 27889-1000 Carteret* Green Pamlico
Telephone: [phone] Chowan Hertford Pasquotank
Fax: [phone] Craven Hyde Perquimans
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
Pitt
Tyrrell
Washington
Wayne
Union
Watauga
Yancey
Wilson
Yadkin
*Croatan National Forest Only
Page 10 of 11
US Fh
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]
CAMA and NC Coastal Counties
State Historic Preservation Office
Department Of Cultural Resources
4617 Mail Service Center
Raleigh, NC 27699-4617
Telephone: [phone]
Fax: [phone]
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 11 of 11
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-or sand bags to dewater stream.
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N o'
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.
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Temporary placement of rip rap
or sand bags to dewater stream.
Note:
Wetland
Site 1--Construction Impact
Bridge No. 149 on SR 1457
Franklin County
Figure 2 111=50'
DATA FORM
ROUTINE WETLAND DETERMINATION
(1937 COE Wetlands Delineation Manual)
ProjectiSite: !? c , ke- ?j 0 • ,1 5 ! S Data: L f • o t
ApplicantiOwner:
41 C -b O v- County: 'F ran k- (1,n
_
Investigator: 0 r r ? State: 'flc
Do Normal Circumstances exist on the site? ? No Community ID: U911 Jl
Is the site significantly disturbed (Atypical Situation)? Yes (!P Transect 1D: _%e-1
Is the area a potential Problem Area? Yes I?c3 Plot ID:
(If needed, explain on reverse.)
VEGETATION
Dominant Plant Species Stratum Indicator Dominant Plant Species Stratum Indicator
t t1J s. L,ciJSkCJ,, c?,v??its C
2. Ac-ei FAC 10.
3. QjX-rcoS _
T_ cJ 11.
4, OA A-,r LL
FA C3-? 12.
5. ce?c,% im ;r Ac- 13.
6.11" <a tv'JIIN . ? :F A 1- 14.
7. R??JS c?r?Jt?j )fi 15.
8. ?2rc?? 5+e11o. +. I- ? X0 1S.
Percent of Dominant Species that are .08L, FACW or FAC _
(excluding FAC-).
Remarks:
Q Rlsj - E/v 2
5 Q ec, es a 1- Si +Q_
HYDROLOGY
Recorded Data (Describe in Remarks): Watland Hydrology Indicators:
Stream, Lake, or Tide Gauge Primary Indicators:
_ Aerial Photographs _ Inundated
_ Other Saturated in Upper 12 Inches
-
No Recorded Data Available
i 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
Men Unit lama
(Series and Phase): Drainage Class:

Taxonomy (Subgroup): Field Observations
Confirm Mapped Type? Yes No
Profits Ds.^,crioiion:
Depth Matrix Color
(inches) Horizon Oflunsall Moist) Mottle Colors
(Munsall Moist) Mottle Texture, Concrations,
Abundance/Contrast Structure at
c.
0
0 CL

Hydric Soil Indicators:
Histosol _ Concretions
Histic Epipedon
- _ Hi6h 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)
Remark3:

15 re s<- f 5;
WETLAND DETERMINATION
Hydrophytic Vegetation Present? Q-tas
Wetland Hydrology Present? Yes
Hydric Soils Present? Yes
Remarks:
NdA-w 2 -? (llnJ aft
OL+- -, ? .
s? (Circle) (Circle)
>J/ Is this Sampling Point Within a Watland? Yes 1UcV 1
?ccra,Me.kr- g are, /lit-- ??e?2?--t-,
DATA FORM
€ OUTINE WETLAND DETERMINATION
0 987 COE Wetlands Delineation Manual)

Applicant?Owner; ? c L') oT- County: Fr--,^ L l *
Investigator: kr, u rr State: t4 L
Do (forma( Circumstances exist on the site? as No Community I : 1. f_ --(c.?
Is the site significantly disturbed (Atypical Situation)? es 3o Transact ID: 1 +,a- k
Is the area a potential Problem Area? Yes Plot ID:
of needed, explain on reverse.) v
VEGETATION
Dominant Plant Species Stratum Indicator Dominant Plant Species Stratum Indicator
1?- r q?` end CcIR@nSi S ( EA Cv? 9.
2.1? r?5 Q7?u v Vi ?w??r2 uw. FA Gt- 10.
3.? 05=. 4g?uc}r, c S? L 11.
4._Cct ex 12.
5.0A0 Clea SeA5., b"Its 14 13.
6.f/i ll u (A,j Nt 14.
7. Ace,- r,)brL) A^ ? PrL 16.
8. POl ?TAJ w.. 4g .+ +r4w--- 0 ? 16.
Percent of Dominant Species that are.OBL, FACW or FAC
a
(excluding FAC-). C d 0
o
Remarks:
Q r2.raten C e N
k f<< Sperm, e S G-t 5, t2
HYDROLOGY
_ Recorded Data (Describe in Remarks): Wetland Hydrology Indicators:
-Stream, Lake, or Tide Gauge Primary Indicators:
_ Aerial Photographs _ Inundated
_ Other _/Saturated in Upper 12 Inches
_ No Recorded Data Available _ Water Darks
_ Drift Lines
Sediment Deposits
Field Observations: ?6rainege 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: (O (in.) _ Local Soil Survey Data
FAC-Neutral Test
Depth to Saturated Soil: b (in.) _
_ Other (Explain in Remarks)
Remarks:
W e4lt????t??o?x?.t ig ?leJa(c-??- of 5? ?2
SOILS
Msp Unit Name
(Series and Phase): Drainage Class:

Taxonomy (Subgroup): Field Observations
Confirm Mapped Type? Yes No
Profile Desclption:
Depth Matrix Color
' Mottle Colors Mottle Texture, Concretions,
inohes Horizon Uylunsall Moist) (M ns:ail Moist) Abundancs Contrast Structure, etc.

ti
on X 5 17--

3-6
6[I -t?r(? CJMMJ/?, ?lS fl/l Ci' GAS'-l (J LY w?

G-l2?( (z _
10 •t?S_(b r-.Jn
j"
c?cSr,.?s
_
,
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
Ra cing Conditions _ Listed on National Hydric Soils List
_(eyed or Low-Chroma Colors _ Other (Explain in Remarks)
Remarks:

WETLAND DETERMINATION
Hydrophytic Vegetation Present? as No (Circle) (Circle)
Wetland Hydrology Present? a No
Hydric Soils Presen47 a No Is this Sampling Point Within a Wetland? l.J No
Remarks: J
(J2 E-l( 1S QtC'Se?'! q ?l PGrc?,t..e r--T Ctr (E'unf-

WETLAND RATING WORKSHEET (4th VERSION),
Project Name: T?c.No•?y°lon R!?(S County: :P-ruA k
Nearest Road: eix (uS'? Date: co• ( v
Wetland Area (ac): Wetland Width (ft): ,
Name of Evaluator(s) : C6,,-, hAJ+-rc-'?.
Wetland Location:
on sound or estuary
pond or lake
--"*on perennial stream
on• intermittent stream
within interstream divide
other
soils
Soil Series
predominantly organic
(humus, muck or peat)
predominantly mineral (non-sandy)
predominantly sandy
H.rdraulic Factors
?freshwater brackish
steep topography
ditched or channelized ;
total wetland width > 100 feet.
Adjacent Land Use:
(Within 1/2 mi upstream,
slope, or radius)
forested/natural veg. 70 o
agriculture/urbanized 2,5_-10
?- impervious surface
Adjacent Special Natural Areas
Dominant ye;etation
`a i P J V?.Kin2?1 r.
(2)
(3) Ut p v tn3 M ^ J J r?
F loodin; and Wetness
semipermanently to
permanently flooded or
jnundated
./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 / 0ther:la?tQwD,,9 (Fli
*The rating system cannot be applied to salt or brackish marshes or
stream channels.
DEM RAT I.NG
WATER STORAGE.
.mil+.iy i4, -)f. iLi .l\, J..L 1\Fi •?•.•i,: JJ .. ..+.. r.l+. ?`l i.
POLLUTANT REMOVAL
WILDLIFE HABITAT
AQUATIC LIFE VALUE
RECREATION/EDUCATION
Z x 4.00 =

L * x 5.00 = IO
2.00 =
x 4.00 =
x 1.00 =
WETLAND SCORE
(TOTAL)
* Add 1 ?pint if in sensitive watershed and >10Q nonpoint
?encrreom tinelnnP nr raciiun
disturbance