20010912 Ver 1_Complete File_20010618

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
Michael F. Easley, Governor
William G. Ross, Jr., Secretary
Kerr T. Stevens, Director
11kTW"!;WAJ
1 •
NC ENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
July 4, 2001
Halifax County
DWQ Project No. 010912
APPROVAL OF 401 Water Quality Certification
Mr. James H. Trogdon, Division Engineer
NCDOT, Division 4
PO Box 3165
Wilson, NC 27895-3165
Dear Mr. Trogdon:
You have our approval, as described in your application dated June 8, 2001, and in accordance with the
attached conditions and those listed below, to place fill material in 0.10 acres of jurisdictional wetlands and
36 linear feet of streams. In addition, you are authorized to impact 40 linear feet of streams for purposed of
dewatering the construction site. The project's purpose is the widening and improving of SR 1131 (Shields
Road) from the existing pavement to NC 561 in Halifax County. The project shall be constructed in
accordance with your application dated June 8, 2001. After reviewing your application, we have decided
that this till is covered by General Water Quality Certification Number 3289. This certification corresponds
to the Nationwide Permit Number 14 issued by the Corps of Engineers. In addition. You should acquire any
other federal, state or local permits before you proceed with your project including (but not limited to)
Sediment and Erosion Control, Non-Discharge and Water Supply Watershed regulations. This approval
will expire when the accompanying 404 permit expires unless otherwise specified in the General
Certification.
This approval is valid solely for the purpose and design described in your application (unless modified
below). Should your project change, you must notify the DWQ and submit a new application. If the
property is sold, the new owner must be given a copy of this Certification and approval letter, and is thereby
responsible for complying with all the conditions. If total wetland fills for this project (now or in the future)
exceed one acre, or of total impacts to streams (now or in the future) exceed 150 linear feet, compensatory
mitigation may be required as described in 15A NCAC 2H .0506 (h) (6) and (7). ). This approval shall
expire with the corresponding Nationwide Permit expires or as otherwise provided in the General
Certification. For this approval to be valid, you must follow the conditions listed in the attached
certification and any additional conditions listed below.
1. Upon completion of the project, the NCDOT shall complete and return the enclosed "Certification of
Completion Form" to notify DWQ when all work included in the 401 Certification has been completed.
The responsible party shall complete the attached form and return it to the 401/Wetlands Unit of the
Division of Water Quality upon completion of the project.
2. For the 40 linear feet of streams being impacted due to site dewatering activties, the site shall be graded
to its preconstruction contours and revegetated with native vegetation.
Wetlands/401 Unit 1650 Mail Service Center Raleigh, North Carolina 27699-1621
Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50c/, recycled/ 101k post consumer paper
State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
Michael F. Easley, Governor
William G. Ross, Jr., Secretary
Kerr T. Stevens, Director
1 09WAA •
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
If you do not accept any of the conditions of this certification, you may ask for an adjudicatory hearing.
You must act within 60 days of the date that you receive this letter. To ask for a hearing, send a written
petition, which conforms to Chapter 150B of the North Carolina General Statutes to the Office of
Administrative Hearings, P.O. Box 27447, Raleigh, N.C. 27611-7447. This certification and its conditions
are final and binding unless you ask for a hearing.
This letter completes the review of the Division of Water Quality under Section 401 of the Clean Water
Act. If you have any questions, please contact John Hennessy at 919-733-1786, or Steve Mitchell at 919-
571-4700.
Attachment
cc: Wilmington District Corps of Engineers
Corps of Engineers Raleigh Field Office
DWQ Raleigh Regional Office
File Copy
Central Files
c:\ncdot\SR 1131\wqc\010912wgc.doc
incerely,
/18 tevens
Wetlands/401 Unit 1650 Mail Service Center Raleigh, North Carolina 27699-1 62 1
Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 507, recycled/1017,, post consumer paper
SIAQ
STATE or NORTH CAROLINA
DEPARTMENT OF TRANSPOF:TATION
MICHAEL F. EASLEY LYNDO TIPPETT
GovEIt..1oR
June 8, 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
SECRETARY

Subject: Secondary road improvements to SR 1131 (Shields Road) fromexisting
pavement to NC 561 in Halifax County, including replacement of Bridge
# 117. State Project No. 6.302266.
The North Carolina Department of Transportation (NCDOT) proposes to upgrade
SR 1131 (Shields Road) from existing pavement to NC 561 in Halifax County, including
replacement of Bridge #117. SR 1131 is an unpaved roadway that will be upgraded to a
paved roadway. Total project length is 3.75 miles.
Transportation and highway laws of North Carolina (G.S. 136-44.6, 136-44.7,
136-44.7A, 136-44.8, and 136-44.9) require the NCDOT to develop annual work
programs for construction and maintenance of secondary roads. These general statutes
specifically set forth requirements for annual construction and paving of existing unpaved
roads. Paving of these roads is performed in priority order as established by the NCDOT
for each unpaved road within a given county. This number is based on characteristics of
each road, including number of homes, schools, churches, businesses, industries,
recreational facilities, traffic counts, presence of school bus routes, and value as a
thoroughfare. Shields Road is scheduled for paving in the 2000-2001 Secondary Roads
Construction Program. Bridge No. 117 is approximately 30 years old and in poor
condition. The existing road will be slightly realigned to improve vehicular safety, and the
bridge replaced in order to upgrade safety conditions at the site.
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Post Office Box 3165, Wilson, North Carolina 27895-3165
Impacts to Waters of tlie' United States
Construction of the project will necessitate impacts to waters of the United States
in the Roanoke River Basin. The existing road currently crosses four unnamed perennial
tributaries to Conconnara Swamp, of which three crossings have existing culverts and one
crossing consists of a wooden bridge (Bridge #117). The existing bridge will be replaced
with a new bridge, approximately 10 feet northeast of the existing location, with
approximately the same dimensions as the existing bridge. Impacts to the stream from
construction include temporary impacts and minimal impacts due to the bridge
replacement. The subject road will be closed during construction and a temporary detour
using existing roads will be provided. The three pipe replacements listed below will
impact a total of 36 additional square feet of stream channel, due to minimal increases in
length of the proposed pipes.
LOCATION EXISTING EXISTING PROPOSED PROPOSED
Station Width ft. Length ft. Width (in.) Length (ft.)
28+25 7.5 48 7.5 60
47+75 3.7 36 3.5 52
57+25 7.5 44 7.5 50
65+25 (Br. 117) 25 22 25 30
The proposed road realignment impacts approximately 0.096 acres, the minimal
amount necessary to accomplish proposed safety improvements to the road. Wetlands
were observed adjacent to the existing roadside ditches, on both sides of the existing road,
from Station 61+50 to 65+25, approximately 350 feet northwest of the existing bridge.
Wetland data forms are attached for documentation.
Waters of the U.S. Mitigation
Avoidance: Minimal ditch work will be performed within the wetland area
identified between Stations 61+50 to 65+25. The proposed realignment is the minimum
necessary to upgrade safety conditions on the subject road by reducing the curvature. 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: The subject bridge will be replaced with a bridge in order to
minimize wetland and stream channel impacts, and the road relocation has also been
minimized for the same reasons. The side slopes have been steepened to the extent
possible at jurisdictional sites. Sedimentation and erosion control Best Management
Practices for the protection of wetlands and surface waters will be strictly enforced during
project construction. Continued coordination will occur with maintenance forces and the
Environmental Officer during construction to minimize impacts to waters of the U.S. at
these sites.
Compensatory i\litif4ation: Construction of the project will result in less than 0.1
acres of impacts to waters of the U.S., therefore no compensatory mitigation is required at
this time. Impacts have been minimized to the maximum extent possible during the design
process.
Riparian Buffer Impacts
The construction of the project involves a road crossing of a stream that is located
within the Roanoke River Basin and therefore is not subject to any Riparian Buffer Rules.
Efforts will be made to minimize the impacts of any additional storm water by the
installation of appropriate best management practices for sediment and erosion control.
Dewatering
The NCDOT proposes to temporarily dewater the stream during the proposed pipe
replacements. This will involve the temporary placement of sandbags, sheet metal
cofferdams, or Class B or Class 2 rip rap covered with filter fabric in the stream channel
approximately 10 feet upstream of the proposed pipe inlet. 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 for less
than five consecutive working days. This will result in minor temporary impacts to these
surface waters.
Temporary impacts to the stream from the pipe replacements will result in the dewatering
of a total of approximately 210 square feet (0.005 acres) of streambed and approximately
40 linear feet of stream channel for the proposed bridge replacement. The sandbags or
riprap covered with filter fabric will be entirely removed after construction.
Regulatory Review
The subject project has been reviewed and concurrence obtained from the State Historic
Preservation Office that there is no effect to any National Register or Study-listed
properties within the subject projects Area of Potential Effects. (See attached Concurrence
Form.)
The subject project has been reviewed by the Environmental Officer and by the U.S. Fish
and Wildlife Service (USFWS) representative for the presence of listed threatened and
endangered species. The subject project has been determined to have no effect on any
listed threatened or endangered plant or animal species.
Permit Issues
The purpose of this letter is to request authorization under Section 404
Nationwide Permit (NWP) 14, Linear Transportation Crossings for the secondary road
improvements and a General Permit #31 for the proposed bridge replacement.
Notification for the use of NWP 14 to the USACE is required due to the proposed 0.08
acres of wetland impacts associated with this project. Also, notification to the North
Carolina Division of Water Quality (NCDWQ) for Section 401 Water Quality Certificate
(WQC) No. 3289 is required for this project. NCDOT will comply with all conditions
associated with this MVP and WQC.
Additionally, the purpose of this letter is to request authorization under a Section
404 NWP 33 to temporarily dewater the stream during; the proposed pipe replacements.
The 401 WQC No. 3114 (which corresponds to NWP 33) does not require written
concurrence from the NCDWQ as NCDOT intends to comply with conditions for the
WQC.
Summary
NCDOT proposes to upgrade and pave SR 1131 in Halifax County. Temporary
impacts to the stream from dewatering activity will involve 210 square feet (0.005 acres)
of streambed and approximately 40 linear feet of stream channel. Impacts associated with
the bridge replacement at this project include no additional fill in surface waters and
minimal temporary impacts to the existing; channel. The three proposed pipe replacements
will impact a total of 36 additional square feet of stream channel, due to minimal increases
in length of the proposed pipes. Approximately 0.096 acres of wetland impacts are
anticipated as a result of safety improvements to the subject road. The project is located
in the Roanoke River Basin, which currently has no riparian buffer regulations in effect.
The NCDOT asks that the dewatering; of the stream be authorized under a Section 404
NWP 33. The NCDOT will adhere to all applicable Section 404 NWPs and Section 401
WQCs conditions. If you have any questions or need additional information, please
contact Ms. Robin M. Little at [phone].
Y,
Jaidi RI. Trogdon, III, P.E.
Dive Sion Engineer
cc: Mr. David Franklin, USACE,WJfmi 11 -toil
Mr. John Dorney, NCDWQ, Ra eigh
Mr. David Cox, NCWRC, Creedmoor
Mr. Garland Pardue, USFWS, Raleigh
Ms. Renee Gledhill-Earley SHPO, Raleigh
Mr. Bryant Bunn, P.E., Division Maintenance Engineer
Mr. Andy Mills, District Engineer
Mr. Franz Enders, Assistant District Engineer
Mr. Don Goins, P.E., Chief Engineer, Operations
Office Use Only: Fonn VusionApii12001
USACE Action ID No. DWQ No.
If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A" rather than
leaving the space blank.
1. Processing
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, 33, GP 31
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: F]
IL Applicant Information
Owner/Applicant Information
Name: Mr. James H. Trondon III P.E. Division Ennineer
Mailing Address: North Carolina Department of Transportation /Division 4
P.O. Box 3165
Wilson NC 27895-3165
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: ,itrog don a, dot. state. no. us
2. Agent Information (A signed and dated copy of the Agent Authorization letter must be
attached if the Agent has signatory authority for the owner/applicant.)
Name: Ms. Robin M. Little
Company Affiliation: Division Environmental Officer
Mailing Address: North Carolina Department of Transportation/Division 4
P.O. Box 3165
Wilson NC 27895-3165
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: rmlittlegdot.state. nc us
Page 3 of 12
III. Project Information
Attach a vicinity map clearly showing the location of the property with respect to local
landmarks such as towns, rivers, and roads. Also provide a detailedsite plan showing property
boundaries and development plans in relation to surrounding properties. Both the vicinity map
and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities must be included. If possible, the maps and plans should
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USACE requires information to be submitted on sheets no larger than 11 by 17-inch format;
however, DWQ may accept paperwork of any size. DWQ prefers full-size construction
drawings rather than a sequential sheet version of the full-size plans. If full-size plans are
reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps are provided.
1. Name of project: SR 1131, Shields Road, and Bridge #117, State Project No. 6.302266.
2. T.I.P. Project Number (NCDOT Only):
3. Property Identification Number (Tax PIN): NA
4. Location
County: Halifax Nearest Town: Tillery
Subdivision name (include please/lot number):
Directions to site (include road numbers, landmarks, etc.): Approx. 2.7 miles from Tillery
on SR 1131, at end of pavement to NC 561.
5. Site coordinates, if available (UTM orLat/Long): UTM 18 281676E 4015171N
(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 distinctwaterbody.)
6. Describe the existing land use or condition of the site at the time of this application: Rural,
agricultural.
7. Property size (acres):
8. Nearest body of water (stream/river/sound/ocean/lake): UT to Conoconnara Swamp (DWO
ID ## 23-33 C
9. River Basin: Roanoke River
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available athttl)Wh2o.enr.state,tic.us/admin/map/.)
10. Describe the purpose of the proposed work: Road realignment grading drainage base,
paving and erosion control to bring existing ravel road in compliance with standard safety
design specifications, replace bridge with bridge within 20 feet of existing location.
Page 4 of 12
1 1. List the type of equipment to be used to construct the project:
Heavy constriction equipment ( back hoe, track hoe excavator, dump truck)
12. Describe the land use in the vicinity of this project: Rural agricultural
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.
NA
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: NA
VI. Proposed Impacts to Waters of the United States/NVaters of the State
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. The applicant must also
provide justification for these impacts in Section VII below. All proposed impacts, permanent
and temporary, must be listed herein, and must be clearly identifiable on an accompanying site
plan. All wetlands and waters, and all streams (intermittent and perennial) must be shown on a
delineation map, whether or not impacts are proposed to these systems. Wetland and stream
evaluation and delineation forms should be included as appropriate. Photographs may be
included at the applicant's discretion. If this proposed impact is strictly for wetland or stream
mitigation, list and describe the impact in Section VIII below. If additional space is needed for
listing or description, please attach a separate sheet.
Page 5 of 12
1. Wetland Impacts
Wetland Impact Area of Located within Distance to
Site Number Type of Impact* Impact 100-year Floodplain** Nearest Stream Type of Wetland***
(indicate on nut) (acres) (es/no) (linear feet)
Stn 61+50 - 65+25 MC, G, F, D/D 0.096 yes 0 -350 feet PSS/PFO1
* 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 neaps. Maps are available through the FEMA Map Service Center at 1-800-358-9616, or
online at ht1p://??ww.fema.,;ov.
*** List a wetland type that best describes Nvetland to be impacted (e.g., freshwater/saltwater marsh, forested wdland, beaver pond,
Carolina Bay, bog, etc.)
List the total acreage (estimated) of existing wetlands on the property: NA
Total area of wetland impact proposed: 0.096 acres
2. Stream Impacts, including all intermittent and perennial streams
Stream Impact Length of Average Widtln Perennial or
Site Number Type of Impact* Impact Stream Name** of Stream Intermittent?
(indicate on map) (linear feet) Before Impact specify)
28+25 90" CMPA 12 UT to Conoconnalra 7.5 feet Perennial
Swann
47+75 44" CMP 16 UT to Conocomara 3.5 feet Perennial
Siva nn
57+25 90" CMPA 8 UT to Conocotmara 6 - 7 feet Perennial
Swans
65+25 Bridge 0 UT to Conocornam 20 feet Perennial
Swam
" List each impact separately and identify temporary impacts. Impacts include, but are not limited to: culverts and associatedp-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 niust be included.
Stream names can be found on USGS topographic neaps. If a stream has no name, list as UT (unnamed tributary) to the nearest
downstrcanl named stream into wtnclr it flows. USGS maps are available through the USGS at 1-800-358-9616, or online at
?_v?y7v_usgs gov. Several internet sites also allow direct download and printing of USGS neaps (e.g., Ny_?1_}yjo pozone-con1,
ww}y,ma x uest.com, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: 34 Bridge #117 -
bridged from high ground to high ground)
Open Water Impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any
other Water of the U.S.
Open Water Impact Area of Name of Waterbod
y Type of Waterbody
Site Number Type of Impact* Impact (if applicable) (lance, pond, estuary, sound,
(indicate on map) (acres) bay, ocean, etc.)

* List each impact separately and identify temporary impacts. Impacts include, but are not linAld to: fill, excavation, dredging,
flooding, drainage, bulkheads, etc.
Page 6 of 12
4. Pond Creation
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ? uplands ? stream ? wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.):
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aestlietic, trout pond,
local stormwater requirement, etc.):
Size of watershed draining to pond: Expected pond surface area:
VII. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts.
All wetlands or surface waters not affected by the project will be protected from unnecessary
encroachment. No stn,ing of construction equipment will be allowed in or near wetlands or
waters of the U.S. Strict enforcement of sedimentation and erosion control Best Management
Practices for the protection of wetlands and surface waters will be enforced during, project
VIII. Mitigation
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on March 9, 2000, mitigation will be required when
necessary to ensure that adverse effects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed. Examples of mitigation that may be appropriate and practicable include,
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.
Page 7 of 12
If mitigation is required for this project, a copy of the miti gation 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 sliall 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.usr`ncwetlands/strm,,ide.htmt
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.
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:hl12o.ell1'.State.tic. usAyJ A11dex.tltill. 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):
Amount of buffer mitigation requested (square feet):
Amount of Riparian wetland mitigation requested (acres)-
Amount of Non-riparian wetland mitigation requested (acres
Amount of Coastal wetland mitigation requested (acres):
LX. 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.
Page 8 of 12
Yes ? No
X.
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 ?
Proposed Impacts on Riparian and Watershed Buffers (DWQ Only)
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required state and local buffers associated with the project. The applicant must also provide
justification for these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Meuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and
Water Supply Buffer Requirements), or other (please identify )?
Yes ? No ® If you answered "yes", provide the following information:
Identify the square feet and acreage of impact to each zone of the riparian buffers. If buffer
mitigation is required calculate the required amount of mitigation by applying the buffer
multipliers.
Zone* Impact
(s care feet) Multiplier Required
Mitigation
1 0 3 0
2 0 1.5 0
Total 0 0
Gone 1 extends out :iU Ieet petpendlcular Irom near banK oI channel; Gone l extends an
additional 20 feet from the edge of Zone 1.
If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation
of Property, Conservation Easement, Riparian Buffer Restoration / Enhancement, Preservation or
Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as
identified within 15A NCAC 2B .0242 or.0260.
XI. Stormwater (DWQ Only)
Describe impervious acreage (both existing and proposed)
Discuss stormwater controls proposed in order to protec
downstream from the property.
versus total acreage on the site.
t surface waters and wetlands
Pagc 9 of 12
Temporary dewatering and all appropriate best management practices for sediment and erosion
control will be implemented during pipe replacement
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.
XIII. Violations (DWQ Only)
Is this site in violationof DWQ Wetland Rules (15A NCAC 2H.0500) or any Buffer Rules?
Yes ? No
Is this an after-the-fact permit application?
Yes ? No
XIV. Other Circumstances (Optional):
It is the applicant's responsibility to submit the application sufficiently in advance of desired
construction dates to allow processing time for these permits. However, an applicant may
choose to list constraints associated with construction or sequencing that may impose limits on
work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and
Threatened Species, accessibility problems, or other issues outside of the applicant's control).
(-JI O /V
Applicant/ gent's Signature Dto
(Agent's s'o iature is valid only if an authorization letter from the appli ant s provided.)
US Army Corps Of Engineers Field Offices and County Coverage
Asheville Regulatory Field Office Alexander Cherokee Iredell Mitchell Union
US Arniy Corps of Engineers Avery Clay Jackson Polk Watauga
151 Patton Avenue Buncombe Cleveland Lincoln Rowan Yancey
Room 208 Burke Gaston Macon Rutherford
Asheville, NC 28801-;006 Cabarrus Grahamn Madison Stanlcy
Telephone: [phone] Caldwell Haywood McDowell Swain
Page 10 of 12
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JOHN HANCOCK MUTUAL LIFE INS. CO.
1354-193
6x2,,2
90- METAL PIPE PROP RW
/SR`1T3? N O?
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???6x2x2
15' CONC PIPE
AD - 12'X90" CMP ?
PROP RNV
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13110J. REFERENCI

JOHN HANCOCK MUTUAL LIFE INS. CO.
1354-193 OX-,X2
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PROP R1VN
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PROP 52'X42' RCP
SR 1131 o, - 4i--M()
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PERMIT OF ENTRY C?
REO'D FOR CLEANOUT
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5 43.50' 30.0" E', PROP RrW
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SR 1131
PROP R1W

90• METAL PIPE
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M.P. & B.P. WOODARD
NOTE: STONE DITCH LINER FROM
STA. 56+20 TO 58+40 LT.&RT. OF -L-

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`:?-.Z'T?b.? (!S.:.'?'i:._`.:Jt.::.:rter•,Y.ry::a?tir't:'..T:.?,.. wiLL`.L...i4't1Y L:]fdJli.A"l:ti:...6A:1..r?WSY. LRI:?.
N A U i /N%E bKHNCH
F ax J D- (IM-1i May 2.5 ' U1 10; 1J r. 1-14
County: Hallfax NCDOTDivision # 4 District 4 1
CONCURRENCE FORAI.FOR PROPERTIES NOT ELIGIBLE FOR THE NATIONAL
REGISTER OF`HISTORIC PLACES,
FOR STATE FUNDED SECONDARY ROAD PROJECTS ONLY
Project Description: Pave and Widert Halifax SR 1.131 from end of existing paving to NC 561 including parts of
the Tillerv Resettlement District HX 541 (SL) and Eondconnara HX 515 (SL)
On May 17, 2001, representatives of the
North Carolina Department ofTransportation. (NCDOT
)
North Carolina State Historic Preservation Office.(HPO)
? Other
Reviewed the subject project at
n / a scoping meeting
photograph review sessionkonsultation,
? other
All parties present agreed
There are no properties over fifty years old within the project's Federal Pcrmit Site's (or Sites') area (or
areas) of potential effects (APE).
There are no properties less than fifty years oId.that are considered to meet Criterion Consideration G
ithin the project's Federal Permit Site's. (or sites') area Eoi areas) of potential effects.
There are properties over fifty years old.(Iist attach-ed) within the project's Federal Permit Site's (or Sites')
area (or areas) of potential effects, but based on the:historical information available and the photographs of
each property, properties identified &&01 are considered not eligible for the National Register and
no further evaluation is necessary.
There are no National Register or Study-Listed, properties located within the secondary road project's area
of potential effects.
g_here are no historic properties. affected. by this project.. >Note: The 1711ery Resetrlement District, HX 541
(SL) and Condconnara. HX 515 (SL) will riot be affected-by this project.
Signed: _
I 1I_MAaAA' e
t-
Representative, NCDOT Date
41 lax
Representative, HPO bate 2;3/0J7
State Historic Preservation Officer Date
If a survey report is prepared, a final copy of this form and the attached list will be included.
. DATA FORM
ROUTINE WETLAND DETERMINATION
(1987 COE Wetlands Delineation Manual)
Project/Site: Sl2 1131 Date: ?Z2 7 A 90
Applicant/Owner: County: ff,.)I; Au-x
Investigator: Km I_i1T r State: NG
Do normal circumstances exist on the site? Yg No Community ID:
Is the site significantly disturbed (Atypical Situation)? Yes Transect ID:
Is the area a potential Problem Area? Yes Plot ID:
(If needed, explain on reverse.)
VEGETATION
Dominant Plant Species Stratum Indicator Dominant Plant Species Stratum Indicator
1. 14 i p Po p 14-y- 6)5 - CvJ 9.
2. Rtj Vbta,p[C_ 65 ACw- 10.
3. SWAVAe tt1(-560- 02 _j?2 C'_ PAGW- 11.
4. U 2-,L-;d -fa ;1 uS/? 413 L 12.
5. S&AS; fiyr?-b+y\ H_ FAGS J 13.
6. 14.
7. 15.
B. 16.
Percent of Dominant Species that are OBL, FACW or FAC
(excluding FAC-). g / b
Remarks:
HYDROLOGY
_ Record Data (Describe in Remarks):
Stream, Lake, or Tide Gauge
Aerial Photographs
Other
No recorded data available Wetland Hydrology Indicators:
Primary Indicators:
Inundated
-!Saturated in Upper 12 inches
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 ins.
Water-stained leaves
Depth to Free Water in Pit: (in.) v Local soil survey data
t/ FAC-Neutral test
Depth to Saturated Soil: Z (in.) - Other (explain in remarks)
Remarks: abv,,?? b?hk in +Dro
36O, (YOWL b,ri c' &/ Poi -. t
D
DATA FORM
ROUTINE WETLAND DETERMINATIQN
(1987 COE Wetlands Delineation Manual)
Project/Site: Sr2 X131 Date: q)-Z? /oo
Applicant/Owner: County:
Investigator: RM uITLE State: ?c
Do normal circumstances exist on the site? Yes No Community ID:
Is the site significantly disturbed (Atypical Situation)? Yes Transect ID:
Is the area a potential Problem Area? Yes o Plot ID:
(If needed, explain on reverse.)
VEGETATION
Dominant Plant Species Stratum Indicator Dominant Plant Species Stratum Indicator
1. $WQ-TGUm u5 T-AC+ 9.
2. 12&p mAPL1- ns/uS E CW- 10.
3. 5T-RN kE-D OA 1= 05 L.t 11.
4. -Tk U P Po P LA K_ OS rACw _ 12.
5. 13.
6. 14.
7. 15.
8. 16.
Percent of Dominant Species that are OBL, FACW or FAC
(excluding FAC-). z:. S ?o
Remarks:
HYDROLOGY
_ Record Data (Describe in Remarks):
Stream, Lake, or Tide Gauge
Aerial Photographs
Other
_-""No recorded data available Wetland Hydrology Indicators:
Primary Indicators:
_ Inundated
_ Saturated in Upper 12 inches
_ 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 ins.
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: a b v u PtL b rca k_ j A -fa e D
DATA FORM
ROUTINE WETLAND DETERMINATION _
(1987 COE Wetlands Delineation Manual)
Project/Site: 512 // 3 Date: 91Z 700
Applicant/Owner: County:_
Investigator: Rry LITTLE State: /VC-
Do normal circumstances exist on the site? Yes <!f? Community ID:
Is the site significantly disturbed (Atypical Situation)? Yes Transect ID:
Is the area a potential Problem Area? Yes K o) ID:
(If needed, explain on reverse.)
VEGETATION
Dominant Plant Species Stratum Indicator Dominant Plant Species Stratum Indicator
1. w<<-?w 0Ak 0S- _LI?GW - 9.
2. SwhKuP "SST EATOHh OC E64_ K) 10.
3. SENSMVE FeT_1N AC 11.
4. Ai ANT- CA N C ?A Gy? 12.
5. 13.
6. 14.
7. 15.
8. 16.
Percent of Dominant Species that are OBL, FACW or FAC
(excluding FAC-). 7 $(g ?o
Remarks:
HYDROLOGY
Record Data (Describe in Remarks):
Stream, Lake, or Tide Gauge
Aerial Photographs
Other
No recorded data available
Field Observations:
Depth of Surface Water:
Depth to Free Water in Pit:
Depth to Saturated Soil:
Remarks:
J-Z (in.)
(in.)
0 (in.) -
Wetland Hydrology Indicators:
Primary Indicators:
?Inundated
Saturated in Upper 12 inches
? Water Marks
_ Drift Lines
_ Sediment Deposits
_,/Drainage Patterns in Wetlands
Secondary indicators (2 or more required):
_ Oxidized root channels in upper 12 ins.
_? Water-stained leaves
Local soil survey data
_?FAC-Neutral test
Other (explain in remarks)
DATA FORM
ROUTINE WETLAND DETERMINATION
(1987 COE Wetlands Delineation Manual)
Project/Site: S 12 t 131 Date: IF/Z 7/00
Applicant/Owner: County: xA; 1,,k
Investigator: RrA t tT f-!P- State: ,tom
Do normal circumstances exist on the site? Yes es Community ID:
Is the site significantly disturbed (Atypical Situation)? Yes Transect ID:
Is the area a potential Problem Area? Yes Plot ID:
(if needed, explain on reverse.)
VEGETATION
Dominant Plant Species Stratum Indicator Dominant Plant Species Stratum Indicator
1. Nou-Y 9.
2. ElJvt 10.
3. SW L i T' G U M C+ 11.
4. -Mt IP POP Ar- FAGW 12.
5. 13.
6. 14.
7. 15.
8. 16.
Percent of Dominant Species that are OBL, FACW or FAC
(excluding FAC-).
Remarks:
HYDROLOGY
_ Record Data (Describe in Remarks):
Stream, Lake, or Tide Gauge
Aerial Photographs
Other
No recorded data available Wetland Hydrology Indicators:
Primary Indicators:
_ Inundated
_ Saturated in Upper 12 inches
! 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 ins.
.? 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: 51? S l ado W? `V `"1 E °? b a'wlc--