20010624 Ver 1_Complete File_20010425

State of North
Carolina
department Of
and Natural Environment
Division of W Resources
ater Quality
Michael F. Easley,
Wllllarl•1 G. Ross, Governor
r
Kerr T. Stevens 'Secretary
Director
- .. - A-14 fe A rl
N
NORTH CAROLINA D
ENVIRONMENT AND NA" ARTMENT
OF
RESOt?RCES
June 15 2001
J
A ohnston County
PPRB Ver OF 401 Water Quality DWQ Project No.
River 010624
Rules Mr. Jim C'ertiBcation and ADDITIONAL
Trogdon III, P.E,, Division and
NCDOT CONDITIONS
Division 5 Engineer Neuse
PO Box 3165
Wilson, North Carolina 27893
Dear Mr. Trogdon:
You have our approval, as described in
attached conditions and th your
ose listed below
the project is to widen and pave SR 1123 application dated
CountY Th to Place fill material in 6 April 6
2001, and in accordance with
(GOosehole 0 linear feet of streams. project should be constructed ' the
reviewing our a Road) from NC 9
e '
Number ppl'cation, we have in accordance 6 to the e r The Purpose of
3289• This certification comdecided that this fill is cove ed a end of the road
Engineers. es PPl'cation da ted Ma to Johnston
you should This approval is also valid for the to Ntheeuse by General a 21, 2001.
ac quire an Nationwide Per
trait Nu Water Q After
(but not li Y other federal state or local River buffer Number 14 issuQuality Certification
d Sediment and rules regulations. mite This to)
PP Erosion permits before p(15A NCAC 2B by the Corps of
specified approval will expire when Non-D.
You roceed 033)• In addition,
sch
in the General Ce pire when the accom ge and with Your project including
rtification, accompanying Water Supply
Watershed
below This . g 404 permit exerwise
approval is valid solely for the
Should Your Purpose an pires unless Otherwise
Property S sold project change, you design described '
the new y must notify the DW to yOm a
responsible for complying °Wner must be Q and sub application (unless
exceed one acre with all the conditioncopy of this it a new application modified
miti , Or of total im Certification and . If the
gation pacts to If total wetland fills for thisapproval letter
ex ire may be required as desc ribedtin SA (no AC or in 2Hthe.0506 (h) > and is thereby
P with the future) Protect (now or .
Certification corresponding Nationwide Permit exceed 1s Project
feet to the future)
certification and For th any is approval to be valid
se ' compensatory
expires or as otherw i (6) and
(7)'
ional conditions 1 'you is led below. follow )This approval l shall
the conditions Provided in in the General
1 Stormwater shall be below, the attached
directed to sheetflo
2' Upon co w at nonerosive velocities through Completion the
Form ?? to Ject, the NCDpT shall co Protected stream
The responsible notify DW complete and return
the m buffers.
Division of pang shall com Q when all work included
Water plete the attached for in the 401 enclosed "Certification to
Quality upon completion of the m and Cen'fication has been
authorized tem return it to the 401
project.
3 All Wetlands unit of completed.
stream shall be resto?ed impacts to the Neuse Ri
the project construction. natural grade and reve etate buffers located
Wetlar'dS?401 U getaS?401 getattd with native tree?pe desthe 60 feet of culverted
ni t
Tele 1650 Mail S Upon completion of
phone 919.7
ervice Center
33- 78
An Equal Opportunity A-fl-,,a6 gction Raleigh, ]North
Employer 50 rPAX 733-9959 Carolina 27699-1621
ycled/10`ib Post consumer paper

P,
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
T fflZ'W'j T 0 •
A4V 2
NC ENR
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 telephone John Dorney at 919-733-1786.
Sincerely,
Attachment
cc: Wilmington District Corps of Engineers
Corps of Engineers Raleigh Field Office
DWQ Raleigh Regional Office
File Copy
Central Files
c:\ncdot\SR 2145\wqc\010786wgc.doc
Ftevens
Wetlands/401 Unit 1650 Mail Service Center Raleigh, North Carolina 27699-1621
Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post consumer paper
State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
Michael F. Easley, Governor
William G. Ross, Jr., Secretary
Kerr T. Stevens, Director
DWQ Project No.:
Applicant:
Project Name:
Date of Issuance of 401 Water Quality Certification:
LT?W,A
NC ENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
County:
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
40UWetlands Unit, North Carolina Division of Water Quality, 1621 Mail Service Center, Raleigh, NC,
27699-1621. This form may be returned to DWQ by the applicant, the applicant's authorized agent, or the
project engineer. It is not necessary to send certificates from all of these.
Applicant's Certification
I, , hereby state that, to the best of my abilities, due care and
diligence was used in the observation of the construction such that the construction was observed to be built
within substantial compliance and intent of the 401 Water Quality Certification and Buffer Rules, the
approved plans and specifications, and other supporting materials.
Signature: Date:
Agent's Certification
I, , hereby state that, to the best of my abilities, due care and
diligence was used in the observation of the construction such that the construction was observed to be built
within substantial compliance and intent of the 401 Water Quality Certification and Buffer Rules, the
approved plans and specifications, and other supporting materials.
Signature:
Date:
Engineer's Certification
Partial Final
I, , as a duly registered Professional Engineer in the State
of North Carolina, having been authorized to observe (periodically, weekly, full time) the construction of
the project,for the Permittee hereby state that, to the best of my abilities, due care and diligence was used in
the observation of the construction such that the construction was observed to be built within substantial
compliance and intent of the 401 Water Quality Certification and Buffer Rules, the approved plans and
specifications, and other supporting materials.
Signature Registration No.
Date
Wetlands/401 Unit 1650 Mail Service Center Raleigh, North Carolina 27699-1 62 1
Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post consumer paper
State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
Michael F. Easley, Governor
William G. Ross, Jr., Secretary
Kerr T. Stevens, Director
IT 1 k71?W,J •
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
I I. This Certification shall be utilized for roads from natural high ground to natural high ground. The
Certification for Nationwide Permit 18 may not be used in conjunction with this Certification to create
high ground for road access;
12. If an environmental document is required, this Certification is not valid until a Finding of No Significant
Impact (FONSI) or Record of Decision (ROD) is issued by the State Clearinghouse. All water quality-
related conditions of the FONSI or ROD shall become conditions of this Certification;
13. That additional site-specific conditions may be added to projects proposed under this Certification in
order to ensure compliance with all applicable water quality and effluent standards;
14.When written concurrence is required, the applicant is required to use the enclosed "Certification of
Completion Form" to notify DWQ when all work included in the 401 Certification has been completed;
15. Concurrence from DWQ that this Certification applies to an individual project shall expire three years
from the date of the cover letter from DWQ or on the same day as the expiration date of the
corresponding Nationwide Permit 14 and Regional General Permit 198200031 whichever is sooner.
Non-compliance with or violation of the conditions herein set forth by a specific fill project may result in
revocation of this Certification for the project and may also result in criminal and/or civil penalties.
The Director of the North Carolina Division of Water Quality may require submission of a formal
application for individual certification for any project in this category of activity, if it is determined that the
project is likely to have a significant adverse effect upon water quality or degrade the waters so that existing
uses of the wetland, stream or downstream waters are precluded.
Public hearings may be held for specific applications or group of applications prior to a Certification
decision if deemed in the public's best interest by the Director of the North Carolina Division of Water
Quality.
Effective date: 1 June 2000
DIVISION OF WATER QUALITY
By
Kerr T. Stevens
Director
WQC # 3289
Wetlands/401 Unit 1650 Mail Service Center Raleigh, North Carolina 27699-1621
Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post consumer paper
State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
Michael F. Easley, Governor
William G. Ross, Jr., Secretary
Kerr T. Stevens, Director
NC ENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
fiber and seedling establishment is allowable. Also, rip-rap may be allowed if it is necessary to maintain
the physical integrity of the stream, but the applicant must provide written justification and any
calculations used to determine the extent of rip-rap coverage requested. If suitable stream mitigation is
not practical on-site, then stream impact will need to be mitigated elsewhere;
Impacts to any stream length in the Neuse, Tar-Pamlico and Randleman River Basins requires written
concurrence from DWQ in accordance with 15A NCAC 213.0233, 15A NCAC 2B .0259 and .0250 and
15A NCAC 2H .0500. New development activities located in the protected 50-foot wide riparian areas
(whether jurisdictional wetlands or not) within the Neuse, Tar-Pamlico and Randleman River Basins
shall be limited to "uses" identified within and constructed in accordance with 15A NCAC 213 .0233,
15A NCAC 2B .0259 and .0250. All new development shall be located, designed, constructed, and
maintained to have minimal disturbance to protect water quality to the maximum extent practicable
through the use of best management practices. Activities listed as "exempt" from these rules do not need
to apply for written concurrence under this Certification;
6. Placement of culverts and other structures in waters, streams, and wetlands must be placed below the
elevation of the streambed to allow low flow passage of water and aquatic life unless it can be shown to
DWQ that providing passage would be impractical. Design and placement of culverts and other
structures including temporary erosion control measures shall not be conducted in a manner that may
result in dis-equilibrium of wetlands or stream beds or banks, adjacent to or upstream and down stream
of the above structures. The applicant is required to provide evidence that the equilibrium shall be
maintained if requested in writing by DWQ. Additionally, when roadways, causeways or other fill
projects are constructed across FEMA-designated floodways or wetlands, openings such as culverts or
bridges must be provided to maintain the natural hydrology of the system as well as prevent constriction
of the floodway that may result in destabilization of streams or wetlands;
7. If this Certification is used to access building sites, all lots owned by the applicant must be buildable
without additional fill beyond that allowed under other General Certifications. Deed restrictions must be
placed on the remaining wetlands and streams on these lots to restrict future wetland and stream fill.
DWQ shall be sent copies of all deed restrictions applied to these lots;
8. That appropriate sediment and erosion control practices which equal or exceed those outlined in the
most recent version of the "North Carolina Sediment and Erosion Control Planning and Design Manual"
or the "North Carolina Surface Mining Manual" whichever is more appropriate (available from the
Division of Land Resources (DLR) in the DENR Regional or Central Offices) shall be in full
compliance with all specifications governing the proper design, installation and operation and
maintenance of such Best Management Practices in order to assure compliance with the appropriate
turbidity water quality standard;
9. All sediment and erosion control measures placed in wetlands or waters shall be removed and the natural
grade restored within two months after the Division of Land Resources has released the project;
IO.Measures shall be taken to prevent live or fresh concrete from coming into contact with waters of the
state until the concrete has hardened;
Wetlands/401 Unit 1650 Mail Service Center Raleigh, North Carolina 27699-1621
Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/10% post consumer paper
State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
Michael F. Easley, Governor
William G. Ross, Jr., Secretary
Kerr T. Stevens, Director
7 01?IWAA •
/
AdOWN0
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
ROAD CROSSING CERTIFICATION GENERAL CERTIFICATION FOR PROJECTS
ELIGIBLE FOR CORPS OF ENGINEERS NATIONWIDE PERMIT NUMBER 14 (ROAD
CROSSINGS), REGIONAL GENERAL PERMIT 198200031 AND NEUSE/TAR-
PAMLICO/RANDLEMAN BUFFER RULES
This General Certification is issued in conformity with the requirements of Section 401, Public Laws 92-
500 and 95-217 of the United States and subject to the North Carolina Division of Water Quality (DWQ)
Regulations in 15A NCAC 2H, Section .0500 and 15A NCAC 2B .0200 for the discharge of fill material to
waters and wetland areas as described in 33 CFR 330 Appendix A (B) (14) of the Corps of Engineers
regulations (i.e., Nationwide Permit No. 14 and Regional General Permit 198200031) and for the Neuse,
Tar-Pamlico and Randleman Buffer
Rules (15A NCAC 2B .0233,.0259 and .0250). The category of activities shall include any fill activity for
road crossing and is limited to fill less than one-third of an acre. This Certification replaces Water Quality
Certification Number 2177 issued on November 5, 1987, Water Quality Certification Number 2666 issued
on January 21, 1992, Water Quality Certification Number 2732 issued on May 1, 1992 and Water Quality
Certification Number 3103 issued on February 11, 1997. This WQC is rescinded when the Corps of
Engineers re-authorizes Nationwide
Permit 14 or Regional General Permit 198200031 when deemed appropriate by the Director of the DWQ.
The State of North Carolina certifies that the specified category of activity will not violate applicable
portions of Sections 301, 302, 303, 306 and 307 of the Public Laws 92-500 and 95-217 if conducted in
accordance with the conditions hereinafter set forth.
Conditions of Certification:
1. Proposed fill or substantial modification of wetlands or waters (including streams) under this General
Certification requires application to and prior written concurrence from the Division of Water Quality;
2. In accordance with North Carolina General Statute Section 143-215.3D(e), any application for a 401
Water Quality Certification must include the appropriate fee. If a project also requires a CAMA Permit,
one payment to both agencies shall be submitted and will be the higher of the two fees;
3. In accordance with 15A NCAC 2H .0506 (h) compensatory mitigation may be required for impacts to
streams and/or wetlands. In addition, buffer mitigation may be required for any project with Buffer
Rules in effect at the time of application. A determination of buffer, wetland and stream mitigation
requirements shall be made for any Certification for this Nationwide Permit. The most current design
and monitoring protocols from DWQ shall be followed and written plans submitted for DWQ approval
as required in those protocols;
4. For any project involving a stream re-alignment, a stream relocation plan must be included with the 401
application for written DWQ approval. Relocated stream designs should include the same dimensions,
patterns and profiles as the existing channel, to the maximum extent practical. The new channel should
be constructed in the dry and water shall not be turned into the new channel until the banks are
stabilized. Vegetation used for bank stabilization shall be limited to native woody species, and should
include establishment of a 30 foot wide wooded and an adjacent 20 foot wide vegetated buffer on both
sides of the relocated channel to the maximum extent practical. A transitional phase incorporating coir
Wetlands/401 Unit 1650 Mail Service Center Raleigh, North Carolina 27699-1 62 1
Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/10% post consumer paper
.a STATE o
NT'
0 1 0 0
STATE of NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION `.01
MICHAEL F. EASLEY LYNDO TIPPETT 800
GOVERNOR SECRETARY
April 6, 2001
U.S. Army Corps of Engineers
Raleigh Regulatory Field Office
6508 Falls of the Neuse Road, Suite 120
Raleigh, NC 27615
Attention: Mr. Eric Alsmeyer
NCDOT Coordinator
Subject: Secondary road improvements to SR 1123 (Goosehole Road) from NC
Highway 96 to the end of the road in Johnston County.
The North Carolina Department of Transportation (NCDOT) proposes to upgrade
1123 (Goosehole Road) from NC Highway 96 to the end of the road, in Johnston County.
SR 1123 is an unpaved roadway that will be upgraded to a paved roadway. Total project
length is 0.659 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. Gooselole Road is scheduled to be paved in the 2000-2001 Secondary
Roads Construction Program.
Impacts to Waters of the United States
Construction of the project will necessitate impacts to waters of the United States
in the Neuse River Basin. The project crosses one unnamed intermittent tributary to Mill
Creek, which is shown in the following table. Impacts to the stream from construction r
include 130 additional square feet (0.003 acres) of fill in surface water and a total of 60 nom.
linear feet existing channel impacted. r=ri
Post Office Box 3165, Wilson, North Carolina 27895-3165
LOCATION EXISTING EXISTING PROPOSED PROPOSED
Station Width in. Length ft. Width in. Length ft.
20+25 36 37 48 60
No impacts to wetlands associated with roadside shoulder and ditch construction are
anticipated for the subject project.
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: The side slopes have been steepened to the extent possible at
jurisdictional sites. Strict Enforcement of sedimentation and erosion control Best
Management Practices for the protection of wetlands and surface waters will be enforced
during project construction. Continued coordination will occur with maintenance forces
and the Environmental Officer during construction to minimize impacts to waters of the
U. S. at these sites.
Compensatory Mitigation: Construction of the project will result in less than
0.01 acres of total impacts to waters of the U.S. Impacts have been minimized to the
maximum extent possible during the design process.
Riparian Buffer Impacts
The construction of the project in-vulves a road crossing of a stream that is subject
to the Neuse Riparian Buffer Rule. Construction impacts at each jurisdictional crossing
are less than 40 linear feet of riparian buffer. Based on the impacts to the riparian buffer at
this site, the crossing is exempt from the Rule. Efforts will be made to minimize the
impacts of additional storm water by the installation of extra check dams, level spreaders
and vegetated swales outside the perimeter of the buffer wherever possible.
Dewatering
The NCDOT proposes to temporarily dewater the stream during the construction
of the project. 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 a day. This will result in temporary impacts to these surface waters.
Temporary impacts to the stream from this activity will result in the dewatering of a total
of 0.006 ac. of streambed and approximately 70 linear feet stream channel for the
proposed pipe replacement. The sandbags or riprap covered with filter fabric will be
entirely removed after construction.
Permit Issues
The purpose of this letter is to provide notification under Section 404 Nationwide
Permit (NWP) 14, Linear Transportation Crossings. Authorization for the use of this
NWP to the USACE is not required for this project, as the discharge associated with the
project is less than 0.10 acre and requires no impacts to special aquatic sites (including
wetlands). 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 NWP and WQC.
Additionally, the purpose of this letter is to request authorization under a Section
404 NWP 33 to dewater the stream during project construction. 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.
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.
Summary
NCDOT proposes to upgrade and pave SR 1123 (Goosehole Road) in Johnston
County. Temporary impacts to the stream from dewatering activity will involve 280
square feet of streambed and 70 linear feet of stream channel. Impacts associated with the
pipe replacement at this project include 0.003 acres of fill in surface water and 60 linear
feet existing channel impacted. The project is located in the Neuse River Basin. Impacts
at the stream crossing are less than 40 linear feet of buffer and are therefore exempt from
the Riparian Buffer Rule. 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].
VTa es H. Trogdon, III, P.E.
ivisi n Engineer
cc: Mr. David Franklin, USACE,W`Wir
Mr. John Dorney, NCDWQ, Raleigh
Mr. David Cox, NCWRC, Creedmoor
Mr. Garland Pardue, USFWS, Raleigh
Ms. Renee Gledhill-Early, SHPO
Mr. Bryant Bunn, P.E., NCDOT Division Maintenance Engineer
Mr. Don Goins, P.E., Chief Engineer, Operations
Office Use Only: (? Fonu Version April 2001
0 1 06 2,1.
USACE Action ID No. DWQ No.
If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A" rather than
leaving the space blank.
1. Processing
1. Check all of the approval(s) requested for this project:
® Section 404 Permit
? Section 10 Permit
? 401 Water Quality Certification
® Riparian or Watershed Buffer Rules
2. Nationwide, Regional or General Permit Number(s) Requested: NWP 14; 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: E]
H. Applicant Information
1. Owner/Applicant Information
Name: Mr. James H. Troadon. III. P.E.. Division Engineer
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: jtrogdonndot.state. nc.us
2. Agent Information (A signed *and dated copy of the Agent Authorization letter must be
attached if the Agent has signatory authority for the owner/applicant.)
Name:Ms. Robin M. Little
Company Affiliation:
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: [e-mail]
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:.
2. T.I.P. Project Number (NCDOT Only): NA
3. Property Identification Number (Tax PIN):
4. Location
County: JOHNSTON Nearest Town: Parkers Mill
Subdivision name (include please/lot number):
Directions to site (include road numbers, landmarks, etc.): NC Highway 96 past SR 1116 to
first left onto SR 1123.
5. Site coordinates, if available (UTM orLat/Long):UTM 17 732109E 3908511N
(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,
7. Property size (acres): NA
8. Nearest body of water (stream/river/sound/ocean/lake): UT to Mill Creek (DW ID # 27-
52-(1) C NSW
9. River Basin: Neuse River
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available athttp://h2o.enr.state.nc.us/idmin/maps/.)
10. Describe the purpose of the proposed work: Grading, drainage, base, paving and erosion
control to bring existing gravel road in compliance with standard safety design specifications,
replace culverts.
Page 4 of 12
11. List the type of equipment to be used to construct the project:
Heavy construction equipment ( back hoe, track hoe excavator, dump tnick)
12. Describe the land use in the vicinity of this project: Rural residential/agriculttral mix.
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.
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/Waters of the State
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. The applicant must also
provide justification for these impacts in Section VII below. All proposed impacts, permanent
and temporary, must be listed herein, and must be clearly identifiable on an accompanying site
plan. All wetlands and waters, and all streams (intermittent and perennial) must be shown on a
delineation map, whether or not impacts are proposed to these systems. Wetland and stream
evaluation and delineation forms should be included as appropriate. Photographs may be
included at the applicant's discretion. If this proposed impact is strictly for wetland or stream
mitigation, list and describe the impact in Section VIII below. If additional space is needed for
listing or description, please attach a separate sheet.
Page 5 of 12
1. Wetland Impacts
Wetland Impact
Site Number
(indicate on tna)
Type of Impact* Area of
Impact
(acres) Located within
100-year Floodplain**
(es/no) Distance to
Nearest Stream
(linear feet)
Type of Wetland***
0 no

* List each impact separately and identify tentporay impacts. Impacts include, but are not limited to: mechanized clearing, grading, fill,
excavation, flooding, ditching/drainage, etc. For dates, separately list impacts due to both structure and flooding.
** 100-Year floodphains are identified through the Federal Emergency Management Agency's (FEMA) Flood Insurance Rate Maps
(FIRM), or FEIvtA-approved local floodplain maps. Maps are available through the FEMA Map Service Center at 1-800-358-9616, or
online at httn:HwAyw.fema.2ov
*** List a wetland type that best describes wetland to be i npacted (e.g., freshwater/saltwater marsh, forested wetland, beaver pond,
Carolina Bay, bog, etc.)
List the total acreage (estimated) of existing wetlands on the property: NA
Total area of wetland impact proposed: NA
2. Stream Impacts, including all intermittent and perennial streams
Stream Impact
Site Number
(indicate on ma)
Type of Impact* Length of
Impact
(linear feet)
Stream Name** Average Width
of Stream
Before Impact Perennial or
Intennittcnt?
(pleasespecify)
1 148" RCP 60 UT to Mill Creek 4 Intermittent

" List each impact separately and identify temporary impacts. Impacts include, but are not limited to: culverts and assocratedip-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 die 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
w1«v.us,s.aov. Several internet sites also allow direct download and printing of USGS Wraps (e.g., xNm;w.topozo ne. co nI
www.Inap(Juest.com, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: 60
3. Open Water Impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any
other Water of the U.S.
Open Water Impact
Site Number
(indicate on ma)
Type of Impact* Area of
Impact
(acres)
Name Wate)
(if applicable) Type of Waterbody
(lake, pond, estuary, sound,
bay, ocean, etc.)

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: fill, excavation, dredging,
flooding, drainage, bulklucads, etc.
4. Pond Creation
Page 6 of 12
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ? uplands ? stream ? wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.):
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.):
Size of watershed draining to pond: Expected pond surface area:
VII. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts.
All wetlands or surface waters not affected by the project will be protected from unnecessary
encroachment No staging, 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
construction
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.
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
Page 7 of 12
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_c nr_state ne.its/ncwetiands/strin?ide_htinI
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.
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 Ihtt10/10o.err. stale. nc.r,s,'wrt?-index.t,trr?. 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):
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
Page 8 of 12
If yes, has the document review been finalized by the State Clearinghouse? If so, please attach a
copy of the NEPA or SEPA final approval letter.
Yes ? No ?
X. Proposed Impacts on Riparian and Watershed Buffers (DWQ Only)
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required state and local buffers associated with the project. The applicant must also provide
justification for these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Meuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and
Water Supply Buffer Requirements), or other (please identify )?
Yes ® No ? If you answered "yes", provide tlv 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
(square feet) Multiplier Required
Mitigation
1 0 3 0
2 0 1.5 0
Total 0 0
* Zone 1 extends out 30 feet perpendicular from near bank of channel; Zone 2 extends an
additional 20 feet from the ed-e 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) versus total acreage on the site.
Discuss stormwater controls proposed in order to protect surface. waters and wetlands
downstream from the property.
Page 9 of 12
Existing ravel road surface area will not be widened within riparian buffer Temporary
dewatering and all appropriate best management practices for sediment and erosion control will
be implemented during pipe replacement.
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.
NA
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).
?2,o
ApplicanAent's Signature Date
(Agent's ig ture 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 Union
US Army Corps of Engineers Avery Clay Jackson Polk Watauga
151 Patton Avenue Buncombe Cleveland Lincoln Rowan Yancey.
Room 208 Burke Gaston Macon Rutherford
Page 10 of 12
Ll \
unlca
\ J
R 6
\ I N' \
;? S a b ? ? 'a
I -`'' N y '? '•i
) ti
\ i
N? v
21
3, J .2 9 ? P
16
L"N
"SITE VICINITY MAP"
SCALE 1= 2 naiLIF5
?oHUsTOU Co RorAD v Xkf
C q119101
°
t
4tkEt I ?/ !1 ??" ?,• ?, ,_ •\ -._ („\" ? .,;Meadow\I \\ i i ? •,v=?? _
Pond
'?1
Corn
to
_
1 li 1J,;
Nil' - t\
\T!\ NI, 187
p Cm
,VU??
Ir-
V?
`Cem `v
it - - 1121. \\ I ' \\'1 \ \ \`iff l ,";'
i l
169
Sartdplty
185, h-
It-. S I I t r - N CA
\
\ f3are?0 - ?.1
II721 -
183
- i ?J J
Cem 0 t ?i A O
49
. ?, it ? • ? `? -.,^?' ? I! ?, J --
\?i ?I• / rse •I ?, (-?\\•-mot 1??i, 1 ` -\ ?J ? ? ??? ? ,????"?
/ ? IF
???? I?•\\ i? ?i I % \\ 1,/'`.? ?.; 1 \? I ?I L\. 1, 1ChedY ^ony I ! 1.
`, ?\ y\ ?`? \ ?t ?\, / iii ,' ? ? ? /"\,- - - ? (;ems??'•? _ ? 1_,
• ?'?--'i ..?/ ?°• - - ?\??__?. ttl?o?- ,..Cem _ --
USGS QUAD MAP Y •e
SCALE f 200ol
Rini-
?ocI
0
r
-a-
I°r
giVL• ?•
PROJ. RLNCB NO
U
FIBERG SS ROVING REQUIRED 6.3120,22. r
i b c FROM S A. 40+95 TO STA. 43+04
• z FROM A. 43+04 TO STA. 451-55 m JUAN DAVID SUARE7
1 _ N D.B. 1157, PG. 640
ul I d
a I
POND 6X3X2 SILT U 45+00 z I
o y I BA51PJ (TYP.) CL
- F- '
60, P OP RAW) _
_ N86' S 6 57
<
---=--- P I STA. " 45 -I-10.34
LENDO`1 CORY l,=04'37'18"
.B. 1824, PG. 4.69 R=2000.00
eloeo ser> L=161.32
6X3X2 SILT 'f=80.71 ;
15 Ar-h ;;?; v BASIN CH=S89'1 536"W
?E r?7 r+? >? xa:?crr .cCA-V,, 161.28

- ------------ - ----- -

U-
N
-

---- ------

----
------
--- JNV.
----
---
-------
--
----

,... ....1 ? - -_--- ---- r? --___._.. _.._ ----r, - ---...---- ? ----- •; :. ,? - ----- - -- to
4 '-I 00 4-3-1-00 44-1-00 ,15+00
County: Johnston NCDOT Division # 4 District 9 3
CONCURRENCE FORM FOR PROPERTIES NOT ELIGIBLE FOR THE NATIONAL
REGISTER OF HISTORIC PLACES,
FOR STATE FUNDED SECONDARY ROAD PROJECTS ONLY
Project Description: Pave and Widen Johnston SRI 123 from NC 96 to dead end. Entire road was surveyed.
On March 15, 2001, representatives of the
North Carolina Department of Transportation (NCDOT)
North Carolina State Historic Preservation Office (HPO)
Other -----
Reviewed the subject project at
a scoping meeting
photograph review session/consultation
other-----
All parties present agreed
There are no properties over fifty years old within the project's Federal Permit Site's (or Sites') area (or
areas) of potential effects (APE).
There are no properties less than fifty years old that are considered to meet Criterion Consideration G
within the project's Federal Permit Site's (or sites') area (or areas) of potential effects.
There are properties over fifty years old (list attached) 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 as i a- , are considered not eligible for the National
Register and no further evaluation is necessary.
.V----There are no National Register or Study-Listed properties located within the secondary road project's area
: of potential effects.
There are no historic properties affected by this project. (Attach any notes or documents as needed)
Signed:

(W.
Date
f
If a survey report is prepared, a final copy of this form and the attached list will be included.
RepresentX ve, HPO ! 'Date /
eM SAN[
r.?
. ,y C 2n
STATE Or NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY LYNDO TIPPETTI01
GOVERNOR SECRETARY ?S
April 6, 2001
U.S. Army Corps of Engineers
Raleigh Regulatory Field Office
01 2
j.
6508 Falls of the Neuse Road, Suite 120
Raleigh, NC 27615
Attention: Mr. Eric Alsmeyer
NCDOT Coordinator
Subject: Secondary road improvements to SR 1123 (Goosehole Road) from NC r?
rYi
Highway 96 to the end of the road in Johnston County. QD r-1-1 -- LT
The North Carolina Department of Transportation (NCDOT) proposes to upgrade
1123 (Goosehole Road) from NC Highway 96 to the end of the road, in Johnston County.
SR 1123 is an unpaved roadway that will be upgraded to a paved roadway. Total project
length is 0.659 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. Goosehole Road is scheduled to be paved in the 2000-2001 Secondary
Roads Construction Program.
Impacts to Waters of the United States
Construction of the project will necessitate impacts to waters of the United States
in the Neuse River Basin. The project crosses one unnamed intermittent tributary to Mill
Creek, which is shown in the following table. Impacts to the stream from construction
include 130 additional square feet (0.003 acres) of fill in surface water and a total of 60
linear feet existing channel impacted.
Post Office Box 3165, Wilson, North Carolina 27895-3165
LOCATION EXISTING EXISTING PROPOSED PROPOSED
Station Width in. Len-th ft. Width in. Length ft.
20+25 36 37 48 60
No impacts to wetlands associated with roadside shoulder and ditch construction are
anticipated for the subject project.
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: The side slopes have been steepened to the extent possible at
jurisdictional sites. Strict Enforcement of sedimentation and erosion control Best
Management Practices for the protection of wetlands and surface waters will be enforced
during project construction. Continued coordination will occur with maintenance forces
and the Environmental Officer during construction to minimize impacts to waters of the
U. S. at these sites.
Compensatory Mitigation: Construction of the project will result in less than
0.01 acres of total impacts to waters of the U.S. Impacts have been minimized to the
maximum extent possible during the design process.
Riparian Buffer Impacts
The col.struction of the project involves a road crossing of a stream that is subject
to the Neuse Riparian Buffer Rule. Construction impacts at each jurisdictional crossing
are less than 40 linear feet of riparian buffer. Based on the impacts to the riparian buffer at
this site, the crossing is exempt from the Rule. Efforts will be made to minimize the
impacts of additional storm water by the installation of extra check dams, level spreaders
and vegetated swales outside the perimeter of the buffer wherever possible.
Dewatering
The NCDOT proposes to temporarily dewater the stream during the construction
of the project. 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 a day. This will result in temporary impacts to these surface waters.
Temporary impacts to the stream from this activity will result in the dewatering of a total
of 0.006 ac. of streambed and approximately 70 linear feet stream channel for the
proposed pipe replacement. The sandbags or riprap covered with filter fabric will be
entirely removed after construction.
Permit Issues
The purpose of this letter is to provide notification under Section 404 Nationwide
Permit (NWP) 14, Linear Transportation Crossings. Authorization for the use of this
NWP to the USACE is not required for this project, as the discharge associated with the
project is less than 0.10 acre and requires no impacts to special aquatic sites (including
wetlands). 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 NWP and WQC.
Additionally, the purpose of this letter is to request authorization under a Section
404 NWP 33 to dewater the stream during project construction. 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.
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.
Summary
NCDOT proposes to upgrade and pave SR 1123 (Goosehole Road) in Johnston
County. Temporary impacts to the stream from dewatering activity will involve 280
square feet of streambed and 70 linear feet of stream channel. Impacts associated with the
pipe replacement at this project include 0.003 acres of fill in surface water and 60 linear
feet existing channel impacted. The project is located in the Neuse River Basin. Impacts
at the stream crossing are less than 40 linear feet of buffer and are therefore exempt from
the Riparian Buffer Rule. 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].
rely,
cc
Mr. David Franklin, USACE,Wiington
Mr. John Dorney, NCDWQ, Raleigh
Trogdon, III, P.E.
Mr. David Cox, NCWRC, Creedmoor
Mr. Garland Pardue, USFWS, Raleigh
Ms. Renee Gledhill-Early, SHPO
Mr. Bryant Bunn, P.E., NCDOT Division Maintenance Engineer
Mr. Don Goins, P.E., Chief Engineer, Operations
Office Use Only: , Forni Version April 2001
0 10 0
USACE Action ID No. D`VQ No.
If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A" rather than
leaving the space blank.
1. Processing
1. Check all of the approval(s) requested for this project:
® Section 404 Permit
? Section 10 Permit
? 401 Water Quality Certification
® Riparian or Watershed Buffer Rules
2. Nationwide, Regional or General Permit Number(s) Requested: NWP 14, 33
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here:
4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for
mitigation of impacts (see section VIII - Mitigation), check here: ?
H. Applicant Information
1. Owner/Applicant Information
Name: Mr. James H. Trogdon III P.E. Division Engineer
Mailing Address: North Carolina Department of Transportation /Division 4
P.O. Box 3165
27895-3165
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: jtrogdon a, dot. state.nc.us
2. Agent Information (A signed and dated copy of the Agent Authorization letter must be
attached if the Agent has signatory authority for the owner/applicant.)
Name:Ms. Robin M. Little
Company Affiliation:
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: [e-mail]
Pap 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 proj
2. T.I.P. Project Number (NCDOT Only);
3. Property Identification Number (Tax PIN):
4. Location
County: JOHNSTON Nearest Town: Parkers Mill
Subdivision name (include phase/lot number):
Directions to site (include road numbers, landmarks, etc.): NC Highway 96 SR 1116 to
first left onto SR 1123.
5. Site coordinates, if available (UTM orLat/Long):UTM 17 732109E 3908511N
(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,
7. Property size (acres):
8. Nearest body of water (stream/river/sound/ocean/lake): UT to Mill Creek (DW ID # 27-
52-(J) C NSW
9. River Basin: Neuse River
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available athttp://h2o.enr.state.nc.us/admin/maps/.)
10. Describe the purpose of the proposed work: Grading, drainage, base, paving and erosion
control to brim existingravel road in compliance with standard safety desia n specifications,
replace culverts.
Page 4 of 12
11. 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 residential/agricultiral mix.
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.
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/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.
Pap 5 of 12
1. Wetland Impacts
Wetland Impact
Site Number
(indicate on ma)
Type of Impact* Area of
Impact
(acres) Located within
100-year Floodplain**
(es/no) Distance to
Nearest Stream
linear feet)
Type of Wetland***
0 no

* List each impact separately and identify temporay impacts. Impacts include, but are not limited to: mechanized cleating, grading, fill,
excavation, flooding, ditching/drainage, etc. For dates, separately list impacts due to both structure and flooding.
** 100-Year floodplains are identified through the Federal Emergency Management Agency's (FEMA) Flood Insurance Rate Maps
(FIRM), or FEMA-approved local floodplain maps. Maps are available through the FEMA Map Service Center at 1-800-358-9616, or
online at http: //,,vivw. fcnn a. e o¢
*** 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: NA
Total area of wetland impact proposed: NA
2. Stream Impacts, including all intermittent and perennial streams
Stream Impact
Site Number
(indicate on ma)
Type of Impact* Length of
Impact
(linear feet)
Stream Name** Average Width
of Stream
Before Impact Peretuiial or
Intermittent?
(please secif )
1 148" RCP 60 UT to Mill Creek 4 Intermittent

List each impact separately and identify temporary impacts. Impacts include, but are not limited to: culverts and assoctateanp-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 Uf (unnamed tributary) to the nearest
doNvnstream named stream into whuch it flows. USGS maps arc available through the USGS at 1-800-358-9616, or online at
w- w.usc,,s.pov. Several interact sites also allow direct download and printing of USGS maps (e.g., vti'%itiv.topozone.coil
waNv.n1opquest.com, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: 60
Open Water Impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any
other Water of the U.S.
Open Water Impact
Site Number
indicate on ma)
Type of Impact* Area of
Impact
(acres) Name of Waterbody
(if applicable) Type of Waterbody
(lake, pond, estuary, sound,
bay, ocean, etc.)

* List each impact separately and identify temporary impacts. Impacts include, but arc not limited to: fill, excavation, dredging,
flooding, drainage, bulkheads, etc.
4. Pond Creation
Page 6 of 12
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ? uplands ? stream ? wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.):
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.):
Size of watershed draining to pond: Expected pond surface area:
VII. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts.
All wetlands or surface waters not affected by the project will be protected from unnecessary
encroachment No staging 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
construction
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.
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
Page 7 of 12
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
11t1p;//h2o_enr_ state_nc.us/ncwetlands/stringido. htmI
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.
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 littp://li2o enr.st ite.nc.iis/vvro./index.litm. 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):
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
Page 8 of 12
If yes, has the document review been finalized by the State Clearinghouse? If so, please attach a
copy of the NEPA or SEPA final approval letter.
Yes ? No ?
X. Proposed Impacts on Riparian and Watershed Buffers (DWQ Only)
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required state and local buffers associated with the project. The applicant must also provide
justification for these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
Will the project impact protected riparian buffers identified within 15A NCAC 213 .0233
(Meuse), 15A NCAC 213 .0259 (Tar-Pamlico), 15A NCAC 213 .0250 (Randleman Rules and
Water Supply Buffer Requirements), or other (please identify )?
Yes ® No ? If you answered "yes", provide tip, 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
(square feet) Multiplier Required
Mitigation
1 0 3 0
2 0 1.5 0
Total 0 0
' "Lone 1 extends out 3U ieet peipenaicular irom near oanx of channel; Gone L extends an
additional 20 feet from the edge of Zone 1.
If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation
of Property, Conservation Easement, Riparian Buffer Restoration / Enhancement, Preservation or
Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as
identified within 15A NCAC 213 .0242 or.0260.
XI. Stormwater (DWQ Only)
Describe impervious acreage (both existing and proposed) versus total acreage on the site.
Discuss stormwater controls proposed in order to protect surface waters and wetlands
downstream from the property.
Page 9 of 12
Existing gravel road surface area will not be widened within riparian buffer Temporary
dewatering and all appropriate best management practices for sediment and erosion control will
be implemented during pipe replacement.
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.
XIH. 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).
- 7_0 -- 4V--1
ApplicanAent's Signature Date
(Agent's $i0-g ture 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 Union
US Army Corps of Engineers Avery Clay Jackson Polk Watauga
151 Patton Avenue Buncombe Cleveland Lincoln Rowan Yancey.
Room 208 Burke Gaston Macon Rutlierford
Page 10 of 12
1
?y
C7
D r
\\-'\ • f ??l` @ ; -- .. ?? ?'--?-./. _. _ ?. :? r\J r T \ 3,`T? ??? ° : 7:• 3? f W .i;•
3' fa \s-
\\,s`-
\'t'rym r. r?e+ ? ?' o f N u \ '
151
?o
" 1 / •,/ ? I _ :.? l '`ate ?\?? \
.• ?\\y \s m , ?? •+? w ' Crs` ? \?• f' Qo ?c \'p, r 1. I
mks ':•. ' , ? _ \? ??.: ? .
V a
17
?? '' ?3r / \- o, ma?ty f• f ^ ,? • ? ? ?\.
It,
?I • 'i,, mob. '? , v?3 \? \ \,. J ? '.\`, r 3 \\`'• ?, . - l-C\p9 s? ? I /
\??'?'\k?.? m tea. ? S ? ?6' ?3' a I ?,1". \? o 'R ?•, ? /• /
clo
71.
"SITE VICINITY MAP"
SCALE 1a 2 MIL05
Q 0 H U ST O U (a RrnkD ptt,
a
1 I • \ ` iF CCt 6f Gam ,
P i `\ rn r \. ?J
orker
0 1 .:=.
i
Pond I I ,:av \. 1 ?i \ 1
f? z t s - .. \ -?, c Cern
1 r 1 l'1
?I116)
lll,1 ,_ .?-
/
- \ ? Ccrn
e ?1 Il 1? ?\ ?? C 1
??VCem??'?\
jot
em
i 7
Gern 0 I
1 ,?l a;,? l '/15
???!1 I ; ?If Jam' } I -
1 13
J )
? 796 ? ? ? , ) , .??v ? ,? rlr
91 lb-2
I \
'\ ,' \? 1, ' /- ? -'i. ?, • \ \1 ? ,
71 ?°'*_--.' ,iii .?1 '- ??'--"'= • , lu 1 _ '.Cem _ --
USGS QUAD MAP
SCALE f- 2 ocol 7
n
O
r

? f.l 1 ..L :. f t t »v , 1 4 1`: l C".
PROD. REFERENCE
NO
• FIBERG SS ROVING REQUIRED 6.312 ca ?-
° c FROM SA. 40+95 TO STA. 43-4-04 lc?
I°o z c--
FROM A. 43-1-04 TO STA. 451-55 ? JUAN DAVID SUARE7_
C\l y I D.B. 1157, PG. 640 -
I = ' 0 1 n ?-
I ?c 1 L 11
I POND
a, 6X3X2 SILT
I o r BASIN (TYF'.)
EHOLE: ROAD
P OP.
_^.,.. -_-_---;'--------?? _?, ;?- ? -..-Y?'..?? - ? • '"max
?.-? tiLENDO`1 P OR469
n .g, 1824,
z NJ >lr;aj,-4".vi -;?7f- isv!' err: 43 6X3X2 SILT
.v, rw.v BASIN
45+00 z'
•
Y
PI STA. 45-1-10.34
,?,-04'37' 18"
R=2000.00
L=161.32
T=80.71
CH=S89-15'36"W
161.28
;.

.... .... .. ___...._ _ _...___ _... _ _ ....._..___ __ _,_ _.._._.... _....-......
_ 3G... .RcP.--
71N Z-

Tr? ,,,

41) 4.00 4-311-1- 00 4 4 -1-00
45-1-00
County: Johnston NCDOT Division # 4 District 4 3
CONCURRENCE FORM FOR PROPERTIES NOT ELIGIBLE FOR THE NATIONAL
REGISTER OF HISTORIC PLACES,
FOR STATE FUNDED SECONDARY ROAD PROTECTS ONLY
Project Description: Pave and Widen Johnston SR1123 from NC 96 to dead end. Entire road was surveyed.
On March 15, 2001, representatives of the
S, North Carolina Department of Transportation (NCDOT)
North Carolina State Historic Preservation Office (HPO)
Other
Reviewed the subject project at
n / a scoping meeting
photograph review session/consultation
other
All parties present agreed
There are no properties over fifty years old within the project's Federal Permit Site's (or Sites') area (or
areas) of potential effects (APE).
There are no properties less than fifty years old that are considered to meet Criterion Consideration G
within the project's Federal Permit Site's (or sites') area (or areas) of potential effects.
There are properties over fifty years old (list attached) 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 as 10a-r _3 , are considered not eligible for the National
Register and no further evaluation is necessary.
y There are no National Register or Study-Listed properties located within the secondary road project's area
of potential effects.
There are no historic properties affected by this project. (Attach any notes or documents as needed
Signed:
NCP
`-Reoresentatl've. HPO
L

(-S(6-
Date
` Date
If a survey report is prepared, a final copy of this form and the attached list will be included.
z
0
o0
,a
z rn
cc Z
F-
r
U LL.
W o
?F
?z
°w
f-
a
w
0
z
H
O
O
N
m
N
\
v+
0
W
Q
D
O
Ln
0)
0
z
H
z
>Q

F

O 0
0
?
O
N _
C

w
z -- o
c0
CV
_-

O

a
w
U_
O O
O
O
o
N
?

F
d
A
W
U
O 0
O
N
\
O
?
O
a
W
q

.7
z
w
U_
O N
N

LO
Ln
rn
o
M
N