20020331 Ver 1_Complete File_20020305

l
State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality

Michael F. Easley, Governor NCDENR
William G. ROSS, Jr., Secretary NORTH CAROLINA DEPARTMENT OF
Gregory J. Thorpe, Ph.D., Acting Director ENVIRONMENT AND NATURAL RESOURCES
March 25, 2002
Alamance County
DWQ Project No. 020331
APPROVAL of 401 Water Quality Certification
Mr. J.M. Mills, P.E., Division Engineer
NCDOT, Division 7
PO Box 14996
Greensboro, NC 27415
Dear Mr. Mills:
You have our approval, in accordance with the attached conditions and those listed below, to place fill
material in 0.025 acres of wetlands and 52 linear feet of streams for the purpose of widening and paving SR
1758 in Alamance County. The project shall be constructed in accordance with your application dated
February 18, 2002. After reviewing your application, we have decided that this fill is covered by General
Water Quality Certification Number 3289. This certification corresponds to the Nationwide Permit Number
14 issued by the Corps of Engineers. In addition, you should acquire any other federal, state or local permits
before you proceed with your project including (but not limited to) Sediment and Erosion Control, Non-
Discharge and Water Supply Watershed regulations. This approval will expire with the accompanying 404
permit, unless otherwise specified in the Water Quality Certification.
This approval is 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). For this approval to
remain valid, you must adhere to the conditions listed in the attached certification.
I.) 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 4011Wetlands Unit of the
Division of Water Quality upon completion of the project.
2.) The NCDOT shall strictly adhere to sediment and erosion control Best Management Practices as
described for High Quality Waters entitled "Design Standards in Sensitive Watersheds" (15A NCAC
04B .0024) throughout design and construction of the project.
If you do not accept any of the conditions of this certification, you may ask for an adjudicatory hearing.
You must act within 60 days of the date that you receive this letter. To ask fora hearing, send a written
petition that conforms to Chapter 150B of the North Carolina General Statutes to the Office of
Administrative Hearings, P.O. Box 27447, Raleigh, N.C. 276 1 1-7447. This certification and its conditions
are final and binding unless you ask for a hearing.
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
Gregory J. Thorpe, Ph.D., Acting Director
I 09ow'A
4
•
7
NCDEN'R
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
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 919-733-5694.
Attachment
cc: Wilmington District Corps of Engineers
Corps of Engineers Raleigh Field Office
DWQ Raleigh Regional Office
File Copy
Central Files
c:\ncdot\SR 1758\wgc\020331wgc.doc

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
Gregory J. Thorpe, Ph.D., Acting Director
iffl9m?'J •
NC ENR
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 27699-1621
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
1 • •
Michael F. Easley, Governor NC ENR
William G. Ross, Jr., Secretary NORTH CAROLINA DEPARTMENT OF
Gregory J. Thorpe, Ph.D., Acting Director 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 2B.0233, 15A NCAC 2B .0259 and .0250 and
15A NCAC 211.0500. New development activities located in the protected 50-foot wide riparian areas
(whether jurisdictional wetlands or not) within the Neuse, Tar-Pamlico and Randleman River Basins
shall be limited to "uses" identified within and constructed in accordance with 15A NCAC 2B .0233,
15A NCAC 2B .0259 and .0250. All new development shall be located, designed, constructed, and
maintained to have minimal disturbance to protect water quality to the maximum extent practicable
through the use of best management practices. Activities listed as "exempt" from these rules do not need
to apply for written concurrence under this Certification;
6. Placement of culverts and other structures in waters, streams, and wetlands must be placed below the
elevation of the streambed to allow low flow passage of water and aquatic life unless it can be shown to
DWQ that providing passage would be impractical. Design and placement of culverts and other
structures including temporary erosion control measures shall not be conducted in a manner that may
result in dis-equilibrium of wetlands or stream beds or banks, adjacent to or upstream and down stream
of the above structures. The applicant is required to provide evidence that the equilibrium shall be
maintained if requested in writing by DWQ. Additionally, when roadways, causeways or other fill
projects are constructed across FEMA-designated floodways or wetlands, openings such as culverts or
bridges must be provided to maintain the natural hydrology of the system as well as prevent constriction
of the floodway that may result in destabilization of streams or wetlands;
7. If this Certification is used to access building sites, all lots owned by the applicant must be buildable
without additional fill beyond that allowed under other General Certifications. Deed restrictions must be
placed on the remaining wetlands and streams on these lots to restrict future wetland and stream fill.
DWQ shall be sent copies of all deed restrictions applied to these lots;
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;
10. Measures shall be taken to prevent live or fresh concrete from coming into contact with waters of the
state until the concrete has hardened;
Wetlands/401 Unit 1650 Mail Service Center Raleigh, North Carolina 27699-162 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
k7:15w'A
Michael F. Easley, Governor NC ENR
William G. Ross, Jr., Secretary NORTH CAROLINA DEPARTMENT OF
Gregory J. Thorpe, Ph.D., Acting Director ENVIRONMENT AND NATURAL RESOURCES
11. This Certification shall be utilized for roads from natural high ground to natural high ground. The
Certification for Nationwide Permit 18 may not be used in conjunction with this Certification to create
high ground for road access;
12. If an environmental document is required, this Certification is not valid until a Finding of No
Significant Impact (FONSI) or Record of Decision (ROD) is issued by the State Clearinghouse. All
water quality-related conditions of the FONSI or ROD shall become conditions of this Certification;
13. That additional site-specific conditions may be added to projects proposed under this Certification in
order to ensure compliance with all applicable water quality and effluent standards;
14. When written concurrence is required, the applicant is required to use the enclosed "Certification of
Completion Form" to notify DWQ when all work included in the 401 Certification has been completed;
15. Concurrence from DWQ that this Certification applies to an individual project shall expire three years
from the date of the cover letter from DWQ or on the same day as the expiration date of the
corresponding Nationwide Permit 14 and Regional General Permit 198200031 whichever is sooner.
Non-compliance with or violation of the conditions herein set forth by a specific fill project may result in
revocation of this Certification for the project and may also result in criminal and/or civil penalties.
The Director of the North Carolina Division of Water Quality may require submission of a formal
application for individual certification for any project in this category of activity, if it is determined that the
project is likely to have a significant adverse effect upon water quality or degrade the waters so that existing
uses of the wetland, stream or downstream waters are precluded.
Public hearings may be held for specific applications or group of applications prior to a Certification
decision if deemed in the public's best interest by the Director of the North Carolina Division of Water
Quality.
Effective date: 1 June 2000
DIVISION OF WATER QUALITY
By
Kerr T. Stevens
Director
WQC # 3289
Wetlands/401 Unit 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
Gregory J. Thorpe, Ph.D., Acting Director
DWQ Project No.:
Applicant:
Project Name:
Date of Issuance of 401 Water Quality Certification:'
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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
401/Wetlands Unit, North Carolina Division of Water Quality, 1621 Mail Service Center, Raleigh, NC,
27699-1621. This form may be returned to DWQ by the applicant, the applicant's authorized agent, or the
project engineer. It is not necessary to send certificates from all of these.
Applicant's Certification
I, , hereby state that, to the best of my abilities, due care and
diligence was used in the observation of the construction such that the construction was observed to be built
within substantial compliance and intent of the 401 Water Quality Certification and Buffer Rules, the
approved plans and specifications, and other supporting materials.
Signature:
Agent's Certification
Date:
I, , hereby state that, to the best of my abilities, due care and
diligence was used in the observation of the construction such that the construction was observed to be built
within substantial compliance and intent of the 401 Water Quality Certification and Buffer Rules, the
approved plans and specifications, and other supporting materials.
Signature: 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 27699-1621
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0 2 3 31
MICHAEL F. EASLEY
GOVERNOR
STATE OF NORTH CAROLINA
DEPARTLVIENT OF TRANSPORTATION
1584 YANCEYVILLE STREET, GREENSBORO, NC 27415
February 18, 2002
MEMORANDUM TO:
FROM:
SUBJECT:
Mr. John Hennessy
Wetlands/401 Unit
D. Chad Kimes
District Engineer, District 1, Division 7
LYNDo TIPPETT
SECRETARY
MAR 5 2002
Payment Information - Water Quality Certificate forAlamance County,
Boone Lane (SR 1758)
In accordance with General Statute 143-215.3D(e) the following information if being provided to
facilitate payment of fees associated with the appropriate for water quality certificate:
• Certificates being requested: # 3289 (NWT 14)
• Work Order Number : 6.472069T
• Amount of fee: $200
Sincerely, PAYMENT
RECEIVED
D. Chad Kimes
District Engineer, District 1, Division 7
PHONE [phone] FAX [phone]

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STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY 1584 YANCEYVILLE STREET, GREENSBORO, NC 27415
GOVERNOR
020331
February 18, 2002
NC DENR Division of Water Quality
1650 Mail Service Center
Raleigh, NC 27699
ATTN.: Mr. John Hennessy
Wetlands/401 Unit
Dear Mr. Hennessy
LYNDo TIPPETT
SECRETARY
r? 5 2002
SUBJECT: Alamance County, Upgrade of Boone Lane (SR 1758) from an unpaved secondary
road to a paved secondary road.
Please find seven (7) copies a Pre-Construction Notification Application package attached for you
review. If you have any questions or need any additional information, please contact Chad Kimes at
[phone] or Len Smith at [phone]. Your time and effort are appreciated.
Sincerely,
`,/ . r------? c
D. Chad Kimes
District Engineer, District 1, Division 7
cc: Mrs. Jean Manuele, USACE
Mr. Lenwood Smith, II, PWS, NCDOT ?, d V/ elb 2
`let
PHONE [phone] FAX [phone]
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STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY 1584 YANCEYVILLE STREET, GREENSBORO, NC 27415 LYNDO TIPPETT
GOVERNOR SECRETARY
February 18, 2002
U.S. Army Corps of Engineers
Regulatory Field Office
6508 Falls of the Neuse Road, Suite 105
Raleigh, North Carolina 27615
ATTN: Mrs. Jean Manuele
NCDOT Coordinator
Dear Mrs. Manuele:
SUBJECT: Alamance County, Upgrade of Boone Lane (SR 1758) from an unpaved secondary
road to a paved secondary road.
The North Carolina Department of Transportation (NCDOT) proposes to upgrade Boone Lane (SR
1758) from an unpaved to a paved secondary road to reduce future maintenance needs and increase
traffic safety. Total project length is 1.10 miles. This activity will result in the impacts to waters of
the United States including a stream and a wetland. Stream impacts will result from the
replacement and extension of crossline pipes to facilitate travel lane and shoulder widening during
the upgrade. The pipe replacement, which is occurring in a US water within the Cape Fear River
Basin, is as follows:
Site Existing Pie Proposed Pie Stream type Impacts (ft)
1 t 28' of 18" RCP 60' of 24" RCP Intermittent 32 (en), 10 (tmp),
10( )
Cumulative Impacts 32 (en), 10 (tmp),
10( )
RCP = reinforced concrete pipe; CMP = Corrugated metal pipe; CMPA = Corrugated metal pipe arch.
en = enclosure; tmp = temporary, rp = rip rap energy dissipaters placed above ordinary high water.
Permanent impacts will result from stream enclosure and placement of rip rap energy, dissipaters
above the ordinary high water mark on each side of the newly installed pipe (energy dissipaters will
be included within the confines of the temporary work area). The placement of a rock silt screen
downstream from the pipe outlet will result in 10 linear feet of temporary impact per crossing.
Within 15 working days of the of the pipe replacement activity the rock silt screen will be entirely
PHONE [phone] FAX [phone]
w?7Fv?
STATE OF NORTH CAROLINA
DEPART MNT OF TRANSPORTATION
MICHAEL F. EASLEY 1584 YANCEYVILLE STREET, GREENSBORO, NC 27415 LYNDO TIPPETT
GOVERNOR SECRETARY
removed, and natural stream contours will be restored and seeded. On-site detours will not be
provided due to the short duration of the pipe replacement activity.
Wetland impacts will result from the placement of fill material in the wetland to facilitate travel lane
and shoulder widening during the upgrade. Individual wetland impacts are as follows:
Site Wetland
Unit s) Classification* Impacts
(acres) Comments
1 A PEM1J 0.025 None
*Cowardin, L.M., V. Carter, F.C. Golet, and E.T. LaRoe. 1979. Classification of Wetlands and Deepwater Habitats of
the United States. US Dept. of the Interior, USFWS. FWS/OBS-79/31.
See the attached data sheets and Natural Resource Review Evaluation Sheet for additional
information on the wetland being impacted.
Stream mitigation is not anticipated, as the impacts to any individual stream do not exceed 150 feet
Wetland mitigation is not anticipated, as wetland impacts do not exceed 0.10 acres and do not occur
in a unique natural wetland. The project is located in a High Quality Water. The project will not
impact an Essential Fisheries Habitat. No Threatened or Endangered species were observed during
field surveys conducted by Len Smith for species known to occur in Alamance County (See the
attached Endangered Species Review Sheet for further information).
Records from the NCDOT Historic Architect indicate that no National Register, Study List, or
Determination of Eligibility properties are located within the project area.
Secondary impacts will be minimized by strict enforcement of Best Management Practices for the
protection of surface waters and wetlands, restrictions against the staging of equipment in or
adjacent to waters of the US, and coordination with the Division Environmental Officer.
The NCDOT anticipates that the proposed filling activities will be authorized under Nationwide
Permit 14. This application is intended as a request for formal written authorization from the
USACE to place fill in the wetland and stream at Site 1 under NWP 14. This application is also
intended as request for written authorization from the NC Division of Water Quality for filling
activities under General Water Quality Certificate # 3289 (NWP 14). Enclosed please find the
project site map and the pre-construction notification form for the above referenced project.
Construction is anticipated to begin in April and take 1 day to complete.
PHONE [phone] FAX [phone]

4
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY 1584 YANCEYVILLE STREET, GREENSBORO, NC 27415 LYNDO TIPPETT
GOVERNOR SECRETARY
If you have any questions or need any additional information, please contact Chad Kimes at
[phone] or Len Smith at [phone]. Your time and effort are appreciated.
Sincerely,
D. Chad Kimes
District Engineer, District 1, Division 7
?a AATL o?
?Q
cc: Mr. John Hennessy, NCDWQ L
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Mr. Lenwood Smith, II, PWS, NCDOT
PHONE [phone] FAX [phone]
Office Use Only: Form Version October 2001
020331
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
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: ?
4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for
mitigation of impacts (see section VIII - Mitigation), check here: ?
II. Applicant Information
Owner/Applicant Information
Name: Mr. J.M. Mills, P.E, Division Engineer - Division 7
Mailing Address: P.O. Box 14996
Greensboro NC 27415
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: mmillskdot.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: Mr. Chad Kimes
Company Affiliation: NCDOT - Division 7 - District 1
Mailing Address: P.O. Box 766
Graham NC 27253
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: [e-mail]
Page] of 8
III. Project Information
Attach a vicinity map clearly showing the location of the property with respect to local
landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property
boundaries and development plans in relation to surrounding properties. Both the vicinity map
and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities must be included. If possible, the maps and plans should
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: Boone Lane - SR 1758
2. T.I.P. Project Number or State Project Number (NCDOT Only):6.472069T (non-TIP)
3. Property Identification Number (Tax PIN):
4. Location
County: Alamance Nearest Town: Burlington
Subdivision name (include phase/lot number): N/A
Directions to site (include road numbers, landmarks, etc.): From I-85/40 take Exit # 150
north onto SR 1928 (Jimmie Kerr Road). Proceed 0.7 miles and turn left onto SR 1928
(Trollingwood Road). Proceed for 1.1 miles and cross over US-70. At US-70 SR 1928
becomes SR 1588 (Wilkins Road). Proceed for 0.6 miles on SR 1588 and turn ri ht onto
Hwy-49 (Roxboro Street). Proceed for 6.6 miles and turn left onto Hwy-62. Proceed 2.6
miles and turn right onto SR 1758.
5. Site coordinates, if available (UTM or Lat/Long): See the attached USGS map.
(Note - If project is linear, such as a road or utility line, attach a sheet that separately lists the
coordinates for each crossing of a distinct waterbody.)
6. Describe the existing land use or condition of the site at the time of this application:
Primarily agricultural.
7. Property size (acres):
8. Nearest body of water (stream/river/sound/ocean/lake): UT to Owens Creek
9. River Basin: Cape Fear
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://h2o.enr.state.nc.us/admin/maps/.)
Page 2 of 8
10. Describe the purpose of the proposed work: To upgrade an unpaved secondary road to a
paved secondary road. Paving and widening are being conducted to reduce future
maintenance costs, bring the road up to current construction standards, and increase traffic
safety.
11. List the type of equipment to be used to construct the project: Road construction
equipment (trackhoe, grader, backhoe, and bulldozer).
12. Describe the land use in the vicinity of this project: Forest
IV. Prior Project History
If jurisdictional determinations and/or permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action ID Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules.
V. Future Project Plans
Are any additional permit requests anticipated for this project in the future? If so, describe the
anticipated work, and provide justification for the exclusion of this work from the current
application:
N/A
VI. Proposed Impacts to Waters of the United States/Waters of the State
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. The applicant must also
provide justification for these impacts in Section VII below. All proposed impacts, permanent
and temporary, must be listed herein, and must be clearly identifiable on an accompanying site
plan. All wetlands and waters, and all streams (intermittent and perennial) must be shown on a
delineation map, whether or not impacts are proposed to these systems. Wetland and stream
evaluation and delineation forms should be included as appropriate. Photographs may be
included at the applicant's discretion. If this proposed impact is strictly for wetland or stream
Page 3 of 8
mitigation, list and describe the impact in Section VIII below. If additional space is needed for
listing or description, please attach a separate sheet.
1. Wetland Impacts
Wetland Impact
Site Number
indicate on ma
Type of Impact* Area of
Impact
(acres Located within
100-year Floodplain**
(es/no Distance to
Nearest Stream
linear feet
Type of Wetland***
I Placement of fill 0.025 No 0 PEM1J

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: mechanized clearing, grading, fill,
excavation, flooding, ditching/drainage, etc. For dams, separately list impacts due to both structure and flooding.
** 100-Year floodplains are identified through the Federal Emergency Management Agency's (FEMA) Flood Insurance Rate Maps
(FIRM), or FEMA-approved local floodplain maps. Maps are available through the FEMA Map Service Center at 1-800-358-9616, or
online at http://www.fema.goc.
*** List a wetland type that best describes wetland to be impacted (e.g., freshwater/saltwater marsh, forested wetland, beaver pond,
Carolina Bay, bog, etc.)
List the total acreage (estimated) of existing wetlands on the property: N/A
Total area of wetland impact proposed: 0.025
2. Stream Impacts, including all intermittent and perennial streams
Stream Impact
Site Number
(indicate on map)
Type of Impact* Length of
Impact
(linear feet)
Stream Name** Average Width
of Stream
Before Impact Perennial or
Intermittent?
(please specify)

1
Pipe replacement 32 (en)
10 (tmp)
10( )
UT to Owens Creek
5'
Intermittent

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: culverts and associated rip-rap,
dams (separately list impacts due to both structure and flooding), relocation (include linear feet before and after, and net loss/gain),
stabilization activities (cement wall, rip-rap, crib wall, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is
proposed, plans and profiles showing the linear footprint for both the original and relocated streams must be included.
** Stream names can be found on USGS topographic maps. If a stream has no name, list as UT (unnamed tributary) to the nearest
downstream named stream into which it flows. USGS maps are available through the USGS at 1-800-358-9616, or online at
wtirxv.usss._,ov. Several internet sites also allow direct download and printing of USGS maps (e.g., www.topo-rone.conl,
ww,w.mapuuest.com, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: 32' - enclosure (enl;
10'-temporary (tom , 10'- rip rap (rp)
Page 4 of 8
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 of Waterbody

(if applicable) Type of Waterbody
(lake, pond, estuary, sound,
bay, ocean, etc.)
N/A

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: fill, excavation, dredging,
flooding, drainage, bulkheads, etc.
4. Pond Creation
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ? uplands ? stream ? wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.): N/A
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.): N/A
Size of watershed draining to pond: N/A Expected pond surface area: N/A
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.
Pipe replacement and placement of fill material are necessary to increase travel lane and shoulder
width to current construction standards. Impacts will be minimized by strict enforcement of Best
Management Practices for the protection of wetland and surface waters, restrictions against the
stag of equipment in or adjacent to waters of the US, and coordination with the Division
Environmental Officer.
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.
Page 5 of 8
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on March 9, 2000, mitigation will be required when
necessary to ensure that adverse effects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed. Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USACE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCWRP concurrence shall be placed on hold as
incomplete. An applicant may also choose to review the current guidelines for stream restoration
in DWQ's Draft Technical Guide for Stream Work in North Carolina, available at
http://h2o.enr.state.nc.us/ncwetlands/strm,gide.html.
1. Provide a brief description of the proposed mitigation plan. The description should provide
as much information as possible, including, but not limited to: site location (attach directions
and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed method of construction. Please attach
a separate sheet if more space is needed.
A fmdin og? f insi>;nificant impact is anticipated. Cumulative impacts are less than 0.10 acres
for all wetlands and 150 feet for streams. The maximum amount of impact to an individual
wetland is 0.025 acres. The maximum amount of impact to a single stream is 42 linear feet.
No Outstanding Resource Waters, unique wetland types, essential fisheries habitat, or
federally protected species or their habitats are being, impacted by this project. The project is
located in a High Quality Water.
2. Mitigation may also be made by payment into the North Carolina Wetlands Restoration
Program (NCWRP) with the NCWRP's written agreement. Check the box indicating that
you would like to pay into the NCWRP. Please note that payment into the NCWRP must be
reviewed and approved before it can be used to satisfy mitigation requirements. Applicants
will be notified early in the review process by the 401/Wetlands Unit if payment into the
NCWRP is available as an option. For additional information regarding the application
process for the NCWRP, check the NCWRP website at http://h2o.enr.state.nc.us/Nvrp/index.htm. If
use of the NCWRP is proposed, please check the appropriate box on page three and provide
the following information:
Amount of stream mitigation requested (linear feet): N/A
Amount of buffer mitigation requested (square feet): N/A
Amount of Riparian wetland mitigation requested (acres): N/A
Amount of Non-riparian wetland mitigation requested (acres): N/A
Page 6 of 8
Amount of Coastal wetland mitigation requested (acres): N/A
IX. Environmental Documentation (DWQ Only)
Does the project involve an expenditure of public funds or the use of public (federal/state/local)
land?
Yes ® No ?
If yes, does the project require preparation of an environmental document pursuant to the
requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)?
Note: If you are not sure whether a NEPA/SEPA document is required, call the SEPA
coordinator at [phone] to review current thresholds for environmental documentation.
Yes ? No
If yes, has the document review been finalized by the State Clearinghouse? If so, please attach a
copy of the NEPA or SEPA final approval letter.
Yes ? No ?
X. Proposed Impacts on Riparian and Watershed Buffers (DWQ Only)
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required state and local buffers associated with the project. The applicant must also provide
justification for these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Meuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and
Water Supply Buffer Requirements), or other (please identify N/A )?
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
(square feet) Multiplier Required
Miti ation
1 3
2 1.5
Total
* Zone 1 extends out 30 teet perpendicular ti•om near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.
Page 7 of 8
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.
N/A
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.
In accordance with the February 25, 1991 delegation agreement one copy of the sediment and
erosion control plan will be submitted to DENR - Division of Land Resources and NCDOT
Roadside Environmental Prior to construction.
XII. Sewage Disposal (DWQ Only)
Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of
wastewater generated from the proposed project, or available capacity of the subject facility.
XHL Violations (DWQ Only)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H.0500) or any Buffer Rules?
Yes ? No ?
Is this an after-the-fact permit application?
Yes ? No ?
XIV. Other Circumstances (Optional):
It is the applicant's responsibility to submit the application sufficiently in advance of desired
construction dates to allow processing time for these permits. However, an applicant may
choose to list constraints associated with construction or sequencing that may impose limits on
work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and
Threatened Species, accessibility problems, or other issues outside of the applicant's control).

L__5Y
Z- Zo-oZ
Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 8 of 8
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NATURAL RESOURCE EVALUATION SHEET
State Project # SR Number Road Name County Investigator(s)
6.472069T 1758 Boone Lane Alamance Len Smith
Date: River Basin: Water Quality Designation Buffer Rules (Y/1)
11/02/01 Cape Fear WS-II NSW 3 miles from C.A. No
Primary Land Use Percent Residential Percent Agricultural: Percent Unmaintained:
Agriculture 20 70 30
T es of Unmaintained Upland Properties
Community
Type Dominant Tree(s) Dominant Shrub(s) Dominant Herb(s)
Disturbed
floodplain tulip tree Alleghany blackberry,
silky dogwood tall goldenrod, deer-tongue
witch grass, Nepal
microste ium
powerline
right-of-way N/A eastern red cedar,
multiflora rose broom-sedge,. Japanese
honeysuckle
recent
clearcut N/A N/A horseweed, broom-sedge, gray
goldenrod, yellow Indian ass

Waters of the US
Streams
M.M. Stream Name Perennial or
Intermittent Ave. Wdth
OHWM Ave. Dpth
OHWM Ave. Wdth
OB Ave. Dpth
OB Notes
1.10 UT to Owens Creek Perennial 6.0' 0.5' 13.0' 4.0'

M.M. = Mile Marker, OHWM = Measurements made from Ordinary High Water Marker, TOB =
Measurements made from the Top of the Bank
Wetlands

M.M. Within 100-year
Floodplain Distance to
Nearest Stream
linear feet
Cowardin Classification
Dominant Plants
0.34 No 0 PEM1J fringed sedge, red maple, soft rush,

ODen Water

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

General Notes/Comments: The Aluminum Box Culvert at M.M. 1.10 is not being replaced.
The blueline stream shown south of the permitted site does not exist. Photos are available upon request.
Division Environmenta?? Date
ENDANGERED SPECIES REVIEW FOR DIVISION 7
DISTRICT I
State Project # SR Number Road Name County
A. 'f 2-069T 1758 Boone Lane Alamance
Alamance County
No Endangered or Threatened Species are listed.
Orange County
River Basin: Cape Fear
Smooth Coneflower (Echinacea laevi ata) May be surveyed for from June to September
Habitat Survey Date Investigator(s) Man-hours Comments/Findings
Michaux's Sumac (Rhos michauxii) May be surveyed for from May to October
Habitat Survey Date Investigator(s) Man-hours Comments/Findings
N/A
Small Whorled Pogonia (Isotria medeoloides) May surveyed for from Ma to June
Habitat Survey Date Investigator(s) Man-hours Comments/Findings
N/A
Red Cockaded Woodpecker Picoides borealis)
Habitat Survey Date Investigator(s) Man-hours Comments/Findings
N/A
Dwarf Wed a Mussel (Alasmodonta heterodon) - Neuse Basin
Habitat Survey Date Investigator(s) Man-hours Comments/Findings
N/A
James s in ussel (Pleurobema collina) - Roanoke Basin
Habitat Survey Date Investigator(s) Man-hours Comments/Findings
N/A
General Notes/Comments:
6 V6,1
Division Environmental Officer ate

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NCDOT
HAZARDOUS SPILL BASIN CHECKLIST
Division:Seven County: Alamance Project ID_ 6.4720691
River Basin: Cape Fear Bridge No: N/A
Route: 1758 Stream: UT to Owens Creek
Water Quality Criteria:
Yes No
E F
ORW C FT
WSI C FT
WS 11,111 OR IV, Crossing Within 0.5mi of W.S. Critical Area C r
Roadway Criteria:
Route Designation-
Additional Site Information:
Yes No
Arterial Urban C F,
Arterial Rural F-- F-
Yes No
Is a Hazardous Spill Basin Required? C C
Criteria Based Upon NCDOT "Best Management Practices for the
Protection of Surface Waters" (March, 1997).
February 18,2002
Site 1
Construction Sequence and Erosion Control Plan for Pipe
Replacement of Pipe with Pipe in an Intermittent Stream
Alamance County - SR 1758
Work to begin in April
Construction is anticipated to take 1 day.
1. ALL WORK WILL BE CONDUCTED IN THE DRY.
2. Prior to removing the existing pipe, install a rock silt screen downstream to prevent
incidental sediment loss due to unforeseen precipitation.
3. Remove one existing line of 28' long 18" RC pipe.
4. Excavate to sufficient depth to allow 20% burial of the pipe, place base stone, and
single line of 60' long 24" RC pipe.
5. Backfill the structure.
6. Place riprap only as needed on the four corners of the exposed banks.
7. Remove the rock silt screen and restore natural stream contours.
8. Seed and mulch remaining disturbed areas.
9. Silt fences to be placed as site conditions require.
10. Site conditions and weather may alter these plans.
Supervisor - Approved 163
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?,, J, I .;\ ? -rr,0 -`.'. ? t •, rr \ < - . I ? ? \? i\' 671 .. 1:? ??? -p1 ?\ ? \??\ ` 1 - /; '?, \,:ro
1+L ., ' - 4
\ 1758 Site \ '-? ` ? /
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Name: BURLINGTON NE Location: 17 646393 E 4006062 N
Date: 1/4/2002 Caption: Location of the permitted activity - SR 1758
Scale: 1 inch equals 2000 feet
1997, MUptech, Inc.
View of the wetland associated with SR 1758.
View of channel leaving the wetland associated with SR 1758.
.'
Mike Mills, PE
Division Engineer
1584 Yanceyville Street
Greensboro, NC 27415-4996
CS9 02-16-44
December 13, 2001
Dear Mr. Mills:
(Please Distribute to Division/District Maintenance Engineers and DEO):
?
?EW
F
d
D 1.D 2001
NC Dept, of Transportat;oR
Dlvislon of Highways=Z111 "
LYNDO TIPPETT
SECRETARY
The NCDOT Historic Architecture Section has received your county commission-approved 2001-2002
Secondary Roads Rural Paving Program. We have map-checked all submitted roads at the NC State
Historic Preservation Office (SHPO) for the following currently designated historic property rypes:
National Register (NR), Study List (SL), and Determined Eligible (DOE) properties. Based on the map-
check reviews, we are writing (1) to inform you of the current historic compliance status for your SR Rural .
Paving Program; (2) to notify you of the SR projects that definitely will require our fieldwork; (3) to
provide you with information that can be included (or attached) in your cover letter for a Pre-Construction
Notification.
If coordination is required, the NCDOT staff architectural historian will notify the DivisioniDistrict
Maintenance Engineers to start a mitigation effort involving environmental commitment agreeable to all
parties. Documentation will be coordinated by the staff architectural historian with the Division
Environmental Officer.
When additional SR projects are added to a Program, individual updates will be sent to the
Division/District Maintenance Engineers and the DEO. All status updates can be tracked on the Division
Support website. If there are errors or omissions in this letter or on the website, please e-mail your NCDOT
staff architectural historian or call the Division Coordinator, Richard Silverman, 919-733-7844 x293.
Sincerely,
Attachment
J
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY
GOVERNOR
MAILING ADDRESS:
NC DEPAR TMENT OF TRANSPORTA nON
P"OJECT DEVELOP? IENT ANO ENVIRONMENTAL ANALYSIS
14-48 MAIL SERVICE CENTER
RA( -:GN NC 276t-J-1548

Richard L. Silverman
TELEPHONE: [phone]
PAX: 919-733.9794
WE©SITE: WWW.DOH.DUT.STATE..NC..US
LOCATION:
TRANSPORTATION BUILCING
1 SOUTH WILt11NGTON STREET
RALEIGH NC
V
HISTORIC ARCHITECTURE STATUS REVIEW SHEET
NCDOT Secondary Roads Rural Paving Projects
The county-commission approved 2001-2002 SR Rural Paving Program for Division 7 has been map-
checked at the NC Historic Preservation Office by NCDOT Architectural Historians. The results of this
map-check should be included in your Pre-Construction Notification application (by attachment of this
document with the applicable SRl# circled or by inclusion in your own letter).
Historic Properties Present (NR, SL, or DOE)
Status: THE DIVISION WILL NOT PROCEED until compliance work is completed by NCDOT
Historic Architecture and Concurrence has been obtained from the NC State Historic Preservation
Office
Further Information & Scheduling: Contact your assigned Architectural Historian or go to
http://www.dot.state.nc.us/plannin2/pe/histarchi/divsupport/
Based on a review of USGS county survey quad maps at the SHPO, the following roads have
properties that are currently designated as historic. Please do not proceed with construction until
compliance work is completed by the Historic :architecture Section. We will be in contact with the
Division/District ;Maintenance Engineers and the Division Environmental Officer to coordinate this
effort. Please note: not all NR, SL, or DOE properties will necessarily require mitigation. We will
work with the Division and District 10aintenance Engineers if environmental commitments are
required. At any time, if you are not in agreement with the proposed mitigation efforts, please contact
Richard Silverman, Division Coordinator at 919-733-7344 x293.
Alamance: SR 1 107 (NR)
Orange: None
Guilford: None
Caswell: None
Rockingham: None
Ad

HISTORIC ARCHITECTURE STATUS REVIEW SHEET (Continued)
NCDOT Secondary Roads Rural Paving Projects
No Designated Historic Properties Present (NO NR/SL/DOE)
Status for projects with No Federal Permit: PROCEED
Status for projects with a Federal Permit anticipated: PROCEED WITH CONDITIONS
(see below)
Further Information & Scheduling: Contact your assigned Architectural Historian or go to
http:/hvww.dot.state:nc.us/planning/pelhistarchi/divsupport/
Based on a review of USGS county survey quad maps at the HPO, the following roads do not have
properties that are currently designated historic. The Division may proceed with construction with the
following conditions: If the Division applies for a Federal Permit, the NC State Historic Preservation
Office (SHPO) may request additional fieldwork, (usually to identify Potentially Eligible properties).
Typically this request is made for counties where historic resource surveys have not been completed or
are out-of-date. If additional historic properties are identified, further coordination, including
environmental commitments, may be required as part of the project. For SR Projects where no f=ederal
Permit is to be applied for, no further compliance work is anticipated by NCDOT. Those projects may
proceed unconditionally.
Alamance: SR 2384, 2333, 1191, 1565, 1502, 2012, 1755, 2013, 1584C
Orange: SR 1115, 1503, 1363, 1302, 1359, 1132, 1529, 1 S97
Guilford: SR 2035, 3332, 2102, 3524, 2771, 2333, 1 140N, I ;:OS, 3105E, 2762, 33.14. 3033,
2904W, 1327, 3359
Caswell: SR 1603, 1755, 1569, 1755, 1109, 1601, 1332, 171'_, 1344, 1313, 1172, 1551, 1570
Rockingham: SR 1163, 2623, 2,105, 2404, 1377, 2137, 3713, 2197, 2339, 1333, 1934. 1217,
1 I 11, 2259, 2559, 1122, 2024, 2133, 2332N, 2156, 2335, 2425. 1397