20020824 Ver 1_Complete File_20020524

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June 4, 2002
Guilford County
DWQ Project No. 020824
SR 3607 (Chuck Road)
APPROVAL of 401 Water Quality Certification with Additional Condition
Mr. S. L. Hall, District Engineer
NCDOT District 2, Division 7
1584 Yanceyville Street
Greensboro, NC 27415
Dear Mr. Hall:
You have our approval, in accordance with the attached conditions and those listed below, to permanently
impact 0.01 acres of wetlands. Stream impacts include 46 linear feet of permanent impacts and 20 linear
feet of temporary impacts to an unnamed tributary to Beaver Creek in order to upgrade SR 3607 (Chuck
Road) in Guilford County. The project should be constructed in accordance with your application dated
May 24, 2002 (received May 24, 2002). After reviewing your application, we have decided that this fill is
covered by General Water Quality Certification No. 3375 corresponding to the U.S. Army Corps of
Engineers Nationwide Permit Number 14. In addition, you should acquire any other federal, state or local
permits before you proceed with your project including (but not limited to) Sediment and Erosion
Control, Non-Discharge and Water Supply Watershed regulations. This approval will expire with the
accompanying 404 permit unless otherwise specified in the Water Quality Certification.
This approval is only valid for the purpose and design that you described in your application except as
modified below. If you change your project, you must notify us, in writing, and send us a new
application. If the property is sold, the new owner must be given a copy of this Certification and approval
letter and is thereby responsible for complying with all conditions. If total wetland fills for this project
(now or in the future) exceed one acre, or if stream impacts exceed 150 linear feet, compensatory
mitigation may be required as described in 15A NCAC 2H .0506 (h) (6) and (7). For this approval to be
valid, you must follow the conditions listed in the attached certification and any additional conditions
listed below.
1. NCDOT shall use Best Management Practices for the Protection of Surface Waters (NCDOT March
1997) and Sedimentation. and Erosion Control Guidelines for Sensitive Watersheds (15A NCAC 4B
.0024) must be implemented prior to any ground-disturbing activities to minimize impacts to
downstream aquatic resources. Temporary or permanent herbaceous vegetation shall be planted on
all bare soil within 15 days of ground-disturbing activities to provide long term erosion control.
2. Native riparian vegetation must be reestablished within the construction limits of the project by the
end of the growing season following completion of construction..
3. NCDOT is encouraged to use existing on-site vegetation and materials for stream bank stabilization
and to minimize the use of rip rap.
4. The dimension, pattern, and profile of the stream and floodplain above and below the structure shall
not be modified by widening the stream channel or reducing the depth of the stream.
5. All work shall be performed during low flow conditions.
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
AMA
RME-W
North Carolina Division of Water Quality, 401 Wetlands Certification Unit,
1650 Mail Service Center, Raleigh, NC 27699-1650 (Mailing Address)
2321 Crabtree Blvd., Raleigh, NC 27604-2260 (Location)
919-733-1786 (phone), 919-733-6893 (fax), http://h2o.enr.state.nc.us/ncwetlands/
6. Heavy equipment must be operated from the banks rather than in the stream channel in order to
minimize sedimentation and reduce the likelihood of introducing other pollutants into the stream.
7. All mechanized equipment operated near surface waters must be regularly inspected and maintained
to prevent contamination of stream waters from fuels, lubricants, hydraulic fluids, or other toxic
materials.
8. Upon completion of the project, the NCDOT shall complete and return the enclosed
"Certificate of Completion" form to notify NCDWQ when all work included in the §401
Certification has been completed. The responsible party shall complete the attached form
and return it to the 401/Wetlands Unit of the NC Division of Water Quality upon
completion of the project.
If you do not accept any of the conditions of this certification, you may ask for an adjudicatory hearing.
You must act within 60 days of the date that you receive this letter. To ask for a hearing, send a written
petition that conforms to Chapter 150B of the North Carolina General Statutes to the Office of
Administrative Hearings, 6714 Mail Service Center, Raleigh, N.C. 27699-6714. This certification and its
conditions are final and binding unless you ask for a hearing.
This letter completes the review of the Division of Water Quality under Section 401 of the Clean Water
Act. If you have any questions, please telephone Ms. Cynthia Van Der Wiele at 919.733.5715 or Ms.
Jennifer Frye of the Winston-Salem Regional Office at 336.771.4600.
Attachment
Pc: Wilmington District Corps of Engineers
Jean Manuele, USACE Raleigh Field Office
Jennifer Frye, NCDWQ Winston-Salem Regional Office
Central Files
File Copy
.k

ESL TEo
STATE OF NORTH CAROLINA
DEPARTN MNT OF TRANSPORTATION
MICHAEL F. EASLEY 1584 YANCEYVILLE STREET, GREENSBORO, NC 27415
GOVERNOR

MEMORANDUM TO:
FROM:
SUBJECT:
May 24, 2002
Ms. Cynthia Van der Wiele
Wetlands/401 Unit
Lane Hall
District Engineer, District 2, Division 7

LYNDO TIPPETT
SECRETARY

Payment Information - Water Quality Certificate forGuilford County,
Chuck Road (SR 3607)
In accordance with General Statute 143-215.3D(e) the following information if being provided to
facilitate payment of fees associated with the appropriate Water Quality Certificate:
• Certificates being requested: #3375 (NWP 14) and #3366 (NWP 33)
• Work Order Number : 6.492127T
• Amount of fee: $200
Sin rely,
Lane Hall
District Engineer, District 2, Division 7
? ?-
PAS ?kjejv T
RECEjVED
PHONE [phone] FAX [phone]

r ' y?
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY 1584 YANCEYVILLE STREET, GREENSBORO, NC 27415 LYNDo TIPPETT
GOVERNOR SECRETARY
May 24, 2002
NC DENR Division of Water Quality
1650 Mail Service Center
Raleigh, NC 27699
ATTN.: Ms. Cynthia Van der Wiele
Wetlands/401 Unit
Dear Ms. Van der Wiele
SUBJECT: Guilford County, Upgrade of Chuck Road (SR 3607) 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 Lane Hall at
[phone] or Len Smith at [phone]. Your time and effort are appreciated.
Sincerely,
J. M , P.E.
D' ion Engineer, Division 7
cc: Ms. Cynthia Van der Wiele, NCDWQ
Mr. Lenwood Smith, II, PWS, NCDOT 2-
Mr. S. Lane Hall, District 2 Engineer, NCDOT syzela Z_
Mr. Frank Vernon, Area Roadside Field Operations Engineer, NCDOT
Mr. Kevin Hazelwood, Grade Crew Foreman, NCDOT
PHONE [phone] FAX [phone]
? ciNr a?
STATE OF NORTH CAROLINA
DEPARTWI' OF TRANSPORTATION
MICHAEL F. EASLEY 1584 YANCEYVILLE STREET, GREENSBORO, NC 27415 LYNDo TIPPETT
GOVERNOR SECRETARY
May 24, 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: Guilford County, Upgrade of Chuck Road (SR 3607) from an unpaved secondary
road to a paved secondary road.
The North Carolina Department of Transportation (NCDOT) proposes to upgrade Chuck Road (SR
3607) from an unpaved to a paved secondary road to reduce future maintenance needs and increase
traffic safety. Total project length is 0.33 miles. This activity will result in the impacts to waters of
the United States including a stream and a wetland. The activity is occurring in the Cape Fear River
Basin.
Stream impacts will result from the replacement and extension of crossline pipes to facilitate travel
lane and shoulder widening during the upgrade. The activity will involve the replacement of two (2)
lines of 44' long 18" Reinforced Concrete pipes. As indicated on the site plans, the existing pipe
located at Station 13+55 (the western pipe) serves as a stream conveyance pipe; whereas the existing
pipe located at Station 13+60 (the eastern pipe) serves as a floodwater conveyance pipe. The
replacement pipes will be placed in the same location as the existing pipes. The stream conveyance
pipe is being sized smaller than the flood conveyance pipe to prevent widening of the upstream
channel into the wetland altering the wetland hydrology. The table below indicates the proposed
pipe lengths and sizes for the stream and floodplain conveyance pipes along with anticipated impacts.
PHONE [phone] FAX[phone]
Station Existing Pie Proposed Pie Stream type Impacts ft
13+55 44' of 18" RCP 60' of 24" CMP Perennial 16en , 20 tm , 10
13+60 44' of 18" RCP 70' of 36" CMPA N/A No additional impacts. Used
for floodwater conveyance.
Cumulative Impacts 36 en , 20 tm , 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 stream conveyance pipe
(energy dissipaters will be included within the confines of the temporary work area). Temporary
impacts will result from the placement of ABC aggregate or a less intrusive dewatering device within
the stream during the dewatering operation. Dewatering devices will be placed on both side of the
stream water conveyance pipe as it is being replaced.
The road being upgraded is not a dead end; therefore, a temporary travel lane will not be constructed
as an on-site detour during dewatering of perennial streams. Within 15 working days of the of the
pipe replacement activity all dewatering structures and rock silt screens will be entirely removed and
natural stream contours will be restored and seeded.
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:
Station Wetland
Unit(s) Classification* Impacts (acres) Comments
13+55 A PF01B 0.01 No
*Cowardin, LM., 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.
PHONE [phone] FAX [phone]
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 Guilford County (See the
attached Endangered Species Review Sheet for further information). Historic compliance work to be.
scheduled and concurrence with the Historic Preservation Office will be obtained if required.
Secondary impacts will be minimised 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 and the dewatering operations will be authorized under NWP 33. This application is
intended as a request for formal written authorization from the USACE to place fill in the wetland at
Station 13+55 under NWP 14; and dewater the stream at Station 13+55 under NWP 33. 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 # 3375 (NWP 14). Enclosed
please find the Pre-construction Notification Form and supporting documentation for the above
referenced project. Construction is anticipated to begin
as soon as practicable following authorization and take 4 weeks to complete.
If you have any questions or need any additional information, please contact Lane Hall at (336) 334-
3161 or Len Smith at [phone]. Your time and effort are appreciated.
Sincerely,

Mills, P.E.
on Engineer, Division 7
cc: Ms. Cynthia Van der Wiele, NCDWQ
Mr. Lenwood Smith, II, PWS, NCDOTO 6s/ Z 7/G 2
Mr. S. Lane Hall, District 2 Engineer, NCDOT 5-1z /b z,
Mr. Frank Vernon, Area Roadside Field Operations Engineer, NCDOT
Mr. Kevin Hazelwood, Grade Crew Foreman, NCDOT
PHONE [phone] FAX [phone]
Office Use Only: Fgrm Ycrsion October 2001
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 and 33
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: ?
4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for
mitigation of impacts (see section VIII - Mitigation), check here: ?
H. Applicant Information
1. Owner/Applicant Information
Name: Mr. J M Mills P E Division Engineer - Division 7
Mailing Address: P.O. Box 14996
Greensboro, NC 27415 _
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: [e-mail]
2. Agent Information (A signed and dated copy of the Agent Authorization letter must be
attached if the Agent has signatory authority for the owner/applicant.)
Name: Not Applicable
Company Affiliation:
Mailing Address:
Telephone Number: Fax Number:
E-mail Address:
Page I 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: Chuck Road - SR 3607
2. T.I.P. Project Number or State Project Number (NCDOT Only):6.492127T (non-TIP)
3. Property Identification Number (Tax PIN): N/A
4. Location
County: Guilford Nearest Town: Pleasant Garden
Subdivision name (include phase/lot number): N/A
Directions to site (include road numbers, landmarks, etc.): The site is northeast of Pleasant
Garden From I-85/40 take exit # 126 onto US 421 S (James M. Hunt Jr. Express
Proceed 7.2 miles and turn left onto SR 3389 (Woody Mill Road). Proceed 0.6 miles and
turn left onto SR 3330 (SE School Road)/ Proceed 1.0 miles and turn left on SR 3607.
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:
Residential and unmaintained
7. Property size (acres): N/A
8. Nearest body of water (stream/river/sound/ocean/lake):Beaver Creek, DWQ I.D. 16-19-3-4
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.ne.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, backboe and bulldozer).
12. Describe the land use in the vicinity of this project:
Successional forest
IV. Prior Project History
If jurisdictional determinations and/or permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action ID Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules.
N/A
V. Future Project Plans
Are any additional permit requests anticipated for this project in the future? If so, describe the
anticipated work, and provide justification for the exclusion of this work from the current
application:
N/A
VI. Proposed Impacts to Waters of the United States/Waters of the State
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. The applicant must also
provide justification for these impacts in Section VII below. All proposed impacts, permanent
and temporary, must be listed herein, and must be clearly identifiable on an accompanying site
plan. All wetlands and waters, and all streams (intermittent and perennial) must be shown on a
delineation map, whether or not impacts are proposed to these systems. Wetland and stream
evaluation and delineation forms should be included as appropriate. Photographs may be
included at the applicant's discretion. If this proposed impact is strictly for wetland or stream
mitigation, list and describe the impact in Section VIII below. If additional space is needed for
listing or description, please attach a separate sheet.
Page 3 of 8
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***
1 (Station 13+55) Placement of fill 0.01 No 0 PFO1B

I
i i i i i
* 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:/hvww. fema. g ov.
*** List a wetland type that best describes wetland to be impacted (e.g., freshwater/saltwater marsh, forested Nvetland, 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: N/A
2. Stream Impacts, including all intermittent and perennial streams
Stream Impact
Site Number
indicate on ma)
Type of Impact* Length of
Impact
(linear feet
Stream Name** Average Width
of Stream
Before Impact Perennial or
Intermittent?
(please secify)

1 (Station 13+55)
Pipe replacement 16(cn)
20(tmp)
10(rp)
UT to Beaver Creek
4.0'
Perennial

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: culverts and associated rip-rap,
dams (separately list impacts due to both structure and flooding), relocation (include linear feet before and after, and net loss/gain),
stabilization activities (cement wall, rip-rap, crib vmll, 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
,,v%tiv.usgs.^ov. Several internet sites also allow direct download and printing of USGS maps (e.g., www.topozone.cont,
«tivw.mnnouest.com, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: 16- enclosure (en),
20- temporary (tmp), 20- rip rap (1p)
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: till, 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 widening activities are necessaU 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
staging 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.iic.us/ncwetlands/strnigide.litnil.
1. Provide a brief description of the proposed mitigation plan. The description should provide
as much information as possible, including, but not limited to: site location (attach directions
and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed method of construction. Please attach
a separate sheet if more space is needed.
A finding of insignificant impact is anticipated. Cumulative impacts are less than 150 feet.
The maximum amount of impact to a single stream is 26 linear feet. No Outstanding
Resource Waters federally protected species or their habitats or essential fishery habitats
occur in the project area 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 litIp://li2o.enr.stite,nc.us/w!p/itidex.litin. If
use of the NCWRP is proposed, please check the appropriate box on page three and provide
the following information:
Amount of stream mitigation requested (linear feet): N/A
Amount of buffer mitigation requested (square feet): N/A
Amount of Riparian wetland mitigation requested (acres): N/A
Amount of Non-riparian wetland mitigation requested (acres): N/A
Amount of Coastal wetland mitigation requested (acres): N/A
Page 6 of 8
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 213 .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. act Zone* s mpe feet Multiplier Required
red
1 3
2 1.5
Total
* Zone 1 extends out 30 feet perpendicular from near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.
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
M. 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.
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.
XIII. 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).
,- -2V -O Z
Signature Date
is valid only if an authorization letter from the applicant is provided.)
Page 8 of 8
NATURAL RESOURCE EVALUATION SHEET
State Project # SR Number Road Name County Investigator(s)
k IZ / Z }.7- 3607 Chuck Road Guilford Len Smith
Date: River Basin: Water Quality Designation Buffer Rules (Y/N)
07/25/01 &
09/25/01
Cape Fear
WS - IV 6 miles from C.A.
No
Primary Land Use Percent Residential Percent Agricultural: Percent Unmaintained:
Residential 50 0 50
Types of Unmaintained Upland Properties
Community
Type Dominant Tree(s) Dominant Shrub(s) Dominant Herb(s)
Successional
forest tulip-tree, shortleaf pine, sweet gum, eastern red
cedar poison ivy, Japanese
honeysuckle, rattlesnake fem

Waters of the US
Streams

M.M.
Stream Name Perennial or
Intermittent Ave. Wdth
OI-IWl1 Ave. Dpth
OHWl1 Ave. Wdth
OB Ave. Dpth
TOB
Notes

0.2
UT to Beaver Creek
Perennial
4.0'
0.75'
4.5'
1.0' Pond ca. 300'
downstream of
crossing

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
0.2 No 0 PFO1B red maple, Nepal microstegium,
wood reed, false nettle

Open Water
M.M. Name of Waterbody
if applicable) Type of
Waterbod M.M. Name of Waterbody
if applicable) Type of Waterbody
N/A

General Notes/Comments:
Division Environmental Officer Date
ENDANGERED SPECIES REVIEW FOR DIVISION 7
DISTRICT 2
State Project 4 SR Number Road Name County
y 2.1 P, 7- 3607 Chuck Road Guilford
Guilford County
Bald Eagle (Haliaeetus leucocephalus). Lake Higgins Area.
Is the activity within the primary or secondary zone Yes ? No
James s in usseT Pleurobema collina - Roanoke Basin
Habitat Survey Date Investigator(s) Man-hours Comments/Findings
N/A
Potential Species (Listed in Nearby Counties)
Schweinitz's sunflower (Helianthus schweinitzh) May be surveyed for from late August to October
Habitat Survey Date Investigator(s) Man-hours Comments/Findings
No 07/25/01 Len Smith 0.5
General Notes/Comments:
Division Environmental Officer Date

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NCDOT
HAZARDOUS SPILL BASIN CHECKLIST
Division Seven County Guilford Project ID: 6.492127T
River Basin Cape Fear Bridge No: N/A
Route 3607 Stream UT to Beaver Creek
Water Quality Criteria
Yes No
Stream Crossing Blueline on USGS Z ?
ORW ?
WSI ? Z
WS II, III, or IV Crossing Within 0.5 mi. of W.S. Critical Area ?
Roadway Criteria
Route Designation Yes No
Arterial Urban ?
Arterial Rural ? Z
Additional Site Information:
Yes
Is a Hazardous Spill Basin Required? ?
No
Z
Criteria Based Upon NCDOT "Best Management Practices for the
Protection of Surface Waters" (March, 1997).

f
Slope 2:1
60 Ft,
RIGHT OF WAY
6• 9• 91 61 4'
S oulder. oulder Ditch
1, ?'? 1 4, Slope
1 FT
3:1 2:1
Compacted A B 01-61 }?
TYPICAL CROSS - SECTIO,
Not To Scale
0 EIP - Found : a POT
A • PI - PINC GorPT
,
Power Tele: Poe ? .:'• Pedestal
l Gu Wire .Anchor w Well
o St fEt Distance .: ? V?tcie Post
e , Sat. Dish A Sh b
Reference Point Tree - Tree Line
- EXist: ProDert line
- - - - • Ezist, Side Ditch
--- Pr sed:RIW
-- - Existing RM
Tra
R, R. acks
_
- -•= Under Ground Cable
Exist, Drainage Pipe
-.x-= fence Line
- - of Water -
--- q of Gravel
r
PROJECT LEGEND
POWER POLE GUY WIRE:
TELEPHONE PEDESTAL - FENCELINE
® W ELL / WELL HOUSE -'-- EXISTING R1W
EXISTING IRON PIPE PROPOSED R/W
O IRON NOT FOUND
NOTE: ANY 110IN1;5 ON AW1 OTHEIR •1'IIAN LEGEND 1101N•1'S IV]1.1,1)E. LABELED ON MAP.
EROSION CONTROL LEGEND
Erosion Control _ srau_nce of Ooerations 2-26-92
1. Review Erosion Control Plans and Standards. Identify all
release points (outlets of crossline pipes, tail ditches,
roadway ditches; fill slopes, etc.)
2. Install all measures a release points prior to clearing 6
grubbing. See Erosion Control standards for proper
installation.
3. Begin grading operations - install all other measures as
grading progresses and monitor their effectiveness.' If
any measures need to be changed, consult Highway
Maintenance Engineer. Show changes on Erosion Control
Plans.
4. Locate all borrow pits and waste areas with their erosion
control measures on Erosion Control Plans 'or attach a
separate sheet showing same.
5. Before moving to next job site, review all measures. for
effectiveness; make any adjustments, clean-outs, or-
repair; call Roadside Environmental Department for
installation of a ditch liner and seeding and mulching
of all disturbed areas.
6. Continue to check and maintain all measures after each
- significant rainfall until all disturbed areas become
stabilized
7. Fill in all silt basins and silt ditches; remove all silt
fences and slope drains; redistribute all stone from silt
checks, sediment dams, and silt screens. Seed and mulch
disturbed areas.
TEMP. ROCK SED. DAM - TYPE A
TEMP. ROCK SED. DAM - TYPE B
TEMP. ROCK SILT CHECK DAM - TYPE B
?Mr F. G. ROVING OR E. C. MATTING
-E -E E E- STONE LINER
-!I! !I! TEMP. SILT FENCE
-
- RUStt-BARRIER
ROCK SILT SCREEN
0 PIPE OUTLET PROTECTION
-? -? EARTH BERM
TEMP. SLOPE DRAIN
i
-TSD-
TEMP. SILT DITCH
M SILT BASIN - TYPE B (MIN. 10'x2'x3')
May 16, 2002
Site 13+55
Construction Sequence and Erosion Control Plan for Replacement of
Pipe with Pipe Using a Pump Around - Guilford County, SR 3607
(Chuck Road)
Work to begin as soon as practicable following authorization.
Construction is anticipated to take 4 weeks.
1. Install a rock silt dam downstream of the work area to prevent incidental sediment
loss.
2. Install ABC aggregate or a less intrusive dewatering device to allow dewatering of
the work area.
3. Install pumps to divert flow around the work area.
4. Remove one existing line of 44' long 18" RC pipe.
5. Excavate to sufficient depth to allow 20% burial of the pipe, place base stone, and
single line of 60' long 24" CM pipe.
6. Backfill the new line of pipe and place rip rap only as needed.
7. Starting from the downstream end, remove the dewatering structure and restore the
natural stream contours.
8. Notify landscape department for final seeding.
9. Silt fences to be placed as site conditions require.
10. A 10' X 15' dirt bag will be used to remove excess water in the hole where the new
pipe is being replaced.
11. Site conditions and weather may alter these plans.
12. A method less intrusive than a pump around system may be utilized if site conditions
allow.
May 16, 2002
Site 13+60
Construction Sequence and Erosion Control Plan for Pipe
Replacement of Pipe with Pipe in a Floodplain
Guilford County - SR 3607 (Chuck Road)
Work to begin as soon as practicable following authorization
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 in the associated stream
incidental sediment loss due to unforeseen precipitation.
3. Remove one existing line of 44' long 18" RC pipe.
4. Excavate to sufficient depth to allow 20% burial of the pipe, place base stone, and
single line of 70' long 36" CM pipe arch.
5. Backfill the structure.
6. Place rip rap only as needed.
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.

ICI
View of the existing pipe inlet - SR 3339 s (.o

i
I i ? I I