20020447 Ver 1_Complete File_20020321

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STATE of NORTH CAROLINA

DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY P.O. Box 25201, RALEIGH, N.C. 27611-5201 LYNDO TIPPETT
GOVERNOR SECRETARY
P.O. BOX 47,1710 East Marion Street
Shelby, N. C. 28151-0047
March 15, 2002
Mr. John W. Hendrix - NCDOT Projects
US Army Corp of Engineers
Asheville Regulatory Field Office
151 Patton Avenue, Room 208
Asheville, N. C. 28801-5006
Dear Mr. Hendrix:
The North Carolina Department of Transportation, Division of Highways, proposes the following
project for your issuance of a Section 404 Permit. We believe this project can be accomplished
under NWP #i, Maintenance and NWP #33, Temporary Construction, Access and Dewatering.
COUNTY: Iredell
LOCATION: I Pipe replacement on SR 1518, west of Statesville
STREAM: Unnamed tributary to Third Creek, Class C Waters (from source to
Fourth Creek), Yadkin River Basin
PROJECT DESCRIPTION: The project consists of replacing a deteriorating 50-foot long, 72"
CMP with a new 50-foot long, "'CAP with an inlet concrete headwall on 0.10 acres of NCDOT
right of way. The inlet of the existing pipe is not observable. The adjacent property owner has
placed a 70' long fuel tank pipe flush to DOT's pipe and placed fill over the area. It is proposed
that the new 50-foot pipe will be repositioned within DOT right of way to allow for an open area
between the new pipe and the fuel tank pipe on the adjacent property. A five- foot riprap apron
will be placed in the stream channel and approximately 5-10 feet of riprap will be placed around the
inlet and outlet of the new pipe for structure stabilization and protection. Temporary cofferdams
will be used to restrict stream flow and the stream will be pumped around the work site during
construction. The temporary impacts will extend 10 feet beyond the inlet and outlet of the new 50-
foot pipe. The existing stream width is approximately four feet wide. The pipe is to be buried a
foot below existing streambed elevation and the stream dimensions at the inlet and outlet of the
new 84" pipe will be structured to mimic the existing upstream and downstream channel
dimensions. I have enclosed a PCN application, a sketch of planned activities, and location maps
relative to the proposed project.
Mr. John W. Hendrix
Pipe Replacement, SR 1518
March 15, 2002 - Page 2
The project is located in a Class C Waters and the roadway is not an urban or rural arterial
roadway. Hazardous spill basins are not required. Enclosed is the NCDOT hazardous spill basin
checklist.
A review of the Natural Heritage information for the threatened species listed for Iredell County,
the bog turtle (Clemmys muhlenbergii), did not reveal any known sites in the vicinity of the
proposed project. I have conducted a survey for this species in the project area on March 11,
2002. None were observed. It was determined that this species was not located in the proposed
project area. No significant effect on this species is anticipated. A review of the available
information from the National Register of Historic Places was also conducted. It is anticipated that
no historic sites will be affected by the proposed project.
By copy of this letter, we are asking Neil Trivette, NCDOT Roadside Environmental Field
Engineer to comment on the above project. By copy of this letter, we are also requesting
concurrence from the Wildlife Resources Commission, and U. S. Fish & Wildlife Service.
Your earliest consideration for this request would be greatly appreciated. Should you have any
questions, please call me at 704-480-9020.
ti
Respectfully yours,
M.L. Holder, P.E.
Division Engineer
Twelfth Division
BY: -)Ala
Trish Simon
Division 12 Environmental Officer
Enclosures
cc: Mr. Michael L. Holder, P.E., Division Engineer
Mr. Dan Holderman, P.E. , Division Bridge Engineer
Mr. Neil Trivette, Roadside Environmental Field Engineer
Mr. Ron Linville, WRC
Mr. Brian Cole, USF & WS
Mr. John Dorney, DENR,DWQ,40I/Wetlands Unit (Courtesy copy)
File
Office Use Only: Form Version 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.
I. 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: Nationwide Permit #3, #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
ti
1. Owner/Applicant Information
Name: ' Mike Holder NCDOT
Mailing Address: P.O. Box 47
Shelby, NC 28151
Telephone Number: 704480-9020 Fax Number: 704-480-5401
E-mail Address:
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: Trish Simon
Company Affiliation: NCDOT
Mailing Address: P.O. Box 47
Shelby, NC 28151
Telephone Number: 704-480-9044 Fax Number: 704-480-5401
E-mail Address: tsimon dot.state.nc.us
Page 5 of 12
HL 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: Pipe Replacement on SR 1518 (1500 ft west of SR 1512) Iredell County
2. T.I.P. Project Number or State Project Number (NCDOT Only): 5.8252
3. Property Identification Number (Tax PIN): NCDOT Right of way
4. Location
County: Iredell Nearest Town: Statesville
Subdivision name (include phase/lot number): NA
Directions to site (include road numbers, landmarks, etc.): Hwy 90 West from Statesville,
south on SR 1512, then turn onto SR 1518.
5. Site coordinates, if available (UTM or Lat/Long): 35°48'26N/80°58'42W
(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:
Pipe on paved secondary road
7. Property size (acres): 0.10 acres NCDOT right of way
8. Nearest body of water (stream/river/sound/ocean/lake): Unnamed tributary, to Third Creek
(From source to Fourth Creek) , Class C waters
9. River Basin: Yadkin
(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 6 of 12
10. Describe the purpose of the proposed work: The project consists of replacing a deteriorating
50 foot long,, 72" CMP with a new 50 foot long 84" CMP with inlet headwall. At the inlet
and outlet, five-foot riprap aprons will be placed in the stream channel and a total of fifteen
feet of riprap will be placed on the stream bank for structure stabilization. Temporary
impervious cofferdams will be used to restrict stream flow and the stream will be piped
around the site during construction.
11. List the type of equipment to be used to construct the project: A trackhoe will be used
for excavation and placement of ripM.
12. Describe the land use in the vicinity of this project: The surrounding area is wooded and
pastureland with cattle access.
IV. Prior Project History
If jurisdictional determinations and/or permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action ID Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules.
NA
4
V. Future Project Plans
Are any futur4 permit requests anticipated for this project? 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.
1. Wetland Impacts
Page 7 of 12
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
ear feet
Type of Wetland***

• List each impact separately and identify temporary impacts. Impacts include, but are not limited to: mechanized cleaning, grading, fill,
excavation, flooding, ditching/drainage, etc. For dams, separately list impacts due to both stricture and flooding.
s• 100-Year floodplains are identified through the Federal Emergency Management Agency's (FEMA) Flood Insurance Rate Maps
(F W, or FEMA-approved local floodplain maps. Maps are available through the FEMA Map Service Center at 1-800-358-9616, or
online at htti)://www.femg.&ov.
••' List a wetland type that best describes wetland to be impacted (e.g., freshwater/saltwater marsh, forested wetland, beaver pond,
Carolina say, bog, etc.)
List the total acreage (estimated) of existing wetlands on the property: 0
2. Stream Impacts, including all intermittent and perennial streams
Stream
Impact Site Average Width Perennial or
Number Type of Impact* ?? feet) Stream Name** of Stream Intermittent?
(indicate on
map) Before Impact (please specify)
Riprap apron in Unnamed
1 stream bed at inlet 5 ft inlet; 5 ft outlet to Third 4 feet Perennial
and outlet for Total = 10 feet Creek
structure protection
Placement of riprap 10 feet (inlet)
1 on bank for 5 feet (outlet) "
stgicture protection Total = 15 feet
1 Temporary coffer 70 feet
dam/diversion pipe
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-%16, or online at
www.uses.t ov. Several internet sites also allow direct download and printing of USGS maps (e.g., wNvw.topozone.com,
ewv?V.Mmquest.com, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: Riprap aprons & rip=
on stream bank for structure protection = 15 feet, Total temporary cofferdam and stream
diversion impacts = 70 feet.
3. Open Water Impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any
other Water of the U. S. NO OPEN WATER B PACTS
Open Water Impact Area of Name of Waterbody Type of Waterbody
Site Number Type of Impact* Impact (if applicable) fie' pond, estuary, sound,
(indicate on map) (acres) bay, ocean, etc.)

• List each impact separately and identify temporary impacts. Impacts include, but are not limited to: fill, excavation, dredging,
flooding, drainage, bulkheads, etc.
Page 8 of 12
4. Pond Creation NO POND CREATION
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ? uplands ? stream ? wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.):
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.):
Size of watershed draining to pond: Expected pond surface area:
VII. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts.
NCDOT plans to replace a deteriorating 5_ 0 foot, 72" CMP pipe with a 50 foot. 84" CMP:
therefore, there will be only minimal additional impacts from the riprap used for structure
stabilization. Temporary cofferdams and a pipe diversion will be utilized to allow for
construction to be done "in the , ' and to reduce sediment impact.
VIII. Mitigation
I
DWQ - In ac i cordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on March 9, 2000, mitigation will be required when
necessary to ensure that adverse effects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed. Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
Page 9 of 12
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.
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.
AVACTS < 150 FEET, MITIGATION NOT ANTICIPATED
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 httn://h2o.enr.state.nc.us/wm/indcx.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):
Amount of buffer mitigation requested (square feet):
Amou* 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
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 ?
Page 10 of 12
X.
XI.
XII.
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.
Yes ? No ® If you answered "yes", provide the following information:
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 )?
Identify the
mitigation
multipliers.
* 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.
square feet and acreage of impact to each zone of the riparian buffers. If buffer
is required calculate the required amount of mitigation by applying the buffer
Zone* square Impactet Multiplier Required
1 3
2 1.5
Total
If buffer mitig#tion 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,
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.
No additional impervious surface is proposed in this project.
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.
Page I 1 of 12
XIM 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).
9 - dS 3-15-0 Z
Applicant/Agent's Signature Date
(AgenVs signature. is valid only if an authorization letter from the applicant is provided.)
Page 12 of 12
Downstream of pipe replacement on an unnamed tributary to theThi'rd• Cree k on SR
1518 in Iredell County
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the pipes.

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Date: 3/8/2002 Caption: Pipe replacement on SR 1518 on an unnamed tributary to Third
Scale: 1 inch equals 1000 feet Creek, Class C Waters, Yadkin River Basin
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INTERMITTENT CHANNEL
EVALUATION FORM
ACTION ID APPLICANT NAME k*3?(' -r j DATE J J
PROPOSED CHANNEL WOR'KII(i.e., culvert, relocation. etc.) 1 re olCt«IM r?.1-?- ,
WATERBODY/RIVER BASIN COUNTY/C1TY__1 r C- I
RECENT WEA'T'HER CONDITIONS (?1 f 1(
P SP NP Observation Comments or Description
Fish/Shelllish/Crustaccans Present
Benthic Macro Invenebrates
Amphibians Present/Breeding
Algae And/Or Fungus (water quality function)
Wildlife Channel Use (i.e. tracks, feces, shells, others)
Federally Protected Species Present (Discontinue)
Riffle/Pool Structure
f Stable Streambanks
Channel Substrate
(i.e. gravel, cobble, rock, coarse sand)

V-T Riparian Canopy Present (SP =/> 50% closure)
? Undercut Banks/Ittstream Habitat Structure
Flow In Channel
/
t/ Wetlands Adjacent'ro/Contig. With Channel
(Discontinue)
Persistent Pools/Saturated Bottom
(June through Sept.)
?
LSeepsiCrroundwater Discharge (June through Sept.)
:
Adjacent Floodplain Present
W.-Ak*-Material or Drift Lines
Hydrtiphytic Vegetation iniadjacent to channel
Important To Domestic Water Supply? Y (N
Does Channel Appear On A Quad Or Soils Nlap??D N Approx. Drainage Area:
Determination:
Perennial Channel (stop) Important Channel LF PROJECT NIGR. Initials
Intermittent Channel (proceed) Unimportant Channel: LF
Ephemeral Channel (tic) jd) (attach map indicating location of important/unimportant channel)
Ditch Through Upland (nojd)
Evaluator'3 Signature:
(if other than C.O.E. project manager)
P=Prescnt SR=Slongly Present NP=Not Present 11/4/98
NCDNVO Stream Classification Form
Project Namle ) r ?I`. ?i.?l(? v) ,•J? River Buin: VQ -1 L. County.?? f J E ; I
139Q P jet Number. Neatest NapSdStream: . f-il Latitude: -35
° l ; • J
Date: - USGS QUAD: Longitude: _
*PLEASE NOTE: !f rva/uaror anIlandowner agree that the foram L a ..n. ..de ditch, than me ofthls foss is of necavary.
Also, if in the bets F,0festiond%ndgement of the evaluator, the ftatum it a in rode ditch and not a mdifled natural jima-this
rating gwni shoaid not be used-
.r 7
Signature: I
Location/Di-bom:
S I'c r 512 ofi f 1-41.??/ ? C7 t?I l urn
n1 S ? i 5-
Primary Field Indicators: rarno.,Na-b„r,ru.el
1. Geomoroholnw
Absent
Weak
hinder r
.arnn
1) Is There A Riffle-Pool Sequence? 00 01 Q-r? 03
Is The USDA Texture In Stmanibcd
2) Di Recent From Surrounding Tem. in?
00 0
01
02
Q.-T-
3) Arc Natural Levees Prescnl? e o 01 O 2 03
4) Is The Channel Sinuous? 00 Q? 02 03
5) Is There An Active (Or Relic) Floodplain Present? 00 Q•1' 02 03
6) Is The Channel Braided? 0 01 02 03
7) Arc Recent Alluvial Deposits Present? 00 O
L 02
8) Is There A Bankfull Bench Present? 00 ?
,
VR 02 03
Is A Continuous Bed & Bank Present? f1 0
9) (• no rE: 1f s,d a bank Caa„d By Dudl.g e.d trrTNOUr Si..any TA,. Stun-o O 1 Q 2
10) Is A 2nd Order Or Greater Channel (As Indicated On Topo
Map And/Or In Field) Present?
_
tl'3 O NO-0
PRIAIARY GEOMORPHOLOGY INDICATOR POINTS.
IL Hydrology '-'7
Absent / #VALUEI
Weak
Moderate
Strong
1) Is There A Groundwater
FlowiOischarve Present?
00
01
02
PRIMAR Y HYDROLOGY INDICA TOR POINTS.
Ill. Biology -
Absent #VALUEI
Weak
Moderate
Strong
1) Are Fibrous Roots Present In Streambed? (L}f O 2 01 00
2) Are Rooted Plants Present In Streambed? 02 0
11 00
3) Is Periphyton Present? C 0 01 ,
a 03
4) Arc Bivalves Present? 0.1111 01 02 O 3
PRIAIARY BIOLOGY INDICATOR POINTS.
Secondary Field Indicators: 1. Geomorphology
Absent #VALUEI
Weak
Moderate
Strong
1) Is ncre A Head Cut Present In Channel? eY0 0.5
0 01 01.5
2) Is There A Grade Control Point In Channel? 00 ,.
,0
t.'l 5 01 01.S
Does Topography Indicate A
3)
Natural Drainage Wny?
00
00.5
01
Cer-
SECONDARY GEOAfORPHOLOGYINDICA TOR POINTS.
11. Hydrology 2
Absent #VALUEI
Weak
Moderate
Strong
1) Is This Years (Or Last's) Lcalliucr
Present In Streambed?
S
0 1
O 0.5
0 0
1) Is Sediment On Plants (Or Debris) Present? 00 00.5 01 Q-rr
3) Art Wrack Linn Present? 00 00.5 01 171.5
4) Is Water In Channel And >48 Hrs. Since
Last known Rain? i•NOrE.'i(Dirch lndirotid to e9 Abow Ski, n,i, Sno And e59,P..•) 00.S 01
'S
5) Is There Water In Channel During Dry
00
OOS
0

Conditions Or In Growing Season)?
1 171.5
6) Are Hydric Soils Present In Sides Of Channel (Dr In Hcaucu0? C1UrEs-1.5 O No-0
SECONDARY HYDROLOGY INDICATOR POINTS. #VALUEI
111. _Biology Absent Weak Moderate Strong
1) Are Fish Present? &•t)' 00.5 01 01.5
2) Are Amphibians Present? 04-? 00.5 01 01.S
3) Are AquatieTurtlen Present? Ol 00.s 01 01.5
4) Are Crayfish Present? Gle- 00.5 01 01.5
5) Art Macrobenthos Present? 00 orn 01 01.5
6) Are Iron Oxidizing Bacteria/Fungus Present? 00 00.5 01.5
7) Is Filamentous Algae Present? lY'0 O 0.5 01 01.5
8) Are Wetland Plants In Streambed7 SAV
• Mostly OBL Mostly FACW Mostly FAC Mostly FACU Mostly UPL
NOM If Tor.1 4b,,.r,OI.411 Pf..a 1. S,-.b.d 4, Need 02
i 01 00.75 00.5 00 00
4b... Skip rx:, si,o UNLESS SA V Pn-
SECONDAR YBIOLOGYINDICATOR POINTS: I l? #VALUEI
TOTAL POINTS (Printnn +Secondary) - #VALUEI (IfGremtrThan OrEqualTo 19 Points TheSntantIsAiLtastlnterndnen)

NCDOT
HAZARDOUS SPILL BASIN CHECKLIST
Division: 1Z- County: 1/Z4C=ProjectID:5,eoszoI
River Basin: V 14-?c_ t J Bri-d o: iii oG
Route: 5Q / S-1 L3 Stream: LjoAj cA
Tl-h.2? c-r?C.?2=?lL
Water Quality Criteria: c??+? 'G" ?,Ls
Yes No
Stream Crossing Blue Line On USGS r? r
ORW r r`
WSI r r?
WS 11,111 OR IV, Crossing Within 0.5mi of W.S. Critical Area r- r--*'
Roadway Criteria:
Route Designation-
,
a
Additional Site Information:
Yes No
Arterial Urban r r?
Arterial Rural r r?
Yes No
Is a Hazardous Spill Basin Required?
F- r-,,/'
Criteria Based Upon NCDOT "Best Management Practices for the
Protection of Surface Waters" (March, 1997).