20021093 Ver 1_Complete File_20020708

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
August 8, 2002
Orange County
DWQ Project No. 021093
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 permanent fill
material in 12 linear feet of streams, temporary fill in 10 linear feet of streams, and rip rap in 10 linear feet of
streams. The project's purpose is the widening and paving of SR 1350 bin Orange County. The project shall be
constructed in accordance with your application dated July 1, 2002. After reviewing your application, we have
decided that this fill is covered by General Water Quality Certification Number 3375. This certification corresponds
to the Nationwide Permit 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 211.0506 (h) (6) and (7). For this approval to remain valid, you must adhere to the
conditions listed in the attached certification.
1.) Upon completion of the project, the NCDOT shall complete and return the enclosed "Certification of
Completion Form" to notify DWQ when all work included in the 401 Certification has been completed. The
responsible party shall complete the attached form and return it to the 401/Wetlands Unit of the Division of
Water Quality upon completion of the project.
2.) 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 for a 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. 27611-7447. This certification and its conditions are final and binding unless you ask for a hearing.
N. C. Division of Water Quality 1650 Mail Service Center Raleigh, NC 27699-16
50 [phone]
Customer Service: 1 800 623-7748
of W A TF Michael F. Easley, Governor
`J Rp William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
r Alan W. Klimek, P.E. Director
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 or Steve Mitchell at 919-571-4700.
Sincerely,
Alan . Klimek, P.E.
Attachment
cc: Wilmington District Corps of Engineers
Corps of Engineers Raleigh Field Office
DWQ Raleigh Regional Office
File Copy
Central Files
c:\ncdot\SR 1350\wqc\021093wgc.doc

MICHAEL F. EASLEY
GOVERNOR
V..)
.STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
1584 YANCEYVILLE STREET, GREENSBORO, NC 27415
021093
LYNDO TIPPETT
SECRETARY
r? q r,a 'i
vi,e; }U1 ) r +?
July 1, 2002
MEMORANDUM TO:
FROM:
SUBJECT:
Mr. John Hennessy
Wetlands/401 Unit
C.N. Edwards
District Engineer, District 1, Division 7
Payment Information - Water Quality Certificate for0range County,
Harmony Church Road (SR 1350B)
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 (NWP14)
• Work Order Number : 6.502329
• Amount of fee: $200

PHONE [phone] FAX [phone]
,r
6I SfA7E??
?N _
Q
?VM?
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY 1584 YANCEYVILLE STREET, GREENSBORO, NC 27415 LYNDo TIPPETT
GOVERNOR SECRETARY
July 1, 2002
Mr. John Hennessy
Wetlands/401 Unit
NC DENR Division of Water Quality
1650 Mail Service Center
Raleigh, NC 27699
(Seven Copies)
Mrs. Jean Manuele
U.S. Army Corps of Engineers
Regulatory Field Office
6508 Falls of the Neuse Road, Suite 105
Raleigh, North Carolina 2761
(Two Copies)
SUBJECT: Orange County, Upgrade of Harmony Church Road (SR 1350B) from an unpaved
secondary road to a paved secondary road. State Project Number: 6.502329
To Whom It May Concern:
The North Carolina Department of Transportation (NCDOT) proposes to upgrade Harmony Church
Road (SR 1350B) from an unpaved to a paved secondary road to reduce future maintenance needs
and increase traffic safety. This activity will result in impacts to a stream due to the extension of
a crossline pipe to facilitate travel lane and shoulder widening. The NCDOT anticipates that the pipe
replacement activity will be authorized under Nationwide Permit (NWP) 14. This application is
intended as request for written authorization from the NC Division of Water Quality to replace the
pipe'under General Water Quality Certificate # 3375 (NWP 14). This application is also intended to
provide a courtesy copy to the US Army Corps of Engineers. The following information is being
provided to satisfy Condition 1 of General Water Quality Certificate # 3375.
PHONE [phone] FAX [phone]

PROJECT INFORMATION
Road Name SR Number Project Length
miles Classification
Harmony Church
Road 1350B 0.5 Rural
River Basin: DWQ
ID Water Quality
Designation % Impervious Surface
Ca Fear 16-18-2-(0.5) WS-II NSW 0
Buffer Rulee Buffer Rule Conditions (where applicable)
No Not Applicable
Protected Species
Presentb Mapped Historic
Pro rti& CAMA
AEC Essential Fishery
Habitat
No No review No No
'Separate documentation attached as needed: b See the attached Endangered Species Review Sheet for further
information: 'When Applicable - See the attached Historic Review Letter for further information
PIPE REPLACEMENT INFORMATION
Site 1(17+85) Stream Type Intermittent
Station
Existing Pipe 75'of 24" CMP/Plastic Proposed 83' of 24" CMP/Plastic
Pipe
Construction Low flow installation Dewatering Not applicable
Method Device*
Burial Depth 6" below streambed Erosion 05/10/02
Control Plan
Construction As soon as practicable Duration 1 day
Date
Impacts ft. 12-enclosure; 10-rip-rap dissipaters; l 0-temporary
Special Not applicable
Conditions
Restoration Within 15 working days of the of the pipe replacement all temporary
Plan structures will be entirely removed and natural stream contours will be
restored and seeded.
RCP = reinforced concrete pipe; CW = Corrugated metal pipe; CWA = Corrugated metal pipe arch; E/C =
Erosion control. *A less intrusive dewatering device may be used in lieu of the one proposed.
-2-

MINIMIZATION INFORMATION
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 (including a pre-construction meeting) with the Division Environmental
Officer.
MITIGATION INFORMATION
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.
APPLICATION INFORMATION
Enclosed please find the Pre-construction Notification Form and supporting documentation for the
above referenced project. If you have any questions or need any additional information, please
contact Chuck Edwards at [phone] or Len Smith at [phone]. Your time and effort
are appreciated.
Sincerely,
, Division 7
cc: Mr. Lenwood E. Smith, II, PWS, Division Environmental Officer
Mr. C.N. Edwards, P.E., District 1 Engineer CMG -1 -3-o7-
Mr. C.N. Edwards, P.E., County Maintenance Engineer, Orange
Mr. Ted Sherrod, Area Roadside Field Operations Engineer
Mr. Buddy Garrard, Grade Crew Foreman
)?/ 0 V-6 ?/ 6
-3-
Office Use Only: Form Version May 2002
USACE Action ID No. DWQ No.021093
(If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A".)
I. Processing
1. Check all of the approval(s) requested for this project:
? Section 404 Permit ? Riparian or Watershed Buffer Rules
? Section 10 Permit ? Isolated Wetland Permit from DWQ
® 401 Water Quality Certification
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 (verify availability with NCWRP prior to submittal of PCN), complete
section VIII and check here: ?
5. If your project is located in any of North Carolina's twenty coastal counties (listed on page
4), and the project is within a North Carolina Division of Coastal Management Area of
Environmental Concern (see the top of page 2 for further details), 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
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: [e-mail]
2. Agent/Consultant 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:
Pagel of 8

M. 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: Harmony Church Road (SR 1305B)
2. T.I.P. Project Number or State Project Number (NCDOT Only): 6.502329
3. Property Identification Number (Tax PIN): Not Applicable
4. Location
County: Orange Nearest Town: Mebane
Subdivision name (include phase/lot number): Not A cable
ppli
Directions to site (include road numbers, landmarks, etc.):
The project is north of Mebane. From I40/85 (Exit 153) and NC 119 go north on NC 119
for 6.64 miles and turn right onto Lynch Store Road (SR 1350) then go 2.10 miles.
Harmony Church Road is located on the left.
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. Property size (acres): Not Appli
cable
7. Nearest body of water (streanVriver/sound/ocean/lake): UT to Stagg Creek
8. 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/.)
9. Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this application: The site is primarily Agricultural and Residential
Page 2 of 8

10. Describe the overall project in detail, including the type of equipment to be used:
The project will involve paving an unpaved secondary road and bringing the travel lane,
shoulders, ditchlines, and drainage structures up to current standards. Travel lane widening_
will be required to bring the road up to current standards. Standard shoulder widths will be
6'-8' with deviations shown on the attached site plan. Ditch widths will vary based onsite
conditions. Proposed right-of-way width is illustrated on the attached site plan. Equipment
used will be standard road construction equipment (trackhoe, grader, backhoe, and
bulldozer).
11. Explain 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.
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.
Not Applicable
V. Future Project Plans
Are any future 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.
Not Applicable
VL 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. Provide a written description of the proposed impacts: Permanent stream impacts will
result from channel enclosure and placement of rip-rap energy dissipaters. Temporary stream
impacts will result from placement of cofferdams (perennial streams) and siltscreens
2. Individually list wetland impacts below:
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***
N/A

* 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.gov.
*** List a wetland type that best describes wetland to be impacted (e.g., freshwater/saltwater marsh, forested wetland, beaver pond,
Carolina Bay, bog, etc.) Indicate if wetland is isolated (determination of isolation to be made by USACE only).
List the total acreage (estimated) of all existing wetlands on the property: Not Applicable
Total area of wetland impact proposed: Not Applicable
3. Individually list all intermittent and perennial stream impacts below:
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 seci )

1
Pipe extension 12 (en)
10(tmp)
10
UT to Stagg Creek
1.5'
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/gam),
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 1400-358-9616, or online at
www.usQs.aov. Several intemet sites also allow direct download and printing of USGS maps (e.g., www.Igpozone.com,
www.MMuest.com, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: 12- enclosure (,en
10- temporary?tmp), 10- rip ra (EP)
Page 4 of 8
4. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.) below:
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.
5. 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.): Not Applicable
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.): Not Applicable
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.
Pine extension activities 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 staging of
equipment in or adjacent to waters of the US and coordination (including a pre-construction
meeting) 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/stnngide.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 finding of insignificant impact is anticipated: therefore, a mitigation plan is not provided.
Cumulative impacts are less than 150 feet. The maximum amount of impact to a single
stream is 11 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). Please note it is the applicant's responsibility to contact the NCWRP at
[phone] to determine availability and to request written approval of mitigation prior
to submittal of a PCN. For additional information regarding the application process for the
NCWRP, check the NCWRP website at http://h2o.enr.state.nc.us/vM/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): Not Applicable
Amount of buffer mitigation requested (square feet): Not Applicable
Amount of Riparian wetland mitigation requested (acres): Not Applicable
Amount of Non-riparian wetland mitigation requested (acres): Not Applicable
Amount of Coastal wetland mitigation requested (acres): Not Applicable
Page 6 of 8

IX. Environmental Documentation (required by DWQ)
Does the project involve an expenditure of public (federal/state) funds or the use of public
(federal/state) 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 (required by DWQ)
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required state and local buffers associated with the project. The applicant must also provide
justification for these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Meuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and
Water Supply Buffer Requirements), or other (please identify )?
Yes ? No ® If you answered "yes", provide the following information:
Identify the square feet and acreage of impact to each zone of the riparian buffers. If buffer
mitigation is required calculate the required amount of mitigation by applying the buffer
multipliers.
Zone* ape ft Multiplier Mini fired
1 N/A 3
2 N/A 1.5
Total N/A
# 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.
Not Applicable
X1. Stormwater (required by DWQ)
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.
The existing travel lane is 18-feet. The proposed travel lane is 18-feet. The proposed right-
of-may is 50-feet. The percent new impervious surface (relative to the right-of-way is 0%.
Because the percent new impervious surface is less than 30% stormwater controls are not being
provided.
XU. Sewage Disposal (required by DWQ)
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.
Not Applicable
X111. Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (15A NCAC 211.0500) 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).
M,
(Agent's
Agent's Signature ` #ate
is valid only if an authorization letter from the applicant is provided.)
Page 8 of 8
4 . . .
NATURAL RESOURCE EVALUATION SHEET
State Project # SR Number Road Name County Investigator(s)
6.502329 1350B Harmony Church Road Orange Len Smith
Date: River Basin: Water Quality Designation Buffer Rules (Type)
06/15/02 & 05/08/02 Cape Fear WS-II NSW No
Primary Land Use Percent Residential Percent Agricultural: Percent Unmaintained:
Agridultural 30 50 20
Anticipated Permits or Consultations High Quality or Rare Wetlands Federally Threatened or Endangered
Species
NWT 14 No No
Tvpes of Unmaintained Upland Properties
Community Type Dominant Trees Dominant Shrub(s) Dominant Herb(s)
Hardwood forest white oak, black gum black gum, mockernut
hickory, huckleberry, low
blueberry muscadine grape, spotted
wintergreen

Waters of the US
Streams
ST Stream Name Perennial or
Intermittent Ave. Wdth
OHW Ave. Dpth
(OHWM) Ave. Wdth
OB Ave. Dpth
OB DWQ ID.
17+80 UT to Stagg Creek Intermittent 1.5' <0.5' 2.0' 3.0' 16-18-2-(0.5)

ST = Station; OHWM = Measurements made from Ordinary High Water Marker, TOB = Measurements
made from the Top of the Bank
Wetlands
Within 100-year Distance to
ST Nearest Stream Cowardin Classification Dominant Plants
Floodplain linear feet
18+10 to No 10 PEM1B soft rush, wool-grass
18+40

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: The wetland will be avoided during construction. Silt fence is to be placed between the
roadway and wetland prior to construction to prevent incidental filling.
Division Environmental Officer
June 26, 2002
Date
J . ' . .
ENDANGERED SPECIES REVIEW FOR DIVISION 7
DISTRICT 1
State Project # SR Number Road Name County
6.502329 1350B Harmon Church Road Orange
Alamance County
No Endangered or Threatened Species are listed.
Orange County
River Basin: Cape Fear
Bald Eagle (Haliaeetus leucocephalus). Cane Creek (Cape Fear Basin) Area.
Is the activity within the primary or secondary zone Yes ? No
Smooth Coneflower (Echinacea laeviQata) Mav be surveved for from June to Sentember
Habitat Survey Date Investigator(s) Man-hours Comments/Findings
F No 06/15/02 Len Smith 0.5
Michaux's Sumac (Rhuc michaurii) Mav he surveved for from Mav to October
I Habitat Survey Date Investigator(s) Man-hours Comments/Findings
No 06/15/02 Len Smith 0.5
Small Whorled Poeonia Usotria medeoloides) Mav surveved for from Mav to June
Habitat Survey Date Investigator(s) Man-hours Comments/Findings
Poor 06/15/02 Len Smith 0.5 None observed
Red Cockaded Woodnecker (Picoides borealis)
Habitat Survey Date Investigator(s) Man-hours Comments/Findings
No 06/15/02 Len Smith 0.5
Dwarf W e Mussel (Alasmodonta heterodon) - Neuse Basin
Habitat Survey Date Investigator(s) Man-hours Comments/Findings
N/A
James in ussel Pleurobema collina) - Roanoke Basin
Habitat Survey Date Investigator(s) Man-hours Comments/Findings
N/A
General Notes/Comments:
O?
Division Environmental Officer
June 26, 2002
Date
4 . . .w
NCDOT
HAZARDOUS SPILL BASIN CHECKLIST
Division Seven County Orange Project ID: 6.502329
River Basin Cape Fear Bridge No: N/A
Route 1350B Stream UT to Stagg Creek
Water Quality Criteria
Yes No
Stream Crossing Blueline on USGS N ?
ORW ? N
WSI ? Z
WS II, III, or IV Crossing Within 0.5 mi. of W.S. Critical Area ? N
Roadway Criteria
Route Designation Yes No
Arterial Urban ? N
Arterial Rural ? N
Additional Site Information:
Yes No
Is a Hazardous Spill Basin Required? ? N
Criteria Based Upon NCDOT "Best Management Practices for the
Protection of Surface Waters" (March, 1997).
Yh r. ' . N
July 1, 2002
Site 1
Construction Sequence and Erosion Control Plan for Pipe
Replacement of Pipe with Pipe in an Intermittent Stream
Orange County - SR 1305B
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 adding the extension, install a rock silt screen downstream to prevent
incidental sediment loss due to unforeseen precipitation.
I Excavate to sufficient depth to allow 20% burial of the extension, place base stone,
and three joints of 4' long 24" RC pipe.
4. Backfill the structure.
5. Place rip rap only as needed.
6. Remove the rock silt screen and restore natural stream contours.
7. Seed and mulch remaining disturbed areas.
8. Silt fences to be placed as site conditions require.
9. Site conditions and weather may alter these plans.
4 1 a .,,
Site # 1
SR 1350B
HARMONY CHURCH ROAD
Scale =1" = 50'
Cape Fear River Basin
High Quaility Water
O :7/ 0 / /o Z
PRO os FD ex 7r r0A/
\
• r°
\ Intermittent Stream
No PIPI
'V 46031106t' 17+8 5,

RIGHTOF WAY
s.-0_ fig' 6'-0-
SHOl1DER PAV 'J SHOUI.DER OCT04
1 t/i- 7 FT. 1/4' I Fr. ?7 Fr. l 4: 1
SLOP` 1
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r .
17+85
22x3x z? 451

E
26
SLOPE
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TEMPORARY SILT FENCE
TEMPORARY ROCK SEDIMENT DAM
TYPE - B
TEMPORARY ROCK SILT CHECK
TYPE - B zzz
SILT BASIN TYPE - B ZZZZ
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600,
f
8'W Name: BURLINGTON NE Location: 17 656846 E 4004358 N
Date: 6/26/2002 Caption: Location of the permitted activity - SR 1350B
Scale: 1 inch equals 2000 feet
Copyright (C) 1997, Maptech, Inc.