20011858 Ver 1_Complete File_20020607

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Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
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DWQ Project No.: 0+ 1 R 5g County: 141ako-
Applicant: NcDor/G Ntt! ?j 444CA-
Project Name: sR 2235 t! 9"V-NeAA gOO4
do Date of Issuance of 401 Water Quality Certification: IIk Z
Certificate of Completion
Upon completion of all work approved within the 401 Water Quality Certification or applicable Buffer Rules, and
any subsequent modifications, the applicant is required to return this certificate to the 401/Wetlands Unit, North
Carolina Division of Water Quality, 1621 Mail Service Center, Raleigh, NC, 27699-1621. This form may be
returned to DWQ by the applicant, the applicant's authorized agent, or the project engineer. It is not necessary to
send certificates from all of these.
Applicant's Certification
I, S-/ 6. Afm c e , hereby state that, to the best of my abilities, due care and diligence
was used in the observation of the construction such that the construction was observed to be built within substantial
compliance and intent of ater Quality Certification and Buffer Rules, the approved plans and
specifications, and of sup terials.
Signature: ? v Date: 3
Agent's Certifica on
I, , hereby state that, to the best of my abilities, due care and diligence
was used in the observation of the construction such that the construction was observed to be built within substantial
compliance and intent of the 401 Water Quality Certification and Buffer Rules, the approved plans and
specifications, and other supporting materials.
Signature:
Engineer's Certification
Date:
Partial Final
I> , as a duly registered Professional Engineer in the State of North
Carolina, having been authorized to observe (periodically, weekly, full time) the construction of the project,for the
Permittee hereby state that, to the best of my abilities, due care and diligence was used in the observation of the
construction such that the construction was observed to be built within substantial compliance and intent of the 401
Water Quality Certification and Buffer Rules, the approved plans and specifications, and other supporting materials.
Signature Registration No.
Date
0 WATF94
,O G
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Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director

DWQ Project No.: 01 A 5g MAP County: VVa?
Applicant: A10>0ra /1la??avi ? ?- 64-
Project Name: sR ZZ35 C2urwe.PA Road)
Date of Issuance of 401 Water Quality Certification: g I??o2
Certificate of Completion
Upon completion of all work approved within the 401 Water Quality Certification or applicable Buffer Rules, and
any subsequent modifications, the applicant is required to return this certificate to the 401/Wetlands Unit, North
Carolina Division of Water Quality, 1621 Mail Service Center, Raleigh, NC, 27699-1621. This form may be
returned to DWQ by the applicant, the applicant's authorized agent, or the project engineer. It is not necessary to
send certificates from all of these.
Applicant's Certification
I, Toni 9. Alante- , hereby state that, to the best of my abilities, due care and diligence
was used in the observation of the construction such that the construction was observed to be built within substantial
compliance and intent oft ater Quality Certification and Buffer Rules, the approved plans and
specifications, and oth supp materials. l
Signature: Date: ?! QJ'
Agent's Certificalo
I, , hereby state that, to the best of my abilities, due care and diligence
was used in the observation of the construction such that the construction was observed to be built within substantial
compliance and intent of the 401 Water Quality Certification and Buffer Rules, the approved plans and
specifications, and other supporting materials.
Signature:
Engineer's Certification
Partial Final
Date:
I, , as a duly registered Professional Engineer in the State of North
Carolina, having been authorized to observe (periodically, weekly, full time) the construction of the project,for the
Permittee hereby state that, to the best of my abilities, due care and diligence was used in the observation of the
construction such that the construction was observed to be built within substantial compliance and intent of the 401
Water Quality Certification and Buffer Rules, the approved plans and specifications, and other supporting materials.
Signature
Registration No.
Date
WAT Michael F. Easley, Governor
F9
0?
p William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
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7 Alan W. Klimek, P.E. Director
Division of Water Quality

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August 14, 2002
Wake County
DWQ Project No. 011858
APPROVAL OF 401Water Quality Certification and ADDITIONAL CONDITIONS and Neuse River Buffer
Rules
Mr. J.G. Nance, P.E., Division Engineer
NCDOT, Division 5
2612 N. Duke Street
Durham, NC 27704
Dear Mr. Nance:
You have our approval, as described in your application dated December 17, 2001, and in accordance
with the attached conditions and those listed below, to place fill material in 0.03 acres of wetlands,
permanent fill in 44 linear feet of streams, temporary impacts to an additional 44 linear feet of streams,
and impact 3481 square feet of protected Neuse Riparian Buffers in Wake County. The project shall be
constructed in accordance with your application dated December 17, 2001 and as modified in your June
4, 2002 application. This certification supercedes the 401 Water Quality Certification issued on January
28, 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. This approval is also valid for the Neuse River buffer rules (15A NCAC 2B
.233). 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 when the accompanying 404 permit expires
unless otherwise specified in the General Certification.
This approval is valid solely for the purpose and design described in your application (unless modified below).
Should your project change, you must notify the DWQ and submit a new application. If the property is sold, the
new owner must be given a copy of this Certification and approval letter, and is thereby responsible for complying
with all the conditions. If total wetland fills for this project (now or in the future) exceed one acre, or of total
impacts to streams (now or in the future) exceed 150 linear feet, compensatory mitigation may be required as
described in 15A NCAC 2H.0506 (h) (6) and (7). ). This approval shall expire with the corresponding Nationwide
Permit expires or as otherwise provided in the General Certification. For this approval to be valid, you must follow
the conditions listed in the attached certification and any additional conditions listed below.
1. Stormwater shall be directed to sheetflow at nonerosive velocities through the protected stream buffers.
2. , 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.
FA
'vision of Water Quality 1650 Mail Service Center Raleigh, NC 27699-1650 [phone]
.,,mer Service: 1 800 623-7748
O?O? W A T??pG
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If you do not accept any of the conditions of this certification, you may ask for an adjudicatory hearing. You must
act within 60 days of the date that you receive this letter. To ask for a hearing, send a written petition, which
conforms to Chapter 150B of the North Carolina General Statutes to the Office of Administrative Hearings, P.O.
Box 27447, Raleigh, N.C. 276 1 1-7447. This certification and its conditions are final and binding unless you ask for
a hearing.
This letter completes the review of the Division of Water Quality under Section 401 of the Clean Water Act. If you
have any questions, please contact John Hennessy at 919-733-5694 or Steve Mitchell at 919-571-4700.
Attachment
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
incerely,
Klim E.
cc: Wilmington District Corps of Engineers
Corps of Engineers Raleigh Field Office
DWQ Raleigh Regional Office
File Copy
Central Files
c:\ncdot\SR 2235\wqc\Ol 1858wgc.doc
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N. C. DEPARTMENT OF TRANSPORTATION
TRANSMITTAL SLIP DATE
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TO: - REF. NO. OR ROOM, BLDG.
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FROM: REF. NO. OR ROOM, BLDG.
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ACTION
"? NOTE.. AND FILE ? PER OUR CONVERSATION
?-NOTE AND RETURN TO ME 13 PER YOUR REQUEST'
?. RETURN WITH MORE DETAILS ? FOR YOUR APPROVAL
?NOTE AND. SEE ME. ABOUT.THIS ? FOR YOUR INFORMATION
11 PLEASE ANSWER - - ? FOR YOUR COMMENTS
?PREPARE REPLY FOR MY SIGNATURE -? SIGNATURE
?- TAKE APPROPRIATE ACTION ? INVESTIGATE AND REPORT
COMMENTS:
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STATE of NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY LYNDO TIPPETT
GOVERNOR June 4, 2002 SECRETARY
N.C. Dept. of Environment and Natural Resources-Division of Water Quality
2321 Crabtree Blvd.
Raleigh, NC 27604-2260
Attention: Mr. John Dorney
Subject: Permit Modification Request for revised structure design--Secondary road
improvements to SR 2235 (Puryear Road) from SR 2234 (Marks Creek Road) to
SR 1003 (Rolesville Road) in Wake County. NCDOT Work Order No.
6.402137T. DWQ Project No. 011858.
Reference: 1. NCDOT Permit Application to regulatory agencies (December 17, 2001)
2. Approval of NCDENR-DWQ 401 Water Quality Certification (January 28,
2002). DWQ Project No. 011858.
3. NCDOT Permit Modification Request (June 4, 2002)
The North Carolina Department of Transportation (NCDOT) proposes to upgrade and pave SR
2235 (Puryear Road) from SR 2234 (Marks Creek Road) to SR 1003 (Rolesville Road) in Wake
County. The NCDOT permit application was initially submitted to the United States Army Corps of
Engineers and copied to the North Carolina Department of Environment, Health and Natural Resources-
Division of Water Quality (NCDENR-DWQ) on December 17, 2001. The NCDENR-DWQ issued 401
Water Quality Certification No. 3289 (DWQ Project No. 011858) for this project on January 28, 2002.
Application is made for the modification of the NCDENR-DWQ Section 401 Water Quality Certification
(WQC) No. 3289 that was issued on January 28, 2002 (Permit Modification Request, NCDOT, June 4,
2002)
An automated payment procedure has recently been implemented between the NCDOT
and NCDWQ. This procedure will enable the Division to apply for the 401 WQC without
submitting a check for this permit application. This new procedure will provide payment to the
NCDWQ by charging the permit application fee directly to the appropriate NCDOT work order.
The NCDOT work order for this project is 6.402137T. Project impacts are less than one
acre of cumulative wedand/water impacts and less than 150 linear feet cumulative impacts to
streams: therefore, please note that a fee of $200.00 is required for this project. If you have any
questions or need additional information, please contact me at [phone].
Sincerely,
Christopher A. Murray, P.W.S.
Environmental Officer
Division 5, 2612 N. Duke Street, Durham, NC 27704
Phone: [phone] Fax: [phone]
N. C. DEPARTMENT OF TRANSPORTATION
TRANSMITTAL SLIP DATE
6•S
TO: - REF. NO. OR ROOM, BLDG.
C,In J [
FROM.
C REF. NO. OR ROOM, BLDG.
*SM?rra..
AC N
? NOTE AND FILE ? PER OUR CONVERSATION
? NOTE AND RETURN TO ME- - ? PER YOUR REQUEST
?-RETURN WITH MOREDETAILS ? FOR YOUR APPROVAL
? NOTE AND SEE ME ABOUT THIS ? FOR YOUR INFORMATION
? PLEASE ANSWER ? FOR YOUR COMMENTS
?-PREPARE REPLY FOR MY' SIGNATURE ? SIGNATURES
? TAKE APPROPRIATE ACTION ?- INVESTIGATE AND REPORT
COMMENTS:
,ry
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Cr, G?TpUP
STATE of NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY
GOVERNOR
June 4, 2002
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Wetlands/401 Unit
2321 Crabtree Blvd.
Raleigh, NC 27604-2260
Attention: Mr. John Dorney
LYNDO TIPPETT
SECRETARY
Subject: Permit Modification Request for revised structure design--Secondary
road improvements to SR 2235 (Puryear Road) from SR 2234 (Marks
Creek Road) to SR 1003 (Rolesville Road) in Wake County. NCDOT
Work Order No. 6.402137T. USACE Action ID No. 200220366 and
200220367. DWQ Project No. 011858.
Reference: 1. NCDOT Permit Application to regulatory agencies (December 17,
2001)
2. Approval of NCDENR-DWQ 401 Water Quality Certification and
Additional Conditions and Neuse River Buffer Rules (January 28,
2002). DWQ Project No. 011858.
3. USACE Section 404 Permit (January 2, 2002). USACE Action ID
No. 200220366 and 200220367.
Project History
The North Carolina Department of Transportation (NCDOT) proposes to upgrade
and pave SR 2235 (Puryear Road) from SR 2234 (Marks Creek Road) to SR 1003
(Rolesville Road) in Wake County (Figures 1 and 2). The NCDOT permit application
was initially submitted to the United States Army Corps of Engineers and copied to the
North Carolina Department of Environment, Health and Natural Resources-Division of
Water Quality (NCDENR-DWQ) on December 17, 2001. The NCDENR-DWQ issued
401 Water Quality Certification No. 3289 (DWQ Project No. 011858) for this project on
January 28, 2002. The USACE issued Nationwide Permits No. 14 and 33 for this project
on January 2, 2002. The NCDOT requests a permit modification for revised structure
design.
Division 5, 2612 N. Duke Street, Durham, NC 27704
Phone: [phone] Fax: [phone]

Impacts to Waters of the United States
The permit application outlined impacts to waters of the United States in the
Neuse River Basin at Site 1. The project crosses an unnamed perennial tributary to
Marks Creek (NCDENR-DWQ Index No. 27-38, Best Usage Classification C NSW).
The existing structure that conveys the creek is a 48-inch concrete pipe that is 36 feet
long. In the initial permit application, the NCDOT had proposed to replace this structure
with a 72-inch corrugated metal pipe that is 60 feet long. Permanent impacts at the site
associated with the replacement of the structure and minimal amounts of rip rap to protect
the structure include <0.01 acre fill in surface water and 44 linear feet existing channel
impacted. Impacts at this site also occur to an emergent-nonpersistent wetland (PEM213).
Permanent impacts at this site include 0.03 acre fill in wetlands.
The NCDOT now proposes that the replacement structure at the stream crossing is
a 117 inch x 79 inch corrugated metal pipe arch that is 60 feet lopig_(Revised Figure 3
Figure 4. Figure 5 and Figure 6). Permanent impacts at the site associated with the
replacement of the structure and minimal amounts of rip rap to protect the structure have
not changed from the initial permit application and remain <0.01 acre fill in surface water
and 44 linear feet existing channel impacted. Impacts at this site also occur to an
emergent-nonpersistent wetland (PEM2B). Permanent impacts at this site remain 0.03
acre fill in wetlands.
The decision to place this structure at the site is based on a NCDOT re-evaluation
of the peak discharge for the structure design (which is based on the latest USGS
Regression Equations for the 25 year storm.. The results indicate that a larger pipe size is
necessary to convey the peak discharge. The proposed structure is designed to handle
this peak discharge such that the headwater elevation will not overtop the road.
Dewatering
Temporary impacts to the streams from this activity will result in the dewatering
of <0.01 ac of stream bed and 44 linear feet stream channel. The impact to the stream
from dewatering activity has not changed from the initial permit application.
Riparian Buffer Impacts
Construction impacts at Site 1 total 2,159 square feet in Zone 1, 1,322 square feet
in Zone 2 and 44 linear feet of riparian buffer. Based on the impacts to the riparian
buffer at this site, this crossing is allowable. The impact to the riparian buffer has not
changed from the initial permit application.
Summary
NCDOT proposes to upgrade and pave SR 2235 in Wake County. Permanent
impacts at Site 1 include <0.01 acre fill in surface water and 44 linear feet existing
channel impacted and 0.03 acre fill in wetland. Direct impacts to waters of the United
States and riparian buffer have not changed as a result of this permit modification
request.
The NCDOT requests a permit modification for this project for revised structure
design. The NCDOT will comply with all applicable NWP, WQC conditions and
riparian buffer conditions. If you have any questions or need additional information,
please contact me at [phone].
Sincerely,
Christopher A. Murray, P.W.S.
Division Environmental Officer
cc: Brandon Jones, NCDOT District Engineer, Raleigh
Adam Stephenson, NCDOT Assistant County Maintenance Engineer, Raleigh
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State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
e??
Michael F. Easley, Governor NCDENR
William G. Ross, Jr., Secretary NORTH CAROLINA DEPARTMENT OF
Gregory J. Thorpe, Ph.D., Acting Director ENVIRONMENT AND NATURAL RESOURCES
January 28, 2002
Wake County
DWQ Project No. 011858
APPROVAL OF 401 Water Quality Certification and ADDITIONAL CONDITIONS and Neuse
River Buffer Rules
Mr. J.G. Nance, P.E., Division Engineer
NCDOT, Division 5
2612 N. Duke Street
Durham, NC 27704
Dear Mr. Nance:
You have our approval, as described in your application dated December 17, 2001, and in accordance with
the attached conditions and those listed below, to place fill material in 0.03 acres of wetlands, permanent fill
in 44 linear feet of streams, temporary impacts to an additional 44 linear feet of streams, and impact 3481
square feet of protected Neuse Riparian Buffers in Wake County. The project shall be constructed in
accordance with your application dated December 17, 2001. After reviewing your application, we have
decided that this fill is covered by General Water Quality Certification Number 3289. This certification
corresponds to the Nationwide Permit Number 14 issued by the Corps of Engineers. This approval is also
valid for the Neuse River buffer rules (15A NCAC 2B .033). 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
when the accompanying 404 permit expires unless otherwise specified in the General Certification.
This approval is valid solely for the purpose and design described in your application (unless modified
below). Should your project change, you must notify the DWQ and submit a new application. If the
property is sold, the new owner must be given a copy of this Certification and approval letter, and is thereby
responsible for complying with all the conditions. If total wetland fills for this project (now or in the future)
exceed one acre, or of total impacts to streams (now or in the future) exceed 150 linear feet, compensatory
mitigation may be required as described in 15A NCAC 2H.0506 (h) (6) and (7). ). This approval shall
expire with the corresponding Nationwide Permit expires or as otherwise provided in the General
Certification. For this approval to be valid, you must follow the conditions listed in the attached
certification and any additional conditions listed below.
1. Stormwater shall be directed to sheetflow at nonerosive velocities through the protected stream buffers.
2. 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.
Wetlands/401 Unit 1650 Mail Service Center Raleigh, North Carolina 27699-1621
Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post consumer paper
State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
Michael F. Easley, Governor
William G. Ross, Jr., Secretary
Gregory J. Thorpe, Ph.D., Acting Director
4 00
NC ENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
If you do not accept any of the conditions of this certification, you may ask for an adjudicatory hearing.
You must act within 60 days of the date that you receive this letter. To ask for a hearing, send a written
petition, which conforms to Chapter 150B of the North Carolina General Statutes to the Office of
Administrative Hearings, P.O. Box 27447, Raleigh, N.C. 27 6 1 1-7447. This certification and its conditions
are final and binding unless you ask for a hearing.
This letter completes the review of the Division of Water Quality under Section 401 of the Clean Water
Act. If you have any questions, please contact John Hennessy at 919-733-1786, or Steve Mitchell at 919-
571-4700.
Attachment
cc: Wilmington District Corps of Engineers
Corps of Engineers Raleigh Field Office
DWQ Raleigh Regional Office
File Copy
Central Files
.- c:\ncdot\SR-2235\wqc\011858wgc.doc --
incerely,
?I
e J.?Th .
ry P
>
cti Director
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A TON
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? NOTE AND FILE
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COMMENTS:
1 2 0 2001
011858
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? STS o
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1 w
STATE of NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY
GovERNoR
December 17, 2001
U.S. Army Corps of Engineers
Raleigh Regulatory Field Office
6508 Falls of the Neuse Road, Suite 120
Raleigh, NC 27609
Attention: Mr. Eric Alsmeyer
NCDOT Coordinator
LYNDO TIPPETT
SECRETARY
Subject: Secondary road improvements to SR 2235 (Puryear Road) from SR 2234
(Marks Creek Road) to SR 1003 (Rolesville Road) in Wake County.
NCDOT Work Order No. 6.402137T.
The North Carolina Department of Transportation (NCDOT) proposes to upgrade
and pave SR 2235 (Puryear Road) from SR 2234 (Marks Creek Road) to SR 1003
(Rolesville Road) in Wake County (Figures 1 and 2). Total project length is 1.08 miles.
Transportation and highway laws of North Carolina (G. S. 136-44.6, 136-44.7, 136-
44.7A, 136-44.8, and 136-44.9) require the NCDOT to develop annual work programs
for construction and maintenance of secondary roads. These general statutes specifically
set forth requirements for annual construction and paving of existing unpaved roads.
Paving of these roads is performed in priority order as established by the NCDOT for
each unpaved road within a given county. This number is based on characteristics of
each road, including number of homes, schools ,churGhes-,bust ustries,
recreational facilities, traffic cou essence of school bus routes, and value Fth
thoroughfare. SR 2235 is eduled to be paved in the 2001-2002 Secondary oads
Construction Program. lease note that right-of-way has been acquired fois
r
oadway.
Impacts to Waters of the United Sta :50
Construction of the project will necessitate impacts to waters of the United States
in the Neuse River Basin. Wetland delineations were conducted using the field
delineation method outlined in the 1987 Corps of Engineers Wetland Delineation Manual
(Environmental Laboratory, 1987). U.S. Army Corps of Engineers (USACE) Wetland
a
n
r
? rn
m
U ---i
Division 5, 2612 N. Duke Street, Durham, NC 27704
Phone: [phone] Fax: [phone]
2 Lq 2001

. v
Data Forms and a North Carolina Division of Water Quality (DWQ) Wetland Rating
Form are attached to this application.
Site 1-Sta. 27+18-Lt- to Sta. 28+26-Lt- and Sta 28+28-L-
The project crosses an unnamed perennial tributary to Marks Creek (DWQ Index
No. 27-38, Best Usage Classification C NSW) (Figure 3). The existing structure that
conveys the creek is a 48-inch corrugated metal pipe that is 36 feet long. The
replacement structure is a 72-inch corrugated metal pipe that is 60 feet long. Permanent
impacts at the site associated with the replacement of the structure and minimal amounts
of rip rap to protect the structure include <0.01 acre fill in surface water and 44 linear feet
existing channel impacted. Impacts at this site also occur to an emergent-nonpersistent
wetland (PEM2B). Permanent impacts at this site include 0.03 acre fill in wetlands. The
wetland has a DWQ wetland rating of 24. Excess sediment has accumulated at the
existing pipe inlet. The NCDOT proposes to remove this excess sediment during
construction of this project. Excavation will not occur below the historic streambed
level.
Dewatering
The NCDOT proposes to temporarily dewater the perennial stream at Site 1
during the construction of the project. This will involve the temporary placement of
sandbags or Class B or Class 2 rip rap covered with filter fabric in the stream channel
approximately 10 feet upstream of the proposed pipe inlet and approximately 10 feet
downstream of the proposed pipe outlet (Figure 3). To maintain water flow during
construction, water upstream of this impervious structure will be temporarily pumped out
and conveyed downstream of the construction activity. The stream will be dewatered two
days. This will result in temporary impacts to the surface water. Temporary impacts to
the streams from this activity will result in the dewatering of <0.01 ac of stream bed and
44 linear feet stream channel. The sandbags or rip rap covered with filter fabric will be
removed after construction.
Riparian Buffer Impacts
The construction of the project involves a road crossing of a stream that is subject
to the Neuse River Riparian Buffer Rule. The unnamed perennial tributary to Marks
Creek at Site 1 is depicted on the most recent version of the Knightdale (USGS, 1993)
North Carolina topographic quadrangle (Figure 1) and the Soil Survey of Wake County,
North Carolina (USDA-SCS, 1970) (Figure 2) and is, therefore, subject to the Rule.
The construction of the project at Site 1 results in impacts to the riparian buffer
(Figure 3). Construction impacts at Site 1 total 2,159 square feet in Zone 1, 1,322 square
feet in Zone 2 and 44 linear feet of riparian buffer. Based on the impacts to the riparian
buffer at this site, this crossing is allowable. The-NCDOT certifies that the criteria
documented in Sub-Item (8)(a) of the buffer rules (which find that there are no practical
alternatives to the project) are met. The NCDOT requests an Authorization Certificate for
this activity at this project. Information supporting that there are no practical alternatives
for the issuance of this certification is summarized below:
• The roadway is listed on the 2001-2002 Division 5 Secondary Roads Construction
Program. The existing 26 foot wide hard-packed gravel roadway will be replaced
with a 20 foot paved roadway utilizing a 60 foot right of way. The existing structure
must be replaced with a longer pipe.
• The design of the project has reduced the footprint of the project as much as possible
to allow for only the amount of fill necessary to complete the project.
The NCDOT proposes to install temporary erosion and sediment control devices
at Site 1 in Zone 1 and Zone 2 of the riparian buffer. Specifically, the NCDOT will place
a temporary rock silt check (Type A) in Zone 1 and a temporary rock sediment dam
(Type B) in Zone 2. The temporary structures will be removed once vegetation has been
established and then seeded with a seed mixture of fescue and bahia grass. Based on
impacts to the riparian buffer at this site from this use, this activity is allowable. The
sediment and erosion control plans for Site 1 are depicted in Figure 3. The NCDOT
certifies that the criteria documented in Sub-Item (8)(a) of the buffer rules (which find
that there are no practical alternatives to the project) are met. The NCDOT requests an
Authorization Certificate for this activity at this project.
Waters of the U.S. Mitigation
Avoidance: All wetlands and surface waters not affected by the project will be
protected from unnecessary encroachment. No staging of construction equipment or
storage of construction supplies will be allowed in wetlands or near surface waters.
Minimization: The side slopes have been steepened to the extent possible at
jurisdictional sites. Strict enforcement of sedimentation and erosion control Best
Management Practices for the protection of wetlands and surface waters will be enforced
during project construction. Continued coordination will occur with maintenance forces
and the Environmental Officer during construction to minimize impacts to these sites.
Compensatory Mitigation: Construction of the project will result in only minimal
impacts to waters of the United States. Impacts have been avoided and minimized to the
maximum extent possible during the design process. Due to minimal impacts,
compensatory mitigation for stream and wetland impacts will not be provided for this
project.
Protected Species
Plants and animals with federal classifications of Endangered, Threatened,
Proposed endangered ad Proposed Threatened are protected under provisions of Section 7
and Section 9 of the ESA. As of February 27, 2001, there are four federally protected
species listed for Wake County. They include bald eagle (Haliaeetus leucocephalus),
4
Michaux's Sumac (Rhus michauxii), dwarf wedgemussel (Alasmidonta heterodon) and
red-cockaded woodpecker (Picoides boralis).
dwarf wedgemussel --Biological Conclusion: No Effect
NCDOT Biologist Jeffrey Burleson and NCDOT Division Environmental Officer
Chris Murray conducted a mussel survey at the site on November 1, 2001. Mussel
surveys were conducted at the existing structure and for a distance of 400 feet
downstream and 200 feet upstream of the project crossing. Survey methodology included
wading using visual (batiscope) and tactile methods along the banks and throughout the
stream. No mussels or snails were found during the 1.3 man-hour survey. Impacts to this
federally protected species will not occur from project construction.
Michaux's sumac--Biological Conclusion: No Effect
Suitable habitat for Michaux's sumac is present along the irregularly maintained
roadside shoulder. A plant-by-plant survey was conducted during the site visit on
November 26, 2001 by NCDOT Division Environmental Officer Chris Murray. No
populations of Michaux's sumac were observed during the site visit. Impacts to
Michaux's sumac will not occur from project construction.
bale eagle--Biological Conclusion: No Effect
Although it is possible that eagles may occasionally fly over the project, the lack
of appropriate habitat for feeding, nesting, roosting and perching, makes it unlikely that
eagles use specific sites at the project. No bald eagle foraging or nesting or other activity
was observed at the project study area during the site visits on November 1, 2001 and
November 26, 2001. Impacts to bald eagle will not occur from project construction.
red-cockaded woodpecker--Biological Conclusion: No Effect
The project study area contains limited foraging habitat and no nesting habitat for
red-cockaded woodpecker. There is no nesting habitat within 1.0 mile of the project
study area. No red-cockaded woodpeckers were observed during the site visits on
November 1, 2001 and November 26, 2001. Based on available information, the
construction of this facility will not impact red-cockaded woodpecker.
Historical Compliance
Historic compliance work to be scheduled and concurrence with Historic
Preservation Office will be obtained if required.
Summary
NCDOT proposes to upgrade and pave SR 2235 in Wake County. Permanent
impacts at Site 1 include <0.01 acre fill in surface water, 44 linear feet existing channel
impacted and 0.03 acre fill in wetland. Temporary impacts to the stream at Site 1 will

r
result in the dewatering of <0.01 ac of stream bed and 44 linear feet stream channel.
Construction impacts at Site 1 total 2,159 square feet in Zone 1, 1,322 square feet in Zone
2 and 44 linear feet of riparian buffer.
Application is hereby made for a Department of the Army Section 404
Nationwide Permit (NWT) 14 and NWP 33 and DWQ Section 401 Water Quality
Certification (WQC) No. 3289 and No. 3114 for construction of this project. The
NCDOT will comply with all applicable NWP, WQC and Riparian Buffer Rule
conditions. In compliance with Section 143-215.3D(e) of the NCAA we have enclosed a
check for $200.00 to act as payment for processing the Section 401 permit application. A
pre-construction notification is attached with this request. If you have any questions or
need additional information, please contact me at [phone].
Sincerely,
,n,
l1``- q, -?
Christopher A. Murray, P.W.S.
Division Environmental Officer
cc: Mr. John Dorney, NCDWQ, Raleigh
Mr. Brandon Jones, NCDOT District Engineer, Raleigh
Mr. Adam Stephenson, NCDOT Assistant County Maintenance Engineer, Raleigh
ss?
,26

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Project Study Area
SR 2235 Puryear Road
Wake County
Knightdale USGS Topo Map (1993)
Figure 1 1:24,000

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,4p62ApB r SR 2235 Puryear Road
LoD APC2 g rAPG= /) 4uB A Wake County ?ED
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Wake County Soil Survey
USDA-SCS (1970)
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Proposed ROW
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GQ
Temp. Placement of rip rap or
sandtboq t ewoter stream
P? Temp. Placement of rip rap or
sand bag to dewater stream
Note.
Temp. Rock Silt Check (Type A)
Tempo Rock Sediment Dam (Type B)
Tem Silt Basin (Tpe 8) and
®> T
emp, Roc Silt Check (Type B)
Site I-Construction Impact and
Sediment and Erosion Control Plan
SR 2235 Puryear Road
Wake County
Figure 3 I"=67'
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N0TEo
Wetland
cm Rip Rap
DATA FORM
ROUTINE WETLAND DETERMINATION
1987 COE Wetlands Delineation Manual)
ProjectiSite: 5 2. 7-Z Qs ? ..? pg? 29 , Date: t 1• Z6. 0 %
Applicant/Owner: N--0 pT County: w Pt ',, C
Investigator: '.; 1* r State: N c_
Do Normal Circumstances exist on the site? Community ID:. 'tom
Is the sits significantly disturbed (Atypical Situation)? es ? Transact ID: W
Is the area a potential Problem Area? Yes ? Plot ID:
(if needed, explain on reverse.)
VEGETATION
Dominant Plant Species Stratum Indicator Dominant Plant Species Stratum Indicator
m
2. C c,,r e )r sO Q. 4- 10.
3. T?nwS e??s 14 Pi9cw? 11.
4. 12.
5. 13.
6. 14.
7. 15.
8. 16.
Percent of Dominant Species that are OBL, FACW or FAC
(excluding FAC-). to o `) v
Remarks:

HYDROLOGY
Recorded Data (Describe in Remarks): Watland Hydrology Indicators:
_
Stream, Lake, or ride Gauge Primary Indicators:
_ Aerial Photographs _ Inundated
Other maturated in Upper 12 inches
_
/No Recorded Data Available _ Water Marks
Drift Lines
_
Sediment Deposits
Field Observations: ?`6rainege Patterns in Wetlands
Secondary Indicators (2 or more required):
Depth of Surface Water: (in.) ?Oxidized Root Channels in Upper 12 Inches
Water-Stained Leaves
Depth to Free Water in Pit: d (in.) _
Local Soil Survey Data
FAC-Neutral Test
Depth to Saturated Soil: y (in.) _ Other (Explain in Remarks)
Remarks:
ff
4
SOILS
8 iVlan Unit Name
(Series and Phasa): Lj Drainage Class:
I Q4 11 T11,plc. j'4-kpl..
Taxonomy (Subgroup):% 1+,,?kae : R 4-(115 Field Observations
v ) , N a e f ..s Ps9apped Type? Yes 1, o
Profile Descr?oiion•
Depth Matrix Color Mottle Colors Mottle Texture, Concretions,
(inches) Horizon Munsell MoistL jMunsell Moist; AbundancelContrsst Structure etc.
-i 2 Sl i ?? ?' 1 R
•
r
o (71 A^
'2,S`ie-!j
1? Can-.r,., A
iShn
?- 4?t?-
c?
?
.
,
a
c
o4%-L-
?
?l'(Z4-

Hydric Soil Indicators:
_ Histosol _ Concretions
_ Histic Epipedon _ High Organic Content in Surface Layer in Sandy Soils
_ Sulfidic Odor Organic Streaking in Sandy Soils
?
_ Aquic Moisture Regime Listed on Local Hydric Soils List
_ Reducing Conditions Listed on !National Hydric Soils List
_,-83eyed or Lobe-Chroma Colors e Other (Explain in Remarks)
Remarks:

WETLAND DETERMINATION
Hydrophytic Vegetation Present? es No (Circle) (Circle)
Wetland Hydrology Present? No
Hydric Soils Present? as No Is this Sampling Point Within a Wetland? l J No
Remarks:
(aC 4??,??? ;5 Q?P ?t-C?f 5 tee 4I1 -{free. P???'~??er s c?r'Z-
v i Q w', f- czf-- 5 -e
DATA FORM
ROUTINE WETLAND DETERMINATION
11987 COE Wetlands Delineation Manual)
Project/Site: VL ZZ. -SS- Data: t (Z? u t ?_?
Applicant)Owner: , County: L,, A k £ j
Investigator: C, h-t-rr? State: A/e- 1
Do Normal Circumstances exist on the site? ) No Community ID: (\
Is the site significantly disturbed (Atypical Situation)? Yes Transact ID:
?
Is the area a potential Problem Area? Yes Plot ID:
(If needed, explain on reverse.) !
a
VEGETATION
Dominant Plant Species Stratum Indicator Dominant Plant Seeclas Stratum Indicator
1. dv r 0.r; a (0? a'hc'% U t ?- 9.
2.AleCe-,, JA'tCc, L/ 'PA<- 1o.
3? ?bo} o.r5dtJ5 /ta_i- 11.
4. 12.
S. 13.
6. 14.
7. 15.
8. 16.
Percent of Dominant Species that ara.OBL. FADW or FAC a
7
(excluding FAC-).
Remarks:
t1rC{
J? ?
Ac)A-
HYDROLOGY
Recorded Data (Describe in Remarks): Watland Hydrology Indicators:
_
Stream, Lake, or Tide Gauge Primary Indicators:
_ Aerial Photographs _ inundated
Other -Saturated in Upper 12 inches
_
?No Recorded Data Available _ Water Marks
_ Drift Lines
_
Sediment Deposits
Field Observations: Drainage Patterns in Wetlands
Secondary indicators (2 or more required):
Depth of Surface Water: (in.) Oxidized Root Channels in Upper.12 Inches
Water-Stained Leaves
Depth to Free Water in Pit: (in.) _ Local Soil Survey Data
FAC-Neutral Test
Depth to Saturated Soil: (in.) _
_ Other (Explain in Remarks)
Remarks:

i S
Ao+- t
'QIlrAt'.(? Ctf--' 5 ?+_
SOILS
Mena Unit Name (? .n ( /? ---
(Series and Phase): o
/r DA Ss .Q ` (c, t4-tS 11? \ A Drainage Class: L„ ?p 't l 7
4?
n
rc.Field Observations Taxonomy (Subgroup): T i c H t'.LwAt Confirm Mapped Type? Yes <-T)
Profile Description:
Depth Matrix Color Mottle Colors Mottle
inches Horizon Texture, Concretions,
? (Munsell Moist) (MunseII Moist) Abundance/Contrast Structure. tc.
_[1Z?1 25'LZ S`t ??° CJ..n? tJnt(?tS ??/? + G lc?.? 1006^
_ Histosol
_ Histic Epipadon
_ Suifidic Odor
_ Aquic Moisture Regime
_ Reducing Conditions
_ Gleyed or Low-Chroma Colors
Hydric Soil Indicators:
Remarks:
_ Concretions
_ High Organic Content in Surface Layer in Sandy Soils
Organic Streaking in Sandy Soils
Listed on Local Hydric Soils List
_s Listed on National Hydric Soils List
_ Other (Explain in Remarks)
'g Aot-?r?unF at 5f
WETLAND DETERMINATION
Hydrophytic Vegetation Present? Yes No Circle) (Circle)
Wetland Hydrology Present? Yes
Hydric Sails Present? Yes is this Sampling Point Within a Wetland? Yes
Remarks:
5-`-k- ,

WETLAND RATING WORKSHEET (4th VERSION),
Project Name. StLZZ3S YQ' A?eogr `2 , County: LJAk
Nearest Road: 50-zz3Date: I1-z6•oi
Wetland Area (ac): o.o3 Wetland Width (ft): (e-a'
Name of Evaluator(s) : G4?.y ?k.-'r«.?
Wetland Location:
on sound or estuary
Z pond or lake
on perennial stream
on intermittent stream
within interstream divide
other
Soils
Soil Series
predominantly organic
Humus, muck or peat)
'? predominantly mineral (non-sandy)
predominantly sandy
Hrdraulis Factors
freshwater brackish
steep topography
ditched or channelized
total wetland width > 100 feet.
Adjacent Land Use:
(Within 1/2 mi upstream,
upslope, or radius)
forested/natural veg.;
agriculture/urbanized Zo
impervious surface
Adjacent Special Natural Areas
Dominant Ve^etation
(1) 10nw-) e 5J5
(2) 50•
?fl (? of oti?.•. 5 a?? ?-.
(3)
Flooding and Wetness
semipermanently to
permanently flooded or
Zinundated
seasonally flooded or
inundated
intermittently flooded or
.temporary surface water
Wetland Tvne (select one)* no evidence of flooding or
Bottomland Hardwood Forest, surface water
Swamp Forest Bog/Fen
Carolina Bay Headwater Forest
?ocosin Bog Forest
Pine Savannah Ephemeral Wetland
Freshwater Marsh Other:
*The rating system cannot be applied to salt or brackish marshes or
stream channels.
WATER STORAGE
INC,
POLLUTANT REMOVAL
WILDLIFE HABITAT
AQUATIC LIFE VALUE
RECREATION/EDUCATION
DES! RAT I-NG -
4
00
x .

2.00 - Z'
?- x 4.00 =
i x 1.00

WETLAND SCORE =
-? ' ----
* Add 1 point if in sensitive watershe
... _ - L _ - . , - - _ T - .. - .. T
(TOTAL)
d and >10a nonpoint disturbance

.?0 1AT 'Q
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Pre-Construction Notification (PCN) Application Form
For Section 404 and/or Section 10 Nationwide, Regional and General Permits, Section 401
General Water Quality Certifications, and Riparian Buffer and Watershed Buffer Rules
This form is to be used for projects qualifying for any of the U.S. Army Corps of Engineers' (USAGE)
Nationwide, Regional or General Permits as required by Section 404 of the Clean Water Act and/or
Section 10 of the Rivers and Harbors Act, and for the North Carolina Division of Water Quality's
(DWQ) associated General 401 Water Quality Certifications. This form is also to be used for any
project requiring approval under any Riparian Buffer Rules implemented by the N.C. Division of Water
Quality. This form should not be used if you are requesting an Individual 404 Permit or Individual 401
Water Quality Certification. The USACE Individual Permit application form is available online at
htto://www.saw.usace.army,miI/wetlands/?erm-api).htm.
The USACE is the lead regulatory agency. To review the requirements for the use of Nationwide,
Regional or General permits, and to determine which permit applies to your project, please go to the
USACE website at http://www.saw.usace.army.mil/-vvetlands/regtour.htm ' or contact one of the field
offices listed at the end of this application. The website also lists the responsible project manager for
each county in North Carolina and provides additional information regarding the identification and
regulation of wetlands and waters of the U. S.
The DWQ issues a corresponding Certification (General or Individual), and cannot tell the applicant
which 401 Certification will apply until the 404 Permit -type has been determined by the USACE.
Applicants are encouraged to visit DWQ's 401/Wetlands Unit website at
http://h2o.enr.state-nc.us/ncwetlands to read about current requirements for the 401 Water Quality
Certification Program and to determine whether or not Riparian Buffer Rules are applicable. The
applicant is also advised to read the full text of the General Certification (GC) matching the specific 404
Permit requested. In some cases, written approval for some General Certifications is not required,
provided that the applicant adheres to all conditions of the GC. Applicants lacking access to the internet
should contact DWQ's Central Office in Raleigh at [phone].
Trout Waters Coordination. - Special coordination with the North Carolina Wildlife Resources
Commission (NCWRC) is also required for projects occurring in any of North Carolina's twenty-five
counties that contain trout waters. In such cases, the applicant should contact the appropriate NCWRC
regional coordinator (listed by county on the last page of this application).
Page 1 of 11
CAMA Coordination - If the project occurs in any of North Carolina's twenty coastal counties (listed on
the last page of this application) the applicant should also contact the North Carolina Division of Coastal
Management (DCM) at [phone]. DCM will determine whether or not the project involves a
designated Area of Environmental Concern, in which case DCM will act as the lead permitting agency.
In such cases, DCM will require a Coastal Area Management Act (LAMA) Permit and will coordinate
the 404/401 Permits.
USACE Permits - Submit one copy of this form, along with supporting narratives, maps, data forms,
photos, etc. to the applicable USACE Regulatory Field Office (addresses are listed at the end of this
application). Upon receipt of an application, the USACE will determine if the application is complete as
soon as possible, not to exceed 30 days. This PCN form is designed for the convenience of the applicant
to address information needs for all USACE Nationwide, Regional or General permits, as well as
information required for State authorizations, certifications, and coordination. Fully providing the
information requested on this form will result in a complete application for any of the USACE
Nationwide, Regional or General permits. To review the minimum amount of information that must be
provided for a complete PCN for each USACE Nationwide permit, see Condition 13, 65 Fed.Reg. 12893
(March 9, 2000), available at http://ww-vv.saw.usace.armv,mil/wetlaridsinApfinalFed!LeiD?.pc?L:
Processing times vary by permit and begin once the application has been determined to be complete.
Please contact the appropriate regulatory field office for specific answers to permit processing periods.
401 Water Quality Certification or Buffer Rules - All information is required unless otherwise stated
as optional. Incomplete applications will be returned. Submit seven collated copies of all USACE
Permit materials to the Division of Water Quality, 401/Wetlands Unit, 1650 Mail Service Center,
Raleigh, NC, 27699-1650. If written approval is required or specifically requested for a 401
Certification, then a non-refundable application fee is required. In brief, if project impacts include less
than one acre of cumulative wetland/water impacts and less than 150 feet cumulative impacts to
streams, then a fee of $200 is required. If either of these thresholds is exceeded, then a fee of $475 is
required. A check made out to the North Carolina Division of Water Quality, with the specific name of
the project or applicant identified, should be stapled to the front of the application package. For more
information, see the DWQ website at http://h2o.ehnr.state.nc us/ncwetlands/fees html. The fee must be
attached with the application unless the applicant is a federal agency in which case the check may be
issued from a separate office. In such cases, the project must be identifiable on the U.S. Treasury check
so that it can be credited to the appropriate project. If written approval is sought solely for Buffer Rules,
the application fee does not apply, and the applicant should clearly state (in a cover letter) that only
Buffer Rule approval is sought in writing. Wetlands or waters of the U. S. may not be impacted prior to
issuance or waiver of a Section 401 Water Quality Certification. Upon receipt of a complete application
for a 401 Certification, the Division of Water Quality has 60 days to prepare a written response to the
applicant. This may include a 401 Certification, an on-hold letter pending receipt of additional
requested information, or denial.
Page 2 of I 1
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: SR 2235 (Puryear Road) from SR 2234 (Marks Creek Road) to SR 1003
(Rolesville Road) in Wake County.
2. T.I.P. Project Number (NCDOT Only): NCDOT Division Project non-TIP)• Work Order
No. 6.402137T.
3. Property Identification Number (Tax PIN): N/A
4. Location
County: Wake Nearest Town: Kniahtdale
Subdivision name (include phase/lot number): N/A
Directions to site (include road numbers, landmarks, etc.): From Kni h?tdale, travel east on
US 64. Turn left and travel north on SR 2234 Turn right onto SR 2235
5. Site coordinates, if available (UTM or Lat/Long): UTM 17 730758E 3966789E
(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: Site is
surrounded by a mixture of wooded land, farm land and scattered residential houses
7. Property size (acres): Project footprint is 1.08 mile (5,702 feet) long, and has aright of way
of 60 feet. Property size is 7.9 acres.
8. Nearest body of water (stream/river/sound/ocean/lake): Unnamed Tributary to Marks
Creek.
9. River Basin: Neuse River
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://h2o.enr.state.nc.us/admin/maps/ .)
Page 4 of 11
10. Describe the purpose of the proposed work: Grade, drain, base pave and erosion control at
SR 2235 (Puryear Road). At Site 1 the existing 36 foot pipe will be replaced with a 60 foot
pipe. Additionally at Site 1, project construction will impact 0.03 acre of an emergent-
nonpersistent wetland.
11. List the type of equipment to be used to construct the project: Excavator, Backhoe
Bulldozer, and grader.
12. Describe the land use in the vicinity of this project: Mixture of undeveloped land, farm land
and scattered residential housing.
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.
No previous project jurisdictional determination or permit history associated with site
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: None anticipated.
VI. Proposed Impacts to Waters of the United States/Waters of the State
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. The applicant must also
provide justification for these impacts in Section VII below. All proposed impacts, permanent
and temporary, must be listed herein, and must be clearly identifiable on an accompanying site
plan. All wetlands and waters, and all streams (intermittent and perennial) must be shown on a
delineation map, whether or not impacts are proposed to these systems. Wetland and stream
evaluation and delineation forms should be included as appropriate. Photographs may be
included at the applicant's discretion. If this proposed impact is strictly for wetland or stream
mitigation, list and describe the impact in Section VIII below. If additional space is needed for
listing or description, please attach a separate sheet.
Page 5 of I 1
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 Fill 0.03 No Adjacent Emergent

* 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 hapRA/ Asiv.feintLgg y.
*** List a wetland type that best describes wetland to be impacted (e.g., freshwater/saltwater marsh, forested wetland, beaver pond,
Carolina Bay, bog, etc.)
List the total acreage (estimated) of existing wetlands on the property: 0.03 acre in project
limits.
Total area of wetland impact proposed: 0.03 acre in project limits.
2. Stream Impacts, including all intermittent and perennial streams
Stream Impact Length of Average Width Perennial or
Site Number Type of Impact* Impact Stream Name** of Stream Intermittent?
(indicate on ma) (linear feet) Before Impact (please seci )
Site 1 Rip rap along 20 UT Marks Creek 5 feet Perennial
streambank

Site 1 Replacement of pipe
24
UT Marks Creek
5 feet
Perennial
with a longer pipe
Site 1 watering
Tempo ?d
e 44 T-UT Marks Creek 5 feet Perennial
ea
m
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 1-800-358-9616, or online at
-,vl tiv.usas.go? Several internet sites also allow direct download and printing of USGS maps (e.g., vvww.tol)ozone.coni,
ivw%v.mapquest.com, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: 44 feet permanent fill and
44 feet temporary impact (dewatering).
3. Open Water Impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any
other Water of the U. S.
Open Water Impact Area of Name of Waterbod
y Type of Waterbody
Site Number Type of Impact* Impact (if applicable) (lake, pond, estuary, sound,
(indicate on ma) (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 6 of 11
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.):
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 usefil to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts.
All wetlands and surface waters not affected by project construction will be protected from
unnecessary encroachment. No staging of equipment will be allowed in or adjacent to waters of
the U.S. The side slopes at the jurisdictional site has been steepened to the maximum extent
possible. Strict enforcement of Best Management Practices for the protection of wetlands and
surface waters will be enforced during construction. Only the smallest amount of fill necessary
to complete the project will be placed in waters of the United States.
VIII. Mitigation
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on March 9, 2000, mitigation will be required when
necessary to ensure that adverse effects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed. Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USACE or DWQ to consider the application complete for processing. Any application
Page 7 of I 1
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
t;.f ?J.;? ?I2o.e ?r.s .a1e=iie.usiingy tlt1nds/stCk?'1. i?,;de.hmil.
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.
Not Applicable.
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 I}ttp: !li2o.enr.state.nc.us/N,, p/index.htzn. 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
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 8 of 1 I
X. Proposed Impacts on Riparian and Watershed Buffers (DWQ Only)
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required state and local buffers associated with the project. The applicant must also provide
justification for these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Meuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and
Water Supply Buffer Requirements), or other (please identify )?
Yes ® No ? If you answered "yes", provide 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.
SITE I
Zone* Impact
(square feet Multiplier Required
Mitigation
1 2,159 3
2 1,322 1.5
Total 3,481
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.
If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation
of Property, Conservation Easement, Riparian Buffer Restoration / Enhancement, Preservation or
Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as
identified within 15A NCAC 2B .0242 or .0260.
XI. Stormwater (DWQ Only)
Describe impervious acreage (both existing and proposed) versus total acreage on the site.
Discuss stormwater controls proposed in order to protect surface waters and wetlands
downstream from the property.
Existing: 3.4 acre impervious surface of 7.9 acre total project size 26 foot wide hard-packed
gavel road). Proposed: 2.6 acre impervious surface of 7.9 acre total project size (20 foot wide
asphalt paved road). The erosion control plan for the project is designed for 900 cubic feet of
storage per acre. Erosion and sediment control devices along the project are comprised of
temporary rock pipe inlet sediment trap (Type A temporary silt basin (Type B temporarck
silt check (Type B), temporary rock sediment dam (Type B) temporary rock silt check (Type A).
Temporary rock silt check (Type A) will be placed in Zone 1 of the riparian buffer and
Page 9 of 11
temporary rock sediment dam (Type B) will be placed in Zone 2 of the riparian buffer. All
temporarily disturbed areas will be reveaetated after construction
XII. Sewage Disposal (DWQ Only)
Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of
wastewater generated from the proposed project, or available capacity of the subject facility.
The project will not generate wastewater.
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).
Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
US Army Corps Of Engineers Field Offices and County Coverage
Asheville Regulatory Field Office Alexander Cherokee Iredell Mitchell Union
US Army Corps of Engineers Avery Clay Jackson Polk Watauga
151 Patton Avenue Buncombe Cleveland Lincoln Rowan Yancey
Room 208 Burke Gaston Macon Rutherford
Asheville, NC 28801-5006 Cabarrus Graham Madison Stanley
Telephone: [phone] Caldwell Haywood McDowell Swain
Fax: [phone] Catawba Henderson Mecklenburg Transylvania
Raleigh Regulatory Field Office Alamance Durham Johnston Rockingham Wilson
US Army Corps Of Engineers Alleghany Edgecombe Lee Stokes Yadkin
6508 Falls of the Neuse Road Ashe Franklin Nash Surry
Suite 120 Caswell Forsyth Northampton Vance
Raleigh, NC 27615 Chatham Granville Orange Wake
Telephone: [phone] Davidson Guilford Person Warren
Fax: [phone] Davie Halifax Randolph Wilkes
Page 10 of 11
Washington Regulatory Field Office Beaufort Currituck Jones Pitt
US Army Corps Of Engineers Bertie Dare Lenoir Tyrrell
Post Office Box 1000 Camden Gates Martin Washington
Washington, NC 27889-1000 Carteret* Green Pamlico Wayne
Telephone: [phone] Chowan Hertford Pasquotank
Fax: [phone] Craven Hyde Perquimans *Croatan National Forest Only
Wilmington Regulatory Field Office Anson Duplin Onslow
US Army Corps Of Engineers Bladen Harnett Pender
Post Office Box 1890 Brunswick Hoke Richmond
Wilmington, NC 28402-1890 Carteret Montgomery Robeson
Telephone: [phone] Columbus Moore Sampson
Fax: [phone] Cumberland New Hanover Scotland
US Fis
US Fish and Wildlife Service
Raleigh Field Office
Post Office Box 33726
Raleigh, NC 27636-3726
Telephone: [phone]
h and Wildlife Service / National N
US Fish and Wildlife Service
Asheville Field Office
160 Zillicoa Street
Asheville, NC 28801
Telephone: [phone]
larine Fisheries Service
National Marine Fisheries Service
Habitat Conservation Division
Pivers Island
Beaufort, NC 28516
Telephone: [phone]
North Carolina State Agencies
Division of Water Quality
401 Wetlands Unit
1650 Mail Service Center
Raleigh, NC 27699-1650
Telephone: [phone]
Fax: [phone]
Division of Water Quality
Wetlands Restoration Program
1619 Mail Service Center
Raleigh, NC 27699-1619
Telephone: [phone]
Fax: [phone]
LAMA and NC Coastal Counties
State Historic Preservation Office
Department Of Cultural Resources
4617 Mail Service Center
Raleigh, NC 27699-4617
Telephone: [phone]
Fax: [phone]
Division of Coastal Management Beaufort Chowan Hertford Pasquotank
1638 Mail Service Center Bertie Craven Hyde Pender
Raleigh, NC 27699-1638 Brunswick Currituck New Hanover Perquimans
Telephone: [phone] Camden Dare Onslow Tyrrell
Fax: [phone] Carteret Gates Pamlico Washington
NCWRC and NC Trout Counties
Western Piedmont Region Coordinator Alleghany Caldwell Watauga
3855 Idlewild Road Ashe Mitchell Wilkes
Kernersville, NC 27284-9180 Avery Stokes
Telephone: [phone] Burke Surry
Mountain Region Coordinator Buncombe Henderson Polk
20830 Great Smoky Mtn. Expressway Cherokee Jackson Rutherford
Waynesville, NC 28786 Clay Macon Swain
Telephone: [phone] Graham Madison Transylvania
Fax: [phone] Haywood McDowell Yancey
Page 11 of 11