20021878 Ver 1_Application_20021204

Office Use Only: ~ p Form Version October 2001
USACE Action ID No. DWQ No ~ ~ 1 8 ~ 8
If any particulaz item is not applicable to this project, please enter "Not
leaving the space blank.
I.
II.
Processing
Check all of the approval(s) requested for this project:
® Section 404 Permit
^ Section 10 Permit
® 401 Water Quality Certification
^ Riparian or Watershed Buffer Rules
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Site 1- RGP 31 & 33
Site2-#14&#33
2. Nationwide, Regional or General Permit Number(s) Requested: Site 3 - #14
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: ^j
4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for
mitigation of impacts (see section VIII -Mitigation), check here: ^
Applicant Information
1. Owner/Applicant Information
Name: North Cazolina Department of Transportation
Mailing Address: W. F. Rosser. P.E., Division Engineer
North Carolina Department of Transportation, Division 8
P.O. Box 1067
Aberdeen, North Cazolina 28315
Telephone Number: 910-944-2344 Fax Number: 910-944-5623
E-mail Address: brosser(a),dot.state.nc.us
2. Agent Information (A signed and dated copy of the Agent Authorization letter must be
attached if the Agent has signatory authority for the owner/applicant.)
Name: Benny F. Sloan
Company Affiliation: NC Department of Transportation
Mailing Address: 1404 East Raleigh Street
Siler City, North Carolina 27344
Telephone Number: [phone] Fax Number: 919-742-3986
E-mail Address: bfsloan(a~dot.state.nc.us
~ECEVED
s

III. Project Information
Attach a vicinity map cleazly showing the location of the property with respect to local
landmakks 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 cleazly 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 aze
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 aze provided.
1. Name of project: SR 1548 (Lutterloh Rd)
2. T.I.P. Project Number or State Project Number (NCDOT Only): 6.522073T
3. Property Identification Number (Tax PIN):
4. Location
County: Chatham Neazest Town: Pittsboro
Subdivision name (include phase/lot number):
Directions to site (include road numbers, landmarks, etc.): From Pittsboro travel north on
NC 87 6.2 miles from the intersection of US 64 Business to SR 1548 on the risht.
5. Site coordinates, if available (UTM or Lat/I,ong): See attached summary sheet
(Note - If project is lineaz, 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:
Existing secondary road
7. Property size (acres):
8. Neazest body of water (stream/river/sound/ocean/lake): Dry Creek /Long Branch
9. River Basin: Cape Feaz
(Note -this must be one of North Cazolina's seventeen designated major river basins. The
River Basin map is available at http://h2o.enr.state.nc.us/admin:'maps/.)
-6-

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***
None

* 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 :%; ~vwtiv.fema.g_ov,
*** 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:
Total area of wetland impact proposed:
2. Stream Impacts, including all intermittent and perennial streams
Stream Impact
Site Number
(indicate on ma)
Type of Impact* Length of
Impact
(linear feet)
Stream Name** Average Width
of Stream
Before Im act Perennial or
Intermittent?
(leases eci )
1 P 48' Long Branch 10'-20' P
1 T 62' Long Branch
2 P 80' UT of Dry Creek 3'-5' I
2 T 25' UT of Dry Creek
3 P 64' UT of Dry Creek 2'-3' I

* List each impact separately and identif}• temporary impacts. Impacts include, but are not limited to: culverts and associated rip-rap,
dams (separately list impacts due to both structure and flooding), relocation (include linear feet before and after, and net loss/gain),
stabilization activities (cement wall, rip-rap, crib wall, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is
proposed, plans and profiles showing the linear footprint for both the original and relocated streams must be included.
** Stream names can be found on USGS topographic maps. If a stream has no name, list as UT (unnamed tributary) to the nearest
downstream named stream into which it flows. USGS maps are available through the USGS at 1-800-358-9616, or online at
wliw.usss.oov. Several intemet sites also allow direct download and printing of USGS maps (e.g., www.tooozone.com,
w~«v.mapques[.com, etc.). Site 1 - 110'
Site 2 - 10~'
Cumulative impacts (linear distance in feet) to all streams on site: Site 3 - 64'
_g_

3. Open Water Impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any
other Water of the U.S.
Open Water Impact

Site Number
(indicate on ma)
*
Type of Impact Area of

Impact
(acres)
Name of Waterbody
(if applicable) Type of Waterbody

(lake, pond, estuary, sound,
ba ,ocean, etc.)
None

List each impact separately and identify temporary impacts. Impacts include, but are not limited to: fill, excavation, dredging,
flooding, drainage, bulkheads, etc.
4. Pond Creation
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ^ uplands ^ stream ^ wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.): N/A
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.):
Size of watershed draining to pond: Expected pond surface area:
VII. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimised once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts.
N/A
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.
-9-

IX. Environmental Documentation (DWQ Only)
Does the project involve an expenditure of public funds or the use of public (federaUstate/local)
land?
Yes ® No ^
If yes, does the project require preparation of an environmental document pursuant to the
requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)?
Note: If you are not sure whether a NEPA/SEPA document is required, call the SEPA
coordinator at [phone] to review current thresholds for environmental documentation.
Yes ^ No
If yes, has the document review been finalized by the State Clearinghouse? If so, please attach a
copy of the NEPA or SEPA final approval letter.
Yes ^ No ^
X. Proposed Impacts on Riparian and Watershed Buffers (DWQ Only)
It is the applicant's (or agent's) responsibility to de~ermine, 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* Impact
s uare feet) Multiplier Required
Miti ation
1
2 1.~
Total
- cone t extenas out su teet perpenaicwar nom near bank oT channel; "Lone 2 extends an
additional ?0 feet from the edge of Zone 1.
-11-

If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation
of Property, Conservation Easement, Riparian Buffer Restoration /Enhancement, Preservation or
Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as
identified within 15A NCAC 2B .0242 or .0260.
N/A
XI. Stormwater (DWQ Only)
Describe impervious acreage (both existing and proposed) versus total acreage on the site.
Discuss Stormwater controls proposed in order to protect surface waters and wetlands
downstream from the property.
Neither the current impervious cover (gravel road bed) nor the new proposed impervious cover
(asphalt pavement) will exceed 30% of the total site azea. Erosion control devices appropriate to
the site will be utilized on this project which may include silt fences, check dams and storm
water retaining basins.
XII. Sewage Disposal (DWQ Only)
Cleazly detail the ultimate treatment methods and disposition (non-dischazge or dischazge) of
wastewater generated from the proposed project, or available capacity of the subject facility.
N/A
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 anafter-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).
I~ 1~ r>'LQ. 1- ~ 2~ ~ Zo e Z
Applicant/Agent's Signature ~ Dat- eT-
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
-12-

STREAM CROSSING LOCATION SUMMARY
Summary for SR 1548 Lutterloh Road in Chatham County.
Crossing No. 1 Station 27+84: N 35° 47' 46", W 79° 14' 26" Bridge
replacement
Crossing No. 2 Station 50+55: N 35° 48' 3", W 79° 14' 10" Pipe
replacement
Crossing No. 3 Station 99+08 : N 35° 48' 35", W 79° 14' 18" pipe
replacement

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