20070703 Ver 1_Application_20070424

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STATE of NORTH CAROLINA `sr~,~~~p~q(/ D>
DEPARTMENT OF TRANSPORTATION 9j^%~~'
MICHAEL F. EASLEY LYNDO TIPPETT y~cy
GOVERNOR SECRETARY
April 19, 2007
U.S. Army Corps of Engineers
Raleigh Regulatory Field Office
6508 Falls of the Neuse Road, Suite 120 Q ~~
Raleigh, NC 27609
Attention: Mr. Eric Alsmeyer
NCDOT Coordinator
Subject: Proposed replacement of Bridge No. 123 on SR 1407 (Rueben Hart Road)
over an unnamed tributary to Little Johnson Creek in Granville County.
WBS Element No. SB.20391
The North Carolina Department of Transportation (NCDOT) proposes to replace Bridge
No. 123 over an unnamed tributary to Little Johnson Creek on SR 1407 (Rueben Hart
Road) in Granville County (Figures 1 and 2). The existing structure is a single span
bridge (1 @ 26 feet with timber vertical end abutments) constructed in 1955 that has a
sufficiency rating of 48. The replacement structures are 2 @ 142 inch x 91 inch
corrugated metal pipe arches (CMPAs) that are 60 feet long. Please note that two
unnamed tributaries to Little Johnson Creek converge at the western (downstream) edge
of the bridge (see Photograph 1~ An upland knoll is located between the two tributaries
prior to the bridge. A portion of this knoll will be excavated to allow the convergence of
the two tributaries immediately upstream of the replacement structures. The knoll must
be excavated to the approximate depth of the invert of the replacement structures. Please
note that bedrock features are evident in the stream channels, which may preclude the
required burial of the CMPAs at the site.
Impacts to Waters of the United States
The removal of the existing structure and subsequent installation of the CMPAs will
result in impacts to the unnamed tributaries to Little Johnson Creek (NCDENR-DWQ
Index No. 23-2-7-3, Best Usage Classification C, HUC 03010102) in the Roanoke River
Basin.
Bride Demolition
Removal of the existing structure will be completed without dropping components into the
stream. Best management practices for bridge demolition and removal will be adhered to
during the life of the project.
Division 5, 2612 N. Duke Street, Durham, NC 27704
Phone: [phone] Fax: [phone]

2
Permanent Impacts
Installation of the CMPAs will result in impacts to unnamed tributaries to Little Johnson
Creek. These impacts are summarized below:
• 40 linear feet of impact (fill in SW) to UT to Little Johnson Creek after convergence of
the two UTs.
• 20 linear feet of impact (fill in SW) to the northern UT to Little Johnson Creek prior to
the convergence of the two tributaries near the western (downstream) edge of the bridge.
• 23 linear feet of impact (fill in SW) to the southern UT to Little Johnson Creek prior to
the convergence of the two tributaries near the western (downstream) edge of the bridge.
Bank stabilization activities will result in impacts to unnamed tributaries to Little Johnson
Creek. These impacts are summarized below:
• l5 linear feet of bank impact along UT to Little Johnson Creek at the outlet of the
replacement structures.
• 21 linear feet of bank impact along the northern UT to Little Johnson Creek at the inlet of
the northern-most replacement structure.
• 30 linear feet of bank impact along the southern UT to Little Johnson Creek at the inlet of
the southern-most replacement structure.
Temporary Impacts
The NCDOT proposes to temporarily dewater the work zone during construction for
approximately four weeks. This will involve the temporary placement of sand bags at the
construction limits of the project. This will result in 149 linear feet of concurrent stream
impacts. To maintain water flow during construction, water upstream of the sand bags
will be temporarily pumped out by a hose and conveyed downstream of the construction
activity where it will be allowed to filter through vegetation before flowing into the
stream. The effluent from the work area will be pumped into a prefabricated silt bag
allowing water to slowly filter out of the bag in a dispersed manner and the sediment to
be captured in the bag. The temporary sand bags will be removed after construction.
Waters of the U.S. Mitigation
Avoidance:
Permanent impacts to the unnamed tributaries to Little Johnson Creek cannot be avoided.
The NCDOT hydraulics unit has determined that the proposed CMPAs are suitable
replacements for the existing bridge structure.
Minimization:
The proposed rip rap at the inlet and outlet of the structures has been minimized as much
as possible while providing the required long-term stability.
Compensatory Mitigation:
Compensatory mitigation will be provided at the request of the regulatory agencies.
Protected Species
Plants and animals with federal classifications of Endangered, Threatened, Proposed
Endangered and Proposed Threatened are protected under provisions of Section 7 and
Section 9 of the ESA. As of April l9, 2007, the bald eagle (Haliaeetus leucocephalus),
dwarf wedgemussel (Alasmidonta heterodon), harperella (Ptilimnium nodosum) and
smooth coneflower (Echinacea laevigata) are listed as federally protected species in

3
Granville County. Suitable habitat for harperella and smooth coneflower are not
present at the site. Large open water systems that are required for the bald eagle are also
not present at the site. `
A mussel survey was conducted at the site on February 27, 2007 by NCDOT biologists
Karen Lynch and Logan Williams. Although suitable habitat for common mussels is
present in the stream at the site, the dwarf wedgemussel was not found during the survey
and has never been found in the Roanoke River Basin. It can be concluded that
construction of the project will have No Effect on the dwarf wedgemussel.
Summary
The NCDOT proposes to replace structurally deficient Bridge No. 123 with 2 @ 142 inch
x 91 inch CMPAs that are 60 feet long. Application is hereby made for a Department of
the Army Section 404 Nationwide Permit (NWP) 14 and NCDENR-DWQ Section 401
Water Quality Certification (WQC) No. 3627. An automated payment procedure has
been implemented between the NCDOT and NCDENR-DWQ. This procedure will
enable the Division to apply for the 401 WQC without submitting a check for this permit
application. This procedure will provide payment to the NCDWQ by charging the permit
application fee directly to the appropriate NCDOT WBS Element No. SB.20391. A pre-
construction notification, photograph and permit drawing are attached with this request.
If you have any questions or need additional information, please contact Mr. Chris
Murray at [phone].
Sincerely,
~. ~~~--
J. W. Bowman, P.E.
Deputy Division Engineer
cc: Mr. Rob Ridings, NCDENR-DWQ
Mr. Donald Pearson, NCDOT
Mr. Dallie Bagwell, NCDOT
Granville County Bridge Superintendent, NCDOT

Photograph 1. View of northern-most UT to Little Johnson Creek (on right hand side of
page) and southern-most UT to Little Johnson Creek (on left hand side of page) that
depicts their convergence at the western edge (downstream) side of the bridge. Note the
upland knoll between the two UTs that will be excavated as noted in the permit
application and permit drawing.

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~-~, ~ Replacement of Bridge No. 123 over unnamed tributary to 4 ~ 4
~"~ Little Johnson Creek on SR 1407 (Reuben Hart Road) - A~ f.-
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Office Use Only: Form Version March OS
USACE Action ID No. DWQ No.
(lf 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 ^ Express 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 Ecosystem Enhancement Program (NCEEP) is proposed
for mitigation of impacts, attach the acceptance letter from NCEEP, 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: ^
II. Applicant Information
1. Owner/Applicant Information
Name:NCDOT Division 5, J. W. Bowman. P.E. (Division En~r.
Mailing Address: 2612 N. Duke St. Durham NC 27704
Telephone Number: [phone] Fax Number:_(919) 560-3371
E-mail Address: Wbowman(c~dot.state.nc.us
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:
Company Affiliation:
Mailing Address:
Telephone Number: Fax Number:
E-mail Address:
Page 1 of 9

III. Project Information
Attach a vicinity map clearly showing the location of the property with respect to local
landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property
boundaries and development plans in relation to surrounding properties. Both the vicinity map
and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities must be included. If possible, the maps and plans should
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USACE requires information to be submitted on sheets no larger than 11 by 17-inch format;
however, DWQ may accept paperwork of any size. DWQ prefers full-size construction
drawings rather than a sequential sheet version of the full-size plans. If full-size plans are
reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps are provided.
1. Name of project: Proposed replacement of Bridge No. 123 over unnamed tributary to Little
Johnson Creek on SR 1407 (Rueben Hart Road) in Granville County.
2. T.I.P. Project Number or State Project Number (NCDOT Only):
NCDOT WBS Element No. SB.20391
3. Property Identification Number (Tax PIN):
4. Location
County: Granville Nearest Town: Oxford
Subdivision name (include phase/lot number): N/A
Directions to site (include road numbers/names, landmarks, etc.): From Oxford, travel
west on 96, turn right and travel north on SR 1300, turn left and travel west on SR 1410, turn
right and travel north on SR 1407 to project site.
5. Site coordinates (For linear projects, such as a road or utility line, attach a sheet that
separately lists the coordinates for each crossing of a distinct waterbody.)
Decimal Degrees (6 digits minimum):
Site 1 36.5180999 °N 78.7018204 °W
6. Property size (acres): approximately 0.2 acres
7. Name of nearest receiving body of water: Unnamed tributary to Little Johnson Creek
River Basin: Roanoke
(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: Existing land uses along SR 1407 are primarily rural and
forested.
Page 2 of 9

10. Describe the overall project in detail, including the type of equipment to be used: The
NCDOT proposes to replace Bride No. 123 on SR 1407 over an unnamed tributary to Little
Johnson Creek. Replacement structures are 2 na, 142 inch x 91 inch corrugated metal pipe
arches (CMPAs). Equipment may include excavator, backhoe, bulldozer, grader, and crane.
11. Explain the purpose of the proposed work: The purpose of the project is to replace the
structurally deficient bridge.
IV. Prior Project History
V. 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. None available.
VI. 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.
N/A
VII. 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. Each impact must be
listed separately in the tables below (e.g., culvert installation should be listed separately from
riprap dissipater pads). Be sure to indicate if an impact is temporary. All proposed impacts,
permanent and temporary, must be listed, and must be labeled and clearly identifiable on an
accompanying site plan. All wetlands and waters, and all streams (intermittent and perennial)
should 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.
Provide a written description of the proposed impacts: Construction of the project will result in
the following impacts:
Page 3 of 9

Permanent Impacts
Installation of the CMPAs will result in impacts to unnamed tributaries to Little Johnson Creek. These
impacts are summarized below:
• 401inear feet of impact (fill in SW) to UT to Little Johnson Creek after convergence of the two UTs.
• 201inear feet of impact (fill in SW) to the northern UT to Little Johnson Creek prior to the
convergence of the two tributaries near the western (downstream) edge of the bridge.
• 23 linear feet of impact (fill in SW) to the southern UT to Little Johnson Creek prior to the
convergence of the two tributaries near the western (downstream) edge of the bridge.
Bank stabilization activities will result in impacts to unnamed tributaries to Little Johnson Creek. These
impacts are summarized below:
15 linear feet of bank impact along UT to Little Johnson Creek at the outlet of the replacement
structures.
• 21 linear feet of bank impact along the northern UT to Little Johnson Creek at the inlet of the
northern-most replacement structure.
• 301inear feet of bank impact along the southern UT to Little Johnson Creek at the inlet of the
southern-most replacement structure.
Temporarypacts
Dewatering activities will result in 1491iner feet of concurrent stream impacts.
Individually list wetland impacts. Types of 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.
Wetland Impact Type of Wetland Located within Distance to Area of
Site Number Type of Impact (e.g., forested, marsh, 100-year
Floodplain Nearest
Stream Impact
(acres)
(indicate on map) herbaceous, bog, etc.) es/no) linear feet)

Total Wetland Impact (acres)
2. List the total acreage (estimated) of all existing wetlands on the property: 0.0 ac
Page 4 of 9

3. Individually list all intermittent and perennial stream impacts. Be sure to identify temporary
impacts. Stream impacts include, but are not limited to placement of fill or culverts, dam
construction, flooding, relocation, stabilization activities (e.g., cement walls, rip-rap, crib
walls, 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. l o calculate acrea e, multi 1 len th X width, then divide b 43,56 0.
Stream Average
Impact Perennial or Stream Width Impact Length Area of
Number Stream Name Type of Impact
Intermittent? Before Impact
(linear feet) Impact
(indicate (acres)
on ma )
Site 1 UT L. Johnson Ck.-after Fill in SW from perennial 10 ft 40 ft <0.01 ac
convergence of UTs pipe installation
Northern UT to L. Johnson Ck.- Fill in SW from g ft
Site 1 prior to convergence of two UTs pipe installation Perennial 20 ft <0.01 ac
near western edge of bridge
Southern UT to L. Johnson Ck.- Fill in SW from
Site 1 prior to convergence of two UTs pipe installation Perennial 5 ft 23 ft <0.01 ac
near western edge of bridge
Site 1 UT L. Johnson Ck.-at outlet of Bank stabilization Perennial 10 ft 15 ft <0.01 ac
replacement structures
UT L. Johnson Ck.-at inlet of the
Site 1 northern-most replacement Bank stabilization Perennial 8 ft 21 ft <0.01 ac
structure
UT L. Johnson Ck.-at inlet of the
Site 1 southern-most replacement Bank stabilization Perennial 5 ft 30 ft <0.01 ac
structure
Entire stream impact (UTs to L. Temp. dewatering
Site 1 Johnson Ck.) -CONCURRENT- Perennial N/A 149 ft <0.01 ac
1491inear ft
permanent and
Total Stream Impact (by length and acreage) 1491inear ft <0.01
concurrent (for
dewaterin
4. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.). Open water impacts include, but are not limited to
fill, excavation, dred~in~, flooding, drainage, bulkheads, etc.
Open Water Impact
Name of Waterbody Type of Waterbody Area of
Site Number
(if applicable) Type of Impact (lake, pond, estuary, sound, bay, Impact
(indicate on ma) ocean, etc.) (acres)

Total Open Water Impact (acres)
Page 5 of 9

5. L1st the Cumulative impact to all Waters of the 11_S_ resultinu from the nrniect•
Stream Impact (acres): <0.01 ac
Wetland Impact (acres): 0.0
O en Water Im act acres): NONE
Total Impact to Waters of the U.S. (acres) <0.01 ac
Total Stream Impact (linear feet): 149 linear ft permanent and 149
linear ft concurrent (for dewaterin )
6. lsolated Waters
Do any isolated waters exist on the property? ^ Yes ®No
Describe all impacts to isolated waters, and include the type of water (wetland or stream) and
the size of the proposed impact (acres or linear feet). Please note that this section only
applies to waters that have specifically been determined to be isolated by the USACE.
N/A
7. Pond Creation
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ^ uplands ^ stream ^ wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.): N/A
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.): N/A
Current land use in the vicinity of the pond: N/A
Size of watershed draining to pond: N/A Expected pond surface area: N/A
VIII. 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.
Avoidance•
Construction of the proiect cannot avoid impacts to waters of the United States. The NCDOT
hydraulics unit has determined that the CMPAs are suitable replacements for the existing bride
structure.
Minimization•
The proposed rip rap at the inlet and outlet of the structures has been minimized as much as
possible while providing the required long-term stability. NCDOT will implement best
mana eg ment practices for the protection of surface waters in accordance with the most recent
version of the "North Carolina Sediment and Erosion Control PlanningLand Design Manual"
during_desi~n and construction phases of the project.
Page 6 of 9

IX. 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 January 15, 2002, 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 NCEEP 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/strmgide.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.
Mitigation for the project will be provided if requested by the regulatory encies.
Mitigation may also be made by payment into the North Carolina Ecosystem Enhancement
Program (NCEEP). Please note it is the applicant's responsibility to contact the NCEEP at
[phone] to determine availability, and written approval from the NCEEP indicating
that they are will to accept payment for the mitigation must be attached to this form. For
additional information regarding the application process for the NCEEP, check the NCEEP
website at http://h2o.enr.state.nc.us/wrp/index.htm. If use of the NCEEP is proposed, please
check the appropriate box on page five 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 ofNon-riparian wetland mitigation requested (acres): N/A
Amount of Coastal wetland mitigation requested (acres): N/A
Page 7 of 9

X. Environmental Documentation (required by DWQ)
1. Does the project involve an expenditure of public (federal/state/local) funds or the use of
public (federal/state) land? Yes ® No ^
2. 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
3. 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 ^
XI. 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.
1. Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Meuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 02B .0243 (Catawba) 15A NCAC
2B .0250 (Randleman Rules and Water Supply Buffer Requirements), or other (please
identify )? Yes ^ No
2. If "yes", 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 1
Zone* Impact
(s uare feet Multiplier Required
Miti ation
1 3 (2 for Catawba)
2 1.5
Total
* Zone 1 extends out 30 feet perpendicular from the top of the near bank of channel; Zone 2 extends an
additiona120 feet from the edge of Zone 1.
3. If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e.,
Donation of Property, Riparian Buffer Restoration /Enhancement, or Payment into the
Ripazian Buffer Restoration Fund). Please attach all appropriate information as identified
within 15A NCAC 2B .0242 or .0244, or .0260. N/A
Page 8 of 9

XII. Stormwater (re'quired by DWQ)
Describe impervious acreage (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. If percent impervious surface exceeds 20%, please provide calculations
demonstrating total proposed impervious level. There is approximately 0.1 acre existing
impervious surface within the 0.2 acres project site. No additional impervious surface is
proposed with this project.
XIII. 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.
This project will not generate wastewater.
XIV. Violations (required by DWQ)
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
XV. Cumulative Impacts (required by DWQ)
Will this project (based on past and reasonably anticipated future impacts) result in additional
development, which could impact nearby downstream water quality? Yes ^ No
If yes, please submit a qualitative or quantitative cumulative impact analysis in accordance with
the most recent North Carolina Division of Water Quality policy posted on our website at
http://h2o.enr.state.nc.us/ncwetlands. If no, please provide a short narrative description:
This bridge maintenance project will not result in additional development.
XVI. 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).
--~--~~ ~-- - ~.L 1717
~ Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
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