20061481 Ver 1_Application_20060913

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STATE OF NORTH CAROLINA
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DEPARTMENT OF 'T'RANSPORTATION ??P?ry
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MICHAEL F. EASLEY 1584 YANCEYVILLE STREET, GREENSBORO, NC 27415 LYNDOETT
GOVERNOR SECRETARY
September 7, 2006
Mr. Todd Tugwell
U.S. Army Corps of Engineers
Regulatory Field Office
6508 Falls of the Neuse Road, Suite 105
Raleigh, North Carolina 27615
(Two Copies)
Ms. Sue Homewood
NC DENR Division of Water Quality
585 Waughtown Street
Winston-Salem, NC 27107

(One Color Copy) Courtesy Notification Written Authorization Not Required
SUBJECT: Brick Church Road (SR 3110) Guilford County, replacement of failing pipe with
larger pipe to improve safety. State Project Number 7B .204114.6
To Whom It May Concern:
The North Carolina Department of Transportation (NCDOT) proposes to replace two failing pipes
(40 ft X 84 inch) on Brick Church Road (SR 3110) in Guilford County near Gibsonville with two
lines of 40 ft X 96 inch CMP. This activity will result in temporary impacts to Beaver Creek. The
NCDOT anticipates that the pipe replacement activity will be authorized under Nationwide Permit
(NWP) 3 and 33. This application is intended as a request for written authorization from the US
Army Corps of Engineers for the Nationwides 3 and 33. This package is also being forwarded to the
NC Division of Water Quality as a courtesy notification as prescribed under General Water Quality
Certification #3376 (NW 3) and #3366 (NW 33). The following information is being provided to
satisfy conditions of the Nationwide Permits and General Water Quality Certifications.
PHONE [phone] FAX [phone]
PROJECT INFORMATION
Road Name SR Number Project Length
feet Classification
Brick Church Road SR 3110 N/A Rural
River Basin•
' DWQ
ID Water Quality
Designation % Impervious
Surface
Cape Fear 16-19-4-(1 WS IV; NSW N/A
Buffer Rules" Buffer Rule Conditions where applicable)
No N/A
Protected Species
Presentb Mapped Historic
Properties' CAMA
AEC Essential Fishery
Habitat
No No No No
'Separate documentation attached as needed: ° See the attached Endangered Species Review Sheet for further
information: 'When Applicable - See the attached Historic Review Letter for further information
PIPE REPLACEMENT INFORMATION
Site N/A Stream Perennial
Station Type

Repair Pump Around Dewatering Coffer dams or less
Method Device* intrusive dewatering
device
Burial One foot E/C Plan Attached
Depth
Construct- As soon as practicable Duration 15 days
ion Date
Impacts 0 linear feet of permanent new pipe impacts and 2 0 linear feet of permanent
ft. ri ra impacts. Approx. 20 sf of temporary imp acts from dewaterin
Special None
Conditions
Restoration Within 15 working days of the of the pipe repair the natural stream contours
Plan will be restored and seeded. Temporary silt screens will be cleaned and
removed following vegetation establishment.
RCP = reinforced concrete pipe; CMP = Corrugated metal pipe; CMPA = Corrugated metal pipe arch; E/C =
Erosion control. *A less intrusive dewatering device may be used in lieu of the one proposed.
-2-
MINIMIZATION INFORMATION
Impacts will be minimized by strict enforcement of Best Management Practices for the protection of
surface waters and wetlands, restrictions against the staging of equipment in or adjacent to waters of
the US, and coordination (including a pre-construction meeting) with the Division Environmental
Officer.
MITIGATION INFORMATION
Stream mitigation is not anticipated, as the impacts to any individual stream do not exceed 150 feet
Wetland mitigation is not anticipated, as wetland impacts do not exceed 0.10 acres and do not occur
in a unique natural wetland.
APPLICATION INFORMATION
Enclosed please find the Pre-construction Notification Form and supporting documentation for the
above referenced project. If you have any questions or need any additional information, please
contact Dennis Johnson at [phone] or Jerry Parker at [phone]. Your time and
effort are appreciated.
Sincerely,
'k-V2 ry-??
r. J.M. Mills, P.E.
Division Engineer, Division 7
cc: Mr. Jerry Parker, Division Environmental Officer
Mr. Dennis Johnson, Bridge Maintenance Engineer
Mr. Lane Hall, District Engineer
Mr. Paul Ingram, County Maintenance Engineer
Mr. Barry Harrington, Area Roadside Field Operations Engineer
Wetlands/401 Unit NCDENR DWQ Raleigh
-3-
Office Use Only: Form Version October 2001
2
USACE Action ID No. DWQ No. 0 0 6 1 4 8 1
If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A" rather than
leaving the space blank.
1. Processing
1. Check all of the approval(s) requested for this project:
® Section 404 Permit
? Section 10 Permit
® 401 Water Quality Certification
? Riparian or Watershed Buffer Rules
2. Nationwide, Regional or General Permit Number(s) Requested: NWP 3 & 33
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: ?
4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for
mitigation of iunpacts (see section VIII - Mitigation), check here: ?
II. Applicant Information
1. Owner/Applicant Information
Name: Mr. J.M. Mills, P.E, Division Engineer - Division 7
Mailing Address: P.O. Box 14996
Greensboro, NC 27415
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: mmillsndot.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: Jerry Parker
Company Affiliation: NCDOT - Division 7
Mailing Address: 1584 Yanceyyille Street
Greensboro, NC 27415
Telephone Number: [phone] Fax Number:[phone]
E-mail Address: jparker a, dot.state.nc.us
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: Brick Church Road (SR 3110)
2. T.I.P. Project Number or State Project Number (NCDOT Only) 713.204114.6 (non-TIP)
3. Property Identification Number (Tax PIN): N/A
4. Location
County: Guilford Nearest Town: Gibsonville
Subdivision name (include phase/lot number): N/A
Directions to site (include road numbers, landmarks, etc.): From I-85/40 take Exit 138 (NC
61) near Gibsonville and head south for approx.4 miles to Shoe Road on the left Turn left on
Shoe Road and continue for approximately one mile to Brick Church Rd (SR 3110) on right. Site is approximately 0. 9 miles after turning onto Brick Church Rd.
5. Site coordinates, if available (UTM or Lat/Long): See the attached USGS map.
(Note - If project is linear, such as a road or utility line, attach a sheet that separately lists the
coordinates for each crossing of a distinct waterbody.)
6. Describe the existing land use or condition of the site at the time of this application: Rural
residential and farmland
7. Property size (acres): N/A
8. Nearest body of water (stream/river/sound/ocean/lake): Beaver Creek
Page 2 of 9
9. River Basin: Cape Fear
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http:Hli2o.enr.state.ne.us/adniin/maps/.)
10. Describe the purpose of the proposed work: To replace existing two lines of 40 ft X 84
inch pipe with two lines of 40 ft X 96 inch CMP. Replacement is necessary prove traffic
safety and bring the road up to current construction standards. One pipe will be set within
the stream while the second pipe will have a sill and serve as a high flow pipe.
11. List the type of equipment to be used to construct the project: Road construction
equipment trackhoe grader, backhoe and bulldozer).
12. Describe the land use in the vicinity of this project: Rural residential and farmland
community.
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.
N/A
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:
N/A
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
Page 3 of 9
delineation map, whether or not impacts are proposed to these systems. Wetland and stream
evaluation and delineation forms should be included as appropriate. Photographs may be
included at the applicant's discretion. If this proposed impact is strictly for wetland or stream
mitigation, list and describe the impact in Section VIII below. If additional space is needed for
listing or description, please attach a separate sheet.
1. Wetland Impacts
Wetland Impact
Site Number
indicate on ma
Type of Impact* Area of
Impact
acres Located within
100-year Floodplain**
es/no Distance to
Nearest Stream
linear feet
Type of Wetland***
N/A

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: mechanized clearing, grading, fill,
excavation, flooding, ditching/drainage, etc. For dams, separately list impacts due to both structure and flooding.
** 100-Year floodplains are identified through the Federal Emergency Management Agency's (FEMA) Flood Insurance Rate Maps
(FIRM), or FEMA-approved local floodplain maps. Maps are available through the FEMA Map Service Center at 1-800-358-9616, or
online at httL/hvwNv. fema. cov.
*** 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: N/A
Total area of wetland impact proposed: N/A
2. Stream Impacts, including all intermittent and perennial streams
Stream Impact
site
indicate on ma
Type of Impact* Length of
Impact
linear feet
Stream Name** Average Width
of Stream
Before Impact Perennial or
Intermittent?
leasespecify)
Brick Church
Road
Pipe replacement 0 fl(en)
20sf(tmp)
20ft r
Beaver Creek
6 to 10 ft
Perennial

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: culverts and associated rip-rap,
dams (separately list impacts due to both structure and flooding), relocation (include linear feet before and after, and net loss/gain),
stabilization activities (cement wall, rip-rap, crib wall, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is
proposed, plans and profiles showing the linear footprint for both the original and relocated streams must be included.
** Stream names can be found on USGS topographic maps. If a stream has no name, list as UT (unnamed tributary) to the nearest
downstream named stream into which it flows. USGS maps are available through the USGS at 1-800-358-9616, or online at
wvvw.usc?s.nov. Several intemet sites also allow direct download and printing of USGS maps (e.g., v,'\vNv.tonozone.com,
wv'w.mapqueSt.com, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: . The cumulative impacts
for are - 0 linear feet enclosure (en) 20 square feet- tempoM (tmp), 20 linear feet- rip rap
Page 4 of 9
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 Waterbody
)
(if applicable) Type of Waterbody
(lake, pond, estuary, sound, .
bay, ocean, etc.
N/A

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: fill, excavation, dredging,
flooding, drainage, bulkheads, etc.
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.): N/A
Size of watershed draining to pond: N/A Expected pond surface area: N/A
VII. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts.
Pine replacement and widening activities are necessary to increase traffic safetv. Impacts will be
minimized by strict enforcement of Best Management Practices for the protection of wetland and
surface waters, restrictions against the staging of equipment in or adjacent to waters of the US,
and coordination with the Division Environmental Officer.
VIII. Mitigation
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
Page 5 of 9
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on March 9, 2000, mitigation will be required when
necessary to ensure that adverse effects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed. Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USACE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCWRP concurrence shall be placed on hold as
incomplete. An applicant may also choose to review the current guidelines for stream restoration
in DWQ's Draft Technical Guide for Stream Work in North Carolina, available at
http://li2o enr state.nc.us/ncwetiatids/strm!?ide.litml.
1. Provide a brief description of the proposed mitigation plan. The description should provide
as much information as possible, including, but not limited to: site location (attach directions
and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed method of construction. Please attach
a separate sheet if more space is needed.
A finding _of insignificant impact is anticipated. Cumulative impacts are less than 150 feet.
The maximum amount. of permanent impacts to a single stream is 0 linear feet No
Outstanding Resource Waters federally protected species or their habitats or essential
fishery habitats occur in the project area The project is not located in a High Quality Water.
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 1ittp: /1i2o.enr,st itc.nc.tis/ !p/index.litm. 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
Page 6 of 9
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 ?
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 213 .0233
(Neuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 213 .0250 (Randleman Rules and
Water Supply Buffer Requirements), or other (please identify N/A )?
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
(square feet Multiplier Required
Mitigation
1 3
2 1.5
Total
* Zone 1 extends out 30 feet perpendicular from near ban]: of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.
Page 7 of 9
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 213 .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.
In accordance with the February 25, 1991 delegation agreement one copy of the sediment and
erosion control plan will be submitted to DENR - Division of Land Resources and NCDOT
Roadside Environmental Prior to construction.
XH. 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.
XIII. Violations (DWQ Only)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H.0500) or any Buffer Rules?
Yes ? No X
Is this an after-the-fact permit application?
Yes ? No X
Page 8 of 9
%IV. 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).
rn "-?
- ,(-' ? - C) L
Applica(t4gent's Signature Date
(Agent's i nature is valid only if an authorization letter from the applicant is provided.)
Page 9 of 9
N.C.D.O.T.
BRIDGE MAINTENANCE
EROSION CONTROL PLAN
AND CONSTRUCTION SEQUENCE
GUILFORD COUNTY
REPLACING PIPE WITH PIPE
S. R. NO. 3 11 D
PROJECT NO. -7 13
DESCRIPTION: REMOVAL OF EXISTING 2 LINES OF 84"CMP
AND REPLACE WITH 2 LINES OF 96"CMP 40'
1. PLACE COFFER DAMS TO ALLOW THE WATER FLOW TO
GO THROUGH OUTSIDE LINE OF THE 8411CMP.
2. EXCAVATE AREA BEHIND COFFER DAMS TO REMOVE OLD
PIPE AND PLACE ONE LINE OF 96" CMP 40'.
3. PLACE LINE OF 96" AND STABILIZE UPSTREAM AND
DOWNSTREAM BANKS WITH RIP RAP.
4. CHANGE COFFER DAMS AND ROUTE WATER THROUGH
NEW LINE OF 96" PIPE.
5. EXCAVATE AREA TO REMOVE EXISTING OLD PIPE AND
PLACE THE OTHER LINE OF 96".
6. BACKFILL AND STABILIZE ALL BANKS AND SEED AND
MULCH AREAS NECESSARY
7. SILT FENCE WILL BE INSTALLED AS NEEDED.
NOTE: PIPE WILL BE BURIED 12" BELOW STREAMBED AND A
SILT BAG WILL BE USED WHEN PUMPING WATER OUT OF
EXCAVATION AREA.
PREPARED BY

DATE a -`moo
TS111
APPROVED BY lJ 14 h yv,n? DATE 0-11-0&-
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Brick Church Rd- View of pipes from downstream side
Brick Church Rd- Upstream view from road
Brick Church Rd- View of road looking north