20061620 Ver 1_Complete File_20061020

SENDING CONFIRMATION
DATE OCT-20-2006 FRI 16:05
NAME DWQ-WETLANDS
TEL [phone]
PHONE : [phone]
PAGES : 6
START TIME : OCT-20 16:03
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October 20, 2006
Franklin County
DWQ Project No. 20061620
SR 1715
State Project No. 5.203511
APPROVAL of 401 WATER QUALITY CERTIFICATION, and TAR-PAMLICO BUFFER AUTHORIZATION
with ADDITIONAL CONDITIONS
Mr. Jon G. Nance, P.E., Division Engineer
NCDOT, Division 5
2612 North Duke Street
Durham, NC 27704
Dear Mr. Nance:
You have our approval, in accordance with the conditions listed below, for the following impacts for the purpose of
maintenance improvements to SR 1715 in Franklin County:
Stream Impacts in the Tar-Pamlico River Basin
Site Riprap Impact to Permanent Fill in Temporary Total Stream Stream
Perennial Stream Perennial Stream Dewatering in Impact Impacts
(linear ft) (linear ft) Perennial Stream (linear ft) Requiring
(linear ft) Mitigation
linear ft
1 23 12 35 (concurrent) 45 0
10 additional
Total 23 12 45 45 0
Total Stream Impact for Project: 45 linear feet.
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
AJan W. Klimek, P.E. Director
Division of Water Quality
Wetland Impacts in the Tar-Pamlico River Basin
Site Fill
ac Total Wetland Impact (ac)
1 0.0112 0.0112
Total 0.0112 0.0112
Total Wetland Impact for Project: 0.0112 acres.
Tar-Pamlico Riparian Buffer Impacts
Site Zone 1 nrinus = Zone 1 Zone 1 Buffer Zone 2 minus = Zone 2 Zone 2 Buffer
Impact Wetlands Buffers (not Mitigation Impact Wetlands Buffers Mitigation
(sq ft) in Zone 1 wetlands) Required (sq ft) in Zone 2 (not Required (using
(sq ft) (sq ft) (using 3:1 ratio) (sq ft) wetlands) 1.5:1 ratio)
s ft
1 3,058 450 2,608 N/A 1,884 39 1,845 N/A
Totals 3,058 450 2,608 0 1,884 39 1,845 0
* n/a = Total for Site is less than 1 /3 acre and 150 linear feet of impact, no mitigation required
Total Buffer Impact for Project: 4,453 square feet. - One
NorthCarolina
Transportat on Permitting Unit r/Vllfurll!!f
1650 Mail Service Center, Raleigh, North Carolina 27699-1650
2321 Crabtree Boulevard, Suite 250, Raleigh, North Carolina 27604
Phone: [phone] FAX [phone] / Internet: http://h2o.enr.state.nc.us/ncwetlands
An Equal Opportunily/Affirmative Action Employer- 50% Recycled110% Post Consumer Paper
10
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William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
The project shall be constructed in accordance with your application dated received October 17, 2006. After
reviewing your application, we have decided that these impacts are covered by General Water Quality Certification
Number 3494 and 3366. This certification corresponds to the Nationwide Permit 3 and Nationwide Permit 33 issued
by the Corps of Engineers. This approval is also valid for the Tar-Pamlico Riparian Buffer Rules (15A NCAC
2B.0250). In addition, you should acquire any other federal, state or local permits before you proceed with your
project including (but not limited to) Sediment and Erosion Control, Non-Discharge and Water Supply Watershed
regulations. This approval will expire with the accompanying 404 permit.
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). For this approval to remain valid, you must adhere to the
conditions listed in the attached certification as well as those listed below.
Conditions of Certification:
1. All stormwater runoff shall be directed as sheetflow through stream buffers at nonerosive velocities, unless
otherwise approved by this certification.
2. All riparian buffers impacted by the placement of temporary fill or clearing activities shall be restored to the
preconstruction contours and revegated. Maintained buffers shall be permanently revegetated with non-woody
species by the end of the growing season following completion of construction. For the purpose of this condition,
maintained buffer areas are defined as areas within the transportation corridor that will be subject to regular DOT
maintenance activities including mowing. The area with non-maintained buffers shall be permanently revegetated,
with native woody species before the next growing season following completion of construction.
3. Pursuant to NCAC15A 2B.0259(6), sediment and erosion control devices shall not be placed in Zone 1 of any
Tar-Pamlico Buffer without prior approval by the NCDWQ. At this time, the NCDWQ has approved no sediment
and erosion control devices in Zone 1, outside of the approved project impacts, anywhere on this project. Moreover,
sediment and erosion control devices shall be allowed in Zone 2 of the buffers provided that Zone 1 is not
compromised and that discharge is released as diffuse flow.
4. Placement of culverts and other structures in waters, streams, and wetlands shall be placed below the elevation of
the streambed by one foot for all culverts with a diameter greater than 48 inches, and 20 percent of the culvert
diameter for culverts having a diameter less than 48 inches, to allow low flow passage of water and aquatic life.
Design and placement of culverts and other structures including temporary erosion control measures shall not be
conducted in a manner that may result in dis-equilibrium of wetlands or streambeds or banks, adjacent to or
upstream and down stream of the above structures. The applicant is required to provide evidence that the
equilibrium is being maintained if requested in writing by DWQ. If this condition is unable to be met due to
bedrock or other limiting features encountered during construction, please contact the NC DWQ for guidance on
how to proceed and to determine whether or not a permit modification will be required.
5. If multiple pipes or barrels are required, they should be designed to mimic natural stream cross section as closely
as possible including pipes or barrels at flood plain elevation and/or sills where appropriate. Widening the stream
channel should be avoided. Stream channel widening at the inlet or outlet end of structures typically decreases
water velocity causing sediment deposition that requires increased maintenance and disrupts aquatic life passage.
N,oOOtCarolina
Transportation Permitting Unit ?/Va&rc.1lJ
1650 Mail Service Center, Raleigh, North Carolina 27699-1650
2321 Crabtree Boulevard, Suite 250, Raleigh, North Carolina 27604
Phone: [phone] FAX [phone] Internet http://h2o.enr.state.nc.us/ncwetlands
An Equal Opportunity/Affirmative Action Employer- 50% Recydedl10% Post Consumer Paper
Ot `y0 William G. Ross Jr., Secretary
` G North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
O ? O-Z Division of Water Quality
6. Riprap should not be placed in the active thalweg channel or placed in the streambed in a manner that precludes
aquatic life passage. Bioengineering boulders or structures should be properly designed, sized and installed.
7. For the 45 linear feet of streams being impacted due to site dewatering activties, the site shall be graded to its
preconstruction contours and revegetated with appropriate native species.
8. If concrete is used during construction, a dry work area should be maintained to prevent direct contact between
curing concrete and stream water. Water that inadvertently contacts uncured concrete should not be discharged to
surface waters due to the potential for elevated pH and possible aquatic life and fish kills.
9. During the construction of the project, no staging of equipment of any kind is permitted in waters of the U.S., or
protected riparian buffers.
10. The dimension, pattern and profile of the stream above and below the crossing should not be modified.
Disturbed floodplains and streams should be restored to natural geomorphic conditions.
11. The use of rip-rap above the Normal High Water Mark should be minimized. Any rip-rap placed for stream
stabilization shall be placed in stream channels in such a manner that it does not impede aquatic life passage.
12. All work in or adjacent to stream waters shall be conducted in a dry work area. Approved BMP measures from
the most current version of NCDOT Construction and Maintenance Activities manual such as sandbags, rock berms,
cofferdams and other diversion structures shall be used to prevent excavation in flowing water.
13. Heavy equipment shall be operated from the banks rather than in the stream channel in order to minimize
sedimentation and reduce the introduction of other pollutants into the stream.
14. All mechanized equipment operated near surface waters must be regularly inspected and maintained to prevent
contamination of stream waters from fuels, lubricants, hydraulic fluids, or other toxic materials.
15. No rock, sand or other materials shall be dredged from the stream channel except where authorized by this
certification.
16. Discharging hydroseed mixtures and washing out hydroseeders and other equipment in or adjacent to surface
waters is prohibited.
17. The permittee and its authorized agents shall conduct its activities in a manner consistent with State water
quality standards (including any requirements resulting from compliance with §303(d) of the Clean Water Act) and
any other appropriate requirements of State and Federal law. If DWQ determines that such standards or laws are not
being met (including the failure to sustain a designated or achieved use) or that State or federal law is being violated,
or that further conditions are necessary to assure compliance, DWQ may reevaluate and modify this certification.
18. All fill slopes located in jurisdictional wetlands shall be placed at slopes no flatter than 3:1, unless otherwise
authorized by this certification..
19. A copy of this Water Quality Certification shall be posted on the construction site at all times. In addition, the
Water Quality Certification and all subsequent modifications, if any, shall be maintained with the Division Engineer
and the on-site project manager.
20. The outside buffer, wetland or water boundary located within the construction corridor approved by this
authorization shall be clearly marked by highly visible fencing prior to any land disturbing activities. Impacts to
areas within the fencing are prohibited unless otherwise authorized by this certification.
NoiihCarolina
Transportation Permitting Unit NatuCCTllf
1650 Mail Service Center, Raleigh, North Carolina 27699-1650
2321 Crabtree Boulevard, Suite 250, Raleigh, North Carolina 27604
Phone: [phone] /FAX [phone]/ Internet http://h2o.enr.state.nc.us/ncwetlands
An Equal Opportunity/Affirmative Action Employer- 50% Recycled/l0% Post Consumer Paper
OT ,. .,`9 ...._.
\OC? QG William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
> Division of Water Quality
21. Upon completion of the project, the NCDOT Division Engineer shall complete and return the enclosed
"Certification of Completion Form" to notify DWQ when all work included in the 401 Certification has been
completed.
22. Native riparian vegetation must be reestablished within the construction limits of the project by the end of the
growing season following completion of construction.
23. There shall be no excavation from, or waste disposal into, jurisdictional wetlands or waters associated with this
permit without appropriate modification. Should waste or borrow sites be located in wetlands or streams,
compensatory mitigation will be required since that is a direct impact from road construction activities.
24. Erosion and sediment control practices must be in full compliance with all specifications governing
the proper design, installation and operation and maintenance of such Best Management Practices in
order to protect surface waters standards:
a. The erosion and sediment control measures for the project must be designed, installed, operated, and
maintained in accordance with the most recent version of the North Carolina Sediment and Erosion
Control Planning and Design Manual.
b. The design, installation, operation, and maintenance of the sediment and erosion control measures
must be such that they equal, or exceed, the requirements specified in the most recent version of the
North Carolina Sediment and Erosion Control Manual. The devices shall be maintained on all
construction sites, borrow sites, and waste pile (spoil) projects, including contractor-owned or leased
borrow pits associated with the project.
c. For borrow pit sites, the erosion and sediment control measures must be designed, installed, operated,
and maintained in accordance with the most recent version of the North Carolina Surface Mining
Manual.
d. The reclamation measures and implementation must comply with the reclamation in accordance with
the requirements of the Sedimentation Pollution Control Act.
25. Sediment and erosion control measures shall not be placed in wetlands or waters unless otherwise approved by
this Certification. If placement of sediment and erosion control devices in wetlands and waters is unavoidable, they
shall be removed and the natural grade restored upon completion of the project.
If you do not accept any of the conditions of this certification, you may ask for an adjudicatory hearing. You must
act within 60 days of the date that you receive this letter. To ask for a hearing, send a written petition that conforms
to Chapter 150B of the North Carolina General Statutes to the Office of Administrative Hearings, 6714 Mail Service
Center, Raleigh, N.C. 27699. 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 Rob Ridings at (919)733 X18 }7.
/ Sincerely
/.Alan W. Klimek, P.E.
i
Onc
Np hCarolina
Transportation Permitting Unit Notts«J
1650 Mail Service Center, Raleigh, North Carolina 27699-1650
2321 Crabtree Boulevard, Suite 250, Raleigh, North Carolina 27604
Phone: [phone]/ FAX [phone] Internet: http://h2o.enr.state.nc.us/ncwetlands
An Equal Opportunity/Affirmative Action Employer- 50% Recycled/10% Post Consumer Paper
\O?O RQG William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
g co r Alan W. Klimek, P.E. Director
Division of Water Quality
Attachments (General Certifications and Certificate of Completion form)
cc: Chris Murray, Division 5 Environmental Officer
Eric Alsmeyer, U5 Army Corps of Engineers, Raleigh Field Office
Travis Wilson, NC Wildlife Resources Commission
DWQ Raleigh Regional Office
File Copy
NostliCarolina
Transportation Permitting Unit ???¢lhrrll!!f
1650 Mail Service Center, Raleigh, North Carolina 27699-1650
2321 Crabtree Boulevard, Suite 250, Raleigh, North Carolina 27604
Phone: [phone] / FAX [phone] / Internet: http!//h2o.enr.state.nc.us/ncwetiands
An Equal Opportunity/Affirmative Action Employer- 50% Recycled/10% Post Consumer Paper
imap://rob.ridings%40dwq.denr.ncmail.net a cnis.ncmail.net:143/fet...
Subject: Re: SR 1715- Franklin Co.
From: "Heather W. Montague" <[e-mail]>
Date: Thu, 19 Oct 2006 07:57:53 -0400
To: Rob Ridings <[e-mail]>
Rob- This is correct, the wetland impacts and Zone 1 impacts do overlap. Plus there is a tiny amount of
wetland impact within Zone 2 in the NW quad (see below for breakout list of wetland impacts by zone).
You could use these numbers and subtract them from the buffer totals. When you issue this, could you
please fax me a copy ahead of hard copy? Thanks -Heather
442 ft2 in Zone 1 West side
39 ft2 in Zone 2 on West side
8 ft2 in Zone 1 on East side (tiny wetland fringe to the north of the plunge pool)
Rob Ridings wrote:
Heather,
I've gotten the application for SR 1715 in Franklin County.
It appears to me that the wetland impacts for this project are in Zone 1
of the Buffer impacts? Is this correct?
I try to separate them in the approvals when wetlands and buffers
overlap, subtracting the wetlands from total buffers. This is an
advantage for DOT to more accurately reflect the impacts instead of
making it look like more resources are being impacted than in reality.
Thanks,
Rob
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10/19/2006 12:46 PM

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STATE OF NORTH CAROLINA
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DEPARTMENT OF TRANSPORTATION pV`4?,,
MICHAEL F. EASLEY LYNDO TIPPE"t
GOVERNOR SECRE'T'ARY P.
October 12, 2006
U.S. Army Corps of Engineers
Raleigh Regulatory Field Office
6508 Falls of the Neuse Road, Suite 120 0-61
6
Raleigh, NC 27609 ,,(a 0
Attention: Mr. Eric Alsmeyer
NCDOT Coordinator
Subject: Proposed maintenance improvements to structures conveying an unnamed
tributary to Norris Creek on SR 1715 Bob Richards Road in Franklin
County. WBS Element 5.203511.
The North Carolina Department of Transportation (NCDOT) proposes to replace pipes
conveying an unnamed tributary to Norris Creek on SR 1715 Bob Richards Road in
Franklin County (Figure 1 - 3). Information concerning this activity is provided below:
Impacts to Waters of the United States
Site 1 - Waters of the U.S.
Maintenance activities at this site will impact an unnamed perennial tributary to Norris Creek
[NCDENR-DWQ Index No. 28-30-3, Best Usage Classification C NSW, HUC 030201011
(Figure 3) in the Tar-Pamlico River Basin. The existing structures conveying the creek are
2(a;36" reinforced concrete pipes that are 48 feet long (Photographs 1 and 2). Please note that
the existing structures are undersized with separated joints. These separations have resulted
in the repeat loss of material from the roadway. Frequent maintenance is needed to repair the
roadway and the shoulders.
The NCDOT proposes to replace the existing structures with 2(1;81" X 59" pipes that are 60
feet long while temporarily dewatering the work zone. This will involve the temporary
placement of impervious dikes in the creek upstream and downstream of construction. Once
the stream has been dewatered, the pipes will be replaced. Pennanent impacts at the site
associated with the replacement of the structures and minimal amounts of rip rap to protect
the structures involve a total of 45 lft (12ft of surface water fill, 23ft of rip rap annoying, and
an extra I Oft of dewatering at the inlet end). Please note that due to the position of the new
pipe outlet, a small area of e cavation in the.floodplain is necessarv to ensure positive.flow.
This area will he stabilized using either rip rap or 57 stone pressed into the soil to create a
new stream bed and the reshaped stream banks will be lined with rip rap. The work zone will
be dewatered for approximately 5 days. Temporary impacts to the stream from this activity
Division 5, 2612 N. Duke Street, Durham, NC 27704
Phone: [phone] Fax: [phone]
)11?1
2
will result in the dewatering of 45 Ift of stream. The materials used for dewatering will be
removed after construction. Fill in wetlands is also anticipated at this site. The construction
associated with the installation of the larger pipes will result in 489 ft' (0.01 12 ac) of till in a
fringe wetland along this unnamed tributary. (See Appendix One for USACE Wetland
Delineation forms/DWQ rating sheets).
Riparian Buffer
Site 1 - Buffers
The maintenance at this site involves a road crossing of a stream that is subject to the
Tar-Pamlico River Buffer Rules. The perennial tributary to Cypress Creek, at Site l is
depicted on the most recent version of the Bunn West (USGS 1968/1973) topographic
quadrangle (Figure 1) and the Soil Survey of Franklin County (USDA-SCS, 2004)
(Figure 2). Construction impacts at this site total 3,058 ft2 in Zone 1 and 1,884 ft in Zone
2 (totaling 45 Ift of riparian buffer impacts). Based on the impacts to the riparian buffer at
this site, this crossing is ALLOWABLE.
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: All compensatory mitigation requirements will be left to the
discretion of the regulatory review 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 October 2006, there are three federally protected species
listed for Franklin County. They include dwarf wedgemussel (Alasmidonta heterodon),
Tar spinymussel (Elliptio steinstansana), and Michaux's sumac (Rhos michauxii). The
roadway shoulders along Bob Richards Road are heavily maintained, eliminating the
possibility for Michaux's sumac to exist in this area. This perennial stream is very small
and does not provide suitable habitat for mussel fauna. Additionally, a review of the
Natural Heritage Program database (last updated September 2006) revealed no
occurrences of protected species within the project area. Therefore, based on lack of
suitable habitat observed during the 10/10/06 site visit and the NHP database review,
biological conclusions of No Effect have been rendered for each species.

Summary
3
The NCDOT proposes to replace the existing structures while dewatering the work site.
Surface water till, excavation in floodplain, temporary dewatering, fill in wetlands, and
riparian buffers impacts are proposed. Application is hereby made for a Department of
the Army Section 404 Nationwide Pen-nit (NWP) 3 and NWP 33. Although, written
concurrence from NCDWQ isn't typically required with Section 401 Water Quality
Certification (WQC) No. 3376 and No. 3366, we are requesting a buffer authorization for
construction of this project.
An automated payment procedure has 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 procedure will provide payment to
the NCDWQ by charging the permit application fee of $200.00 directly to the appropriate
NCDOT WBS element 5.203511. A pre-construction notification is attached with this
request. If you have any questions or need additional information, please contact Ms.
Heather Montague at [phone].
Sincerely,
JJ •YLO.??.?
n G. Nance, P.E.
Division Engineer
cc: Mr. Rob Ridings, NCDWQ Transportation Planning Unit
Mr. Steve Winstead, NCDOT District 3 Engineer
Mr. Jonathan Tyndall, NCDOT Franklin County Maintenance Engineer
Ms. Katie Simmons, NCDOT Roadside Environmental Field Ops Technician

10/12/06 SR 1715 (Bob Richards Road) Franklin County
Photograph 1. View looking downstream of outlet (plunge pool and fringe wetland).
Photograph 2. View looking upstream of inlet (herbaceous wetland).
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Office Use Only: Form version March 05
2 0 0 6 1 6 2 0
USACE Action ID No. DWQ No.
([f any particular item is not applicable to this project, please enter "Not Applicable" or "N/A".)
1. 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 3 and NWP 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 Ecosystem Enhancement Program (NCEEP) is proposed
for mitigation of impacts, attach the acceptance letter from NCEEP, complete section Vlll,
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 Jon G. Nance
Mailing Address: 2612 N. Duke St. Durham, NC 27704
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: JNancei<D,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:
E-mail Address:
Fax Number:
Page 1 of 8
I
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 structures conveying an unnamed tributary to
Norris Creek on SR 1715 (Bob Richards Road) in Franklin County.
2. T.I.P. Project Number or State Project Number (NCDOT Only): N/A
3. Property Identification Number (Tax PIN): N/A
4. Location
County: Franklin Nearest Town: Rolesville
Subdivision name (include phase/lot number): N/A
Directions to site (include road numbers/names, landmarks, etc.): From Rolesville,
follow US Hwy 401 North from Wake Count into Franklin County. Make a right onto SR
1101 and travel approximately 3.0 miles east to intersection with SR 1103. Make a left onto
SR 1103 and then an immediate right onto SR 1715 (Bob Richards Road) and travel
approximately 1.2 miles to project site
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): 35.9500 "N 78.3393 °W
6. Property size (acres): 0.29
7. Name of nearest receiving body of water: UT to Norris Creek
8. River Basin: Tar-Pamlico
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at littp://li2o.enr.statc.nc.us/adinin/maps /.)
Page 2 of 8
9. Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this application: Site is surrounded by wooded areas, agricultural land, and
residences.
10. Describe the overall project in detail, including the type of equipment to be used: The
NCDOT will replace the existing structures at Site 1. The NCDOT will also dewater the
work zone during; construction. Equipment may include excavator, backhoe, bulldozer,
grader, and crane.
11. Explain the purpose of the proposed work: The existing; structures are undersized concrete
pipes with separated joints. These separations have resulted in the repeat loss of material
from the roadway. Frequent maintenance is needed to patch the roadway and the shoulders.
IV. Prior Project History
If jurisdictional determinations and/or pen-nits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USAGE Action ID Number, DWQ Project Number, application date, and date pen-nits 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 pen-nits issued for prior segments of the same T.I.P. project, along with
construction schedules. N/A
V. Future Project Plans
Arc 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
V1. 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.
Page 3 of 8
1. Provide a written description of the proposed impacts: The NCDOT will replace the
existing structures at Site 1 with two larger pipes. The NCDOT will also dewater the work zone
during construction.
2. Individually list wetland impacts. Types of impacts include, but are not limited to
mechanized clearing, grading, till, 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, I00-year
Floodplain Nearest
Stream Impact
(acres)
(indicate on map) herbaceous, bog, etc.) ( es/no) (linear feet)
Site 1 Fill herbaceous Yes NONE: (1.01 I2

Total Wetland Impact (acres) 0.0112
3. List the total acreage (estimated) of all existing wetlands on the property: 0.0112 ac
4. Individually list all intermittent and perennial stream impacts. Be sure to identify temporary
impacts. Stream impacts include, but are not limited to placement of till 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. To calculate acreage, multiply length X width, then divide by 43,560.
Stream Impact
Perennial or Average
Stream Width Impact
Length Area of
Number Stream Name "Type oC Impact Intermittent? [3cibre (linear Impact
(indicate on map)
Im act
feet) (acres)
Site 1 UT to Norris Crk Fill (piped length) Perennial 1.0 12 0.0003
Rip rap armoring 23 0.0(105
along stream bank
Temporary 35concuncnl 0.0008con
dewatering 10cxtra 0.0002ext
Total Stream Impact (by length and acreage) 45 0.0018
5. 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, dredgint„ 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)

N/A
Total Open Water Impact (acres) N/A
Page 4 of 8
6. List the cumulative impact to all Waters of the U.S. resulting from the project:
Stream Impact (acres): 0.0018
Wetland Impact (acres): 0.0112
Open Water Impact (acres): NONE
Total Impact to Waters of the U.S. (acres) 0.0130
Total Stream Impact (linear feet): 45
7. Isolated 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 USAGE.
N/A
8. 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-clown 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
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. All wetlands and surface
waters not affected by construction will be protected from unnecessarv encroachment during
construction. Strict enforcement of Best Management Practices for the protection of wetlands
and surface waters will be enforced during construction. Only the smallest amount of till
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.
Page 5 of 8
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/strml;idc.htm1.
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.
All compensatory mitigation requirements will be left to the discretion of the re Tull ator_y
review agencies.
2. 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 detennine 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.cnr.state.nc.us/wrh/index.htni. 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):
Amount of buffer mitigation requested (square feet): N/A
Amount of Riparian wetland mitigation requested (acres):
Amount of Non-riparian wetland mitigation requested (acres): N/A
Amount of Coastal wetland mitigation requested (acres): N/A
IX. 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 ?
Page 6 of 8
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 ?
X. Proposed Impacts on Riparian and Watershed Buffers (required by DWQ)
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required state and local buffers associated with the project. The applicant must also provide
justification for these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
1. Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Neusc), 15A NCAC 213.0259 (Tar-Pamlico), 15A NCAC 0213.0243 (Catawba) 15A NCAC
2B .0250 (Randleman Rules and Water Supply Buffer Requirements), or other (please
identity )? 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
7one* Impact
(square feet) Multiplier Required
Mitigation
1 3,058 3 (2 for Catawba)
2 1,884 1.5
Total 4,942
* Zone I extends out 30 feet perpendicular from the top of the near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.
3. If butter mitigation is required, please discuss what type of mitigation is proposed (i.e.,
Donation of Property, Riparian Buffer Restoration / Enhancement, or Payment into the
Riparian Buffer Restoration Fund). Please attach all appropriate information as identified
within 15A NCAC 213.0242 or.0244, or.0260. N/A
Page 7 of 8
X1. Stormwater (required by DWQ)
Describe impervious acreage (existing and proposed) versus total acreage on the site. Discuss
stonnwater 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 0.065 acre existing` impervious
surface with the 0.29 acre project site. No additional impervious surface is proposed with this
maintenance pipe replacement project. Erosion and sediment control devices at this site are
comprised of temporary silt fence and special stilling basin (silt bag).
XII. 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.
XIII. 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 an after-the-fact pen-nit application? Yes ? No
XIV. 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
lrttp://l12o.enr.state.nc.us/ncwetlands. If no, please provide a short narrative description:
This maintenance project will not result in additional development.
XV. 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 can
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).
10`13106
Q Applicant/Agent'sNignature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 8 of 8
Appendix One
(USACE Wetland Delineation forms/
DWQ rating sheets)
DATA FORM
ROUTINE WETLAND DETERMINATION
(1987 COE Wetlands Determlr R04)n Manual)

Project I Site: 5R 11116 Date: / o pe
Applicant I Owner: C s To 6.. qtr County: ?r4nk/i?q
Investigator: P? o State: NC
Do normal circumstances exist on the site? rtes ? No Community ID:
Is the site significantly disturbed (Atypical situation)? Yes No ? Transect ID:
Is the area a potential problem area? Yes No_-te/ Plot ID:
(explain on reverse if needed)
VEGETATION
Dominant Plant Species Stratum Indicator Dominant Plant Species Stratum Indicator
1. PA4 ohv.v, s _ g G44' 9.
2. l k4 i-J n. P FAC 10.
3. r 64 ks fe _06L 11.
4. r1M3 serrw (a 6Z v F##Ca 12.
5. Sa /i x /1 i ores / -0-i4Z- 13.
6. 14.
7. 15.
8. 16.
Percent of Dominant Species that are OBL, FACW, or FAC excluding FAC-). /A' y
Remarks: Wetland Vegetation Present Based Upon Greater than 50% of the Plant Species are/are not
Classified as FAC-OBL in the National List of Plant Species that Occur in Wetlands. Sample plot was taken...
we */,vJ ?C c - rY;e*.?

HYDROLOGY
Recorded Data (Describe In Remarks): Wetland Hydrology Indicators
_ Stream, Lake, or Tide Gauge
_ Aerial Photographs Primary Indicators:
_ Other ?Inundated
?Saturated in Upper 12"
No Recorded Data Available - Water Marks
_ Drift Lines
Field Observations: _ Sediment Deposits
_L Drainage Patterns in Wetlands
Depth of Surface Water: r4m!E(in.) Secondary Indicators:
Depth to Free Water In Pit: l? (in.)
) Oxidized Roots Channels in Upper 12"
_ Water-Stained Leaves
_ Local Soil Survey Data
Depth to Saturated Soil: (in.) ./FAC-Neutral Test
_ Other (Explain in Remarks)
Remarks:
/
Ave ? ?1y
SOILS
Map Unit Name
(Series and Phase): aA Chew rainage Class:
Taxonomy (Subgroup): Confirm Mapped Type? Yes_ No,
Profile Description:
Depth Matrix Colors Mottle Colors Mottle Texture, Concretions,
(inches) Horizon {Mansell Moist) (Mansell Moist) Abundance/Contrast Structure, etc.

Hydric Soil Indicators:
Histosol _ Concretions
Histic Epipedon ` High Organic Content in Surface Layer in Sandy Soils
Sulfldlc Odor Organic Streaking in Sandy Soils
- Aquic Moisture Regime Listed On Local Hydric Soils List
t3educing Conditions _Listed.on National Hydric Soils List
_ Gleyed or Low-Chroma Colors ` Other (Explain in Remarks)
Remarks:
I I
y
?
WETLAND DETERMINATION
Hydrophytic Vegetation Present? Yes No Is the Sampling Point
Wetland Hydrology Present? Yes ? No Within a Wetland? Yes ? No
Hydric Solis Present? • Yes No
Remarks: Location (describe) is/is not classified as a wetland based upon the criteria set forth in the 1987
Army Corps of Engineers Wetlands Delineation Manual.
W'S at to i's a W44'PON/
DATA FORM
ROUTINE WETLAND DE'ERMINATION S?
(1987 COE Wetiaiids Deterrvinatlun Manual)
Project I Site: s R 17! 5
4ob Date: /M/p/04
Applicant I Owner: IVCD To Ar?c
- County:
Investigator: Ile& hA , 140 01-ht go V4-- State:- A/C
Do normal circumstances exist on the site? Yes ? No Community iD:
Is the site significantly disturbed (Atypical situation)? Yes No ? Transect ID:
Is the area a potential problem area? Yes No ? Plot ID:
(explain on reverse if needed)
VEGETATION
Dominant Plant Species Stratum Indicator Dominant Plant Species Stratum Indicator
1. /? ?u S >? carp- T _ C 9.
2. to r k b &, F/fC 10.

4. 12.
5. 13.
6. 14.
7. 15.
8. 16.
Percent of Dominant Species that are OBL, FACW, or FAC excluding FAC-).
Remarks: Wetland Vegetation Present Based Upon Greater than 50% of the Plant Species arelare not
Classified as FAC-OBL in the National List of Plant Species that Occur in Wetlands. Sample plot was taken...
1' / /F?`? t/t t 711A r.C Ss---;
HYDROLOGY
_ Recorded Data (Describe In Remarks): Wetland Hydrology Indicators
- Stream, Lake, or Tide Gauge
- Aerial Photographs Primary Indicators:
_ Other _ Inundated
-Saturated in Upper 12"
No Recorded Data Available _ Water Marks
_ Drift Lines
Field Observations: - Sediment Deposits
- Drainage Patterns in Wetlands
Depth of Surface Water: (in.) Secondary Indicators:
Depth to Free Water in Pit: > i Z (in,
) Oxidized Roots Channels in Upper 12"
_ Water-Stained Leaves

> /Z _ Local Soil Survey Data
Depth to Saturated Soil:
(in.) - FAC-Neutral Test
_ Other (Explain In Remarks)
Remarks:

SOILS
Map Unit Name
(Series and Phase):
Drainage Class:
Taxonomy (Subgroup): Confirm Mapped Type? Yes_ No
Profile Description:
Depth Matrix Colors Mottle Colors Mottle Texture, Concretions,
(inches) Horizon (Munsell Moist) (Munsell Moist) Abundance/Contrast structure, etc.
i0 Y"- &A SA"- le
Hydric Soil Indicators:
_ Histosol _ Concretions
Histic Epipedon ` High Organic Content in Surface Layer in Sandy Solis
Sulfidic Odor Organic Streaking in Sandy Soils
- Aquic Moisture Regime Listed On Local Hydric Soils List
Reducing Conditions Listed on National Hydric Soils List
_ Gleyed or Low-Chroma Colors - Other (Explain in Remarks)
Remarks:
004 Alt J v, e s 4ytrlS ?17? s'C4
WETLAND DETERMINATION
Hydrophytlc Vegetation Present? Yes No Is the Sampling Point /
Wetland Hydrology Present? Yes No _L// Within a Wetland? Yes_ No
Hydric Soils Present? Yes No ?
Remarks: Location (describe) is/is not classified as a wetland based upon the criteria set forth in the 1987
Army Corps of Engineers Wetlands Delineation Manual.
7`h l's *y'4,4 is 4-0-1" R ue ff4 -..,,0
R/?? &tc a `. Nearest Road
5Q ! l5 l ?6 Project Name 1
County Fran/lc./, A Wetland Area 0.0112 ages Wetland Width " 7O feet
L?q 7??t ? oct V a ve _ Date -LO V10 Cl
Name of evaluator

Wetland Location
on pond or lake
?n perennial stream
on intermittent stream
within interstream divide
other
Soil series 06ewac la 4- Ak tiadot ee
predominantly organic - humus, muck,
or peat
predominantly mineral - non-sandy
predominantly sandy
Hydraulic factors
steep topography
ditched or channelized
total wetland width 2100 feet
Adjacent land use
(within 1/2 mile upstream, ups-lope, or radius)
forested/natural vegetation *70 %
? agriculture, urban/suburban 26 %
impervious surface 5 %
Dominant vegetation
AIyo O/1dM ??
i
/Yl ?Z.rva4e? J. v ek s?
a,uru,rvs `s
v ?...i lL. w
?
Flooding and wetness
semipermanently to permanently
flooded or inundated
s nally flooded or immdated
? inte_ 'ttanly flooded or temporary
su ce water
no evidence of flooding or surface water
Wetland type (select one)*
Bottomland hardwood forest Pine savanna
Headwater forest Freshwater marsh
Swamp forest Bog/fen
Wet flat Ephemeral wetland
Pocosin
Bog forest - Carolina Bay
:?__ther
*the rating system cannot _be applied to _salt or -brackish- marshes or stream channels __________________________

R
Water storage weight Wetland
Z x 4.00
Rating
A
x 4.00 = :zx
Bank/Shoreline stabilization
T Pollutant removal * x 5.00
I Wildlife habitat x 2.00
11l Aquatic life value x 4.00 = >?
G Recreation/Education x 1.00
*Add 1 point if in sensitive watershed and >10% nonpoint disturbance within 1/2 mile upstream,
------- ulsloO: or radius-----------------------------------------------------------------------------------------

f:

P;
1