20060783 Ver 1_Complete File_20060516

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APPROVAL of 401 WATER QUALITY CERTIFICATION
Mr. Terry Gibson, P.E., Division Engineer
NCDOT, Division 6
P.O. Box 1150
Fayetteville, North Carolina 28302
Dear Mr. Gibson:
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
May 16, 2006
Robeson County
DWQ Project No. 20060783
SR 1967 road improvements
State Project No. 6C.078030
You have our approval, in accordance with the conditions listed below, for the following impacts for the purpose of making
roadway improvements to SR 1967 in Robeson County:
Stream Im acts in the Lumber River Basin
Site Permanent Fill in Temporary Fill in Permanent Fill in Temporary Fill in Total Stream Stream
Intermittent Intermittent Stream Perennial Stream Perennial Stream Impact Impacts
Stream (linear ft) (linear ft) (linear ft) (linear ft) (linear ft) Requiring
Mitigation
linear ft
#1 18 l.f. 18 l.f.

Total 18 l.f. 18 I.f.
Total Stream Impact for Project: 18 linear feet.
Non-Riverine Wetland Impacts in the Lumber River Basin
Site Fill
(ac) Fill
(temporary

ac Excavation
(ac) Mechanized
Clearing (ac) Hand Clearing
(ac) Area under
Bridge
(ac) Total Wetland
Impact (ac)
#1 0.058 ac. 0.058ac.

Total 0.058 ac. 0.058 ac.
Total Wetland Impact for Project 0.058 acres.
The project shall be constructed in accordance with your application dated May 5, 2006, received in the Fayetteville Regional
Office on May 16, 2006. After reviewing your application, we have decided that these impacts are covered by General Water
Quality Certification Number 3404. This certification corresponds to Nationwide Permit No. 14 issued by the Corps of
Engineers. 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 condition supercedes Condition No. 19 of GC 3404 as issued
in March of 2003.)
NocthCarolina
Alattirally
North Carolina Division of Water Quality 225 Green Strect-Suite 714 Fayetteville, NC 28301 Phone [phone] Customer Service
Internet: Naww.ncN?atenluali" Fax [phone]
An Equal OpportunilylAffirmative Acton Employer - 50% Recycledll0% Post Consumer Paper
Mr. Terry R. Gibson, P.E.
May 16, 2006
Page 2
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.
Condition(s) of Certification:
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.
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.
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.
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.
The use of rip-rap above the Normal High Water Mark shall 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.
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.
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.
In instances where heavy equipment must be operated within the stream channels, its usage shall be minimized.
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.
No rock, sand or other materials shall be dredged from the stream channel except where authorized by this certification.
Discharging hydroseed mixtures and washing out hydroseeders and other equipment in or adjacent to surface waters is
prohibited.
V
Mr. Terry Gibson
May 16, 2006
Page 3
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.
All fill slopes located in jurisdictional wetlands shall be placed at slopes no flatter than 3:1, unless otherwise authorized by
this certification.
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.
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.
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.
Native riparian vegetation must be reestablished within the construction limits of the project by the end of the growing season
following completion of construction.
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.
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.
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
I
Mr. Terry R. Gibson
May 16, 2006
Page 4
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
Ken Averitte at [phone], ext 703.
Sincerely, //
Alan W. Klimek, P.E.
Attachments (General Certification and Certificate of Completion form)
cc: Wilmington US Army Corp District Office
Jim Rerko, Division 6 Environmental Officer
Richard Spencer, US Army Corps of Engineers, Wilmington Field Office
DWQ - FRO
Central Files
DLR-FRO
Rob Ridings, 401/Wetlands/DOT unit
Rob.sr 1967.060783.doc
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STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY W. LYNDO TIPPETT
GOVERNOR SECRETARY
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May 5, 2000 1?•? ?
U.S. Army Corps of Engineers Mq y
Wilmington Regulatory Field Office ?QQ6
W hninxo1890 n North Carolina 28402-1890 > r; I oSANOSrORU -E e
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ATTN: Mr. Richard Spencer
NCDOT Coordinator
Dear Sir:
Subject: Notification for Nationwide Permit 14 (Minor Road Crossing)
NCDENR 401 WQC 3404
Culvert Replacement SR-1967 (Lee-Britt Rd.) Robeson County
State Project Number: 6C.078030
The North Carolina Department of Transportation (NCDOT) has scheduled to grade, drain, base
and pave SR-1967, in Robeson County. Total project length is 2.23 miles. Erosion control and
stabilized grass shoulders (6 foot) will be provided. This project will require the replacement of
one (1) wet cross line as shown below:
Crossing Roadway Station Existing Culvert Proposed Culvert

Crossing #1 Sta. 25+00 30 LF 24" RCP 48 LF 30". RCP
New stream impacts = IS linear feet
Construction of this project will impact one (1) un-named tributary to White Oak Swamp
(Smiths Millpond) (C;Sw). This project is located within the 03040203 Hydrologic Unit,
subbasin 03-07-53.
The primary land use along this project is forest production with minor rural residential. Two
inactive borrow sites were noted just west of the project between station(s) 80+00 and 95+00.
Crossing 91 conveys drainage from a forested wetland area, which is situated just upstream.
Hydrology was noted at the culvert entrance and the exit. The UT is an intermittent channel that
is approximately 3 foot wide and 1 foot deep. The existing 24 LF of 24" RCP has signs of joint
failure along with end section damage. This culvert will be removed and a 48 LF 30" RCP will
be installed. The culvert will be buried 6 inches (20% of the diameter), though there is little
opportunity for aquatic movements due to the intermittent nature of the UT to White Oak
P. O. Box 1150, Fayetteville, NC 28302-1150 - Telephone [phone]- Fax [phone]
Swamp. While improving this section of roadway, a 0.058-acre wetland will be impacted (filled).
Also there will be an eighteen-foot (18-foot) stream impact.
In addition to the work described, the sidecast material will be removed at the upstream and
downstream end of the culvert. The sidecast material removal will open up available flow area
along the channel, reduce the potential for sedimentation, and restore the aesthetic value of the
UT to White Oak Swamp.
In general, there will be minor impacts proposed as a result of the replacement of the culverts
along SR-1967 (Lee-Britt Rd.) in Robeson County. Eighteen (18) linear feet of stream impacts
are expected along with 0.058 acres of Non-Riverine wetlands. A Nationwide Permit 414 /
NCDENR 401 WQC 3404 is required for the project.
Endangered Species: Plants and animals with Federal classification of Endangered (E) or
Threatened (T) are protected under provisions of Section 7 and Section 9 of the Endangered
Species Act of 1973, as amended. As of January 29, 2004, the U.S. Fish and Wildlife Service
lists three federally protected species for Robeson County.
Federally Protected Species for Robeson County
SCIENTIFIC NAME COMMON NAME STATUS
Alligator mississippiensis American alligator T(S/A)
Picoides borealis Red-cockaded woodpecker E
Rhus michauxii Michaux's sumac E
"E" denotes Endangered (a species that is in danger of extinction throughout
all or a significant portion of its range).
T(S/A)- Threatened due to similarity of appearance, a species that is threatened
Due to similarity of appearance with other rare species and is listed for its.
Protection. These species are not biologically endangered or threatened and
Are not subject to Section 7 consultation.
A biological conclusion of "No Effect" was reached for all species during the February 07, 2006
survey for protected species. Protected species were not identified, nor, was the general habitat
for each species identified.
REGULATORY APPROVALS
Application is hereby made for a Department of the Army Nationwide Permit 14 / NCDENR 401
WQC 3404 as required by the above-described activities.
The National Register was reviewed in addition to conducting a field view of the project for
significant historic features.
The project impacts are minor in nature and should not remove or degrade existing water quality
uses. Pipe sizes proposed are the minimum necessary to create a safe highway while
accommodating the 25-year design storm. There is no record within the NCDOT District 1
Office (Robeson County) that the road experiences floods overtopping. By utilizing the erosion
control measures, downstream water quality standards will be protected. All appropriate BMP's
will be utilized during construction.
Attached is a Preconstruction Notification Form, plan sheets, marked county road map, quad
location map and photographs.
If you should have any questions, or, need additional information please contact James J. Rerko,
PWS at [phone].
Sincerely, ^
'? r 1
Jame?J. Rerko, PWS
Division 6 Environmental Officer
ATTACHMENTS
Cc: John Hennessy, Division of Water Quality (7 copies)
Ken Averitte, Division of Water Quality
Terry Gibson, P.E., Division Engineer
Charles Miller, P.E., District Engineer
Gene McKethan, County Maintenance Engineer
Office Use Only: Form Version May 2002
?0030783
USACE Action ID No. DWQ No.
(If 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
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 Wetlands Restoration Program (NCWRP) is proposed for
mitigation of impacts (verify availability with NCWRP prior to submittal of PCN), 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: Terry R. Gibson, P.E. /NCDOT/Div 6/Division EnIlineer
Mailing Address: P.O. Box 1150
Fayetteville, NC 28302
Telephone Number: 910-486-1493 Fax Number: 910-486-1959
E-mail Address: tgibsonQ 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: James J. Rerko, PWS
Company Affiliation: NCDOT/Div 6/Division Environmental Officer
Mailing Address: P.O. Box 1150
Fayetteville, NC 28302
Telephone Number: 910-437-0208 Fax Number: 910-486-1959
E-mail Address: iirerko(a,dot.state.ne.us
Page 5 of 12
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: SR-1967 (Lee-Britt Rd.)
2. T.I.P. Project Number or State Project Number (NCDOT Only):
3. Property Identification Number (Tax PIN): 6C.078030
4. Location .
County: Robeson Nearest Town: Lumberton
Subdivision name (include phase/lot number):
Directions to site (include road numbers, landmarks, etc.): Hsw. 87 south, travel to SR-
1004 turn right. Follow SR-1004 into Robeson County, turn left onto SR-1963. Travel
1.7 mile +/- turn left onto SR-1966, then left onto SR-1967.
5. Site coordinates, if available (UTM or Lat/Long): Crossing 91 (78°50'36"W 34°40'45'M
(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. Property size (acres): 16.21acres +/-
7. Nearest body of water (stream/river/sound/ocean/lake): White Oak Swamp (C;Sw)
S. River Basin: Lumber
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://12o.enr.state.ne.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 20 foot dirt road with maintenance limits 60
foot in width. Surrounding land use is Forested/residential.
Page 6 of 12
10. Describe the overall project in detail, including the type of equipment to be used: In
brincinf! SR-1967 (Lee Britt Rd.) up to current safety standards, i.e. 20 foot pavinll with
6 foot stabilized shoulders and 3:1 side slopes within a 60 foot right-of -way, NCDOT
must impact upon 18 linear feet of UT to White Oak Swamp. The existinll culverts are
severely deteriorated with joint failures and must be replaced. Impacts were minimized
as much as possible; 3:1 side slopes are required due to Sandy based material found in
the area and the inability to stabilize such material. The culverts will be replaced
utilizing a track-hoe excavator. While front end loaders will place fill material.
Eventually, a motor grader will finish grade the project prior to ?,,radinf?.
11. Explain the purpose of the proposed work: By Statute, NCDOT is required to pave all
unpaved Secondary Roads. To ensure that the roadway meets current safety standards,
the road will be paved to 20 feet, 6 foot grass shoulders will be installed on each side
and 3:1 side slopes will be provided within the 60 foot right-of -way.
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.
None
V. 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.
None
VI. Proposed Impacts to Waters of the United States/Waters of the State
It is the applicant (or agent's) responsibility to determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. The applicant must also
provide justification for these impacts in Section VII below. All proposed impacts, permanent
and temporary, must be listed herein, and must be clearly identifiable on an accompanying site
plan. All wetlands and waters, and all streams (intermittent and perennial) must be shown on a
delineation map, whether or not impacts are proposed to these systems. Wetland and stream
evaluation and delineation forms should be included as appropriate. Photographs may be
Page 7 of 12
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. Provide a written description of the proposed impacts: Remove and replace existing
culverts along SR-1967 (Lee Britt Rd.), which is necessary to provide the minimum
current safety standards.
2. Individually list wetland impacts below:
Wetland Impact Area of Located within Distance to
Site Number Type of Impact* Impact 100-year Floodplain** Nearest Stream Type of Wetland***
(indicate on map) (acres) (yes/no) (linear feet)
Crossing #1 Fill 058 NO 0 LF Forested Wetland
ac.

* 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 htto://Nvmv.fema.jzov.
*** List a wetland type that best describes wetland to be impacted (e.g., freshwater/saltwater marsh, forested wetland, beaver pond,
Carolina Bay, bog, etc.) Indicate if wetland is isolated (determination of isolation to be made by USACE only).
List the total acreage (estimated) of all existing wetlands on the property: 0.058 Acre.
Total area of wetland impact proposed: 0.058 Acre.
3. Individually list all intermittent and perennial stream impacts below:
Stream Impact
Site Number
indicate on ma
Type of Impact* Length of
Impact
linear feet
Stream Name** Average Width
of Stream
Before Impact Perennial or
Intermittent?
especify)
Crossing #1 Culverts 18 ft. UT to White Oak Sw. 3 ft. Intermittent

* 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
www.usas.gov. Several intemet sites also allow direct download and printing of USGS maps (e.g., www.topozone.com,
Nvww.mapquest.com, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: 18 LF
4. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.) below:
Page 8 of 12
Open Water Impact
Site Number
indicate on ma)
Type of Impact* Area of
Impact
(acres) Name of Waterbody

(if applicable) Type of Waterbody
(lake, pond, estuary, sound,
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.
Pond Creation
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ? uplands ? stream ? wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.): N/A
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.):
Size of watershed draining to pond: Expected pond surface area:
VII. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts., It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
teclmiques to be followed during construction to reduce impacts.
The existing culverts are severelv deteriorated and must be replaced. The proposed
culverts has been lengthened 18 LF to meet current safetv standards.
VIII. Mitigation
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on March 9, 2000, mitigation will be required when
necessary to ensure that adverse effects to the aquatic environment are minimal. Factors
Page 9 of 12
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:/ih2o.enr.state.ne.us/ncwetiands/strm,pide.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.
Mitigation for this project will be provided via quarterly report by EEP.
0.06 Ac. within the 03040203 Hydrologic Unit
2. Mitigation may also be made by payment into the North Carolina Wetlands Restoration
Program (NCWRP). Please note it is the applicant's responsibility to contact the NCWRP at
[phone] to determine availability and to request written approval of mitigation prior
to submittal of a PCN. For additional information regarding the application process for the
NCWRP, check the NCWRP website at http://h2o.enr.state.ne.us/wrp/index.htm. 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): 0 LE
Amount of buffer mitigation requested (square feet): 0 Ftz
Amount of Riparian wetland mitigation requested (acres): 0 Ac.
Amount of Non-riparian wetland mitigation requested (acres): 0 Ac.
Amount of Coastal wetland mitigation requested (acres): 0 Ac.
IX. Environmental Documentation (required by DWQ)
Page 10 of 12
Does the project involve an expenditure of public (federal/state) funds or the use of public
(federal/state) 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 (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.
Will the project impact protected riparian buffers identified within 15A NCAC 21 .0233
(Meuse), 15A NCAC 213 .0259 (Tar-Pamlico), 15A NCAC 213 .0250 (Randleman Rules and
Water Supply Buffer Requirements), or other (please identify. )?
Yes ? No ® If you answered "yes", provide the following information:
Identify the square feet and acreage of impact to each zone of the riparian buffers. If buffer
mitigation is required calculate the required amount of mitigation by applying the buffer
multipliers.
Zone* Impact
(square feet Multiplier Required
Mitigation
1 3
2 1.5
Total
* Zone 1 extends out 30 feet perpendicular from near bank of channel; Zone 2 extends an
Additional 20 feet from the edge of Zone 1.
If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation
of Property, Conservation Easement, Riparian Buffer Restoration / Enhancement, Preservation or
Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as
identified within 15A NCAC 213 .0242 or .0260.
Page 11 of 12
If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation
of Property, Conservation Easement, Riparian Buffer Restoration / Enhancement, Preservation or
Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as
identified within 15A NCAC 2B .0242 or.0260.
N/A
X1. Stormwater (required by DWQ)
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.
Erosion and Sedimentation Control Plan shall he incorporated into the Construction Plans
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.
N/A
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 permit application?
Yes ? No
XIV. Other Circumstances (Optional):
It is the applicant's responsibility to submit the application sufficiently in advance of desired
construction dates to allow processing time for these permits. However, 'an applicant may
choose to list constraints associated with construction or sequencing that may impose limits on
work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and
Threatened Species, accessibility problems, or other issues outside of the applicant's control).
None

Appliciht/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 8 of 8
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----------------
DATA FORM -
ROUTINE WETLAND DETERMINATION
(1987 COE Wetlands Determination Manual)
Project/Site: Date: L F 0(o
Applicant /Owner:- County: *eo e, ayl
Investigator State: hIG
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
L,,L? Plot ID:
_
(explain on reverse if needed)
VEGETATION
Dominant Plant Species Stratum Indicator Dominant Plant Species Stratum Indicator
1. Ci'A c tip 9 -F?i4C w ,
5
(
2 9•
WrP
-
il per-,' T '4c 10.
3. 7_ r i4e w . 11.
4. 1I 7 A L
- 12.
5.
? 13.
6. s _ )r-4 e- 14.
7. SMt1ak 5V? V 15.
8- 16.
Percent of Dominant Species that are OBL, FACW, or FAC excluding FAC-). _ /00%
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...
A-9( .JeCies Z?,U- ' ?Wvo k-//C ,
HYDROLOGY
- Recorded Data (Describe In Remarks): Wetland Hydrology Indicators
- Stream, Lake, or Tide Gauge
- Aerial Photographs Primary Indicators:
_ Other undated
Saturated in Upper 12"
L"?No Recorded Data Available - Water Marks
Drift Lines
Field Observations: Sediment Deposits
Depth of Surface Water: N A (in.) Secondary Indicators:
Depth to Free Water in Pit: (Z , (in• - Oxidized Roots Channels in Upper 12"
_Water-Stained Leaves
Depth to Saturated Soil: (in.) Local Soil Survey Data
_ FAC-Neutral Test
- Other (Explain in Remarks)
Drainage Patterns In Wetlands
-4• n
Remarks: ???? ??U'W ?4
Gnll S
Map Unit Name /
d Phase): AUntc-
i '
Drainage Class: tr r
es an
(Ser /
Taxonomy (Subgroup): jjjptL v a e) S. Confirm Mapped Type? Yes V No
Profile Description:
Depth Matrix Colors
(inches) Horizon (Munsell Moist)
Mottle Colors Mottle Texture, Concretions,
(Munsell Moist) AbundancelContrast Structure, etc.
2
n-/l?
lu4z s
4- o d
Hydric Soil Indicators:
_ Histosol
Histic Epipedon ? Cancretions
iOgh Organic Content in Surface Layer in Sandy Solis
_,Sulfidic Odor
Aquic Moisture Regime QQrganic Streaking in Sandy Soils
?Listed On Local Hydric Solis List
?F- "B" educing Conditions
_ Gleyed or Low-Chroma C - Listed on National Hydric Solis List
olors Other (Explain in Remarks)
,.Lc f (o e ?e/rn? ?-6 ->
Remarks: 2-p?,- anger Sao." j ?pk'a
/
QL'Aet/ p
e,
WETLAND DETERMINATION
Hydrophytic Vegetation Present? Yes ??No is the Sampling Point
Wetland Hydrology Present? Yes „No Within a Wetland? Yes No_
Hydric Soils Present? Yes G/ 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 Delinea (tiion Manual.
PA
S"'7+1 10)C /
J I -k $` 1
Z_,,1_7L,,?Z:?)
DATA FORM
ROUTINE WETLAND DETERMINATION
(1987 COE Wetlands Determination Manual)
Project / Site: R - 19e, '7 CL, - fir, Zd
Applicant/ Owner. NCDo 4 a, v # L
Investigator
Date: 3-zv - o
County: 7- dr
State: NC
Do normal circumstances exist on the site? Yes
Is the site significantly disturbed (Atypical situation)? Yes Noo, Community ID:
Is the area a potential problem area? Transact ID:
(explain on reverse If needed) Yes NO Plot ID:
VEGETATION
Dominant Plant Spectes
1. we.
2.
3.
4._W?cx YN?rJ Ir
7
8
Dominant Plant Species Stratum Indicator
Stratum Indicator
10.
11.
12.
13.
14.
15.
16.
T_ fAc+
Fa C_
Fi+r?
Percent of Dominant Species that are OBL, FACW, or FAC excluding FAC-). __LO_,
0
Remarks: Wetland Vegetation Present Based Upon Greater than 50% of the Plant Species are/are not
Classified as FAC-OBL in the National List o Plant Species that Occur in Wetlands. Sample plot was taken...
Q ?Puc S wuL Wc.41and
HYDROLOGY
Recorded Data (Describe In Remarks):
Stream, Lake, or Tide Gauge
- Aerial Photographs
_ Other
`No Recorded Data Available
Field Observations:
Depth of Surface Water:
Depth to Free Water In Pit: N
m.)
Depth to Saturated Soil:
N/A (in.)
Wetland Hydrology Indicators
Primary Indicators:
Inundated
-Saturated In Upper 12"
_ Water Marks
_ Drift Lines
- Sediment Deposits
- Drainage Patterns in Wetlands
Secondary Indicators:
Oxidized Roots Channels in Upper 12"
N /h Water-Stained Leaves
/ Local Soil Survey Data
- FAC-Neutral Test
Other (Explain In Remarks)
Remarks: Np y?o!vD N? C 4 to?5
SOILS
Map Unit Name P I / / ? v
(Series and Phase): (?? 11 LI /?o fS? 1 Drainage Class: 11??I?
Taxonomy (Subgroup): ?ylrrm IG Aqt :,C- r" #- u?,J ?VS, Confirm Mapped Type? Yes_ No
Profile Description: Texture, Concretions,
Depth Matrix Colors Mottle Colors Mottle
inches Horizon (Munsell Molstl (Munsetl MoisJt Abundance/Contrast Structure etc.
o-1
/0 ZO L 0 r 511' ?.?1° ? poGtmJ
-r--
?b-4o- t?72--L ID!Ir 51 D r L 2 _ ?a ?, ??Wu
Hydric Soil Indicators:
Histosol _ --Concretions
_ Histic Epipedon -High Organic Content in Surface Layer in Sandy Soils
/? _ Sulfidtc Odor Organic Streaking In Sandy Soils
/" R - 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: wo /7yp?vrL S??`? !it/diC? ?'? v?..?y?uS Sa.n?l? ??`?
WETLAND DETERMINATION
Hydrophytic Vegetation Present? Yes No Is the Sampling Point
Wetland Hydrology Present? Yes - No Within a Wetland? Yes_ No ?-
Hydric Soils Present? Yes No 7
Remarks: Location (describe) is/is not classified as a wetland based upon the criteria set forth in the 1987
Army Corps of Engineers Wetlands Deline`at?ion Manual.