20110552 Ver 1_Application_20110608

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Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.3 Dec 10 2008
Awore-Construction Notification C Form
A. A ticant Information
1. Processing
la. Type(s) of approval sought from the
Corps:
® Section 404 Permit ? Section 10 Permit
1 b. Specify Nationwide Permit (NWP) number: 14 or General Permit (GP) number:
1c. Has the NWP or GP number been verified by the Corps? ? Yes ® No
1d. Type(s) of approval sought from the DWQ (check all that apply):
® 401 Water Quality Certification - Regular ? Non-404 Jurisdictional General Permit
? 401 Water Quality Certification - Express ® Riparian Buffer Authorization
le. Is this notification solely for the record
because written approval is not required? For the record only for DWQ 401
Certification:
? Yes ® No For the record only for Corps Permit:

? Yes ®No
1f. Is payment into a mitigation bank or in-lieu fee program proposed for mitigation
of impacts? If so, attach the acceptance letter from mitigation bank or in-lieu
fee program. ? Yes ® No
1g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h
below. ® Yes ? No
1 h. Is the project located within a NC DCM Area of Environmental Concern (AEC)? ? Yes ® No
2. Project Information
2a. Name of project: SR 1117, Rowe Avenue Road Pipe Installation and Pipe Replacements
2b. County: Beaufort
2c. Nearest municipality / town: Blount's Creek
2d. Subdivision name: N/A
2e. NCDOT only, T.I.P. or state
project ho: 2C.007103
3. Owner Information
3a. Name(s) on Recorded Deed: North Carolina Department of Transportation
3b. Deed Book and Page No. N/A
3c. Responsible Party (for LLC if
applicable): N/A
3d. Street address: 105 Pactolus Highway NC 33 P.O. Box 1587
3e. City, state, zip: Greenville, NC 27835
3f. Telephone no.: 252-830-3490
3g. Fax no.: 252-830-3341
3h. Email address: [e-mail]
Page I of 11
PCN Form - Version 1.3 December 10, 2008 Version

4. Applicant Information (if different from owner)
4a. Applicant is: ? Agent ® Other, specify: Division 2 Environmental Officer
4b. Name: Jay B. Johnson
4c. Business name
(if applicable):
North Carolina Depratment of Transportation
4d. Street address: P.O. Box 1587
4e. City, state, zip: Greenville, NC 27835
4f. Telephone no.: 252-830-3490
4g. Fax no.: 252-830-3341
4h. Email address: [e-mail]
5. Agent/Consultant Information (if applicable)
5a. Name: N/A
5b. Business name
(if applicable):
5c. Street address:
5d. City, state, zip:
5e. Telephone no.:
5f. Fax no.:
5g. Email address:
Page 2 of 11
PCN Form - Version 1.3 December 10, 2008 Version
C ,
B. Project Information and Prior Project History
1. Property Identification
1a . Property identification no. (tax PIN or parcel ID): N/A
Latitude: N 35.406154 Longitude: - W
1b. Site coordinates (in decimal degrees): 77.010137
(DD.DDDDDD) (-DD.DDDDDD)
1c. Property size: N/A acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to Sheppard Run Canal
proposed project:
2b. Water Quality Classification of nearest receiving water: C,Sw;NSW
2c. River basin: Tar-Pamlico
3. Project Description
3a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this
application:
Agricultural
3b. List the total estimated acreage of all existing wetlands on the property:
N/A
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
60' This site is part of a longer adjacent stream system
3d. Explain the purpose of the proposed project:
Station 1+00 is a Pipe Installation on a New Location Proposed 44'-66" CMP Station 4+96 Replace 24'x15" RCP with
Proposed 50'x 24" CMP Station 9+85 Replace 20'x 24" RCP with Proposed 50'x 36" CMP Station 12+00 is a Pipe
Replacement Existing 36'x 24" RCP to be replaced with 74'x 48" CMP Station 14+15 Replace 24'x 18" RCP with
Proposed 50'x 24" CMP Station 29+15 Replace 24'x 24" RCP with Proposed 50'x 36" CMP.
3e. Describe the overall project in detail, including the type of equipment to be used:
SR 1117, Rowe Aveneu will be a Grade, Drain,Base,and Pave Project with a Pipe Installation and a Pipe Replacements.
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
® Yes ? No ? Unknown
project (including all prior phases) in the past?
Comments:
4b. If the Corps made the jurisdictional determination, what type
? Preliminary ? Final
of determination was made?
4c. If yes, who delineated the jurisdictional areas? Agency/Consultant Company: NCDWQ, And NCDOT
Name (if known): Mr. Garcy Ward, NCDWQ, and Mr.Jay B.
Other
Johnson,NCDOT .
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
August, 2010
5. Project History
5a. Have permits or certifications been requested or obtained for ? Yes ® No ? Unknown
this project (including all prior phases) in the past?
5b. If yes, explain in detail according to "help file" instructions.
Page.3 of 11
PCN Form -Version 1.3 December 10, 2008 Version
< r

6. Future Project Plans
6a. Is this a phased project? ? Yes ® No
6b. If yes, explain.
Page 4 of 11
PCN Form -Version 1.3 December 10, 2008 Version
t
C. Proposed Impacts Inventory
1. Impacts Summary
1 a. Which sections were completed below for your project (check all that apply):
® Wetlands ® Streams - tributaries ® Buffers
? open waters ? Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
2a. 2b. 2c. 2d. 2e. 2f.
Wetland impact Type of jurisdiction
number - Type of impact Type of wetland Forested (Corps - 404, 10 Area of impact
Permanent (P) or (if known) DWQ - non-404, other) (acres)
Temporary
W1 ®P ? T Fill for Shoulders Bottomland ® Yes ® Corps 495 Sq. ft. 0.01
Hardwood Forest ? No ? DWQ Acres
W2 ? P ? T ? Yes ? Corps
? No ? DWQ
W3 ? P ? T ? Yes ? Corps
? No ? DWQ
W4 ? P ? T ? Yes ? Corps
? No ? DWQ
W5 ? P ? T ? Yes ? Corps
? No ? DWQ
W6 ? P ? T ? Yes ? Corps
? No ? DWQ
2g. Total wetland impacts 495 Sq. ft. 0.01
cres
2h. Comments: 0.01 Acres of 404 Welland Impacts
3. Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this
question for all stream sites impacted.
3a. 3b. 3c. 3d. 3e. 3f. 3g.
Stream impact Type of impact Stream name Perennial Type of jurisdiction Average Impact
number- (PER) or (Corps-404,10 stream length
Permanent.(P) or intermittent DWQ - non-404, width (linear
Temporary (T) (INT)? other) (feet) feet)
S1 ®P ? T Station 1+00 Pipe Sheppard Run ® PER ? Corps , '
Installation Canal ? INT ® DWQ 10 48

S2 ®P ? T Station 12+00 Pipe U/r Tributary to
sheppard Run ® PER
. ? Corps
10'
40'
Replacement Canal ? INT ® DWQ
S3 ? P ? T ? PER ? Corps
? INT ? DWQ
S4 ? P ? T ? PER ? Corps
? INT ? DWQ
S5 ? P ? T ? PER ? Corps
? INT ? DWQ
S6 ? P ? T ? PER ? Corps
? INT ? DWQ
3h. Total stream and tributary impacts 88,
3i. Comments: 88 Linear Feet of Stream Impacts'
Page 5 of 11
PCN Form - Version 1.3 December 10, 2008 Version
C I
4. Open Water Impacts
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of
the U.S. then individually list all open water impacts below.
4a.
Open water
impact number -
Permanent (P)
or Temporary 4b.
Name of waterbody
(if applicable) 4c.

Type of impact 4d.

Waterbody type 4e.

Area of impact (acres)
01 ?P?T
02 ?P?T
03 ?P?T
04 ?P?T
411 Total open water impacts None
4g. Comments: None
5. Pond or Lake Construction
If pond or lake construction proposed, then complete the chart below.
5a.

Pond ID 5b.

Proposed use or purpose of 5c.
Wetland Impacts (acres) 5d.
Stream Impacts (feet) Se.
Upland
(acres)
number pond
Flooded
Filled
Excavated
Flooded
Filled
Excavated
Flooded
P1
P2
5E Total None
5g. Comments: None
5h. Is a dam high hazard permit required?
? Yes ? No If yes, permit ID no:
5i. Expected pond surface area (acres):
5j. Size of pond watershed (acres):
5k. Method of construction:
Page 6 of 11
PCN. Form -Version 1.3 December 10, 2008 Version

6. Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer, then complete the chart below. If yes, then individually list all buffer impacts
below. If an impacts require mitigation, then you MUST fill out Section D of this form.
6a
? Neuse ®Tar-Pamlico' ? Other:
Project is in which protected basin? ? Catawba ? Randleman
6b. 6c. 6d. 6e. 6f. 6g.
Buffer impact
number - Reason Buffer Zone 1 impact Zone 2 impact
Permanent (P) for Stream name . miti abon
a
(square feet)
(square feet)

or Temporary
impact ired?
required?

B1 ®P ? T Pipe
and
Sheppard Run Canal ? Yes
® No
1145 Sq. Ft.
990 Sq. Ft.
Roadway
B2 ®P ? T Pipe and
Roadway Sheppard Run Canal ? Yes
® No 1055 Sq. Ft. 600 Sq. Ft.
B3 ® P ? T Pipe and
Roadway Sheppard Run Canal ? Yes
®No 1340 Sq. Ft. 800 Sq. Ft.
6h. Total buffer impacts
6i. Comments: See Page 6-C For Total
D. Impact Justification and Mitigation
1. Avoidance and Minimization
la. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
Wetland Impacts have been minimized to the extent feasible, with impacts occurring only where necessary to accommodate
the Proposed Pipes.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Use of existing roadway to operate construction equipment; no equipment will enter wetlands.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for ? Yes ®No
impacts to Waters of the U.S. or Waters of the State?
2b. If yes, mitigation is required by (check all that apply): ? DWQ ? Corps
? Mitigation bank
2c. If yes, which mitigation option will be used for this project? ? Payment to in-lieu fee program
? Pennittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
3b. Credits Purchased (attach receipt and letter) Type Quanfity
Page 7 of 11
PCN Form - Version 1.3 December 10, 2008 Version
it
6. Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer, then complete
b
l the chart below. If yes, then individually list all buffer impacts
e
ow. If an impacts require mitigation, then you MUST fill out Section D of this form.
6a.
? Neuse N Tar-Pamlico ? Other:
Project is in which protected basin? ? Catawba ? Randleman
6b. 6c. 6d. 6e. 6f. 6g.
Buffer impact
number- Reason . Buffer Zone 1 impact Zone 2 impact
Permanent (P) for Stream name mitigation (square feet) (square feet)
or Temporary impact required?

B1 N P ? T B7 Pipe
and
U/T Sheppard Run Canal ? Yes
N No
600 Sq. Ft.
420 Sq. Ft.
Roadway

B2 N P ? T B8 Pipe
and
U!f Sheppard Run Canal
? Yes
N No
645 Sq. Ft.
410 Sq. Ft.
Roadway

B3 N P ? T B9 Pipe
and
U/T Sheppard Run Canal
? Yes
N No
640 Sq. ft.
435Sq. Ft.
Roadway
6h. Total buffer impacts
6i. Comments:
D. Impact Justification and Mitigation
1. Avoidance and Minimization
la. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techni
ues
q
.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for ? Yes ? No
impacts to Waters of the U.S. or Waters of the State?
2b. If yes, mitigation is required by (check all that apply): ? DWQ ? Corps
? Mitigation bank
2c. If yes, which mitigation option will be used for this project? ? Payment to in-lieu fee program
? Pennittee Responsible Mitigation
3. Complete If Using a Mitigation Bank
3a. Name of Mitigation Bank:
3b. Credits Purchased (attach receipt and letter) Type Quantity
7-A
Page#of 10
PCN Form - Version 1.3 December 10, 2008 Version
4. Open Water Impacts '
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of
the U.S. then individually list all open water impacts below.
4a. 4b. 4c. 4d. 4e.
Open water Name of waterbody
impact number - (if applicable) Type of impact Waterbody type Area of impact (acres)
Permanent (P)
or Temporary
01 ?P?T
02 ?P?T
03 ?P?T
04 ?P?T
4f. Total open water impacts None
4g. Comments:
5. Pond or Lake Construction
If pond or lake construction proposed, then complete the chart below.
5a. 5b. 5c. 5d. 5e.

Pond ID
Proposed use or purpose of Welland Impacts (acres) Stream Impacts (feet) Upland

number (acres)
pond
Flooded Filled Excavated Flooded Filled Excavated Flooded
P1
P2
5f. Total None
5g. Comments: None
5h. Is a dam high hazard permit required?
? Yes ? No If yes, permit ID no:
5i. Expected pond surface area (acres):
5j. Size of pond watershed (acres):
5k. Method of construction:
6. Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer, then complete the chart below. If yes, then individually list all buffer impacts
below. If an impacts require mitigation, then you MUST fill out Section D of this form.
6a.
? Neuse
® Tar-Pamlico ? Other:
Project is in which protected basin? ? Catawba ? Randleman
6b. 6c. 6d. 6e. 6f. 6g.
Buffer impact
number- Reason Buffer Zone 1 impact Zone 2 impact
Permanent (P) for Stream name mitigation (square feet) (square feet)
or Temporary impact required?
Bt SPOT B 4 Pipe Sheppard Run Canal ® Nos 1255 Sq. Ft. 870 Sq. Ft.
B2 ® P ? T B5 Pipe Sheppard Run Canal ® Nos 2260 Sq. ft. 1115 Sq. ft.
83 ®P ? T Roadway Sheppard Run Canal ® Nos 1130 Sq. Ft. 0 Sq. Ft.
6h. Total buffer impacts
6i. Comments:
e$ o
Pag of 10
PCN Form - Version 1.3 December 10, 2008 Version
6. Buffer Impacts (for DWQ) I
If project will impact a protected riparian buffer, then complete the chart below. If yes, then individually list all buffer impacts
below. If an impacts require mitigation, then you MUST fill out Section D of this form. ,
6a.
? Neuse ® Tar-Pamlico ? Other:
Project is in which protected basin? ? Catawba ? Randleman
6b. 6c. 6d. 6e. 6f. 6g.
Buffer impact
number - Reason Buffer Zone 1 impact Zone 2 impact
Permanent (P) for Stream name mitigation (square feet) (square feet)
or Temporary impact required?

B1 ®P ? T B10
Pipe and B 10 U/T Sheppard Run ? Yes
660 Sq. Ft.
425 Sq
Ft

Roadway Canal No .
.
B2 ? P ? T ? Yes
? No
63 ?P?T ?Yes
? No
6h. Total buffer impacts 10730 Sq. Ft. 6065 Sq. Ft.
6i. Comments: 10730 Sq. ft. 0.2 Acres Buffer Zone 1 Impacts and 6065 Sq. ft. 0.1 Acre Buffer Zone 2 Impacts
D. Impact Justification and Mitigation
1. Avoidance and Minimization
la. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
tb. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for ? Yes ? No
impacts to Waters of the U.S. or Waters of the State?
2b. If yes, mitigation is required by (check all that apply): ? DWQ ? Corps
? Mitigation bank
2c. If yes, which mitigation option will be used for this project? ? Payment to in-lieu fee program
? Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
3b. Credits Purchased (attach receipt and letter) Type Quantity
7_ c- Page,cof 10
PCN Form -Version 1.3 December 10, 2008 Version

3c. Comments:
4. Complete if Making a Payment to In-lieu Fee Program
4a. Approval letter from in-lieu fee program is attached. ? Yes
4b. Stream mitigation requested: linear feet
4c. If using stream mitigation, stream temperature: ? warm ? cool ?cold
4d. Buffer mitigation requested (DWQ only): square feet
4e. Riparian wetland mitigation requested: acres
4f. Non-riparian wetland mitigation requested: acres
4g. Coastal (tidal) wetland mitigation requested: acres
4h. Comments:
5. Complete if Using a Permittee Responsible Mitigation Plan
5a. If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
6. Buffer Mitigation (State Regulated Riparian Buffer Rules) - required by DWQ
6a. Will the project result in an impact within a protected riparian buffer that requires
buffer mitigation? ? Yes ® No
6b. If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation. Calculate the
amount of mitigation required.

Zone 6c.
Reason for impact 6d.
Total impact
(square feet)
Multiplier 6e.
Required mitigation
(square feet)
Zone 1 3 (2 for Catawba)
Zone 2 1.5
6f. Total buffer mitigation required: None
6g. If buffer mitigation is required, discuss what type of mitigation is proposed (e.g., payment to private mitigation bank,
permittee responsible riparian buffer restoration, payment into an approved in-lieu fee fund).
N/A
6h. Comments:
Page 8 of 11
PCN Form - Version 1.3 December 10, 2008 Version

E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Plan
1a. Does the project include or is it adjacent to protected riparian buffers identified
i
hi N Yes ? No
w
t
n one of the NC Riparian Buffer Protection Rules?
1b. If yes, then is a diffuse flow plan included? If no, explain why.
Comments: Sheet Flow through the Vegetated Shoulders and Silt Fence will be ® Yes ? No
used to treat Stormwater Run-Off From the Road.
2. Stormwater Management Plan
2a. What is the overall percent imperviousness of this project? N/A Roadway/Bridge Project %
2b. Does this project require a Stormwater Management Plan? N Yes ? No
2c. If this project DOES NOT require a Stormwater Management Plan, explain why:
2d. If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
Diffuse Flow Through Vegetation and Special Silt Fences will be used to contain sediment on the project as shown on
the plan sheet.
? Certified Local Government
2e. Who will be responsible for the review of the Stormwater Management Plan? ? DWQ Stor mwater Program
® DWQ 401 Unit
3. Certified Local Government Stormwater Review
3a. In which local government's jurisdiction is this project? N/A
? Phase II
3b. Which of the following locally-implemented stormwater management programs ? NSW
? USMP
apply (check all that apply): ? Water Supply Watershed
? Other: N/A
3c. Has the approved Stormwater Management Plan with proof of approval been ? Yes N No
attached?
4. DWQ Stormwater Program Review
? Coastal counties

4a. Which of the following state-implemented stormwater management programs apply ? HQW -
? ORW
(check all that apply): ? Session Law 2006-246
N Other. NPDES Permit
4b. Has the approved Stormwater Management Plan with proof of approval been
attached? ? Yes N No
5. DWQ 401 Unit Stormwater Review
5a. Does the Stormwater Management Plan meet the appropriate requirements? ? Yes ? No
5b. Have all of the 401 Unit submittal requirements been met? ? Yes ? No
Page 9 of 11
PCN Form - Version 1.3 December 10, 2008 Version
F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
1a . Does the project involve an expenditure of public (federal/state local) funds or the
® Yes
? No
use of public (federal/state) land?
1b . If you answered "yes" to the above, does the project require preparation of an
environmental document pursuant to the requirements of the National or State ? Yes ® No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1c. If you answered "yes' to the above, has the document review been finalized by the
State Clearing House? (If so, attach a copy of the NEPA or SEPA final approval
letter.) ? Yes ? No
Comments:
2. Violations (DWQ Requirement)
2a. Is the site in violation of DWQ Wetland Rules (15A NCAC 2H .0500), Isolated
Wetland Rules (15A NCAC 2H .1300), DWQ Surface Water or Wetland Standards, ? Yes ® No
or Riparian Buffer Rules (15A NCAC 2B.0200)?
2b. Is this an after-the-fact permit application? ? Yes ® No
2c. If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s):
3. Cumulative Impacts (DWQ Requirement)
3a. Will this project (based on past and reasonably anticipated future impacts) result in ? Yes ®No
additional development, which could impact nearby downstream water quality?
3b. If you answered "yes' to the above, submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWQ policy. If you answered "no," provide a short narrative description.
4. Sewage Disposal (DWQ Requirement)
4a. 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
Page 10 of 11
PCN Form - Version 1.3 December 10, 2008 Version
5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or
h
bit
t?
? Yes
® No
a
a
5b. Have you checked with the USFWS conceming Endangered Species Act

impacts? ®
El Yes No
5c. If yes, indicate the USFWS Field Office you have contacted. El Raleigh
? Asheville
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
On-Site Investigation
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat? ? Yes ® No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
On-Site Investigation
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
7a. Will this project occur in or near an area that the state
federal or tribal
,
governments have designated as having historic or cultural preservation
t
t
N
i ? Yes ® No
s
a
us (e.g.,
at
onal Historic Trust designation or properties significant in
North Carolina history and archaeology)?
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?
NCDOT HEU Historic Architecture and Archaeology
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain? ® Yes ? No
8b. If yes, explain how project meets FEMA requirements: Pipes designed to no-rise standards
8c. What source(s) did you use to make the floodplain determination? FEMA FIRM Maps
Jay B. Johnson May 27, 2011
Applicant/Agent's Printed Name Applic U ent' Signature Date
(Agents signature is valid n au orization letter from the applicant
rovi ed.
Page 11 of 11
PCN Form - Version 1.3 December 10, 2008 Version
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SR 1117, ROWEAVENUE, BEAUFORT COUNTY
La GRADE,DRAIN,BASE,AND PAVE FROM
NC 33 TO SR 1114,CLAY BOTTOM SCHOOL ROAD
HACKNEY USGS QUAD MAP AND SHEET NUMBER 12
OF THE SOIL SURVEY OF BEAUFORT COUNTY
FIRM PANEL 5680 J NOVEMBER 4, 2009
MAP NUMBER 3720568000 J WBS ELEMENT NUMBER 2C. 007103
N
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PERMITAREA
I PERMITAREA I
La
D PERMITAREA I
J PERMITAREA
PERM/TAREA LeR
BEGINPROJECT
Y= 608688.7122
X= 2592893.6321
N35 A -24'-22"
W 77^-00'--36"
N 35.406154 DEGREES
W 77.010137 DEGREES
Ly
PERMITAREA
is
Le
END PROJECT
Le Y= 608860.8577
X= 2596066.9632
N35^-24'-23"
W 76A-59'-58"
N 35.406451 DEGREES
W 76.999478 DEGREES
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0 700 1,400 2,800 4,200 5,600
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Project 7racking No. (internal Use)
j 10-03-0149
NO SURVEY REQUIRED FORM
PROJECT INFORMATION
Project No:
WBS No: 2C.007026
F.A. No:
Federal (USA CE) Permit Required?
County.: Beaufort
Document: Minimum Criteria Sheet
Funding: ® State ? Federal
® Yes ? No Permit Type: Nationwide
Project Description: Grade, drain, base and pave SR 1117 (Rowe Avenue) from NC 33 to SR 1114 (Clay
Bottom School Road). Area of Potential Effects (A.P.E.) is 0.6 mile long and 60feet wide.
SUMMARY OF CULTURAL RESOURCES REVIEW
Briefdescription of review activities, results of review, and conclusions:
Review consisted of background research. There are no previously recorded archaeological sites in the
study area, it has not been reviewed by the State Historic Preservation Office (HPO) or previously
surveyed for archaeological sites. Examination of historic maps (1902, 1908, 1919 and 1938) show SR
1117 was constructed between 1908-1919, and none show any structures in the A.P.E. Review of the
Beaufort County soil survey indicates the A.P.E. will impact landforms with a low probability for
prehistoric archaeological sites. The soils are poorly drained, and the topographic map'shows numerous
drainage ditches have been excavated in order to make the area viable for agriculture.
Brief Explanation of why the available information provides a reliable basis for reasonably predicting
that there are no unidentified historic properties in the APE:
The project will not impact any sites that are eligible for the National Register of Historic Places (NRHP).
The landforms in the study area have low potential for prehistoric archaeological sites.
SUPPORT DOCUMENTATION
See attached: ® Map(s) ? Previous Survey Info ? Photos ?Correspondence
? Photocopy of County Survey Notes
FINDING BY NCDOT CULTURAL RESOURCES PROFESSIONAL
NO SURVEY REQUIRED
rile-' Smtr' S/ I-+-/?-D 1O
NCDOT Cultural Resources Specialist Date
" No Survev Required' Jorm for Minor Transportation Projects as; Qnaliped in the 2007 Progtanonntic Agreement.
NCDOT Arclaeologv & Historic Architecture Gronjos
!'i'ris rt!f 7iaokir(b (1w, rr r1 ttf.'1
10- 03 -O I'f
NO PuJilsfow OR HISTORIC PROPERTIES
PIZESENVAFF.Ef.TF1) FORM
PROJLET I-NEQI2:bii1T10N
P,riject. No:
1t71.SaVor' 2C.007V6
Fisliti-rrl /USifC:'T;) Pcrniil Hgt1niFarl.?' X Yes No
C 1i,u Beaufort
Minimum Criteha Sheet
hinidin;;r X Spite I'cdcral
PCImit. Tlua: NWP3or14.
I'rojeef Dascri'lWan. -Grade, drain, base, and. pave SR 1117 (Rowe Avenue) from NC 33.bD SR
1114 (Clay Bottom:School Road)
SUMMARY 01, 14NID NG-S
The AWrth Cin'+i(i+iit Ocjinrr+neiit of Trifnypfirialhin (NC.U0.7) , citeisi rl dt'.cuhlcu pitiiec''1 and Gilt%rmined:
Historic Archilecture/Landscapcs
X There are no National Re,-isicr-listed or Study Listed propenics within:dic pn?,7excsarca ol..lintcmi:iI
i;ffccts.
X Tlicrc':arc no lircipt r ies less`ihail filly vcar _:oi bje,hich it'r-c' ctinsidci d.tiz9itcu C'ritcria C?n,i lemdon C,
within the ppijccCs area of poteniial.effects..
? There are. no properties-within the
{+rojcct's:area:ciCpotential•effec[s,
? 'There are +ropcnies ovcr lifiq.c+rssuld within tlic'ai-6 cif jiotcnn I cfl'ccls.hut.itic do not cocci tfiei_
criteHa for listiiw on 11w NI:itiun tl Rc istcr.
? All piolicrties.graetcr•than 50 years of age located in Elie API: have been considered and alicnntpliancc
i+r hisuuia uct?itccw c.;dith Sceiion 106 of the National historic Prc cecvalimi,Act ant.6s, 121;12(a) flits
been cbitptlietcd, for this prgicct.
x ]:here are
us ,: erderl )
Archaeoln"ry
? Il?crc fire 1111 iIMiti6nid.Rcgistcr-listed or Study Listed prOpcrlics.xviihin.the prod e!?s.arca.oCpo!cntial
effects:
? No subsurf ace. archaeological invest gation arc, rcqutrcd for this project.
? SnUsurface, investigations di&notrcvtc,il thepresencc 61'a n .i!c!)au,lit+riciil ri;sgurccs.
? SLl>surfaet in e lfgations did not reveal the, piesencaofam arch acolo Lical resources considered eligible
for ihc:N'ationalRceistcr. _
?' All identifticl Archaeofoe ical site: I katc(l <dithin the APE hz6x been cohsidcrcd and all 66nijiliance inr
trcf i?cirloetc it resoure e, witli,Secii'on I ?(i of dre 'anon tl l'[iSti>u P(c servatiori Act and•CiS 1.11-12(a)
`hassheen coniplcted fbr tliis liroject.
'There are-tto his!oriapropcrtics presc:rn or tfCccted b?' this projeit (il rlnat artvvuttE:c (n J< <•u(nerrt?7rs
17fedN(l)
' ++'l:ir. Pon?, r 1 sn:"f(in i lred::Tc sp rrre P:ip .["(h i,?irC iii •A•.;xli lrip i.in, .?Fsrr¢ra:.
rfO IFAIr,r,: nn •t H;1w.-I, rJnn/a
SUNINIARY OF GUL•IJRAL RF'.S0URGLS:R1i:YIElV
I3r7i:(rh ).:r r(itiiiPI 60:6,1"n, hcfi a c' I•e srdis o% r'i r O n•. raid &;hchi.uinv: FIPO quad maps; historic
designations,roster,,and indexes reviewed on 2,1Mardi 2010 and yielded no,NR,'SC LD DE .SS
pmperfiesin the Area of :Potential Effects (APE).' The APE is centered on SR 1117{12ov:e Avemre) ar l
extends 100 feet from.the:center line to;encompass the' proposed 60=foet.ROW'and 100 felt at each
terminus. Current Beaufort CountyGIS mapping and tax information, as well as Google ll pm "Sfreet
View," proved insufficiently, informative to eliminate the:need for.onsite investigation,ol'Ahe project, area.
There also exists no comprehensive countysurvey.of'architectural resources. Architectural` field survey,
conducted;on 6 August 2010, included investigation of 100% of the'APE and would have identified,
photographed, and mapped "all aiovet jround resources over fifty: ears of age.in. the APE had any been
present As the project isstate funded, GS 121-12(a) applies, in addition its Federal, Nationwide 3 or 14
permit area is also subject .to Section 106, review. No National Register-listed properties are'located
within the,APE; no National Register;-listed or - eligible properties are located wdhimthe'permd_area.
No historic properties. present.
tiUl'I'C>If`h I>OC'lI\fF.\TATION
suc.amiched: Project location map
Signed:
liural Kcsources=SpecialiM NCDO I-
Date
ikna!c f':op: niri .^rr?iu":nm: fn: }fimi.'riw??anUii;:.N jraii is Qe;;liEni in:•Gt;?OR: iY,vgri?im:::ir, ?{ri%m u:.
r .....

._.___... ::_ _--Cff_..._:L<1..:2t%: _?ii:..r.$t_F_u17.}_.JJ-(_ .=•i_:.+_ ?\::`?r_=t.=;¢:.
-- -' A 1717; ROWEAVENUE; BGAUFORT COUNTY
GRApE DRAhV,BA SF;AjVD PAVE FRO-t1
NC 33 "10 SR 1114 CLAY BOTTOM SC )TOOL ROAD
IMC KNEY US GS QUAD ,'VM PAND .SILT ET !V U.MBER42
__ ..1 OI PIIE SU/1 SURVEY OF BEA'b' ORT COUNTY.
it FIRill Pet-VEL 5680 J !VOVf;NB! R'4, 200
HAPNLNBER.3 72 0568 000J {VBb ELE LIAT NU¢1BER lC 0/17(%26
{ - ti- -
W+.E4
S cIt\ /?' ' (END PROJECT
_LW -A. YERMITARI, X= 2596066:9632
N'35^-24'-23"
eK ?a ?? ?iI {V7Ci^59'=58'
35 406457 DEGREES
Rowe Dr W 76.999478 DEGHL:ES )(y-
c.?.... \\•
"•. i BEGIN PROJECT Y=608688.7122
J1= Z592893.6.421 4
N35^_24,1., ?J Ji\t i( >
W77^-00'-36" I '!r ..i? t
N 3.5.406154 DEGRP FS j z
W 7i 010137DEGRI ES
? F
i?? ?
ti,p >>
el X
1 ? l r I ? I apt ? ? -??'?: ?..- -b'•
II` 1 ?. .C !2 r?
•' •'\ { ?1' ! \: •
0' 7001;400 2,600 4;200 5;600
feet { ! '•\- ?r j, ,?l ?'?.?
I'
ij
Page 1 of 2
Sutton, Michael W
From: Sutton, Michael W
Sent: Wednesday, March 30, 20114:27 PM
To: Jay B. Johnson [e-mail])
Subject: FW: BC SR 1117 Stream Call
From: Ward, Garcy
Sent: Wednesday, March 30, 20114:19 PM
To: Beacham, Ryan
Cc: Sutton, Michael W
Subject: RE: BC SR 1117 Stream Call
Ryan,
Found my notes on this one. The call was made on September 9, 2009 and the feature was called Not Subject at the road
crossing. The feature may become subject farther down and ties into Sheppard Run 2,000 ft from the road so care should be
taken to control offsite turbidity if work is performed during flowing conditions. Let me know if you have any questions. - Garcy
E-mail correspondence to and form this address may be subject to the North Carolina Public Records Law and may be disclosed to
third parties.
From: Beacham, Ryan
Sent: Monday, March 07, 20113:39 PM
To. Ward, Garcy
Cc: Sutton, Michael W
Subject: BC SR 1117 Stream Call
Carey,
Could you please verify this in an email for permanent record, so we may proceed with the project. I have attached a drawing of the
proposed project to refresh your memory. We should be nearing a start date. Let me know if you need any additional information
Thanks,
Ryan Beacham
Engineering Technician IV
NCDOT Washington District Office
252-946-3689 Office 1252-946-7433 Fax
www.ncdot.gov
'I hear and I forget. I see and I remember. I do and I understand. " Confucius
From: Beacham, Ryan
Sent: Thursday, September 10, 2009 11:27 AM
To: Godley, Richard G
Subject: BC SR 1117 Stream Call
Per phone conversation with Garcy Ward, the stream crossing at station 29+14 is NOT being claimed as a jurisdictional
stream. He stated upstream was much larger and holding water, and downstream played out at about 150'.
6/7/2011
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SR 1117, ROWE AVENUE, BEAUFORT COUNTY
GRADE,DRAIN,BASE,AND PAVE FROM
NC 33 TO SR 1114,CLAY BOTTOM SCHOOL ROAD
HACKNEY USGS QUAD MAPAND SHEET NUMBER 12
OF THE SOIL SURVEY OF BEA UFORT COUNTY
FIRM PANEL 5680 J NOVEMBER 4, 2009
MAP NUMBER 3720.568000 J WBS ELEMENT NUMBER 2C. 007103
?-
-- c / lei ry PERtLIITAREAl&r
w
1 PERMITARE,4
c- i(v ti' END PROJECT
PERWTAREA
PERMIT AREA
(I ? I 1
BEGIN PROJECT
Y= 608688.7122
X= 2592893.6321
N35 A -24'-22"
W 77^-00'--36"
N 35.406154 DEGREES
W 77.01013 7 DEGREES
0 700 1,400
Dr
PERMIT AREA
W o v:.
PERMIT AREA
Y= 608860.8577
X= 2596066.9632
N 35 ^-24'-23 "
W 76^-59'-58"
N 35.406451 DEGREES
W 76.999478 DEGREES

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