20050441 Ver 1_Complete File_20050316

h
O?0 W A T F90
r
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North i*artment of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
CP March 16, 2005
ra?pf Gull ford County
L ?VQ Project No. 05-0441
NC 61
APPROVAL of 401 Water Quality Certification
Mr. J.M. Mills, P.E.
Division Engineer, Division 7
North Carolina Department of Transportation
1584 Yanceyville Street
Greensboro, North Carolina, 27415
Dear Mr. Mills:
You have our approval, in accordance with the attached conditions and those listed below, to incur the following impacts
in order to extend a pipe on NC 61 in Guilford County.
• 8 linear feet of additional piping impacts;
0 up to 20 linear feet of rip rap for bank stabilization; and
• Temporary dewatering impacts of approximately 50 linear feet.
The project shall be constructed in accordance with your application dated March 8, 2005 (received March 11, 2005).
After reviewing your application, we have decided that this fill is covered by General Water Quality Certification Nos.
3495, 3404 and 3366, corresponding to the U.S. Army Corps of Engineers Nationwide Permit Numbers 13, 14 and 33. 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, unless otherwise specified in the Water Quality Certification.
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 Division of Water Quality (Division) and submit a new application. If the
property is sold, the new owner must be given a copy of this approval letter and certifications, 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 if
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 and any additional conditions listed below.
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.
North Carolina Division of Water Quality 585 Waughtown Street
Internet: h2o.enr.state. nc.us Winston-Salem, NC 27107
None Carolina
Naturalily
Phone [phone] Customer Service
PAX [phone] 1-877-623-6748
An Equal Opportunity/Affirmative Action Employer - 50% Recycled/10% Post Consumer Paper
Mr. J.M. Mills, P.E.
March 16, 2005
DWQ# 05-0441
Page 2
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.
2. No waste, spoil, solids, or fill of any kind shall occur in wetlands, waters, or riparian areas beyond the footprint of
the impacts depicted in the Preconstruction Notice Application. All construction activities, including the design,
installation, operation, and maintenance of sediment and erosion control Best Management Practices, shall be
performed so that no violations of state water quality standards, statutes, or rules occur.
3. Sediment and erosion control measures shall not be placed in wetlands or waters to the maximum extent
practicable. If placement of sediment and erosion control devices in wetlands and waters is unavoidable, they
shall be removed and the natural grade restored within six months of the completion of the project.
4. Riparian vegetation must be reestablished within the construction limits of the project by the end of the growing
season following completion of construction.
5. Stormwater should be directed to vegetated buffer areas, grass lined ditches or other means appropriate to the site
for the purpose of pre-treating stormwater runoff, and must not be routed directly into streams. Mowing of
existing vegetated buffers is strongly discouraged, so that they may be utilized for stormwater sheet flow.
6. Where practicable, culverts that are less than 48-inch in diameter should be buried to a depth equal to or greater
than 20% of their size to allow for aquatic life passage. Culverts that are 48-inch in diameter or larger should be
buried at least 12 inches below the stream bottom to allow natural stream bottom material to become established
in the culvert following installation and to provide aquatic life passage during periods of low flow. These
measurements must be based on natural thalweg depths. This may require increasing the size of the culvert to
meet flow conveyance requirements. If any of the existing pipes are perched, they shall be removed and replaced,
and re-installed correctly, unless demonstrated that this is topographically unfeasible. All waters must flow
through without freefalling or damming on either end of the culverts during low flow conditions, to maintain
aquatic life and/or fish passage.
7. The dimension, pattern and profile of the stream above and below the crossing should not be modified by
widening the stream channel or reducing the depth of the stream.
8. Disturbed floodplains and streams should be restored to natural geomorphic conditions.
9. Use of rip-rap for bank stabilization is to be minimized; rather, native vegetation is to be planted when practical.
If rip-rap is necessary, it must be limited to the stream bank below the high water mark, and vegetation must be
used for stabilization above high water. Any rip-rap used must not interfere with aquatic life passage during low
flow conditions.
10. If concrete is used, work must be accomplished so the wet concrete does not contact the stream water. This will
lessen the chance of altering the stream's water chemistry and causing a fish kill.
11. Heavy equipment must be operated from the banks rather than in the stream channel in order to minimize
sedimentation and reduce the likelihood of introducing other pollutants into the stream.
12. 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.
13. The presence of equipment in the channels must be minimized. Under no circumstances must rock, sand or other
materials be dredged from the wetted stream channel under authorization of this permit, except in the immediate
vicinity of the culverts.
14. Temporary dewatering sites must be restored to preexisting conditions unless more natural geomorphic conditions
can be provided.
Mr. J.M. Mills, P.E.
March 16, 2005
DWQ# 05-0441
Page 3
15. All work shall be performed during low flow conditions.
16. Upon completion of the project, the NCDOT shall complete and return the enclosed "Certification of Completion
Form" to notify DWQ when all work included in the 401 Certification has been completed. The responsible party
shall complete the attached form and return it to the 401/Wetlands Unit of the Division of Water Quality 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, which conforms to
Chapter 150B of the North Carolina General Statutes to the Office of Administrative Hearings, 6714 Mail Service Center,
Raleigh, N.C. 27699-6714. 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 Sue Homewood at 336-771-4600 extension 287 or at Sue. [e-mail].
Sincerely,
Alan W. Klimek, P.E.
Attachment
cc: Wilmington District Corps of Engineers
John Thomas, USACE Raleigh Field Office
Jerry Parker, Division 7, Division Environmental Officer
Wetlands/401 Unit
Winston Salem Regional Office
Central Files
Mr. J.M. Mills, P.E.
March 16, 2005
DWQ# 05-0441
Page 4
DWQ Project No.:
County:
Applicant:
Project Name:
Date of Issuance of 401 Water Quality Certification:
Certificate of Completion
Upon completion of all work approved within the 401 Water Quality Certification or applicable Buffer Rules, and any
subsequent modifications, the applicant is required to return this certificate to the 401/Wetlands Unit, North Carolina
Division of Water Quality, 1621 Mail Service Center, Raleigh, NC, 27699-1621. This form may be returned to DWQ by
the applicant, the applicant's authorized agent, or the project engineer. It is not necessary to send certificates from all of
these.
Applicant's Certification
I, hereby state that, to the best of my abilities, due care and diligence was
used in the observation of the construction such that the construction was observed to be built within substantial
compliance and intent of the 401 Water Quality Certification and Buffer Rules, the approved plans and specifications, and
other supporting materials.
Signature:
Agent's Certification
Date:
I, , hereby state that, to the best of my abilities, due care and diligence was
used in the observation of the construction such that the construction was observed to be built within substantial
compliance and intent of the 401 Water Quality Certification and Buffer Rules, the approved plans and specifications, and
other supporting materials.
Signature:
Engineer's Certification
Partial Final
Date:
I, , as a duly registered Professional Engineer in the State of North
Carolina, having been authorized to observe (periodically, weekly, full time) the construction of the project,for the
Permittee hereby state that, to the best of my abilities, due care and diligence was used in the observation of the
construction such that the construction was observed to be built within substantial compliance and intent of the 401 Water
Quality Certification and Buffer Rules, the approved plans and specifications, and other supporting materials.
Signature
Registration No.
Date
rf?,yoGy
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION MICHAEL F. EASLEY LYNDO TIPPETT
GovERNOFt SECi2ErnRY
L
?r
March 8, 2005
Ms. Beth Barnes
Wetlands/401 Unit
NC DENR Division of Water Quality _
1650 Mail Service Center
Raleigh, NC 27699
(Seven Copies) Written Authorization Required
Mr. John Thomas
US Army Corps of Engineers
6508 Falls of the Neuse Suite 120
Raleigh, NC 27615-6814
(Two Copies)
Subject: NC 61 Guilford County, Pipe Extension.@..House #2124
State Project Number 39279
To Whom It May Concern:
The North Carolina Department of Transportation (NCDOT) proposes to extend a pipe on NC 61 in
southeast Guilford County at House #2124 for shoulder and road widening. This activity will result in
impacts to an UT to the North Prong of Stinking Quarter Creek. The road will be open during
construction with lane closure and traffic control. The NCDOT anticipates that the pipe replacement
activity and extension will be authorized under Nationwide Permits (NWP) 13, 14 and 33. This
application is intended as a request for written authorization from -the US Army-Corps of-Engineers for
the Nationwides 13, 14 and 33. This package is also being forwarded to the NC Division of Water
Quality notification as prescribed under General'Water Quality-Certifications-0399 (NW 1.3)9.43404
(NW 14) and #3366 (NW 33). The following information is being provided to satisfy conditions of the
Nationwide Permits and General Water Quality Certifications.

P. O. Box 14996 Gieensboro, NC 27415-4996 Telephone No. [phone] Fax No. [phone]
a
PROJECT INFORMATION
Road Name SR Number Project Length
-miles Classification
NC 61 N/A Rural
River Basin:

1. DWQ

ID Water Quality

Designation
% Impervious Surface
Cape Fear 16-19-8-1 '. C;NSW N/A
Buffer Rules' Buffer Rule Conditions (where applicable)
No Request Exemption
Protected Species
Presentb Mapped Historic
Properties' CAMA
AEC Essential Fishery
Habitat
No No No No
a Separate documentation attached as needed: e See the attached Endangered Species Review Sheet for
further information: c When Applicable - See the attached Historic Review Letter for further
information
PIPE EXTENSION INFORMATION
Site NC 61 @ House #2124 Stream Type 'Intermittent
(Station)
Existing 46' X 42" RCP Proposed 54' X 42" RCP
Pi e Pipe
Construction Pump around with offsite detour Dewatering Cofferdams & Pump Around
Method Device*
Burial Depth 20% of Pipe Diameter E/C Plan See Attached
Date
Construction As soon as practicable Duration Four weeks
Date
Impacts (ft.) 8 ft-enclosure;.20 linear ft-rip-rap bank stabilization; 50.1f -temporary sandbags .. .
and rock silt dam for dewaterin
Special = .
Conditions
Restoration Within 15 working days of the pipe replacement the natural stream contours will
Plan be restored and seeded. Temporary silt screens will be cleaned and removed
following vegetation establishment.
RCP = reinforced concrete pipe; CMP = Corrugated metal pipe; CMPA = Corrugated metal pipe
arch; E/C = Erosion control. *A less intrusive dewatering device may be used in lieu of the one
proposed.
P. o. Box 14996 Greensboro, NC 27415-4996 Telephone No. [phone] Fax No. [phone]
MINIMIZATION INFORMATION
Impacts will be minimized by strict enforcement of Best Management Practices for the protection of
surface waters and wetlands, restrictions against.the staging of equipment in or adjacent.to,:waters.of
the US, and coordination (including a pre-construction meeting) with the Division Environmental
Officer.
MITIGATION INFORMATION
Stream mitigation is not anticipated, as the impacts to any individual stream do not exceed 150 feet
Wetland mitigation is not anticipated, as wetland impacts do not exceed 0..10 acres and-do not occur in
a unique natural wetland.
APPLICATION INFORMATION
Enclosed please. find the Pre-construction Notification Form and supporting documentation for the
above referenced project. If you have any questions or need any additional information, please contact
Jerry Parker at [phone]. Your time and effort are appreciated.
Sincerely,
4-
Mr[J.A Mills, P.E.
Di .isio Engineer, Division 7
Enclosures
CC: Jerry Parker. NCDOT
Lane Hall, NCDOT
Barry Harrington, NCDOT
Dennis Johnson, NCDOT
Sue Homewood, NCDWQ
Joshua Purkett, NCDOT
Jeremy Delapp, NCDOT
P. 0. Box 14996 Greensboro, NC 27415-4996 Telephone No. [phone] Fax No. (336) 334.36,37
Office Use Only: Form Version May 2002
0 0'i
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'
ermit ? 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: NWPs 13, 14 & 33
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not'required, check here: ?
4. If payment into the North Carolina. Wetlands Restoration Program (NCWRP) is proposed for
mitigation of 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,ott_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:..[]
H. Applicant Information
1. Owner/Applicant Information
Name: Mr. J.M. Mills, P.E, Division Engineer - Division 7
Mailing Address: P.O. Box 14996
Greensboro NC 27415-4996
Telephone Number: [phone] Fax Number: [phone]'
E-mail Address: mmills@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: Jerry A. Parker
Company Affiliation: NCDOT
Mailing Address: P.O. Box 14996
Greensboro, NC 27415-4996
Telephone Number: [phone] Fax Number: [phone]
Page 1 of 8
E-mail Address: [e-mail]
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 DWO refers f ill-Size constrnction
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 NC 61 Pipe Extension @ House #2124
2. T.I.P. Project Number or State Project Number (NCDOT Only): 39279
3. Property Identification Number (Tax. PIN): Not Applicable
4. Location
County: Guilford Nearest Town: Kimesville
Subdivision name (include phase/lot number): Not Applicable
Directions to site (include road numbers, landmarks, etc.):
The project is located near Kimesville in Guilford County. From 140 West; Take exit 138
and turn left (south) on NC 61 and proceed for approximately 6 miles. The site is located in
front of House #2124 just north of the junction of NC 61 & NC 62.
5. Site coordinates, if available (UTM or Lat/Long): Seethe attached USGS map.
(Note -If project is linear, such as a road or utility line, attach asheet,thatseparately.lists .the
coordinates for each crossing of a distinct waterbody.)
6. Property size (acres): Not Applicable
7. Nearest body of water (stream/river/sound/ocean/lake): UT to the North Prong of Stinking
Quarter Creek
8. River Basin: Cape Fear
Page 2 of 8
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://h2o.enr.state.nc.us/admin/maps/.)
9. Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this application: Paved secondary road in low density rural/residential area.
10. Describe the overall project in detail, including the type of equipment to be used: The
project will involve extending a"pipe to facilitate-road and shoulder widening-on-NC-61-: The
existing pipe is a 46' x 42" RCP (reinforced concrete pine) that will be extended 8'on the
outlet side to 54'. The pine. extension is necessary in order to bring the proposed paved road
up to current DOT standards. The road will be open during construction with lane closure
and traffic control. The vipe will be buried by 20% of its diameter. Right-of-way width is
illustrated on the attached site plan. Equipment used will be standard road construction
equipment (trackhoe, grader, backhoe, and bulldozer).
11. Explain the purpose of the proposed work: To maintain traffic safety and to reduce future
maintenance costs.
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.
Not Applicable
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.
Not Applicable
VI. - Proposed Impacts to Waters of the United States/Waters of the State
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. The applicant must also
provide justification for these impacts in Section VII below. All proposed impacts, permanent
and temporary, must be listed herein, and must be clearly identifiable on an accompanying site
plan. All wetlands and waters, and all streams (intermittent and perennial) must be shown on a
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
Page 3 of 8
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: Permanent stream impacts will
result from channel and enclosure. Temporary stream impacts will result from placement of
cofferdams and siltscreens. .
2. Individually list wetland impacts below:
Wetland Impact
Site Number
indicate on ma) !
.Type of Impact* Area of
Impact
acres) -_ Located within . ,
100-year Floodplain**
( es/no Distance to
Nearest Stream'
(linear feet)
Type of Wetland***
N/A

* • List each impact separately and identify temporary impacts. Impacts include, but are not limited to: mechanized clearing, grading, fill,
excavation, flooding, ditching/drainage, etc. For dams, separately list impacts due to both structure and flooding.
** 100-Year floodplains are identified through the Federal Emergency Management Agency's (FEMA) Flood Insurance Rate Maps
(FIRM), or FEMA-approved local floodplain maps. Maps are available through the FEMA Map Service Center at 1-800-358-9616, or
online athttp://www.femt.r,,o
v.
*** List a wetland type that best describes wetland to be irripactcd (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: Not Applicable
Total area of wetland impact proposed: .. Not Applicable
3. Individually list all intermittent and perennialztream.impacts below:
Stream Impact Length of Average Width Perennial or
Site Number Type of Impact* Impact Stream Name** of Stream Intermittent?
indicate on ma linear feet Before Im act leasespecify)
NC 61 pipe Extension (en) 8 if UT to North Prong of 1-3 feet Intermittent
tmp) 501f Stinking Quarter Creek
201f

* 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 rctocated:streamtmust.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.usgs.gov. Several internet sites also allow" direct dowaluad-and- printing -uf --USGS--maps www:tog mnon
www.maoouest.com, etc.).
*Cumulative impacts (linear distance in feet) to all streams on site:
The project should involve an increase of 8 linear feet of stream impacts - - enclosure. (en) 8
linear feet Impacts from temporary (tmp) sandbags and ri-prap in the streams should not
exceed 50 linear feet Impacts from ri-prap (m) for bank stabilization should not exceed 20
linear feet.
Page 4 of 8
4. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.) below:
Open Water Impact
Site Number

(indicate on ma
Type of Impact* Area of
Impact-

(acres)
Name of Waterbody

(if applicable) Type of Waterbody

'fake, pond, estuary,* sound,
ba , .ocean, etc.

List each impact separately and identify temporary impacts. Impacts include, but are not limited to: fill, excavation, dredging,
flooding, drainage, bulkheads, etc. ? . . . .
5. Pond Creation
construction Qf-a-pond-iS-proposcd-,aSmciated wetiand--aini--s-ticain impacts should bt;
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.): Not Applicable.
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.): Not Applicable
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.
Pipe replacement activities are necessary to maintain travel safety. Impacts will be minimized
by strict enforcement of Best Management Practices for the protection of wetland and surface
waters, restrictions against the staging of equipment in or adjacent to waters of the US and
coordination (including a pre-construction meetino-with Jthe Division-Environinental Officer. VIII. Mitigation

DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to. one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
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
Page 5 of 8 .
necessary to ensure that adverse effects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be- considered in determining acceptability of appropriate and practicable
mitigation as proposed. Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses' of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USACE or DWQ to consider the application • complete for processing. Any application
lacking a 'required mitigation plan or NCWRP concurrence shall be placed on hold as
incomplete. An applicant may also choose to review the current guidelines for stream restoration
in DWQ's Draft Technical Guide for Stream Work in North Carolina, available at
http://h2o.enr.state.nc.us/ncwetlands/strmgide.html.
1. Provide a brief description of the proposed mitigation plan. The description should provide
as much information as possible, including, but not limited to:. site location (attach directions
and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed method of construction. Please attach
a separate sheet if more space is needed.
A_finding _ of insignificant impact is anticipated: therefore, a mitigation plan is not provided.
Cumulative impacts are less than 150 feet. The maximum amount of impact to a single
stream is approximately 8 linear feet. No Outstanding Resource Waters, federally protected
species or their habitats, or essential fishery habitats occur in the project area.
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 bttp://h2o.eiir.stite.nc.us/wro/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): Not Applicable
Amount of buffer mitigation requested (square feet): Not Applicable
Amount of Riparian wetland mitigation requested (acres): Not Applicable
Amount of Non-riparian wetland mitigation requested (acres): Not Applicable
Amount of Coastal wetland mitigation requested (acres): Not Applicable
IX. Environmental Documentation (required by DWQ)
Page 6 of 8
Does the project involve an expenditure of public (federal/state) funds or the use of public
(federal/state) land?
Yes ® No ?
X.
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_
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 2B_.,.0233._.
(Meuse); 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and
Water Supply Buffer Requirements), or other (please identify )?
Yes No X 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 ufeet
Multiplier Required

Mitigation
1 N/A J 3
2 N/A 1.5
Total N/A
* 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 2B .0242 or.0260.
Not Applicable
Page 7 of 8
XI. 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.
Not Applicable
XH. Sewage Disposal (required by DWQ)
i
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.
Not Applicable
XIII. Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H.0500) or any Buffer Rules?
Yes No X
Is this an after-the-fact permit application?
Yes No X
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).
CGI
Afipll ant/Agent's Signature Date
(Agent's signs re is valid only if an authorization letter from the applicant is provided.)
page 8 of 8
March 3, 2005
Site 1, 5.8 mi. from Konica Dr.
Construction Sequence=and-Erosion Control Plan-for-Pipe
Replacement of Pipe with Pipe in- an-Intermittent Stream
Guilford County - NC 61
Work_to.begin as soon as practicable following authorization
Construction is anticipated to take 1 day.
1. Prior to extending the existing pipe, install a rock silt dam (underlain by plastic)
upstream to temporarily dam stream, also install a rock silt dam (underlain by plastic)
to prevent incidental sediment loss due to unforeseen precipitation.
2. Excavate to sufficient depth to allow burial of the pipe to 1', place base stone, and
extend.single line of 46' long 42" RC pipe to a 54' long 42" RC pipe.
3. Remove rock silt dams from stream.
4. Backfdl'the structure.
5. Place rip rap only as needed.
6. Restore natural stream contours.
7. Seed and mulch remaining disturbed areas.
8. Following establishment of vegetation the silt screen will be removed.
9. Silt fences to be placed as site conditions-require.
10. Site conditions and weather may alter these plans.
-Z d r
LU
2
,LF
V
V{
C
V)
Z)

Q I ,
z

,9Z
ul
^b
C
N
?k
a
(4 _

Q
U
V t?

a
E
r
I

?- - s 9}}9 T M-- I- I jF
a
f
l
H ?. ?
`' ? is ' ?
iF? ?? . M I