20051268 Ver 1_Complete File_20050714

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STATE OF NORTH CAROLINA
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DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY LYNDO TIPPETT So&
GOVERNOR SECRETARY
July 12, 2005
U.S. Army Corps of Engineers
Raleigh Regulatory Field Office
6508 Falls of the Neuse Road, Suite 120 0 ? ? ?
Raleigh, NC 27609 6 8
Attention: Mr. Eric Alsmeyer
NCDOT Coordinator
Subject: Proposed maintenance improvements to a structure conveying an unnamed
tributary to Cypress Creek on SR 1002 Firetower Road in Franklin
County.
The North Carolina Department of Transportation (NCDOT) proposes to replace a pipe
conveying an unnamed tributary to Cypress Creek on SR 1002 Firetower Road in
Franklin County (Figure 1 - 3). Infor?nation concerning this activity is provided below:
Impacts to Waters of the United States
Site I - Waters of the U.S.
Maintenance activities at this site will impact an unnamed intermittent tributary to
Cypress Creek [NCDENR-DWQ Index No. 28-31-(1), Best Usage Classification B NSW,
HUC 03020101] (Figure 3) in the Tar-Pamlico River Basin. The existing structure conveying
the creek is a 30-inch reinforced concrete pipe (rcp) that is 40 feet long (Photographs 1 and
2). Please note that the existing structure is undersized with separated joints. These
separations have resulted in the repeat loss of material from the roadway and shoulders.
Frequent maintenance is needed to repair the roadway and the shoulders. On the day of the
field visit, a large sink hole had resulted from the previous day's rain. The NCDOT proposes
to replace the existing structure with a 48-inch rcp that is 48 feet long while temporarily
dewatering the work zone. This will involve the temporary placement of sandbags in the
creek 5 ft upstream and 5 ft downstream of construction. Once the stream has been
dewatered, the pipe will be replaced. Permanent impacts at the site associated with the
replacement of the structure and minimal amounts of rip rap to protect the structure involve a
total of 18 lft (8 ft of surface water fill and 10 ft of rip rap). The work zone will be dewatered
for approximately 5 days. Temporary concurrent impacts to the stream from this activity will
result in the dewatering of 18 lft of stream. The materials used for dewatering will be
removed after construction. Fill in wetlands is also anticipated at this site. The extension of
the pipe/fill material and placement of rip rap along the ends of the new structure will result
Division 5, 2612 N. Duke Street, Durham, NC 27704
Phone: [phone] Fax: [phone]

in 72 ft2 (0.002 ac) of fill in a fringe wetland along this unnamed tributary. (See Appendix
One ror USAGE Wetland Delineation forms/DWQ rating sheets).
Riparian Buffer
Site 1 - Buffers
The maintenance at this site involves a road crossing of a stream that is subject to the
Tar-Pamlico River Buffer Rules. The intermittent tributary to Cypress Creek, at Site 1 is
depicted on the most recent version of the Justice (USGS 1979) topographic quadrangle
(Figure 1) and the Soil Survey of Franklin County (USDA-SCS, 2004) (Figure 2).
Construction impacts at this site total 1,217 ft` in Zone 1 and 0 ft'` in Zone 2 (totaling
18 Ift of riparian buffer impacts). Based on the impacts to the riparian buffer at this site,
this crossing is EXEMPT.
Waters of the U.S. Mitigation
Avoidance: All wetlands and surface waters not affected by the project will be protected
from unnecessary encroachment. No staging of construction equipment or storage of
construction supplies will be allowed in wetlands or near surface waters.
Minimization: The side slopes have been steepened to the extent possible at jurisdictional
sites. Strict enforcement of sedimentation and erosion control Best Management Practices
for the protection of wetlands and surface waters will be enforced during project
construction. Continued coordination will occur with maintenance forces and the
Environmental Officer during construction to minimize impacts to these sites.
Compensatory Miti ag tion: Unavoidable impacts to 8 lft of stream associated with this
project will be mitigated (at a 2:1 ratio) by providing 16 Ift of stream restoration
equivalent in the Tar-Pamlico River Basin (Hydrologic Cataloging Unit 03020101).
Additionally, unavoidable impacts to 0.002 acre of non-riverine wetlands will be
mitigated (at a 1:1 ratio) by providing 0.002 acre of restoration equivalent non-riverine
wetlands within the same river basin and cataloging unit. All compensatory mitigation
requirements will be assimilated on a quarterly basis and provided to the Ecosystem
Enhancement Program (EEP) for their acceptance with a copy provided to the USACE
for verification and accounting purposes.
Protected Species
Plants and animals with federal classifications of Endangered, Threatened, Proposed
Endangered and Proposed Threatened are protected under provisions of Section 7 and
Section 9 of the ESA. As of January 29, 2003, there are three federally protected species
listed for Franklin County. They include dwarf wedgemussel (Alasmidonta heterodon),
Tar spinymussel (Elliptio steinstansana), and Michaux's sumac (Rhus michauxii). The
roadway shoulders along Firetower Road are heavily maintained, eliminating the
possibility for Michaux's sumac to exist in this area. This intermittent stream is small,
heavily silted, and does not provide suitable habitat for mussel fauna. Additionally, a
review of the Natural Heritage Program database (last updated April 2005) revealed no
occurrences of protected species within the project area. Therefore, based on lack of
suitable habitat observed during the 06/28/05 site visit and the NHP database review,
biological conclusions of No Effect have been rendered for each species.
3
Summary
The NCDOT proposes to replace the existing structure with a 48-inch rep that is 48 feet
long. The NCDOT proposes to temporarily dewater the work zone during the
construction of the project. This will involve the temporary placement of sandbags in the
creek 5 ft upstream and 5 ft downstream of construction. Once the stream has been
dewatered, the pipe will be replaced. Permanent impacts at the site associated with the
replacement of the structure and minimal amounts of rip rap to protect the structure
involve a total of 18 lft (8 ft of surface water fill and 10 ft of rip rap). The work zone will
be dewatered for approximately 5 days. Temporary concurrent impacts to the stream
from this activity will result in the dewatering of 18 lft of stream. The materials used for
dewatering will be removed after construction. Fill in wetlands is also anticipated at this
site. The placement of rip rap along the ends of the new structure will result in 72 ft2
(0.002 ac) of fill in a fringe wetland along this unnamed tributary. (See Appendix One for
USACE Wetland Delineation fonns/DWQ rating sheets). Construction impacts at this
site total 1,217 ft2 in Zone 1 and 0 ft'- in Zone 2 (totaling 18 Ift of riparian buffer impacts).
Based on the impacts to the riparian buffer at this site, this crossing is EXEMPT.
Placement of pipe and till material application is hereby made for a Department of the
Army Section 404 Nationwide Permit (NWP) 3 and NWP 33. Additionally, this
application provides notification to the NCDWQ as Section 401 Water Quality
Certification (WQC) No. 3376 and No. 3366 will be utilized for construction of this
project. 'The NCDOT will comply with all applicable NWP and WQC conditions. A pre-
construction notification is attached with this request. If you have any questions or need
additional information, please contact Ms. Heather Montague at [phone].
Sincerely,
• nip
on G. Nance, P.E.
Division Engineer
cc: Ms. Nicole Thomson, NCDWQ
Mr. Steve Winstead, NCDOT
Mr. Jonathan Tyndall, NCDOT
Ms. Katie Simmons, NCDOT
Photograph 1. View upstream of
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Photograph 2.
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Office Use Only: Form Version March 05
USACE Action ID No. DWQ No. 2 0 0 5 1 2 6 8
(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 ? Express 401 Water Quality Certification
2. Nationwide, Regional or General Permit Number(s) Requested: NWP 3 and NWP 33
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here:
4. If payment into the North Carolina Ecosystem Enhancement Program (NCEEP) is proposed
for mitigation of impacts, attach the acceptance letter from NCEEP, complete section 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
Owner/Applicant Information
Name: NCDOT Division 5 Jon G. Nance
Mailing Address: 2612 N. Duke St. Durham NC 27704
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: JNanceadot.state.nc.us
2. Agent/Consultant Information (A signed and dated copy of the Agent Authorization letter
must be attached if the Agent has signatory authority for the owner/applicant.)
Name:
Company Affiliation:
Mailing Address:
Telephone Number:
E-mail Address:
Fax Number:
LS k?5gyy@
D
IUl 1 4 2005
WETLANDS ANDSTORMWA7L BRANCH
Page 1 of 8
Ill. Project Information
Attach q 444 e a? clearly showing the location of the property with respect to local
landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property
boundaries and development plans in relation to surrounding properties. Both the vicinity map
and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities must be included. If possible, the maps and plans should
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USACE requires information to be submitted on sheets no larger than 11 by 17-inch format;
however, DWQ may accept paperwork of any size. DWQ prefers full-size construction
drawings rather than a sequential sheet version of the full-size plans. If full-size plans are
reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps are provided.
1. Name of project: Proposed replacement of a structure conveying an unnamed tributary to
Cypress Creek on SR 1002 (Firetower Road) in Franklin County.
2. T.I.P. Project Number or State Project Number (NCDOT Only): N/A
3. Property Identification Number (Tax PIN):
4. Location
County: Franklin Nearest Town: Louisburj;
Subdivision name (include phase/lot number): N/A
Directions to site (include road numbers/names, landmarks, etc.): From Louisburg take
Hwy 56 East for approximately 8.0 miles to Stallings Crossroads. Make a left onto SR 1002
and travel North approximately 1.6 miles to project site.
5. Site coordinates (For linear projects, such as a road or utility line, attach a sheet that
separately lists the coordinates for each crossing of a distinct waterbody.)
Decimal Degrees (6 digits minimum): 36.1127 "N 78.1788 °W
6. Property size (acres): 0.1 acre
7. Name of nearest receiving body of water: UT to Cypress Creek
8. River Basin: Tar-Pamlico
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://h2o.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: Site is surrounded by wooded areas, agicultural land, and
residences.
Page 2 of 8
10. Describe the overall project in detail, including the type of equipment to be used: The
NCDOT will replace the existing structure at Site 1. The NCDOT will also dewater the work
zone during construction. Equipment may include excavator, backhoe, bulldozer, grader, and
crane.
11. Explain the purpose of the proposed work: The existing structure is an undersized concrete
pipe with separated joints. These separations have resulted in the repeat loss of material from
the roadway and shoulder. Frequent maintenance is needed to repair the roadway and the
shoulders. On the day of the field visit, a large sink hole had resulted from the previous
day's rain.
IV. Prior Project History
If jurisdictional detenninations and/or pen-nits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action ID Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued pennits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules. N/A
V. Future Project Plans
Are any future permit requests anticipated for this project? If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application.
N/A
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. Each impact must be
listed separately in the tables below (e.g., culvert installation should be listed separately from
riprap dissipater pads). Be sure to indicate if an impact is temporary. All proposed impacts,
permanent and temporary, must be listed, and must be labeled and clearly identifiable on an
accompanying site plan. All wetlands and waters, and all streams (intermittent and perennial)
should be shown on a delineation map, whether or not impacts are proposed to these systems.
Wetland and stream evaluation and delineation forms should be included as appropriate.
Photographs may be included at the applicant's discretion. If this proposed impact is strictly for
wetland or stream mitigation, list and describe the impact in Section VIII below. If additional
space is needed for listing or description, please attach a separate sheet.
Page 3 of 8
1. Provide a written description of the proposed impacts: The NCDOT will replace the
existing structure at Site 1 with a larger pipe. The NCDOT will also dewater the work zone
during construction.
2. Individually list wetland impacts. Types of impacts include, but are not limited to
mechanized clearing, grading, fill, excavation, flooding, ditching/drainage, etc. For dams,
sebarately list impacts due to both structure and flooding.
Wetland Impact Type of Wetland Located within Distance to Area of
Site Number Type of Impact (e.g., forested, marsh, 100-year Nearest Impact
(indicate on map) herbaceous, bog, etc.) Floodplain Stream (acres)
es/no (linear feet)
Site 1 Fill herbaceous Yes NONE 0.002

Total Wetland Impact (acres) 0.002
3. List the total acreage (estimated) of all existing wetlands on the property: 0.002 ac
4. Individually list all intermittent and perennial stream impacts. Be sure to identify temporary
impacts. Stream impacts include, but are not limited to placement of fill or culverts, dam
construction, flooding, relocation, stabilization activities (e.g., cement walls, rip-rap, crib
walls, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is proposed,
plans and profiles showing the linear footprint for both the original and relocated streams
must be included. To calculate acreage. multit)ly length X width. then divide by 43.560.

Stream Impact Average Impact
Area of
Number Stream Name Type of Impact Perennial or Stream Width Length Impact

(indicate on map) Intermittent? Before Impact (linear
(acres)
feet)
Site I UT to Cypress Crk Fill (piped length) Intermittent 2 8 0.0004
Rip rap armoring 10 0.0005
along stream bank
Temporary 18 0.0009
dewatering concurrent concurrent
Total Stream Impact (by length and acreage) 18 0.0009
5. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.). Open water impacts include, but are not limited to
till, excavation, dredging. flooding. drainage. bulkheads. etc.
Open Water Impact
Site Number
indicate on ma Name of Waterbody

(if applicable)
Type of Impact Type of Waterbody
(lake, pond, estuary, sound, bay,
ocean, etc. Area of
Impact
(acres)
N/A

Total Open Water Impact (acres) N/A
Page 4 of 8
6. List the cumulative impact to all Waters of the U.S. resulting from the project:
Stream Impact (acres): 0.0009
Wetland Impact (acres): 0.002
Open Water Impact (acres): NONE
Total Impact to Waters of the U.S. (acres) 0.0029
Total Stream Impact (linear feet): 18
7. Isolated Waters
Do any isolated waters exist on the property? ? Yes ® No
Describe all impacts to isolated waters, and include the type of water (wetland or stream) and
the size of the proposed impact (acres or linear feet). Please note that this section only
applies to waters that have specifically been determined to be isolated by the USACE.
N/A
8. Pond Creation
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ? uplands ? stream ? wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.): N/A
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic,
local stormwater requirement, etc.): N/A
Current land use in the vicinity of the pond: N/A
Size of watershed draining to pond: N/A Expected pond surface area: N/A
VII. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts. All wetlands and surface
waters not affected by construction will be protected from unnecessary encroachment during
construction Strict enforcement of Best Management Practices for the protection of wetlands
and surface waters will be enforced during construction. Only the smallest amount of fill
necessary to complete the project will be placed in waters of the United States.
VIII. Mitigation
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
trout pond,
Page 5 of 8
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 January 15, 2002, mitigation will be required when
necessary to ensure that adverse effects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed. Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USACE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCEEP concurrence shall be placed on hold as incomplete.
An applicant may also choose to review the current guidelines for stream restoration in DWQ's
Draft Technical Guide for Stream Work in North Carolina, available at
http://h2o.enr.state.nc.us/ncwetlands/strmgide.litinl.
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.
NCDOT proposes to meet mitigation requirements by payment into the North Carolina
Ecosystem Enhancement Program NCEEP. Compensatory mitigation requirements will be
assimilated on a quarterly basis and provided to the EEP for their acceptance with a copy
provided to the USACE for verification and accounting purposes.
2. Mitigation may also be made by payment into the North Carolina Ecosystem Enhancement
Program (NCEEP). Please note it is the applicant's responsibility to contact the NCEEP at
[phone] to determine availability, and written approval from the NCEEP indicating
that they are will to accept payment for the mitigation must be attached to this form. For
additional information regarding the application process for the NCEEP, check the NCEEP
website at http://h2o.enr.state.nc.us/wrp/indcx.htm. If use of the NCEEP is proposed, please
check the appropriate box on page five and provide the following information:
Amount of stream mitigation requested (linear feet): 16 ft
Amount of buffer mitigation requested (square feet): N/A
Amount of Riparian wetland mitigation requested (acres): 0.002 acre
Amount of Non-riparian wetland mitigation requested (acres): N/A
Amount of Coastal wetland mitigation requested (acres): N/A
Page 6 of 8
IX. Environmental Documentation (required by DWQ)
1. Does the project involve an expenditure of public (federal/state/local) funds or the use of
public (federal/state) land? Yes ® No ?
2. If yes, does the project require preparation of an environmental document pursuant to the
requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)?
Note: If you are not sure whether a NEPA/SEPA document is required, call the SEPA
coordinator at [phone] to review current thresholds for environmental documentation.
Yes ? No
3. If yes, has the document review been finalized by the State Clearinghouse? If so, please
attach a copy of the NEPA or SEPA final approval letter. Yes ? No ?
X. Proposed Impacts on Riparian and Watershed Buffers (required by DWQ)
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required state and local buffers associated with the project. The applicant must also provide
justification for these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
1. Will the project impact protected riparian buffers identified within 15A NCAC 213 .0233
(Neuse), 15A NCAC 213.0259 (Tar-Pamlico), 15A NCAC 0213.0243 (Catawba) 15A NCAC
213 .0250 (Randleman Rules and Water Supply Buffer Requirements), or other (please
identify )? Yes ® No ?
2. If "yes", identify the square feet and acreage of impact to each zone of the riparian buffers.
If buffer mitigation is required calculate the required amount of mitigation by applying the
buffer multipliers.
Site 1
Zone* Impact
(square feet) Multiplier Required
Mitigation
1 1,217 3 (2 for Catawba)
2 0 1.5
Total 1,217
* Zone I extends out 30 feet perpendicular fi-om the top of the near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.
3. If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e.,
Donation of Property, Riparian Buffer Restoration / Enhancement, or Payment into the
Riparian Buffer Restoration Fund). Please attach all appropriate information as identified
within 15A NCAC 2B .0242 or .0244, or .0260. N/A
Page 7 of 8
XI. Stormwater (required by DWQ)
Describe impervious acreage (existing and proposed) versus total acreage on the site. Discuss
stonnwater controls proposed in order to protect surface waters and wetlands downstream from
the property. If percent impervious surface exceeds 20%, please provide calculations
demonstrating total proposed impervious level. There is 0.04 acre existing impervious surface
with the 0.1 acre protect site. No additional impervious surface is proposed with this
maintenance pipe replacement project. Erosion and sediment control devices at this site are
comprised of temporary silt fence and special stillin 7 basin (silt bag).
XII. Sewage Disposal (required by DWQ)
Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of
wastewater generated from the proposed project, or available capacity of the subject facility.
This project will not generate wastewater.
XIII. Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H.0500) or any Buffer Rules?
Yes ? No
Is this an aver-the-fact permit application? Yes ? No
XIV. Cumulative Impacts (required by DWQ)
Will this project (based on past and reasonably anticipated future impacts) result in additional
development, which could impact nearby downstream water quality? Yes ? No
If yes, please submit a qualitative or quantitative cumulative impact analysis in accordance with
the most recent North Carolina Division of Water Quality policy posted on our website at
http://l12o.enr.state.nc.us/ncwetlands. If no, please provide a short narrative description:
This maintenance project will not result in additional development.
XV. Other Circumstances (Optional):
It is the applicant's responsibility to submit the application sufficiently in advance of desired
construction dates to allow processing time for these permits. However, an applicant may
choose to list constraints associated with construction or sequencing that may impose limits 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).
7
05
6 Applicant/Agent's Mignature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 8 of 8
Appendix One
(USAGE Wetland Delineation forms/
DWQ rating sheets)
^f
DATA FORM ('\Jd[
ROUTINE WETLAND DETERMINATION S +<
(1987 COE Wetlands Determination Manual)
Project/Site: 52 /DO2 ?F:q Wer RJ) Date: 0012-% Jos
Applicant I Owner: NODOT 1>11i 5" T-n C OOCC County: Frankl??
Investigator: N a e r Mon ,z ;? State: /\/C

Do normal circumstances exist on the site? Yes ? No Community ID:
Is the site significantly disturbed (Atypical situation)? Yes No
- Transect ID:
Is the area a potential problem area? Yes No
? Plot ID:
(explain on reverse if needed)
VEGETATION
Dominant Plant Species r t i jndlcator Dominant Plant Species Stratum Indicator
1. rl v" S?_P iA ?UrN D13L 9.
2. durP?ann a el'sak N OQ(- 10.
3. `?oodr,i?d;n areolata ?1 _ 0SL 11.
4.;+r: ,,d-einrin ?•nCin1P?• 1-l CN/ 12.
5. 13.
6. 14.
7. 15.
8. 16.
Percent of Dominant Species that are OBL, FACW, or FAC excluding FAC-).
Remarks: Wetland Vegetation Present Based Upon Greater than 50% of the Plant Species are/are not
Classified as FAC-OBL in the National List of Plant Species that Occur in Wetlands. Sample plot was taken...

HYDROLOGY
_ Recorded Data (Describe In Remarks): Wetland Hydrology Indicators
Stream, Lake, or Tide Gauge
Aerial Photographs Primary Indicators:
?
Other Inundated
_ ?S
aturated in Upper 12"
No Recorded Data Available ? Water Marks
- Drift Lines
Field Observations: _ Sediment Deposits
- Drainage Patterns in Wetlands
Depth of Surface Water: 3 (in.) Secondary Indicators:
Depth to Free Water in Pit: (in.
) Oxidized Roots Channels in Upper 12"
_ Water-Stained Leaves
Local Soil Survey Data
Depth to Saturated Soil: FAC-Neutral Test
Other (Explain in Remarks)
Remarks:

SOILS
t (CA4,
Map Unit Name
S
i
d
(
er
es an
Phase): Drainage Class:
Taxonomy (Subgroup): Confirm Mapped Type? Yes- No.
Profile Description:
Depth Matrix Colons - Mottle Colors Mottle Texture, Concretlons,
(inches)- Horizon (Munsell Moist) (Munsell Moist). Abundance/Contrast Structure, etc.
-i y + l0 yK ?c /?? ?• ,
T7
Hydric Soil Indicators:
_ Histosol _ Concretions
_ Histic Epipedon - High Organic Content in Surface Layer in Sandy Soils
- Sulfidlc Odor Organic Streaking in Sandy Soils
_ Aqulc 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:
_j

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
Remarks: Location (describe) is/is not classified as a wetland based upon the criteria set forth in the 1987
Army Corps of Engineers Wetlands Delineation Manual.
l nos
DATA FORM
ROUTINE WETLAND DETERMINATION
(1987 COE Wetlands Determination Manual)
/
Project I Site:_ S2 100 2 t?,q Date: U l2 f ?"
Applicant / Owner: Nc0o-r P, V Tvr n1a ,"e, if County: F-r-, - k-
Investigator:_ State:
Do normal circumstances exist on the site? Yes ?No Community ID:
Is the site significantly disturbed (Atypical situation)? Yes No ? Transect ID:
Is the area a potential problem area? yes No Plot ID:
(explain on reverse If needed)
` VEGETATION
Dominant Plant Soecles 3 r m Indicator Dominant Plant Species Stratum nd cator
1. T- FA C 9.
2. cev ?K ?Nµ? -L- Flic 10.
4,9^1 beu f tlC f 11.
4. 12.
5. 13.
6. 14.
7. 15.
8. 16.
Percent of Dominant Species that are OBL, FACW, or FAC excluding FAC-). boa ??
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...
i
HYDROLOGY
Recorded Data (Describe In Remarks): Wetland Hydrology Indicators
_ Stream, Lake, or Tide Gauge
_ Aerial Photographs Primary Indicators:
r Other _ Inundated
-Saturated in Upper 12"
- No Recorded Data Available _ Water Marks
_ Drift Lines
Field Observations: _ Sediment Deposits
_ Drainage Patterns In Wetlands
Depth of Surface Water: N onJC- (in.)
Secondary Indicators:

Depth to Free Water In Pit: Z (in.) Oxidized Roots Channels In Upper 12"
Water-Stained Leaves
Local Soil Survey Data
Depth to Saturated Soil: i i (in.) _ FAC-Neutral Test
_ Other (Explain In Remarks)
Remarks:

SOILS
f K? '
?/ 1 - 1
J 9
Map Unit Name
(Series and Phase): iqe le';" << Save ek? /I ce Drainage Class:
Taxonomy (Subgroup): Confirm Mapped Type? Yes- No
Profile Description:
Depth Matrix Colors Mottle Colors
Mottle Texture, Concretions,
(inches) Horizon (Munsell Moist) (Munsell Mois t). Abundance/Contrast structure, etc.-
/
Hydric Soil Indicators:
- Histosol _ Concretions
- Histic Epipedon _ High Organic Content In Surface Layer in Sandy Soils
_ Sulfidic Odor Organic Streaking in Sandy Soils
_ Aquic Moisture Regime Listed On Local Hydrlc Soils List
- Reducing Conditions Listed on National Hydric Soils List
- Gleyed or Low-Chroma Colors _ Other (Explain In Remarks)
Remarks:

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
Remarks: Location (describe) is/is not classified as a wetland based upon the criteria set forth in the 1987
Army Corps of Engineers Wetlands Delineation Manual.
sW01. .S ? 2fF. ?1: QUrt?As Y.et?Js?INts ti'ra i ."??A.? G'
g A , : Y s sYS vx:..u,y <: , < ywgs ?{/„
z,'i
t.IRFj. .?4'.; w tFt;4''l?.is! er.Sst,.k Rkl.1r'?.:...<.M,.t+k?7!F.:?.i4....q:
L ? ? I
Project Name sR rOn2?e Nearest Road SR lyo2
k-vufliy rY n Wetland Area D-o" 3 ages Wetland Width ° feet
Name of evaluator ffea??e, Mon a:4e Date 2e ??
Wetland Location
on pond or lake
on perenrual stream
_-Zon intermittent stream
within interstream divide
other _
Soil series Ae1eK7a /vet-?•?
predominantly organic - humus, muck,
or peat
predominantly mineral - non-sandy
predominantly sandy
Adjacent land use
(within 1/2 mile upstream, upslope, or radius)
_?forested/natural vegetation J° %
agriculture, urban/suburban Z S %
impervious surface S %
Dominant vegetation
4.;,y,?,v,

Flooding and wetness
Hydraulic factors
steep top ographJ
itched or channelized
_ total wetland width 2100 feet
_ semipermanently to permanently
flooded or inundated
_ seasonally flooded or inundated
intermittanly flooded or temporary
surface water
no evidence of floodin¢ or surface water
Wetland type (select one)*
Bottomland hardwood forest - Pine savanna
Headwater forest Freshwater marsh
Swamp forest - Bog/fen
Wet flat Ephemeral wetland
Pocosin Carolina Bay
Bog forest - ?Other rl? e eIle,14
*the rating system cannot be ap_lied to salt or brackish marshes or str am charnels
weight

Water storage
Z x 4.00 = Wetland

A
Bank/Shoreline stabilization
Z. x 4.00 Rating
T Pollutant removal ?- * x 5.00 `
? >:> r x e s >
'
kr

I
? Wildlife habitat
I x 2.00 Y•fi ,? i <.
Aquatic life value ' x 4.00
'> y
! f>t ? t v2

G
Recreation/Education
? x 1.00 =
; t k l.t?..
*Add 1 point if in sensitive watershed and >10% nonpoint disturbance within 1/2 mile upstream,
-----upslo?e_or radius-----------------------------------------------------------------------------------------