20000903 Ver 1_Application_20000712

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DWQ ID: CORPS ACTION ID:
NATfONW1DE PERM[T REQUESTED (PROVIDE NATIONWIDE PERMIT #) 18 R qY�FNT
F�F/�F�
PRE-CONSTRUCTION NOTIFICATION APPLIC'ATION
FOR NATIONWIDE PERMITS THAT REQUIRE:
1. NOTIFICATION TO THE CORPS OF ENGINEERS
2. APPLICATION FOR SECTION 401 CERTIFICATION
3. COORDINATION WITH THE NC DIVISION OF COASTAL MANAGEMENT
SEND THE ORIGINAL AND (1) COPY OF THIS COMPLETED FORM TO THE APPROPRIATE FIELD
OFFICE OF THE CORPS OF ENGINEERS (SEE AGENCY ADDRESSES SHEET). SEVEN i
COPIES MUST BE SENT TO THE NC I)IVISION OF WATER QUALITY,
ATTN: JOI�N DORNEY, 4401 R�EDY CREEK 120AD, RAI.EIGH, NC
27607. PLEAS� PRINT OR TYPE.
1. OWNER'S NAME: NCDOT
2. MAILING ADDRESS: P.O. BOX 158�
SUBDIVISION NAME:
CITY: GREENVILLE STATE: N.C. ZIP CODE: 27835
PROJECT LOCATION ADDRESS, INCLUDING SUBDIVISION NAME (IF D[FFERENT FROM
MAILING ADDRESS ABOVE):
SR 1158 Lenoir County
3. TELEPHONE NUMBER: (HOME) (WORK) 252-830-3490
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS,
PHONE NUMBER:
Jav Johnson. NCDOT Division 2 Environmental Officer.
5. LOCATION OF WORK (PROVIDE A MAP, PREFERABLY A COPY OF USGS TOPOGRAPHIC MAP
OR AERIAL PHOTOGRAPHY WITH SCALE):
COUNTY: Lenoir - NEAREST TOWN: Albrittons •
USGS TOPO Deep Run Quadrangle Lat: 77 41 �7 Long: 3� 10 28
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ECT.) SR 1158 off NC 11
6. IMPACTED OR NEAREST STREAM/RIVER: Horse Branch RIVER BASIN: Neuse
✓(a) IS PROJECT LOCATED NEAR WATER CLASSIFIED AS TROUT, TIDAL SALTWATER, (SA), HIGH
QUALITY WATERS (HQW), OUTSTANDING RESOURCE WATERS (ORW), WATER SUPPLY (WS-I
OR WS-II)? YES � NO x IF YES, EXPLAIN:
(b) IS THE PROJECT LOCATED WITHIN A NORTH CAROLINA DIVISION OF COASTAL
MANAGEMENT AREA OF ENVIRONMENTAL CONCERN (AEC)? YES ❑ NO x
(c) IF THE PROJECT IS LOCATED WITHIN A COASTAL COUNTY (SEE PAGE 7 FOR LIST OF
COASTAL COUNTIES), WHAT IS THE LAND USE PLAN (LUP) DESIGNATION? N/A

8. ,(a) HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS
PROJECT? YES � NO �c IF YES, PROVIDE ACTION I.D: NUMBER OF PREVIOUS PERMIT AND
ANY ADDITIONAL INFORMATION ( INCLUDE PHOTOCOPY OF 401 CERTIFICATION):
(b) ARE ADDITIONAL PERMIT REQUESTS EXPECTED FOR THIS PROPERTY IN THE FUTURE?
YES � NO x IF YES, DESCRIBE ANT[C[PATED WORK:
(a) ESTIMATED TOTAL NUMBERS OF ACRES IN TRACT OF LAND: N/A
(b) ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE:
> 1 Acre
10. (a) NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT BY:
FILLING:.06 EXCAVATION:
FLOODING: OTHER :
DRAINAGE : TOTAL ACRES TO BE IMPACTED: .06
(b) (1) STREAM CHANNEL TO BE IMPACTED BY THE PROPOSED PROJECT (IF RELOCATED,
PROVIDE DISTANCE BOTH BEFORE AND AFTER RELOCATION:
LENGTH BEFORE: FT AFTER: FT
WIDTH BEFORE (based on normal high water contours): FT
AVERAGE DEPTH BEFORE: 1 FT AFTER: 1 FT
(b) (2) STREAM CHANNEL IMPACTS WILL RESULT FROM: (CHECK ALL THAT APPLY)
OPEN CHANNEL RELOCATION: PLACEMENT OF PIPE IN CHANNEL:
CHANNEL EXCAVATION: CONSTRUCTION OF A DAM/FLOODING:
OTHER:
1 L [F CONSTRUCTION OF A POND IS PROPOSED, WHAT IS THE SIZE OF THE WATERSHED .
DRAINING TO THE POND? WHAT IS THE EXPECTED POND SURFACE AREA?
12. DESCRIPTION OF PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF MECHANICAL
EQUIPMENT TO BE USED? (ATTACH PLANS; 81/2 BY 11 DRAWINGS ONLY)
Grade, Base, and Pave road SR 1158 to end
13. PURPOSE OF PROPOSED WORK: To widen and pave SR 1 158
ia. STATE REASONS WHY IT IS BELIEVED THAT THIS ACTIVITY MUST BE CARRIED OUT IN
WETLANDS ( INCLUDE ANY MEASURES TAKEN TO MINIMIZE WETLAND IMPACTS)
There are wetlands on each side of the road. Only filling the areas needed to facilitate a road and safe
shoulder slope.
13. YOU ARE REQUIRED TO CONTACT THE US FISH AND WILDLIFE SERVICE AND/OR
NAT[ONAL MARINE FISHERIES SERVICE REGARDING THE PRESENCE OF ANY FEDERALLY
LISTED OR PROPOSED FOR LISTING ENDANGERED OR THREATENED SPECIES OR CRITICAL
HABITAT IN THE PERMIT AREA THAT MAY BE AFFECTED BY THE PROPOSED PROJECT.
DATE CONTACTED: 6/26/2000
16. YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICER
(SHPO) REGARDING THE PRESENCE OF HISTORIC PROPERTIES IN THE PERMIT AREA
WHICH MAY BE AFFECTED BY THE PROPOSED PROJECT. DATE CONTACTED 6/23/2000.

17. DOES THE PROJECT INVOLVE AN EXPENDITURE OF PUBLIC FUNDS OT THE USE OF PUBLIC
(STATE) LAND? YES � NO �([F NO, GO TO 16)
(a) IF YES, DOES THE PROJECT REQUIRE PREPARATION OF AN ENVIRONMENTAL
DOCUMENT PURSUANT TO THE REQUIREMENTS OF THE NORTH CAROLINA
ENVIRONMENTAL POLICY ACT? YES � NO �
(b) IF YES, HAS THE DOCUMENT BEEN REVIEWED THROUGH THE NORTH CAROLINA
DEPARTMENT OF ADMINISTRATION STATE CLEARINGHOUSE YES � NO �
IF ANSWER 17b IS YES, THEN SUBMIT APPROPRIATE DOCUMENTATION FROM THE STATE
CLEARINGHOUSE WITH THE NORTH CAROLINA ENVIRONMENTAL POLICY ACT.
QUESTIONS REGARDING THE STATE CLEARINGHOUSE REVIEW PROCESS SHOULD BE
DIRECTED TO MS. CHRYS BAGGETT, DIRECTOR STATE CLEARINGHOUSE, NORTH
CAROLINA DEPARTMENT OF ADMINISTRATION, 116 WEST JONES STREET, RALEIGH,
NORTH CAROLINA 27603-8003, TELEPI-IONE [phone].
18. THE FOLLOWING ITEMS SHOULD BE INCLUDED WITH THIS APPLICATION IF PROPOSED
ACTIVITY INVOLVES THE DISCHARGE OF EXCAVATED OF FILL MATERIAL INTO
WETLANDS:
(a) WETLAND DELINEATION MAP SHOWING ALL WETLANDS, STREAMS, LAKES, AND
PONDS ON THE PROPERTY (FOR NATIONWIDE PERMIT NUMBERS 14, 18, 21, 26, 29, AND ,i8).
ALL STREAM (INTERMITTENT AND PERMANENT) ON THE PROPERTY MUST BE SHOWN ON
THE MAP. MAP SCALES SHOULD BE 1 INCH EQUALS �0 FEET OF 1 INCH EQUALS 100 FEET
OF THEIR EQUIVALENT.
(b) IF AVAILABLE, REPRESENTATIVE PHOTOGRAPH OF WETLANDS TO BE IMPACTED BY
PRODUCT.
(c) IF DELINEATION WAS PERFORMED BY A CONSULTANT, INCLUDE ALL DATA SHEETS
RELEVANT TO THE PLACEMENT OF THE DELINEATION LINE.
(d) ATTACH A COPY OF THE STORMWATER MANAGEMENT PLAN IF REQUIRED.
(e) WHAT IS LAND USE OF SURROUNDING PROPERTY? Residential
(fl IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL? N/A
SIGNED AND DATED AGENT AUTHORIZATION LETTER, IF APPLICABLE.
NOTE: WETLANDS OR WATERS OF THE US MAY NOT BE IMPACTED PRIOR TO:
1. ISSUANCE OF A.SECTION 404 CORPS OF ENGINEERS PERMIT,
2. EITHER THE ISSUANCE OR WAIVER OF A 401 DIVIS[ON OF WATER QUALITY
CERTIFICATION, AND
3. (IN THE TWENTY COASTAL COUNTIES ONLY), A LETTER FROM THE NORTH
CAROLINA DIVISION OF COASTAL MANAGEMENT STATING THE PROPOSED
ACTNITY IS CONSISTENT WITH THE NORTH CAROLINA COASTAL MANAGEMENT
PR GRAM,
:�i G �/'! (//l•� n.m��.. Y� � d^.f'iLa.v- .
O ' / NT'S SIGNATURE DATE
(AGENT'S SIGNATURE VALID ONLY
IF AUTHORIZATION LETTER FROM
THE OWNER IS PROVIDED). �

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�4 ►9 � G �
DATA FORM
ROUTINE WETLAND DETERMINATION
(1987 COE Wetlands Delineation Manual)
Project/Site: S� I/ S c� _��i,..— _�,,________________ Date: ��!���??�Q�__
Applicant/Owner: _�UC�o� ------------------------ County: --��,,L� ----
Investigator: ___,1 JQ I�„ism_________—___________ State: ___�= c_____
�
Do Normal Circumstances exist on the site? `(� No Community ID: __`_____
Is the site significantly disturbed (Atypical Situation)? Yes (� Transect ID: ________
Is the area a potential Problem Area? Yes � Plot ID: ________
(If needed, ex lain on reverse.)
VEG ETATIO N
Dominant Plant Soecies Stratum Indicaror pominant Plant Soecies Stratum Indicator
1._G�y,s+�im�ai%�f.d±s:�k.ti�v_B� —Cla,G 3.0 9.------------------ ----- -------
2.�., �> 1��,�------ �-'�-'-�/' -Ea.:: �. � �o.
----------------- ; --- -------
3._� �, ,j�� �...� ----- �_��`ga:.,_ 3• ° 11.------------------ ------ ------
�.�w��' �. ,. � ------ i�_4�6 -lcc c. _3 • ° � z.---------
5.----------------- - 13.-----------
6.------------------- -------- ------ 14.---------------
7.------------------ ---- ------ 15.-----------
8.------------------- ------ ------ 16.-----------
Percent of Dominant Species'that are OBL, FACW or FAC >�,o
(excludina FAC-1.
---------------------------------------------
Remarks: V,.r2,T�ilM„� �/�y j ) p�-e.c„y.�.y�
a � !
HYDROLOGY
_ Recorded Data (Describe in Remarks): W etland Hydrology Indicators:
_ Stream, Lake, or Tide Gauge P�imary IndiC0t0�5:
P,erial Photographs _ Inundated
Other _ Saturated in Upper 12 Inches
!�Qo Recorded Data Available Water Marks
Drift Lines
Sediment Deposits
Field Observations: Drainage Patterns in Wetlands
Secondary Indicators (2 or more required):
Depth of Surface Water: '"'� (in.) _ Oxidized Root Channels in Upper 12 Inches
Water-Stained Leaves
Depth to Free Water in Pit: �oi {in.) � _ Local Soii Survey Data
FAC-Neutrel Test
Depth to Saturated Soil: �/�(in.) _ Other (Explain in Remarks)
Remarks: Ll1 ¢•t'� b'/'� w[ o.Sr � S !lf o�" P✓'� �
B2 Appendix B Blank and Example Data Forms

�� � � � ��
SOILS
Map Unit Name � �,/� /�__ '
(Series and Phase): �N��. �t- _S L�' ��l���Z S�Y��1! -_ � Drainage Class:
/J j� Field Observations
Taxnnomy (Subgroup): __�����_[=GL � Q,�(��_���_____ Conivm Mapped Type? Yes No
Profile Descriotion:
Depth Matrix Color Mottle Colors Mottle Abundance/ Texture, Concretions,
inche Horizon (Munsell Moist) (Munsell Moistl SizelContrast Structure. etc.
------- ------ --------- ----------- ------------- -----�-----------
�—�- ------ - �a �5��? ----------- -------------- �c�^- � _
-�--!-�?- ---- -!�✓c_' �°-� ----=--- — ------ -- 7'----- - -
— — -��' �—
I-fydric Soil Indicators:
__ Histosol _ Concretions
_ Histic Epipedon _ High Organic Content in Surface Layer in Sandy Soils
^ Sulfidic Odor _ Organic Streaking in Sandy Soils
__ Aquic MoisWre 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: (JJ�.� (� S �i ( S GW„q_ N o{- ���-v.JS
WETLAND DETERMINATION
Approved by HQUSACc 3/92
Appendix B Blank and Example Data Forms g3

�o� C��
DATA FORM
ROUTINE WETLAND DETERMINATION
(1987 COE Wetlands Delineation Manual)
.
Project/Site: S� L�S� L_��� r� �_--------------- = Date: _1�1 Q°--�--
Applicant/Owner: �v_�� Z ________________________ County: __�o.�Q�,.. _____
Investigator: _ �__./�I���,�_________�___`__ State: __Lt_J__C _______
Do Normal Circumstances exist on the site? � No Community ID: _________
Is the site significantly disturbed (Atypical Situation)? Yes i� Transect ID: ________
Is the area a potential Problem Area? Yes � Plot ID: ________
�f needed, explain on reverse.)
l�x�I��ii[�7:1
Dominant Plant Soecies Stretum Indicator pominant Plant Soecies Stretum Indicator
1._�1u�4+�-��i�tC.�i�i%✓_�iL�. f�tG 3'p 9.---------
---------- ----- ----
2. �ta��J b�^-a-------- d � �jjv1. /�-�a c _ • ° 10.----------------- ---- -------
3.���i�C�_�1��r-±------ ti"—��–f-'�c'-3� 11.---
--------------- ----- -----
`�'t`'° �----��1 �z1�..�?a/- � 2.------------------- ---- ------
a._ •_ .,�... _� �, �
5._5��1 /a ,« �{�.._,s�� �n,;G_3• ° �s.------------------ ----- -------
a
o.------------------- --- -- – 1a.-------
7. 15.
8. 16.
Percent of Dominant Species that are OBL. FACW or FAC
(excludin, FAC-). �__�Q �
----� -----------------------------
Remarks: ,1,�%�T'l.:.�+i� G` �/� i J`! �r^G5�,�
HYDROLOGY
_ Recorded Data (Describe in Remarks): Wetland Hydrology Indicators:
Stream, Lake, or Tide Gauge Primary Indicators:
A.eriai Photographs = Inun ated
�er aturated in Upper 12 Inches
o Recorded Data Available �i�ater Marks
�B'n�ines
��ediment Deposits
Field Observations: _ rainage Patterns in Wetlands
Secondary Indicators (2 or more required):
Depth of Surface Water: '"—' (in.) _ Oxidi d Root Channels in Upper 12 Inches '
/ /� ater-Stained Leaves
Depth to Free Water in PiL �(in.) �I Soil Survey Data
FAC-Neutral Test
Depth to Saturated Soil: 3�, (in.) _ Other (Expiain in Remarks)
Remarks: ��.� �,/ ��loC� � �� ����"
/ I �-Y
B2 Appendix B Blank and ExampleData Forms

�d � � ��
SOILS
Map Unit Name /J�J� - ,,�/ I[�
(Series and Phase): [!id�(��S__ Z!'7YJ_s`1L�1i--S-Q;�-�------ Drainage Ctass: ----
�� Field Observations
Taxonomy (Subgroup): Cy�;r...� � S��,LJ c�.��_}-„�_____ Confirm Mapped Type? Yes No
Profile Descriotion:
Depth Matrix Color Mottle Colors Mottle Abundance/ TeMUre, Concretions,
inches Horizon Lnsell Moistl {Munsell Ntoist) Size/Contrast Structure, etc.
------- ------- ------ -- ---------- ----------- - -- ------- --
Q=� ------ ��� � - ------------ ---------- s?�,���1�----
�g=�a ---- -�°-�?�L- -------- ---------- �.�,a s.�1��
Hydric Soil Indicators:
Histosol Concretions �
_ Histic Epipedon �cM� Organic Content in Surface Layer in Sandy Soils
_ Sulfidic Odor _ Organic Streaking in Sandy Soils
A9W c Moisture Regime � on �ocal Fiydric Soils List
✓f�educing Conditions ted on National Hydric Soils List
_�ed or Low-Chroma Colors __ Other (Explain in Remarks)
Remarks: ��/G4.�d S crc �.S Cl,�/"�- yp,�.�^„�
WETLAND DETERMINATION
Approved by HQUSACE 3192
Appendix B Blank and Example Data Forms B3

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