20000903 Ver 1_Application_20000712 (2)

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DWQ ID: CORPS ACTION ID:
NATIONWIDE PERMIT REQUESTED (PROVIDE NATIONWIDE PERMIT #) 18
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PRE-CONSTRUCTION NO'I'IFICATION APPLICATION
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 TH1S COMPLETED FORM TO THE APPROPRIATE FIELD
OFFICE OF THE CORPS OF ENGINEERS (SEE AGENCY ADDRESSES SHEET). SEVEN 7
COPIES MUST BE SENT TO THE NC DIVISION OF WA'TER QUA�,ITY
ATTN: JOHN DORNEY, 4401 REEDY CREEK ROAD, RALEIGH, NC
27607. PLEASE PRINT OR TYPE.
1. OWNER'S NAME: NCDOT
2. MAILING ADDRESS: P.O. BOX. 1587
SUBDIVISION NAME:
CITY: GREENVILLE STATE: N.C. ZIP CODE: 27835 .
PROJECT LOCATION ADDRESS, INCLUDING SUBDIVISION NAME (IF DIFFERENT FROM
MAILING ADDRESS ABOVE):
SR 11�8 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 Quadran�le Lat: 77 41 �7 Lon;: 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 (ORVI�, 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 COLTNTY (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, x[F 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 ANTICIPATED WORK: �
9. (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 hi�h 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:
I 1. IF 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 1158
�a. 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. Onlv filling the areas needed to facilitate a road and safe
shoulder slope.
15. YOU ARE REQUIRED TO CONTACT THE US F[SH AND WILDLIFE SERVICE AND/OR
NATIONAL MARINE FISHERIES SERVICE REGARDING THE PRESENCE OF ANY FEDERALLY
LISTED OR PROPOSED FOR LISTING ENDANGERED OR THREATENED SPECIES OR CRITICAL
HAB[TAT 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 �(IF 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 REV[EW 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, TELEPHONE [phone].i69.
18. THE FOLLOWING ITEMS SHOULD BE INCLUDED WITH THIS APPLICATION IF PROPOSED
ACTIVITY INVOLVES THE DISCHARGE OF EXCAVATED OF FILL MATERIAL [NTO
WETLANDS:
(a) WETLAND DELINEATION MAP SHOWING ALL WETLANDS, STREAMS, LAKES, AND
PONDS ON THE PROPERTY (FORNATIONWIDE PERMIT NUMBERS 14, 18, 21, 26, 29, AND 38).
ALL STREAM (INTERMITTENT AND PERMANENT) ON THE PROPERTY MUST BE SHOWN ON
THE MAP. MAP SCALES SHOULD BE 1 INCH EQUALS 50 FEET OF 1 INCH EQUALS 100 FEET
OF THEIR EQUIVALENT.
(b) IF AVAILABLE, REPRESENTATIVE PHOTOGRAPH OF WETLANDS TO BE IMPACTED BY
PRODUCT.
(c) IF DELMEATION 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 SURROLJNDING 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 40] DIVISION OF WATER QUALITY
CERTIFICATION, AND
3. (IN THE TWENTY COASTAL COUNTIES ONLY), A LETTER FROM THE NORTH
CAROLINA D[VISION OF COASTAL MANAGEMENT STATING THE PROPOSED
ACTIVITY IS CONSISTENT WITH THE NORTH CAROLINA COASTAL MANAGEMENT
P GRAM,
G • � ��7 (//i0 n /I7 �n 7�' O �7 L2v-
O ' NT'S SIGNATURE DATE
(AGENT'S SIGNATURE VALID ONLY
IF AUTHORIZATION LETTER FROM
THE OWNER IS PROVIDED).

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�"� ►9 Ll l� ✓-T'�
DATA FORM
ROUTINE WETLAND DETERMINATION
(1987 COE Wetiands Delineation Manual)
ProjecUSite: S�_ I/ S� �a..�.l� �— _� __ _______ Date: __' /!�/�,�
------ 5� -�``� °�--
Applicant/Owner: _�IJC,po� ____________________________ County: __�.�;;ti� ____
Investigator: __� J � -����Ssrr_s-------------------- State: ---�� c -----
/ ---.
Do Normal Circumstances exist on the site? `ke�s No Community ID: �_____
Is the site significantly disturbed (Atypicai Situation)? Yes (A�I Transect ID: ________
Is the area a potential Problem Area? Yes � Plot ID: _____
If needed, ex lain on reverse.
VEGETATION
Dominant Plant Soecies Stratum Indicator pominant Plant Species Stratum Indicaror
t . G,�y���11.�b_M! �ftr_si�1��✓�B�s �4t�3.e 9.----------
-------- ----- ----
2.�.� �� r"�s,sr�------- � �-='� -Ea� �. � ,o.------------------- ------ -----
3._�c1'a,r .�I�.la.,.....� ----- I����L`a..:._ 3. � � �.-------
----------- ----- -------
:s.�3,�i/�+�-��u.cc�..------ ��-4-°�-1=scc.._3•O �z.------------------ --- -----
5.-------------------- ------ ------ 13.�---
6.--------------- -------- ------ 14.---------------- ---- ------
7.-------------------- ----- ------- 15.------------------- ----- «---
8.----------------- - t 6.-------
Percent of Dominant Species that are OBL, FACW or FAC ,��o
(=xcludin FAGi.
-----------------------------------------------
Remarks: �,v�2,Y lGl,�,� �.Q, y, j� f�r,.��,p,r.��"
J 1
HYDROLOGY
_ Recorded Data (Describe in Remarks): Wetland Hydrology Indicators:
S[ream, Lake, or Tide Gauge Primary Indicators:
Aerial Photographs _ Inundated
Other _ Saturated in Upper 12 Inches
�IQo Recorded Data Available _ Water Marfcs
Drift Lines
n Sediment Deposits
Field Observations: Drainage Patterns in Wetlands
Secondary Indicators (2 or more required):
Depth of Surface Water. '""— (in.) _ Oxidized Root Channeis in Upper 12 Inches
Water-Stained Leaves
Depth to Free Water in Pit: �oZ (in.) _ Local Soii Survey Data
FAC-Neutral Test
Depth to Saturated Soil: �[�(in.) _ Other (Explain in Remarks)
Remarks: We.�,(� l`��GiW �o S�, 1 S 11�n�" �°r'�s.�.�Ji"
B2 Appendix B Biank and Example Data Forms

/�� � � G ��
SOILS
Map Unit Name . {�� /�_ ;
(Series and Phase): ����.u. S__[/�_L_�1��2 N!lv�j� � Drainage Class: ----------
/ Field Observations
Ta�nomy (Subgroup): __�����_P�. ���(,���t'�_____ Confirm Mapped Type? Yes No
Profile Oescriotion:
�epth Matrix Color Mottle Colors Mottle Abundance/ TeMure, Concretions,
inchesl Horizon (Munse�l MoisU (Munsell Moistl Size/Contrast Structure. etc.
------- ------ --------- ----------
----------- ----------------
� —�-- --=--- - �v i �S�.c� ------------ ------------- �'"—,-`f —� --
-� !�- ---- - ���=f-�= ----- - -��""�' -�—
Fydric Soil Indicators:
Histosal 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 Hydric Soils List
_ Reducing Conditions _ Listed on National Hydric Soils List
___ Gteyed or �o�rChroma Colors __ Other (E�cplain in Remarks)
Remarks: W�,�I� So� �S c�— �lJo{� �
WETLAND DETERMINATION
Flpproved by HQUSACE 3192
Appendix 8 Blank and Example Data Forms B3

�o� G�-�
DATA FORM
ROUTINE WETLAND DETERMINATION
(1987 COE Wetlands Delineation Manual)
Project/Site: S� L/.5� L�� ��------------------- Date: __Z111�o� ----
Applicant/Owner: �l �� Z -------------------------- County: _����.-----
Investigator: __ �__%QH��,--,� ______________` State: __� _C_______
Do Normal Circumstances exist on the site? � No Community ID: _________
Is the site significantly disturbed (Atypicai Situation)? Yes 4� Transect ID: _____
Is the area a potential Problem Area? Yes � Plot ID: ________
lf needed, explain on reverse.)
VEG ETATION
Dominant Plant Soecies Stratum Indicator pominant Plant Soecies Stretum Indicator
�._� ��;��,r ��a�,�(� lJJ�c� f=.cc 3'p 9.---------------- ----- ----
2. �r���J b�i^-�------ d ✓ �l01. �a c � • ° 10.----
----- ------------- ----
------
3._�1.3QC�_�X_:LY'^_--�_ uN�_�c�c._3° 11.-------
nI��/ - -----
-- ---- -------------- ---
4._t�v �.�t'._ .,.:.. _ri �4°s►i ��C�1a_••ia%' 12.---------------
� �---/ ---- -----
o._.S�j,�� /a.�cc,�. .-s����__' 13.-------------
�---- � - 3 0
�—�- --------- ------ ---- --------
s.------------- ---- �a.--------
�.--------- ----- ---- ---- i s.----------
s.-------------------- -------- -- ---- � s.------------- -----
Percent of Dominant Species that are OBL. FACW or FAC r -
(exciudin FAC-l. �--�?-Q %p ------------------------------
Remarks: �%E�Tlct-v� G� ✓Q�a . � .S �r�S.�n,�
.J
HYDROLOGY
_ Recorded Data (Describe in Remarks): Wetland Hydrology Indicators:
Stream, Lake, or TiCe Gauge Primary Indicators:
Aerial Photographs = Inun ated
�er aturated in Upper 12 Inches
o Recorded Data Available —�V�ater ivtarks
�Jri yines
�-�� iment Deposits
Field Observations: _ rainage Patterns in Wetlands
Secondary Indicators (2 or more required):
Depth of Surface Water: �(in.) Ox�idi �od Root Channels in Upper 12 Inches
i�
�-bTater-Stained Leaves
Depth to rree Water in Pit: _� (in.) �I Soil Survey Oata
FAC-Neutral Test
Depth to Saturated Soil: 3�� (in.) _ Other (Explain in Remarks)
Remarics: �.� ���lo� �� ���
g2 Appendix B Blank and Example Data Forms

0
L� � � �-�
SOILS
Map Unit Name //� •
(Series and Phase): [/� �__ 3��;j�__5���_,�_____ Dreinage Class ____
Field Observations
Ta�nomy (Subgroup): C��..�� (��_�LJ c�� �_�-,�______ Confirm Mapped Type? Yes No
_�.���
Profile Descriction�
Oepth Matrix Color Mottle Colors Mottle Abundance! Texture, Concretions,
inches Horizon (Munsell MoiSU (Munsel� Moistl Size/Contrast Structure. etc.
------- -------- ----- -- ----------- -------------- - -- ----
- - -------
-�`�- —� ----- i��2 � - ----------- – - ---- — ���''1�a...,,=--
�_� a= ---- -��-���L- ---------- ----------- �._.� s..�..,1�1�.
Hydric Soil Indicators:
__ Histosol _ Concretions
_ Histic Epipedon __�Organic Content in Surface layer in Sandy Soils
_ Sulfidic Odor _ Organic Streaking in Sandy Soils
__ Ayyic Moisture Regime _� on Local Hydric Soils List
_✓i�educing Conditions _��ed on National Hydric Soils �ist
__ � eyed or Low-Chroma Colors __ Other (Ecplain in Remarks)
Remarks: ��-(GL,�d 5 �rc �.S �l.tl.�— r,p�'
WETLAND DETERMINATION
Hydrophytic Vegetation Present?
WeUand Hydrology Present?
Hydric Soils Present?
Remarks: /' '��/ Y _
v... �_� r�•.� o�,
�No (Circle) (Circle)
s' No
e No Is this Sampling Point Within a Wetland? �`� No
c`G� ,Da,v�.�.2�s ��-. �i�e�,�"
Approved by HQUSACE 3/92
Appendix B Blank and Example Data Forms g3

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