20011087 Ver 1_Complete File_20010713

WArF Michael F. Easley, Governor
O?? RQG William G. Ross Jr., Secretary -
North Carolina Department of Environment and Natural Resources
\
co r Gregory J. Thorpe, Ph.D.
> Acting Director
p Division of Water Quality
August 9, 2001
Rockingham County
DWQ Project No. 011087
Extension of a 24-inch RCP under SR 1382 (Quarter Road)
APPROVAL of 401 Water Quality Certification with Additional Conditions
Mr. John B. Hunsinger, District Engineer
NCDOT Division 7 --
1584 Yanceyville Street
Greensboro, NC 27415
Dear Mr. Hunsinger:
You have our approval, in accordance with the attached conditions and those listed below, to
permanently impact 0.015 acres of wetlands and 4 linear feet of stream, and temporarily impact 20
linear feet of Pawpaw Creek for the purpose of upgrading SR 1382 (Quarter Road) in Rockingham
County. The project must be constructed in accordance with your application dated 25 June 2001.
After reviewing your application, we have decided that this project is covered by General Water
Quality Certification Number 3289. This certification corresponds to Nationwide Permit 14 issued by
the Corps of Engineers. In addition, you must 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. For this
approval to be valid, you must follow the conditions listed in the attached 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 DWQ and submit a new
application. If the property is sold, the new owner must be given a copy of this Certification and
approval letter, and is thereby responsible for complying with all the conditions. If the proposed fill
is in excess of 150 linear feet of stream length or 1 acre of wetlands, compensatory mitigation will
required as described in 15A NCAC 2H.0506 (h) (6) and (7). For this approval to be valid, you must
follow the conditions listed in the attached certification and any additional conditions listed below.
1. Nonpoint Source and Stormwater Pollution requirements for WS-IV Waters as specified in 15A
- - -- - NCAC 213 ,0216.- -
2. Sedimentation and Erosion Control Guidelines for Sensitive Watersheds (15A NCAC 413 .0024)
must be implemented prior to any ground-disturbing activities to minimize impacts to
downstream aquatic resources. Temporary or permanent herbaceous vegetation must be planted
on all bare soil within 10 days of ground-disturbing activities to provide long term erosion
control.
3. The culvert required for this project shall be installed in such a manner that the original stream
profile is not altered (i.e. the depth of the channel must not be reduced by a 'widening of the
streambed). Existing stream dimensions are to be maintained above and below locations of
culvert extensions.
4. All work shall be performed during low flow conditions.
North Carolina Division of Water Quality, 401 Wetlands Certification Unit,
1650 Mal Service Center, Raleigh, NC 27699-1650 (Mailing Address)
2321 Crabtree Blvd., Raleigh, NC 27604-2260 (Location)
919-733-1786 (phone), 919-733-6893 (fax), hftp://h2o.enr.state.nc.us/ncwebands/
5. 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.
6. 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.
7. Existing vegetated buffers shall not be mowed in order to utilize it for storm water sheet flow.
8. Use of rip-rap for bank stabilization is to be minimized; rather, native vegetation is to be planted
when practical. If necessary, rip-rap must be limited to the stream bank below the high water
mark, and vegetation must be used for stabilization above high water.
Upon completion of the project, the NCDOT shall complete and return the enclosed
"Certificate of Completion" form to notify NCDWQ 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 NC 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 that 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 telephone Ms. Cynthia: Van Der Wiele`at 919=733-9646
or Ms Jennifer. Frye of the Winston-Salem Regional Office at 336.7714600.
I"AI
Ph.D.
Attachment
Pc: Wilmington District Corps of Engineers
Corps of Engineers Raleigh Field Office
NCDWQ Winston-Salem Regional Office
Central Files
File Copy
.t
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EAsLEY 1584 YANCEYMLE STREET, GREENSBORO, NC 27415 LYNDo TIPPETT
GOVERNOR SECRETARY
June 25, 2001
NC DENR Division of Water Qualify
1650 Mail Service Center
Raleigh, NC 27699
3
ATTN: Ms. Cynthia Van der Wiele 011087
Wetlands/401 Unit
Dear Ms. Van der Wiele:
SUBJECT: Rockingham County, Extension of a 24-inch Reinforced Concrete Pipe (RCP) under
Quarter Road (SR 1382).
Please find seven copies a Pre-Construction Notification Application package for the aforementioned
activity. If you have any questions or need any additional information, please contact John
Hunsinger at [phone] or Len Smith at [phone]. Your time and effort are appreciated.
Sincerely,
?6 .
,..J
ohn n B. Hunsinger
District Engineer
cc: Mrs. Jean Manuele, USACE
Mr. Lenwood Smith, II, NCDOT
0 Y10/0j
PAYMENT
RECEIVED
PHONE [phone] FAX [phone]
.f ,
ssS?o-?
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY 1584 YANCEYVILLE STREET, GREENSBORO, NC 27415 LYNDO TIPPETT
GOVERNOR SECRETARY
June 25, 2001
U.S. Army Corps of Engineers
Regulatory Field Office
6508 Falls of the Neuse Road, Suite 105
Raleigh, North Carolina 27615
ATTN: Mrs. Jean Manuele
NCDOT Coordinator
Dear Mrs. Manuele:
SUBJECT: Rockingham County, Extension of a 24-inch Reinforced Concrete Pipe (RCP) under
Quarter Road (SR 1382).
The North Carolina. Department of Transportation (NCDOTyah roposes to replace one (1) line of 56-
feet long 24-inch RCP with one (1) line of 60-feet long 36? RCP in the Unnamed Tributary to
Pawpaw Creek shown on the attached USGS 7.5-Minute Series topographic map. This activity is
being conducted as part of a project to upgrade SR 1382 from an unpaved to a paved secondary
road to reduce future maintenance needs and increase traffic safety. Permanent impacts will result
from the placement of fill in 4 linear feet of channel. The placement rock silt darns within 10 feet of
the pipe on both the upstream and downstream side will result in a total of 20 linear feet of
temporary impacts.
No activities will occur in Pawpaw Creek because of the secondary road upgrade. No Wetlands,
High Quality Waters, or Outstanding Resource Waters occur in the project area. No Threatened or
Endangered species were observed during surveys conducted by Lenwood Smith, II or Tim Savidge.
Records from the NCDOT Historic Architect indicate compliance with the National Historic
Preservation Act.
The NCDOT anticipates that pipe replacement activity will be authorized under Nationwide Permit
14 and the dewatering operation will be authorized under NWP 33. This application is intended as a
request for formal written authorization from the USACE to dewater the stream under NWP 33.
This application is also intended as request for written authorization from the NC Division of Water
Quality to replace the bridge under General Water Quality Certificate # 3289 (NWP 14). Enclosed
please find the project site map and the pre-construction notification form for the above referenced
project. Construction is anticipated to begin as soon as practicable following authorization and take
three weeks to complete.
PHONE [phone] FAX [phone]
4
daaSTATFo
y
Qorrv?
STATE OF NORTH CAROLINA
DEPARTNMNT OF TRANSPORTATION
MICHAEL F. EASLEY 1584 YANCEYVILLE STREET, GREENSBORO, NC 27415
GOVERNOR
LYNDO TIPPETT
SECRETARY
If you have any questions or need any additional information, please contact John Hunsinger at (336)
634-5644 or Len Smith at [phone]. Your time and effort are appreciated.
Sincerely,
John B. Hunsinger
District Engineer
cc: Ms. Cynthia Van Der Wiele, NCDWQ
Mr. Lenwood Smith, II, NCDOT -,?Pt
6 -/ 10/01
PHONE [phone] FAX [phone]
Ad,40
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Pre-Construction Notification (PCN) Application Form
For Section 404 and/or Section 10 Nationwide, Regional and General Permits, Section 401
General Water Quality Certifications, and Riparian Buffer and Watershed Buffer Rules
This form is to be used for projects qualifying for any of the U.S. Army Corps of Engineers' (USACE)
Nationwide, Regional or General Permits as required by Section 404 of the Clean Water Act and/or
Section 10 of the Rivers and Harbors Act, and for the North Carolina Division of Water Quality's
(DWQ) associated General 401 Water Quality Certifications. This form is also to be used for any
project requiring approval under any Riparian Buffer Rules implemented by the N.C. Division of Water
Quality. This form should not be used if you are requesting an Individual 404 Permit or Individual 401
Water Quality Certification. The USACE Individual Permit application form is available online at
http ://www. saw. usace. army. mil/wetlands/Perm-app. htm.
The USACE is the lead regulatory agency. To review the requirements for the use of Nationwide,
Regional or General permits, and to determine which permit applies to your project, please go to the
USACE website at http://www.saw.usace.a=.mil/wetlands/regtour.ht m, or contact one of the field
offices listed at the end of this application. The website also lists the responsible project manager for
each county in North Carolina and provides additional information regarding the identification and
regulation of wetlands and waters of the U. S.
The DWQ issues a corresponding Certification (General or Individual), and cannot tell the applicant
which 401 Certification will apply until the 404 Permit type has been determined by the USACE.
Applicants are encouraged to visit DWQ's 401/Wetlands Unit website at
http://h2o.enr.state.nc.us/ncwetlands to read about current requirements for the 401 Water Quality
Certification Program and to determine whether or not Riparian Buffer Rules are applicable. The
applicant is also advised to read the full text of the General Certification (GC) matching the specific 404
Permit requested. In some cases, written approval for some General Certifications is not required,
provided that the applicant adheres to all conditions of the GC. Applicants lacking access to the internet
should contact DWQ's Central Office in Raleigh at [phone].
Trout Waters Coordination - Special coordination with the North Carolina Wildlife Resources
Commission (NCWRC) is also required for projects occurring in any of North Carolina's twenty--five
counties that contain trout waters. In such cases, the applicant should contact the appropriate NCWRC
regional coordinator (listed by county on the last page of this application).
Page l of 11
CAMA Coordination - If the project occurs in any of North Carolina's twenty coastal counties (listed on
the last page of this application) the applicant should also contact the North Carolina Division of Coastal
Management (DCM) at [phone]. DCM will determine whether or not the project involves a
designated Area of Environmental Concern, in which case DCM will act as the lead permitting agency.
In such cases, DCM will require a Coastal Area Management Act (CAMA) Permit and will coordinate
the 404/401 Permits.
USACE Permits - Submit one copy of this form, along with supporting narratives, maps, data forms,
photos, etc. to the applicable USACE Regulatory Field Office (addresses are listed at the end of this
application). Upon receipt of an application, the USACE will determine if the application is complete as
soon as possible, not to exceed 30 days. This PCN form is designed for the convenience of the applicant
to address information needs for all USACE Nationwide, Regional or General permits, as well as
information required for State authorizations, certifications, and coordination. Fully providing the
information requested on this form will result in a complete application for any of the USACE
Nationwide, Regional or General permits. To review the minimum amount of information that must be
provided for a complete PCN for each USACE Nationwide permit, see Condition 13, 65 Fed.Reg. 12893
(March 9, 2000), available at http://www.saw.usace.army.mil/wetlands/nnfinalFedReg.pdf.
Processing times vary by permit and begin once the application has been determined to be complete.
Please contact the appropriate regulatory field office for specific answers to permit processing periods.
401 Water Quality Certification or Buffer Rules - All information is required unless otherwise stated
as optional. Incomplete applications will be returned. Submit seven collated copies of all USACE
Permit materials to the Division of Water Quality, 401/Wetlands Unit, 1650 Mail Service Center,
Raleigh, NC, 27699-1650. If written approval is required or specifically requested for a 401
Certification, then a non-refundable application fee is required. In brief, if project impacts include less
than one acre of cumulative wetland/water impacts and less than 150 feet cumulative impacts to
streams, then a fee of $200 is required. If either of these thresholds is exceeded, then a fee of $475 is
required. A check made out to the North Carolina Division of Water Quality, with the specific name of
the project or applicant identified, should be stapled to the front of the application package. For more
information, see the DWQ website at http://h2o.ehnr.state.nc.us/ncwetlands/fees.html. The fee must be
attached with the application unless the applicant is a federal agency in which case the check may be
issued from a separate office. In such cases, the project must be identifiable on the U. S. Treasury check
so that it can be credited to the appropriate project. If written approval is sought solely for Buffer Rules,
the application fee does not apply, and the applicant should clearly state (in a cover letter) that only
Buffer Rule approval is sought in writing. Wetlands or waters of the U. S. may not be impacted prior to
issuance or waiver of a Section 401 Water Quality Certification. Upon receipt of a complete application
for a 401 Certification, the Division of Water Quality has 60 days to prepare a written response to the
applicant. This may include a 401 Certification, an on-hold letter pending receipt of additional
requested information, or denial.
Page 2 of 11
Office Use Only: Form Version April 2001
USACE Action ID No. DWQ No. 011087
If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A" rather than
leaving the space blank.
L Processing
1. Check all of the approval(s) requested for this project:
® Section 404 Permit
? Section 10 Permit
® 401 Water Quality Certification
? Riparian or Watershed Buffer Rules
2. Nationwide, Regional or General Permit Number(s) Requested: 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 (see section VIII - Mitigation), check here: ?
H. Applicant Information
L Owner/Applicant Information
Name: Mr. J.M. Mills. PE. Division Engineer - Division 7
Mailing Address: 1584 Yanceyville Street
Greensboro. NC 27415
Telephone Number: [phone] Fax Number: (336) 3343673
E-mail Address: -mmills@ ot.state.nc.us
2. Agent Information (A signed and dazed copy of the Agent Authorization letter must be
attached if the Agent has signatory authority for the owner/applicant.)
Name: Mr. John B. HunsiWer District 3 Engineer
Company Affiliation: NCDOT - Division 7
Mailing Address: P.O. Box 2513
Reidsville, NC 27323-2513
Telephone Number: [phone] Fax Number. [phone]
E-mail Address: ihunsinger0dot.state.nc.us
Page 3 of 11
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. 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 ofproject: Rockingham CournV - Quarter Road (SR 1382)
2. T.I.P. Project Number (NCDOT Only): 6.512549 (Non TIP)
3. Property Identification Number (Tax PIN): N/A
4. Location
County: Roc ' gham Nearest Town: Stoneville
Subdivision name (include phase/lot number): N/A
Directions to site (include road numbers, landmarks, etc.): Site A is located
approximately 640 feet north of the intersection of Quarter Road (SR 1328) and Smith Road
(SR 1360)
5. Site coordinates, if available (UTM or Lat/Long): 17 593076 E 4040512 N
(Note - If project is linear, such as a road or utility line, attach a sheet that separately lists the
coordinates for each crossing of a distinct waterbody.)
6. Describe the existing land use or condition of the site at the time of this application:
Residential and agricultural
7. Property size (acres): N/A
8. Nearest body of water (stream/river/sound/ocean/lake): Pawpaw Creek
9. River Basin:_ Roanoke
(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/m4ps/.)
Page 4 of 11
10. Describe the purpose of the proposed work: Upgrade of an unpaved secondary road to a
paved secondary road.
11. List the type of equipment to be used to construct the project: Road construction equipment
12. Describe the land use in the vicinity of this project: Irregularly mowed lawn and roadside
shoulder.
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.
N/A
V. Future Project Plans
Are any additional permit requests anticipated for this project in the future? 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. 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
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 5 of I 1
1. Wetland Impacts
Wetland Impact
Site Number
(indicate on map)
Type of Impact* Area of
Impact
(acres) Located within
100-year Floodplain**
(yes/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
(MW, or FEMA-approved local floodplain maps. Maps are available through the FEMA Map Service Center at 1-800-358-9616, or
online athtti)://www.fem&go .
*** List a wetland type that best describes wetland to be impacted (e.g., freshwaterisaltwater marsh, forested wetland, beaver pond,
Carolina Bay, bog, etc.)
List the total acreage (estimated) of existing wetlands on the property: 0.015
Total area of wetland impact proposed: 0.015 acres
2. Stream Impacts, including all intermittent and perennial streams
Stream Impact
Site Number
indicate on ma
Type of Impact* Length of
Impact
linear feet
Stream Name** Average Width
of Stream
Before Impact Perennial or
Intermittent?
lease specify)
1382 Site A lac meat 20 (pm) >JT to Pawpaw Creek 2" Perennial

* 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 relocated streams must 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.usss.QOV. Several internet sites also allow direct download and printing of USGS maps (e.g., www.topozone.com,
www.mapquest.com, etc.
Cumulative impacts (linear distance in feet) to all streams on site: 4-permanent (pm), 20
tempQrartr (trop)
Paget of 11
3. Open Water Impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any
other Water of the U.S.
Open Water Impact
Site Number
indicate on ma
Type of Impact* Area of
Impact
(acres) Name of Waterbody
(if applicable) Type of Waterbody
(lake, pond, estuary, sound,
bay, ocean, etc.
N/A

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: fill, excavation, dredging,
flooding, drainage, bulkheads, eta
4. 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, trout pond,
local stormwater requirement, etc.): 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.
Pipe replacement activities and widening activities are necessary to increase travel lane and
shoulder width to current construction standards. The existing crosslines must be reset in order
to restore aq t4ki life movement Imppgs will be minimized by strict enforcement of Best
Management Practices for the protection of wetlands and surface waters, and restrictions against
the sta&ng_of equipment in or adjacent to waters of the US.
Page 7 of I I
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
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/stnngide.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 offske), 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 Cumulative impacts are less than 150 feet
The j=ggis are not occurring in High Quality or Outstanding Resource Waters or a unique
wetland type. Burial of the pipe to 7.2 inches below the stream bed will restore aquatic life
movement in the stream being_unpacted.
Page 8 of 11
2. Mitigation may also be made by payment into the North Carolina Wetlands Restoration
Program (NCWRP) with the NCWRP's written agreement. Check the box indicating that
you would like to pay into the NCWRP. Please note that payment into the NCWRP must be
reviewed and approved before it can be used to satisfy mitigation requirements. Applicants
will be notified early in the review process by the 401/Wetlands Unit if payment into the
NCWRP is available as an option. For additional information regarding the application
process for the NCWRP, check the NCWRP website at http://h2o.enr.state.nc.us/wro/l*ndex.htrn. 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): N/A
Amount of buffer mitigation requested (square feet): N/A
Amount of Riparian wetland mitigation requested (acres): N/A
Amount of Non-riparian wetland mitigation requested (acres): N/A
Amount of Coastal wetland mitigation requested (acres): N/A
UL Environmental Documentation (DWQ Only)
Does the project involve an expenditure of public funds or the use of public (federallstate/local)
land?
Yes ® No ?
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 ?
X. Proposed Impacts on Riparian and Watershed Buffers (DWQ Only)
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 ® If you answered "yes", provide the following information:
Page 9 of 11
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.
*
Zane Impact
(square feet
Multiplier Required
Mitigation
1 3
2 1.5
Total
* Zane 1 extends out 30 feet perpendicular from near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.
XL
XH.
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.
N/A
Stormwater (DWQ Only)
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.
In accordance with the Eebruary 25.1991 delegation agreement one copy of the sediment and
erosion control plan will be submitted to DENR - Division of Land Resources and NCDOT
Roadside Environmental Prior to construction.
Sewage Disposal (DWQ Only)
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.
X11L Violations (DWQ Only)
Is this site in violation of DWQ Wetland Rules (I 5A NCAC 2H.0500) or any Buffer Rules?
Yes ? No ?
Is this an after-the-fact permit application?
Yes ? No ?
Page 10 of 11
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, dazes associated with Endangered and
Threatened Species, accessibility problems, or other issues outside of the applicant's control).
A611cant/Agent's Signature ° Bate "
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 11 of 11
NATURAL RESOURCE EVALUATION SHEET
State Project # - SR Number Road Name Coun Investi ator s
6.512549 1382 Quarter Road Rockingham Len Smith
Date: River Basin: Water Quality Designation Buffer Rules (Y/1)
09/28/00 Roanoke WS-N No
Primary Land Use Percent Residential Percent Agricultural: Percent Undeveloped:
Agriculture 20 20 60
Waters of the US
Streams
Station Stream Name Perennial or
Intermittent Ave. Wdth
(OHWM) Ave. Dpth
OHWM Ave. Wdth
TOB Ave. Dpth
OB Notes
00+70 Pawpaw Creek Perennial 16' 2' 20' 5'
06+40 UT to Pawpaw
Creek Perennial* 2' 1' 3' 5'

OHWM = Measurements made from Ordinary High Water Marker, TOB =Measurements made from the
Top of the Bank.
Wetlands

M.M. Within 100-year
Floodplain Distance to
Nearest Stream
linear feet
Cowardin Classification
Dominant Plants

Open Water

M.M. Name of Waterbody
if applicable) Type of
Waterbod
M'" Name of Waterbody
if applicable) Type of Waterbody

General Notes/Comments:
Division P-nvironmental ate
ENDANGERED SPECIES REVIEW FOR DIVISION 7
DISTRICT 3
State Project # SR Number Road Name County
6.512549 1382 Quarter Road Rockingham
Caswell County
James spinymussel (Pleurobema collina) - Roanoke Basin
Habitat Survey Date Investigator(s) Man-hours Comments/Findings
N/A
Rockingham County
Smooth Coneflower (Echinacea laeviQata) Mav be surveved for from June to September
I Habitat Survey Date Investigator(s) Man-hours Comments/Findings
No 09/28/00 Len Smith 3.0
James spinymussel (Pleurobema collina) - Roanoke Basin
Habitat Survey Date Investigator(s) Man-hours Comments/Findings
Poor 11/29/00 Len Smith & Tim Savidge 4.0 Highly embedded channel. Poor
habitat.
Potential Species (Listed in Nearby Counties)
Schweinitz's sunflower (Helianthus schweinitzii)-- Rockingham County - May be surveyed for from late
August to October
Habitat Survey Date Investigator(s) Man-hours Comments/Findings
No 09/28/00 Len Smith 3.0
Small anthered bittercress (Cardamine micranthera) - Rockingham and Caswell Counties (Roanoke Basin)
Mav be surveved for in Aoril and Mav
Habitat Survey Date Investigator(s) Man-hours Comments/Findings
Poor No survey Habitat occurs on shaded banks
located at least 100-feet
downstream from the activity.
Sidebars are not present in the
channel.
General Notes/Comments:
,,No endangered or threatened species were observed. Surveys are not required for Cardamine micranthera.
Division Environmental Office Date
NCDOT
HAZARDOUS SPILL BASIN CHECKLIST
Division: Seven County: Rockingham Project ID: 6.512459
River Basin: Roanoke Bridge No: N/A
Route: 1382
Water Quality Criteria:
Stream: UT to Pawpaw Creek
Yes No
F C
ORW C E
WSI C. Ell I
WS II,III OR IV, Crossing Within 0.5mi of W.S. Critical Area C C
Roadway Criteria:
Route Designation-
Additional Site Information:
XT__ XT_
Arterial Urban 13 n
Arterial Rural C
Is a Hazardous Spill Basin Required?
Yes No
C EV]
Criteria Based Upon NCDOT "Best Management Practices for the
Protection of Surface Waters" (March, 1997).
DIVISION 7 DISTRICT 2
p; OPC
fHr or ra?asP
PROPOSED IMPROVEMENTS
SR 1382 QUARTER ROAD
PRICE TWSP. - ROCKINGHAM COUNTY
LENGTH 2.12 MILES 60' R/W SHEET 1 OF 4
SCALE 1" = 100' W. 0. # 6.512549
UTILITIES: ENERGY UNITED
SPRINT
100 0 100 200
SEE REVISION NOTES

Q7-h - il:ez.ez 21:y=? '- -,/ I
istrict (fnyineer
TYPICAL CROSS SECTION (NTS )
4' 6' 10' 10' 8'
DL SHLDR. PAVEMENT 1 SHLDI
1/4•• PER FC. , 1/4•• PER FT.
*ADD I' PAVEMENT TO INSIDE OF CURVE FOR A 8° -15° CURVE.
*ADD 2' PAVEMENT TO INSIDE OF CURVE FOR A 16° -220 CURVE.
1. Review Erosion Control Plans and Standards. Identify all
PROJECT LEGEND release points (outlets of crossline pipes, tail ditches,
POWER POLE roadway ditches, fill slopes, etc.).
¦ TELEPHONE PEDESTAL 2. Install all measures @ release points prior to clearing &
grubbing. See Erosion Control Standards for proper
f WELL/ WELL HOUSE installation.
EXISTING IRON PIPE 3. Begin grading operations - install all other measures as
GUY WIRE grading progresses and monitor their effectiveness.
If any measures need to be changed, consult Highway
-•- FENCELINE Maintenance Engineer. Show changes on Erosion Control
---- EXISTING R/W Plans.
PROPOSED R/W 4. Straw & Tack to be applied to grades of 0%-1%,
Erosion control matting to be applied to grades of 1%-3%,
NOTE : ANY POINTS ON MAP OTHER THAN LEGEND Synthetic roving to be applied to grades of 3%-5%,
POINTS WILL BE LABELED ON MAP. Stone liner to be applied to grades of 5% and above.
5. Install slope drains in problem areas as needed during
construction.
6. Locate all borrow pits and waste areas with their erosion
control measures on Erosion Control Plans or attach a
separate sheet showing same.
7. Before moving to next job site, review all measures for
effectiveness; make any adjustments, clean-outs, or
EROSION CONTROL LEGEND repair; call Roadside Environmental Department for
installation of ditch liner and seeding and mulching of
0 SILT BASIN TYPE B all disturbed areas.
® ROCK SILT CHECK TYPE B
V PIPE OUTLET PROTECTION 8. Continue to check and maintain all measures after each
a ROCK SEDIMENT DAM TYPE B significant rainfall until all disturbed areas become
- SILT FENCE
-TSD -SILT DITCH
stabilized.
C PIPE INLET PROTECTION
-? -EARTH BERM 9. Fill in all silt basins and silt ditches; remove all silt
T SLOPE DRAIN fences and slope drains; redistribute all stone from silt
u-ur SYNTHETIC ROVING checks, sediment dams, and silt screens. Seed and mulch
?HH3 RIP RAP disturbed areas.
C
7010-00-7
ZACK RUSSE
NO RE1=ERENCI
P1= 3+98.11
A =1B°4175"
Do = 10°00'00"
cQ T = 84.05'
?
./
L = 986.90'

= 5724957"'
R
SE '

1 - -u98.73
'
"
?/ 1
43 ,0
00 = 16
'
i = 84.70
L = 168.98'
R = 572.95TT

k SE = 0,04'
7 T

N 52
V?-
0-
-v
r- 5 STRAND BARBED MRE PENCE

T
70104)0-74.682ME
--2A U
'SSELLRE
N0 REFERENCES AVAIL

July 6, 2001
Construction Sequence and Erosion Control Plans for Pipe
Replacement with Pipe Rockingham County SR -1382
We are scheduled to start in early August
Construction is anticipated to take weeks.
1. Dig a diversion channel to dewater the construction area. The diversion channel will
be approximately the same width as the existing channel width.
2. Line the channel with plastic to prevent sediment from the diversion channel.
3. Install silt dams to allow water to flow into the diversion channel.
4. Install a rock silt dam downstream of the diversion channel outlet to prevent
incidental downstream sediment loss from the diversion channel.
5. Breach the inlet and outlet dams of the diversion channel.
6. Remove existing line of 56' long 24" RC pipe.
7. Excavate to sufficient depth to allow burial of the pipe to 20%, place base stone, and
60' long 36 RC pipe.
s. Backfill this line and place rip-rap at ends.
9. After the new pipe is placed, ABC aggregate will be placed at each end of the pipe
forcing the flow through the pipe. The diversion channel will then be dewatered and a
suitable backfill material will be placed and compacted.
10. Upon completion of the construction activity, notify landscape department for final
seeding.
11. Silt fences to be placed as site conditions require.
12. . A 10'x 15' "dirt bag" will be used for dewatering.
07?ylvl/0 13. Site conditions and weather may alter these plans.
-1/-o/
B M 982
WU
1r ^` J f \\\? ?/ v /
a
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I
O
°/(,J ' i 4 lay;
tp
4` f e?rf%1?138Z Site A I? Fk
74
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Name: PRICE Location: 17 593076 E 4040512 N
Date: 7/3/2001 Caption: Location of proposed activities on Quarter Road (SR 1382)
Scale: 1 inch equals 2000 feet
Copyright (C) 1997, Maptech,
31

Outlet of the pipe being replaced.
Pacing upstream from the pipe to be replaced.

2
T.f r ? ?? 't •t3
a;?y
r r 1 9°..4 w j ?' .

View immediately downstream from the pipe being replaced. Note the large blowhole that has formed
because of the perched pipe and restricted flow from a naturally formed dam (foreground).