20011684 Ver 1_Complete File_20011207

w H / micnaei r-. casiey, uovernor
`O?? 9pG William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
r Gregory J. Thorpe, Ph.D.
> Acting Director
p r Division of Water Quality
December 21, 2001
Rockingham County
DWQ Project No. 011684
Replacement of one line of 72-inch CMP under SR 1975 (Owl Road)
APPROVAL of 401 Water Quality Certification with Additional Conditions
Mr. S.L. Hall, District Engineer
NCDOT District 2, Division 7
1584 Yanceyville Street
Greensboro, NC 27415
Dear Mr. Hall:
You have our approval, in accordance with the attached conditions and those listed below, to
permanently impact 40 linear feet and temporarily impact 40 linear feet of Machine Creek in order to
replace a pipe under SR 1975 (Owl Road) in Rockingham County. The project should be constructed
in accordance with your application dated October 2, 2001. After reviewing your application, we
have decided that this fill is covered by General Water Quality Certification No. 3289 corresponding
to the U.S. Army Corps of Engineers Nationwide Permit Number 14. In addition, you should acquire
any other federal, state or local permits before you proceed with your project including (but not
limited to) Sediment and Erosion Control, Non-Discharge and Water Supply Watershed regulations.
This approval will expire with the accompanying 404 permit unless otherwise specified in the Water
Quality Certification.
This approval is only valid for the purpose and design that you described in your application except as
modified below. If you change your project, you must notify us, in writing, and send us 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 conditions. If total wetland fills for
this project (now or in the future) exceed one acre, or if stream impacts exceed 150 linear feet,
compensatory mitigation may be required as described in 15A NCAC 211.0506 (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. All pipes required for this project shall be installed in such a manner that the original stream
profiles are 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 pipe
extensions. The pipe shall be installed one foot below the stream to allow for fish and other
aquatic movement. If the existing pipe is perched, then it shall be taken out and installed to allow
for passage of aquatic life.
2. All work shall be performed during low flow conditions.
3. 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.
4. Rock silt screens at culvert outlets shall be removed at project completion.
North Carolina Division of Water Quality, 401 Wetlands Certification Unit,
1650 Mail Service Center, Raleigh, NC 27699-1650 (Mailing Address)
2321 Crabtree Blvd., Raleigh, NC 27604-2260 (Location)
919-733-1786 (phone), 919-733-6893 (fax), http://h2o.enr.state.nc.us/ncwetlands/
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 336.771.4600.
Sincerely,
Attachment
Eli
y J. TAe e, e.D
Director
Pc: Wilmington District Corps of Engineers
Corps of Engineers Raleigh Field Office
NCDWQ Winston-Salem Regional Office
Central Files
File Copy

State of North Carolina
Department of Environment
and Natural Resources •
Division of Water Quality !Z ASO="
}
Michael Easly., Governor
Bill Ross, Secretary NCDENR
NORTH CAROLINA DEPARTMENT OF
Gregory Thorpe, Director ,7 ENVIRONMENT AND NATURAL RESOURCES
November 16, 2001
John Hunsinger
NCDOT - Division 7
PO Box 2513
Reidsville, NC 27323-2513
Dear Mr. Hunsinger:
DWQ # 011684
The enclosed check (#11250 for $200) was received by DWQ on November 16, 2001 for
?(i • a 401 application processing fee for the SR 1975 project in Rockingham County.
However the check was not signed. Please have the check signed by the appropriate
person and sent back to us (attn: Robert Ridings on the envelope) so that we may deposit
it and begin reviewing your application. Until then your project will be put on hold.
Thank yert?
Robert Ridings,
Environmental Technician
CC: File Copy
?NAME
R*NR
s..
Wetlandst401 Unit 2321 Crabtree Blvd, Suite 250 Raleigh, North Carolina 27604
Telephone [phone] FAX # [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/10% post consumer paper
State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
Michael Easly., Governor
Bill Ross, Secretary
Gregory Thorpe, Director
John Hunsinger
NCDOT - Division 7
PO Box 2513
Reidsville, NC 27323-2513
Dear Mr. Hunsinger:
/ •
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
November 16, 2001
DWQ # 011684
The enclosed check (#11250 for $200) was received by DWQ on November 16, 2001 for
a 401 application processing fee for the SR 1975 project in Rockingham County.
However the check was not signed. Please have the check signed by the appropriate
person and sent back to us (attn: Robert Ridings on the envelope) so that we may deposit
it and begin reviewing your application. Until then your project will be put on hold.
Thank
Than
Robert Ridings,
Environmental Technician
CC: File Copy
Wetlands/401 Unit 2321 Crabtree Blvd, Suite 250 Raleigh, North Carolina 27604
Telephone [phone] FAX # [phone]
An Equal Opportunity Afrumative Action Employer 50% recycled/10% post consumer paper

t
•
ISSUED
FILE COPY
011664
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY LYNDO TIPPETT
GOVERNOR SECRETARY
October 2, 2001
NC DENR Division of Water Quality
1650 Mail Service Center
Raleigh, NC 27699
tV 1 6 20x1
ATTN: Ms. Cynthia Van Der Wiele
Wetlands/401 Unit
Dear Ms. Van Der Wiele:
SUBJECT: Rockingham County, Extension of a 72-inch Corrugated Metal Pipe under Owl Road
(SR 1975)
Please find seven (7) 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]. Thank you for your
time and assistance.
Sincerely,
J
??
John Hunsmger
District Engineer
attachments
cc: Mrs. Jean Manuele, USACE
Mr. Lenwood Smith, II, NCDOT
PA v^l`'T
R'ECE, [o
P.O. Box 2513, Reidsville, N.C. 27323-2513 Telephone No. [phone] Fax No. [phone]
G.AAR.
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY 1584 YANCEYVILLE STREET, GREENSBORO, NC 27415 LYNDO TIPPETT
GOVERNOR SECRETARY
October 2, 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, Replacement of one line of 72-inch Corrugated Metal Pipe
under Owl Road (SR 1975).
The North Carolina Department of Transportation (NCDOT) proposes to extend one line of 36-feet
long 72-inch Corrugated Metal Pipe by 20-feet (10-feet on each side). This activity, located within
the Roanoke River Basin, is being conducted as part of a project to upgrade SR 1975 from an
unpaved to a paved secondary road to reduce future maintenance needs, bring the road up to current
construction standards, and increase traffic safety. Total project length is 0.30 miles.
Permanent impacts will result from the placement of fill in 20 linear feet of channel. Rip-rap energy
dissipaters being placed above the ordinary high water mark will impact 20 linear feet of stream
bank. Temporary travel lane realignment (to prevent closure of the dead end road); and the
placement of sand bags, cofferdams, or sheet piles during the dewatering operation will result in a
total of 40 linear feet of temporary impacts. Following completion of the pipe replacement activity,
all dewatering structures will be entirely removed and natural stream contours will be restored and
seeded.
Required mitigation is not anticipated, as the impacts do not exceed 150 feet. The project is not
located in a High Quality Water. No Threatened or Endangered species were observed during field
surveys conducted by Len Smith and Tim Savidge for species known to occur in Rockingham
County. Records from the NCDOT Historic Architect indicate compliance with the National
Historic Preservation Act. Secondary impacts will be minimized by strict enforcement of Best
Management Practices for the protection of surface waters, restrictions against the staging of ^equipment in or adjacent to waters of the US, and coordination with the Division Environmental
Officer.
PHONE [phone] FAX [phone]
y
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY 1584 YANCEYVILLE STREET, GREENSBORO, NC 27415 LYNw TIPPETr
GOVERNOR SECRETARY
The NCDOT anticipates that the 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 pipe 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 two days to complete.
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,
h• 4,x
John B. Hunsinger
District Engineer, District 3, Division 7
cc: Ms. Cynthia Van der Wiele, NCDWQ
Mr. Lenwood Smith, II, PWS, NCDOT ??Ul

PHONE [phone] FAX [phone]

0
OF
W ATFR
QG
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.armmil/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.ariny.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 1 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/nwpfinalFedReg.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.ne.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 October 2001
USACE Action ID No. DWQ No. 01164
If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A" rather than
leaving the space blank.
1. Processing
Check all of the approval(s) requested for this project:
® Section 404 Permit
Section 10 Permit
® 401 Water Quality Certification
F] Riparian or Watershed Buffer Rules
2. Nationwide, Regional or General Permit Number(s) Requested: NWP 14 and 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: ?
II. Applicant Information
1. Owner/Applicant Information
Name: Mr. J.M. Mills, RE, Division Engineer - Division 7
Mailing Address: 1584 Yanceyyille Street
Greensboro, NC 27415
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: mmills(a,dot.state.nc.us
2. Agent 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:_ Mr. John B. Hunsinger, District 3 Engineer
Company Affiliation: NCDOT - Division 7
Mailing Address: P.O. Box 2513
Reidsville, N.C. 27323-2513
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: jhunsin er(a)dot.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 of project: Rockingham County - Owl Road (SR 1975)
2. T.I.P. Project Number or State Project Number (NCDOT Only):6.512561 (non-TIP)
3. Property Identification Number (Tax PIN): N/A
4. Location
County: Rockingham Nearest Town: Eden
Subdivision name (include phase/lot number): N/A
Directions to site (include road numbers, landmarks, etc.): ite is located approximate
From haen Laze Nu 14 soutn to betnlenem unurcn Koaa exit. cross onawe. sett on JK ly4Jl
5. Site coordinates, if available (UTM or Lat/Long): See the attached USGS map.
(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): Machine Creek
9. River Basin: Roanoke
(Note - this must be one of North Carolina's seventeen designated major river basins. TITe
River Basin map is available at http://h2o.enr.state.nc.us/admin/mgps/.)
Page 4 of 11
10. Describe the purpose of the proposed work: To upgrade an unpaved secondary road to a
paved secondary road. Paving and widening are being; conducted to reduce future
maintenance costs, bring the road up to current construction standards, and increase traffic
safety.
11. List the type of equipment to be used to construct the project: Road construction
equipment (Irackhoe, grader, backhoe, and bulldozer).
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 ar
streammitigation, 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 11
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
(FIRM), or FEMA-approved local floodplain maps. Maps are available through the FEMA Map Service Center at 1-800-358-9616, or
online at http://www.fema.gov.
*** List a wetland type that best describes wetland to be impacted (e.g., freshwater/saltwater marsh, forested wetland, beaver pond,
Carolina Bay, bog, etc.)
List the total acreage (estimated) of existing wetlands on the property: N/A
Total area of wetland impact proposed: N/A
2. Stream Impacts, including all intermittent and perennial streams
Stream Impact
Site Number
(indicate on map)
Type of Impact* Length of
Impact
(linear feet)
Stream Name** Average Width
of Stream
Before Impact Perennial or
Intermittent?
(please specify)

1975 Site A
Pipe extension 20 (pm)
40 (tmp)
20 (rp)
UT to Machine Creek
7.5'
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.us,gs.gov. Several intemet sites also allow direct download and printing of USGS maps (e.g., www.topozone.coni,
www.mapquest.coni, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: 20 - permanent (pm),
40 - temporM (=), 20 - rip rap (rp)

Page 6 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, etc.
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 minimised once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts.
Pipe replacement and widenina activities are necessarv to increase travel lane and shoulder width
to current construction standards. Impacts will be minimized by strict enforcement of Best
Management Practices for the protection of wetland and surface waters, restrictions against the
stag' of a uipment in or adjacent to waters of the US, and coordination with the Division
Environmental Officer.
s
Page 7 of 11
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/strmgide.html.
1. Provide a brief description of the proposed mitigation plan. The description should provide
as much information as possible, including, but not limited to: site location (attach directions
and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed method of construction. Please attach
a separate sheet if more space is needed.
A finding of insignificant impact is anticipated. Cumulative impacts are less than 150 feet
The maximum amount of impact to a single stream is 20 linear feet. No Outstanding
Resource Waters, federally protected species or their habitats occur in the project area The
project is not located in a High Quality Water.

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:/lh2o.enr.state.nc.us/wrp/index.htm. If
use of the NCWRP is proposed, please check the appropriate box on page three and provide
the following information:
Amount of stream mitigation requested (linear feet): 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
IX. Environmental Documentation (DWQ Only)
Does the project involve an expenditure of public funds or the use of public (federal/state/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 N/A )?
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.
Zone* (square feet Multiplier Mitigation
1 3
2 1.5
Total
* Zone 1 extends out 30 feet perpendicular from near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.
If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation
of Property, Conservation Easement, Riparian Buffer Restoration / Enhancement, Preservation or
Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as
identified within 15A NCAC 2B .0242 or.0260.
N/A
X1. 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 Februarv 25. 1991 delegation agreement one conv of the sediment and
erosion control plan will be submitted to DENR - Division of Land Resources and NCDOT
Roadside Environmental Prior to construction.
XII. 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.
XM. Violations (DWQ Only)
Is this site in violation of DWQ Wetland Rules (15A 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, dates associated with Endangered and
Threatened Species, accessibility problems, or other issues outside of the applicant's control).
it/Agent's Signature /bate
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 County Investigator(s)
6.512561 1975 Owl Road Rockingham Len Smith
Date: River Basin: Water Quality Designation Buffer Rules (Y/N)
12/08/01 Roanoke C No
Primary Land Use Percent Residential Percent Agricultural: Percent Unmaintained:
Agriculture 20 60 20
Streams
Waters of the US

M.M.
Stream Name Perennial or
Intermittent Ave. Wdth
(OHWM) Ave. Dpth
(OHWM) Ave. Wdth
(TOB) Ave. Dpth
(TOB)
Notes
0.25 UT to Machine Creek Perennial 7.5' 1.0' 8.0' 7.5'

M.M. = Mile Marker, 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
N/A

Open Water

M.M. Name of Waterbody
(if applicable) Type of
Waterbody
M.M. Name of Waterbody
(if applicable) Type of Waterbody
N/A

General Notes/Comments:
Division Environmental Officer
>0 6 0
ate

ENDANGERED SPECIES REVIEW FOR DIVISION 7
DISTRICT 3
State Project # SR Number Road Name County
6.512561 1975 Owl 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 laevizata) Mav be surveved for from June to September
Habitat Survey Date Investigator(s) Man-hours Comments/Findings
No 09/29/01 Len Smith 0.5
James spinymussel (Pleurobema collina) - Roanoke Basin
Habitat Survey Date Investigator(s) Man-hours Comments/Findings
No 11/29/01 Len Smith, Tim Savidge 0.5 Channel is too small
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 09/29/01 Len Smith 0.5
Small anthered bittercress (Cardamine micranthera) - Rockingham and Caswell Counties (Roanoke Basin)
May be surveyed for in April and May
Habitat Survey Date Investigator(s) Man-hours Comments/Findings
No 09/29/01 Len Smith 0.5
General Notes/Comments:
Division Environrnental Officer
Z-67 V-0-
'Date

NCDOT
HAZARDOUS SPILL BASIN CHECKLIST
Division: 7 County: Rockingham Project ID: 6.512561
River Basin: Roanoke Bridge No: N/A
Route: 1975
Water Quality Criteria:
Stream: UT to Machine Creek
Yes No
Stream Crossing Blue Line On USGS F r
ORW r r
WSJ r r
WS II,III OR IV, Crossing Within 0.5mi of W.S. Critical Area r r
Roadway Criteria:
Route Designation-
Additional Site Information:
Yes No
Arterial Urban r- r
Arterial Rural r r,
Yes No
Is a Hazardous Spill Basin Required? r r
Criteria Based Upon NCDOT "Best Management Practices for the
Protection of Surface Waters" (March, 1997).
DIVISION OF HIGHWAYS
PLAN AND PROFILE FOR PROPOSED SECONDARY ROAD IMPROVEMENT
SR 1975 OWL ROAD
ROCKINGHAM COUNTY - WENTWORTH TOWNSHIP
LENGTH 0.32 MILES 50' RIGHT OF WAY
W.O. 6.512561 MAY 2, 2001
UTILITIES: DUKE ENERGY
SPRINT
HORIZONTAL SCALE 1" =100' / VERTICAL SCALE 1" = 20'
100 0 100 200
LOCATION: 1.1 MILES NORTHWEST OF SR 1945 OFF SR 1951
TYPE OF WORK: GRADE, DRAIN, BASE AND PAVE
C?? ;,?. 2CS+D. ..
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1946
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VICINITY MAP (N T S)
EROSION CONTROL - SEQUENCE OF OPERATIONS
PROJECT LEGEND
J0 POWER POLE
TELEPHONE PEDESTAL -•
0 WELL / WELL HOUSE ---
EXISTING IRON PIPE -
1. Review Erosion Control Plans and Standards. Identify all
release points (outlets of crossline pipes, tail ditches,
roadway ditches, fill slopes, etc.).
2. Install all measures @ release points prior to clearing &
grubbing. See Erosion Control Standards for proper
GUY WIRE installation.
- FENCELINE
3. Begin grading operations - install all other measures as
- EXISTING R/W grading progresses and monitor their effectiveness.
If any measures need to be changed, consult Highway
PROPOSED R/W Maintenance Engineer. Show changes on Erosion Control
Plans.
EROSION CONTROL LEGEND
® SILT BASIN TYPE B
I, ROCK SILT CHECK TYPE B
V PIPE OUTLET PROTECTION
8 ROCK SEDIMENT DAM TYPE B
SILT FENCE
-SILT DITCH
PIPE INLET PROTECTION
----EARTH BERM
SLOPE DRAIN
,nr SYNTHETIC ROVING
?:ID RIP RAP
TYPICAL CROSS SECTION (NTS )
4. Straw & Tack to be applied to grades of 0%-1%,
Erosion control matting to be applied to grades of 1%-3%
Synthetic roving to be applied to grades of 3%-5%,
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
repair; call Roadside Environmental Department for
installation of ditch liner and seeding and mulching of
all disturbed areas.
8. Continue to check and maintain all measures after each
significant rainfall until all disturbed areas become
stabilized.
9. Fill in all silt basins and silt ditches; remove all silt
fences and slope drains; redistribute all stone from silt
checks, sediment dams, and silt screens. Seed and mulch
disturbed areas.
CL
4' 6' 9' 9' 8'
DL SHLDR PAVEMENT SHLDR.
s.
1•. pER F[. 1/4•• PER FT- 114•• PER Ft. 1 •• pER
A.1 F7'.
8" COMPACTED ABC =,t
i SC?A
ADD 1' PAVEMENT TO INSIDE OF CURVE FOR A So -150 CURVE.
ADD 2' PAVEMENT TO INSIDE OF CURVE FOR A 160 -22° CURVE.

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October 2, 2001
Site 1975
Construction Sequence and Erosion Control Plan for Replacement of
Pipe with Pipe on a Dead End Road - Rockingham County, SR 1975
Work to begin as soon as practicable following authorization.
Construction is anticipated to take 2 days.
1. Install a rock silt dam downstream of the work area to prevent incidental sediment
loss.
2. Install sand bags, cofferdams, or sheet piles to allow dewatering of the work area.
3. Install pumps to divert flow around the work area.
4. Excavate to sufficient depth to allow attachment of 10' sections of 72" CM pipe on
each end of the existing pipe.
5. Place base stone and 10' sections at each end of the existing 72" CM pipe.
6. Backfill the new sections of pipe and place rip-rap, not to exceed 10', at each end of
the pipe.
7. Remove the sand bags, rock silt dams, or sheet piles and restore the natural stream
contours.
8. Notify landscape department for final seeding.
9. Silt fences to be placed as site conditions require.
10. A 10' X 15' dirt bag will be used to remove excess water in the holes where the new
pipe sections being replaced.
11. Site conditions and weather may alter these plans.
12. A pump azo d system may not be utilized if site conditions allow.
Supervisor ,
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Name. SOUTHEAST EDEN Location: 17 617178 E 4036720 N
Date: 10/12/2001 Caption: Location of pipe replacement on OWI Road - SR 1975
Scale: 1 inch equals 2000 feet
(C) 1997, Maptech, Inc
View upstream from the pipe being extended under SR 1975.
View of pipe outlet. Note maintenance of low flow.
L 4 `?' j 1
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View downstream from the pipe being extended under SR 1975.