20020156 Ver 1_Complete File_20020201

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STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY 1584 YANCEYVILLE STREET, GREENSBORO, NC 27415
GOVERtiOR
January 31, 2002
NC DENR Division of Water Quality
1650 Mail Service Center
Raleigh, NC 27699
ATTN: Ms. Cynthia Van der `Viele
Wetlands/401 Unit
Dear Ms. Van der Wiele:

LYNDO TIPPETT
SECRETARY
SUBJECT: Guilford County, Replacement of Bridge # 166 on Flemingfield Road (SR 2848)
across an Unnamed Tributary to South Buffalo Creek.
Please find seven (7) copies a Pre-Construction Notification Application package attached for you
review. If you have any questions or need any additional information, please contact Len Smith or
Dennis Johnson at [phone]. Your time and assistance are appreciated.
Sincerely,
Lenwood E. Smith, II, PWS
Division Seven Environmental Officer
cc: Mrs. Jean Manuele, USACE
Ms. Renee Gledhill-Earley, SHPO
Mr. Dennis Johnson, NCDOT
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PIIONE336-334-3192 FAY336-334-3637
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STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY 1534 YANCEYV[LLE STREET, GREENSBORO, NC 27415
GOVERNOR
January 31, 2002
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:
LYNDo TIPPETT
SECRETARY
SUBJECT: Guilford County, Replacement of Bridge # 166 on Flemingfield Road (SR 2848)
across an Unnamed Tributary to South Buffalo Creek.
The North Carolina Department of Transportation (NCDOT) proposes to replace the existing
structurally deficient 1@18'6 timber deck bridge identified as Bridge # 166 with two (2) lines of 60-
feet long 103" X 71" Corrugated Metal Pipe Arch (CMPA). The existing bridge must be replaced
due to structural deficiencies (see the attached Prompt Action report). Efforts were made to
minimize impacts by installing a steel H-pile replacement bent under the superstructure to extend the
life of the bridge. Use of the replacement bent was abandoned due to the presence of bedrock that
prohibited driving of the steel piles to the required depth (minimum ten feet). In lieu of the
replacement bent, the bridge would have been repaired by removing and replacing the existing
abutment or by driving additional concrete encased piles. Both of these repair options are major
repairs and could create additional environmental impacts due to the placement of temporary
supports in the channel. The culvert was chosen as the cost of either of the proposed repair methods
($35,000) is equivalent to the cost of culvert installation. Furthermore, the newly installed culvert
culvert should not require maintenance for at least 20 years; whereas the proposed repair methods
would require routine maintenance. Spanning structures are not being utilized due to cost
restrictions ($110,000 versus $35,000).
Permanent impacts will result from enclosure 60-linear feet of channel and the placement of 80-linear
feet (40-linear feet per pipe end) of rip-rap energy dissipaters. Total permanent impacts will equal
140-linear feet. Temporary impacts will result from the placement of ABC aggregate or a less
intrusive dewatering device within the stream during the dewatering operation. Temporary
dewatering structures will extend a maximum of 20-feet per end (within the confines of the rip-rap
energy dissipaters) beyond the footprint of the proposed structure. The temporary dewatering
PHONE [phone] FAX [phone]

STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY 1584 YANCEYVILLE STREET, GREENSBORO, NC 27415 LYNDO TIPPETT
SECRETARY
GOVERNOR
structures will be entirely removed upon completion of the project. Natural stream contours will be
restored and seeded immediately upon completion of the project.
Mitigation is not anticipated, as the unpacts to any individual stream do not exceed 150 feet. The
project is not located in a High Quality Water. The project will not impact an Essential Fisheries
Habitat. No Threatened or Endangered species were observed during a field survey conducted by
Len Smith for species known to occur in Guilford County (See the attached Endangered Species
Review Sheet for further information). Historic compliance work to be scheduled and concurrence
with the Historic Preservation Office will be obtained if required. Direct impacts will be minimized
by burying the pipes 1-foot below streambed elevation and placing a sill on one of the barrels to
facilitate aquatic He movement. Secondary impacts will be minimized by strict enforcement of Best
Management Practices for Bridge Demolition Removal and 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..
The NCDOT anticipates that the pipe placement will be authorized under Nationwide Permit (NWP)
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 for dewatering activities occurring under
NWP 33. This application is also intended as request for written authorization from the NC Division
of Water Quality to place the pipe in the channel under General Water Quality Certificate 9 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 4 weeks to complete.
If you have any questions or need any additional information, please contact Len Smith or Dennis
Johnson at [phone]. Your time and assistance are appreciated.
Sincerely,
Lemvood E. Smith, 11, PWS
Division Seven Environmental Officer
cc: Ms. Cynthia Van der Wiele, NCDWQ
Ms. Renee Gledhill-Earley, SHPO
Mr. Dennis Johnson, NCDOT
PHONE [phone] FAX [phone]
V
d STAY[
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STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY 1534 YANCEYVILLE STREET, GREENSBORO, NC 27415
GOVERNOR
January 31, 2002
State Historic Preservation Officer
Division of Archives History
4617 Mail Service Center
Raleigh, NC 27699
CS-52-31-31
ATTN: Ms. Renee Gledhill-Earley
Dear Mrs. Gledhill-Earley:
LYNDO TIPPETT
SECRETARY
SUBJECT: Guilford County, Replacement of Bridge # 166 on Flemingfield Road (SR 2$48)
across an Unnamed Tributary to South Buffalo Creek.
Please find a Pre-Construction Notification Application package attached for you review. If you
have any questions or need any additional information, please contact Len Smith at [phone].
Your time and assistance are appreciated.
Lenwood E. Smith, II, PWS
Division Seven Environmental Officer
Sincerely,
cc: Mrs. Jean Manuele, USACE
Ms. Cynthia Van der Wiele, NCDWQ
Mr. Dennis Johnson, NCDOT
Pl IONE 336-334-3192 FAX [phone]
Office Use Only: Form Version October 2001
USACE Action ID No. DWQ No 0 .? J
If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A" rather than
leaving the space blank.
I. Processing
Check all of the approval(s) requested for this project:
N 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: ?
II. Applicant Information
1. Owner/Applicant Information
Name: Mr. J.M. Mills. PE. Division Engineer -Division 7
Mailing Address: 1584 Yanceyyille Street
Greensboro NC 27415
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: mmillsOdot.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. Lenwood E. Smith II. PWS
Company Affiliation: NCDOT - Division 7
Mailing Address: 1584 YanceVVille Street
Greensboro NC 27415
Telephone Number: [phone] Fax Number: Q 6) 375-8376
E-mail Address: lesmithna dot state nc us
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 frill-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: Replacement of Bridge 4166 - Guilford County
2. T.I.P. Project Number or State Project Number (NCDOT Only): 5.4952 (non-TIP
3. Property Identification Number (Tax PIN): N/A
4. Location
County: Guilford Nearest Town: Greensboro
Subdivision name (include phase/lot number): N/A
Directions to site (include road numbers, landmarks, etc.): From I-85/40 take Exit 4 132
north onto SR 3045 Mt. Hoe Church-Road). Proceed 2.5 miles and turn left onto US-70
(Burlington Road Proceed 1.8 miles and turn right onto SR 2848 (Flemingfield Road).
Bride # 166 is located approximately 0.4 miles north of the intersection of US-70 and SR
2848
5. Site coordinates, if available (UTM or Lat/Long): 17 06 16 059 E 39 95.447 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: Tulip
tree sweet gum forest and maintained powerline right-of-way
7. Property size (acres): N/A
8. Nearest body of water (stream/river/sound/ocean/lake): UT to South Buffalo Creek
9. River Basin: Cape Fear,
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at littp://li2o.etir.state.nc.us/adiiiin/niaps /.)
10. Describe the purpose of the proposed work: Replace the existing structurally deficient
1 @18'6 timber deck bridge identified as Bridge # 166 with two (2) lines of 60-feet long 103"
X 71" Corruuated Metal Pie Arch --
11. List the type of equipment to be used to construct the project: Crane and Road construction
equipment -
12. Describe the land use in the vicinity of this project: Forest and maintained right-of-way.
IV. Prior Project History
if jurisdictional determinations and/or permits have been requested and/or obtained ur 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.
1. Wetland Impacts
Wetland Impact
Site Number
indicate on ma
Type of Impact* Area of
Impact
acres Located within
100-year Floodplain**
es/no Distance to
Nearest Stream
(linear feet
Type of Wetland***
N/A

'- t--. _ .1:...:.,.a . ., mot, 7 Al ,;- o iiinn fill -
* List each impact separately and identify temporary impacts. unpacts u,aude, L)uL u,i; j,.,...,LAll- w.. ....1, ,
excavation, flooding, ditching/drainage, etc. For dams, separately list impacts due to both structure and flooding.
** 100-Year aoodplains 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 /h???w. fcmn. _ov.
*** 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 ma
Type of Impact* Length of
Impact
linear feet
Stream Name** Average Width
of Stream
Before Impact Perennial or
Intermittent?
(please seci

Bridge 166 Enclosure and
placement of rip
rap 60 (en)
40 (trap)
80 UT to South Buffalo
Creek 15' Perennial

. _ ,.,7 ? ..I, a rc nA n 4 ntod r;n-r:ln.
" List each impact separately and identity temporary impacts. impacts include, out are not ,Luu«.,. Lai. ?ua.....a .u.. --__ -•r --r,
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/straightcning, 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
NVNVW.uSs 1.2ov. Several intemet sites also allow direct download and printing of USGS maps (e.g., w??w topo-ronc.cotn,
%r1v%v.mmnpctmiest.conm, etc.).
Cumulative impacts (linear distance in feet) to all streams on site 60 -enclosure (en),
40 temporaU (tmp) 80 rip ran (m)
3. Open Water Impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any
other Water of the U.S.

Open Water Impact
Site Number

Type of Impact* Area of

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

__,..., t ..._..,,.t rm ;f,-,j tre fill. excavation, dredging,
* List each impact separately and identity temporary impacts.
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 minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts.
The structurally deficient bridge must be replaced to ensure safety. Direct impacts will be
minimized by burying the i es 1-foot below streambed elevation and placing a sill on one of the
barrels to facilitate aquatic life movement Secondary impacts will be minimized by strict
enforcement of Best Management Practices for Brtd e Demolition Removal and Protection of
Surface Waters restrictions a ainst the staging of equipment in or adjacent to waters of the US
and coordination with the Division Environmental Officer.
Page 5 of 3
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 ui 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/strnn?-,ide.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.
No mitigation is anticipated, as impacts are less than 150 feet. In addition no Wetlands. High
Quality Waters Outstanding Resource Waters or federally protected species occur in the
project area. South Buffalo Creek is desi Hated as a Class C NSW Water.
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 littp•//li2o crnr st ite i:c ns/wm/index.litm. 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): NIA
Page 6 of 8
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
VIII. 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 ?
IX. 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:
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* Impact
(square feet Multiplier Required
Mitigation
I N/A 3
2 N/A 1.5
Total N/A

a ua . ?. ?••w•••-•r - -
Zone t extenas out Ju Ica pertx:uucu- 1l VI..
additional 20 feet from the edge of Zone 1.
Page 7 of 8
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
X. 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 February 25, 1991 delegation agreement on cony of the Sediment and
Erosion Control Plan will be sent to DENR-Division of Land Resources and NCDOT Roadside
Environmental prior to construction.
M. Sewa;e 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.
XII. 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 ?
XIII. 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).
J Z6
Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)

Page 8 of 8
r, _77r-
BRIDGE MAINTENANCE UNIT RUN DATE 04/13/00
DATA ON EXISTING STRUCTURE
r;-------------------------------------------------------------------------
COUNTY: DIV.: DIST.: STRUCTURE NUMBER: LENGTH:
GUILFORD 07 2 40 0166 19 FEET
,,.----------------------------------------------------------------------------
ROUTE CARRIED: FEATURE INTERSECTED:
SR2848 CREEK
--------------------------------------------------------------------------
LOCATED: BRIDGE NAME:
0.6 MI.S.JCT.SR2821 ------------------------
---------------------------------------------------------------------------
FUNC. CLASS: SYST.ON: SYST.UNDER: ADT & YR: RAIL TYPE:
LU NONFA ----- 160 79 LT 227 RT 227
-----? -----------------------------------------------------------
=;L1957 T: BY: PROJ: FED.AID PROJ: DESIGN LOAD:
BMU --------- ------------ OTH-UNKN
----=-----------------------------------------------------------
REHAB: BY: PROJ: ALIGNMENT: SKEW: LANES:
1984 BMU --------- TAN 090 ON 02 UNDER 00
--------------------------------------------------------------------
NAVIGATION: HT.CRN.TO BED: WATER DEPTH:
VC --- FT HC ---- FT 10 FT 1 FT
-------------------------------------------------------------------------------
SUPERSTRUCTURE:
TIMBER DECK ON TIMBER JOISTS
-------------------------------------------------------------------------------
SUBSTRUCTURE:
END BENTS:TIMBER CAPS ON TIMBER PILES,TIMBER BULKHEADS
- ----------------------------------------------------------------------------
SPANS:
1@18'6
-------------------------------------------------------------------------------
BEAMS OR GIRDERS:
25 LINES OF 6 X12 TIMBER JOISTS @ 1'0 CENTERS
-------------------------------------------------------------------------------
FLOOR: ENCROACHMENTS: DECK (OUT TO OUT):
4X12TIM,2.5 AWS --------------- 026.0
-------------------------------------------------------------------------------
CLEAR ROADWAY: BETWEEN RAILS: SIDEWALK OR CURB:
025.2 026 .0 LT 00.4 RT 00.4
-------------------------------------------------------------------------------
VERT.CL.OVER: VERT.CL.UNDER: HOR.CL.UNDER: SPECIAL PERMIT:
99 FT 99 IN 00 FT 00 IN 00.0 FT ---
-------------------------------------------------------------------------------
INV.RTG.: OPE.RTG.: CONTR.MEMBER: POSTED:
HS- 16 HS- 23 ---------- SV -- TTST -- DATE 01 14 1985
-------------------------------------------------------------------------------
SYSTEM: GREEN LINE ROUTE:
5 SECONDARY NO
-------------------------------------------------------------------------------
2ND OPENING: 3RD OPENING: 4TH OPENING: 5TH OPENING:
---- -------- ---- -------- ---- -------- ---- --------
-------------------------------------------------------------------------------
REMARKS:
-----------------------------------------------------------------
-----------------------------------------------------------------
-------------------------------------------------------------------------------
MEMORANDUM TO: B.F. KIZZIAH ^1s
Bridge Maintenance Supervisor
A condition inspection of the subject bridge was made 1/'16/02 It is recommended that
the conditions listed below be given prompt attention. An electronic notice of this memorandum is furnished
for your use. Please send an electronic notice of the action taken as a result of these recommendations to
the State Bridge Maintenance Engineer and one to your Superintendent. Retain one copy for your files.
TP111 PILE #2 IN ABUTMENT #1 DECAYING
FROM G/L UP 3', 3" DEEP ON BACKSID
t
AND 1" TO 2" AROUND REMAINING "
LENGTH.
PILE #3 IN ABUTMENT #1 DECAYING
FROM G`L UP 2'+ - IN 2" WIDE AREA O
AND 1"
TO 4" DEEP
RIGHT SIDE UP
;? `
,
; w
y
SOFT AROUND REMAINDER OF PILE. ` `
PILE #4 IN ABUTMENT #1 DECAYING O
LEFT HALF UP TO 4" DEEP AND RIGHT y?
,
HALF 1" SOFT.

REPAIRS By Bridge Maintenance Supervisor: Date
COMPLETE Action
Taken
OT DO RECOMMENDED By Division Bridge Maintenance Engineer:
AT THIS TIME Date
tion: Bridge Maintenance Supervisor Original and 2 Co pie
Division Bridge Maintenance Engineer 1 Co
Division Engineer 1 Co
Central Bride Maintenance Office 1 Co
I
Ii I , I
ENDANGERED SPECIES REVIEW FOR DIVISION 7
DISTRICT 2
Date
Division Environmental Officer
Guilford County
Bald Eagle (Haliaeetus leucocephalus). Lake Higgins Area.
Is the activity within the primary or secondary zone Yes ? No
Potential Species (Listed in Nearby Counties)
General Notes/Comments:
N. C. D. O. T.
BRIDGE MAINTENANCE UNIT
EROSION CONTROL SEQUENCE
AND CONSTRUCTION SEQUENCE
GUILFORD COUNTY
BRIDGE NO. / & &
S. R. NO. 29-A1k'
PROJECT NO. -Sr ?t9
DESCRIPTION REMOVAL OF EXISTING BRIDGE AND OR PIPE AND
REPLACE WITH NEW BRIDGE AND OR PIPE__ @ !u3 X 7_L
1. CONSTRUCT RIP RAP SEDIMENT DAM TYPE A IN STREAM
2. PLACE RIP RAP & INSTALL SILT FENCE AS NEEDED
3. REMOVE EXISTING STRUCTURE & CONSTRUCT TEMPORARY
DIVERSION DAM AROUND AREA FOR PIPE # 1.
4. BEGIN EXCAVATING AREA FOR PIPE
5. PLACE PIPE # 1 AND STABILIZE UPSTREAM AND DOWNSTREAM
BANKS WITH RIP RAP
6. ROUTE WATER THROUGH PIPE # 1 AND CHANGE DIVERSION DAM
FOR PIPE # 2
7. BEGIN EXCAVATING AREA FOR PIPE
8. PLACE PIPE # 2 AND STABILIZE UPSTREAM AND DOWNSTREAM
BANKS WITH RIP RAP
9. BACKFILL PIPES AND SEED AND MULCH THE AREAS NECESSARY
AND REMOVE ALL EROSION CONTROL UPON COMPLETION
2
PREPARED BY DATE/- fl -6
GE SU R L OR
APPROVAL DATE
DIVISION BRIDGE NIAINT. ENGINEER
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View upstream from Bridge # 166. Note the presence of the rocky debris controlling channel grade.
y ?7 a e cYt e C wh
View of the Bridge # 166 superstructure - facing north.
View under Bridge # 166 -
View downstream from Bridge # 166.
Mr. J.NL l UU3, rL
July 27, 2004
DWQ#04-1073
Page 4
DWQ Project No.: D L O Ls !G
County: (r U / t- l-o euyy
Applicant: it/G d 0 7- D /?// 5 / oaJ Z-
Project Name: 4 2 2 S L( F t= L LT ? /?? `'?= r ??- d 2 d - 4 2 r/ G ?e / G& /L'?•°?•t-ue he ;w
Date of Issuance of 401 Water Quality Certification: t-'1Z/$ L Om Z.
Certificate of Completion
Upon completion of all work approved within the 401 Water Quality Certification or applicable Buffer
Rules, and any subsequent modifications, the applicant is required to return this certificate to. the
401/Wetlands Unit, North Carolina Division of Water Quality, 1621 Mail Service Center, Raleigh, NC,
27699-1621. This form may be returned to DWQ by the applicant, the applicant's authorized agent, or
the project engineer. It is not necessary to send certificates from all of these.
Applicant's Certification
I, As , hereby state that, to the best of my abilities, due care
and diligence was used in the observation of the construction such that the construction was observed to
be built within substantial compliance and intent of the 401 Water Quality Certification and Buffer Rules,
the approved plans and specifications, and other supporting materials.
»'1 Date:
Signature:
Agent's Certificatio
I, hereby. statP that, to the best of my abilities, due care
and diligence was used in the observatfon-or t -ucnsuL:atiolt such that the construction was observed to
be built within substantial compliance.bid inlint otthe-401 Water Quality Certification and Buffer Rules,
the approve anpect c tions, anc?6 r st,6orting materials.
Signature: Date: /
Engineer's C rtifrcation
Partial Final
I, as a duly registered Professional Engineer in the State
of North Carolina, having been authorized to observe (periodically, weekly, full time) the construction of
the project,for the Permittee hereby state that, to the best of my abilities, due care and diligence was used
in the observation of the construction such that the construction was observed to be built within
substantial compliance and intent of the 401 Water Quality Certification and Buffer Rules, the approved
plans and specifications, and other supporting materials.
S ignature
Registration No.
Date
WAIF Michael F. Easley, Governor
\0"4 19 William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
co Gregory J. Thorpe, Ph.D.
> Acting Director
O .? Division of Water Quality
February 1, 2002
Guilford County
DWQ Project No. 020156
Replacement of Bridge No. 166 on SR 2848 (Flemingfield Road)
APPROVAL of 401 Water Quality Certification with Additional Conditions
Mr. Lenwood E. Smith, II, Division Environmental Officer
NCDOT Division 7
1584 Yanceyville Street
Greensboro, NC 27415
Dear Mr. Smith:
You have our approval, in accordance with the attached conditions and those listed below, to
permanently impact 140 linear feet and temporarily impact 40 linear feet of an unnamed tributary to
South Buffalo Creek in order to replace Bridge No. 166 on SR 2848 (Flemingfield Road) in Guilford
County. The project should be constructed in accordance with your application dated January 31,
2002 (received February 1, 2002). 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 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. 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. One of the two pipes shall be equipped with baffles and installed one foot below the
stream to allow for fish and other aquatic movement. All work shall be performed during low
flow conditions.
2. Use of rip-rap for bank stabilization is to be minimized; rather, native vegetation is to be planted
when practical. If neeessary, rip-rap must be limited to the stream bank below the high water
mark, and vegetation must be used for stabilization above high water.
3. 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 919.733.5715
or Ms. Jennifer Frye of the Winston-Salem Regional Office at 336.771.4600.
Sincerely,
J?
e J. Thorpe, Ph.
A tin Director
Attachment
Pc: Wilmington District Corps of Engineers
Jean Manuele, USACE Raleigh Field Office
Jennifer Frye, NCDWQ Winston-Salem Regional Office
Central Files
File Copy
J 2
N
STATE OF NORTH CAROLINA
DEPARTiVIENT OF TRANSPORTATION
MICHAEL F. EASLEY 1584 YANCEYVILLE STREET, GREENSDOILO, NC 27415 LYNDO TIPPETT
GOVERNOR SECRETARY
January 31, 2002
NC DENR Division of Water Quality FEB y
1650 Mail Service Center
Raleigh, NC 27699
ATTN: Ms. Cynthia Van der Wiele
Wetlands/401 Unit
Dear Ms. Van der Wiele:
SUBJECT: Guilford County, Replacement of Bridge # 166 on Flemingfield Road (SR 2848)
across an Unnamed Tributary to South Buffalo Creek.
Please find seven (7) copies a Pre-Construction Notification Application package attached for you
review. If you have any questions or need any additional information, please contact Len Smith or
Dennis Johnson at [phone]. Your time and assistance are appreciated.
Sincerely,
C; ?r_' ,"'?
Lenwood E. Smith, 11, PWS
Division Seven Environmental Officer
cc: Mrs. Jean Manuele, USACE
Ms. Renee Gledhill-Earley, SHPO
Mr. Dennis Johnson, NCDOT
DP .7
PHONE [phone] FAX[phone]

ts?_ Co
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY 1584 YANCEYVILLE STREET, GREENSBORO, NC 27415 LYNDO TIPPETT
GOVERNOR SECRETARY
January 31, 2002
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: Guilford County, Replacement of Bridge # 166 on Fl.emingfield Road (SR 2848)
across an Unnamed Tributary to South Buffalo Creek.
The North Carolina Department of Transportation (NCDOT) proposes to replace the existing
structurally deficient 1 @18'6 timber deck bridge identified as Bridge # 166 with two (2) lines of 60-
feet long 103" X 71" Corrugated Metal Pipe Arch (CMPA). The existing bridge must be replaced
due to structural deficiencies (see the attached Prompt Action report). Efforts were made to
minimize impacts by installing a steel H-pile replacement bent under the superstructure to extend the
life of the bridge. Use of the replacement bent was abandoned due to the presence of bedrock that
prohibited driving of the steel piles to the required depth (minimum ten feet). In lieu of the
replacement bent, the bridge would have been repaired by removing and replacing the existing
abutment or by driving additional concrete encased piles. Both of these repair options are major
repairs and could create additional environmental impacts due to the placement of temporary
supports in the channel. The culvert was chosen as the cost of either of the proposed repair methods
($35,000) is equivalent to the cost of culvert installation. Furthermore, the newly installed culvert
culvert should not require maintenance for at least 20 years; whereas the proposed repair methods
would require routine maintenance. Spanning structures are not being utilized due to cost
restrictions ($110,000 versus $35,000).
Permanent impacts will result from enclosure 60-linear feet of channel and the placement of 80-linear
feet (40-linear feet per pipe end) of rip-rap energy dissipaters. Total permanent impacts will equal
140-linear feet. Temporary impacts will result from the placement of ABC aggregate or a less
intrusive dewatering device within the stream during the dewateriig operation. Temporary
dewatering structures will extend a maximum of 20-feet per end (within the confines of the rip-rap
energy dissipaters) beyond the footprint of the proposed structure. The temporary dewatering
PHONE [phone] FAX [phone]

STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY 1584 YANCEYVILLE STREET, GREENS13ORo, NC 27415 LYNDO TIPPETT
GovERxOR SECRETARY
structures will be entirely removed upon completion of the project. Natural stream contours will be
restored and seeded immediately upon completion of the project.
Mitigation is not anticipated, as the impacts to any individual stream do not exceed 150 feet. The
project is not located in a High Quality Water. The project will not impact an Essential Fisheries
Habitat. No Threatened or Endangered species were observed during a field survey conducted by
Len Smith for species known to occur in Guilford County (See the attached Endangered Species
Review Sheet for further information). Historic compliance work to be scheduled and concurrence
with the Historic Preservation Office will be obtained if required. Direct impacts will be minimized
by burying the pipes 1-foot below streambed elevation and placing a sill on one of the barrels to
facilitate aquatic He movement. Secondary impacts will be minimized by strict enforcement of Best
Management Practices for Bridge Demolition Removal and 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.
The NCDOT anticipates that the pipe placement will be authorized under Nationwide Permit (NWP)
14 and the dewatering operation will be authorized under NWP 33. This application is intended as a
request for fonnal written authorization from the USACE for dewatering activities occurring under
NWP 33. This application is also intended as request for written authorization from the NC Division
of Water Quality to place the pipe in the channel 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 4 weeks to complete.
If you have any questions or need any additional information, please contact Len Smith or Dennis
Johnson at [phone]. Your time and assistance are appreciated.
Sincerely,
Lemvood E. Smith, II, PWS
Division Seven Environmental Officer
cc: Ms. Cynthia Van der Wiele, NCDWQ
Ms. Renee Gledhill-Earley, SHPO
Mr. Dennis Johnson, NCDOT
PHONE[phone] FAX[phone]
i
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY 1584 YANCEYVILLE STREET, GREENSBoRo, NC 27415
GOVERNOR
January 31, 2002
State Historic Preservation Officer
Division of Archives History
4617 Mail Service Center
Raleigh, NC 27699
CS-52-31-31
ATTN: Ms. Renee Gledhill-Earley
Dear Mrs. Gledhill-Earley:
LYNDO TIPPETT
SECRETARY
SUBJECT: Guilford County, Replacement of Bridge # 166 on Flenningfield Road (SR 2848)
across an Unnamed Tributary to South Buffalo Creek.
Please fund a Pre-Construction Notification Application package attached for you review. If you
have any questions or need any additional information, please contact Len Smith at [phone].
Your time and assistance are appreciated.
Sincerely,
Lenwood E. Smith, II, PWS
Division Seven Environmental Officer
cc: Mrs. Jean Manuele, USACE
Ms. Cynthia Van der Wiele, NCDWQ
Mr. Dennis Johnson, NCDOT
PHONE [phone] FAX [phone]

Office Use Only:
USACE Action ID No.
Form Version October 2001 020-150
DWQ No.
If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A" rather than
leaving the space blank.
I. Processing
Check all of the approval(s) requested for this project:
N Section 404 Permit
? Section 10 Permit
N 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: N
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. Mi11s PE. Division En ineer - Division ..7
Mailing Address: 1584 Yance ille Street
Greensboro NC 27415
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: mmills 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. Lenwood E. Smith II PWS
Company Affiliation: NCDOT - Division .7
Mailing Address: 1584 Yance ille Street
Greensboro NC 27415
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: lesmithadot.state.nc.us
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: Replacement of Bridge #166 -Guilford County
2. T.I.P. Project Number or State Project Number (NCDOT Only): 5.4952 (non-TIP),
3. Property Identification Number (Tax PIN): N/A
4. Location
County: Guilford Nearest Town: Greensboro
Subdivision name (include phase/lot number): N/A
Directions to site (include road numbers, landmarks, etc.): From 1-85/40 take Exit # 132
north onto SR 3045 (Mt Hope Church Road). Proceed 2.5 miles and turn left onto US-70
(Burlington Road) Proceed 1.8 miles and turn right onto SR 2848 (Flemmgfield Road).
Bridge # 166 is located approximately 0.4 miles north of the intersection of US-70 and SR
2848
5. Site coordinates, if available (UTM or Lat/Long): 17 06 16 059 E 39 95 447 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: Tuli
tree-sweet ffum forest and maintained nowerline right-of-way
7. Property size (acres): N/A
8. Nearest body of water (stream/river/sound/ocean/lake): UT to South Buffalo Creek
9. River Basin:-Cape Fear
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at littp:Hli2o enr state.nc.us/admin/mans/.)
10. Describe the purpose of the proposed work: Replace the existing structurally deficient
1@18'6 timber deck bridge identified as Bridize # 1.66 with two (2) lines of 60-feet long 103"
X 71" Corrugated Metal Pipe Arch.
11. List the type of equipment to be used to construct the project: Crane and Road construction
equipment.
12. Describe the land use in the vicinity of this project: Forest and maintained right-of-way.
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.
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.
1. Wetland Impacts
Wetland Impact
Site Number
indicate on ma
Type of Impact* Area of
Impact
acres Located within
100-year Floodplain**
es/no Distance to
Nearest Stream
linear feet
Type of Wetland***
N/A

h d learin din fill
* List each impact separately and identify temporary impacts. Impacts include, but are not lmuted to. mec amze c b. gra g, >
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 httn /h?1?w.fcma.?ov.
*** List a wetland type that best describes wetland to be impacted (e.g., freshwater/saltwater marsh, forested Nve land, 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 ma

Bridge 166
Type of Impact*

Enclosure and
placement of rip
rap Length of
Impact
linear feet
60 (en)
40 (tmp)
80
Stream Name**

UT to South Buffalo
Creek Average Width
of Stream
Before Impact

15, Perennial or
Intermittent?
(please seci

Perennial

d 1 rt and associated ri -rap
e
* List each impact separately and identify temporary impacts. Impacts include, but are not lima to. cu ve s p f
dams (separately list impacts due to both structure and flooding), relocation (include linear feet before and after, and net losstgain),
stabilization activities (cement wall, rip-rap, crib wail, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is
proposed, plans and profiles shoeing 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
wvww.us?s.Lov. Several internet sites also allow direct download and printing of USGS maps (e.g., wwwtopozonc.com,
wNvw mapnuest.coin, etc.).
Cumulative impacts (linear distance in feet) to all streams on site 60 -enclosure (en),
40 temporary (tmp) 80 rip rap (rp) -
3. Open Water Impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any
other Water of the U.S.
e of Waterbody
T
Open Water Impact
Site Number *
Type of Impact Area of
Impact
acres of ?Vaterbody
Name
(if applicable) yp
(lake, pond, estuary, sound,
ocean, etc.
bay,
indicate on ma
N/A

_ __,..., , ... * i;. .,;tm roc fill- excavation. dred.aing,
* List each impact separately and identity temporary impacts. unpuas 3„?1UU..,
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 minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts.
The structural deficient bridge must be replaced to ensure safety. Direct impacts will be
minimized b burying the nines 1-foot below streambed elevation and placing a sill on one of the
barrels to facilitate aquatic life movement Secondary impacts will be minimized by strict
enforcement of Best Management Practices for Bridge Demolition Removal and Protection of
Surface Waters restrictions against the sta inR of equipment in or adjacent to waters of the US
and coordination with the Division Environmental Officer.
Page 5 of 8
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.litinl.
1. Provide a brief description of the proposed mitigation plan. The description should provide
as much information as possible, including, but not limited to: site location (attach directions
and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed method of construction. Please attach
a separate sheet if more space is needed.
No mitigation is anticipated, as impacts are less than 150 feet. In addition no Wetlands. High
Quality Waters Outstanding Resource Waters or federally protected species occur in the
project area. South Buffalo Creek is desi nated as a Class C NSW Water.
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 littp:/Ai2o cnr state.nc.t,s/«-rp/;ndex.litm. 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
Page 6 of 8

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 mtigation requested (acres): N/A
VIII. Environmental Documentation (DWQ Only)
Does the project involve an expenditure of public funds or the use of public (federaUstate/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 ?
IX. 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:
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* Impact
(square uare feet) Multiplier Required
Mitigation
I N/A 3
2 N/A 1.5
Total N/A
__i_
7...,..1 -fnnrlc nn
* Zone I extends out su tcet perpcnuicuru num u? ua w. - ?- ?•• _ , _.._ _ __
additional 20 feet from the edge of Zone 1.
Page 7 of 8
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.
X. 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 February 25, 1991 delegation agreement on co of the Sediment and
Erosion Control Plan will be sent to DENR-Division of Land Resources and NCDOT Roadside
Environmental prior to construction.
XI. 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.
XII. 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 ?
XIII. 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).

oy 3l Z6 /

Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 8 of 8
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p
, ;A.
Name: MC LEANSVILLE
Date: 1/25/2002
Scale: 1 inch equals 2000 feet
Location: 17 616032 E 3995448 N
Caption: Location of the permitted activity - Bridge # 166
(C) 1997,
'r
?a ? z8 BRIDGE MAINTENANCE UNIT RU14 DATE 04/13/00
DATA ON EXISTING STRUCTURE
f`-------------------------------------------------------------------------
COUNTY: DIV.: DIST.: STRUCTURE NUMBER: LENGTH:
GUILFORD 07 2 40 0166 19 FEET
.----------------------------------------------------------------------------
ROUTE CARRIED: FEATURE INTERSECTED:
. SR2848 CREEK
-- ---------------------------------------------------------------------------
LOCATED: BRIDGE NAME:
0.6 MI.S.JCT.SR2821 ------------------------
----------------------------------------------------------------------------
FUNC. CLASS: SYST.ON: SYST.UNDER: ADT & YR: RAIL TYPE:
LU NONFA ----- 160 79 LT 227 RT 227
---:Ff -----------------------------------------------------------
LT BYk PROJ: FED AID PROJ DESIGN LUAU:
97 BM U --------- ------------ 0TH-UNKN
-------------------------------------------------------------
REHAB: BY: PROD: ALIGNMENT: SKEW: LANES:
1984 BMU --------- TAN 090 ON 02 UNDER 00
------------------------------------------------------------------------
NAVIGATION: HT.CRN.TO BED: WATER DEPTH:
VC --- FT HC ---- FT 10 FT 1 FT
-------------------------------------------------------------------------------
SUPERSTRUCTURE:
TIMBER DECK ON TIMBER JOISTS
----------------------------------------------------------------------=--------
SUBSTRUCTURE:
END BENTS:TIMBER CAPS ON TIMBER PILES,TIMBER BULKHEADS
- ----------------------------------------------------------------------------
SPANS:
1@18'6
-------------------------------------------------------------------------------
BEAMS OR GIRDERS:
25 LINES OF 6 X12 TIMBER JOISTS @ 1'0 CENTERS
-------------------------------------------------------------------------------
FLOOR: ENCROACHMENTS: DECK DECK (OUT TO OUT):
4X12TIM,2.5 AWS 026.0
-------------------------------------------------------------------------------
CLEAR ROADWAY: BETWEEN RAILS: SIDEWALK OR CURB:
025.2 026 .0 LT 00.4 RT 00.4
-------------------------------------------------------------------------------
VERT.CL.OVER: VERT.CL.UNDER: HOR.CL.UNDER: SPECIAL PERMIT:
99 FT 99 IN 00 FT 00 IN 00.0 FT ---
-------------------------------------------------------------------------------
INV.RTG.: OPE.RTG.: CONTR.MEMBER: POSTED:
HS- 16 HS- 23 ---------- SV -- TTST -- DATE 01 14 1985
-------------------------------------------------------------------------------
SYSTEM: GREEN LINE ROUTE:
5 SECONDARY NO
-------------------------------------------------------------------------------
2ND OPENING: 3RD OPENING: 4TH OPENING: 5TH OPENING:
---- -------- ---- -------- ---- -------- ---- --------
-------------------------------------------------------------------------------
REMARKS:
-----------------------------------------------------------------
-----------------------------------------------------------------
-------------------------------------------------------------------------------
MEMORANDUM TO: 8.5. KIZZIAH
Bridge Maintenance Supervisor
A condition inspection of the subject bridge was made "I/It is recommended that
the conditions listed below be given prompt attention. An electronic notice of this memorandum is furnished
for your use. Please send an electronic notice of the action taken as a result of these recommendations to
the State Bridge Maintenance Engineer and one to your Superintendent. Retain one copy for your files.
WILL NOT DO RECOMMENDED By Division Bridge Maintenance Engineer:
WORK AT THIS TIME Date
nictriNifinn Rririna Maintenances Siinarvicnr nrininni anri 9 CnniA_
Central Bridge Maintenance Office 1 Copy
..M*
NCDOT
HAZARDOUS SPILL BASIN CHECKLIST
Division: Seveil..._ County: Guilford Project ID:-5..49.E
River Basin: Cape Fear Bridge No: 166
Route: 2848
Water nuality Criteria:
Yes No
F11 r
ORW r
WSJ r F-
WS II3-111 OR IV, Crossing Within 0.5mi of W.S. Critical Area r F-
Roadway Criteria:
Route Designation-
Stream: UT to Buffalo Creek
Yes No
Arterial urban r rte.
Arterial Rural r F
Additional Site Information:
Yes No
Is a Hazardous Spill Basin Required? r F
Criteria Based Upon NCDOT "Best Management Practices for the
Protection of Surface Waters" (March, 1997).
iM?
ENDANGERED SPECIES REVIEW FOR DIVISION 7
DISTRICT 2
State Project # Bride Road Name Coun
5.4952 166 Flemin field Road SR 2848 Guilford
Guilford County
Bald Eagle (Haliaeetus leucocephalus). Lake Higgins Area.
Is the activity within the primary or secondary zone Yes ? No
.rzu11 b A 11
Habitat 1 111uaa.ia `I tG U/V
Survey Date VC r//u vv......,./ -
investigator(s) --
Man-hours
Comments/Findings
N/A
Potential Species (Listed in Nearby Counties)
..,-"----'--.- >\A.... ue -.-A fnr from Into Anumt to October
a IWGI II II
Habitat G J awl11V - ?l a
Survey Date G•s,.r/.•..••.+ .................. _--? --
Investigator(s) ---- - -
Man-hours
Comments/Findings
No 01/25/02 Len Smith 0.5
General Notes/Comments:
Division Environmental Officer

N. C. D. O. T.
BRIDGE MAINTENANCE UNIT
EROSION CONTROL SEQUENCE
AND CONSTRUCTION SEQUENCE
GUILFORD COUNTY
BRIDGE NO. / (p
S. R. NO. ;2
PROJECT NO.
DESCRIPTION REMOVAL OF EXISTING BRIDGE AND OR PIPE AND
REPLACE WITH NEW BRIDGE AND OR PIPE a_ @ !v 3 X 7
1. CONSTRUCT RIP RAP SEDIMENT DAM TYPE A IN STREAM
2. PLACE RIP RAP & INSTALL SILT FENCE AS NEEDED
3. REMOVE EXISTING STRUCTURE & CONSTRUCT TEMPORARY
DIVERSION DAM AROUND AREA FOR PIPE # 1.
4. BEGIN EXCAVATING AREA FOR PIPE
5. PLACE PIPE # 1 AND STABILIZE UPSTREAM AND DOWNSTREAM
BANKS WITH RIP RAP
6. ROUTE WATER THROUGH PIPE # 1 AND CHANGE DIVERSION DAM
FOR PIPE # 2
7. BEGIN EXCAVATING AREA FOR PIPE
8. PLACE PIPE # 2 AND STABILIZE UPSTREAM AND DOWNSTREAM
BANKS WITH RIP RAP
9. BACKFILL PIPES AND SEED AND MULCH THE AREAS NECESSARY
AND REMOVE ALL EROSION CONTROL UPON COMPLETION
PREPARED BY z DATE-
SU R I OR
)TMGE
APPROVAL DATE
DIVISION BRIDGE NIAINT. ENGINEER
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View upstream from Bridge # 166. Note the presence of the rocky debris
View of the Bridge # 166
i
grade.

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25 11-37A-W.

r--- 0 2 015 6
ISSUED
MICHAEL F. EASLEY
GOVERNOR
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
1584 YANCEYVILLE STREET, GREENSBORO, NC 27415
January 31, 2002
MEMORANDUM TO:
FROM:
Ms. Cynthia Van der Wiele
Wetlands/401 Unit
Lenwood E. Smith, II, PWS
Division Environmental Officer, Division 7
LYNno TIPPETT i
SECRETARY
I
9
` 1 200
FEB
SUBJECT: Payment Information - Water Quality Certificate for Guilford County,
Bridge # 166 on Flemingfield Road (SR 2848)
In accordance with General Statute 143-215.3D(e) the following information if being provided to
facilitate payment of fees associated with the appropriate for water quality certificate:
• Certificates being requested: #3289 (NWT 14) and #3114 (NWP 33)
• Work Order Number : 5.4952
• Amount of fee: $200
Sincerely,
Lenwood E. Smith, II, PWS
Division Environmental Officer, Division 7
PAYMENT
RECEIVED
PHONE [phone] FAX [phone]
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