20021208 Ver 1_Complete File_20020731

F \NATF Michael F. Easley, Governor
0 R William G. Ross Jr., Secretary
\?? pG North Carolina Department of Environment and Natural Resources
6 ?. Alan W. Klimek, P.E. Director
] Division of Water Quality
O 'C
August 1, 2002
Guilford County
DWQ Project No. 021208
SR 2771 (Winfrey Cummings Road)
APPROVAL of 401 Water Quality Certification with Additional Condition
Mr. J.M. Mills, P.E., Division Engineer
NCDOT Division 7
P.O. Box 14996
Greensboro, NC 27415
Dear Mr. Mills:
You have our approval, in accordance with the attached conditions and those listed below, to permanently
impact 48 linear feet and incur 10 linear feet of temporary impacts to Buffalo Creek in order to upgrade
SR 2771 (Winfrey Cummings Road) in Guilford County. The project should be constructed in
accordance with your application dated July 22, 2002 (received July 31, 2002). After reviewing your
application, we have decided that this fill is covered by General Water Quality Certification No. 3375
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. Buffalo Creek and its unnamed tributaries are classified as nutrient sensitive (NSW). In order to
minimize impacts to downstream aquatic resources, NCDOT shall use "Sedimentation and Erosion
Control Guidelines for Sensitive Watersheds" (15A NCAC 4B .0124 found at
http://ncruies.state.nc.us/ncadnunistrativJtitlel5aenviron_/chapter04sedime /default.htm). In
addition, storm water runoff shall be directed to buffer areas or retention basins and not routed
directly to streams unless applicant demonstrates this is impracticable or unfeasible.
2. Native riparian vegetation must be reestablished within the construction limits of the project by the
end of the growing season following completion of construction.
3. NCDOT is encouraged to use existing on-site vegetation and materials for stream bank stabilization
and to minimize the use of rip rap. Rip rap shall not be placed in the stream bottom.
4. The dimension, pattern, and profile of the stream and floodplain above and below the structure shall
not be modified by widening the stream channel or reducing the depth of the stream.
5. All work shall be performed durine low flow conditions.
r
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://h2a.enr.state.nc.us/ncwetlands/
6. Heavy equipment must be operated from the banks rather than in the stream channel in order to
minimize sedimentation and reduce the likelihood of introducing other pollutants into the stream.
7. All mechanized equipment operated near surface waters must be regularly inspected and maintained
to prevent contamination of stream waters from fuels, lubricants, hydraulic fluids, or other toxic
materials.
8. 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.
Attachment
Klimek, P
Pc: Wilmington District Corps of Engineers
Jean Manuele, USACE Raleigh Field Office
Jennifer Frye, NCDWQ Winston-Salem Regional Office
Central Files
File Copy

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N eMU 'C
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//
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY
GOVERNOR
MEMORANDUM TO:
FROM:
SUBJECT:
1584 YANCEYVILLE STREET, GREENSBORO, NC 27415 LYNDo TIPPETT
SECRETARY
Ms. Cynthia Van der Wiele
Wetlands/401 Uni aistric
Lane Hall D
istrict Engineer, ivision 7
. JUL 3 1 2002
V'EIL,NC15 UOUP
WATcft Gt!",i_ITY HCTION
Payment Information - Water Quality Certificate forGuitford County,
Winfrey Cummings Road (SR 2771)
In accordance with General Statute 143-215.3D(e) the following information if being provided to
facilitate payment of fees associated with the appropriate Water Quality Certificate:
o Certificates being requested: #3375 (NWP14)
o Work Order Number : 6.492751
® Amount of fee: $200

l? r
f
PI IONE 336-334-3192 FAX [phone]

STATE OF NORTH CAROLINA
DEPART MNT OF TRANSPORTATION
MICHAEL F. EASLEY 1584 YANCEYVILLE STREET, GREENSBORO, NC 27415
GOVERNOR
July 22, 2002
Ms. Cynthia Van der Wiele
Wetlands/401 Unit
NC DENR Division of Water Quality
1650 Mail Service Center
Raleigh, NC 27699
(Seven Copies)
Mrs. Jean Manuele
U.S. Army Corps of Engineers
Regulatory Field Office
6508 Falls of the Neuse Road, Suite 105
Raleigh, North Carolina 2761
(Two Copies)
LYNDO TIPPETT
SECRETARY
SUBJECT: Guilford County, Upgrade of Winfrey Cummings (SR 2771) from an unpaved
secondary road to a paved secondary road. State Project Number: 6.492751
To Whom It May Concern:
The North Carolina Department of Transportation (NCDOT) proposes to upgrade Winfrey
Cummings (SR 2771) from an unpaved to a paved secondary road to reduce future maintenance
needs and increase traffic safety. This activity will result in impacts to a stream due to the
replacement and extension of a crossline pipe to facilitate travel lane and shoulder widening. The
NCDOT anticipates that the pipe replacement activity will be authorized under Nationwide Permit
(NWP) 14. This application is intended as request for written authorization from the NC Division of
Water Quality to replace the pipe under General Water Quality Certificate # 3375 (NWT 14). This
application is also intended to provide a courtesy copy to the US Army Corps of Engineers. The
following information is being provided to satisfy Condition 1 of General Water Quality Certificate #
3375.
PHONE [phone] FAX[phone]
PROJECT INFORMATION
Road Name SR Number Project Length
miles Classification
Winfrey Cummins 2771 0.6 Rural
River Basin: DWQ
ID Water Quality
Designation % Impervious Surface
Cape Fear 16-11-14 CNSW 3.33
Buffer Rulesa Buffer Rule Conditions (where applicable)
No Not Applicable
Protected Species
Presentb Mapped Historic
Properties' CAMA
AEC Essential Fishery
Habitat
No No review No No
8 Separate documentation attached as needed: " See the attached Endangered Species Review meet for rurtner
information: 'When Applicable - See the attached Historic Review Letter for further information
PIPE REPLACEMENT INFORMATION
Site Site 1 (23+20) Stream Type Intermittent
Station
Existing Pipe 32' long 24" RCP Proposed 70' long 48" CMPA
Pi e
Construction Low flow installation Dewatering Not applicable
Method Device*
Burial Depth 10" Erosion July 11, 2002
Control Plan
Construction As soon as practicable Duration 1 day
L
Date
-
Impacts fl. 38-enclosure; 10-rip-rap dissipaters; 10-temporary
Special Not applicable
Conditions
Restoration Within 15 working days of the of the pipe replacement all temporary
Plan structures will be entirely removed and natural stream contours will be
restored and seeded.
_
RCP = reinforced concrete pipe; CMP = Corrugated metal pipe; CMYA = Corrugated metal pipe arcn; h /L;
Erosion control. *A less intrusive dewatering device may be used in lieu of the one proposed.
-2-
MINIMIZATION INFORMATION
Impacts will be minimized by strict enforcement of Best Management Practices for the protection of
surface waters and wetlands, restrictions against the staging of equipment in or adjacent to waters of
the US, and coordination (including a pre-construction meeting) with the Division Environmental
Officer.
MITIGATION INFORMATION
Stream mitigation is not anticipated, as the impacts to any individual stream do not exceed 150 feet
Wetland mitigation is not anticipated, as wetland impacts do not exceed 0.10 acres and do not occur
in a unique natural wetland.
APPLICATION INFORMATION
Enclosed please find the Pre-construction Notification Form and supporting documentation for the
above referenced project. If you have any questions or need any additional information, please
contact Lane Hall at [phone] or Len Smith at [phone]. Your time and effort are
appreciated.
Sincerely,
Mr. J.M. Mills, P.E.
Division Engineer, Division 7
cc: Mr. Lenwood E. Smith, II, PWS, Division Environmental Officer a52- 2?6
Mr. S. Lane Hall, District 2 Engineer 1?4 L-
Mr. Paul Ingram, P.E., County Maintenance Engineer, Guilford
Mr. Bryan Spell, Area Roadside Field Operations Engineer
Mr. Kevin Hazelwood, Grade Crew Foreman
-3-
Office Use Only: Form Version May 2002
02 go ? n
USACE Action ID No. DWQ No. + U
(If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A".)
1. Processing
1. Check all of the approval(s) requested for this project:
? Section 404 Permit ? Riparian or Watershed Buffer Rules
? Section 10 Permit ? Isolated Wetland Permit from DWQ
® 401 Water Quality Certification
2. Nationwide, Regional or General Permit Number(s) Requested: NWP 14
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 (verify availability with NC)ARP prior to submittal of PCN), complete
section VIII and check here: ?
5. If your project is located in any of North Carolina's twenty coastal counties (listed on page
4), and the project is within a North Carolina Division of Coastal Management Area of
Environmental Concern (see the top of page 2 for further details), check here: ?
H. Applicant Information
1. Owner/Applicant Information
Name: Mr. J.M. Mills, RE, Division Engineer - Division 7
Mailing Address: P.O. Box 14996
Greensboro NC
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: mmills(2adot.state. nc.us
2. Agent/Consultant 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: Not Applicable
Company Affiliation:
Mailing Address:
Telephone Number: Fax Number:
E-mail Address:
Page 1 of 8
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: Winfrey Cummings (SR 2771)
2. T.I.P. Project Number or State Project Number (NCDOT Only): 6.492751 (Non-TIP)_
3. Property Identification Number (Tax PIN): Not Applicable
4. Location
County: Guilford Nearest Town: Whitsett
Subdivision name (include phase/lot number): Not Applicable
Directions to site (include road numbers, landmarks, etc.):
The project is north of %itsett. From 1-40/85 take exit 138 onto Hwy 61 N. Proceed 1.0
miles and bear left onto Hwy 61. Proceed 0.8 miles and turn right onto Hwy 61 and 100.
Proceed 1.7 miles and turn right onto Hwy 61. Proceed 0.1 miles and turn left onto Hwy 61
_(Church Street). Proceed 3.6 miles and turn left onto SR 2770 (Huffine Mill Road).
Proceed 1.6 miles and turn right onto SR 2771.
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. Property size (acres): Not Applicable
7. Nearest body of water (stream/river/sound/ocean/lake): Buffalo Creek (16-11-14)
8. 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 http://h2o.enr.state.nc.us/admin/maps/.)
Page 2 of 8
9. Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this application: Residential property
10. Describe the overall project in detail, including the type of equipment to be used:
The project will involve paving an unpaved secondary road and bringing the travel lane
shoulders ditchlines and drainage structures up to current standards. Travel lane widening
will be required to bring the road up to current standards. Standard shoulder widths will be
6'-8' with deviations shown on the attached site plan. Ditch widths will vary based onsite
conditions Proposed right-of-way width is illustrated on the attached site plan. Equipment
used will be standard road construction equipment (trackhoe, grader, backhoe, and
bulldozer).
11. Explain 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.
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.
Not Applicable
V. Future Project Plans
Are any future permit requests anticipated for this project? If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application.
Not Applicable
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
Page 3 of 8
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. Provide a written description of the proposed impacts: Permanent stream impacts will
result from channel enclosure and placement of rip-rap energy dissipaters. Temporary stream
impacts will result from placement of siltscreens
2. Individually list wetland impacts below:
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

* List each impact separately and identify temporary impacts. impacts include, but are not limited to: mecnamzed cicarmg, graamg, iui,
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 httl2:/hvww.fema.r 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.) Indicate if wetland is isolated (determination of isolation to be made by USACE only).
List the total acreage (estimated) of all existing wetlands on the property: Not Applicable
Total area of wetland impact proposed: Not Applicable
3. Individually list all intermittent and perennial stream impacts below:
Stream Impact
Site Number
indicate on ma
Type of Impact* Length of
Impact
linear feet
Stream Name** Average Width
of Stream
Before Impact Perennial or
Intermittent?
lease specify)

Site 1
Pipe replacement 38-(en)
10-(tmp)
10-

* 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 losstgain),
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
wtirlv.usgs.Qov. Several internet sites also allow direct download and printing of USGS maps (e.g., wtvtv.topozone.corn,
www.map2c uest.com, etc.).
Cumulative impacts (linear distance in feet) to all streams on site:-38- enclosure (en),
10- temporaU (tmp) 10- rip rap (rp)
Page 4 of 8
4. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.) below:
Open Water Impact
Site Number
indicate on ma
Type of Impact* Area of
Impact
acres Name
(if of Water applicable) body Type of Waterbody
(lake' pand estuary' sound,
bay, ocean, etc.
N/A

* List each impact separately and identify temporary impacts. impacts include, but are not unutca to: nu, excavation, uueuVng,
flooding, drainage, bulkheads, etc.
5. 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.): Not Applicable
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.): Not Applicable
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 initri?ed once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts.
Pipe replacement activities are necessary 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 staging of
equipment in or adjacent to waters of the US and coordination (including a pre-construction
meeting) with the Division Environmental Officer.
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.
Page 5 of 8
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/strm,izide.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: therefore, a mitigation plan is not provided.
Cumulative impacts are less than 150 feet. The maximum amount of impact to a single
stream is 48 linear feet. No Outstanding Resource Waters, federally protected species or
their habitats or essential fishery habitats occur in the project area. The project is not located
in a High Quality Water.
2. Mitigation may also be made by payment into the North Carolina Wetlands Restoration
Program (NCWRP). Please note it is the applicant's responsibility to contact the NCWRP at
[phone] to determine availability and to request written approval of mitigation prior
to submittal of a PCN. For additional information regarding the application process for the
NCWRP, check the NCWRP website at http://h2o.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): Not Applicable
Amount of buffer mitigation requested (square feet): Not Applicable
Amount of Riparian wetland mitigation requested (acres): Not Applicable
Amount of Non-riparian wetland mitigation requested (acres): Not Applicable
Amount of Coastal wetland mitigation requested (acres): Not Applicable
Page 6 of 8
IX. Environmental Documentation (required by DWQ)
Does the project involve an expenditure of public (federal/state) funds or the use of public
(federal/state) land?
Yes Z 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 El 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 (required by DWQ)
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* s uare feet Multiplier Required
in
1 N/A 3
2 N/A 1.5
Total N/A
* 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.
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.
Not Applicable
XI. Stormwater (required by DWQ)
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.
The existing travel lane is 18-feet. The proposed travel lane is 20-feet. The proposed right-of-
way is 60-feet The percent new impervious surface (relative to the right-of-way) is 3.33%.
Because the percent new impervious surface is less than 30% stormwater controls are not being
provided
XH. Sewage Disposal (required by DWQ)
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.
Not Applicable
XIII. Violations (required by DWQ)
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 ?
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).
M 7-2-3-o2--
Applicant/Agent's Signature Date
s signature is valid only if an authorization letter from the applicant is provided.)
Page 8 of 8
NATURAL RESOURCE EVALUATION SHEET
State Project # SR Number Road Name county Investigator(s)
6.11 2-;LS J 2771 Winfrey Cummings Road Guilford Len Smith
Date: River Basin: Water Quality Designation Buffer Rules (Y/1)
12/29/00 Cape Fear C NSW . No
Primary Land Use Percent Residential Percent Agricultural: Percent Unmaintaincd:
Agriculture 30 70 0
-i es of Unmamtamea u iann rro ertles
Community Dominant Tree(s) Dominant Shrub(s) Dominant Herb(s)
N/A
Streams
Waters of the US
ST Stream Name Perennial or
Intermittent Ave. Wdth
OHW Ave. Dpth
011W Ave. Wdth
OB Ave. Dpth
OB DWQ ID.
23+27 UT to Buffalo Creek Perennial 2.5' 0.2' 3.0' 2.0' -11 I

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

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

Open Water
ST Name of Waterbody
if applicable) Type of
Waterbod M.M. Name of Waterbody
if applicable) Type of Waterbody

General Notes/Comments:
?•ryr,?? July 22, 2002
Division Environmental Officer Date
ENDANGERED SPECIES REVIEW FOR DIVISION 7
DISTRICT 2
State Project # SR Number Road Name County
y 2771 Winfrey Cummings Road Guilford
Guilford County
Bald Eagle (Haliaeetus leucocephalus). Lake Higgins Area.
Is the activity within the primary or secondary zone Yes ? No
James s in ussel Pleurohema collina - Roanoke Basin
Habitat Survey Date Investigator(s) Man-hours Comments/Findings
N/A
Potential Species (Listed in Nearby Counties)
Schweinitz's sunflower Helianthus sclnveinitzh May be surveyed for from late August to October
Habitat Survey Date Iuvestigator(s) Alan-hours Comments/Findings
No 12/29/00 Len Smith 0.5
General Notes/Comments:
Division Environmental Officer
July 22, 2002
Date
NCDOT
HAZARDOUS SPILL BASIN CHECKLIST
Division Seven
County Guilford
River Basin Cape Fear Bridge No: N/A
Project ID: 6.492751
Route 12771. 1 Stream Buffalo Creek
Water Quality Criteria
Yes
Stream Crossing Blueline on USGS
ORW ?
WS I ?
WS II, III, or IV Crossing Within 0.5 mi. of W.S. Critical Area ?
Roadway Criteria
Route Designation
Yes
Arterial Urban ?
Arterial Rural ?
No
No
Additional Site Information:,
Yes No
Is a Hazardous Spill Basin Required? ?
Criteria Based Upon NCDOT "Best Management Practices for the
Protection of Surface Waters" (March, 1997).
July 9, 2002
Site 23+20
Construction Sequence and Erosion Control Plan for Pipe
Replacement of Pipe with Pipe in an Intermittent Stream
Guilford County - SR 2771 (Winfrey Cummings Road)
Work to begin as soon as practicable following authorization
Construction is anticipated to take 1 day.
1. ALL WORK WILL BE CONDUCTED IN THE DRY.
2. Prior to removing the existing pipe, install a rock silt screen downstream to prevent
incidental sediment loss due to unforeseen precipitation.
3. Remove one existing line of 32' long 24" RC pipe.
4. Excavate to sufficient depth to allow 20% burial of the pipe, place base stone, and
single line of 70' long 48" CM pipe arch.
5. Backfill the structure.
6. Place rip rap only as needed.
7. Remove the rock silt screen and restore natural stream contours.
8. Seed and mulch remaining disturbed areas.
9. Silt fences to be placed as site conditions require.
10. Site conditions and weather may alter these plans.
GNrF of OPERATION 2-26-92
F n ' 0 'TRO EQU
Review Erion utlets of cross! ne n pipes, tall ditches, ?roadway ditches, frill slopes, etc.)
1 o
2. Install lreleas points Installation. & grubbing. See
Erosion Control Standards
3. Begin grading operations - Install all other measures as grading progressi
and monitor their effectiveness. If any consult Highway Maintenance Engineer.) Show changes oon Erosiond,
Control Plans.
4. Locate
on Erosion borrow Control pits Plans or waste h a separate sheet showing same control Me aSUN
5. Before moving to next job site, review all measures for effectiveness; ma ustments
repa
outs,
clean
Environmenta for install on of,a dit h liner and seedi gl and mulching of all disturlbedp
areas.
become stabilized. measures after each significant rainfa
6 until all disturbed areas maintain
7. Fill In all silt basins and slit ditches; remove all silt fences and slope drali
redistribute all stone from silt checks, sediment dams, and silt screens.
Seed and mulch disturbed areas.
EROSION CONTROL LEGEND

ffiil TEMP. ROCK SED. DAM - TYPE A
® TEMP, ROCK SED. DAM -:TYPE B
TEMP. ROCK SILT CHECK,DAM - TYPE B
O-U-X - F. G, ROVING OR E. C. MATTING
-L-r-[-E STONE LINER
TEMP. SILT FENCE
Q PIPE OUTLET PROTECTION
-P -? EARTH BERM
TEMP. SLOPE DRAIN
TSD- TEMP. SILT DITCH
® SILT BASIN - TYPE B (MIN.10'x2'x3')
/'V~ BRUSH BARRIER
ROCK SILT SCREEN
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Name: OSSIPEE
Date: 12/18/2001
Scale: 1 inch equals 2000 feet
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View immediately downstream.