HomeMy WebLinkAbout20020543 Ver 1_Complete File_20020408?OF W A TFRQ
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DWQ Project No.: L/ Z 0 J -q County: _ W of r r (!.I
Applicant: N CD ? I
Project Name: iX4E)L 026 avfy- f(,? 1o Sll?• 4 Cook o, S? ?ZZ 6
Date of Issuance of 401 Water Quality Certification: `( / ;? 0 ( 0 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, -Tun NO^c e , 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 4 ater Quality Certification and Buffer Rules, the approved plans and
specifications, and other s
701 IL- terials. J
Signature: 'U Date:
Agent's Certification
I, , 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.
Signature:
Engineer's Certification
Partial Final
Date:
L , 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.
Signature Registration No.
Date
Transportation Permitting Unit
1650 Mail Service Center, Raleigh, North Carolina 27699-1650
2321 Crabtree Boulevard, Suite 250, Raleigh, North Carolina 27604
Phone: 919.733.1786 / FAX 919-733-6893 / Intemet: htto://h2o.enr.state.nc.us/ncwetiands
Michael F. Easley, Govemor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
An Equal Opportunity/Affirmative Action Employer - 500% Recycled/10% Post Consumer Paper
State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
Michael F. Easley, Governor
William G. Ross, Jr., Secretary
Gregory J. Thorpe, Ph.D., Acting Director
•
NC ENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
April 30, 2002
Warren County
DWQ Project No. 020543
APPROVAL of 401 Water Quality Certification
Mr. J.G. Nance, P.E., Division Engineer
NCDOT, Division 5
2612 N. Duke Street
Durham, NC 27704
Dear Mr. Nance:
You have our approval, in accordance with the attached conditions and those listed below, to place fill
material in 0.01 acres of jurisdictional wetlands and 160 linear feet (80' feet permanent fill, and 80'
temporary) of streams for the purpose of replacing bridge number 26 on SR 1226 over an unnammed
tributary to Smith Creek in Warren County. The project shall be constructed in accordance with your
application dated April 4, 2002. After reviewing your application, we have decided that this fill is covered
by General Water Quality Certification Number 3375. This certification corresponds to the Nationwide
Permit Number 14 issued by the Corps of Engineers. 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 valid solely for the purpose and design described in your application (unless modified
below). Should your project chancre, you must notify the DWQ and submit a new application. If the
property is sold, the new owner must be given a copy of this Certification and approval letter, and is thereby
responsible for complying with all the conditions. If total wetland fills for this project (now or in the future)
exceed one acre, or of total impacts to streams (now or in the future) exceed 150 linear feet, compensatory
mitigation may be required as described in 15A NCAC 2H.0506 (h) (6) and (7). For this, approval to
remain valid, you must adhere to the conditions listed in the attached certification.
1.) Upon completion of the project, the NCDOT shall complete and return the enclosed "Certification of
Completion Form" to notify DWQ 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
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, P.O. Box 27447, Raleigh, N.C. 276 1 1-7447. This certification and its conditions
are final and binding unless you ask for a hearing.
Wetlands/401 Unit 1650 Mail Service Center Raleigh, North Carolina 27699-1 62 1
Telephone 919-733-1786 FAX 733-9959
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post consumer paper
State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
Michael F. Easley, Governor NC ENR
William G. Ross, Jr., Secretary NORTH CAROLINA DEPARTMENT OF
Gregory J. Thorpe, Ph.D., Acting Director ENVIRONMENT AND NATURAL RESOURCES
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 contact John Hennessy at 919-733-5694 or Steve Mitchell at 919-
571-4700.
Attachment
cc: Wilmington District Corps of Engineers
Corps of Engineers Raleigh Field Office
DWQ Raleigh Regional Office
File Copy
Central Files
c:\ncdot\SR 1226\wqc\020543wgc.doc
incer ly,
e J. Tho ,Ph.D.
rp
tna Director
Wetlands/401 Unit 1650 Mail Service Center Raleigh, North Carolina 27699-1 62 1
Telephone 919-733-1786 FAX 733-9959
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post consumer paper
e'?fo
STATE of NORTH CAROLINA
AM 820
WERNErMotp
NJ,'?TE.3 QUALITY SECT!^s<
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY
GOVERNOR
April 4, 2002
LYNDO TIPPETT
SECRETARY
N.C. Dept. of Environment and Natural Resources-Division of Water Quality
2321 Crabtree Blvd.
Raleigh, NC 27604-2260
PAYMENT
Attention: Mr. John Dorney RECEIVED 0 2 0 5 4 3
Coordinator
Subject: Proposed replacement of Bridge No. 26 over an unnamed tributary to
Smith Creek on SR 1226 in Warren County. NCDOT Work Order No.
5.4152009.
Reference: NCDOT permit application (April 4, 2002)
The North Carolina Department of Transportation (NCDOT) plans to replace
Bridge No. 26 over an unnamed tributary to Smith Creek on SR 1226 in Warren County.
Construction of the project will necessitate impacts to waters of the United States.
Application was made for a Department of the Army Section 404 Nationwide Permit
(NWT) 14 and NWP 33 and North Carolina Department of Environment and Natural
Resources-Division of Water Quality (DWQ) Section 401 Water Quality Certification
(WQC) No. 3375 and WQC No. 3366 by permit application dated April 4, 2002.
An automated payment procedure has recently been implemented between the
NCDOT and NCDWQ. This procedure will enable the Division to apply for the 401
WQC without submitting a check for this permit application. This new procedure will
provide payment to the NCDWQ by charging the permit application fee directly to the
appropriate NCDOT work order.
The NCDOT work order for this project is 5.4152009. Project impacts are less
than one acre of cumulative wetland/water imRacts and less than 150 linear feet
cumulative impacts to streams; therefore. please note that a fee of $200.00 is reauired for
this project. Kyou have any questions or need additional information, please contact me
at (919) 560-6081.
Sincerely,
a C "--2:5--
Christopher A. Murray, P.W.S.
Environmental Officer
Division 5, 2612 N. Duke Street, Durham, NC 27704
Phone: (919) 560-6081 Fax: (919) 560-3371
Note:
000 Rip Rap
?i Wetland
Fill in Wetland
Fill in Surface Water
/ T o m r
P I a c e men t
'iling to
ream
Temp. Placement
/ of Sheet Piling to
' Dewater Stream
Site 1--Construction Impact
Bridge No. 26 on SR 1226
Warren County
Figure 2 1"=15'
• DATA FORM
ROUTINE WETLAND DETERMINATION
0 987 COE Wetlands Delineation Manual)
Project/Site: -S (,A M`,_ Z6 ?,.. S (L IZZ 6
'- Date: "? • 3, ,--.,Z
Applicant%Owner:
Wcha^ County: (,Jc?r,-c N
Investigator: C-. A-t-i rr- State: )) e
Do Normal Circumstances exist on the site? GD No Community ID: '
Is the site significantly disturbed (Atypical Situation)? Yes Transect ID: + a
Is the area a potential Problem Area? Yeso Plot ID:
(If needed, explain on reverse.)
VEGETATION
Dominant Plant Species Stratum Indicator Dominant Plant Species Stratum Indicator
9.
2. L?avStc?,.. V7 e.% ff5 - 10.
3.? mn. L2ra? t nD on???_ £R-C- 11.
4. 12.
5. 13.
6. 14.
7. 15.
8. 16.
Percent of Dominant Species that are OBL, FACW or FAC
l
di
?
(exc
u
ng FAC-).
C
Remarks: . t
Pfevc,.?e?ce off'- In?dtr?Pl..2fi? c SP -eC/
HYDROLOGY
_ Recorded Data (Describe in Remarks): Wetland Hydrology Indicators:
Stream, Lake, or Tide Gauge Primary Indicators:
_ Aerial Photographs Inundated
_ Other -Saturated in Upper 12 Inches
_?hlo Recorded Data Available _ Water Marks
_ Drift Lines
Sediment Deposits
Field Observations: ainage Patterns in Wetlands
Secondary Indicators (2 or more required):
Depth of Surface Water: (in.) _ Oxidized Root Channels in Upper.12 Inches
_ Water-Stained Leaves
Depth to Free Water in Pit: (in.) _ Local Soil Survey Data
FAC-Neutral Test
Depth to Saturated Soil: (in.) _
_ Other (Explain in Remarks)
Remarks:
4e
SOILS
Map Unit Name
(Series and Phase): Drainage Class:
Field Observations
Taxonomy (Subgroup): Confirm Mapped Type? Yes No
Profile Description:
Depth Matrix Color Mottle Colors Mottle Texture, Concretions,
inches Horizon (Munsell Moist) (Munsell Moist) Abundance/Contrast Structure, etc.
1 Hydric Soil Indicators:
_ Histosol _ Concretions
_ Histic Epipedon _ High Organic Content in Surface Layer in Sandy Soils f
_ Sulfidic Odor _ Organic Streaking in Sandy Soils
_ Aquic Moisture Regime _ Listed on Local Hydric Soils List
Reducing Conditions Listed on National Hydric Soils List '
_
yed or Low-Chroma Colors _ Other (Explain in Remarks)
Remarks:
14,ki c 5 . ; 5 0,+- 57 +T
WETLAND DETERMINATION
Hydrophytic Vegetation Present? s No (Circle) (Circle)
Wetland Hydrology Present? No
Hydric Soils Present? No Is this Sampling Point Within a Wetland? Y S No
Remarks:
i
L ,j e - ?G., Q a -t- 5 ; 4 e " Q l ( j4r c, t-, e-4-P- 5 , tP, P f e S.e. ,-I.- ,
DATA FORM
ROUTINE WETLAND DETERMINATION
0 987 COE Wetlands Delineation Manual)
Project/Site: 2f; h 5_ )V o Z 6 oi. S (L 22 6 Date: • ,?? o Z
Applicant/Owner: NLi? oT' County: ?r?c^
Investigator: ,, ra State: c
Do Normal Circumstances exist on the site? IPA No
Is the site significantly disturbed (Atypical Situation)? Community ID:?
Transect ID: c,
Is the area a potential Problem Area? Yes o Plot ID:
(If needed, explain on reverse.)
VEGETATION
Dominant Plant Species Stratum Indicator Dominant Plant Species Stratum Indicator
1.Lo?,?eia ?c?Dan?L_g 1/ FAC- 9.
2. C%c(e S f .+ r-. 5 i+i1 t itS 3(5 IFAC 10,
3. TuA,, e/J s V r /q 1 i7 I A,% gzy 7- F14C J? 11.
4. M, C(0S teS i ?J.-? V; ,",n
a j , 19C 12.
pp
S. L/I C, A CAA uSt`. 13.
6. Tr . ?o?i y? (PQtnS ?? CJ 14.
7. 15.
8. 16.
Percent of Dominant Species that are OBL. FACW or FAC
(excluding FAC-).
Remarks:
++
treu?.?t?ce ?? AJA-k Wc,eScf 5,,4Q.
HYDROLOGY
_ Recorded Data (Describe in Remarks): Wetland Hydrology Indicators:
Stream, Lake, or Tide Gauge Primary Indicators:
_ Aerial Photographs _ Inundated
_ Other -saturated in Upper 12 Inches
?No Recorded Data Available _ Water Marks
_ Drift Lines
_ Sediment Deposits
Field Observations: _ Drainage Patterns in Wetlands
Secondary Indicators (2 or more required):
Depth of Surface Water: (in.) _ Oxidized Root Channels in Upper_12 Inches
_ Water-Stained Leaves
Depth to Free Water in Pit: (in.) _ Local Soil Survey Data
_ FAC-Neutral Test
Depth to Saturated Soil: (in.) _ Other (Explain in Remarks)
Remarks:
Sr t?
SOILS
Map Unit Name
(Series and Phase): Drainage Class:
Field Observations
Taxonomy (Subgroup): Confirm Mapped Type? Yes No
Profile Description:
Depth Matrix Color Mottle Colors Mottle Texture, Concretions,
inc
h
e
s
Horizon (Munsell Moist) .(Munsell Moist) Abundance/Contrast Str
cture, etc.
?
?
?
? ?
-?-ty i- (L 2 u
l d 'T i2S '?L'`?, GCS 5 r'i 'lG}'_ SGvtcX..
C ?o
O 4
r t
??
.+ .
i
I Hydric Soil Indicators:
Histosol _ Concretions
=
Histic Epipedon _ High Organic Content in Surface Layer in Sandy Soils M
_ Sulfidic Odor _ Organic Streaking in Sandy Soils
_ Aquic Moisture Regime _ Listed on Local Hydric Soils List
_ Reducing Conditions _ Listed on National Hydric Soils List
Gleyed or Low-Chroma Colors _ Other (Explain in Remarks)
Remarks:
II pp
J )A- k-K AaL. 5Gi S
?frc>e^1- Q+- 5/'4(° .
WETLAND DETERMINATION
Hydrophytic Vegetation Present? Yes No (Circle) (Circle)
Wetland Hydrology Present? Yes
Hydric Soils Present? Yes Is this Sampling Point Within a Wetland? Yes ?lVp
Remarks: ?J
IVJ? - ?-.J 12 ?41? i Cr l? ?Rf ?P- ?{ S Q( Q- V\
WETLAND RATING WORKSHEET Fourth Version
Project Name: t .S g.,? Z ?111\ S JZ (2ZCNearest road: ?- z Z G
County: w c. r r e Wetland area: G0 - o 1 Q c-aefes Wetland width: feet
Name of evaluator: • M r r?? Date: `J'3, 0 Z
Wetland location
on pond or lake
? on perennial stream
on intermittent stream
within interstream divide
other.
Soil series N (A
predominantly organic
(humus, muck, or peat)
predominantly mineral
(non-sandy)
predominantly sandy
Hydraulic factors
_ steep topography
_ ditched or channelized
- total riparian wetland width > 100 ft
Adjacent land use (within % mile.upstream,
upslope, or radius)
? forested/natural vegetation Z %
? agriculture, urban/suburban
impervious surface %
Dominant vegetation
1) X1AECcl T1 QA (/iM?no
2) / _lave. t-r_,_.,% S?
3)
Flooding and wetness
semipermanently to permanently flooded
nor inundated
seasonally flooded or inundated
_ intermittently flooded or temporary
surface water
_ no evidence of flooding or surface water
Wetland type (select one)
Bottomland hardwood forest Pine savanna
Headwater forest Freshwater marsh
Swamp forest Bog/fen
Wet flat Ephemeral wetland
Pocosin Carolina Ba
Bog forest ? Other r ?rswAl-cr w? t-? E?
*The rating system cannot be applied to salt or brackish marshes or stream channels?d- Q"Store
.................................... ..._........._...._....................._..........................._.__......................... _......................................................................................................................
R Water Storage ( x 4.00 =
A Bank/Shoreline Stabilization x 4.00 =
T Pollutant Removal x 5.00 = Total Score
1 Wildlife Habitat x 2.00 = I-
N Aquatic Life x 4.00 = Lf
G Recreation and Education D x 1.00 = 0
'Add 1 point if in sensitive watershed and >10%o nonpoint disturbance within'/2 mile radius.
Pre-Construction Notification (PCN) Application Form
For Section 404 and/or Section 10 Nationwide, Regional and General Permits, Section 401
General Water Quality Certifications, and Riparian Buffer and Watershed Buffer Rules
This form is to be used for projects qualifying for any of the U.S. Army Corps of Engineers' (USACE)
Nationwide, Regional or General Permits as required by Section 404 of the Clean Water Act and/or
Section 10 of the Rivers and Harbors Act, and for the North Carolina Division of Water Quality's
(DWQ) associated General 401 Water Quality Certifications. This form is also to be used for any
project requiring approval under any Riparian Buffer Rules implemented by the N.C. Division of Water
Quality. This form should not be used if you are requesting an Individual 404 Permit or Individual 401
Water Quality Certification. The USACE Individual Permit application form is available online at
http://www.saw.usace.army.miI/wetlands/`.Perm-qpp.htm.
The USACE is the lead regulatory agency. To review the requirements for the use of Nationwide,
Regional or General permits, and to determine which permit applies to your project, please go to the
USACE website at http://ww-w.saw.usace.army.mil/wetlands/regtour.htm, or contact one of the field
offices listed at the end of this application. The website also lists the responsible project manager for
each county in North Carolina and provides additional information regarding the identification and
regulation of wetlands and waters of the U. S.
The DWQ issues a corresponding Certification (General or Individual), and cannot tell the applicant
which 401 Certification will apply until the 404 Permit type has been determined by the USACE.
Applicants are encouraged to visit DWQ's 401/Wetlands Unit website at
http://h2o.enr.state.nc.us/ncwetlands to read about current requirements for the 401 Water Quality
Certification Program and to determine whether or not Riparian Buffer Rules are applicable. The
applicant is also advised to read the full text of the General Certification (GC) matching the specific 404
Permit requested. In some cases, written approval for some General Certifications is not required,
provided that the applicant adheres to all conditions of the GC. Applicants lacking access to the internet
should contact DWQ's Central Office in Raleigh at (919) 733-1786.
Trout Waters Coordination - Special coordination with the North Carolina Wildlife Resources
Commission (NCWRC) is also required for projects occurring in any of North Carolina's twenty-five
counties that contain trout waters. In such cases, the applicant should contact the appropriate NCWRC
regional coordinator (listed by county on the last page of this application).
Page 1 of 11
CAKk Coordination - If the project occurs in any of North Carolina's twenty coastal counties (listed on
the last page of this application) the applicant should also contact the North Carolina Division of Coastal
Management (DCM) at (919) 733-2293. DCM will determine whether or not the project involves a
designated Area of Environmental Concern, in which case DCM will act as the lead permitting agency.
In such cases, DCM will require a Coastal Area Management Act (CAMA) Permit and will coordinate
the 404/401 Permits.
USACE Permits - Submit one copy of this form, along with supporting narratives, maps, data forms,
photos, etc. to the applicable USACE Regulatory Field Office (addresses are listed at the end of this
application). Upon receipt of an application, the USACE will determine if the application is complete as
soon as possible, not to exceed 30 days. This PCN form is designed for the convenience of the applicant
to address information needs for all USACE Nationwide, Regional or General permits, as well as
information required for State authorizations, certifications, and coordination. Fully providing the
information requested on this form will result in a complete application for any of the USACE
Nationwide, Regional or General permits. To review the minimum amount of information that must be
provided for a complete PCN for each USACE Nationwide permit, see Condition 13, 65 Fed.Reg. 12893
(March 9, 2000), available at http://www.saw.usace.army.mil/wetlands/nwpfinalFedRectpdf
Processing times vary by permit and begin once the application has been determined to be complete.
Please contact the appropriate regulatory field office for specific answers to permit processing periods.
401 Water Quality Certification or Buffer Rules - All information is required unless otherwise stated
as optional. Incomplete applications will be returned. Submit seven collated copies of all USACE
Permit materials to the Division of Water Quality, 401/Wetlands Unit, 1650 Mail Service Center,
Raleigh, NC, 27699-1650. If written approval is required or specifically requested for a 401
Certification, then a non-refundable application fee is required. In brief, if project impacts include less
than one acre of cumulative wetland/water impacts and less than 150 feet cumulative impacts to
streams, then a fee of $200 is required. If either of these thresholds is exceeded, then a fee of $475 is
required. A check made out to the North Carolina Division of Water Quality, with the specific name of
the project or applicant identified, should be stapled to the front of the application package. For more
information, see the DWQ website at http:,'/h2o.ehnr.state.nc.us/ncwetlands/fees.html. The fee must be
attached with the application unless the applicant is a federal agency in which case the check may be
issued from a separate office. In such cases, the project must be identifiable on the U.S. Treasury check
so that it can be credited to the appropriate project. If written approval is sought solely for Buffer Rules,
the application fee does not apply, and the applicant should clearly state (in a cover letter) that only
Buffer Rule approval is sought in writing. Wetlands or waters of the U.S. may not be impacted prior to
issuance or waiver of a Section 401 Water Quality Certification. Upon receipt of a complete application
for a 401 Certification, the Division of Water Quality has 60 days to prepare a written response to the
applicant. This may include a 401 Certification, an on-hold letter pending receipt of additional
requested information, or denial.
Page 2 of 11
Office Use Only: Form Version April 2001
USACE Action ID No. DWQ No. 020543
If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A" rather than
leaving the space blank.
1. Processing
1. Check all of the approval(s) requested for this project:
® Section 404 Permit
? Section 10 Permit
® 401 Water Quality Certification
? Riparian or Watershed Buffer Rules
2. Nationwide, Regional or General Permit Number(s) Requested: NWP 14 and NWP 33
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: ?
4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for
mitigation of impacts (see section VIII _ Mitigation), check here: ?
H. Applicant Information
1. Owner/Applicant Information
Name: NCDOT/Christopher A. Murray
Mailing Address: 2612 N. Duke Street Durham NC 27704
Telephone Number: (919) 560-6081 Fax Number: (919) 560-3371
E-mail Address: cmurray@a,dot.state.nc.us
2. Agent Information (A signed and dated copy of the Agent Authorization letter must be
attached if the Agent has signatory authority for the owner/applicant.)
Name:
Company Affiliation:
Mailing Address:
Telephone Number: Fax Number:
E-mail Address:
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
Page 3 of 11
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: Bridge No. 26 over an unnamed tributary to Smith Creek on SR 1226 in
Warren County
2. T.I.P. Project Number or Work Order: Work Order No. 5.4152009
3. Property Identification Number (Tax PIN):
4. Location
County: Warren Nearest Town: Henderson
Subdivision name (include phase/lot number):
Directions to site (include road numbers, landmarks, etc.): From Henderson, travel northeast
on I-85, leave the interstate at Exit No 229, at the off ramp turn left and travel north on SR
1210. turn left and travel east on SR 1217, turn left and travel. south on SR 1226 to project
limits.
5. Site coordinates, if available (UTM or Lat/Long): 17 746349E 4039479N UTM
(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: Site is
surrounded by wooded land and farm land.
7. Property size (acres):_ Project footprint is 38 feet long and 80 wide Property size is
approximately 0.07 acre.
8. Nearest body of water (stream/river/sound/ocean/lake): Unnamed tributary to Smith Creek
9. River Basin: Roanoke River
(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/mans/.)
10. Describe the purpose of the proposed work: Replacement of Bridge No. 26 over an
unnamed tributary to Smith Creek on SR 1226 in Warren County. The replacement structure
is a 95"x 67" corrugated steel pipe arch.
11. List the type of equipment to be used to construct the project: Excavator, crane;
backhoe and bulldozer.
Page 4 of 11
12. Describe the land use in the vicinity of this project: Wooded land and farm land.
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.
No previous project jurisdictional determination or permit history associated with site.
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: None anticipated.
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 Type of Area of Located within Distance to
Site Number Impact* Impact 100-year Floodplain** Nearest Stream Type of Wetland***
(indicate on ma) (acres) (es/no) (linear feet)
Site 1 Fill <0.01 No Adjacent Emergent
* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: mechanized clearing, grading, fill,
excavation, flooding, ditching/drainage, etc. For dams, separately list impacts due to both structure and flooding.
** 100-Year floodplains are identified through the Federal Emergency Management Agency's (FEMA) Flood Insurance Rate Maps
(FIRM), or FEMA-approved local floodplain maps. Maps are available through the FEMA Map Service Center at 1-800-358-9616, or
online at http://NN.fema.eo .
*** List a wetland type that best describes wetland to be impacted (e.g., freshwater/saltwater marsh, forested wetland, beaver pond,
Carolina Bay, bog, etc.)
Page 5 of 11
List the total acreage (estimated) of existing wetlands on the property: <0.01 acre
Total area of wetland impact proposed: <0.01 acre
2. Stream Impacts, including all intermittent and perennial streams
Stream Impact
Site Number
?n? of Impact Average Width of Perennial or
Intermittent?
(indicate on Type of Impact* (linear feet) Stream Name** Stream Before (ply
gyp) Impact specify)
Rip rap placed at structure inlet
Site 1 and outlet for stabilization only. 20 UT Smith Creek 2 feet Perennial
Site 1 Placement of structure at creek 60 UT Smith Creek 2 feet Perennial
Site 1 Temporary Dewatering 80 UT Smith Creek 2 feet Perennial
List each impact separately and identity temporary impacts. Impacts include, but are not limited to: culverts and associated rip-rap,
dams (separately list impacts due to both structure and flooding), relocation (include linear feet before and after, and net loss/gam),
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
Nm,,w.usas.i,ov. Several internet sites also allow direct download and printing of USGS maps (e.g., Nvwtiv.topozone.com,
w w.mapgtiest.com, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: 80 feet existing channel
impacted (20 feet of ripL4p for stabilization and 60 feet for placement of structure) and 80
feet temporary impacts for dewaterinW
3. Open Water Impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any
other Water of the U. S.
Open Water Impact
Site Number
indicate on ma)
Type of Impact* Area of
hnpact
(acres)
(if Name applicable) Wateplicabllee) Type of Waterbody
(lake, pond, estuary, sound,
bay, ocean, etc.)
List each impact separately and identify temporary impacts. Impacts include, but are not limited to: fill, excavation, dredging,
flooding, drainage, bulkheads, etc.
4. Pond Creation
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ? uplands ? stream ? wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.): N/A
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.): N/A
Size of watershed draining to pond: N/A Expected pond surface area: N/A
Page 6 of 11
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 existing bridge is structurally deficient and must be replaced. All wetlands and surface
waters not affected by construction will be protected from unnecessary encroachment. No
staging of construction equipment or storage of construction supplies will be allowed in or near
wetlands or surface waters. Strict enforcement of sedimentation and erosion Best Management
Practices for the protection of wetlands and surface waters will be conducted during project
construction. Continued coordination will occur with maintenance forces and the Environmental
Officer during construction to minimize impacts to waters of the United States. The design o
the project has reduced the footprint of the project as much as possible to allow for only the
amount of fill necessary to safely complete the project.
VII[. 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/strm,c,,,ide.html.
Page 7 of 11
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.
Not Applicable.
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 hitp:/Ai2o.enr.state.ne.us/ivrD/inde.x.htm. If
use of the NCWRP is proposed, please check the appropriate box on page three and provide
the following information:
Amount of stream mitigation requested (linear feet): N/A
Amount of buffer mitigation requested (square feet): N/A
Amount of Riparian wetland mitigation requested (acres): N/A
Amount of Non-riparian wetland mitigation requested (acres): N/A
Amount of Coastal wetland mitigation requested (acres): N/A
IX. Environmental Documentation (DWQ Only)
Does the project involve an expenditure of public funds or the use of public (federal/state/local)
land?
Yes ® No ?
If yes, does the project require preparation of an environmental document pursuant to the
requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)?
Note: If you are not sure whether a NEPA/SEPA document is required, call the SEPA
coordinator at (919) 733-5083 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 ?
Page 8 of 11
X.
Proposed Impacts on Riparian and Watershed Buffers (DWQ Only)
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required state and local buffers associated with the project. The applicant must also provide
justification for these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Meuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and
Water Supply Buffer Requirements), or other (please identify )?
Yes ? No N 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
Multiplier
1.5
Total
* Zone 1 extends out 30 feet perpendicular f
additional 20 feet from the edge of Zone 1.
near bank of channel; Zone 2 extends an
Required
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
XL 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.
Existing: 0.02 acre impervious surface of 0.07 acre total project size.
Proposed: 0.02 acre impervious surface of 0.07 acre total project size.
Erosion control measures (silt fences will be placed in a manner to preclude sediment from
leaving, the site. All temporarily disturbed areas will be reve,getated immediately after
construction.
Page 9 of 11
XII. Sewage Disposal (DWQ Only)
Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of
wastewater generated from the proposed project, or available capacity of the subject facility.
The project will not generate wastewater.
XIII. 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 El 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).
Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
US Army Corps Of Engineers Field Offices and County Coverage
Asheville Regulatory Field Office Alexander Cherokee Iredell Mitchell Union
US Army Corps of Engineers Avery Clay Jackson Polk Watauga
151 Patton Avenue Buncombe Cleveland Lincoln Rowan Yancey
Room 208 Burke Gaston Macon Rutherford
Asheville, NC 28801-5006 Cabarrus Graham Madison Stanley
Telephone: (828) 2714854 Caldwell Haywood McDowell Swain
Fax: (828) 2714858 Catawba Henderson Mecklenburg Transylvania
Raleigh Regulatory Field Office Alamance Durham Johnston Rockingham Wilson
US Army Corps Of Engineers Alleghany Edgecombe Lee Stokes Yadkin
6508 Falls of the Neuse Road Ashe Franklin Nash Suny
Suite 120 Caswell Forsyth Northampton Vance
Raleigh, NC 27615 Chatham Granville Orange Wake
Telephone: (919) 876-8441 Davidson Guilford Person Warren
Fax: (919) 876-5283 Davie Halifax Randolph Wilkes
Page 10 of 11
Washington Regulatory Field Office Beaufort Currituck Jones Pitt
US Army Corps Of Engineers Bertie Dare Lenoir Tyrrell
Post Office Box 1000 Camden Gates Martin Washington
Washington, NC 27889-1000 Carteret* Green Pamlico Wayne
Telephone: (252) 975-1616 Chowan Hertford Pasquotank
Fax: (252) 975-1399 Craven Hyde Perquimans *Croatan National Forest Only
Wilmington Regulatory Field Office Anson Duplin Onslow
US Army Corps Of Engineers Bladen Harnett Pender
Post Office Box 1890 Brunswick Hoke Richmond
Wilmington, NC 28402-1890 Carteret Montgomery Robeson
Telephone: (910) 2514511 Columbus Moore Sampson
Fax: (910) 251-4025 Cumberland New Hanover Scotland
US Fish and Wildlife Service / National Marine Fisheries Service
US Fish and Wildlife Service US Fish and Wildlife Service National Marine Fisheries Service
Raleigh Field Office Asheville Field Office Habitat Conservation Division
Post Office Box 33726 160 Zillicoa Street Pivers Island
Raleigh, NC 27636-3726 Asheville, NC 28801 Beaufort, NC 28516
Telephone: (919) 856-4520 Telephone: (828) 665-1195 Telephone: (252) 728-5090
North Carolina State Agencies
Division of Water Quality
401 Wetlands Unit
1650 Mail Service Center
Raleigh, NC 27699-1650
Telephone: (919) 733-1786
Fax: (919) 733-9959
Division of Water Quality
Wetlands Restoration Program
1619 Mail Service Center
Raleigh, NC 27699-1619
Telephone: (919) 733-5208
Fax: (919) 733-5321
State Historic Preservation Office
Department Of Cultural Resources
4617 Mail Service Center
Raleigh, NC 27699-4617
Telephone: (919) 733-4763
Fax: (919) 715-2671
CAMA and NC Coastal Counties
Division of Coastal Management Beaufort Chowan Hertford Pasquotank
1638 Mail Service Center Bertie Craven Hyde Pender
Raleigh, NC 27699-1638 Brunswick Currituck New Hanover Perquimans
Telephone: (919) 733-2293 Camden Dare Onslow Tyrrell
Fax: (919) 733-1495 Carteret Gates Pamlico Washington
NCWRC and NC Trout Counties
Western Piedmont Region Coordinator Alleghany Caldwell Watauga
3855 Idlewild Road Ashe Mitchell Wilkes
Kernersville, NC 27284-9180 Avery Stokes
Telephone: (336) 769-9453 Burke Surry
Mountain Region Coordinator Buncombe Henderson Polk
20830 Great Smoky Mtn. Expressway Cherokee Jackson Rutherford
Waynesville, NC 28786 Clay Macon Swain
Telephone: (828) 452-2546 Graham Madison Transylvania
Fax: (828) 506-1754 Haywood McDowell Yancey
Page 11 of 11
APR 8 ZD02
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STATE of NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
1 &CHAEL F. EASLEY
GovERNoR
April 4, 2002
U. S. Army Corps of Engineers
Raleigh Regulatory Field Office
6508 Falls of the Neuse Road, Suite 120
Raleigh, NC 27609
Attention: Mr. Eric Alsmeyer
NCDOT Coordinator
LYNDO TIPPETT
SECRETARY
020543
Subject: Replacement of Bridge No. 26 over an unnamed tributary to Smith Creek
on SR 1226 in Warren County. NCDOT State Project No. 5.4152009
The North Carolina Department of Transportation (NCDOT) plans to replace
Bridge No. 26 over an unnamed perennial tributary to Smith Creek in Warren County
(Figure 1). The existing bridge was constructed in 1953 and has a timber floor on timber
piles. This bridge is currently in poor condition; it is structurally deficient with a
sufficiency rating of 52 out of 100 points. It has been determined that this structure must
be replaced. The proposed replacement structure is a 95 inch x 67 inch corrugated steel
pipe arch (Figure 2).
Impacts to Waters of the United States
Construction of the project involving replacement of the existing bridge will
necessitate impact to waters of the United States in the Roanoke River basin. Here, the
project crosses a palustrine emergent non-persistent (PEM2B) wetland located in a cow
pasture and an unnamed perennial tributary to Smith Creek (NCDENR-DWQ Index No.
23-10, Best Usage Classification Q. Wetland delineations were conducted using the
field delineation method outlined in the 1987 Corps of Engineers Wetland Delineation
Manual (Environmental Laboratory, 1987). U.S. Army Corps of Engineers (USACE)
Wetland Data Forms and a North Carolina Department of Environment, Health and
Natural Resources-Division of Environmental Management Wetland Rating Form are
attached to this application.
Bridge Demolition and Removal
Bridge No. 26 has a timber floor on timber piles. The bridge will be removed
under Case 3, where there are no special restrictions beyond those outlined in Best
Division 5, 2612 N. Duke Street, Durham, NC 27704
Phone: (919) 560-6081 Fax: (919) 560-3371
Management Practices for Bridge Demolition and Removal. The bridge construction
sittvili be dewatered during construction, thus precluding the dropping of bridge
components into live water.
Bridge Replacement
Impacts associated with the project from the replacement of the existing bridge
with a corrugated steel pipe arch (including minimal amounts of rip rap to protect the
structure) include 80 feet existing channel impacted, <0.01 acre fill in surface water,
and <0.01 acre fill in wetlands (Figure 2).
Dewaterim
The NCDOT will dewater this perennial stream during the construction of the
project. This will involve the temporary placement of sheet piling in the stream channel
approximately 10 feet upstream of the proposed pipe inlet and approximately 10 feet
downstream of the proposed pipe outlet. To maintain water flow during construction,
water upstream of this impervious structure will be temporarily pumped out and
conveyed downstream of the impervious structure. The stream will be dewatered less
than two weeks. This will result in temporary impacts to the surface water. Temporary
impacts to the streams from this activity will result in the dewatering of <0.01 ac of
stream bed and 80 linear feet stream channel. The sheet piling will be removed after
construction.
Waters of the U.S. Mitigation
Avoidance: All wetlands or surface waters not affected by the project will be
protected from unnecessary encroachment. No staging of construction equipment or
storage of construction supplies will be allowed in or near wetlands or surface waters.
Minimization: Strict enforcement of sedimentation and erosion control by Best
Management Practices for the Protection of Wetlands and Surface Waters will be
enforced during project construction. Continued coordination will occur with
maintenance forces and the Environmental Officer during construction to minimize
impacts to waters of the United States.
Com en nsatorv Mitigation: Construction of the project will result in only minimal
impacts to waters of the United States. Impacts have been minimized to the maximum
extent possible during the design process. Due to minimal impacts, compensatory
mitigation for impacts to waters of the U.S. will not be provided for this project.
Protected Species
dwarf wedgemussel --Biological Conclusion: No Effect
Tar spinymussel- Biological Conclusion: No Effect
NCDOT Division Environmental Officer Chris Murray conducted a mussel
survey at the site on September 7, 2001. The survey was conducted at the existing
structure and for a distance of 200 feet downstream and 10 feet upstream of the project
crossing. Survey methodology included wading using visual and tactile methods along
the banks and throughout the stream. No mussels were found during the survey. The
stream located in the project limits is a very low flow perennial stream that originates at
the wetland immediately upstream of the existing bridge. Stream depth is less than three
inches. A review of the NHP rare and unique habitat database did not reveal the presence
of these species within 1.6 km (1.0 mi) of the project study area. Impacts to these
federally protected species will not occur from project construction.
Historical Compliance
Historic compliance work to be scheduled and concurrence with Historic
Preservation Office will be obtained if required.
Summary
NCDOT proposes to replace Bridge No. 26 over an unnamed perennial tributary
to Smith Creek in Warren County. The proposed replacement structure is a 95 inch x 67
inch corrugated steel pipe arch. Impacts associated with the project from the replacement
of the existing bridge with the corrugated steel pipe arch (including minimal amounts of
rip rap to protect the structure) include 80 feet existing channel impacted, <0.01 acre fill
in surface water and <0.01 acre fill in wetlands. Temporary impacts to the stream from
dewatering will result in the dewatering of <0.01 ac of stream bed and 80 linear feet
stream channel.
Application is hereby made for a Department of the Army Section 404
Nationwide Permit (NWP) 14 and NWP 33 and NCDENR-DWQ Section 401 Water
Quality Certification (WQC) No. 3375 and No. 3366 for construction of this project.
The NCDOT will comply with all applicable NWP and WQC conditions. A pre-
construction notification is attached with this request. If you have any questions or need
additional information, please contact me at (919) 560-6081.
Sincerely,
Christopher A. Murray, P.W.S.
Environmental Officer
cc: Mr. John Dorney, NCDWQ, Raleigh
Mr. Dallie Bagwell, NCDOT Bridge Superintendent, Raleigh
Mr. Earl Bell, NCDOT, Bridge Maintenance Supervisor, Henderson
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12
N. C. DEPARTMENT OF TRANSPORTATION
TRANSMITTAL SLIP DATE
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TO: - - REF. NO. OR ROOM, BLDG.
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FROM: REF. NO. OR ROOM, BLDG..
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ACTI
? NOTE AND FILE ? PER OUR CONVERSATION
? NOTE AND RETURN TO ME ? PER YOUR REQUEST'
? RETURN WITH MORE DETAILS ? FOR YOUR APPROVAL
? NOTE AND SEE ME ABOUT THIS ? FOR YOUR INFORMATION
? -PLEASE ANSWER ? FOR YOUR COMMENTS
?.. PREPARE. REPLY FOR MY SIGNATU RE ? SIGNATURE
? TAKE APPROPRIATE ACTION - ? INVESTIGATE AND REPORT
'COMMENTS:
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