20030355 Ver 1_Complete File_20030314

ewswtoI
copy
STATE OF NORTH CAROLINA FILE
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY LYNDO TIPP=
GOVERNOR SECRETARY
March 12, 2003 WETLANDS/ 401 GROUP
NC DENR Division of Water Quality MAR
1650 Mail Service Center ss?? M03
Raleigh, NC 27699 ® a`" WATER QUALITY SECTION
Attn: John Hennessy Wetlands/401 Unit
Subject: Q' ESY COPY 4VRITTEN AUTHORIZATION NOT REQUESTED
Alamance County, Repair of Pipe #341 associated with Mine Creek that crosses
under SR 6105 W.O. # 5.4752
Dear Mr. Hennessy:
Please find a courtesy copy of a Pre-Construction Notification Application package submitted
to the US Army Corps of Engineers in fulfillment of the "Notification" condition for Nationwide
Permit 33. If you have any questions or need any additional information, please contact Jerry
Parker at [phone]. Your attention to this matter is sincerely appreciated. Thank you for your
time and assistance.
Sincerely,
s
C
2ern-ry A. Parker
Division Environmental Officer
Enclosures
CC: J. Mike Mills, P.E., Division Engineer NCDOT
E. Mike Cowan, P.E., Deputy Division Engineer NCDOT
Dennis Johnson, Bridge Maintenance NCDOT
John Thomas, USACE
P. O. Box 14996 Greensboro, NC 27415-4996 Telephone No. [phone] Fax No. [phone]
`q ?{ANEs?
?l py?
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY
GOVERNOR
LYNDO TIPPETT
SECRETARY
March 12, 2003
Mr. John Thomas
US Army Corps of Engineers
6508 Falls of the Neuse Suite 120
Raleigh, NC 27615-6814
Subject: Alamance County, Repair of Pipe 341 associated with Mine Creek that cross under SR
1605. W.O. # 5.4752
Dear Mr. Thomas:
The North Carolina Department of Transportation (NCDOT) proposes to pour concrete into the
bottom of the three (3) existing lines of 90" Corrugated Metal Pipe identified as P-341. Preliminary
hydraulic reviews indicate that a replacement structure would be too large to be constructed using
maintenance forces and dollars. Due to this limitation, the existing structure will have to be
replaced under the Transportation Improvement Program (T.I.P.). Concrete is being poured into the
bottom of the existing pipes to temporarily repair voids that have formed in the bottom of the
existing pipes and allow sufficient time to place the structure on the T.I.P. The existing pipes are
perched on the downstream end; however sills will be placed in two of the barrels to increase flow in
the remaining barrel and reduce height of perch. The existing pipes have received a PROMPT
ACTION NOTICE from the Bridge Maintenance Unit due to heavy rusting of the pipes.
The concrete pour will result from the placement of ABC aggregate or less intrusive dewatering
device in the channel to divert flow during the pouring and drying of concrete in the4 selected pipe
bottoms. The proposed dewatering devices will not extend more than ten feet beyond each end of
the pipe being serviced resulting in a total temporary impact of 20-feet. Within 15 working days of
the repair activities, all dewatering structures will be entirely removed, and natural stream contours
will be restored and seeded.
No wetland, Outstanding Resource Waters, or High Quality Waters occur in the project area. No
Threatened or Endangered Species, or their habitats were observed during surveys conducted on
March 10, 2003 by Jerry A. Parker. Historic compliance work to be scheduled and concurrence with
the State Historic Preservation Office will be obtained if required.
The NCDOT anticipates that this activity will be authorized under NWP 33. This application is
intended as a request for formal written authorization from the USACE to temporarily direct stream
flow under NWP 33. This application is also intended to notify the NC Division off Water Quality of
activities being conducted under General Water Quality Certificate 3366 (NWP 33) . Enclosed
P. O. Box 14996 Greensboro, NC 27415-4996 Telephone No. [phone] Fax No. [phone]
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 and take 2 weeks to complete.
If you have any questions, comments or need additional information after reviewing this material,
please contact Jerry Parker at [phone]. Thank you for your attention to this matter.
Sincerely,
Jerry A. Parker
Division Environmental Officer
Enclosures
CC: J. Mike Mills, P.E., Division Engineer NCDOT
E. Mike Cowan, P.E., Deputy Division Engineer NCDOT
Dennis Johnson, Bridge Maintenance NCDOT
John Hennessy, NCDWQ
P. O. Box 14996 Greensboro, NC 27415-4996 Telephone No. [phone] Fax No. f336) 334-3637
Uv$ STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY
GOVERNOR
March 12, 2003
State Historic Preservation Officer
Division of Archives History
4617 Mail Service Center
Raleigh, NC 27699
Attn: Ms. Renee Gledhill-Earley
LYNDO TIPPETT
SECRETARY
Subject: Alamance County, Repair of Pipe #341 associated with Mine Creek that crosses
under SR 1605 W.O. # 5.4752
Dear Ms. Gledhill-Earley
Please find a Pre-Construction Notification Application package submitted to the US Army
Corps of Engineers attached for your review. If you have any questions or need any additional
information, please contact Jerry Parker at [phone]. Your attention to this matter is
sincerely appreciated. Thank you for your time and assistance.
Sincerely,
Ver-'ry A. Parker
Division Environmental Officer
Enclosures
CC: J. Mike Mills, P.E., Division Engineer NCDOT
E. Mike Cowan, P.E., Deputy Division Engineer NCDOT
Dennis Johnson, Bridge Maintenance NCDOT
John Thomas, USACE
John Hennessy, DWQ
P. O. Box 14996 Greensboro, NC 27415-4996 Telephone No. [phone] Fax No. [phone]
Office Use Only: Form Version May 2002 030355
USACE Action ID No. DWQ No.
(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 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 (verify availability with NCWRP 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: ?
II. Applicant Information
1. Owner/Applicant Information
Name: Mr. J.M. Mills, P.E, Division Engineer - Division 7
Mailing Address: P.O. Box 14996
Greensboro NC
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: [e-mail]
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: Jerry A. Parker
Company Affiliation: NCDOT
Mailing Address: P.O. Box 14996
Greensboro, NC 27415
Telephone Number: 336 256-2063 Fax Number: 336 334-4149
E-mail Address: [e-mail]
Pagel of 9
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: Repair of Alamance County Pipe #341 (SR 1605)
2. T.I.P. Project Number or State Project Number (NCDOT Only): 5.4752 (non-TIP)
3. Property Identification Number (Tax PIN): Not Applicable
4. Location
County: Alamance Nearest Town: Burlington
Subdivision name (include phase/lot number): Not Applicable
Directions to site (include road numbers, landmarks, etc.):
The project is located north of Burlington off NC 62. Take I-85/40 and exit on Exit 143 (NC
62) . Head north on NC 62 for approximately eight miles until you cross Haw River
(unmarked). Turn left at next stoplight on Union Ridge Road (SR 1001) 4pprox. % mile pas
t
Haw River. Go approx. one mile and turn left on SR 1602. Go approx. 0.6 miles and turn
right on Mine Creek Road (SR 1605. Bridge site is approx. 0.8 miles.
5. Site coordinates, if available (UTM or Lat/Long): See 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): Mine Creek
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://ll2o.enr.state.ne.us/admin/maps/.)
Page 2 of 9
9. Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this application: Floodplain forest and successional old field.
10. Describe the overall project in detail, including the type of equipment to be used:
The project will involve repair to voids in the bottom of Pipe 341 and allow time for
placement of the structure on the Transportation Improvement Program. Equipment used will
be standard road construction equipment (trackhoe, grader, backhoe, bulldozer, and crane).
11. Explain the purpose of the proposed work: To repair a structurally deficient structure that
has received a Prompt Action Notice (attached). Structural modifications are being made to
bring the existing structure up to standard specifications.
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
mitigation, list and describe the impact in Section VIII below. If additional space is needed for
listing or description, please attach a separate sheet.
Page 3 of 9
Provide a written description of the proposed impacts: Temporary stream impacts will result
from placement of cofferdams and siltscreens within the channel. Within 15 working days of the
activity, all temporary structures (cofferdams and silt screens) will be entirely removed and
natural stream contours will be restored and seeded.
1. 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: 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:/hvww.fema.gov.
*** List a wetland type that best describes wetland to be impacted (e.g., freshwater/saltwater marsh, forested wetland, beaver pond,
Carolina Bay, bog, etc.) 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
2. 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?
leasespecify)

Pipe 341 Dewatering to
facilitate void repairs
20 (tmp)
Mine Creek
10 to 12 feet
Perennial

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: culverts and associated rip-rap,
dams (separately list impacts due to both structure and flooding), relocation (include linear feet before and after, and net loss/gain),
stabilization activities (cement wall, rip-rap, crib wall, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is
proposed, plans and profiles showing the linear footprint for both the original and relocated streams must be included.
** Stream names can be found on USGS topographic maps. If a stream has no name, list as UT (unnamed tributary) to the nearest
downstream named stream into which it flows. USGS maps are available through the USGS at 1-800-358-9616, or online at
www.usgs.gov. Several internet sites also allow direct download and printing of USGS maps (e.g., www.topozone.com,
?Nrww.mapquest.com, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: 20- temporary (tmp).
Page 4 of 9
3. 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 of Wat)
(if applicable) Type of Waterbody
(lake, pond, estuary, sound,
bay, ocean, etc.
N/A

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: fill, excavation, dredging,
flooding, drainage, bulkheads, etc.
4. Pond Creation
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ? uplands ? stream ? wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.): 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 minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts.
Preliminary hydraulic reviews indicate that a replacement structure would be too large to be
constructed using maintenance forces and dollars. Due to this limitation, the existing structure
will have to be replaced under the Transportation Improvement Program (TIP). Concrete is
being poured into the existing pipes to temporarily repair voids that have formed in the bottom of
the existing pipes and allow sufficient time to place the structure on the TIP. The existing pipes
are perched on the downstream end, however, sills will be placed in two of the barrels to increase
flow in the remaining barrel and reduce the height of the perch. Temporary and secondary
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 with the Division Environmental Officer.
VIII. Mitigation
Page 5 of 9
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://l12o.eni-.state.nc.us/ncwetlands/strmgide.htnil.
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.
No Outstanding Resource Waters, federally protected species or their habitats, or essential
fishery habitats occur in the project area. The project is located in a High Quality Water
(WS-II, HQW, NSW Index # 16-14-7 -(1).
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
Page 6 of 9
Amount of Non-riparian wetland mitigation requested (acres): Not Applicable
Amount of Coastal wetland mitigation requested (acres): Not Applicable
IX. Environmental Documentation (required by DWQ)
Does the project involve an expenditure of public (federaUstate) funds or the use of public
(federal/state) land?
Yes N 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 N
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 N
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 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
(square feet Multiplier Required
Mitigation
1 N/A 3
2 N/A 1.5
Total N/A
Zone 1 extends out 3U teet perpendicular trom near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.
Page 7 of 9
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.
In accordance with the February 25, 1991 agreement, one copy of the sediment and erosion
control plan will be submitted to DENR - Division of Land resources and NCDOT Roadside
Environmental Prior to construction.
XII. 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).
Page 8 of 9
Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 9 of 9
rax:,)ot:*fwu?n reu 11 lUU:l 1b:2U r.U1
N.C. D.O.T.
BRIDGE MAINT. DEPT.
EROSION CONTROL SEQUENCE
ALAMANCE CO.
336 570 6916
BRIDGE NO. PIPE 341
OR NO. 1606
PROJECT Nb. JAM
DESCRIPTION: POUR CONCRETE IN BOTTOM OF CM PIPE THAT HAS RUSTED OUT
FOR PROMPT ACTION REPAIR WRITTEN BY BRIDGE INSPECTORS DURING
A ROUTINE INSPECTION.
1. CONSTRUCT TEMPORARY DIVERSION DAM WITH SANMAGS TO FORCE STREAM
INTO PIPE NO.3
2. BUILD & PLACE PLYWOOD FORMS IN FRONT OF PIPE 1& 2
3, IN PIPE 1 BUILD A SILL THAT IS 1' V' NIGHER TO FORCE STREAM INTO PIPE 2 & 3
4, PLACE LARGE WOODEN PADS ON BACKSIDE OF PIPE 1 & 2 - PADS WILL BE PLACED
TEMPORARY TO MOVE CONCRETE BUGGY IN & OUT OF CULVERT WHILE POURING
CONCRETE. PADS WILL BE COVERED WITH FILTER FABRIC TO KEEP ANY FRESH
CONCRETE FROM FALLING IN STREAM.
5. POUR CONCRETE
6. AFTER CONCRETE HAS SET
7. REMOVE FORMS
8. MOVE TEMPORARY DIVERSION DAM TO FORCE FLOW OF STREAM INTO PtPF- 2
9, BUILD & PLACE PLYWOOD FORMS IN FRONT OF PIPE 3
10, PLACE LARGE WOODEN PAD ON BACK SIDE OF PIPE 3 & COVER WITH FILTER FABRIC
11, POUR CONCRETE
12. LET CONCRETE SET
13. REMOVE FORMS
17. APPROXIMATE PROJECT START DATE
PREPARED BY TRANSPORTATION SUPV. DATE
APPROVAL DIV. BRIDGE ENC3. // DATE ,?w -

_.. W a.o?s.,?..? r?......?sr.?..,?.,?.._.
? ? Z ? _? b s._?___ ? ----
r ??: ?.5.5b.`_.i U (UJ? Feb 11 ?'l1UJ 1b ?'lU f'. ? r?

r
MEMORANDUM TO:w
Bridge Maintenance Supervisor
i
A condition inspection of the subject bridge was made 2116/,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.
CODE PROMPT ACTION PHOTOGRAPH
SPC f ALL PIPE RUSTING THRU ALONG
BOTTOM SECTION ,WORSE IN PIPE #3. + (r y` i.
r ALL PIPE ALSO HAVE 1" TO 3" A .
IJEFLECTION ' ALONG TOP.
??
'?
r' _ "4 Sri
! r e r yd A ? ? M
%
r r
t.
REPAIRS By Bridge Maintenance Supervisor. Date
COMPLETE Action
Taken :
WILL NOT DO RECOMMENDED By Division Bridge Maintenance Engineer: WORK AT THIS TIME Date
Distribution: Bridge Maintenance Supervisor Ori finaI and 2 Co les

.iA t

Alamance County

i .
ii
I
I
5

-

3
t? i
1 ?
I
i
I
??,,,?
i±?;