20030478 Ver 1_Complete File_20030417

\lq A) F Michael F. Easley, Governor-
`OtO RQG William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
?7-- Alan W. Klimek, P.E. Director
o ?
DWQ Project No.: 0 3 OL{ -? 8 County: W CA V e
Applicant: Al r ') o'f'
Project Name: 4t-7-le (oakl&,- R.o4S,? yo.- 50- 233r1to 5e- Z706 (oUuS 6Yi'0'k?..
Date of Issuance of 401 Water Quality Certification: S X23
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 4011Wetlands 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, T--v G. nlanc.R , 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 others rttn terials. ?f
Signature: V Date:
Agent's Certificatio
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:
Date:
Engineer's Certification
Partial Final
I, , as a duly registered Professional Engineer in the State of North
Carolina, having been authorized to observe (periodically, weekly, full time) the construction of the project,for- the
Permittee hereby state that, to the best of my abilities, due care and diligence was used in the observation of the
construction such that the construction was observed to be built within substantial compliance and intent of the 401
Water Quality Certification and Buffer Rules, the approved plans and specifications, and other supporting materials.
Signature
Registration No.
Date
NNA
pG
?y
[t ?
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
May 23, 2003
Wake County
DWQ Project No. 030478
APPROVAL OF 401Water Quality Certification and ADDITIONAL CONDITIONS and Neuse River Buffer
Rules
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, as described in your application dated April 16, 2003, and in accordance with the attached
conditions and those listed below, to place fill material in 72 linear feet of streams for the purpose of widening and
paving SR 2340 (Oakley Road) from SR 2339 (Rosinburg Road) to SR 2406 (Old US Highway 64) in Wake
County. The project shall be constructed in accordance with your application dated April 16, 2003. After reviewing
your application, we have decided that this fill is covered by General Water Quality Certification Number 3404.
This certification corresponds to the Nationwide Permit 14 issued by the Corps of Engineers. This approval is also
valid for the Neuse River buffer rules (15A NCAC 213 .233). 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 when the accompanying 404
permit expires unless otherwise specified in the General Certification.
This approval is valid solely for the purpose and design described in your application (unless modified below).
Should your project change, 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). ). This approval shall expire with the corresponding Nationwide
Permit expires or as otherwise provided in the General Certification. For this approval to be valid, you must follow
the conditions listed in the attached certification and any additional conditions listed below.
1. Stormwater shall be directed to sheetflow at nonerosive. velocities through the protected stream buffers.
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.
N. C. Division of Water Quality 1650 Mail Service Center Raleigh, NC 27699-1650 [phone]
Customer Service: 1 800 623-7748

. VNATF
C Michael F. Easley, Governor
QG William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
r?'-- Alan W. Klimek, P.E. Director
>_ -?

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, which
conforms to Chapter 150B of the North Carolina General Statutes to the Office of Administrative Hearings, P.O.
Box 27447, Raleigh, N.C. 27611-7447. 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 contact John Hennessy at 919-733-5694.
Attachment
cc: Wilmington District Corps of Engineers
Corps of Engineers Raleigh Field Office
DWQ Raleigh Regional Office
File Copy
Central Files
c:\ncdot\SR 2340\wgc\030478wgc.doc
WETLANDS1401
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ee•O
APR 1 7
STATE of NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY LYNDO TIPPETT
GOVERNOR SECRETARY
April 16, 2003
N.C. Dept. of Environment and Natural Resources-Division of Water Quality
2321 Crabtree Blvd.
Raleigh, NC 27604-2260
Attention: Mr. John Dorney 030478
Coordinator
Subject: Secondary road improvements to SR 2340 (Oakley Road) from SR 2339
(Rosinburg Road) to SR 2406 (Old US 64 Highway) in Wake County.
NCDOT Work Order No. 6.402152.
Reference: NCDOT permit application (April 16, 2003)
The North Carolina Department of Transportation (NCDOT) plans to complete
secondary road improvements to SR 2340 (Oakley Road) from SR 2339 (Rosinburg
Road) to SR 2406 (Old US 64 Highway) in Wake 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 (NWP) 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. 3404 and WQC
3366 and riparian buffer authorization by permit application dated April 16, 2003.
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 6.402152. Proiect impacts are less
than one acre of cumulative wetland/water impacts and less than 150 linear feet
cumulative impacts to streams, therefore, please note that a fee of $200.00 is reauired for
this project. If you have any questions or need additional information, please contact me
at [phone].
Sincerely,
Christopher A. Murray, P.W.S.
Environmental Officer PAYMENT
Division 5, 2612 N. Duke street, Durham, NC 27704 RECEIVED
Phone: [phone] Fax. [phone]
N. d DEPARTMENT OF TRANSPORTATION
TRANSMITTAL SLIP DATE
If( ,b -,3
TO: - REF. NO. OR ROOM, BLDG.
-J ?h ?1?Jr n t
FROM:
c<<sM REF. NO. OR ROOM, BLDG.
?
'CT10N . ,
? NOTE AND FILE - - ? PER OUR CONVERSATION
'? NOTE AND RETURN TO ME" ? PER YOUR REQUEST
? RETURN WITH MOREDETAILS ? FOR YOUR APPROVAL
? NOTE AND SEE ME ABOUT THIS ? FOR YOUR INFORMATION
? PLEASE ANSWER ?FOR YOUR COMMENTS
`? PREPARE REPLY FOR MY SIGNATURE .? SIGNATURE
? TAKE APPROPRIATE ACTION. ? INVESTIGATE AND REPORT'
` COMMENTS: -
030478

ET SIDS1,001 ;
uP
APR 1 7 2003
101
STATE of NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY
GOVERNOR
April 16, 2003
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
,03 04 78
Subject: Secondary road improvements to SR 2340 (Oakley Road) from SR 2339
(Rosinburg Road) to SR 2406 (Old US 64 Highway) in Wake County.
NCDOT Work Order No. 6.402152.
The North Carolina Department of Transportation (NCDOT) proposes to upgrade
and pave SR 2340 (Oakley Road) from SR 2339 (Rosinburg Road) to SR 2406 (Old US
64 Highway) in Wake County (Figures 1-4). Total project length is 1.09 miles.
Transportation and highway laws of North Carolina (G. S. 136-44.6, 136-44.7, 136-
44.7A, 13644.8, and 136-44.9) require the NCDOT to develop annual work programs
for construction and maintenance of secondary roads. These general statutes specifically
set forth requirements for annual construction and paving of existing unpaved roads.
Paving of these roads is performed in priority order as established by the NCDOT for
each unpaved road within a given county. This number is based on characteristics of
each road, including number of homes, schools, churches, businesses, industries,
recreational facilities, traffic counts, presence of school bus routes, and value as a
thoroughfare. SR 2340 is scheduled to be paved in the 2002-2003 Secondary Roads
Construction Program.
Impacts to Waters of the United States
Site 1-Station 21+28-L-
The project crosses an unnamed perennial tributary to Moccasin Creek
(NCDENR DWQ Index No. 27-86-2, Best Usage Classification C NSW) (Figure 3) in
the Neuse River Basin. The existing structure that conveys the creek is a 24 inch
concrete pipe that is 43 feet long. The NCDOT proposes to replace the structure with a
48 inch concrete pipe that is 60 feet long. Permanent impacts at the site associated with
Division 5, 2612 N. Duke Street, Durham, NC 27704
Phone: [phone] Fax: [phone]
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2
the replacement of the structure and minimal amounts of rip rap to protect the structure
include <0.01 acre fill in surface water and 37 linear feet existing channel impacted.
Site 2-Station 46+50-L-
The project crosses an unnamed perennial tributary to Moccasin Creek
(NCDENR-DWQ Index No. 27-86-2, Best Usage Classification C NSW) (Figure 4) in
the Neuse River Basin. The existing structure that conveys the creek is a 24 inch
concrete pipe that is 45 feet long. The NCDOT proposes to replace the structure with a
48 inch concrete pipe that is 60 feet long. Permanent impacts at the site associated with
the replacement of the structure and minimal amounts of rip rap to protect the structure
include <0.01 acre fill in surface water and 35 linear feet existing channel impacted.
Dewatering
Site 1-Station 21+28-Lm
The NCDOT proposes to temporarily dewater the perennial stream at this site
during the construction of the project. This will involve the temporary placement of
sandbags or Class B or Class 2 rip rap covered with filter fabric in the stream charnel
approximately 10 feet upstream of the proposed pipe inlet and approximately 10 feet
downstream of the proposed pipe outlet (Figure 3). 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 for
approximately 1 week. This will result in temporary impacts to the surface water.
Temporary impacts to the stream at this site from this activity will result in the
dewatering of <0.01 ac of stream bed and 37 linear feet stream channel. The sandbags or
rip rap covered with filter fabric will be removed after construction.
Site 2-Station 46+50-L-
The NCDOT proposes to temporarily dewater the perennial stream at this site
during the construction of the project. This will involve the temporary placement of
sandbags or Class B or Class 2 rip rap covered with filter fabric in the stream channel
approximately 10 feet upstream of the proposed pipe inlet and approximately 10 feet
downstream of the proposed pipe outlet (Figure 4). 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 for
approximately 1 week. This will result in temporary impacts to the surface water.
Temporary impacts to the stream at this site from this activity will result in the
dewatering of <0.01 ac of stream bed and 35 linear feet stream channel. The sandbags or
rip rap covered with filter fabric will be removed after construction.
Riparian Buffer
Site 1-Station 21+28-L-
The construction of the project involves a road crossing of a stream that is subject
to the Neuse River Riparian Buffer Rule. The unnamed perennial tributary to Moccasin
Creek at Site 1 is depicted on the most recent version of the Zebulon (USGS, 1968, 1981)
and Bunn West (USGS, 1968, 1973) topographic quadrangles (Figure 1) and the Soil
Survey of Wake County (USDA-SCS, 1970) (Figure 2).
The construction of the project at Site 1 results in impacts to the riparian buffer
(Figure 3). Construction impacts at Site 1 total 1,201 square feet in Zone 1, 721 square
feet in Zone 2 and 37 linear feet of riparian buffer. Based on the impacts to the riparian
buffer at this site, this crossing is exempt.
The NCDOT proposes to install temporary erosion and sediment control devices
at Site 1 in Zone 1 and Zone 2 of the riparian buffer. Specifically, the NCDOT will place
a temporary rock silt check (Type A) in Zone 1 and a temporary rock sediment dam
(Type B) in Zone 2. The temporary structures will be removed once vegetation has been
established and then seeded with a seed mixture of fescue and bahia grass. The sediment
and erosion control plan for Site 1 is depicted in Figure 3. The NCDOT certifies that the
criteria documented in Sub-Item (8)(a) of the buffer rules (which find that there are no
practical alternatives to the project) are met. The NCDOT requests an Authorization
Certificate for this activity at this project.
Site 2-Station 46+50-L-
The construction of the project involves a road crossing of a stream that is subject
to the Neuse River Riparian Buffer Rule. The unnamed perennial tributary to Moccasin
Creek at Site 1 is depicted on the most recent version of the Zebulon (USGS, 1968, 1981)
and Bunn West (USGS, 1968, 1973) topographic quadrangles (Figure 1) and the Soil
Survey of Wake County (USDA-SCS, 1970) (Figure 2).
The construction of the project at Site 1 results in impacts to the riparian buffer
(Figure 3). Construction impacts at Site 1 total 1,058 square feet in Zone 1, 1,017 square
feet in Zone 2 and 35 linear feet of riparian buffer. Based on the impacts to the riparian
buffer at this site, this crossing is exempt.
The NCDOT proposes to install temporary erosion and sediment control devices
at Site 1 in Zone 1 and Zone 2 of the riparian buffer. Specifically, the NCDOT will place
a temporary rock silt check (Type A) in Zone 1 and a temporary rock sediment dam
(Type B) in Zone 2. The temporary structures will be removed once vegetation has been
established and then seeded with a seed mixture of fescue and bahia grass. The sediment
and erosion control plan for Site 1 is depicted in Figure 4. The NCDOT certifies that the
criteria documented in Sub-Item (8)(a) of the buffer rules (which find that there are no
practical alternatives to the project) are met. The NCDOT requests an Authorization
Certificate for this activity at this project.
Waters of the U.S. Mitigation
Avoidance: All wetlands and 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 wetlands or near surface waters.
Minimization: The side slopes have been steepened to the extent possible at
jurisdictional sites. Continued coordination will occur with maintenance forces and the
Environmental Officer during construction to minimize impacts at this site. The amount
of rip rap placed along the stream banks has been reduced to the amount that is only
necessary to provide for streambank stabilization. All efforts will be made during
construction to reduce the amount of rip rap at the jurisdictional sites.
Compensatory Mitigation: Construction of the project will result in only minimal
impacts to waters of the United States. Impacts have been avoided and minimized to the
maximum extent possible during the design process. Due to minimal impacts,
compensatory mitigation for stream impacts will not be provided for this project.
Protected Species
Plants and animals with federal classifications of Endangered, Threatened,
Proposed endangered ad Proposed Threatened are protected under provisions of Section 7
and Section 9 of the ESA. As of January 29, 2003, there are four federally protected
species listed for Wake County. They include bald eagle (Haliaeetus leucocephalus),
Michaux's sumac (Rhus michauxii), dwarf wedgemussel (Alasmidonta heterodon) and
red-cockaded woodpecker (Picoides boralis). Biological Conclusions of No Effect have
been rendered for each species.
Historical Compliance
Historic compliance work to be scheduled and concurrence with Historic
Preservation Office will be obtained if required.
Summary
NCDOT proposes to upgrade and pave SR 2340 in Wake County. Construction
impacts are presented in Tables 1-2.
5
Table 1. Impacts to surface waters.
Site Station Fill in Surface Existing Temp. Surface Temp. Existing
Water (ac) Channel . Water Impacted Channel Impacted
Impacted (ft) (Dewatering) (ac) (Dewatering) (ft)
1 21+28-L- <0.01 37 <0.01 37
2 46+50-L- <0.01 35 <0.01 35
Total <0.01 72 <0.01 72
Note:
.Includes 10 feet mechanized clearing along stream bank.
Table 2. Impacts to riparian buffer.
Site Station Zone 1(sq. ft) Zone 2 (sq. ft) Total (sq. ft) Linear (ft)
1 21+28-L- 1,201 721 1,922 37
2 46+50-L- 1,058 1,017 2,075 35
Total 2,259 1,738 3,997 72
Application is hereby made for a Department of the Army Section 404
Nationwide Permit (NWT) 14 and NWP 33. Application is also made for NCDENR-
DWQ Section 401 Water Quality Certification (WQC) No. 3404, WQC No. 3366 and
riparian buffer authorization. A pre-construction notification is attached with this
request. If you have any questions or need additional information, please contact me at
[phone].
Sincerely,
aC----6-
Christopher A. Murray, P.W.S.
Division Environmental Officer
cc: Mr. John Dorney, NCDWQ, Raleigh
Mr. Brandon Jones, NCDOT District Engineer, Raleigh
Mr. Jerry Linder, NCDOT County Maintenance Engineer, Raleigh
Office Use Only: Form Version May 2002
USACE Action ID No. DWQ No.
(If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A".)
I. 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 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 (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: NCDOT Division 5, Christopher A. Murray
Mailing Address: 2612 N. Duke St., Durham, NC 27704
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:
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
Page 5 of 13
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: Seconday Roadway improvements to SR 2340 (Oakley Road) from SR
2339 (Rosinburg Road) to SR 2406 (Old US 64 Highway) in Wake County
2. T.I.P. Project Number or State Project Number (NCDOT Only): W.O. 6.402152
3. Property Identification Number (Tax PIN): N/A
4. Location
County: Wake Nearest Town: Zebulon
Subdivision name (include phase/lot number): N/A
Directions to site (include road numbers, landmarks, etc.): From Zebulon, travel north on
SR 2406 (Old US 64 Highway) to project limits.
5. Site coordinates, if available (UTM or Lat/Long): Site 1: 35.87501° N. 78.29962°W
Site 2. 35.87227° N, 78.29209°W
(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): 7.9 acre (Project is L_9 mi long)
7. Nearest body of water (stream/river/sound/ocean/lake): Site 1: Tributga to Moccasin Ck.
Site 2• Tributary to Moccasin Creek
8. River Basin: Neuse
(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/.)
9. Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this application: Site is surrounded by wooded land scattered housing and
horse stables.
10. Describe the overall project in detail, including the type of equipment to be used: Grade.
drain, pave and erosion control at SR 2340 Equipment may include excavator, backhoe.
bulldozer, grader and crane
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11. Explain the purpose of the proposed work: The project is part of the 2002-2003 secondary
road paving program. The existing gravel roadway will be paved with asphalt.
IV. Prior Project History
If jurisdictional determinations and/or permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action ID Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules.
N/A
V. Future Project Plans
Are any 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.
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. Provide a written description ofthe proposed impacts: Site 1: The existing structure is
a 24 inch concrete pine that is 43 feet long. The replacement structure is a 48 inch
corrugated steel pipe that is 60 feet long. The stream will also be dewatered during
construction. Site 2: The existing. structure is a 24 inch concrete pipe that is 45 feet long.
The replacement structure is a 48 inch corrugated steel 12ipe that is 60 feet long. The stream
will also be dewatered during construction
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2. Individually list wetland impacts below:
Wetland Impact Area of Located within Distance to
Site Number Type of Impact* Impact 100-year Floodplain** Nearest Stream Type of Wetland***
(indicate on ma) (acres) (es/no) (linear feet)
N/A
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:Uwwvtiv.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: 0.0
Total area of wetland impact proposed: 0.0
3. Individually list all intermittent and perennial stream impacts below:
Stream Impact Length of Average Width Perennial or
Site Number Type of Impact* Impact Stream Name* * of Stream Intermittent?
indicate on ma) (linear feet Before Impact lease specify)
Site 1 Pipe replacement 17 UT Moccasin Ck 2 Perennial
Rip rap for
Site 1 stabilization only 20 ITT Moccasin Ck 2 Perennial
along streambank
Site 1 Temporary 37 UT Moccasin Ck. 2 Perennial

Site 2 Pipe replacement 15 UT Moccasin Ck. 2 Perennial
Rip rap for
Site 2 stabilization only 20 UT Moccasin Ck 2 Perennial
along streambank
Site 2 Temmp
g 35 UT Moccasin Ck. 2 Perennial
D
e
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 lossigain),
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
wwiv.usas.Qov. Several intemet sites also allow direct download and printing of USGS maps (e.g., vvly\v.topozone.com,
vvtivvv.map uest.com, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: 72 feet existing channel
impacted fill from placement of pipe and placement of rip rap along streambank for
stabilization) and 72 feet temporary impact from dewatering_
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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 Area of Name of Waterbody Type of Waterbody
Site Number Type of Impact* Impact
(if applicable) (lake, pond, estuary, sound,
indicate on ma acres bay, ocean, etc.
N/A
* List each impact separately and identify temporary impacts. hnpacts include, but are not limited to: fill, excavation, dredging,
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.): N/A
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.): N/A
Size of watershed draining to pond: N/A Expected pond surface area: N/A
VII. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts.
All wetlands, surface waters and regulated buffers not affected by construction will be
protected from unnecessary encroachment during construction. The side slope of the
jurisdictional site has been steepened to the maximum extent possible. Strict enforcement of
Best Management Practices for the protection of wetlands and surface waters will be enforced
during construction Only the smallest amount of fill necessary to complete the project will be
placed in waters of the United States.
VIII. Mitigation
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on March 9, 2000, mitigation will be required when
necessary to ensure that adverse effects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
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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,gide. html.
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.
N/A
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): 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 (required by DWQ)
Does the project involve an expenditure of public (federal/state) funds or the use of public
(federal/state) 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)?
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Note: If you are not sure whether a NEPA/SEPA document is required, call the SEPA
coordinator at [phone] to review current thresholds for environmental documentation.
Yes ? No
If yes, has the document review been finalized by the State Clearinghouse? If so, please attach a
copy of the NEPA or SEPA final approval letter.
Yes ? No ?
X. Proposed Impacts on Riparian and Watershed Buffers (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.
Site 1(21+28-L-)
Zone* square feet Multiplier Mitzi ation
1 1,201 3 N/A
2 721 1.5 N/A
Total 1,922 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.
Site 2 (46+50-L-)
Zone* s hnpact
feet)
Multiplier
Mitigation
1 1,058 3 N/A
2 1,017 1.5 N/A
Total 2,075 N/A
* Zone I extends out 30 feet perpendicular from near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.
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If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation
of Property, Conservation Easement, Riparian Buffer Restoration / Enhancement, Preservation or
Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as
identified within 15A NCAC 2B .0242 or.0260.
N/A
X1. Stormwater (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.
Existing: 4.2 acre impervious surface (32 foot wide gravel road) of 7.9 acre total project size.
Proposed: 2.6 acre impervious surface (proposed 20 foot wide asphalt paved road) of 7.9 acre
total project size. The erosion control plan for the project is designed for 900 cubic feet of
storage per acre. Erosion and sediment control devices along the project are comprised of
temporary silt basin (Type B), temporary rock silt check (Type B), temporary rock sediment dam
(Type B). temporary rock silt check (Type A) and temporary silt fence. The NCDOT proposes
to install temporary erosion and sediment control devices at Sites 1 and 2 in Zone 1 and Zone 2
of the riparian buffer. Specifically, the NCDOT will place a temporary rock silt check (Type A)
in Zone 1 and a temporary rock sediment dam (Type B) in Zone 2. The temporary structures
will be removed once vegetation has been established and then seeded with a seed mixture of
fescue and bahia grass.
XU. 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.
The project will not generate wastewater.
XHL 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).
N/A
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a cy/16(o 3
Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
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