20040117 Ver 1_Complete File_20040310

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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
March 10, 2004
Craven County
DWQ Project No. 040117
Moving Ahead: MA02008R
APPROVAL OF 401 Water Quality Certification and ADDITIONAL CONDITIONS and Neuse River Buffer
Rules
Mr. C.E. Lassiter, P.E. WETLANDS 1401 GROUP
District Engineer
NCDOT Division 2 MAR J
P.O. Box 1587
Greenville, NC 27835 WATER QUALITY SECTION
Dear Mr. Lassiter:
You have our approval, as described in your application dated Jan 28 2004, and in accordance with the attached
conditions and those listed below, to impact 24 linear feet of stream by extending the existing box culvert for the
purpose of widening and improving NC 55 in Craven County. The project shall be constructed in accordance with
your application dated January 28, 2004. After reviewing your application, we have decided that General Water
Quality Certification Number 3402 covers this fill. This certification corresponds to the Nationwide Permit 18
issued by the Corps of Engineers. This approval is also valid for the Neuse River buffer rules (15A NCAC 2B
.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.
Amount Approved
Units Plan Location or Reference
Stream 24 (feet) Site 61
404/CAMA Wetlands acres
Waters (acres)
Buffers (square ft.
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 sheet-flow at non-erosive velocities through the protected stream buffers.
2. 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.
EM
N. C. Division of Water Quality 1650 Mail Service Center Raleigh, NC 27699-1650 [phone]
Customer Service: 1 800 623-7748
O?0? WAT4 9- Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
co 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. 276 1 1-7447. 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 Mike Thomas at 252-946-6451.
Sincerely,
r?r Alan W. Klimek, P.E.
Attachment
cc: Wilmington District Corps of Engineers
Corps of Engineers Field Office
DWQ Central Office
File Copy
Central Files
c:\ncdot\TIP \w,qc\
W AT
O - "C
DWQ Project No.:
Applicant:
Project Name:
Date of Issuance of 401 Water Quality Certification:
County:
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, , 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:
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: Date:
Engineer's Certification
Partial Final
1, , 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
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Registration No.
Date
MEMORANDUM
TO: John Dorney Regional Contact: Mike Thomas
Non-Discharge Branch WQ Supervisor: jimMulligan
Date:
SUBJECT: WETLAND STAFF REPORT AND RECOMMENDATIONS
Facility Name NCDOT - NC 55
(MA#020088)
Project Number 04 0117
Recvd From DOT
Received Date 1/28/04
Project Type road improvement
Recvd By Region
County CRAVEN
County2
Region Washington
Certificates Stream Stream Impacts (ft.)
Permit Wetland Wetland Wetland Stream Class Acres Feet ?:r, t•t+
Type Type Impact Score Index Prim. Supp. Basin Req. Req.
14 Strcam PT O N F- 27-91-1-1 ? SwNSw 30,408. 124.00 F__ PT _0N F_F_F_F_F_F_F_ __F_
Mitigation Wetland
MitigationType Type Acres Feet
Is Wetland Rating Sheet Attached? O Y *N Did you request more info? O Y @N
Have Project Changes/Conditions Been Discussed With Applicant? O Y O N
Is Mitigation required? O Y 0 N Recommendation: Oo Issue O Issue/Cond O Deny
Provided by Region: Latitude (ddmmss) 351504 Longitude (ddmmss) 772020
Comments:
Issued on 3/10/04,
cc: Regional Office
Central Office Page Number 1
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a
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY
GOVERNOR
January 5, 2004
North Carolina Dept. of Environment
And Natural Resources
Division of Water Quality
Washington Regional Office
943 Washington Square Mall
Washington, NC 27889
ATTENTION: Mr. Mike Thomas
Environmental Specialist III

LYNDO TIPPETC
SECRETARY
NOLL03S A -wo 83hM
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dnON9 toviSONVIOAi
SUBJECT: PCN application for NC 55 in Craven County; Moving Ahead Program - NC 55, State Project
No. MA02008R
Dear Sir:
Please find attached a Pre-Construction Notification (PCN) Application Form for the above referenced
project. As a part of the Moving Ahead Program, the North Carolina Department of Transportation (NCDOT)
proposes to perform maintenance activities that include pavement strengthening, widening, and resurfacing of the
roadway, and the addition of turn lanes at two intersections to improve safety along 10.8 miles of NC 55. The
affected length of NC 55 begins at the intersection of NC 55 and SR 1408 and extends to the intersection of NC 55
and SR 1005. The proposed maintenance activities include widening of the existing pavement from 20 feet to 24.
These proposed activities will impact jurisdictional waters. Minor temporary impacts to jurisdictional
streams are anticipated to occur due to construction activities at the crossing. Minor permanent impacts to Waters
of the US include 25 linear feet of stream.
If you have any questions, please contact Jay Johnson at [phone].
Sincerel
Jay Jot nson, E ironmental Officer I D /I
Division 2
1 I';fiEI
Attachments
cc: RE-CE I VED
MAILING ADDRESS: TELEPHONE: [phone] LOCATION:
NC DEPARTMENT OF TRANSPORTATION FAX: [phone] TRANSPORTATION BUILDING
PROJECT DEVELOPMENTAND ENVIRONMENTAL ANALYSIS 1 SOUTH WILMINGTON STREET
1548 MAIL SERVICE CENTER WEBSITE. WVM..DOH.DOT.STATE.NC.US RALEIGH NC

Office Use Only: Form Version May 2002
t i
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 : $200.00 Fee NCDOT WBS element number: MA02008R
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: Nationwide Permit 18
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: 'LANDS / 401 GROUP
II. Applicant Information
JAN 2 Un 2004
1. Owner/Applicant Information WATER
Name: North Carolina Department of Transportation (?UAL"SECTIGN
Mailing Address: Post Office Box 1587
Greenville, North Carolina 27835-1587
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: jrousendot.state.nc.us
2. Agent/Consultant Information (A signed and dated copy of the Agent Authorization letter
must be attached if the Agent has signatory authority for the owner/applicant.)
Name:
Company Affiliation: Arcadis G&M of North Carolina Inc.
Mailing Address: 801 CoMgrate Center Drive
Suite 300
Raleigh, North Carolina 27607-5073
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: [e-mail]
Page 5 of 12

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: Moving Ahead Program - NC 55
2. T.I.P. Project Number or State Project Number (NCDOT Only): MA02008R
3. Property Identification Number (Tax PIN):
4. Location
County: Craven Nearest Town: New Bern
Subdivision name (include phase/lot number):
Directions to site (include road numbers, landmarks, etc.): Take US 70 east toward New
Bern. Take the Highway 41 exit near the Craven-Jones County line. Head north on
Highway 41. Follow North Main Street north to NC 55. Turn right on NC 55. The project
extends from SR 1480 to SR 1005.
5. Site coordinates, if available (UTM or Lat/Long): 35015'4.14"N 77"20'19.53"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): 131 acres
7. Nearest body of water (stream/river/sound/ocean/lake): Mill Run, Jumping Run, Bachelor
Creek, and Caswell Branch all cross NC 55 within the project length
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: Land use is generally residential, agricultural, and
undisturbed with small pockets of commercial.
10. Describe the overall project in detail, including the type of equipment to be used: The
project involves resurfacing the existing 12 vement, widening of existing pavement, replacing
Page 6 of 12
two cross pipes, extending eleven cross pipes, widening and paving of existing ve eta ated
shoulders, and constructing ten headwalls with wings where significant erosion has taken
place. The equipment needed is standard paving equipment including pavers and rollers, and
grading equipment including backhoes and motor graders.
11. Explain the purpose of the proposed work: Maintenance and improved safety of the road
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.
Nationwide Permit No. 3 letters for 10 stream crossings along the portion of NC 55 described
herein were submitted concurrently with this PCN to the USACE. Action ID Numbers and
DWQ Proiect Numbers have not been assigned to the Nationwide Permit No. 3 letters at this
time. Additionally, no permits or certifications have been issued at this time.
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.
No.
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 of the proposed impacts: Site 61: Impacts will be those
associated with 12 foot extension of 2 box culverts on each side of the road and will include
placement of fill in jurisdictional waters. Additionally, the work proposed at Site 61 will involve
the relocation of roadside ditches that carry only stormwater and are not jurisdictional waters. _
Page 7 of 12
2. Individually list wetland impacts below:
Wetland Impact
Site Number
indicate on ma
Type of Impact* Area of
Impact
acres Located within
100-year Floodplain**
es/no Distance to
Nearest Stream
linear feet
Type of Wetland***

* List each impact separately and identify temporary impacts. Impacts include, but arc 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://www.fema.eov.
*** 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 acres
Total area of wetland impact proposed: 0 acres
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 (please seci
61 Culvert 24 McCoy Branch 25 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.eov. Several intemet sites also allow direct download and printing of USGS maps (e.g., www.topozone.com,
VAVW.mapquest.com, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: 24 linear feet
4. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.) below:
Open Water Impact
Site Number
indicate on ma
Type of Impact* Area of
Impact
acres Name of Waterbody
(if applicable) 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.
Page 8 of 12
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.):
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.):
Size of watershed draining to pond: Expected pond surface area:
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 culvert at Site 61 is being extended beyond the existing length to accommodate roadway
widening that is being performed to increase the safety of the roadway. Impacts to the
iurisdictional stream cannot be avoided, except by choosing a no-build alternative. Impacts will
be minimized by performing, all extension activities from the existing roadway. Excavation will
be confined to the right of way and limited to the minimum amount required to extend the pipe.
All excavated materials will be removed from the site.
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
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.
Page 9 of 12
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.ne.us/ncwet]ands/strmgide.htm1.
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.
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/wm/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):
Amount of buffer mitigation requested (square feet):
Amount of Riparian wetland mitigation requested (acres):
Amount of Non-riparian wetland mitigation requested (acres):
Amount of Coastal wetland mitigation requested (acres):
IX. Environmental Documentation (required by D`VQ)
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)?
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
Page 10 of 12
If yes, has the document review been finalized by the State Clearinghouse? If so, please attach a
copy of the NEPA or SEPA final approval letter.
Yes ? No ?
X. Proposed Impacts on Riparian and Watershed Buffers (required by DWQ)
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required state and local buffers associated with the project. The applicant must also provide
justification for these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Meuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and
Water Supply Buffer Requirements), or other (please identify )?
Yes ? No ® If you answered "yes", provide the following information:
Identify the square feet and acreage of impact to each zone of the riparian buffers. If buffer
mitigation is required calculate the required amount of mitigation by applying the buffer
multipliers.
Zone* Impact
(square feet) Multiplier Required
Mitigation
1 3
2 1.5
Total
* 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.
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.
Page 11 of 12
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.
Existing impervious area for the project (10.8 miles of roadway) is approximately 26 acres,
proposed impervious area is approximately 31 acres, and total area on the site is approximately
131 acres. The drainage ways that flow through the pipe run perpendicular to the roadway.
Vegetated side ditches that parallel the roadway occur adjacent to the pipe crossing site.
Stormwater over the asphalt will mainly sheetflow across vegetated roadside shoulders and into
vegetated side ditches before entering the blue line stream. No ditch sections will be created at
the crossing to cause additional disturbance or impact.
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.
No wastewater will be generated from the implementation of the proposed project.
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).
App,i n kge ?ii'i's Signature /Datd
(Agent's sign, tur ? vaYid only if an authorization letter from the applicant is provided.)
Page 12 of 12
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NC 55 PERMIT APPLICATION Scale 1:24,000
CRAVEN COUNTY, NORTH CAROLINA Source: U.S.G.S 7.5-Minute Topographic
Quadrangle: Jasper, North Carolina
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of W A rF9 Michael F. Easley, Governor
William G. Ross Jr., Secretary
G North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P E. Director
p .? Division of Water Quality
DWQ Project No.: 20040117 County: Cray n
Applicant: NCDOT
Project Name: NC55 from SR1005 to SR1480 (MA#02008R)
Date of Issuance of 401 Water Quality Certification: _ 3 Z/p/ e c, o
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
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:
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:
Date:
Engineer's Certification
Partial _x Final
1. R _ F _ Fa tmnn 7 r , 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 ofthe
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 appro d plans and specifications, and other supporting materials.
Signature C ' Registration No. 11274
Date ___0_9_/ 1 _4L
Transportation Permitting Unit
1650 Mail Service Center, Raleigh, North Carolina 27699-1650
2321 Crabtree Boulevard, Suite 250, Raleigh, North Carolina 27604
Phone: [phone] / FAX [phone] / Internet http l/h2o enr state nc us/nc,vet!ands
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