20040307 Ver 1_Complete File_20040226

F W A TF Michael F. Easley, Governor
`OHO RpG William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
? r Alan W. Klimek, P.E. Director
Division of Water Quality
O ?
March 2, 2004
Guilford County
DWQ Project No. 040307
Proposed replacement of three cross pipes on SR 2752 (Bethel Church Road)
APPROVAL of 401 Water Quality Certification with Additional Conditions
Mr. J.M. Mills, P.E., Division Engineer
NCDOT Division 7
P.O. Box 14996
Greensboro, North Carolina 27415-4996
Dear Mr. Mills:
You have our approval, in accordance with the attached conditions and those listed below, to incur 40
linear feet of permanent and 50 linear feet of temporary impacts to an unnamed tributary to Little
Alamance Creek in order to replace three cross pipes on SR 2752 (Bethel Church Road) in Guilford
County. The project shall be constructed in accordance with your application dated February 24, 2004
(received February 26, 2004). After reviewing your application, we have decided that this fill is covered
by General Water Quality Certification Nos. 3366 and 3404 corresponding to the U.S. Army Corps of
Engineers Nationwide Permit Numbers 33 and 14. In addition, you should acquire any other federal, state
or local permits before you proceed with your project including (but not limited to) Sediment and Erosion
Control, Non-Discharge and Water Supply Watershed regulations. This approval will expire with the
accompanying §404 permit unless otherwise specified in the Water Quality Certification.
This approval is only valid for the purpose and design that you described in your application except as
modified below. If you change your project, you must notify us in writing, and you may be required to
send us a new application. If the property is sold, the new owner must be given a copy of this
Certification and approval letter and is thereby responsible for complying with all conditions. If total
wetland fills for this project (now or in the future) exceed one acre, or if stream impacts exceed 150 linear
feet, compensatory mitigation may be required as described in 15A NCAC 211.0506 (h) (6) and (7). For
this approval to be valid, you must follow the conditions listed in the attached certification and any
additional conditions listed below.
1. Construction shall be performed so that no violations of state water quality standards, statutes, or
rules occur.
¦ Erosion and sediment control practices must be in full compliance with all specifications
governing the proper design, installation and operation and maintenance of such Best
Management Practices in order to protect surface water quality standards.
¦ The erosion and sediment control measures for this project must equal or exceed the proper
design, installation, operation and maintenance outlined in the most recent version of the
North Carolina Sediment and Erosion Control Planning and Design Manual. These devices
shall be maintained on all construction sites, borrow sites, and waste pile (spoil) projects,
including contractor-owned or leased borrow pits associated with the projects included under
this Certification.
¦ If this project has borrow pit sites, the erosion and sediment control measures must equal or
exceed the proper design, installation, operation and maintenance outlined in the most recent
version of the North Carolina Surface Mining Manual.
North Carolina Division of Water Quality, 401 Wetlands Certification Unit,
1650 Mail Service Center, Raleigh, NC 27699-1650 (Mailing Address)
2321 Crabtree Blvd., Raleigh, NC 27604-2260 (Location)
919-733-1786 (phone), 919-733-6893 (fax), hftp://h2o.enr.state.nc.us/ncwetiands/
Mr. J.M. Mills, P.E.
DWQ 040307
March 2, 2004
¦ Any reclamation measures and implementation must comply with the reclamation in
accordance with the requirements of the Sedimentation Pollution Control Act.
2. Sediment and erosion control measures shall not be placed in wetlands or waters to the maximum
extent practicable. If placement of sediment and erosion control devices in wetlands and waters
is unavoidable, they shall be removed and the natural grade restored within 30 days after the
project has been released.
3. NCDOT and its contractors and/or agents shall not excavate, fill, or perform mechanized land
clearing at any time in the construction or maintenance of this project within waters and/or
wetlands, except as authorized by this Certification, or any modification to this Certification (e.g.,
no work shall occur outside of the footprint of the plans provided in the Preconstruction Notice
Application). In addition, there shall be no excavation from or waste disposal into jurisdictional
wetlands or waters associated with this Certification without appropriate modification. If this
occurs, compensatory mitigation may be required since it is a direct impact from road
construction activities.
4. This Certification does not authorize the discharge of waste rock and dirt into the stream or
riparian zone except for permitted areas associated with culvert conditions.
5. Little Alamance Creek and its unnamed tributaries are on the 303(d) list of impaired waters due to
sediment and turbidity from urban runoff. NCDOT shall maximize the use of Best Management
Practices with regard to sediment and erosion control during construction. Existing vegetated
buffers shall not be mowed in order to utilize it for stormwater sheet flow. Additionally,
stormwater runoff shall be treated by the use of grass swales, pre-formed scours holes or other
means that are compatible with the project site's topography, prior to reaching the stream.
6. NCDOT is encouraged to use onsite vegetation and materials for streambank stabilization when
practicable.
7. Riparian vegetation must be reestablished within the construction limits of the project by the end
of the growing season following completion of construction.
8. Stormwater should be directed to vegetated buffer areas, grass lined ditches or other means
appropriate to the site for the purpose of pre-treating stormwater runoff, and must not be routed
directly into streams. Mowing of existing vegetated buffers is strongly discouraged, so that they
may be utilized for stormwater sheet flow.
9. Where fish passage is present or where significant aquatic life may be present upstream (and
where practicable), culverts should be oversized and buried to prevent perched culverts. If
oversized piping cannot restore aquatic life passage by reconnecting the stream ecosystem, riprap
installation should be accomplished in a manner to provide or restore water channels downstream
to help facilitate aquatic life movement.
10. Where practicable, culverts that are less than 48-inch in diameter should be buried to a depth
equal to or greater than 20% of their size to allow for aquatic life passage. Culverts that are 48-
inch in diameter or larger should be buried at least 12 inches below the stream bottom to allow
natural stream bottom material to become established in the culvert following installation and to
provide aquatic life passage during periods of low flow. These measurements must be based on
natural thalweg depths. This may require increasing the size of the culvert to meet flow
conveyance requirements. If any of the existing pipes are perched, they shall be removed and
replaced, and re-installed correctly, unless demonstrated that this is topographically unfeasible.
All waters must flow through without freefalling or damming on either end of the culverts during
low flow conditions, to maintain aquatic life and/or fish passage.
11. The dimension, pattern and profile of the stream, above and below the crossing, should not be
modified by widening the stream channel or reducing the stream depth. Disturbed floodplains
and streams should be restored to natural geomorphic conditions.
12. Any riprap used must not interfere with aquatic life passage during low flow conditions.
Mr. J.M. Mills, P.E.
DWQ 040307
March 2, 2004
13. If concrete is used, work must be accomplished so the wet concrete does not contact the stream
water. This will lessen the chance of altering the stream's water chemistry and causing a fish
kill.
14. Heavy equipment must be operated from the banks rather than in the stream channel in order to
minimize sedimentation and reduce the likelihood of introducing other pollutants into the stream.
15. All mechanized equipment operated near surface waters must be regularly inspected and
maintained to prevent contamination of stream waters from fuels, lubricants, hydraulic fluids, or
other toxic materials.
16. The presence of equipment in the channels must be minimized. Under no circumstances must
rock, sand or other materials be dredged from the wetted stream channel under authorization of
this permit, except in the immediate vicinity of the culverts.
17. All work shall be performed during low flow conditions.
18. Upon completion of the project, the NCDOT shall complete and return the enclosed "Certificate
of Completion" form to notify NCDWQ when all work included in the §401 Certification has
been completed. The responsible party shall complete the attached form and return it to the
401/Wetlands Unit of the NC Division of Water Quality upon completion of the project NCDOT
is strongly advised to send in photographs upstream and downstream of each structure to
document correct installation.
If you do not accept any of the conditions of this certification, you may ask for an adjudicatory hearing.
You must act within 60 days of the date that you receive this letter. To ask for a hearing, send a written
petition that conforms to Chapter 150B of the North Carolina General Statutes to the Office of
Administrative Hearings, 6714 Mail Service Center, Raleigh, N.C. 27699-6714. This certification and its
conditions are final and binding unless you ask for a hearing.
This letter completes the review of the Division of Water Quality under Section 401 of the Clean Water
Act. If you have any questions, please telephone Ms. Cynthia Van Der Wiele at 919.733.5715 or Ms.
Susan Homewood of the Winston-Salem Regional Office at 336.771.4600.
1-11
Pc
Attachment
Wilmington District Corps of Engineers
John Thomas, USACE Raleigh Field Office
NCDWQ Winston-Salem Regional Office
Central Files
File Copy
Sincerely,

? ST_N( o
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY
GOVERNOR
February 24, 2004
Ms. Beth Barnes
Wetlands/401 Unit
NC DENR Division of Water Quality
1650 Mail Service Center tc ` `1
Raleigh, NC 27699
(Seven Copies)
Mr. John Thomas
US Army Corps of Engineers
6508 Falls of the Neuse Suite 120
Raleigh, NC 27615-6814
(Two Copies)
t+ !;? ??,R J!
bfJr
LYNDO TIPPM,
SECRETARY
y'IET L IAIDS / 401 GROUP
?E 3 " 2004
?1ATEf? QUALITYSECTIGiU
Subject: Guilford County, Replacement of three 60 inch X 40 ft culverts with two 95" X67" X 60 ft
culverts on Bethel Church Rd (2752)
Project Number it 7B.20411
To Whom It May Concern:
The North Carolina Department of Transportation (NCDOT) proposes to replace three culverts on
Bethel Church Road (SR2752) in Guilford County in order to increase lane width, provide turn
lanes and improve traffic safety. This activity will result in impacts to an unnamed tributary of Little
Alamance Creek. In an effort to obtain the necessary permits for the subject culvert replacements,
we are providing a pre-construction notification application with supporting documentation. We
believe this project can be permitted under the Nationwide Permit numbers 14 and 33. This
application is intended as a request for formal written authorization from the USCOE for NWP 14
and 33. This application is also intended as a request for written authorization from the NC Division
of Water Quality for minor road crossing under General Water Quality Certificates 113376 and
#3404.
The following information is being provided to satisfy conditions of General Water Quality
Certification.
R
/ co
P. O. Box 14996 Greensboro, NC 27415-4996
Telephone No. [phone] Fax No. (336) 334-?
n 'b
1
i 3a ,

PROJECT INFORMATION
Road Name SR Number Project Length Classification
miles
Bethel Church SR 2752 N/A Rural
Road near Painter
Lakes Rd
River Basin: DWQ Water Quality % Impervious
ID Designation Surface
Cape Fear 16-19-11 C; NSW; N/A
Buffer Rulesa Buffer Rule Conditions whf;re applicable)
No Request Exemption
Protected Species Mapped Historic CAMA Essential Fishery
Present Properties AEC Habitat
No No No No
PIPE REPLACEMENT INFORMATION
Site N/A Stream Type Perennial
Station
Existing Pie 3 60" X 40' Culverts Replace 2 95" X 67"X 60' CMP
Construction Pump around with offsite detour Dewatering N/A
Method Device*
Burial Depth One foot E/C Plan
Date
Construction As soon as practicable Duration One week
Date
Impacts (ft.) 20 ft-enclosure; 20 linear ft-rip-rap dissipaters; 50 sf -temporary sandbags and
rock silt dam
Special
Conditions
Restoration Within 15 working days of the pipe extension the mtural stream contours will
Plan be restored and seeded. Temporary silt screens will be cleaned and removed
following vegetation establishment.
RCP = reinforced concrete pipe; CMP = Corrugated metal pipe; CMPA = Corrugated metal pipe arch; E/C = Erosion
control. *A less intrusive dewatering device may be used in lieu of the one propo red.
P. O. Box 14996 Greensboro, NC 27415-4996 Telephone No. [phone] Fax No. [phone]
LIKUMIZATIOU I1IFORLIATION
Impacts will be minimized by strict enforcement of Best Management Practices for the protection of
surface waters and wetlands, restrictions against the staging of equipment in or adjacent to waters
of the US, and coordination (including a pre-construction meeting) with the Division Environmental
Officer.
MIITIGATI011 I1IFORLIATI011
Stream mitigation is not anticipated, as the impacts to any individual stream do not exceed 150 feet
Wetland mitigation is not anticipated, as wetland impacts do not exceed 0.10 acres and do not
occur in a unique natural wetland.
APPLICATION IIIFORLIATION
Enclosed please find the Pre-construction Notification Form and supporting documentation for the
above referenced project. If you have any questions or need any additional information, please
contact Jerry Parker at [phone]. Your time and effort are appreciated.
Sincerely,
W 61
M . J. . Mills, P.E.
Di ision ngineer, Division 7
Enclosures
CC: Barry Harrington, NCDOT
S. Lane Hall, NCDOT
J. Paul Ingram, NCDOT
Jerry Parker, NCDOT
P. O. Box 14996 Greensboro, NC 27415-4996 Telephone No. [phone] Fax No. [phone]
Office Use Only: Fop Version October 2001
USACE Action ID No. DWQ No.
If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A" rather than
leaving the space blank.
1. Processing
1. Check all of the approval(s) requested for this project:
® Section 404 Permit
? Section 10 Permit
® 401 Water Quality Certification
? Riparian or Watershed Buffer Rules
2. Nationwide, Regional or General Permit Number(s) Requested: NWP 14 & 33
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: ?
4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for
mitigation of impacts (see section VIII - Mitigation), check here: ?
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 27415
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: mmillsndot.state.nc.us
2. Agent Information (A signed and dated copy of the Agent Authorization letter must be
attached if the Agent has signatory authority for the owner/applicant.)
Name: Jerry Parker
Company Affiliation: NCDOT - Division 7
Mailing Address: 1584 Yanceyville Street
Greensboro NC 27415
Telephone Number: [phone] Fax Number: (336 334-4149
E-mail Address: lhall n dot.state.nc.us
Page I 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: Bethel Church at Painter Lakes Road_ (SR 2752)
2. T.I.P. Project Number or State Project Number (NCDOT Only):47B.20411 (non-TIP)
3. Property Identification Number (Tax PIN): N/A
4. Location
County: Guilford Nearest Town: Sedalia
Subdivision name (include phase/lot number): N/A
Directions to site (include road numbers, landmarks, ete.): From I-85/40 take Exit 135
(Rock Creek Dairy Rd) and head north (right) for approx. 0.2 miles to stoplight at US 70.
Turn left on US 70 and go approx. 2.3 miles to Knox Road. Turn right on Knox Road and go
approx. 0.7 miles to Bethel Church Rd (SR 2752) Turn right on Bethel Church Rd and go
approx. one mile to Painter Lakes Rd Stream site is just past Painter Lakes Rd..
5. Site coordinates, if available (UTM or Lat/Long): See the attached USGS map.
(Note - If project is linear, such as a road or utility line, attach a sheet that separately lists the
coordinates for each crossing of a distinct waterbody.)
6. Describe the existing land use or condition of the site at the time of this application:
Primarily residential. Limited agriculture and forest.
7. Property size (acres):
8. Nearest body of water (stream/river/sound/ocean/lake): UT to Little Alamance Creek
Page 2 of 9
9. 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://ii2o.enr.state.nc.us/admin/maps/.)
10. Describe the purpose of the proposed work: To upgrade a paved secondary road by
widening and providing a west bound turn lane onto Painter Lakes Road. Paving and
widening are being conducted to improve traffic safety and bring the road up to current
construction standards. The replacement and extension of three pipe culverts will be
necessary in the process
11. List the type of equipment to be used to construct the project: Road construction
equipment trackhoe grader, backhoe and bulldozer).
12. Describe the land use in the vicinity of this project: Low density residential.
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.
V. Future Project Plans
Are any additional permit requests anticipated for this project in the future? If so, describe the
anticipated work, and provide justification for the exclusion of this work from the current
application:
VI. Proposed Impacts to Waters of the United Statcs/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
Page 3 of 9
delineation map, whether or not impacts are proposed to these systems. Wetland and stream
evaluation and delineation forms should be included as appropriate. Photographs may be
included at the applicant's discretion. If this proposed impact is strictly for wetland or stream
mitigation, list and describe the impact in Section VIII below. If additional space is needed for
listing or description, please attach a separate sheet.
1. Wetland Impacts
Welland 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 wctland***
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 hu p'/A%iNiv. fcma. g,ov.
*** List a wetland qpe that best describes wetland to be impacted (e.g., f-cshwatcr/saltwater marsh, forested wctland, beaver pond,
Carolina Bay, bog, etc.)
List the total acreage (estimated) of existing wetlands on the property: N/A
Total area of wetland impact proposed: N/A
2. Stream Impacts, including all intermittent and perennial streams
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)

Site
Pipe replacement 20 fl(cn)
50sRtmp)
20ft r
UT to Alamance Creek
3 to 6 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 strums must be included.
** Stream names can be found on USGS topographic maps. If a stream has no name, list as UI (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
wANAv.us^s.<ov. Several intcmct sites also allow direct download and printing of USGS maps (e.g., w,N%1v.top0zo11e.c0m,
wuAv.mapqueSt.Com, etc.).
Page,l of 9
Cumulative impacts (linear distance in feet) to all streams on site: The cumalative impacts
are - 20 linear feet enclosure (en),
50 square feet- temporary (tmp) 20 linear feet- rip rap (m)
3. Open Water Impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any
other Water of the U.S.
Open Water Impact
Site Number
indicate on ma
Type of Impact* Area of
Impact
acres Name of Waterbody
(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: till, excavation, dredging,
flooding, drainage, bulkheads, etc.
4. Pond Creation
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ? uplands ? stream ? wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.): N/A
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.): N/A
Size of watershed draining to pond: N/A Expected pond surface area: N/A
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.
Pine renlacement and widening activities are necessary to increase travel lane and shoulder width
to current construction standards. Impacts will be minimized by strict enforcement of Kest
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://li2o.enr.state.nc.us/ncwetlands/strnigide.litmi.
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 casement, 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. Cumulative impacts are less than 150 feet.
The maximum amount of impact to a single stream is 56 linear feet. No Outstanding
Resource Waters federally protected species or their habitats, or essential fishery habitats
occur in the project area. The project is not located in a High Quality Water.
2. Mitigation may also be made by payment into the North Carolina Wetlands Restoration
Program (NCWRP) with the NCWRP's written agreement. Check the box indicating that
you would like to pay into the NCWRP. Please note that payment into the NCWRP must be
reviewed and approved before it can be used to satisfy mitigation requirements. Applicants
will be notified early in the review process by the 401/Wetlands Unit if payment into the
NCWRP is available as an option. For additional information regarding the application
process for the NCWRP, check the NCWRP website at http://li2o.cnr.st.ite.nc.iis/%?-rp/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
Page 6 of 9
Amount of buffer mitigation requested (square feet): N/A
Amount of Riparian wetland mitigation requested (acres): N/A
Amount of Non-riparian wetland mitigation requested (acres): N/A
Amount of Coastal wetland mitigation requested (acres): N/A
IX. Environmental Documentation (DWQ Only)
Does the project involve an expenditure of public funds or the use of public (federal/state/local)
land?
Yes ® No El
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
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 (DWQ Only)
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required state and local buffers associated with the project. The applicant must also provide
justification for these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Meuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and
Water Supply Buffer Requirements), or other (please identify N/A )?
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.
Page 7 of 9
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.
N/A
XI. Stormwater (DWQ Only)
Describe impervious acreage (both existing and proposed) versus total acreage on the site.
Discuss stormwater controls proposed in order to protect surface waters and wetlands
downstream from the property.
In accordance with the Februarv 25, 1991 delegation agreement one cony 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 (DWQ Only)
Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of
wastewater generated from the proposed project, or available capacity of the subject facility.
XIII. Violations (DWQ Only)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H.0500) or any Buffer Rules?
Yes ? No X
Is this an after-the-fact permit application?
Yes ? No X
Page 3 of 9
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).
Agent's Signature Date
jature is valid only if an authorization letter from the applicant is provided.)
Page 9 of 9
N.C.D.O.T.
BRIDGE MAINTENANCE
GUILFORD COUNTY
REPLACING PIPE WITH PIPE
S. R. NO. 'A -7 5?? 6c-7c1 e, l `L Re,4
PROJECT NO. -7e, ;2 v 4(/ t
DESCRIPTION: REMOVAL OF EXISTING 3 LINES OF 60"CMP
AND REPLACE WITH 2 LINES OF 95"X 67" 60'.
1. PLACE COFFER DAMS TO ALLOW THE WATER FLOW TO
GO THROUGH OUTSIDE LINE OF THE 60"CMP.
2. EXCAVATE AREA BEHIND COFFER DAMS TO REMOVE OLD
PIPES AND PLACE ONE LINE OF 95"X67"CMPA 60'.
3. PLACE LINE OF 95"X67" AND STABILIZE UPSTREAM AND
DOWNSTREAM BANKS WITH RIP RAP.
4. CHANGE COFFER DAMS AND ROUTE WATER THROUGH
NEW LINE OF 95"X67" PIPE.
5. EXCAVATE AREA TO REMOVE EXISTING OLD PIPE AND
PLACE THE OTHER LINE OF 95"X67".
6. BACKFILL AND STABILIZE ALL BANKS AND SEED AND
MULCH AREAS NECESSARY
NOTE: PIPE WILL BE BURIED 12" BELOW STREAMBED AND A
SILT BAG WILL BE USED WHEN PUMPING WATER OUT OF
EXCAVATION AREA.
PREPARED BY ? DATE - i O- U y
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APPROVED BY DATE 2?v-py
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