HomeMy WebLinkAbout20120752 Ver 1_Application_20120808'I
LTy .a �A1F o.
y
STATE OF NORTH CAROLINA
�apSgNp Wq RRiyry� n'
DEPARTMENT OF TRANSPORTATION R at"VC8
BEVERLY EAVES PERDUE EUGENE A CONTI JR
GOVERNOR SECRETARY
August 3, 2012
Raleigh Regulatory Field Office
US Army Corps of Engineers Wilmington District
3331 Heritage Trade Drive Suite 105 c 5 2
Wake Forest, NC 27587 6
Attention Mr Eric Alsmeyer, Project Manager
Subject Proposed guardrail along NC 56 at Robertson Creek in Granville County
TIP Project No SF 4905C, WBS No 43467
The North Carolina Department of Transportation ( NCDOT) proposes shoulder
widening to accommodate guardrail placement Shoulder widening will include minor
dirt work with rock plating throughout Some concrete work will be done to the box
culvert to accommodate attaching guardrail to the structure This project will involve
permanent wetland, open water, and buffer impacts associated with pushing out the fill
slope where necessary Application is hereby made for USACE Section 404 NWP 14 &
NWP 13 and corresponding NCDENR DWQ Section 401 Water Quality Certifications
along with a Buffer Authorization for Road Improvements and Bank Stabilization A
pre construction notification, construction plan sketch project mapping photographs
and wetland data sheets are attached with this request If you have any questions or need
additional information please contact Mrs Heather Montague at (252)492 0111 or
hwmontaguegncodot gov
Sincerely,
J W Bowman P E
Division Engineer
cc Mr Rob Ridings, Project Coordinator, N C Division of Water Quality
Mr Ben Upshaw P E NCDOT Division 5 Division Design Engineer
Mrs Dawn Phipps, P E CPESC NCDOT REU Field Operations Staff Engineer
Division Five — 2612 North Duke Street Durham North Carolina 27704
Telephone 919 220 4600 Fax 919 560 3371
78 683 333 W, I 1 1 178 666d666 W, I 1 I 178 650 000 W I I I I
78 6831333 W I I 1 1 178 6661666 W 1 1 1 1 178 6500000 W 1 I I I
Name CREEDMOOR Location 036 1218100 N 078 6619083 W
Date 8/3/2012 Caption NC 56 guardrail SF -4905C DDC safety project
Scale 1 inch equals 2000 feet Granville County
Fig are 1
uopyngn[l,.,) iaai iviapcecn inc
� T
It ( �� ,�-i -\ ___.'�
\ �/( % Jr7 fy 1 r� 382
r
/s
gem tom` 7 1 l \ r ��) �}, � A l
z
M
c r— cti�! % r� err / �� r " °� r
� � � �� + I �" � err /� � �. �... �' _ 11) rt �� 3�r'il ,- j(I ti .� 4�- p`�f � �+ tv.,^ �..,� ti r,
-`� ,_ V f"'J \-.. ( �" ` (!
y✓ 1 �� 89 /1 � t'� \ \ Nit TnOT1 �hY \`l�l V t f i .�f \"'
\\ Z ,
}�;h`t Vii% kaJ I } Y -.�I� �r,41 /r 1 f \("".� t j 7 { ,^'rr ( �� {,-"�„ v ll \ ,�ik! "`. ( 3
lie
Nk _
Z
C1
M
Cl)
Cl)
— f`^ —''- -- —�*`• I c�'{{ y„ "y. �i l,` �k...».\ `.. Y "i+ �„�`. R I ; ✓ h' R '� 1
f-. . .-M i \ tt
`�
MtlEner yr
�—�� +� �� 1 ' J (1(�"'�� `--, r ' rem
Jt l' 4ox h G nn Ilse r ° 300_ h i
S h 'r�1 �� �r 11 3T��,
k
Site i( P e fz- �l
�
�
�l3c�
} a�
yf,�.� '� at ovse � r ^v z r �'> �%s'✓ _ F 'yt� n�.,� �`'� _ O
a Creeumoor�
� �
z
.jF C' -,�s, p =r� iLf ---�' =) I li'3 � �� �''a k` _ � 5 "" � 1 � �� �l ti ���-�t t � ` �� .: �, ✓,� `�. _ -- �`
�Cem
z
t0
(�^„�� �i� l rr I�'� � y� "°c, rs �• i (���! / + �� f r � ✓ - i� —� .�-� ( I � I'�
tl J L I j ,/� { 1� �, Ll� �y� --r, 11.. ✓i� L -t''�r 1 `� 1 J ...3Jt1 "k �Yi r 2�
I
O
c0
M
— f(
(0
1\r j
r
-��E
chi ��t�l l�����.I �t(k(i'1 �� � � ,.� ( � � '�•� � ��.�.i/`'� tfJ60 rY � --'---
���
r
er
1 I I
17000 It ti
345 r )}
J itAil ��yr�., � � Z
i �
u _l - . �} Cem r� fry +` I
( n ( 11( u�RM
\l
{ by 7 z\ It
_ 1'X
CO
ce)
9 W ., L 1 (° }r
78 6831333 W I I 1 1 178 6661666 W 1 1 1 1 178 6500000 W 1 I I I
Name CREEDMOOR Location 036 1218100 N 078 6619083 W
Date 8/3/2012 Caption NC 56 guardrail SF -4905C DDC safety project
Scale 1 inch equals 2000 feet Granville County
Fig are 1
uopyngn[l,.,) iaai iviapcecn inc
d
r°
UrC
VMWI
f CrB
l -II
t
C�a CrB
f �
wz {CrB
i
13E 1 K R17 � z
SHEET NO 15
SOIL SURVEY OF GRANVILLE COUNTY NORTH CAROLINA
CrB PnDCrC 1 78 3730
DCrC� e g CrB rB r Cr v" CrB 36 07 30
11c1rC
CfC s dB C'�6 S p
CrB
Cr6 Ft � °.CrB �CrC 1702
s
s L:, G.Cry MaB -CrB U
CrB
C:rR CrB s 1 �_.. X . s Cf
- I} v
6rB
M N rtMMa Ot
k 0 CrB
1 rt`�fi /t
MaB
Kac
CIS i i
CrB
>�'�`<
b
❑ ,fit i
Y w �
CrB
CrB
J
B
i
va �vta2sn a n
t a + --CrB
MaB
CrB ;
1 CrB C B
10
e x�
MaB
c
CrB Mad
-=-CrB
AaA
.—f n t ii Intl
._ i R Sure Z
Z
z Z9
1 Z9
ELI
01
I Z9
z Z9
-Nil
;� IF
I�
la
� It
1.1
3
0
,1
0 1
I
JA
I 1 -ll
16
1
1
I'
1
I'
I'
1
II
1
II
1
II
1
1
1
I�
BZ 2
BZ I
E
TB
TB
1
BZ I
I� BZ 2
f;
I'
1
I'
1
i; I3
I'
1
I'
1
I'
1
I'
1
I�
1
I'
1
1
I'
1
I'
1
.1
12
1
I'
1
1
I'
1
1
1
iII
1
I�
1
c
w
4V i
I
V
i
I 1 -ll
16
1
1
I'
1
I'
I'
1
II
1
II
1
II
1
1
1
I�
BZ 2
BZ I
E
TB
TB
1
BZ I
I� BZ 2
f;
I'
1
I'
1
i; I3
I'
1
I'
1
I'
1
I'
1
I�
1
I'
1
1
I'
1
I'
1
.1
12
1
I'
1
1
I'
1
1
1
iII
1
I�
1
c
w
ii V,
I
V
o�OF WATFgPG
LE.J]0 -r
Office Use Only
Corps action ID no
DWQ project no
Form Version 1 3 Dec 10 2008
Page 1 of 8
PCN Form — Version 1 3 December 10 2008 Version
Pre - Construction Notification PC
Form
A
Applicant Information
1
Processing
1a
Type(s) of approval sought from the
Corps non reporting
®Section 404 Permit El Section 10 Permit
1 b
Specify Nationwide Permit (NWP) number NWP 14 and NWP 13
or General Permit (GP) number
1c
Has the NWP or GP number been verified by the Corps?
❑ Yes ® No
1 d
Type(s) of approval sought from the DWQ (check all that apply)
® 401 Water Quality Certification — Regular ❑ Non 404 Jurisdictional General Permit
❑ 401 Water Quality Certification — Express ® Riparian Buffer Authorization
1 e
Is this notification solely for the record
because written approval is not required?
For the record only for DWQ 401
Certification
❑ Yes ® No
For the record only for Corps Permit
❑ Yes ® No
1f
Is payment into a mitigation bank or in lieu fee program proposed for mitigation
of impacts? If so attach the acceptance letter from mitigation bank or in lieu
fee program
❑ Yes ® No
1 g
Is the project located in any of NC s twenty coastal counties If yes answer 1 h
below
❑ Yes ® No
1h
is the project located within a NC DCM Area of Environmental Concern (AEC)?
❑ Yes ® No
2
Project Information
2a
Name of project
NC 56 Guardrail @ Robertson Creek
2b
County
Granville
2c
Nearest municipality / town
Creedmoor
2d
Subdivision name
N/A
2e
NCDOT only T I P or state
project no
SF -4905C WBS 43467
3
Owner Information
3a
Name(s) on Recorded Deed
NCDOT Division 5
3b
Deed Book and Page No
N/A
3c
Responsible Party (for LLC if
applicable)
N/A
3d
Street address
2612 N Duke Street
3e
City state zip
Durham NC 27704
3f
Telephone no
(919)220 4600
3g
Fax no
(919)560 3371
3h
Email address
wbowman(@ncdot qov
4
Applicant Information (If different from owner) N/A
5
Agent/Consultant Information (If applicable) N/A
Page 1 of 8
PCN Form — Version 1 3 December 10 2008 Version
B Project Information and Prior Project History
1 Property Identification
1a Property identification no (tax PIN or parcel ID)
N/A
1 b Coordinates (in decimal degrees)
Site 1
Latitude 36 1218 N Longitude 78 6620 W
(DD DDDDDD) ( DD DDDDDD)
1 c Property size
Project area 0 92 acre
2 Surface Waters
2a Name of nearest body of water (stream river etc ) to
Robertson Creek
proposed project
2b Water Quality Classification of nearest receiving water
WS IV NSW
2c River basin Neuse
3 Project Description
3a Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this
application
Existing consists of paved 2 lane highway dirt shoulders and existing box culvert Surrounding area includes wetlands
and woods mostly undeveloped
3b List the total estimated acreage of all existing wetlands on the property 0 028ac
3c List the total estimated linear feet of all existing streams (intermittent and perennial) on the property 60ft
3d Explain the purpose of the proposed project To improve the safety of this section of NC 56 as a pattern of crashes
has been identified here
3e Describe the overall project in detail including the type of equipment to be used
Shoulder widening to accommodate guardrail placement Shoulder widening includes minor dirt work with rock plating
throughout Shoulder work will be completed by backhoe or excavator type equipment Guardrail to be set by appropriate
equipment Some concrete work to be done to the box culvert to accommodate the attaching of the guardrail to the
structure
4 Jurisdictional Determinations
4a Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
❑ Yes ® No ❑ Unknown
project (including all prior phases) in the past?
Comments N/A
4b If the Corps made the jurisdictional determination what type
❑ Preiiminary ❑ Final
of determination was made?
4c If yes who delineated the jurisdictional areas?
Agency /Consultant Company N/A
Name (if known) N/A
Other N/A
4d If yes list the dates of the Corps jurisdictional determinations or State determinations and attach documentation
N/A
5 Project History
5a Have permits or certifications been requested or obtained for
❑ Yes ® No ❑ Unknown
this project (including all prior phases) in the past?
5b If yes explain in detail according to help file instructions
N/A
Page 2 of 8
PCN Form — Version 1 3 December 10 2008 Version
6 Future Project Plans
6a Is this a phased project?
❑ Yes ® No
6b If yes explain
N/A
C Proposed Impacts Inventory
1 Impacts Summary
la Which sections were completed below for your project (check all that apply)
® Wetlands ❑ Streams tributaries ® Buffers
® Open Waters ❑ Pond Construction
2 Wetland Impacts
If there are wetland impacts proposed on the site then complete this question for each wetland area impacted
2a
2b
2c
2d
2e
2f
Wetland impact
Type of jurisdiction
number —
Type of impact
Type of wetland
Forested
(Corps 404 10
Area of impact
Permanent (P) or
(if known)
DWQ —non 404 other)
(acres)
Temporary T
W1 ®P ❑ T
fill in wetlands
Palustrine
❑ Yes
® No
® Corps
® DWQ
0 028
2g Total Wetland Impacts
0 028
2h Comments N/A
3 Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site then complete this
question for all stream sites impacted
3a
3b
3c
3d
3e
3f
3g
Stream impact
Type of impact
Stream name
Perennial
Type of jurisdiction
Average
Impact
number
(PER) or
(Corps 404 10
stream
length
Permanent (P) or
intermittent
DWQ — non 404
width
(linear
Temporary (T)
(INT)?
other)
(feet)
feet)
Site 1 ❑ P ❑ T
N/A
N/A
❑ PER
® Corps
N/A
N/A
Stream 1
❑ INT
® DWQ
Site 1 ❑ P ❑ T
❑ PER
® Corps
Stream 1
❑ INT
® DWQ
Site 1 ❑ P ❑ T
❑ PER
® Corps
Stream 1
❑ INT
® DWQ
3h Total stream and tributary impacts
NONE
31 Comments N/A
4 Open Water Impacts
If there are proposed impacts to lakes ponds estuaries tributaries sounds the Atlantic Ocean or any other open water of
the U S then individually list all open water impacts below
4a
4b
4c
4d
4e
Open water
Name of
impact number —
waterbody
Type of impact
Waterbody type
Area of impact (acres)
Permanent (P) or
(if applicable)
Temporary T
01 ®P ❑ T
Robertson Creek
fill
beaver swamp
0 015
4f Total open water impacts
0 015
4g Comments N/A
Page 3 of 8
PCN Form — Version 1 3 December 10 2008 Version
5 Pond or Lake Construction
If pond or lake construction proposed the complete the chart below
5a
Pond ID
number
5b
Proposed use or purpose of
pond
5c
Wetland Impacts (acres)
5d
Stream Impacts (feet)
5e
Upland
(acres)
Flooded
Filled
Excavated
Flooded
Filled
Excavated
Flooded
P1
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
P2
5f Total
NONE
NONE
NONE
NONE
NONE
NONE
NONE
5g Comments N/A
5h Is a dam high hazard permit required
❑ Yes ®No If yes permit ID no N/A
51 Expected pond surface area (acres)
N/A
5i Size of pond watershed (acres)
N/A
5k Method of construction
N/A
6 Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer then complete the chart below If yes then individually list all buffer impacts
below If any impacts require mitigation then you MUST fill out Section D of this form
6a
Project is in which protected basin?
® Neuse ❑Tar Pamlico El Other Jordan Lake
❑ Catawba ❑ Randleman
6b
Buffer impact
number —
Permanent (P) or
Temporary T
6c
Reason for
impact
6d
Stream name
6e
Buffer
mitigation
required?
6f
Zone 1 impact
(square feet)
6g
Zone 2 impact
(square feet)
Site ® P ❑ T
Buffer Impact 1
fill
Robertson Creek
❑ Yes
® No
773
546
6h Total buffer impacts
773
546
61 Comments
N/A
D Impact Justification and Mitigation
1 Avoidance and Minimization
la Specifically describe measures taken to avoid or minimize the proposed impacts in designing project
The wetlands open water and buffer impacts are only those necessary in order to install guardrail and BMPs will be followed
lb Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques
Sediment and erosion control Best Management Practices for protection of wetlands open waters and riparian buffers will be
enforced during project construction
Page 4 of 8
PCN Form — Version 1 3 December 10 2008 Version
2
Compensatory Mitigation for Impacts to Waters of the U S or Waters of the State
2a
Does the project require Compensatory Mitigation for
impacts to Waters of the U S or Waters of the State'?
❑ Yes ® No
2b If yes mitigation is required by (check all that apply)
❑ DWQ ❑ Corps
2c
If yes which mitigation option will be used for this
project?
❑ Mitigation bank
❑ Payment to in lieu fee program
❑ Permittee Responsible Mitigation
3
Complete if Using a Mitigation Bank
3a
Name of Mitigation Bank N/A
3b
Credits Purchased (attach receipt and letter)
Type N/A
Quantity N/A
3c Comments N/A
4
Complete if Making a Payment to In lieu Fee Program
4a Approval letter from in lieu fee program is attached
❑ Yes
4b
Stream mitigation requested
N/A linear feet
4c
If using stream mitigation stream temperature
❑ warm ❑ cool ❑cold
4d
Buffer mitigation requested (DWQ only)
N/A square feet
4e
Riparian wetland mitigation requested
N/A acres
4f
Non riparian wetland mitigation requested
N/A acres
4g
Coastal (tidal) wetland mitigation requested
N/A acres
4h
Comments N/A
5
Complete if Using a Permittee Responsible Mitigation Plan
5a
If using a permittee responsible mitigation plan provide a description of the proposed mitigation plan
N/A
6
Buffer Mitigation (State Regulated Riparian Buffer Rules) — required by DWQ
6a
Will the project result in an impact within a protected riparian buffer that requires
buffer mitigation?
❑ Yes ® No
6b
If yes then identify the square feet of impact to each zone of the riparian buffer that requires mitigation Calculate the
amount of mitigation required
Zone
6c
Reason for impact
6d
Total impact
(square feet)
Multiplier
6e
Required mitigation
(square feet)
Zone 1
N/A
N/A
3 (2 for Catawba)
N/A
Zone 2
N/A
N/A
1 5
N/A
6f Total buffer mitigation required
NONE
6g If buffer mitigation is required discuss what type of mitigation is proposed (e g payment to private mitigation bank
permittee responsible riparian buffer restoration payment into an approved in lieu fee fund) N/A
6h
Comments N/A
Page 5 of 8
PCN Form — Version 1 3 December 10 2008 Version
E
Stormwater Management and Diffuse Flow Plan (required by DWQ)
1
Diffuse Flow Plan
1a
Does the project include or is it adjacent to protected riparian buffers identified
® Yes ❑ No
within one of the NC Riparian Buffer Protection Rules?
lb
If yes then is a diffuse flow plan included? If no explain why
❑ Yes No
Comments these guardrail work will not alter storm water runoff at this site
2
Stormwater Management Plan
2a
What is the overall percent imperviousness of this project?
20%
2b
Does this project require a Stormwater Management Plan?
❑ Yes ® No
2c
If this project DOES NOT require a Stormwater Management Plan explain why NCDOT state Permit No NCS000250
2d
If this project DOES require a Stormwater Management Plan then provide a brief narrative
description of the plan N/A
❑ Certified Local Government
2e
Who will be responsible for the review of the Stormwater Management Plan?
❑ DWQ Stormwater Program
❑ DWQ 401 Unit
3
Certified Local Government Stormwater Review
3a
In which local government s jurisdiction is this project?
Granville County
❑ Phase II
❑ NSW
3b
Which of the following locally implemented stormwater management programs
❑ USMP
apply (check all that apply)
❑ Water Supply Watershed
❑ Other
3c Has the approved Stormwater Management Plan with proof of approval been
❑ Yes ❑ No
attached? N/A
4
DWQ Stormwater Program Review
❑ Coastal counties
❑ HQW
4a
Which of the following state implemented stormwater management programs apply
❑ ORW
(check all that apply) N/A
❑ Session Law 2006 246
❑ Other
4b
Has the approved Stormwater Management Plan with proof of approval been
El Yes El No
attached? N/A
5
DWQ 401 Unit Stormwater Review
5a
Does the Stormwater Management Plan meet the appropriate requirements? N/A
❑ Yes ❑ No
5b
Have all of the 401 Unit submittal requirements been met? N/A
❑ Yes ❑ No
Page 6 of 8
PCN Form — Version 1 3 December 10 2008 Version
F
Supplementary Information
1
Environmental Documentation (DWQ Requirement)
la
Does the project involve an expenditure of public (federal /state /local) funds or the
® Yes
❑ No
use of public (federal /state) land?
lb
if you answered yes to the above does the project require preparation of an
environmental document pursuant to the requirements of the National or State
❑ Yes
® No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1 c
if you answered yes to the above has the document review been finalized by the
State Clearing House? (If so attach a copy of the NEPA or SEPA final approval
❑ Yes
❑ No
letter )
Comments N/A
2
Violations (DWQ Requirement)
2a
Is the site in violation of DWQ Wetland Rules (15A NCAC 2H 0500) Isolated
Wetland Rules (15A NCAC 2H 1300) DWQ Surface Water or Wetland Standards
❑ Yes
® No
or Riparian Buffer Rules (15A NCAC 2B 0200)?
2b
Is this an after the fact permit application?
❑ Yes
® No
2c
If you answered yes to one or both of the above questions provide an explanation of the violation(s)
N/A
3
Cumulative Impacts (DWQ Requirement)
3a
Will this project (based on past and reasonably anticipated future impacts) result in
❑ Yes
® No
additional development which could impact nearby downstream water quality?
3b
If you answered yes to the above submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWQ policy If you answered no provide a short narrative description
N/A
4
Sewage Disposal (DWQ Requirement)
4a
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
N/A
Page 7 of 8
PCN Form — Version 1 3 December 10 2008 Version
5 Endangered Species and Designated Critical Habitat (Corps Requirement)
5a Will this project occur in or near an area with federally protected species or
❑ Yes ® No
habitat?
5b Have you checked with the USFWS concerning Endangered Species Act
❑ Yes ® No
impacts?
❑ Raleigh
5c If yes indicate the USFWS Field Office you have contacted
❑ Asheville
5d What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
http / /www fws qov /nc es /es /countvfr html and NC Natural Heritage Program Database Element Occurrences
6 Essential Fish Habitat (Corps Requirement)
6a Will this project occur in or near an area designated as essential fish
❑ Yes ® No
habitat?
6b What data sources did you use to determine whether your site would impact Essential Fish Habitat'?
http / /ocean floridamanne org /efh coral /ims /viewer htm
7 Historic or Prehistoric Cultural Resources (Corps Requirement)
7a Will this project occur in or near an area that the state federal or tribal
governments have designated as having historic or cultural preservation
❑ Yes ® No
status (e g National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
7b What data sources did you use to determine whether your site would impact historic or archeological resources?
(Note that this site is over 0 2 mile away from northern edge of the Green Level Historic District)
HPO s historic layer using GIS ArcView database and http / /gis ncdcr qov /hpoweb/
8 Flood Zone Designation (Corps Requirement)
8a WIII this project occur in a FEMA designated 100 year floodplain?
® Yes ❑ No
8b If yes explain how project meets FEMA requirements N/A
8c What source(s) did you use to make the floodplain determination? http / /www ncfloodmaps com/
for J W Bowman P E
Q
08/03/12
Applicant/Agent s Signatur
Date
Applicant/Agents Printed Name
I
(Agents signature is valid only If an authorization let er from the applicant
Is provided 1
Page 8 of 8
PCN Form — Version 1 3 December 10 2008 Version
Wetland Determination Data Forms
//r WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont
/�C
Project/Site 56 /
1l,2, Ge "r � City /County �ru`7 V1 //e- Sampling Date Z
Applicant/Owner /f��(� �(yS 1 State Sampling Poi t J
Investigator(s) C /f%urra�, /7 Nv44RG2 Section Township Range
Landform (hdlslope terrace etc) L0 6-1» C/ Local relief (concave convex none) 0017(�a tl2 Slope ( /o) D -Z
/� // 3P t 219 N - 78 (&I I ° NAM
Subregion (LRR or MLRA) PPGr/yto n Lai' Long W Datum ,/ [,
Soil Map Unit Name l;h A - C h e wa c La A We Ina ct %e.e. NWI classification Pro I (A-
Are climatic / hydrologic conditions on the site typical for this bme of year? Yes No (If no explain in Remarks)
Are Vegetation Soil or Hydrology significantly disturbed? Are Normal Circumstances present? Yes No
Are Vegetation Sod or Hydrology naturally problematic? (if needed explain any answers in Remarks)
SUMMARY OF FiNUINGS — Attach site map snowing sampling point iocabons Iransects important teatureS ett:
Hydmphybc Vegetation Present? Yes -/ No is the Sampled Area /
Hydnc Sod Present? Yes �No within a Wetland? Yes y No
Wetland Hydrology Present? Yes No
Remarks
HYDROLOGY
US Army Corps of Engineers Eastern Mountains and Piedmont — Interim Version
Wetland Hydrology Indicators Secondary Indicators (minimum of two required)
Primary Indicators (minimum of one is required, check all that anolyl _ Surface Sod Cracks (136)
Surface Water (Al) , True Aquatic Plants (314) — sparsely Vegetated Concave Surface (138)
High Water Table (A2) ydrogen Sulfide Odor (C1) _'/Drainage Patterns (610)
_ ✓Saturation (A3) _V Oxidized Rhizospheres on Living Roots (C3) _ Moss Tnm Lines (616)
_ Water Marks (B1) _ Presence of Reduced Iron (C4) _ Dry Season Water Table (C2)
_ Sediment Deposits (132) _ Recent Iron Reduction in Tilled Sods (C6) _ Crayfish Burrows (C8)
_ Drift Deposits (133) _ Thin Muck Surface (37) _ Saturation Visible on Aerial Imagery (C9)
_ Algal Mat or Crust (134) _ Other (Explain In Remarks) _,Stunted or Stressed Plants (D1)
_ Iron Deposits (35) _,/Geomorphic Position (D2)
_ Inundation Visible on Aerial Imagery (137) _ Shallow Aquitard (D3)
_ Water Stained Leaves (139) _ Ijicrotopographic Relief (D4)
_ Aquatic Fauna (1313) _ FAC Neutral Test (05)
Field Observations
Surface Water Present? Yes No Depth (inches)
Water Table Present? Yes No Depth (inches)
Saturation Present? Yes ✓ No Depth (inches) O
Wetland Hydrology Present? Yes No
includes capillary fringe)
Describe Recorded Data (stream gauge monitoring well aerial photos previous Inspections) if available
Remarks
/
7z S-U 1 -47e- e
US Army Corps of Engineers Eastern Mountains and Piedmont — Interim Version
VEGETATION (Four Strata) — Use scientific names of plants
Tree Stratum (Plot size
1
2
3
4
5
6
7
1�
Sampling Point ��"''r.{
Absolute Dominant Indicator Dominance Test worksheet
/ Cover Species? Status Number of Dominant Species C
That Are OBL FACW or FAC J (A)
Total Number of Dominant
Species Across All Strata rJ (B)
Percent of Dominant Species
That Are OBL FACW or FAC ,90 % (A/B)
Total / Cover of Multiply by
8
o = Total Cover OBL species x 1 =
Saplino /Shrub Stratum (Plot size 10 ) FACW species x2=
1 At P.f OA (7r a 0" / O � Fiat FAC species x3=
2 FACU species x4=
3 UPL species X5=
4 — Column Totals (A)
5
Prevalence Index = B/A =
6
7 Hydrophytic Vegetation Indicators
(B)
8
1 Rapid Test for Hydrophytic Vegetation
2 Dominance Test is >50 /
3 Prevalence Index is 53 Or
—4 Morphological Adaptations' (Provide supporting
data in Remarks or on a separate sheet)
— Problematic Hydrophytic Vegetation (Explain)
Indicators of hydnc soil and wetland hydrology must
be present, unless disturbed or problematic
9
10
O =
Herb Stratum (Plot size 2-0 ) Total Cover �—
1 Zo U aL
2 &:k O-A cr-p en s is S rAe Inl
_y_
3 Sa u r t^ r u 5. C P ✓ Y1 N U S $ y �� L
4
Definitions of Four Vegetation Strata
5
Tree - Woody plants excluding vines 3 in (7 6 cm) or
more in diameter at breast height (DBH) regardless of
6
7
height
8
Sapling /Shrub -Woody plants excluding vines less
g
than 3 in DBH and greater than 3 28 ft (1 m) tall
10
Herb - All herbaceous (non - woody) plants regardless
of size and woody plants less than 3 28 ft tall
11
12
Woody vine - All woody vines greater than 3 28 ft in
height
L 40 =Total Cover
Zp
Woodv Vine Stratum` (Plot'sfizer
-
)
2
3
4
5 Hydrophytic
Vegetation
6 Present? Yes No
S = Total Cover
Remarks (Include photo numbers here oron a separate sheet)
US Army Corps of Engineers Eastern Mountains and Piedmont - Interim Version
SOIL Sampling Point e #6,-
US Army Corps of Engineers Eastern Mountains and Piedmont— Interim Version
Profile Description (Describe to the depth needed to document the Indicator or confirm the absence of Indicators )
Depth Matrix
Redox Features
Anchess) (moist) /
Color (moist) _� Type' Loc
Texture Remarks
- /Cnolor
0YX 5%,
D y,,f 313
G�it u�br �is x hyoYtfaq
.�ra.,�.
'Type C= Concentration D =De letion RM= Reduced Matnx MS= Masked Sand Grains
zLocation PL=PoreLining M =Matnx
Hydric Soil Indicators
Indicators for Problematic Hydric Soils'
_ HlstDsol (Al)
_ Dark Surface (S7)
_ 2 cm Muck (A10) (MLRA 147)
_ Hishc Epipedon (A2)
_ Polyvalue Below Surface (S8) (MLRA 147
148) _ Coast Prairie Redox (A16)
_ Black Histic (A3)
hm Dark Surface (S9) (MLRA 147 148)
Loamy
(MLRA 147 148)
_ Hydrogen Sulfide (A4)
Gleyed Matrix (F2)
_ Piedmont Floodpiain Solis (F19)
_ Stratified Layers (AS)
_ Depleted Matrix (173)
(MLRA 136 147)
_ 2 cm Muck (A10) (LRR N)
_ Redox Dark Surface (F6)
_ Red Parent Material (72)
_ Depleted Below Dark Surface (All)
_ Depleted Dark Surface (F7)
_ Very Shallow Dark Surface (fF12)
_ Thick Dark Surface (Al2)
_ Redox Depressions (F8)
_ Other (Explain in Remarks)
_ Sandy Mucky Mineral (S1) (LRR N
_ Iron Manganese Masses (1712) (LRR N
MLRA 147 148)
MLRA 136)
_ Sandy Gleyed Matrix (S4)
_ Umbnc Surface (F13) (MLRA 136 122)
'Indicators of hydrophytic vegetation and
_ Sandy Redox (S5)
_ Piedmont Floodplain Soils (F19) (MLRA 148) wetland hydrology must be present,
_ Stripped Matrix (S6)
unless disturbed or problematic
Restrictive Layer (if observed)
Type
Depth
/
(inches)
Hydric Soil Present? Yes ✓ No
Remarks
US Army Corps of Engineers Eastern Mountains and Piedmont— Interim Version
WETLAND DETERMINATION DATA FORM - Eastern Mountains and Piedmont
Project(Site me S�i Aaa,"A t, City/County 9 re, t7 (/, Me- Sampling Date
Applicant(Owner f V- S State NC Sampling Point �tei
Investigator(s) C 1,46(rrar -7 /{, lkf&,i Tit,?-e- Section Township Range
Landform (hilislope terrace etc)"
tc )) /�� PL�1 h Local relief (concave convex none) U ,e.- Slope (°/) D —L
Subregion (LRR or MLRA) / Pd YZtO✓! T Lat• 3� 1 Z Z o ' N) Long IS Datum NO 27
Sod Map Unit Name Ck A — NWI classification 1OF01 e-
Are climatic / hydrologic conditions on the site typical for this time of year? Yes If'No (If no explain in Remarks) /
Are Vegetation Sod or Hydrology significantly disturbed? Are Normal Circumstances present? Yes _t AND
Are Vegetation Sod or Hydrology naturally problematic? (If needed explain any answers in Remarks)
SUMMARY OF FINDINGS — Attach site map snowing sampnng point rotations transacts trnpunam rU Urea CLU
Hydrophytic Vegetation Present? Yes No Is the Sampled Area /
Hydnc Soil Present? Yes No within a Wetland? Yes No
Wetland Hydrology Present? Yes No
Remarks
HYDROLOGY
US Army Corps of Engineers Eastern Mountains and Piedmont — Interim Version
Wetland Hydrology Indicators Secondary Indicators (minimum of two required)
Primary Indicators (minimum of one is required check all that apply) _ Surface Sod Cracks (136)
_ Surface Water (Al) _ True Aquatic Plants (814) _ Sparsely Vegetated Concave Surface (BB)
_ High Water Table (A2) _ Hydrogen Sulfide Odor (C1) _ Drainage Patterns (610)
_ Saturation (A3) _ Oxidized Rhizospheres on Living Roots (C3) _ Moss Trim Lines (1316)
_ Water Marks (131) _ Presence of Reduced Iron (C4) _ Dry Season Water Table (C2)
_ Sediment Deposits (B2) Recent Iron Reduction m Tilled Sods (C6) _ Crayfish Burrows (C8)
_ Drift Deposits (133) _ Thin Muck Surface (C7) _ Saturation Visible on Aerial Imagery (C9)
_ Algal Mat or Crust (B4) _ Other (Explain In Remarks) _ Stunted or Stressed Plants (D1)
_ Iron Deposits (135) _ Geomorphic Position (D2)
_ Inundation Visible on Aerial Imagery (137) _ Shallow Aquitard (133)
_ Water Stained Leaves (B9) _ Microtopographic Relief (D4)
_ Aquatic Fauna (B13) _ FAG- Neutral Test (D5)
Field Observations
Surface Water Present? Yes No L// Depth (inches)
Water Table Present? Yes No ✓ Depth (inches) / Z
r
✓
Saturation Present? Yes No Depth (inches) ;717-
Wetland Hydrology Present? Yes No
includes capillary frin e
Describe Recorded Data (stream gauge monitoring well aerial photos previous inspections) if available
Remarks
US Army Corps of Engineers Eastern Mountains and Piedmont — Interim Version
VEGETATION (Four Strata) — Use scientific names of plants
Tree Stratum (Plot size )
Absolute Dominant Indicator
°/ Cover Species? Status
2 Lr r i o Af h vv vi +'A f\P�
3 r&r- O �^-- S CAA,01 0-
4 " V, u
Ir
5 1-1 s a( i
6
7
8
�
Sa IIn /Shrub Stratum (Plot /size )
� -
=Total Cover
2 S S a a s a 1d(u 4A
5
F c ((
3 GaNr aar,� 3 Urea cxr
S
FHI^d
4 Wrvv S a v" e^,-c a rip -
`
5 PU, rGv W.
S'
If Fft
6 6kr 11Vr"
7U L( L� S A �R) I o 1
_
imp �vT
8 �6 o
r Fdt
1
9 () nor c r., n ✓h I G a U x1 1
�
4' G CA)
10
Herb Stratum (Plot size 3o )
2
3
4
5
6
7
8
9
10
11
12
=Total Cover
i '7' = Total Cover
Woody Vine Stratum tPlot size 30 )
1 W-
I-.ori l c-Qr a iv-rP�tm i nr-- �w -
2 Vr 7 L, 5 Co hAV\ A t � n, �l !l AG
3
4
5
6
= Total Cover
Remarks (Include photo numbers here or on a separate sheet)
Sampling Poin
Dominance Test worksheet
Number of Dominant Species (A)
That Are OBL FACW or FAC
Total Number of Dominant
Species Across All Strata (B)
Percent of Dominant Species
That Are OBL FACW or FAC (O� /a (A/B)
Prevalence Index worksheet
Total / Cover of Multiply by
OBL species 0 x 1 = 0
FACW species / ,� .2= 30
FAC species x3= / S`
FACU species x4= 6 D
UPL species C� X5=
Column Totals _ O (A) ZS-b (B)
Prevalence Index = B/A = 3 /Z-
1 Rapid Test for Hydrophytic Vegetation
,--2 Dominance Test is >501/
_ 3 Prevalence Index is 53 0'
—4 Morphological Adaptations' (Provide supporting
data in Remarks or on a separate sheet)
_ Problematic Hydrophytic Vegetation' (Explain)
'Indicators of hydric soil and wetland hydrology must
be present unless disturbed or problematic
Definitions of Four Vegetation Strata
Tree - Woody plants excluding vines 3 in (7 6 cm) or
more in diameter at breast height (DBH) regardless of
height
Sapling /Shrub - Woody plants excluding vines less
than 3 In DBH and greater than 3 28 ft (1 m) tall
Herb - All herbaceous (non woody) plants regardless
of size and woody plants less than 3 28 ft tall
Woody vine - All woody vines greater than 3 28 ft in
height
Hydrophytic
Vegetation
Present? Yes No
`f S
US Army Corps of Engineers Eastern Mountains and Piedmont - interim Version
SOIL
Sampling Point*
or confirm the absence of Indicators )
Depth Matrix Redox Features
(inches) Color (moist) _L Color (moist) q Tvoe Loe Texture Remarks
zf 1, fY,2
V3 IV
Hydric Soil Indicators
_ Histosoi (Al)
_ Histic Epipedon (A2)
— Black Hishc (A3)
_ Hydrogen Sulfide (A4)
_ Stratified Layers (A5)
_ 2 cm Muck (A10) (LRR N)
_ Depleted Below Dark Surface (A11)
_ Thick Dark Surface (Al2)
_ Sandy Mucky Mineral (S1) (LRR N
MLRA 147 148)
_ Sandy Gleyed Matrix (S4)
_ Sandy Redox (S5)
_ Stripped Matrix (S6)
Type
Depth (inches)
Matrix MS= Masked Sand Grains 2Location PL =Pore Lining M =Matnx
Indicators for Problematic Hydric
_ Dark Surface (S7)
_ Polyvalue Below Surface (SB) (MLRA 147 148)
_ Thin Dark Surface (S9) (MLRA 147 148)
_ Loamy Gleyed Matrix (F2)
_ Depleted Matrix (F3)
_ Redox Dark Surface (F6)
_ Depleted Dark Surface (177)
_ Redox Depressions (F8)
_ Iron Manganese Masses (1712) (LRR N
MLRA 136)
_ Umbnc Surface (F13) (MLRA 136 122)
_ Piedmont Floodplain Soils (1719) (MLRA 148)
_ 2 cm Muck (A10) (MLRA 147)
_ Coast Prairie Redox (A16)
(MLRA 147 148)
_ Piedmont Floodplain Solis (1719)
(MLRA 136 147)
_,_, Red Parent Material (TF2)
_ Very Shallow Dark Surface (TF12)
_ Other (Explain in Remarks)
3Indicators of hydrophytic vegetation and
wetland hydrology must be present,
unless disturbed or problematic
Hydric Soil Present? Yes No
US Army Corps of Engineers Eastern Mountains and Piedmont — Interim Version
North side of roadway, looking west.
South side of roadway, looking west.
NC 56 guardrail
(SF- 4905C) DDC — Safety Project
Granville County