20080292 Ver 1_Application_20080213

Office Use f)nly' Form Version March U5
200$0292
USAGE Action ID Na. DWQ No.
(If airy particular item is not applicable to flue project, please enter "Not Applicable" or "N/A".)
Buffer Authorization Na Fee NCDQT Wark girder 1Vumber LII."107411
I. Processing
1. Check all of the approval(s) requested for this project:
^ .Section 404 Permit. ~ Riparian or Watershed Buffer Rules
^ Section 10 Permit ^ Isolated Wetland Permit from DWQ
^ 401 Water Quality Certification ^ Express 401 Water Quality Certiftcation
2. Nationwide, Regional ar General Permit Number(s) Requested: GF 31
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 Ecosystem Enhancement Program (I~TCEEP) is proposed
for mitigation of impacts, attach the acceptance. letter from NCEEP, complete section VIII,
and check here:. ^
5. If your project is located in any of North Carolina's twenty coastal counties (listed. on page
4), and the project is within a North Carolina '.Division of Coastal Management Area of
Environmental. Concern (see the top of page 2 for further details), check. here: ^
II. Applicant Information
l . Owner/Applicant Information
Name:North Carolina Det~artment of Transportation
Mailing Address:.
P.O. Box 1587
Greenville.. NC 27835-1587
Telephone Number: 252-830-3490 Fax Number: 252-.830-3341
E-mail Address:
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: Jav B Johnson
Company Affiliation: Division. 2 Environmental. Officer
Mailing Address:
P.Q Box 1587
Greenville NC 27835-158'1
Telephone Number; 252-830-3490 Fax Number: 252-830-3341
E-mail Address: jbiohnson(a,dot statenc us
upaat~~t i vvaoos
Page 5 of 13

TII, 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 USES Topographic Quad IVtap 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: Pitt 179
2. T.LP. Project Number or State Project Number (NCD~T Only): ZB.247411
Property Identification Number (Tax PTN):
4. Location
County: Pitt Nearest Town; Shelmerdine
Subdivision name (include phase/lot number).:
Directions to site (include road numbers/names, landmarks, etc.):
Frain Greenville, take NC 43 South To Shelmerd_ine thence ~D.58 miles to
onto SR 1755 for 0.31 miles to the proiect.
5. Site coordinates (For linear projects, such as a 'road or utility line, attach a sheet that
separately lists the coordinates for each crossing of a distinct waterbody.)
Decimal Degrees (6 digits minimum): 35,435651 °N 77.262644 °W
6. Property size (acres): N/A
7. Narne of nearest receiving body of water;. Clav Root Swamp
RiverBasin: Neuse Middle Neuse U3U2U2OZ
(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/ad:inin/maps/.)
Updated I1l1/2005
Page G of 13

9. Describe. the existing conditions on the site and-general land use in the vicinity of the project
atthe time of this application: Woodlands, Residential, and Agricultural
1D. Describe the overall project in detail, including the type of equipment to be used:
Construction Equipment --
l 1. Explain the purpose of the proposed work: Bridge 12eplacement
IV. Prior Project History
If jurisdictional .determinations and/or permits have been requested andlor 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
certificatians were issued' or withdrawn. Provide photocopies of previously issued .permits,
certificatians ar 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 far prior segments of the same T,I.P. project, along with
construction schedules. None..
V. Future Project Plans
Are ..any future permit requests anticipated for this project? If so, describe the anticipated work,
and provide justification far the. exclusion of this work from the current application.
No Additional Permit Requests are Anticipated in the Near Future
VI. Proposed. Tmpacts 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. Each ..impact must be
listed separately in the tables below (e.g., culvert installation should be listed separately from
riprap dissipater pads}. Be sure to indicate if an impact is temporary. All proposed impacts,
permanent and temporary, must be listed, and must be labeled and clearly identifiable on an
accompanying site plan. All wetlands and waters; and all streams (intermittent and perennial}
should 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 ar 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.
Updated 21/1/2005
Page 7 of 13

1. Provide a written description of the proposed. impacts: No 404 Wetland Impacts
2. Individually list wetland impacts. Types of impacts include, but are not limited to
mechanized clearing, grading, fill, excavation, flooding, ditching/drainage, etc. For dams,
cPnarately list impacts due to both structure and flaodna.
Wetland Impact
Site Number
(indicate on map)
Type of Txnpact Type of Wetland
(e.g., forested, marsh,
herbaceous, bog, etc.) Located within
1~0-year
Floadplain
(eslno) Distance to
Nearest
Stream.
(linear feet) Area o
Impact
(acres)
Area 1 0 Acres
Area 2 0 Acres
Area 3 0 Acres
Area 4 '' 0 Acres

Total Wetland Impact (acres) 0 Acres
3. List the total acreage (estimated) of all existing wetlands on the property: N/A
4. Tndividually list all intermittent and perennial stream impacts. Be sure. to identify temporary
impacts. Stream impacts include, but are not limited to placement of fill or culverts, dam
construction, flooding, relocation, stabilization activities (e.g., cement walls, rip-rap, crib
walls, gabians, etc.},.excavation, ditching/straightening, etc. If stream relocation is proposed,
plans and profiles showing the linear footprint for bath the original and relocated streams
must be included. To calculate acreage, multiply length X width, then divide by 43,56Q.
Stream Impact

Number
(indicate ou ma)

.Stream Name

Type of Impact
Perennial or
Intermittent? Average

Stream Width
Before Im ct Impact

Length
(linear feet) Area of

Impact
(acres)
CLSW ROOT pipe Installation Perennial 12 45' 0.014

Total Stream Impact (by length and acreage) 45' 0.014
5. Tndividually list all open. water impacts (including. lakes, ponds, estuaries, sounds, Atlantic
Ocean and .any other water of the U.S.). Open'water impacts. include, but are not limited to
fill, excavation,: Bred in , floodin , draina e, bulkheads, etc,
Open Water Impact Name of Waterbody Type of Waterbody Area of Impact
Type of Impact
Site Number (ifapplicable)- (lake, ond, estu ,sound, ba , (acres)
upaat~a itr~i~oos
Page 8 of 13

6. List the cumulative im act to all Waters of the U.S. resultin from the ro'ect:
Stream Im act acres): 0.014
Wetland Im act (acres : ~
O en Water Im act acres): ~
Total Im act to Waters of the U. S. (acres) 0
Total Stream Impact linear feet:.: 45
7. Isolated Waters
Do any isolated waters exist an the property? ^ Yes ~ No
Describe all impacts to isolated waters, and include. the. type of water (wetland. or stream) and
the size. of the proposed impact (acres or linear feet}. Please note that this section: only
applies to waters that have specifically been determined to be isolated by the USACE.
N©ne
8. Pond Creation None
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/ernbankment, 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.):
Current land use in the vicinity of the pond:.
Size of watershed draining to pond:.. Expected pond surface area:
"VTT. 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 haw impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts.
and the same size pipe currently exists lust 30 yards downstream,. located under NC 43.
Updated 11/112005
Page 9 of I3

'VIII. Mitigation None
DWQ - In accordance with 15A NCAC ZH .OSOQ, 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.
USAGE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on January 1 S, .2002, 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 he same watershed.
If mitigation is :required for this project, a copy of the mitigation plan must be attached in order
for USAGE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCEEP 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 (see DWQ website far most current
version.).
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/ar map, if affste), 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 Ecosystem Enhancement
Program (NCEEP). Please note it is the applicant's responsibility to contact the NCEEP at
[phone] to determine availability, and written approval from the NCEEP indicating
that they are will to accept payment for the mitigation must be attached to this form. For
additional.. information regarding the application process. for the NCEEP, check the NCEEP
webste at-http•//www nceep net/~pa~es/inlieureplace htm. If use of the NCEEP is .proposed,
please check the appropriate box on page five and provide the following information:
Amount of stream mitigation requested (linear feet):
tJpdated 11/1/2045
Page l0 of 13

Amount of buffer mitigation requested {square feet):..
Amount of Riparian wetland mitigation requested (acres):
Amount ofNon-riparian wetland mitigation. requested (acres):
Amount ofCoastal wetland mitigation requested.(acres}:
IX.
X.
lnvironmental Documentation (required. by DWQ)
1. Does the project involve an expenditure of public (federal/state/local) .funds. or the use. of
public (federal/state) land? Yes ~ No
2. If yes, does the project require preparation of an environmental document pursuant to the
requirements of the National or North Carolina Environnnental 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
3. 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
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.
identify )? Yes ~ No ^
Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Meuse}, 15A NCAC 2B .0259 (Tar-Pamlico),. 1 SA NCAC 02B .0243 (Catawba) 1. SA NCAC
2B .0250 (Randleman Rules and Water Supply Buffer Requirements),. or other (please
2. If "yes", identify the square Peet 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 Multiplier Requtred
(s are feet) Miti atiaxi
1 1,344 SF 3 (2 for Catawba} N/A
2 205 SF 1:5 N/A
Total 1545 SF N/A
* Zone 1 extends out 30-feet perpendicular
additional. 20 feet from he edge of Zone 1.
the top of the near bank of
Zone 2 extends art
Updated i1f1f2005
Page 11 of 13

3. If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e.,
Donation of Property, Riparian Buffer Restoration / .Enhancement, or Payment into the
Riparian Buffer Restoration Fund). Please attach ..all appropriate information as identified
within 15A NCAC 2B .0242 or .0244, or .0260' Bridge to Pipe Replacement
Impacts are under the 40 Linear Foot Threshhold
XI.
Stormwater (required by DWQ}
Describe impervious acreage (existing and proposed) versus fatal acreage an the site. .Discuss
stormwater controls proposed in order to protect.. surface waters and wetlands downstream from
the property. If percent impervious surface. exceeds 20%, please provide calculations
demonstrating total proposed impervious level. Ditches will Dissipate into the Adiacent
Side Ditches, Storm Water will Sheet Flow Over'the Vegetated Road Shoulders .and Into
Wetlands.
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.
N/A
XIII. Violations (required. by DWQ}
Is this site in violation of DWQ Wetland Rules (ISA NCAC 2H .0500) or any Buffer Rules?
Yes ^ No
Is this an after-the-fact permit application? Yes ^ No
XIV. Cumulative Impacts (required by DWQ)
Will this project (based on past and reasonably anticipated future impacts) result in .additional
development, which could impact nearby downstream water quality? Yes ^ No
If yes, please submit a qualitative ar quantitative cumulative impact analysis in accordance with
the most recent North Carolina Division of Water Quality policy posted on our website at
htt~://h2a.enr.state.nc.usJncwetlands. Tf no, please provide a short narrative description:
XV. 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
Updated 11/1!2005
.Page 12 of 13

choose to list constraints associated with construction ar 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).
Updated 1111!2005.
~ent's Signature Date
valid only if an authorization letter from the applicant is provided.)
Page 13 of 13

L~G~ND S~IEE~
SPECIAL SECIIMENT CONTROL FENCE
CONTROL STONE
4HV.
TURBIBITY CURTAIN
f~
sEDfMENr CDNTRa
t FT. MIN.
WATER FLOW
-~ ~, cEL POST - 2 FT. DEEP
WOOQ POST - 3 FT,DEEP
GENERAL NOTES:
USE N0.3 DR NO.57 STONE FOR SEDIMENT
CONTROL AND PAY FOR AT THE CONTRACT UNIT
PRICE PER TON SEDIMENT G'ONTROL STON£
USE HARDWARE` CLOTH 24 GAUGE WIRE MESH
WITH %Q /NCH MESH DPENfNGS
INSTALL 5 FT-.SELF FASTENER ANGLE STEEL
POST 2 FT. DEEP MINIMUM
INSTALL 6 FT. LONG, 3 IN. D/A. WOOD POSTS
3 FT. DEEP MINfMUM
SPACE POSTS A MAXIMUM DF 3 FT.
PUMP
SILT BAG
3 FT.

LEGEND SHEET

CiLT CACLI. IYK 'C~
DIFFUSE FLOP( THROUGH ~ WETLANDS ~'
VEGETATED UPLANDS BEFORE ENTERING riETLAN-5 ~ ~
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t
SOL ER6510N CONTROL IEGFtW.
TYPICAL EACH SfIEEr
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DIFFUSE FLOW DETAIL ~
NTS -------- 404 WETLANDS FLL AREA
}~ --- NEUSE RNEk RIPARIAN BUFFER VIl/~iJS-7LI~~U L~Hf-V1tt~~
'-- ------- 404 WETLANDS TRAPEZ0I0,4L p1TCH_ _SECT14N
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TOP WlUTH lT1= 8 f 2L?Z
PROPOSED SILT FENCE
WETLAND YAR.O'-fi'
EDGE OF .EXIST. ROAD
ururlES LEeEND,
TYPICAL EACH $FIEET
`i POWER POLE
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® TELEPHONE PE[~STAL
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Q SEWER CLEAN CUT
0 WATER VALVE
FlRE HYDRANT
WATER METER
EIPO EXISTkNG TtGN PIPE
~" PROPERTY CORNER
-R _PROPERTY LINE
AREA TO BE
FILLED OR
DISTEk2BED
EXISTWG FILL ~.
FABRIC BDRIED
fXISTING GR
UNDISTURBED AREA
SILT FENCE
DETAIL
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EDGE OF EXIST. ROA6 1
SILT FENCE

PROPOSED BRIC7GE TO PIPE t#179i
PROJECT '* 2B.~07411 PITT COUNTY
SR 1755, SLACK J~;CK/S11ti9PSON RD.
BYe BG LiTTLETONy JR. GATE; II31t08
FOR PERMITTING ONtY
NOT FOR CONSTRUCTION
g04 WETLAND IMPACTS
STREAM IMPACTS -
AREA NUMBER 404 WETLAND IMPACTS
AREA I 0 404 WETLAND IMPACTS
AREA 2 0 404 WETLAND IMPACTS
AREA 3 0 404 WETLAND IMPACTS
AREA 4 0 404 WETLAND LMPACTS
.TOTAL; 0 404 WETLAND LMPACTS
45' LONG x 14' WIDE = 630 Sq. Ft.
0.014 ACRES
BUFFER ZONE IMPA CT S
AREA NUMBER BUFFE[~ ZONE i BUFFER ZONE 2
AREA I BUFFER ZONE I IMPACTS = 355 Sq. Ft. BUFFER ZONE 2 IMPACTS = 105 Sq. Ft.
AREA 2 SUFFER ZONE I IMPACTS = 320 Sq. Ft. SUFFER ZONE 2 IMPACTS = 5 Sq. Ft.
AREA 3 BUFFER ZONE I IMPACTS _ 305 Sq. Ft. BUFFER ZONE 2 IMPACTS = 0 Sq. Ft.
AREA 4 BUFFER ZONE I LMPACTS = 360 Sq. Ft. BUFFER ZONE 2 IMPACTS = 95 Sq. Ft.
TOTAL; ~ BUFFER ZONE 1 IMPACTS = 1340 Sq. Ft. ~ BUFFER ZONE 2 IMPACTS = 205 Sq. Ft.

PITT 179
PROPOSED BRIDGE TO PIPE
SR 1755 OVER CLAYROOT S~'A~P
EXISTING 20' VIOIDE BY 3Q.7' LONG TIMBER BRIDGE
:PROPOSED 9'11 " x 6'8" x 44'6" STRUCTUR,4L PLATE PIPE
A~ZCH WITH HEAD WALLS AND WINGS
WBS ELEMENT NU1 tfBER 28.2 0741
OARDNERVILLE USGS (1U14D M14P
SHEET NUMBER 70-B OF THE SOIL ,SURVEY OF PITT COUNT]
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N 35.4.35d51
T~' 77.ZG1d44
0' 700 1,400 2,800 4,200 5,600
Feet

' PROPOSED BRIDGE TO PIPE REPLACEMENT
PROJECT NUML-3ER: 28:2074 9 i
CO(INTY: PI)-T
DATF_: P-3 9-08
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` PITT 179
PROPOSED BR/DGE TO PIPE
SR 1755 OVER CLAYROOT SWA11~'P'
EXISTING ZU' WIDE BY 3D.?'LONG TIN1d3ER BRIDdGE
PROPOSED 9'11 "x 6'8" x 44'b" STRU~'T~IRAL S'LA'TE FIl'.E -~
4 ~
ARCH WITH HL'AD WALLS AND WINO'S ~,
~:WBS ELEMENT NUMBER 28.207411'
ARDNERTfILLE USG`S QUAD 1VIAP
SHEET NUMBER 70-B OF THE SOIL SURVEY Off' PITT C`®~7N
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NORTH CAROLINA •,
DEPARTMENT OF TRANSPORTATION
DIVISION iI, BRIDGE MAINTENANCE \ ~
NEW. BERN,. NC '~
aREa J '~ i
BUFFER ..ZONE i IMPACTS = 355 Sq. Ft. ~,'~
° ',
BUFFER ZONE 2 IMPACTS = 105 Sq. Ft. 1 °~+
'. ~ Z¢, ;
GRASSY STABLE AREA ~ '~ ,1
4
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EXiSTPJG DITCN - - -.- - - .
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= 360 Sq. Ft. \,~~
a = 95 Sq. Ft,
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- Bridge ,,
' IO~g `` 4`,'3
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, SCALEo I" = ~O'
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EXISTING 18" CMP TO BE REPLACED
------------------°-------------------------------- ---------------)1-- --
=~ T Q N C ~4 3
SR 1755 "' ~
EXISTING ?8" CMP TO BE REPLACED
[XIST~lG DITCH -_ _ - - - -
i i~vR v.~w ui~i~:~~ ~ v i ~~ ~ ~ ~ ~ ~
`, ~ ~ PROJECT # 2B.20741f PITT COUP
' ° ~ ~ SR 1755, BLACi( JACK/SIMPSON F
~; ©~ ~ ',BYo BG LITTLETON, JRn QATEe II31
'~p~ '~' '~ 1NOODS FQR PERMITTING ONLY
~ NOT FOR CONSTRUCTfON
`,. 3~, ~0 ~ AREA 2
~ ` ~ BUFFER ZONE I IMPACTS = 320 Sq. Ft.
,~?, BUFFER ZONE 2 IMPACTS = 5 5 . Ft.
- - -- - - - " - - " - EXISTING DITCH
-~-~c.t
-.-.z._._.---------------------
EXISTING 18" CMP TO BE REPLACED
-------------------------------------------------- EP
Proposed q'Il" h C`8" x ~10`6'i Structural Plate
Pipe Arch w/ F!eadv~ralls ~ V~lings
EXIST)hJG lo° CMP TO 8E REPLACED
-- - - - tXISTiNG DITCH
I ~~~~~s
~~ '~ ~+~ ~ BllFFER ZONE
/~ BUFFER .ZONE
mot- ~' \
\ ~Q~
l~tf Q rJ (-1 S 20