20070335 Ver 1_Application_20070227

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DEPARTMENT OF TRANSPORTATION ~R~~~~R
MICHAEL F. EASLEY 1584 YANCEYVILLE STREET, GREENSBORO, NC 27415 LYNDO TIPP
GOVERNOR SECRETARY
February 26, 2007
Mr. Andy Williams
U.S. Army Corps of Engineers
Regulatory Field Office
6508 Falls of the Neuse Road, Suite 105
Raleigh, North Carolina 2761
(Two Copies)
Ms. Sue Homewood
NC DENR Division of Water Quality
585 Waughtown Street
Winston-Salem, NC 27107
070335
SUBJECT: Guilford County, Replacement of culverts on Ballinger Road (SR 2181) across UT of
Horsepen Creek. Project # 41221
To Whom It May Concern:
The North Carolina Department of Transportation (NCDOT) proposes to replace two lines of 48ft X
60 inch culverts with two lines of 70 ft X 95 inch X 67rnch culverts beneath Ballinger Road in
Guilford County. Replacement is necessary in order to reduce future maintenance needs and increase
traffic safety. This activity will result in impacts to an UT of Horsepen Creek. The NCDOT
anticipates that the culvert replacement activity will be authorized under Nationwide Permits (NWP)
3 and 33. This application is intended as a request for Nationwides 3 and 33 from the US Army
Corps of Engineers. We are also providing a courtesy notification to the NC Division of Water
Quality to replace the pipes under General Water Quality Certificate # 3494 (NWP 3) and
notification under #3366 (NWP 33). The following information is being provided to satisfy
Condition 1 of General Water Quality Certificate # 3494 and #3366. Because the proposed activity
is in the Randleman Lake Watershed, this application is also intended to request written authorization
from North Carolina Division of Water Quality. We realize that by being located within the
Randleman Lake Water Supply Watershed, the proposed activity is subject to protection and
maintenance of riparian areas. However, we believe that through the utilization of 15A NCAC
02B.0250 (2) (e) of the NC Division of Water Quality rules that this project qualifies to receive an
exempt status. By utilizing this exemption, the NCDOT is agreeing to locate, design, construct and
maintain the project to have minimal disturbance, to provide maximum nutrient removal and erosion
PHONE [phone] FAX [phone]

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STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY 1584 YANCEYVILLE STREET, GREENSBORO, NC 27415 LYNDO TIPPETT
GOVERNOR SECRETARY
protection, to have the least adverse effects on aquatic life and habitat, and to protect water quality
to the maximum extent practical through the use of best management practices.
The following information is being provided to satisfy Nationwide Permit Condition 13 (Federal
Register January 15, 2002).
PHONE [phone] FAX [phone]

PROJECT INFORMATION
Road Name SR Number Project Length
miles Classification
Ballin er Road SR 2181 N/A Rural
River Basin: DWQ
ID Water Quality
Desi nation % Impervious Surface
Ca a Fear 16-11-5 - 0.5} C; NSW N/A
Buffer Rulesa Buffer Rule Conditions where a licable)
Yes Exempt
Protected Species
Presentb Mapped Historic
Pro erties` CAMA
AEC Essential Fishery
Habitat
No No No No
e Separate documentation attached as needed: "See the attached Endangered Species Review Sheet for further
information: ° When Applicable -See the attached Historic Review Letter for further information
STRUCTURE REPLACEMENT INFORMATION
Existing
Structure Two lines of 48ft X 60 inch
culverts Proposed
Structure Two lines of 70 ft X
95inch X 67 inch CMPA
Construction
Method Pump Around Dewatering
Device* ABC aggregate
Burial Depth Not Applicable -Bottomless
Structure. E/C Plan
Date See Attached
Construction
Date As soon as possible Duration 2 months
Impacts (ft.) 22 linear ft enclosure; No bank stabilization impacts are anticipated because of
the use of a headwall; Approx. 50 sq. ft. of temporary impacts from
dewaterin

Special
Conditions Not Applicable
-2-

MINIMIZATION INFORMATION
Impacts will be m;n;m;~ed 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 with the Division Environmental Officer.
MITIGATION INFORMATION
Stream mitigation is not anticipated, as the stream bottom will not be impacted as a result of this
project. Permanent impacts aze limited to the placement of rip-rap dissipaters above the ordinary
high water mark.
APPLICATION INFORMATION
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 Dennis Johnson at (336} 375-5589 or Jerry Pazker at [phone]. Your time and effort
are appreciated.
Sincerely,
~1
.M. Mills, P.E.
Division Engineer, Division 7
cc: Mr.Jerry Parker, NCDOT Division Environmental Officer
Mr. Dennis Johnson, NCDOT Bridge Maintenance Engineer
Mr.Barry Harrington, NCDOT Area Roadside Field Operations Engineer
Mr. Lane Hall, NCDOT District Engineer
Mr. Paul Ingram, NCDOT County Maintenance Engineer
Wetlands/401 Unit NCDWQ Raleigh (six copies)
-3-

Office Use Only' Form Version May 2002
X0070335
U5ACE Action ID No. DWQ No.
(If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A".)
I. Processing
1. Check all of the approval(s) requested for this project:
X Section 404 Permit ^ Ripazian or Watershed Buffer Rules
^ Section 10 Permit ^ Isolated Wetland Permit from DWQ
® 401 Water Quality Certification
2. Nationwide, Regional or General Permit Number(s) Requested: NWP 3 and 33
3. If this notif cation is solely a c urtesy copy because written approval for the 401 Certification
is not required, check here: (~
4. If payment into the North Cazolina Wetlands Restoration Program (NCWRP) is proposed for
mitigation of impacts (verify availability with NCWRP prior to submittal of PCN), complete
section VIII and check here: ^
5. If your project is located in any of North Carolina's twenty coastal counties (listed on page
4), and the project is within a North Carolina Division of Coastal Management Area of
Environmental Concern (see the top of page 2 for further details), check here: ^
II. Applicant Information
1. Owner/Applicant Information
Name:__ Mr J M Mills P E Division Engineer -Division 7
Mailing Address: P.O. Box 14996
Greensboro NC 27415-4996
Telephone Number:~336) 334-3192 Fax Number: [phone]
E-mail Address: mmills~a dot 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: Jerry Pazker ----
Company Affiliation: Division Environmental Officer
Mailing Address: P.O. Box 14996
Greensboro NC 27415-4996
Telephone Number: (3361256-2063 Fax Number: [phone]
E-mail Address: jpazke~dot state nc us
Page I of 8

III. Project Information
Attach a vicinity map cleazly 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 azrow. 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 I 1 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: Ballinger Road Culvert Replacement (SR 21 ~ 1) with headwalls
2. T.I.P. Project Number or State Project Number (NCDOT Only): #41221
3. Property Identification Number (Tax PIN): Not Applicable
4. Location
County: Guilford Nearest Town:Greensboro
Subdivision name (include phase/lot number): Not Applicable
Directions to site (include road numbers, landmarks, etc.):
The project is in western Greensboro near the airport. From I-40 in Greensboro take
Gallimore Dairy Rd exit and go north towazds the airport. Turn right on Mazket Street and
go approximately 0.4 miles to Friendly Ave. Turn left on Friendly Avenue and go
approximately 0.6 miles to Chimney Rock Rd. Turn left on Chimney Rock Rd and proceed
to Stagecoach Trail. Turn left on Stagecoach Trail and continue to Ballinger Rd. Turn right
on Ballinger Rd and proceed to site located approximately 0.3 miles after turning onto
Ballinger Road.
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. Property size (acres): Not Applicable
7. Nearest body of water (stream/river/sound/ocean/lake):UT to Horsepen Creek
Page 2 of 8

8. 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://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: Undersized culvert crossing in area of projected increase in
traffic.
10. Describe the overall project in detail, including the type of equipment to be used: The
project will involve replacin~Ltwo lines of 481E X 60 inch culvert pipe with a two new lines
of 701E X 95 inch X 67 CMPA. The new ape wull be buried at least one foot. The increase
in size of~ipe culvert has been recommended by the District Engineer as necessary in order
to handle the drainage and maintain safe transportation A sill will be placed in one of the
Qipes to re ugulate hihigh water flow. Headwalls will be constructed at each pipe end which will
eliminate the need for riprap bank stabilization. Equipment used will be standard road
construction equipment trackhoe grader backhoe and bulldozerZ
11. Explain the purpose of the proposed work: To maintain traffic safety and to reduce future
maintenance costs.
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 USAGE 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.
Not Applicable
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.
Not Applicable
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
Page 3 of 8

riprap (r^pl permanent placement of riprap at each end of pipe ---0 if total (headwalls will be
utilized)
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,
ba ,ocean, etc.
N/A

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: fill, excavation, dredging,
flooding, drainage, bulkheads, etc.
5. Pond Creation
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ^ uplands ^ stream ^ wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.): Not Applicable
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.): Not Applicable
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.
Culvert replacement activities are necessary to maintain traffic safety. Impacts will be
minimized by strict enforcement of Best 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 (including apre-construction meeting,) with the Division Environmental
Officer.
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
Page 5 of 8

freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
USACE - In accordance wfth 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
httl~'//h2o eiu• state nc us/ncwetlands/strmgide.html.
Provide a brief description of the proposed mitigation plan. The description should provide
as much information as possible, including, but not limited to: site location (attach directions
and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.}, and a
description of the current site conditions and proposed method of construction. Please attach
a separate sheet if more space is needed.
A fmding of insignificant impact is anticipated• therefore a mitigation plan is not provided.
Cumulative impacts are less than 150 feet The maximum amount of impact to a single
stream is approximately 22 linear feet No OutstandingLResource Waters, federally protected
~ecies 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). 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 eiu• state nc us/wrp/index.htm. If use of
the NCWRP is proposed, please check the appropriate box on page three and provide the
following information:
Amount of stream mitigation requested (linear feet): Not Applicable
Amount of buffer mitigation requested (square feet): Not Applicable
Amount of Riparian wetland mitigation requested (acres): Not Applicable _-
Amount ofNon-riparian wetland mitigation requested (acres): Nat Applicable
Page 6 of 8

Amount of Coastal wetland mitigation requested (acres): Not Applicable
IX. Environmental Documentation (required by DWQ)
Does the project involve an expenditure of public (federaUstate) funds or the use of public
(federaUstate) 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
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 ®ffice 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 Randleman )?
Yes X No _ If you answered "yes", provide the following information:
Requesting an exemption for road crossings as described in 15A NCAC 02B .0250 (2) (e)
(i).
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
s uare feet Multiplier Required
Miti ation
1 N/A 3
2 N/A 1.5
Total N/A
* Zone 1 extends out 30 feet perpendicular from near bank of channel; Zone 2 extends an
additiona120 feet from the edge of Zone 1.
Page 7 of 8

If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation
of Property, Conservation Easement, Ripazian Buffer Restoration /Enhancement, Preservation or
Payment into the Ripazian Buffer Restoration Fund). Please attach all appropriate information as
identified within 15A NCAC 2B .0242 or .0260.
Not Applicable
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.
Not Applicable
XII. Sewage Disposal (required by DWQ)
Clearly detail the ultimate treatment methods and disposition (non-discharge or dischazge) of
wastewater generated from the proposed project, or available capacity of the subject facility.
Not Applicable
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).
- 2.L- o
.pplicant/Agent's Signature Date
signature is valid only if an authorization letter from the applicant is provided.)
Page 8 of 8

N.C.D.O.T.
BRIDGE MAINTENANCE
EROSION CONTROL PLAN
AND CONSTRUCTION SEQUENCE
GUILFORD COUNTY
REPLACING PIPE WITH PIPE
BALLINGER RD. PIPE REPLACEMENT
PROJECT NO.
DESCRIPTION: REMOVAL OF EXISTING 2 LINES OF 60"RCP AND
REPLACE WITH 2 LINES OF 95" X 67" CMPA @ 70' WITH ALUMINUM
HEADWALLS
1. PLACE COFFER DAMS TO ALLOW THE WATER FLOW TO GO
THROUGH OUTSIDE LINE OF THE 60" RCP.
2. EXCAVATE AREA BEHIlVD COFFER DAMS TO REMOVE OLD PIPE AND
PLACE ONE LINE OF 95" X 67" CMPA.
3. PLACE LINE OF 95" X 67" AND STABILIZE UPSTREAM AND
DOWNSTREA~'O~I BAl~7I~S.
4. CHANGE COFFER DAMS AND ROUTE WATER THROUGH NEW LINE
OF 95" X 67" PIPE.
5. EXCAVATE AREA TO REMOVE EXISTING OLD PIPE AND PLACE THE
OTHER LINE OF 95" X 67".
6. BACKFILL PIPES AND ATTACH ALI;m~IINUM HEADWALL TO BOTH
UPSTREAM AND DOWNSTREAM ENDS OF PIPE.
7. SILT FENCE WILL BE USED AS NECESSARY.
8. 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
APPROVED BY
DATE ~,_~ f - D7
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