20091070 Ver 1_Application_20091009

STATE OF NORTH CAROLINA
e
DEPARTMENT OF TRANSPORTATION
BEVERLY EAVES PERDUE EUGENE A. CONTI, JR.
GOVERNOR
SECRETARY
U. S. Amty Corps of Engineers October 2, 2009 RIMROW1
Regulatory Field Office
3331 Heritage Trade Drive Suite 105 OCT 9 2009
Wake Forest, NC 27587 DENR-WATER QLMTY
WETLANDS AND STORWWATER BRANCH
Attn: Mr. Andy Williams I09107
NCDOT Coordinator
Subject: Application for Section 404 Individual Permit and Section 401 Water
Quality Certification, Interchange additions at SR 3389 (Woody Mill
Road) and SR 3418 (Neelley Road), Guilford County. Federal Aid No.
NHF-421(11); State Project 8.1493301; TIP No. R-2612A&B.
Debit $570.00 from WBS Element 34483.1.1.
Dear Sir:
The North Carolina Department of Transportation (NCDOT) proposes to construct
interchanges at SR 3389 (Woody Mill Road, Section A) and at SR 3418 (Keeley Road,
Section B) to replace two corresponding temporary, at-grade intersections along US 421
in Greensboro, Guilford County, North Carolina. The proposed 1.74 miles of interchange
consist of a modified diamond design at SR 3389 and a half-cloverleaf design at SR 3418.
Section A is in final design, Section B is in preliminary design at this time. This
application package consists of the cover letter, ENG Form 4345, permit drawings, half
size plan sheets, Hydraulic Design Review (4B and 4C) meeting minutes (Section A),
Stormwater Management Plan, and the Ecosystem Enhancement Program (EEP)
confirmation letter.
Proiect Schedule
The review date for R-2612 Section A is June 1, 2010 with a Let date of July 20, 2010.
The let date for R-2612 Section B is October 15, 2013. However, these let dates may
advance as additional funds become available.
MAILING ADDRESS:
NC DEPARTMENT OF TRANSPORTATION
PROJECT DEVELOPMENT AND ENVIRONMENTAL ANALYSIS
1598 MAIL SERVICE CENTER
RALEIGH NC 27699-1598
TELEPHONE: [phone]
FAX: [phone]
WEBSITE. WWW.NCDOT.ORG
LOCATION:
2728 CAPITAL BLVD.
SURE 240
RALEIGH NC 27604
Purpose and Need
The purpose of this project is to improve safety along a section of US 421 that is defined
by numerous at-grade intersections.
Summary of Impacts
The project lies in the Piedmont Physiographic Province in the Cape Fear River Basin
(HUC 03030002, sub-basin 03-06-03). This project will permanently impact 2700 ft
(0.501agres) of streamand4&re will be 45 ft of bank stabilization activity. There will be
3.52 acres of riparian - wetland impacts due to permanent fill, 0.44 acres of riparian
wetland iriipacts•due?to mechanized clearing and 0.03 acres of riparian wetland impacts
due to excavation. No impacts to jurisdictional resources will occur due to the relocation
or installation-of utilities in'the project area. Impacts for Section A are for final design,
Section B is preliminary design with permit drawings.
f
Summary of Mitigation
Throughout the design and NEPA process this project has been designed to avoid and
minimize impacts to jurisdictional areas. EEP will provide mitigation as required for
2017 linear feet of stream impacts and for the 3.99 acres of riparian wetland impacts for
the proposed project.
NEPA DOCUMENT STATUS
An Environmental Assessment (EA) was approved October 30, 1998. A Finding of No
Significant Impact (FONSI) was approved on July 14, 2008. The EA and FONSI have
been provided to regulatory review agencies. Additional copies will be provided upon
request.
INDEPENDENT UTILITY
The subject project is in compliance with 23 CFR Part 771.111(f) which lists the Federal
Highway Administration (FHWA) characteristics of independent utility of a project:

(1) The project connects logical termini and is of sufficient length to address
environmental matters on a broad scope;
(2) The project is usable and a reasonable expenditure, even if no additional transportation
improvements are made in the area;
(3) The project does not restrict consideration of alternatives for other reasonably
foreseeable transportation improvements. ,
2
RESOURCE STATUS
Wetland delineations within R-2612 were conducted using the field delineation method
outlined in the 1987 Corps of Engineers Wetland Delineation Manual (Environmental
Laboratory, 1987), and the North Carolina Division of Water Quality's (DWQ)
Identification Methods for the Origins of Intermittent and Perennial Streams,
respectively.
Within the R-2612A&B project area 10 streams and seven wetlands were identified.
Jurisdictional areas were verified by United States Army Corp of Engineers (USACE)
representative Andy Williams and North Carolina Division of Water Quality (NCDWQ)
representative Sue Homewood on May 8, 2007. Rapanos forms and request for
jurisdictional determination was sent to the USACE and NCDWQ on August 15, 2007.
An official jurisdictional determination from the USACE has not been issued for this
project.
IMPACTS TO WATERS OF THE UNITED STATES
The project is located in the Cape Fear River Basin in Guilford County. This area is part
of Hydrologic Cataloging Unit 03030002 of the South Atlantic-Gulf Coast Region. Big
Alamance Creek and its perennial and intermittent tributaries [NCDWQ classification C;
WS-IV; NSW; Index # 16-19-(1)] are located within the project area. There are seven
riparian wetlands located within the project area. Final design impact and mitigation data
for Section A can be found on Tables 1 and 2. Preliminary design impact and mitigation
data for Section B can be found on Tables 3 and 4.
There are no designated Outstanding Resource Waters (ORW), High Quality Waters
(HQW), Water Supply I (WS-1), Water Supply (WS-II), or 303 (d) listed waters within
1.0 mile of the project area.
Total impacts for R-2612 A&B are 3.99 acres of riparian wetlands and 2745 feet of
streams. Total impacts for R-2612 A&B stated in the FONSI are 6.13 acres of riparian
wetlands and 3130 feet of streams.

3
R-2612A
Streams:
Table 1. Surface water impacts for R-2612A (Final)

Stream
N
Stream < r
"
Impact
1Vhhgation

Site
ame

Name

Class?fcahon

Impact Type

Length
Mitigation , "

Regaged
JBI.
"
;FONSI
O
Ratio
(ft)
Package
Str
am Str
am
1 e e Perennial Fill 145 0* 0

Fill 73 2:1
St
2 ream Perennial Bank 146
4-A 15 0*
Stabilization
Str
am Str
am
3
1

e

e

Intermittent

Fill

201

0*

0

am
Str Str
am
5 e e Perennial Fill 856 2:1 1712

S Fill 73 2:1
tream
6 Perennial Bank 146
1 15 0*
Stabilization
Fill 94 2:1
Stream
7 Perennial Bank 188
L 15 0*
Stabilization
Total Impacts: 1487 2192
'All streams with a mitigation ratio of 0 were deemed unimportant by the USACE and do not require
mitigation.
Wetlands:
Table 2. *Wetland impacts for R-2612A (Final)
Wetland z.: f
Permanent

Site
Name .!
Impact Type
mpacts"' litigation NLtigahon

(FONSI,and .

(acres);
Ratio
Required. (acres)
,, , Jl)
Permanent Fill 0.07
1 Wetland 6 2:1 0.16
Mechanized Clearing 0.01
Permanent Fill 0.04
3 Wetland 7 2
1 0
10
: .
Mechanized Clearing 0.01
Permanent Fill 0.08
W
4 etland 5 2:1 0.16
Excavation <0.01
Wetland 1 Permanent Fill 0.21

5 and Excavation 0.02 2:1 0.52
Wetland 1a Mechanized Clearing 0.03
Totals: 0.47** 0.94

*All wetlands are Riparian
"This number is due to rounding <0.01 acres of excavation at Site 4
Note: Wetland la was added at the 4C meeting because it was outside of the original
project area, it does not appear in the FONSI or JD package. Wetland 1 a was verified by
Andy Williams (USACE) at the request of the current property owner.
Site 1: There will be 145 linear feet of impacts to Stream 5 (intermittent, unimportant)
• and 0.07 acres of permanent fill and 0.01 acres of mechanized clearing due to the
placement of a 42" Reinforced Corrugated Pipe (RCP). The pipe is necessary to convey
the stream and associated wetland drainage under the roadway fill that will be used to
construct the new location service road.
Site 2: There will be 73 linear feet of permanent impacts and 15 feet of bank stabilization
to the perennial Stream 4-A. These impacts are due to the placement of a 36" RCP and
rip rap. The pipe is necessary to convey the stream under the roadway fill that will be
used to construct the new location service road. Rip rap placement is necessary to
prevent scour and erosion at the southern outlet of the pipe.
Site 3: There will be 201 linear feet of permanent impacts to Stream 4 (intermittent
unimportant), 0.04 acres of permanent fill, and 0.01 acres of mechanized clearing in
Wetland 7 (riparian). These impacts are due to the placement of roadway fill, 36" RCP,
and rip rap to convey associated drainage under the new location service road. Rip rap
placement is necessary to prevent scour and erosion at the southern outlet of the pipe.
Site 4: There will be 0.08 acres of permanent fill and <0.01 acres of excavation in
Wetland 5 (riparian) due to the placement of a 30" Class N RCP and roadway fill. The
pipe is necessary to allow drainage under the new location service road at the intersection
of Company Mill Road.
Site 5: There will be 0.21 acres of permanent fill, 0.02 acres of excavation, and 0.03
acres of mechanized clearing in Wetland 1 (riparian) and Wetland la (riparian) due to the
placement of roadway fill. There will also be 856 feet of permanent stream impacts to
Stream 2 (perennial, important) due to the placement of one 8' x 8' Reinforced Concrete
Box Culvert with one foot sills (RCBC). The culvert will maintain drainage under
Woody Mill Road and the associated interchange ramps. The culvert will be buried one
foot below stream bed to maintain normal stream flow and natural substrate.
Site 6 and 7: There will be 73 feet of fill and 15 feet of bank stabilization to Stream L
(perennial important) due to the extension of a 3' x 3' box culvert. There will also be 94
feet of fill and 15 feet of bank stabilization to Stream L due to the extension of a 48"
Concrete Pipe. Both of these structure extensions are due to the intersection realignment
of Woody Mill Road and Liberty Road.

5
R-2612B (Preliminary)
Streams:
Table 3. Surface water impacts for R-2612B (Preliminary)

rte
Stream

Nam
JD
Stream

N
m Stream

Name,

1=
Cl
di
h
n

Impact
Impact

L
h

Mitigation:
Mitigation,
e a
e, Permit ass
ca
o Type engt Ratio -'' }Requiued .
Packa e . FONSI _ (f 0

Big
Stream
1 Alamance Perennial Fill 2:1
6
Creek
1 Stream 9 eam
S r Perennial Fill 674 2:1 1348
-B
Str
am
1 Stream 7 e Perennial Fill 2:1

Str
eam 2a
2 UT-S9 Intermittent Fill 337 0* 0
e
Stream 2b
2 Stream 9 Intermittent Fill 85 1:1** 85

2 UT-SP 2c Intermittent Fill 91 1:1** 91
Stream 2d
2 Stream 9 Perennial Fill 71 2:1 142
I 9-B
Totals: 1258 1666
* All streams with a mitigation ratio of 0 were deemed unimportant by the USACE and do not require
mitigation.
** 1:1 mitigation ratio was agreed upon by the USACE during site visit
Wetlands:
Table 4. *Wetland impacts for R-2612B (Preliminary)
Wetland

N
'
,
Permanent

Site ame.
,
Impact Type
Impacts w Mitigation Mitigation :` .
TONSI and
- r _
(acres) .. Ratio Required (acres);
JD
Permanent Fill 2.24
1 Wetland 9 2:1 5
04
Mechanized Clearing 0.28 .
Permanent Fill 0.89
2 Wetland 11 2
1
: 2.00
Mechanized Clearing 0.11
Totals: 3.52 7.04
*All wetlands are Kipanan
Site 1: There will be 674 linear feet of permanent impacts to Big Alamance Creek
(perennial important), Stream 9 (perennial important), and Stream 7 (perennial,
important). There will also be 2.24 acres of permanent fill and 0.28 acres of mechanized
clearing in Wetland 9 (riparian). These impacts are due to preliminary estimates of
roadway fill and potential culvert locations.

Site 2: There will be 337 linear feet of permanent impacts to Stream 2a (intermittent,
unimportant), 85 linear feet of permanent impacts to Stream 2b (intermittent, important),
91 linear feet of permanent impacts to Stream 2c (intermittent, important), 71 linear feet
of permanent impacts to Stream 2d (perennidl, important), and 0.11 acres of mechanized
clearing in riparian wetlands and 0.89 acres of fill in riparian wetlands. These impacts are
due to preliminary estimates of roadway fill and potential culvert locations.
FEDERALLY PROTECTED SPECIES
Plants and animals with a Federal classification of Endangered (E) or Threatened (T) are
protected under provisions of Section 7 and Section 9 of the Endangered Species Act of
1973, as amended. As of January 31, 2008 the USFWS lists one federally protected
species for Guilford County, small whorled pogonia (Isotria medeoloides). Species
description and biological conclusion were not stated in the EA because the small
whorled pogonia was not listed when the document was completed. A biological
conclusion of no effect was given in the FONSI and remains valid. A search of the North
Carolina Natural Heritage Database (updated May 2009) indicated no known occurrences
of federally protected species within 1.0 mile of the'project area.
Bald Eagle
The bald eagle (Haliaeetus leucocephalus), originally listed for Guilford County when the
EA and FONSI were completed, was delisted from the Endangered Species Act as of
August 8, 2007. However, it is still protected under the Bald and Golden Eagle
Protection Act. No suitable nesting or foraging habitat exists within 660 feet of the
project limits.
MITIGATION OPTIONS
The USACE has adopted, through the Council on Environmental Quality (CEQ), a
wetland mitigation policy that embraces the concept of "no net loss of wetlands" and
sequencing. The purpose of this policy is to restore and maintain the chemical,
biological, and physical integrity of the waters of the United States. CEQ has defined
mitigation of wetland and surface water impacts to include: avoiding impacts, minimizing
impacts, rectifying impacts, reducing impacts over time, and compensating for impacts
(40 CFR 1508.20).
The NCDOT is committed to incorporating all reasonable and practicable design features
to avoid and minimize jurisdictional impacts, and to provide full compensatory mitigation
of all remaining, unavoidable jurisdictional impacts. Avoidance measures were taken
during the planning phase and minimization measures were incorporated as part of the
project design. Minimization includes the examination of appropriate and practicable
steps to reduce the adverse impacts.
Avoidance and Minimization
Avoidance and minimization has been employed in the project area to the maximum
extent practicable. The following measures were implemented for Section A:
• NCDOT's Best Management Practices (BMPs) for the Protection of Surface Waters
will be enforced.
7
• The proposed 8'x 8' RCBC at Site 5 will be buried one foot below the streambed to
allow for natural aquatic passage, as stated in the Stormwater Management Plan.
• To avoid further impacts to wetlands at Sites 1, 3, and 5 fill slopes were set at 2:1 and
rock plating was used, as stated in the Stormwater Management Plan.
• No additional and/or temporary stream impacts at Site 6 will be necessary as
construction can be kept inside the slope stake lines.
• V-ditches tying into jurisdictional streams at Sites 5 and 7 will not impact below the
ordinary high water mark.
• The alternatives with the least amount of wetland impacts was chosen, all of the
alternatives generally had the same impacts and location.
• Section A, a ramp was eliminated to avoid impacts to Stream 2, as stated in the
FONSI and Hydraulic Design Review Meeting July 23, 2008
• Bank stabilization activities will not place rip rap on the stream bottom
• Fill slopes at Site 3 were changed from 2:1 to 1.5:1 (with rock plating) to reduce
wetland.impacts
Compensatory Mitigation
Mitigation requirements for R-2612A&B are summarized in the table below. Impacts
requiring mitigation for Sections A and B are 3.99 acres of riparian wetlands and 2017
linear feet of streams. Mitigation will be provided by the EEP.
The NCDOT does not propose mitigation for stream bank stabilization activities.
Stabilizing the bank of a stream does not require fill in the stream bed and, therefore,
under Section 404 of the Clean Water Act, does not constitute Loss of Waters of the U.S.
and is not subject to compensatory mitigation. Furthermore, the proposed bank
stabilization activities are necessary to prevent erosion and sedimentation, i.e. preventing
bank destabilization and minimizing impacts to the environment.
Stream Mitigation Summary:
Total

Section Mitigation
Jmpacis it
Ratio

Yt
Requu ed
F
A 2:1 1096 2192
A 0 391 0
B 0 337 0
B 1:1 176 176
B 2:1 745 1490
Totals: 2745 3858
Wetland Mitigation Summary:
1ltihgahon Mthgahon
Section Amount
4 Ratio:;
cr Requited
a
es
A 2:1 0.47 0.94
B 2:1 3.52 7.04
Totals: 3.99 7.98

8
CULTURAL RESOURCES
The North Carolina Department of Cultural Resources, State Historic Preservation Office
conducted a review of the project, and in a letter dated January 10, 2006 stated that no
properties of architectural, historic, or archaeological significance will be affected by the
proposed project. This letter is included in the FONSI.
FEMA COMPLIANCE
There are no streams with FEMA designated flood zones on project R-2612A&B.
UTILITY IMPACTS
No jurisdictional impacts will occur due to the removal or relocation of utilities.
INDIRECT AND CUMULATIVE EFFECTS
Analysis of Indirect and Cumulative Effects can be found on page 18 of the FONSI.
WILD AND SCENIC RIVERS
This project will not impact any designated Wild and Scenic Rivers or any rivers included
in the list of study rivers (Public Law 90-542, as amended) or North Carolina Natural and
Scenic Rivers.
ESSENTIAL FISH HABITAT
The project will not impact any essential fish habitat afforded protection under the
Magnuson-Stevens Act of 1996 (16 U.S.C 1801 et seq.).
REGULATORY APPROVALS
Application is hereby made for a Department of the Army Section 404 Individual Permit
as required for the above-described activities for the proposed TIP project R-2612A&B.
We are also hereby requesting a Section 401 Water Quality Certification from the
Division of Water Quality. In compliance with Section 143-215.3D(e) of the NCAC, we
will provide $570 to act as payment for processing the Section 401 permit. We are
providing five copies of this application to the North Carolina Department of
Environment and Natural Resources, Division of Water Quality, for their review and
approval.
9
A copy of this application will be posted on the NCDOT website at
http://www.ncdot.org/doh/preconstruct/pe/permits.html. Thank you for your time and
assistance with this project. Please contact James Pflaum at imflaumL&ncdot.gov or (919)
431-6527 if you have any questions or need additional information.
Sincerely,
Gregory J. Thorpe, Ph.D.
Environmental Management Director, PDEA
cc:
w/attachment
Mr. Brian Wrenn, NCDWQ (5 Copies)
Ms. Kathy Matthews, USEPA
W/o attachment (see website for attachments)
Dr. David Chang, P.E., Hydraulics
Mr. Greg Perfetti, P.E., Structure Design
Mr. Victor Barbour, P.E., Project Services Unit
Mr. Mark Staley, Roadside Environmental
Mr. J. M. Mills, P.E., Division 7 Engineer
Mr. Jerry Parker, Division 7 Environmental Officer
Mr. Jay Bennett, P.E., Roadway Design
Mr. Majed Alghandour, P. E., Programming and TIP
Mr. Art McMillan, P.E., Highway Design
Ms. Karen Reynolds, PDEA
Mr. Scott McLendon, USACE, Wilmington
Mr. Gary Jordan, USFWS
Mr. Travis Wilson, NCWRC
Ms. Beth Harmon, EEP
Mr. Phillip Ayscue, NCDOT External Audit Branch
Mr. Drew Joyner, PE, Human Environment Unit Head
Mr. Clarence W. Coleman, P.E., FHWA
10
APPLICATION FOR DEPARTMENT OF THE ARMY PERMIT I OMB APPROVAL NO. 0710-003
(33 CFR 325) Expires December 31, 2004
Public reporting burden for this collection of information is estimated to average 10 hours per response, although the majority of applications should
require 5 hours or less. This includes the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed,
and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of
information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Service Directorate of Information
Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302; and to the Office of Management and Budget,
Paperwork Reduction Project (0710-0003), Washington, DC 20503. Respondents should be aware that notwithstanding any other provision of law, no
person shall be subject to any penaltyfor failing to comply with a collection of information if it does not display a currently valid OMB control number.
Please DO NOT RETURN your form to either of those addresses. Completed applications must be submitted to the District Engineer having jurisdiction
over the location of the proposed activity,
PRIVACY ACT STATEMENT
Authority: Rivers and Harbors Act, Section 10, 33 USC 403: Clean Water Act, Section 404, 33 USC 1344; Marine Protection, Research and Sanctuaries
Act, 33 USC 1413, Section 103. Principal Purpose: Information provided on this form will be used in evaluating the application for a permit. Routine
Uses: This information may be shared with the Department of Justice and other federal, state, and local government agencies. Submission of
requested information is voluntary, however, if information Is not provided the permit application cannot be evaluated nor can a permit be issued.
One set of original drawings or good reproducible copies which show the location and character of the proposed activity must be attached to this
application (see sample drawings and instructions) and be submitted to the District Engineer having jurisdiction over the location of the proposed
activity. An application that is not completed in full will be returned.
4
1. APPLICATION NO. 2. FIELD OFFICE CODE 3.
5. APPLICANTS NAME
North Carolina Department of Transportation
6. APPLICANT'S ADDRESS
1598 Mail Service Center
Raleigh, NC 27699-1548
7. APPLICANT'S PHONE NOs. W/AREA CODE
a. Residence
b. Business [phone]
it.
4. DATE APPLICATION COMPLETED
8. AUTHORIZED AGENTS NAME AND TITLE Ian agent is not required)
9. AGENTS ADDRESS
10. AGENT'S PHONE NOs. W/AREA CODE
a. Residence
b. Business
I hereby authorize, to act in my behalf as my agent in the processing of this application and to furnish, upon
request, supplemental information in support of this permit application.
APPLICANTS SIGNATURE DATE
NAME, LOCATION, AND DESCRIPTION OR PROJECT OR ACTIVITY
12. PROJECT NAME OR TITLE (see instructions
NCDOT TIP No. R-2612A&B, Guilford County, NC
13. NAME OF WATERBODY, IF KNOWN (if applicable) 14. PROJECT STREET ADDRESS (if applicable)
Big Alamance Creek and an unnamed tributaries to Big Alamance Creek.
15. LOCATION OF PROJECT
Guilford NC
16. OTHER LOCATION DESCRIPTIONS, IF KNOWN (see instructions)
Township, Range, LatlLon, and/or Accessors s Parcel Number, for example.
17. DIRECTIONS TO THE SITE 1-40 to US 421 S in Greensboro, NC
18. Nature of Activity (Description of project, include all features)
Interchange additions at SR 3389 (Woody Mill Road, Section A) and SR 3418 (Neelley Road, Section B), Guilford County.
The proposed 1.74 miles interchanges consist of a modified diamond design at SR 3389 and a half-cloverleaf design at SR
3418.
19. Project Purpose (Describe the reason or pumose of tae project, see instructions)
4345, Jul 97 EDITION OF FEB 94 1S OBSOLETE (Proponent:
purpose of this project is to improve safety along a section of US 421 that is defined by numerous at-grade intersections.
! USE BLOCKS 20-22 IF DREDGED AND/OR FILL MATERIAL IS TO BE DISCHARGED
20. Reason(s) for Discharge
i
ded in order to construct 42" RCP, two 36" RCP, 30" Class IV RCP, one 8'x 8' RCBC with one foot sills, 3'x 3' box culvert, and to extend
concrete pipe for proposed interchange ramps and wider roadway.
zi. I ypets) of Ntamnal being ulscnargea ana me Amount of Each Type in
See attached permit drawings.
22.
Surtace Area in Acres of Wetlands or Omer Waters Filled (see instructions)
2700 linear feet of permanent impacts to streams, 3.99 acres of permanent impacts to wetlands, and 45 feet of bank stabilization
23. Is Any Portion of the Work Already Complete? Yes _ No X IF YES, DESCRIBE THE
WORK
24. Addresses of Adjoining Property Owners, Lessees, Etc., Whose Property Adjoins the Waterbody (H more than can be entered here, please attach a supplemental list).
See Attached List
25. List of Omer Certifications or Approvals/Denials Received from other Federal, State, or Local Agencies for Work Described in This Application.
AGENCY TYPE APPROVAL IDENTIFICATION NUMBER DATE APPLIED DATE APPROVED DATE DENIED
Would include but is not restricted to zoning, building, and flood plain permits
26. Application is hereby made for a permit or permits to authorize the work described in this application. I certify that the information in this application is
complete and accu e. I further certify that I possess the authority to undertake the work described herein or am acting as the duly authorized agent
of the a7NATLIRE It. ,?r Oct
SI OF APPLICANT DATE SIGNATURE OF AGENT DATE
The application must be signed by the person who desires to undertake the proposed activity (applicant) or it may be signed by a duly authorized
agent if the statement in block 11 has been filled out and signed.
18 U.S.C. Section 1001 provides that: Whoever, in any manner within the jurisdiction of any department or agency of the United States knowingly
and willfully falsifies, conceals, or covers up any trick, scheme, or disguises a material fact or makes any false, fictitious or fraudulent statements or
representations or makes or uses any false writing or document knowing same to contain any false, fictitious or fraudulent statements or entry, shall
be fined not more than $10,000 or imprisoned not more than five years or both.
ENG FORM 4345, Jul 97 EDITION OF FEB 94 IS OBSOLETE
(Proponent: CECW-OR)

Date:
Subject:
July 23, 2008
Memorandum
Minutes from Interagency Hydraulic Design Review Meeting on July 23, 2008 for R-2612A
in Guilford County, 1:00 PM to 2:00 PM
Team Members:
David Wainwright - DWQ
Amy Euliss - DWQ
Andrew Williams - USACE
Rachelle Beauregard - DOT - NEU
James Pflaum- DOT - NEU
Brad Chilton - DOT - NEU
Ashley Cox - DOT - NEU
Karen Reynolds - PDEA
Ron Lucas - FHWA
Patty Eason - NCDOT Division 7
GENERAL NOTES
(present)
(present)
(present)
(present)
(present)
(present)
(present)
(present)
(present)
(present)
Participants:
Marshall Clawson, NCDOT Hydraulics.
Vincent Rivers, NCDOT Hydraulics
Dennis Hoyle, URS Corporation
Eleni Riggs, URS Corporation
Susan Lancaster, NCDOT Roadway Design
Glenn Mumford, NCDOT Roadway Design
Roy Girolami, NCDOT Structure Design
The R-2612A project underwent a revision which removed a ramp and replaced it with a loop in
order to reduce the impacts to an Unnamed Tributary to Big Alamance Creek. This revision
reduced the impacts by approximately 100 feet.
• The R-2612A project has seven jurisdictional streams that cross the project and five wetland sites
in the vicinity of the project limits. The jurisdictional streams and wetlands are shown on the
following plan sheets: sheet 4, 6, 8, 10 and 11.
• At jurisdictional streams where pipes outlet, rip rap will be placed on banks and not in the channel
bottom.
Plan Sheet 4
• Pipe Crossing at Sta. 19+00 -L- (Existing 36" CMP) Jurisdictional Stream to wetlands and pond.
1600 Perimeter Park Drive
Morrisville, NC 27560
[phone] Phone
[phone] Fax
URNS
• Pipe Crossing at Sta. 22+50 -Y1- (Proposed 42" Pipe) Wetlands to wetlands and pond.
- Preliminary investigation indicates that the pipe is in good condition.
- The outlet end of the existing pipe has an 18" scour hole.
Page 2 of 4
- The discharge from the existing pipe currently flows into wetlands and then into a pond. The
proposed -Y1- line will fill portion of wetlands (0.17 acres). URS proposed to pipe under the -
Y1- line with a proposed 42" pipe and discharge into the wetlands and pond. Wetlands outside
of the proposed fill slope from the -Y1- line will remain.
Plan Sheet 6
• Pipe Crossing at Sta. 33+15 -L- (Existing 36" CMP) Jurisdictional Stream to pond.
Preliminary investigation indicates that the pipe is in good condition.
- The fill slopes extend into the stream at this location and there was a discussion about
bringing the roadway fill slopes in at 1.5:1 instead of 2:1 to reduce the stream impacts. It was
decided that this would not reduce the impacts significantly and the slopes should remain at
2:1.
- URS proposed to place a junction box at the outlet of the existing 36" CMP and then have a
36" pipe from the junction box to the edge of the fill slope.
- Rip rap will be placed on the channel banks at this location since it is a jurisdictional stream.
• Pipe Crossing at Sta. 38+70-L- (Existing 36" CMP) Jurisdictional Stream to wetlands and pond.
- Preliminary investigation indicates that the pipe is in good condition.
- The fill slopes extend into the wetlands at this location and there was a discussion about
bringing the roadway fill slopes in at 1.5:1 instead of 2:1 to reduce the wetland impacts
(impacted area estimated to be 0.05 acres). It was decided that this would be the best option
as it would bring the fill slopes in approximately 20' for almost 200 feet and reduce the wetland
impacts by almost one half. The steepened slopes will be rock plated to stabilize the slopes.
URS proposed to place a traffic bearing drop inlet at the outlet of the existing 36" CMP and
then have a 36" pipe from the drop inlet to the edge of the fill slope. With the 2:1 fill slopes the
pipe was estimated to outlet at the waters edge of the pond so changing the slopes to 1.5:1
allows the water to be discharged from the pipe prior to reaching the pond.
Pipe Crossing at Sta. 42+00 Rt. -L- (Existing Drop Inlet in US 421 median to 15" CMP) Pipe
system to Jurisdictional Stream.
- Preliminary investigation indicates that the pipe is in good condition.

Page 3 of 4
- The outlet end of the existing pipe is perched approximately 3 to 5 feet above the natural
ground, which caused a large scour hole and flows into a jurisdictional stream. The entire
stream is within the proposed fill slope. This stream is not required to be mitigated.
URS proposed to extend the existing 15" CMP pipe with pipe collars to the fill slope and outlet
into a lateral ditch.
Plan Sheet 8
• Pipe Crossing at Sta. 38+25 -Y- (Proposed 24" Pipe) Wetland to wetland
- This area was thought to be a jurisdictional stream but DOT - NEU pointed out that is was
actually a wetland. The wetland area is so small that the wetland symbol didn't show up on
the plan sheet. Approximately 0.09 acres of wetland will be impacted while approximately 60
linear feet at the outlet end will remain.
- URS proposed to place a 24" pipe under the -Y- line at the intersection of -RPC- and -RPD-.
There is a proposed TBDI with a 15" pipe that drains water from Ramp C directly into the
wetland area on the upstream end.
Plan Sheet 10
• Culvert Crossing at Sta. 12+30 -Y2- (Existing 3'X3' Box Culvert) Jurisdictional Stream under
Liberty Road.
- Preliminary investigation indicates that the culvert is in good condition.
- URS proposed to add special junction boxes at each end of the existing Tx 3' box culvert and
extend to both fill slopes with a 48" pipe. Pipes will be angled to and from the junction boxes
in order to follow the existing stream flow.
- Rip rap will be placed on the channel banks at this location since it is a jurisdictional stream.
Plan Sheet 11
• Pipe Crossing at Sta. 17+60 -Y- (Existing 48" Concrete Pipe) Jurisdictional Stream under Woody
Mill Road.
Preliminary investigation indicates that the pipe is in good condition on the upstream end. The
downstream end could not be accessed since it is now in a construction zone.
- URS proposed to add junction boxes at each end of the existing 48" concrete pipe and extend
to both fill slopes with a 48" pipe. Pipes will be angled to and from the junction boxes in order
to follow the existing stream flow.
l i;
Page 4 of 4
Rip rap will be placed on the channel banks at this location since it is a jurisdictional stream.
Culvert Crossing at Sta. 28+30-Y- (Proposed 8'X8' RCBC) Wetland area to Jurisdictional Stream
under Woody Mill Road.
- The existing wetland area was a pond in the past with a large dam that was breached in the
past couple of years. The wetland area is no longer holding water but is filled with vegetation.
The pond area currently flows into a 60" CMP under Woody Mill Road.
- URS proposed to add an 8' x 8' RCBC paralleling the existing jurisdictional stream and
existing 60" CMP. The culvert inlet will be in the wetland area formed by the pond draining
when the dam was breached and the culvert will outlet into a lateral ditch that will flow into the
jurisdictional stream. The culvert outlet will be protected with rip rap on the channel banks.
- With the culvert being constructed parallel to the existing stream and 60" CMP, URS proposed
to construct the culvert in the dry. The construction of the culvert would be dependent on the
roadway's construction phasing and road closures which have not been determined yet.
There are pipes that connect into the culvert but their exact location can't be determined until
the construction phasing has been determined.
- The proposed culvert is approximately 680 feet long with a 2.2% slope. Because of this slope,
URS proposed to place three one foot high sills in the culvert, spaced at approximately 200
feet, in order to reduce the slope under 2%. Both the inlet and outlet of the culvert are
proposed to be buried one foot.
Meeting Adjourned

li 4s. S
Date:
To:
From:
Subject:
Memorandum
January 14, 2009
Marshall Clawson
Kristy Pace
Minutes from Interagency Permit Drawing Review Meeting on January 14, 2009 for
R-2612A in Guilford County, 10:00 PM to 11:00 AM
Team Members:
Kathy Matthews, EPA
Mark Staley, NCDOT-REU
Jennifer Parish, NCDOT - REU
Evgene Tarascio, NCDOT PDEA
Amy Simes, DENR
Andy Williams, USACE
Amy Ealiss, DWQ
James PFlaum, NCDOT-NEU
Rachelle Beauregard, NCDOT-NEU
Patty Eason, NCDOT Division 7
GENERAL NOTES
(present)
(present)
(present)
(present)
(present)
(present)
(present)
(present)
(present)
(present)
Participants:
Marshall Clawson, NCDOT Hydraulics
Vincent Rivers, NCDOT Hydraulics
Dennis Hoyle, URS Corporation
Kristy Pace, URS Corporation
Susan Lancaster, NCDOT Roadway Design
Laura Sutton, NCDOT Structure Design
Roy Girolami, NCDOT Structure Design
• NCDOT, DWQ, USACE and URS met to review and discuss the permit drawings prepared
for the R-2612A project.
• URS discussed that some impacts as shown in the Impact Summary sheet were small and
were rounded up. To clarify those impacts less than 0.01 acres, the impacts will shown as
,.< 0.01".
• Easements were not shown on the permit drawings, but will be added. PDE's will be
provided at all pipe drainage outlets.
• The group discussed the impacts by sheet and by site number. A summary of the comments
are noted below.
1600 Perimeter Park Drive
Morrisville, NC 27560
[phone] Phone
[phone] Fax

Site 1 (Plan Sheet 4)
• Wetland identified contains marginal headwaters and flows into the pond downstream.
• There are two edge of water line types on the plans and it isn't clear what the difference is.
One line is from Location and Surveys Unit and the other is from Aerial Photography. URS
will confirm the Location and Survey Unit edge of water line and request that NCDOT delete
the other line from the file. Only one line should be shown.
Site 2 (Plan Sheet 6)
The downstream tail ditch does not have PDE shown. (PDE was not included at the time of
the permit drawings, but will be added to plans).
Site 3 (Plan Sheet 6)
Marshall noted that rock plating has been added to the slope to reduce impacts, but is not in
the actual pond.
There was concern regarding the two line types shown. NEU and USACE agreed that the
wetlands are north of the woven wire fence (R/W line) and surface waters (pond) are south
of the fence. Impacts will need to be modified accordingly.
Site 4 (Plan Sheet 8)
The portion of area being impacted by the fill limits is a "linear wetland" rather than a
jurisdictional stream. Impacts shown on the permit drawings are current.
Site 5 (Plan Sheet 8&111
• USACE and NEU indicated that the large pond was not delineated for wetlands and was out
of the project limits at the time of the initial field work. The area is an old pond bottom
wetland. NEU will obtain the survey information and forward it on.
• NEU requested that "Bank Stabilization" for Jurisdictional Streams be a separate line item
on the Impacts Summary sheet, particularly for this site.
• URS should consider providing stone at the culvert outlet along the bottom of the channel.
Clarification was made for impacts in jurisdictional streams as impacts should be accounted
for separately. (Bottom of the stream channel vs. bank stabilization)
• The length of the stream bank disturbed for construction needs to be accounted for when
ditches tie into jurisdictional streams in linear feet.
• The existing stream that will be abandoned between the fill limits and the new channel tie in
should be included and accounted for on the impacts.
Page 2 of 3

Site 6 (Sheet 10)
• There is no in-stream impacts proposed outside of the fill slope. The Division Rep. stated
that she expects they can build the drainage structures without impacting the stream.
• PDE will be added at the pipe outlets.
• Bank stabilization at outlet will be separated out in the impact summary sheet.
• Add site label to Site 7 (located downstream of Site 6) on Sheet 10.
Site 7 (Sheets 10811)
• PDE will be provided at the pipe outlets.
• Where V ditches tie into stream, linear feet of impacts to channel should be accounted for if
at or below the ordinary high water level of the stream.
Page 3 of 3
Meeting Adjourned
HYDRAULIC DESIGN (4B) / PERMIT DRAWINGS (4C) REVIEW
Location: Location & Survey Conference Room, DOT Century Center
TIP NO: RZZQZ A DATE: 111409
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TIP NO:
NAME AGENCY/ UNIT fl?L

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STORMWATER MANAGEMENT PLAN
Project: 33483.1.1
TIP No. R-2612A
Guilford County
3/24/2009
Hydraulics Project Manager: Dennis Hoyle, P.E. (URS Corporation),
Marshal Clawson, P.E. (NCDOT Hydraulics Unit)
ROADWAY DESCRIPTION
The project R2612A consists of removing the Woody Mill Road and Company
Mill Road at-grade intersections with US 421. The project also consists of the
construction of a bridge with access to US 421 and the realignment of the Woody Mill
Road interchange with Company Mill Road. It begins just west of the intersection of SR
3413 and US 421 in Guilford County and proceeds 1.02+ miles east, to east of SR 3394.
The southern terminus of the project ties to existing SR 3394 and the northern terminus
ties in with SR 3389 just north of the intersection with SR 3549. The project R2612A
creates impacts to three unnamed tributaries and two other jurisdictional streams. Table 1
lists these streams and the proposed crossing structures. The project drainage system
consists of cross pipes, grated inlets with associated pipe systems, tail ditches, and lateral
storm water ditches.
Table 1. List of Stream Crossings in Project R-2612A
Site # Station Stream Name Drainage area Proposed Structure
S4-A - From Exist. 36" CMP
I -Yl- 37+06 pond into 3' 34.2 acres connected to JB w/
culvert 36" RCP
S4 - Drains into Exist. 36" CMP
2 -Yl- 43+50 wetland and 31.5 acres connected to JB w/
and 36" RCP
S2-A and S2 -
3 RPB- 23+10 UT to Big 179.2 acres 8' x 8' RCBC
-LPB- 15+85
Alamance Creek
36" RCP w/ JB (2
4 -Y2- 12+30 SL - UT to S2 72.1 acres sides) connected to
exist. 3'x3'
concrete culvert
48" RCP w/ JB
5 -Y- 17+65 SL - UT to S2 78.0 acres connected to exist.
48" RCP connected
to JB w/ 48" CSP
ENVIRONMENTAL DESCRIPTION
The streams listed in Table I have been classified as jurisdictional.
There are also four jurisdictional wetland sites that will be impacted by the
proposed project. Wetland impacts have been avoided and minimized by keeping
roadway fill slopes at 3:1 or steeper. Rock plating was used along the fill slopes as
necessary in order to steepen the fill slopes and minimize wetland impacts.
BEST MANAGEMENT PRACTICES AND MAJOR STRUCTURES
The primary goal of Best Management Practices (BMPs) is to prevent degradation
of the states surface waters by the location, construction and operation of the highway
system. The BMPs are activities, practices and procedures taken to prevent or reduce
stormwater pollution. The measure that will be used on this project to reduce stormwater
impacts is the submergence of culverts below stream beds.
The box culvert at Site # 3 shown in Table 1 will be buried 1-foot below the stream
bed or natural ground at the crossings to maintain the normal stream flow and a natural
substrate.
rtd?
August 18, 2009
Mr. Gregory J. Thorpe, Ph.D.
Manager, Project Development and Environmental Analysis Branch
North Carolina Department of Transportation
1548 Mail Service Center
Raleigh, North Carolina 27699-1548
Dear Dr. Thorpe:
Subject: EEP Mitigation Acceptance Letter:
R-2612, US 421 Improvements at SR 3389 (Woody Mill Road) and NC 22 (Keeley
Road), Guilford County
The purpose of this letter is to notify you that the Ecosystem Enhancement Program (EEP) will provide the
compensatory stream and riparian wetland mitigation for the subject project. Based on the information supplied by
you dated August 11, 2009, the impacts are located in CU 03030002 of the Cape Fear River Basin in the Central
Piedmont (CP) Eco-Region, and are as follows:
Cape Fear Stream Wetlands Buffer (Sq. Ft.)
03030002 Cold Cool Warm Riparian Non- Coastal Zone l Zone 2
Riparian Marsh
Impacts
feet/acres 0 0 2,017 3.99 0 0 0 0
Mitigation Units

(Credits-up to 2:1) 0 0 3,858 7.98 0 0 0 0
EEP commits to implementing sufficient compensatory stream and riparian wetland mitigation credits to
offset the impacts associated with this project by the end of the MOA Year in which this project is permitted, in
accordance with Section X of the Amendment No. 2 to the Memorandum of Agreement between the North Carolina
Department of Environment and Natural Resources, the North Carolina Department of Transportation, and the U. S.
Army Corps of Engineers, fully executed on March 8, 2007. If the above referenced impact amounts are revised,
then this mitigation acceptance letter will no longer be valid and a new mitigation acceptance letter will be required
from EEP.
If you have any questions or need additional information, please contact Ms. Beth Harmon at 919-715-
1929.
Sincerely,
S
William . Gilmore, P.E.
EEP Director
cc: Mr. Andy Williams, USACE - Raleigh Regulatory Field Office
Mr. Brian Wrenn, Division of Water Quality, Wetlands/401 Unit
File: R-2612
Restorwg... Enka".-Pro 0" Star

North Carolina Ecosystem Enhancement Program, 1652 Mail Service Center, Raleigh, NC 27699-1652 / 919-715-0476 /www.nceep.net
r?
PROGRAM
August 18,2009
Mr. Andy Williams
U. S. Army Corps of Engineers
Raleigh Regulatory Field Office
331 Heritage Trade Drive, Suite 105
Wake Forest, North Carolina 27587
Dear Mr. Williams:
Subject: EEP Mitigation Acceptance Letter:
R-2612, US 421 Improvements at SR 3389 (Woody Mill Road) and NC 22 (Keeley Road), Guilford
County; Cape Fear River Basin (Cataloging Unit 03030002); Central Piedmont (CP) Eco-Region
The purpose of this letter is to notify you that the Ecosystem Enhancement Program (EEP) will provide the
compensatory stream and riparian wetland mitigation for the unavoidable impact associated with the above
referenced project. Based on the information supplied by the NCDOT dated August 11, 2009, the impacts are
located in CU 03030002 of the Cape Fear River Basin in the Central Piedmont (CP) Eco-Region, and the anticipated
mitigation credits needed to offset the impacts are as follows:

Cape Fear Stream Wetlands Buffer (Sq.
Ft.
03030002 Cold Cool Warm Riparian Non- Coastal Zone Zone
Riparian Marsh 1 2
Impacts (feetlacres) 0 0 2,017 3.99 0 0 0 0
Mitigation Units

(Credits-up to 2:1) 0 0 3,858 7.98 0 0 0 0
Mitigation associated with this project will be provided in accordance with Section X of Amendment No. 2
to the Memorandum of Agreement between the N. C. Department of Environment and Natural Resources, the N. C.
Department of Transportation, and the U. S. Army Corps of Engineers fully executed on March 8, 2007 (Tri-Party
MOA). EEP commits to implement sufficient compensatory stream and riparian wetland mitigation in the
appropriate cataloging unit to offset the impacts associated with this project by the end of the MOA year in which
this project is permitted. If the above referenced impact amounts are revised, then this mitigation acceptance letter
will no longer be valid and a new mitigation acceptance letter will be required from EEP.
If you have any questions or need additional information, please contact Ms. Beth Hannon at 919-715-
1929.
Sincerely,
Will' MD. Gilmore, P.E.
EEP ' ector
cc: Mr. Gregory J. Thorpe, Ph.D., NCDOT-PDEA
Mr. Brian Wrenn, Division of Water Quality, Wetlands/401 Unit
File: R-2612
2z"brutg... E?... Pro" Our Stag
y ?
North Carolina Ecosystem Enhancement Program, 1652 Mail Service Center, Raleigh, NC 27699-1652 / 919-715-0476 1 www.neeep.net
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SEEINSET CG
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SITE
END
PRO
BEGIN
PROJE
WETLAND/STREAM
IMPACTS
NCDOT
DIVISION OF HIGHWAYS
GUILFORD COUNTY
PROJECT. 33183.11 (R-2612A)
US 121 AT SR 5389
(WOODY MILL ROAD)
SOUTH OF GREENSBORO
SHEET i OF 3 Q
GUILFORD COUNTY

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END
PROJ
BEGIN
PROJE
PRELIMINARY
WETLAND/STREAM
. IMPACTS
NCDOT
DIVISION OF HIGHWAYS
GUILFORD COUNTY
PROJECT. 33483.1.1 (R-2612B)
NC 22(NEELEY ROAD
SR 3418)
SOUTH OF GREENSBORO
SHEET 1 OF . 10 6/17/09
GUILFORD COUNTY

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PROPERTY OWNERS
NAMES AND ADDRESSES

NAMES
ADDRESSES
SITE NO.
1
1
1
2
2
JAMES KIRKMAN
PAUL SMITH
NORTH CAROLINA
DEPARTMENT OF
TRANSPORTATION
SOUTHEAST PENTECOASTAL
HOLINESS CHURCH
NORTH CAROLINA
DEPARTMENT OF
TRANSPORTATION
PRELIMINARY
NCI OT
DIVISION OF HIGHWAYS
GUILFORD COUNTY
PROJECT: 33483.1.1 (R-2612B)
NC 22 (NEELEY ROAD
SR 3418)
SOUTH OF GREENSBORO
SHEET 3 OF 70 6/17/091
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