20031519 Ver 1_COMPLETE FILE_20030124

DF %NATF9 Michael F. Easley, Governor
o
?
? i? William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
\
CO r Alan W. Klimek, P.E., Director
5: Division of Water Quality
p Coleen H. Sullins, Deputy Director
Division of Water Quality
March 8, 2004
DWQ# 03-1519
Davidson County
Mr. Andrew M. Haire
30 Maiden Park Drive
Thomasville, NC, 27360
2004
APPROVAL of 401 Water Quality Certification with Additional Conditions
Dear Mr. Haire:
You have our approval, in accordance with the attached conditions, to place permanent fill in 48 linear feet of
perennial stream in order to construct a road crossing for access to your property located in the northeast
corner of the intersection of NC Highway 109 and Business 1-85 in Davidson County, as described in your
application received by the Division of Water Quality (DWQ) on December 4, 2003 and in additional
correspondence received on February 19, 2004 and March 4, 2004. After reviewing your application, we have
determined that this fill is covered by General Water Quality Certification Number 3404 which can be viewed
on our web site at http://h2o.enr.state.nc.us/ncwetlands. This Certification allows you to use Nationwide Permit
Number 14 when it is issued by the U.S. Army Corps of Engineers. In addition, you should secure any other
applicable federal, state or local permits before you proceed with your project, including (but not limited to)
those required by Sediment and Erosion Control, Non-Discharge, and Water Supply Watershed regulations.
Also, this approval will expire when the accompanying 404 permit expires unless otherwise specified in the
General Certification.
This approval is valid only for the purpose and design that you have described in your application. If you
change your project, you must notify us in writing, and you may be required to send us a new application for a
new certification. If the property is sold, the new owner must be given a copy of the Certification and,approval
letter and is thereby responsible for complying with all conditions. If total wetland fills for this project (now or in
the future) exceed one acre, compensatory mitigation may be required as described in 15A NCAC 2H .0506
(h). For this approval to be valid, you must follow the conditions listed in the attached certification, as
well as the additional conditions listed below:
The culvert required for this project shall be installed in such a manner that the original stream profile is not
altered (i.e. the depth of the channel must not be reduced by a widening of the streambed). Existing stream
dimensions (including the pattern and profile) are to be maintained above and below the location of the
culvert. The culvert shall be designed and installed to prevent head cutting of the stream. If the culvert
becomes perched, the appropriate stream grade shall be re-established or, if the culvert is installed in a
perched manner, the culvert shall be removed and re-installed correctly. The Applicant must submit a plan
and receive written approval from this Office to address any head cutting that will occur as a result of this
project (e.g., use of cross vanes downstream of the culvert).
Where riprip is required for energy dissipation and scour protection, it shall be limited to the minimum
dimensions specified by appropriate engineering calculations. Riprap may only be used below the normal
high water level. The original grade and elevation of the stream's cross-section must be maintained.
Riprap placed in the stream bottom must be inserted into the bottom matrix to a depth sufficient to provide
the thickness of riprap required for scour protection. The elevation of the stream bottom must not be
increased by the placement of riprap. Placement of riprap must not result in destabilization of the,
N. C. Division of Water Quality, 401 Wetlands Certification Unit,
1650 Mail Service Center, Raleigh, NC 27699-1650 (Mailing Address)
2321 Crabtree Blvd., Raleigh, NC 27604-2260 (Location)
[phone] (phone), 919-733-6893 (fax), (httn'!/h?o.enr.state.ncus!ncNetlands)
Customer Service #: 1-877-623-6748
A*)
NCDENR
streambed or banks upstream or downstream of any crossing.
2. Upon finishing the project, the Applicant shall fill out and return the enclosed "Certificate of Completion" to
notify NCDWQ when all work included in the §401 Certification has been completed. This certificate
should be returned to the 401/Wetlands Unit of the NC Division of Water Quality at the address listed.
Along with the Certificate of Completion, please send photographs upstream and downstream of each
culvert site to document correct installation.
If you do not accept any of the conditions of this certification, you may ask for an adjudicatory hearing. You
must act within 60 days of the date that you receive this letter. To ask for a hearing, send a written petition
which conforms to Chapter 150B of the North Carolina General Statutes to the Office of Administrative
Hearings, 6714 Mail Service Center, Raleigh, N.C. 27699-6714. This certification and its conditions are final
and binding unless you ask for a hearing.
This letter completes the review of the Division of Water Quality under Section 401 of the Clean Water Act. If
you have any questions, please telephone Davy I Lamb in the DWQ Winston-Salem Regional Office at 336-771-
4600 cr Cyndi Karoly in the Central Office in Rai ;igh 919-733-9721.
Sincerely,
C - ?-
Alan W. Klimek, P.E.
AWK/cdl
Attachments
cc: Andrea Wade, U. S. Army Corps of Engineers, Raleigh Regulatory Field Office
Winston-Salem DWQ Regional Office
Central Files
Wetlands/401 File Copy
Michael B. Westcott, Westcott Engineering & Consulting, PC, 4135 Mendenhall Oaks Parkway, Suite 140,
High Point, NC 27265
W A T ?qpG
March 8, 2004
DWQ# 03-1519
Davidson County
Mr. Andrew M. Haire
30 Maiden Park Drive
Thomasville, NC, 27360
APPROVAL of 401 Water Quality Certification with Additional Conditions
Dear Mr. Haire:
You have our approval, in accordance with the attached conditions, to place permanent fill in 48 linear feet of
perennial stream in order to construct a road crossing for access to your property located in the northeast
corner of the intersection of NC Highway 109 and Business 1-85 in Davidson County, as described in your
application received by the Division of Water Quality (DWQ) on December 4, 2003 and in additional
correspondence received on February 19, 2004 and March 4, 2004. After reviewing your application, we have
determined that this fill is covered by General Water Quality Certification Number 3404 which can be viewed
on our web site at http://h2o.enr.state.nc.us/ncwetiands. This Certification allows you to use Nationwide Permit
Number 14 when it is issued by the U.S. Army Corps of Engineers. In addition, you should secure any other
applicable federal, state or local permits before you proceed with your project, including (but not limited to)
those required by Sediment and Erosion Control, Non-Discharge, and Water Supply Watershed regulations.
Also, this approval will expire when the accompanying 404 permit expires unless otherwise specified in the
General Certification.
This approval is valid only for the purpose and design that you have described in-your application. If you
change your project, you must notify us in writing, and you may be required to send us a new application for a
new certification. If the property is sold, the new owner must be given a copy of the Certification and approval
letter and is thereby responsible for complying with all conditions. If total wetland fills for this project (now or in
the future) exceed one acre, compensatory mitigation may be required as described in 15A NCAC 2H .0506
(h). For this approval to be valid, you must follow the conditions listed in the attached certification, as
well as the additional conditions listed below:
The culvert required for this project shall be installed in such a manner that the original stream profile is not
altered (i.e. the depth of the channel must not be reduced by a widening of the streambed). Existing stream
dimensions (including the pattern and profile) are to be maintained above and below the location of the
culvert. The culvert shall be designed and installed to prevent head cutting of the stream. If the culvert
becomes perched, the appropriate stream grade shall be re-established or, if the culvert is installed in a
perched manner, the culvert shall be removed and re-installed correctly. The Applicant must submit a plan
and receive written approval from this Office to address any head cutting that will occur as a result of this
project (e.g., use of cross vanes downstream of the culvert).
Where riprip is required for energy dissipation and scour protection, it shall be limited to the minimum
dimensions specified by appropriate engineering calculations. Riprap may only be used below the normal
high water level. The original grade and elevation of the stream's cross-section must be maintained.
Riprap placed in the stream bottom must be inserted into the bottom matrix to a depth sufficient to provide
the thickness of riprap required for scour protection. The elevation of the stream bottom must not be
increased by the placement of riprap. Placement of riprap must not result in destabilization of the
t cDENA
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E., Director
Division of Water Quality
Coleen 11. Sullins, Deputy Director
Division of Water Quality
N. C. Division of Water Quality, 401 Wetlands Certification Unit,
1650 Mail Service Center, Raleigh, NC 27699-1650 (Mailing Address)
2321 Crabtree Blvd., Raleigh, NC 27604-2260 (Location)
[phone] (phone), 919-733-6893 (fax), (httpJ/l12o.cnr.state.nc.us/ncwcti in(is)
Customer Service #: 1-877-623-6748
streambed or banks upstream or downstream of any crossing.
2. Upon finishing the project, the Applicant shall fill out and return the enclosed "Certificate of Completion"
notify NCDWQ when all work included in the §401 Certification has been completed. This certifica
should be returned to the 401/Wetlands Unit of the NC Division of Water Quality at the address liste
Along with the Certificate of Completion, please send photographs upstream and downstream of ea
culvert site to document correct installation.
If you do not accept any of the conditions of this certification, you may ask for an adjudicatory hearing. Y(
must act within 60 days of the date that you receive this letter. To ask for a hearing, send a written petiti(
which conforms to Chapter 150B of the North Carolina General Statutes to the Office of Administrati,
Hearings, 6714 Mail Service Center, Raleigh, N.C. 27699-6714. This certification and its conditions are fir
and binding unless you ask for a hearing.
This letter completes the review of the Division of Water Quality under Section 401 of the Clean Water Act.
you have any questions, please telephone Daryl Lamb in the DWQ Winston-Salem Regional Office at 336-77
4600 or Cyndi Karoly in the Central Office in Raleigh 919-733-9721.
Sincerely,
Alan W. Klimek, P.E.
AW K/cdl
Attachments
cc: Andrea Wade, U. S. Army Corps of Engineers, Raleigh Regulatory Field Office
Winston-Salem DWQ Regional Office
Central Files
Wetlands/401 File Copy
Michael B. Westcott, Westcott Engineering & Consulting, PC, 4135 Mendenhall Oaks Parkway, Suite 14(
High Point, NC 27265
MEMORANDUM
TO: John Dorney Regional Contact:
Non-Discharge Branch WQ Supervisor:
Date:
SUBJECT: WETLAND STAFF REPORT AND RECOMMENDATIONS
Facility Name Haire Property Culvert ( Andrew M. Haire) County Davidson
Project Number 03 1519 County2
Recvd From APP Region Winston-Salem
Received Date 12/4/03 Recvd By Region
Project Type culverting stream with junction box
Certificates Stream Stream Impacts (ft.)
Permit Wetland Wetland Wetland Stream Class Acres Feet
Type Type Impact Score Index Prim. Supp. Basin Req. Req.
19 Stream O T & N
F 48.00 48.00
F 12-119-7-3 C 30,707
Mitigation Wetland
MitigationType Type Acres Feet
Is Wetland Rating Sheet Attached? Q Y O N Did you request more info? Q Y Q N
Have Project Changes/Conditions Been Discussed With Applicant? pQ Y O N
Is Mitigation required? p Y * N Recommendation: Q Issue O Issue/Cond O Deny
Provided by Region: Latitude (ddmmss) N 035545.18 Longitude (ddmmss) W 0800541.07
Comments:
Site visit made on 01/23/2004. Site is 12.92 acres in size and includes the northeast portion of the
recently expanded Business 1-85/NC109 interchange. Two NCDOT installed culverts already exists
on-site; one is immediately upstream of the proposed impact and the other is immediately
downstream. The area surrounding the site is residential and is bordered on two sides byhighway,,-,--
NC109 on the west perimeter and Business 1-85 on the south perimeter. The applicant wishes to
connect the two existing culverts with a 48 If section of 36" diameter ADS N12 pipe in order to
construct an access road into the site from NC109. This propesed access road would cross the
stream containing the two existing culverts. The 48 If section will also include a concrete junction
box. However, problems have arisen since the application was received by the Central Office on
12/04/2003. The upstream DOT culvert is a 36" diameter RCP and the downstream culvert is a 30"
diameter CAAP. Both culverts are on the applicants property which was condemned by the DOT,
under eminent domain, in order to build the new interchange.
cc: Regional Office
Central Office Page Number 1
Facility Name Haire Property Culvert ( Andrew M. Haire) County Davidson
Project Number 03 1519 Regional Contact: Daryl Lamb
Date: 1/28/2004
Comments (continued from page 1):
Applicant has a civil case against the DOT over inadequate compensation. DOT iii telling the
applicant that he cannot connect the two culverts because of their dissimilar diamet ers. According to
the applicant. the smaller culvert was installed to allow construction equipment to cr oss the stream
while the interchange was being built. In addition. the applicant claims that the sma ller culvert was
installer without a Permit and that DOT was subsequently fined (by USAGE, DEN 1 ?), In any event
the smaller culvert now appears to serve no purpose and should be removed if it ca n not be
ited into the proposed stream crossing. The applicant is currently negotiat
t'ncor ing with DOT over
-
the details of connecting with one or both of the existing culverts. The applicant hi s requested that
his 404/401 application be placed on hold until a mutually agreeable plan can be es tablished with
DOT. WSRO will issue a hold letter for this application.
March . 20 04: Revis ed plans and modified application pages for thi s proje ct we rE? received by
WSRO on F ebruary 10 2004 a 2004. The applicant also
nd March 4 provid ed t he necessary copies
of theca doc uments to ,
the Rale ,
igh Central Office. Under the revised plan, t he a pplicant will remove
the 20' long- 30" diame ter CAA P culvert and replace it with a 43' long , 36" d iame ter RCP culvert which
will connect directly to the 36" diameter DOT RCP culvert immediate ly upst ream . The applicant will
also install a 25' long r iprap en eroy dissi ap for pad at the outflow end of his 4 3' lo ng culvert. The
applicant's t otal culver t installat ion will impact 68 If of stream channe l, but 2 0 If o f that impact is
already occu pied by th e DOT 3 0" diameter CAAP culvert- which will be rem oved . Thus the total net
impact is 48 If. Author ization to use WQC #3404, with additional con ditions , will be issued by WSRO
for this impa ct
cc: Regional Office
Central Office Page Number 2

Westcott
Engineering
onsulting, PC
Date: March 4, 2004
To: Ms. Cyndi Karoly
NCDWQ
401 Wetlands Cert. Unit
1650 Mail Service Center
Raleigh, NC 27699-1650
We are sending you ® attached E
? Shop Drawings ?
? Prints ?
? Contracts ?
WETL411r)q eni r_rniip
MAR 6 1064
WATER QUALITY SECTION
From: Michael B. Westcott, PE
Westcott Engineering & Consulting, PC
Suite 140
4135 Mendenhall Oaks Parkway
High Point, NC 27265
under separate cover the following items:
Estimate ? Disk
Specifications ® Other
Copy of Letter
# COPIES DRAWING NO DESCRIPTION DISPOSITION
7 REVISED pages of Haire For Approval
Property 401 Permit
Application
REMARKS:
Cyndi,
Daryl Lamb asked that we make a few changes to the original application and only
resubmit those changed pages (not full packages). I have already faxed the pages to
Daryl. I am also sending the change pages to the US Army Corps of Engineers.
Call if questions!
Thanks!
Michael
cc: File
4135 Mendenhall Oafs Parkway Suite 1 40, High Point, NC 27265 • Phone: [phone] • Fax: [phone]

Office Use Only: Fern, Version htav 2002
USACE Action ID No.
(If anv particular item is not applicable to this project, please enter "Not Applicable" or "N/A".>
MAR
1. Processing 2004
bE,?Tci ,
1. Check all of the approval(s) requested for this ProJ 10`ect SECT
;V
® Section 404 Permit ? Riparian 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: 14
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: ?
4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for
mitigation of impacts (verify availability with NCWRP prior to submittal of PCN), complete
section Vlll 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: Andrew M. Haire
Mailing Address: 30 Maiden Park Drive
Thomasville NC 27360
Telephone Number: [phone]
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:
Company Affiliation:
Mailing Address:
Telephone Number:
E-mail Address:
Fax Number:
Fax Number:
Page 5 of 12
1. Provide a written description of the proposed impacts: The impact will be installing 431f of
36" RCP plus a 25' lone; RIP-RAP energy dissipater pad. This totals 68 LF of impact.
Currently there is an existing impact in the proposed RIP-RAP dissipater pad location consisting
of 20 LF of 30" CAAP which can be deducted from our impact leaving a net impact of 48'.
2. Individually list wetland impacts below:
Wetland Impact
Site Number
(indicate on ma)
Type of Impact* Area of
Impact
(acres) Located within
100-year Floodplain**
(vcs/no) Distance to
Nearest Stream
(linear feet)
Type of Weiland***

' List each impact separately and identify temporary impacts. Impacts include, but are not limited to: mechanized clearing, grading, till,
excavation, flooding, dltchln- drainage, etc. For dams, separately list impacts due to both structure and Iloxling.
" 100-Year Ilodplains are identified dirough the Federal Emergency Management Agency's (FFNIA) Flood Insurance Rate Maps
(FIRM), or 1,'I{MA-approved local Ilcxxlplain maps. Maps are available tltrough the FEMA Map Service Center at I-800-358-9616, or
onlineat'i::
pe at txst describcs wcdand to be impacted (c.g., freshwater/saltwater marsh, forested wetland, beaver pond,
list a wetland ty th
Carolina Day, Ix)g, etc.) Indicate iCwctland is isolated (determination of isolation to be made by t1SACE only).
List the total acreage (estimated) of all existing wetlands on the property: Unknown
Total area of wetland impact proposed: 0 ac
3. Individually list all intermittent and perennial stream impacts below:
Stream Impact
Site Number
(indicate on nra)
Type of Impact* Length of
Impact
(linear feet)
Stre.un Name** Average Width
of Stream
Before Impact Perennial or
Intermittent?
(Please scify)
1 Culvcrt 43 UT-Hunts Fork Creek 2' Perennial

" List each impact separately and identify temporary impacts. Impacts include, but are not fnnmtW to: culverts and associated rip-rap,
dams (separately list impacts due to both structure and flooding), relocation (include linear feet before and after, and net loss/gain),
stabilization activities (cement wall, rip-tap, crib wall, gabions, etc.), excavation, ditching/straighterting, etc. If stream relocation is
proposed, plans and profiles showing the linear footprint for both the original and relocated streams must be included.
Stream names can be found on USGS topographic maps. If a stream has no name, list as UT (unnamed tributary) to the nearest
downstream named stream into which it flows. USGS maps are available through the USGS at 1-800-358-9616, or online at
;<_. _,, Several intcmct sites also allow direct download and printing of USGS maps (e.g., \<«?\ t,rvvrn? rrm,
'A !1ILWIu;C?1 sin, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: 48 LF
Page 8 of 12
1! t3
outlet W = Do t 0.4Lc
pipe
dicmeter (Do) I
Lc I
I
2_1
rcilwcter > 0.5 00

L-LI I'll

r
f f
51
loo I i
I
-

l 80
too -
PQ
°k _ c
70

\
?`c a a
ti
50

a
?
40 a
,
q
?
a
Jo -
- a

.

v s .25 ?g h ?. d t i

v = 20
V z
o
n
V = I oo"

2c
10
0
3 5 10 20
Curves mcy not be extrcpclcted.

50 100 200 500
Dischcrge (ft -3Isec)
Figure 8_06b Design of cutlet protection from c round pipe flowing full, mcxh-rum
tcilwcter condition (rw > 0.5 did ,meter).
3 ?
c
a
2
1
0
1000
Office Use Only: Fonn version May 2002
USACE Action ID No. DN Q No. UP
(If am• particular item is not applicable to this project. IiUk entgr :;Not Applicable" or "N/A".)
Processing
1. Check all of the approval(s) requested for this project
® Section 404 Permit ?
? Section 10 Permit ?
® 401 Water Quality Certification
C UU4
V 8crio"f
Riparian or Watershed Buffer Rules
Isolated Wetland Permit from DWQ
2. Nationwide, Regional or General Permit Number(s) Requested:
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: ?
4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for
mitigation of impacts (verity availability with NCWRP prior to submittal of PCN), complete
section Vlll 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: ?
11. Applicant Information
1. Owner/Applicant Information
Name: Andrew M. Haire
Mailing Address: 30 Maiden Park Drive
Thomasville NC 27360
Telephone Number: [phone]
E-mail Address:
2. A(Yent/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:
Company Affiliation:
Mailing Address:
Telephone Number:
E-mail Address:
Fax Number:
Fax Number:
Page 5 of 12
1. Provide a written description of the proposed impacts: The impact will be installing 431f of
36" RCP plus a 25' long RIP-RAP energy dissipater pad. This totals 68 LF of impact.
Currently there is an existing impact in the proposed RIP-RAP dissipater pad location consisting,
of 20 LF of 30" CAAP which can be deducted from our impact leaving a net impact of 48'.
2. Individually list wetland impacts below:
Weiland Impact
Site Number
(indicate on ilea)
Type of Impact* Area of
Impact
(acres) Located within
100-year Floodplain**
(yes/110) Distance to
Nearest Stream
(linear feet)
Type of Wetland***

' List each impact separately and idcsrtify temporary impacts. Impacts include, but are not limited to: mechanized clearing, grading, fill,
excavation, flooding, ditching/drainage, etc. For dawns, separately list impacts due to both structure and Ilexxling.
" 100-Year floxlplains are identified through the Federal Emergency Management Agency's (FFMA) Flood Insurance Rate Maps
(I IRht), or FENA-approved local Iloodplain maps. Maps are available through the FFMA Map Service Center at 1-8(X)-358-9616, or
online at
List a wctlund type that best describes wetland to be impacted (e.g., freshwater/salt-,vatcr marsh, forested wetland, beaver pond,
Carolina Hav, bog, etc.) Indicate iCwctland is isolated (determination of isolation to be made by USACE only).
List the total acreage (estimated) of all existing wetlands on the property: Unknown
Total area of wetland impact proposed: 0 ac
3. Individually list all intermittent and perennial stream impacts below:
Stream Impact
Site Number
(indicate on ma)
Type of Impact* Length of
Impact
(linear feet)
Strewn Name** Average Width
of Strearn
Before Impact Perennial or
Intermittent?
(please specify)
1 Culvert 48 UT-Hunts Fork Creek 2' Perennial

" List each impact separately and identify temporary impacts. Impacts include, but are not limited to: culverts and associated np-rap,
dams (separately list impacts due to both structure and flooding), relocation (include linear feet before and after, and net loss/gain),
stabilization activities (cement wall, rip-rap, crib wall, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is
proposed, plans and profiles showing the linear footprint for both the original and relocated streams must be included.
Stream names can be found on USGS topographic maps. If a stream has no name, list as UT (unnamed tributary) to the nearest
downstream named stream into which it flows. USGS maps are available through the USGS at 1-800-358-9616, or online at
_O". Several intemet sites also allow direct download and printing of USGS maps (e.g., . .e e 10110/use rrm,
_e A i;;.lT'." etc.).
Cumulative impacts (linear distance in feet) to all streams on site: 48 LF
Page 8 of 12
'(Ja;aLUD!p g0 7 Ml) 1101;lpUO9 Ja;DM#D;
Lunu{rxDu/ ylnj Sulmog ad1d punci D waly ucgoa;old ;apno jo ug1sap q90g aJnS&
pa;D;odOJ;xa aq ;ou 1Duj sanJno
0001
0
I
a
O
a
OOS OOZ 001 0.9 OZ Ol S F

- ?Sl - n
A) 7
7

14 HI-71")-

= P
I OF .1

Of
Q 0?

Q
b
Q ? Q 4

r/
Q Q ri OS

09
Jai
; a1

- dd
? Jo>
08
}1
?

001

11

- l
J ._
op S'0 Ja;DMp01
1 ?
D7
f j (op) Ja;acu??p
adid
D71•'0 + op = M 4,91; no
1 °oZ
t
0
Ol
OG'
Zl Jo c 05ud
:ssaJPPd Ipw-g
:iagwnN xL3 :JagwnN ouoydolad,
:ssoippd,uII!LIN
:uollL!lUjd fuLdwoD
:awt;N
('luuollddu/JauAIo ayl Jo3 Xluoylnu Xjo1Lu5!s suq lua9tl 3yl3! payoLuu aq isnw
Jallal uotlLzuoylnd luau)V ayl do Xdoo p31Lp put; pou0ts d) uo!1Luuo•}ul luLllnsuoD/lu39d -Z
JagwnN xuA
:SsaJPpv I!Lw-?]
L I Z£-889 9££ :JagwnN auoydala,L
09£LZ DN 'all!ASUwoyd,
anU(] llud UOPU N 0£ :SSa1ppv 5ull!uIN
allL'H JN Malpud :OWL'N
uo?1LUUojul 1uLO!IddV/JauA%o 'I
uoijuw.iojullut:allddV '1111
? :a.tay ,yoayo '(sl!ulap laylln3 Jo3 Z alLd jo dol ayl aas) uJaouoD lLluawuaJ!AUg
•}o U31V luawa'LULW IL1SLOD ;o Uo!stAl4 uu!lojuD y1JoN L ulyl!m si loafold ayl puL `({,
3,4:)'Ld uo pals!l) sa!lunoo lLlsLOO ? juomj s uu1loJLj yIJON •}o Xuu Ul palLOOI s? loafojd JnoX ,Il c
? :aJaq ,yoayo put; IIIA U0110as
olaldwoo '(NJd 3O 1L111uJgns of loud d2IMJN g11k` X1111gLIILAL XJ!J;)A) sloudwi jo uollu'0111w
Jo} pasodoid sl (d2]M?N) WL'I'OJd uo!1LJOlsa1l spuUilaM Lu!IoJLj ylJON ayl olul luatJJ?CLd }I r
? :aJay ,yoayo 'paJ!nbaJ lou sl
u011U3i}!lJ3j I Ob ayl Jo} ILAoJddt, uauum asneoaq Xdoo XsalJnoa r Xiolos sl uollt:oi}?lou slyl•}1 'Cl
t,I :palsonba?l (s)JagwnN l!wJad ILJauaD Jo IVU0193-l 'ap!MU0llLN *Z
uoijuoy!1JaD X111Lno Ja1Lh1 1101
0Ma WOJ3 l!wJad PuLIPM PalLlosl ? lluuad Ol uolloaS ?
saln-l Jaj}n8 PaysJalLAN Jo uLULdnd ? llwJad tOtb uo!loas
:loofoJd slyl Jo} palsanbaJ (s)ILAoJddu ayl,}o IlL yoayo i
'0/ ou!ssa;)oad '1
Jo „olgt,:)gddd ION„ Joluq t ald 'lo?fad s?ll(bl fl141:o[Idde tou sl woh Jt lnoiued .+ur. JI)
.0
N 6A U ON ul uolPV 3DVsn
ZOOZ AeW ttotuaA uuoa :Clue aS(] aJtllO
i?'
1. Provide a written description of the proposed impacts: The impact will be installing 431f of
36" RCP plus a 25' long RIP-RAP energy dissipater pad. This totals 68 LF of impact.
Currently there is an existing impact in the proposed RIP-RAP dissipater pad location consistin<>
of 20 LF of 30" CRAP which can be deducted from our impact leavin7 a net impact of 48'.
2. Individually list wetland impacts below:
Weiland Impact
Site Number
(indicate on naa)
Tvpe of Itnpact* Area of
Impact
(acres) Located within
100-year Floodplain**
(ycs/no) Distance to
Nearest Stream
(linear feet)
Type of Wetland***

' List each impact separately and identify temporary impacts. Impacts include, but are not limited to: mechanized clering, grading, till,
excavation, flooding, ditching/drainage, etc. For dams, separately list impacts due to both structure and flooding.
" 100-Year Ilaxlplains arc identified through die Federal Emergency Management Agency's (FENIA) blood Insurance Rate Maps
(FIRM), or FI?MMapproved foal floxdplain maps. Maps are available through the FFMA Map Service Center at 1-SW-358 9616, or
online at
•" List a wetland type that best describes wetland to be impacted (e.g., Iicshwatcv/saltwater marsh, fbrested wetland, beaver pond,
Carolina Bay, tog, etc.) Indicate if wetland is isolated (dclerrninalion of isolation to be madc by t1SACl', only).
List the total acreage (estimated) of all existing wetlands on the property: Unknown
Total area of wetland impact proposed: 0 ac
3. Individually list all intermittent and perennial stream impacts below:
Stream Impact
Site Number
(indicate on mat)
Type of Impact* Length of
Impact
(linear feet)
Strcaun Name" Average Width
of Straun
Before Impact Perennial or
lntcrmittcnt?
(please scity)
1 Culvcrt 48 UT-Hunts Fork Creek 2' Perennial

List each impact separately and identify temporary impacts. Impacts include, but are not limited to: culverts and associated np-rap,
dams (separately list impacts due to both structure and flooding), relocation (include linear feet before and after, and net loss/gain),
stabilization activities (cement wall, rip-rap, crib wall, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is
proposed, plans and profiles showing the linear footprint for both the original and relocated streams must be included.
Stream names can be found on USGS topographic maps. If a stream has no name, list as UT (unnamed tributary) to the nearest
downstream named stream into which it flows. USGS maps are available through the USGS at 1-800-358-9616, or online at
Several internet sites also allow direct download and printing of USGS maps (e.g., ?1% wrw(meCoin,
.;•na, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: 48 LF
Page 8 of 12
•(ua;auD1p S•0 < Ml) uor;ipuoD la;DM#D;
cunaltxDul 11nj SurMO9 adid punou D crD-fy uor;°a;o?d ;.;;;no jo u51sap q.90g am6L4
?a;D;odD?;za aq ;ou IDtu sanm0
0001
0
I
4 Z
U
O
a•
m'
DDS OOZ 00l OS OZ 01 S r

s-r`-
f6: A
l =
c/

' OZ = n

n

i
?
Q
Q ??
?, OS

1
1
f /
I I
1
1 1 OP

09
vil

y ? K /7
y 11 O
?
a
o OL
o
_ b
dd
J??
0,9

06

001

'
l

• -) ..l' T
r jr
L11- A
°0 9'0 < ?a;o n?r01 -
I
D7
' (00) ?a;acuorp
add
07b •0 O C = M 4 6,1; no
?'
0
01
Oc'
Office Use Only' ? ,Qs?.'. Form Vcrsion Mav 2002
USACE Action ID No. Al fAA) , ,DWQ No.
(If am, particular item is not applicable to this prdjcdY(,Iease enter "Not Applicable" or "N/A".)
1. Processing
1. Check all of the approval(s) requested for this project:
® Section 404 Permit ? Riparian or Watershed Butler Rules
? Section 10 Permit ? Isolated Wetland Permit from DWQ
® 401 Water Quality Certification
2. Nationwide, Regional or General Permit Number(s) Requested: 14
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here. ?
4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for
mitigation of impacts (verify availability with NCWRP prior to submittal of PCN), complete
section V111 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: ?
H. Applicant Information
1. Owner/Applicant Information
Name: Andrew M. Haire
Mailing Address: 30 Maiden Park Drive
Thomasville NC 27360
Telephone Number: [phone] Fax Number:
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:
Company Affiliation:
Mailing Address:
Telephone Number:
E-mail Address:
Fax Number:
Page of 12
1. Provide a written description of the proposed impacts: The impact will be installing 43117 of
36" RCP plus a 25' long RIP-RAP energy dissipater pad. This totals 68 LF of impact.
Currently there is an existing impact in the proposed RIP-RAP dissipater pad location consisting'
of 20 LF of 30" CRAP which can be deducted from our impact leaving! a net impact of 48'.
2. Individually list wetland impacts below:
Wetland Impact
Site Number
(indicate on nma)
T}pc of Impact* Area of
Impact
(acres) Located within
100-your Floodplain**
(ves/no) Distance to
Ncarest Stream
(linear feet)
Type of Wctland***

' List each impact separately and idenuiv temporary impacts. Impacts include, but are not limited to: mechanized clearing, grading, till.
ainage, ctc. For dams, separately list impacts duc to both structure and Iloo ding.
excavation, Ilocxling, ditchina/dr
IOU-Year Iloodplains are identified through the I-cderal Emergency Management Agencv's (FENIA) Glexxl Insurance Rate Maps
(FIRM), or l'I?MA-approved local Ilaxlplain maps. Maps are available through the l+AIA Map Service Center at I-SW-358-9016, or
List a wetland tNlx that Ixst dc.,cribes wcdand to be impacted (e.g., Ireshwateer/saltwatcr marsh, forested wetland, beaver pond,
Carolina Bay, bo-, etc.) lndicate if wetland is isolatLd (determination of isolation to be nmade by t1SACl{ only).
List the total acreage (estimated) of all existing wetlands on the property: Unknown
Total area of wetland impact proposed: 0 ac
3. Individually list all intermittent and perennial stream impacts below:
Stream Impact
Site Number
(indicate on nun)
Type of Impact* Lengdh of
ltnpact
(linear feet)
Sire:un N.une** Average Widtlt
of Stre.uu
Before lm tct Perennial or
Intcnuittent'?
( leasespecify)
1 Culvert 48 UT-Hunts Fork Crock 2' Perennial

" List each impact separately and identify temporary impacts. Impacts include, but are not limited to: culverts and associated rip-rap,
dams (separately list impacts due to both structure and flooding), relocation (include linear feet before and after, and net lossh,ain),
stabilization activities (cement %vall, rip-rap, crib wall, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is
proposed, plans and profiles showing the linear footprint for both the original and relocated streams must be included.
Stream names can be found on USGS topographic maps. If a stream has no name, list as UT (unnamed tributary) to the nearest
downstream named stream into which it flows. USGS maps are available through the USGS at 1-800-358-9616, or online at
W". Several interact sites also allow direct download and printing of USGS maps (e.g., ICTO, rn?
? ., n1LIVT".>[ etc.).
Cumulative impacts (linear distance in feet) to all streams on site: 48 LF
Page 8 of 12
t
1
IDS i 3
Outlet W = Do r 0.4La
Pipe
Li-
diameter (Do)
LC
rcilwcter > 0.5 Do

11 .

L
- I
100 -

so
l -
`ti -

PQ
c?
0
7
atr .. , .
2
A ?. a

0 1
1 I
O
0
I ? \
1,
.. .
1
a
50 a

40
/j

To

v - .25

v = 20
- v

n
V = I

2G
10
0
3 5 10 20
Curves mcv not be extrapolated
?t y?Y
J .1 - -
50 100 200 500
Discncrge (ft 3/sec)
Figure 8..06b Design of cutlet protection from a round pipe flowing full, maximum
tailwater condition (rw > 0.5 diameter).
.ti
J C
h
2
1
0
1000
Office Use Only: ° s/ Lorin Version Mai 2002
?9A? °
USACE Action ID No. >nr),, DWQ No.
(If an} particular itern is r{qt lP ti cable to this project, please enter "Not Applicable" or "N/A".)
t U; lL
1. 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
2. Nationwide, Regional or General Permit Number(s) Requested: 14
3. if this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: ?
4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for
mitigation of impacts (verify availability with NCWRP prior to submittal of PCN), complete
section Vlll 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: Andrew M. Haire
Mailing Address: 30 Maiden Park Drive
Thomasville NC 27360
Telephone Number: [phone] Fax Number:
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:
Company Affiliation:
Mailing Address:
Telephone Number:
E-mail Address:
Fax Number:
Page 5 of 12
1. Provide a written description of the proposed impacts: The impact will be installing; 431f of
36" RCP plus a 25' Ion<g, RIP-RAP energy dissipater pad. This totals 68 LF of impact.
Currently there is an existing; impact in the proposed RIP-RAP dissipater pad location consisting,
of 20 LF of 30" CARP which can be deducted from our impact leaving a net impact of 48'.
2. Individually list wetland impacts below:
Wetland Impact
Site Number
(indicate on ma)
Type of Impact* Area of
Impact
(acres) Located within
100-year Floodplain**
(yes/no) Distance to
Nearest Stream
(linear feet)
Type of Wetland***

' List each impact separately and idea ify temporary impacts. Impacts include, but arc not limited to: mechanized clearing, grading, till,
excavation, flooding, ditchingddrainage, etc. For dams, separately list impacts due to both stricture and flooding.
" 100-Year floxdplains are idcntilw d tlarough the Pcdcral Emergency Management Agency's (gal{MA) Floaxl Insurance Rate Maps
(HRM), or dal{MA-approved local floxdplain math. Maps arc available through die FFMA Map Service Center at I-SM-35&9616, or
online at - , •,% .
List a wetland tlx: that best describes wetland to be impacted (e.g., Ireshw'aWT/saltwater marsh, lorestcd wetland, beaver pond,
Carolina Hay, tog, etc.) Indicate if wetland is isolated (dctenninalion of isolation to be made by t1SACE only).
List the total acreage (estimated) of all existing wetlands on the property: Unknown
Total area of wetland impact proposed: 0 ac
3. Individually list all intermittent and perennial stream impacts below:
Streann Impact
Site Number
(indicate on map)
Type of Impact* Length of
Impact
(linear feet)
Straun Name** Average Width
of Strewn
Before Im pact Perennial or
Intermittent'?
(Please scifv)
I Culvert 48 UT-Hunts Fork Creck 2' Perennial

List each impact separately and identify temporary impacts. Impacts include, but are not limited to: culverts and associated rip-rap,
dams (separately list impacts due to both structure and flooding), relocation (include linear feet before and after, and net loss/gain),
stabilization activities (cement wall, rip-rap, crib wall, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is
proposed, plans and profiles showing the linear footprint for both the original and relocated streams must be included.
Stream names can be found on USGS topographic maps. If a stream has no name, list as UT (unnamed tributary) to the nearest
downstream named stream into which it flows. USGS maps are available through the USGS at 1-800-358-9616, or online at
,._ Several internet sites also allow direct download and printing of USGS maps (e.g., « t ro?CnC Ce tn,
? •? •.?_m,ir_n??t .??i_n, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: 48 LF
Page 8 of 12
I
11 ? 13
Outlet }} W = Do t o. Ac
pipe D I 1
dicmeter (o)
Lc i
I
2?1
Tcilwoter > C.5 Do
Nµ

Fri I

100

80 -1 -
-
?Q
-
ok _ c
70 -
ALr .. ? .
o " a
° `? ?o a
.. a
s
A a a
50 p' ?
ti r a
?? a a a

a

a =;,

v s i25 kg ? ii i

-
-
r
-y-
p
XY
v = 20

,A...
V = 15

_. /I Y

0
v =_7

26
10
0
3 5 10 20 50 1CO 2C0
Dischcrge (ft 3/sec)
Curves mcy not be extrcpolcted.
Figure 8 06b Design of outlet protection frcm c round pipe flowing full, mcximum
tcilwoter condition (Tw > 0.5 diameter).
500
0
h
2
1
0
1000

.,_
Wt I'OTiIIVCTSiontilav2002
Office Use Only: 1i WS
/.I,C7 ,
USACE Action ID No. RAP DWQ No.
(If am particular items,nQt applicablcio'tll(project. please enter "Not Applicable" or "N/A".)
'U,;C???,??ECI(
1. Processing C,
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
2. Nationwide, Regional or General Permit Number(s) Requested:
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: ?
4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for
mitigation of impacts (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: ?
11. Applicant Information
1. Owner/Applicant Information
Name: Andrew M. Haire
Mailing Address: 30 Maiden Park Drive
Thomasville NC 27360
Telephone Number: [phone]
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:
Company Affiliation:
Mailing Address:
Telephone Number:
E-mail Address:
Fax Number:
Fax Number:
Page 5 of 12
1. Provide a written description of the proposed impacts: The impact will be installing; 431f of
36" RCP plus a 25' Ion! RIP-RAP ener!tiy dissipater pad. This totals 68 LF of impact.
Currently there is an existin<-Y impact in the proposed RIP-RAP dissipater pad location consistin,.}
of 20 LF of 30" CAAP which can be deducted from our-impact leaving a net impact of 48'.
2. Individually list wetland impacts below:
Wetland Impact
Site Number
(indicate on ma)
Type of Impact* Area of
Impact
(acres) Located within
100-year Floodplain**
(yes/no) Distance to
Nearest Stream
(linear feet)
Type of Wetland***

' List each impact separately and identify temporary impacts. Impacts include, but are not limited to: mechanized clearing, grading, till,
excavation, flooding, ditching/drainage, etc. For darns, separately list impacts due to both structure and flooding.
" 100-Year Iloodplains are identified through the I•edcral Emergency Management Agency's (FEMA) Flood Insurance Rate Maps
(FIRM), or I-TWA-approved local floxlplain maps. Maps are available through the Fl{MA Map Service Center at I -SW-358-9616, or
online at !. •.? ?.? ?.? t?;:;•, ?? .
List a wetland type that best describes wetland to be impacted (e.g., Ircillwater/saltwater nlanh, lorested wetland, beaver pond,
Carolina Bay, two, etc.) Indicate il'wctland is isolated (dclennination of isolation to be made by USACI? only).
List the total acreage (estimated) of all existing wetlands on the property: Unknown
Total area of wetland impact proposed: 0 ac
3. Individually list all intermittent and perennial stream impacts below:
Strewn Impact
Site Number
(indicate on ma)
Type of Impact* Length of
Impact
(linear feet)
Stream N.une** Average Width
of Stream
Before Impact Perennial or
Intermittent'?
specify)
I Culvert 48 UT-Hunts Fork Creck 2' Perennial

List each impact separately and identify temporary impacts. Impacts include, but are not hmited to: culverts and associated rip-rap,
dams (separately list impacts due to both structure and flooding), relocation (include linear feet before and alter, and net loss/gain),
stabilization activities (cement wall, rip-rap, crib wall, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is
proposed, plans and profiles showing the linear footprint for both the original and relocated streams must be included.
Stream names can be found on USGS topographic maps. If a stream has no name, list as UT (unnamed tributary) to the nearest
downstream named stream into which it flows. USGS maps are available through the USGS at 1-800-358-9616, or online at
_0%. Several internet sites also allow direct download and printing of USGS maps (e.g., c .? c t u wunc crm,
,•.?u nnir?n,?>i ?nm,etc.).
Cumulative impacts (linear distance in feet) to all streams on site: 48 LF
Page 8 of 12
I
Outlet W = Do t 0.4Lc
pipe 1
dicmeter (Do) I
Lo
I
Tcilwcter a 0.5 Do

1 GG

1
l °

°k - -- o
70
qtr .. , . ? ? °j rr

40

. v ? 25 ?.
?

v = 20

n
v - I

20
10
0
3 5 10 20
Curves mcy not be extrcpclcted.
e..r aCN
50 1C0 200 500
Dischcrge (ft 3/sec)
Figure 8.066 Cesign of cutlet protection from c rcund pipe flowing full, maximum
toilwcter condition (Tw > 0.5 dicmeter).
N
C
a
2
1
0
1000

6irT?q,,I ,,S/ fp
Cf?nI,,
1?4 C,
Office Use Only: 7004 Dorm Version May 2002
USACE Action ID No. DWQ No.
--
(If am• particular item is not applicable to this V bji !t. please enter "Not Applicable" or "N/A".)
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
2. Nationwide, Regional or General Permit Number(s) Requested
14
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: ?
4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for
mitigation of impacts (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: ?
11. Applicant Information
1. Owner/Applicant Information
Name: Andrew M. Haire
Mailing Address: 30 Maiden Park Drive
Thomasville NC 27360
Telephone Number: [phone]
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:
Company Affiliation:
Mailing Address:
Telephone Number:
E-mail Address:
Fax Number:
Fax Number:
Page 5 of 12
1. Provide a written description of the proposed impacts: The impact will be installing; 431f of
36" RCP plus a 25' long RIP-RAP energy dissipater pad. This totals 68 LF of impact.
Currently there is an existing impact in the proposed RIP-RAP dissipater pad location consisting,
of 20 LF of 30" CAAP which can be deducted from our impact leaving a net impact of 48'.
2. Individually list wetland impacts below:
Wetland Impact
Site Number
(indicate on n>it)
Type of Impact* Area of
Impact
(acres) Located within
100-year Floodplain**
(yes/no) Distance to
Nearest Stream
(linear feet)
Type of Wetland***

' List each impact separately and iden6iy temporary impacts. Impacts include, but are not limited to: nicchanized clearing, grading, fill,
excavation. Ilooding, ditchin.Jdrainage, etc. For daces, separately list impacts due to both stricture and flooding.
" IOU-Year floodplaics are identified through the I'cde.Tal Emergency Management Agency's (FFMA) Flood Insurance Rate Maps
(1'IRM), or FFMA-approvcd local Iloodplaln maps. Maps are available through the FF.MA Map Service Center at I-SOO-338'9616, or
'.? tt tt I.„',•i
online at
•ss List a w-e:tland IN that best describes wetland to be impacted (e.g., lreshw'atcr/saltNvatLr martih, forested wetland, beaver pond,
. Pe
Carolina Hay, bo-, etc.) Indicate il*wetl.u,d is isola(cxi (detLTmination of isolation to bL made by uSACIi only).
List the total acreage (estimated) of all existing wetlands on the property: Unknown
Total area of wetland impact proposed: 0 ac
3. Individually list all intermittent and perennial stream impacts below:
Stream Impact
Site Number
(indicate on ma)
Type of Impact* Length of
Impact
(linear feet)
Stre:un Name** Average Width
of Stream
Before Impact Perennial or
Intermittent?
specify)
I Culvert 48 UT-Hunts Fork Creek 2' Perennial

" List each impact separately and identify temporary impacts. hnpacts include, but are not limited to: culverts and associated np-rap,
dams (.separately list impacts due to both structure and flooding), relocation (include; linear feet before and after, and net loss/gain),
stabilization activities (ccmcnt wall, rip-rap, crib wall, gabions, etc.), excavation, ditching/straightening, etc. If strum relocation is
proposed, plans and profiles showing the linear footprint for both the original and relocated streams must be included.
Strewn names can be found on USGS topographic maps. If a stream has no name, list as UT (unnamed tributary) to the nearest
downstream named stream into which it flows. USGS maps are available through the USGS at 1-800-358-9616, or online at
'A %'.', Several internet sites also allow direct download and printing of USGS maps (e.g., e .u? t r lino curt
?'e'X_:_,.I:C<l „I11, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: 48 LF
Page 8 of 12
2c
10
0
1
l 1, i 3
outlet W = Dot 0.4Lc
Fife t'
dicmeter (Go) I
Lo i
i
Tcilwoter > 0.5 Do
Ile, r
Yµ

1 I
/

100

1

so
l
l`?ti
o
130
?Q
k -
o
70
hA
/

0 a
h r
,
a
a ?
0

a
a

a

?-
7
. ....

.. - - s ?25 - - : _ kg h U h

v = 20

n
v = 1

3 5 10 20
Curves moy not be extrcpolcted.
50 1C0 200 500
Dischcrge (ft 3/sec)
.ti
3 ?
0
a
2
1
0
1000
Figure 8.C6b Design of cutlet protection from c round pipe 'owing full, mcximum
tcilwcter condition (Tw > 0..? dicmeter).
Triage Check List
Date:
a• tai-o`{
DWQ#: 03- k5\q
County. 5?-
i
To:
? ARO
? FRO
? MRO
? RRO
From:
?o
Project Name: '` ? `?? ? C'-_VC A
Mike Parker ? WaRO Tom Steffens
Ken Averitte ? WiRO Noell eran
J
h
l
an
o
nson
A SRO ((aryl
Mitchell
Telephone : (919) X33 -91 3-?o
The file attached is being forwarded to your for your evaluation.
Please call if you need assistance.
? Stream length impacted
? Stream determination
? Wetland determination and distance to blue-line surface waters on USFW topo maps
? Minimization/avoidance issues
? Buffer Rules (Neuse, Tar-Pamlico, Catawba, Randleman)
? Pond fill
? Mitigation Ratios
? Ditching
? Are the stream and or wetland mitigation sites available and viable?
t1heck drawings for accuracy
he application consistent with pre-application meetings?
mulative impact concern
?
Comments:-
1?%? Ire r.?.e?- r?wp 14?
1 ,r
11
Westcott
Engineering
?.Wonsudting, PC
Date: February 17, 2004
W,67ZANDS1401 GROUp
004
ION
WATER 17 SECT
To: Ms. Cyndi Karoly From: Michael B. Westcott, PE
NC Div. of Water Quality Westcott Engineering & Consulting, PC
401 Wetlands Cert. Unit Suite 140
1650 Mail Service Center 4135 Mendenhall Oaks Parkway
Raleigh, NC 27699-1650 High Point, NC 27265
We are sending you ® attached ? under separate cover the following items:
? Shop Drawings ? Estimate ? Disk
® Prints ? Specifications ® Other
? Contracts ? Copy of Letter
# COPIES DRAWING NO DESCRIPTION DISPOSITION
7 Revised Pre-Construction For Your Approval
Notification Application Form
7 Site Plan For Your Use
1 Copy of Letter Requesting
Additional Information
REMARKS: These are REVISED application and site plans for this site. The DWQ
letter requesting this information in attached. A copy has also been sent to Daryl Lamb at
the Winston-Salem office.
cc: File
4135 Mendenhall Oaks Parkway Suite 140, High Point, NC 27265 - Phone. [phone] - Fax: [phone]

Office Use Only:
USACE Action ID No.
DWQ No.
Form Version Mav 2002
(If an} particular item is not applicable to this project, please enter "Not Applicable" or "N/A".)
1. 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
2. Nationwide, Regional or General Permit Number(s) Requested: 19
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: ?
4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for
mitigation of impacts (verify availability with NCWRP prior to submittal of PCN), complete
section Vlll 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: ?
H. Applicant Information
Owner/Applicant Information
Name: And
Mailing Address: 30 Maiden Park Drive VYHlLH QUAL1JYSECTIn ?
Thomasville, NC 27360
Telephone Number: [phone]
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:
Company Affiliation:
Mailing Address:
Telephone Number:
E-mail Address:
Fax Number:
WETLANDS / 401 GROUP
FEB 1 9 2004
Page 5 of 12
Fax Number:
Ill. Project Information
Attach a vicinity map clearly showing the location of the property with respect to local
landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property
boundaries and development plans in relation to surrounding properties. Both the vicinity map
and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities must be included. If possible, the maps and plans should
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USACE requires information to be submitted on sheets no larger than 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: Haire Property Culvert
2. T.LP. Project Number or State Project Number (NCDOT Only)
3. Property Identification Number (Tax PIN)
1632200000029A
N/A
4. Location
County: Davidson Nearest Town: Thomasville
Subdivision name (include phase/lot number):
Directions to site (include road numbers, landmarks, etc.): From High Point, take Hwy 68S
to Business 1-85 Turn right onto Business 1-85 Take Hwy 109 exit and turn right at top of
ramp Take first break in guardrall to the right Follow farm road to first creek
5. Site coordinates, if available (UTN1 or Lat/Long):
(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)
12.92 ac
7. Nearest body of water (stream/river/sound/ocean/Iake):Unnamed Trib. to Hunt's Fork Creek
8. River Basin: Yadkin - Pee Dee River Basin
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at htt; h?o._nr
9. Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this application: The stream has already been impacted by NCDOT. They
have recently tried to fix the damage The area surrounding the impact is cleared and
grassed due to recent NCDOT widening, to Hwy 109 - 1-85 exit
Page 6 of 12
10. Describe the overall project in detail, including the type of equipment to be used: The
project consists of extending; an existing 36" RCP by installin(a manhole at the existing;
36" RCP invert and placing an additional 4' LF of 36" ADS N-12 Pipe. The outlet of the
new 36" pipe will have rip-rap outlet protection. There is an existing pipe that will be
removed for this installation that was a previous impact by NCDOT.
11. Explain the purpose of the proposed work: The area will be filled for a proposed access
IV. Prior Project History
If jurisdictional determinations and/or permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action ID Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules.
"There are no previous permits associated with this project on this site. NCDOT has impacted
this reach previously but it is our understanding that the area was outside their permit.
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.
In the future there may be an impact on a separate stream As of this date no firm plans are in
process for the other crossing
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
evaluation and delineation forms should be included as appropriate. Photographs may be
included at the applicant's discretion. If this proposed impact is strictly for wetland or stream
mitigation, list and describe the impact in Section VIII below. If additional space is needed for
listing or description, please attach a separate sheet.
Page 7 of 12
1. Provide a written description of the proposed impacts: The impact will be piping of
approximately 48 LF of stream bed
2. Individually list wetland impacts below:
Weiland Impact
Site Number
(indicate on ma)
Type of Impact* Area of
Impact
(acres) Located within
100-year Floodplain**
(vcs/no) Distance to
Nearest Strcam
(linear feet)
T}'pe of Wetland***

' List each impact separately and ideznify temporary impacts. Impacts include, but are not limited to: mechanized clearing, grading, till,
excavation, flooding, ditchmg/draunagc, etc. For dams, separately list impacts due to Ix)tll structure and flooding.
•' 100-Year Iloodplains are identified through die Fedcral Emergencv Management ngcncv's (FEMA) Flood Insurance Rate Maps
(FIRM), or ITMA-approved local Ilolxdplam (naps. Maps are available through the FEMn Map Service Center at I-8(N)-358-9616, or
List a wetland type that best describes wetland to be impacted (c.g., freshwater/saltwater nnan;h, tbrestLd wcthmd, beaver pond,
Carolina Ilav, bog, etc.) Indicate if wetland is isolated (dctermination of isolation to be made by I1SnCli only).
List the total acreage (estimated) of all existing wetlands on the property: Unknown
Total area of wetland impact proposed: 0 ac
3. Individually list all intermittent and perennial stream impacts below:
Stream Impact
Site Number
(indicate on ma)
Typc of Impact* Length of
Impact
(linear feet)
Stream N,unc** Average Width
of Stream
Before Impact Perennial or
Intermittent?
(Please scify)
1 Culvert 48 UT-Hunts Fork Creek 2' Perennial

List each impact separately and identify temporary impacts. impacts metude, out are not urmuxr io: curvcrls Uulu Ube, eLaLeu
dams (separately list impacts due to both structure and flooding), relocation (include linear feet before and after, and net loss/gain),
stabilization activities (cement wall, rip-rap, crib wall, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is
proposed, plans and profiles showing the linear footprint for both the original and relocated streams must be included.
Stream names can be found on USGS topographic maps. If a stream has no name, list as UT (unnamed tributary) to the nearest
downstream named stream into which it flows. USGS maps are available through the USGS at 1-800-353-9616, or online at
_0%. Several intemet sites also allow direct download and printing of USGS maps (e.g., tour/ me ':onn,
e>t ;Cm, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: 48 LF
Page 8 of 12
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)
Tvpe of Impact* Area of
Impact
(acres) Name of Waterbodv
(if applicable) Type of Waterbodv
(lake, pond, estuary, sound,
bav, ocean, etc.)

' List each nnlxlct wparately and identily tcmlwrar} impacts. Impacts include, but are not Ilm ea to: Illl, excavation, urwgung,
flooding, drainage, bulkheads, ctc.
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.):
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.):
Size of watershed draining to pond: Expected pond surface area
V11. 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.
Placing= the impact on an already impacted site allows us to have no future impacts on the stream
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
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
Page 9 of 12
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on March 9, 2000, mitigation will be required when
necessary to ensure that adverse effects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed. Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project, establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USACE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCWRP concurrence shall be placed on hold as
incomplete. An applicant may also choose to review the current guidelines for stream restoration
in DWQ's Draft Technical Guide for Stream Work in North Carolina, available at
11111) 1120 e111 St,11e 11C ll? 1ICAet],111d'? ?tl'lll'_I ie 11ui1i.
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.
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 hin) _11_'0 enr State ncuS,?%ru illdox.htnl. 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): 0
Amount of buffer mitigation requested (square feet): 0
Amount of Riparian wetland mitigation requested (acres): 0
Amount of Non-riparian wetland mitigation requested (acres):
Amount of Coastal wetland mitigation requested (acres): 0
Page 10 of 12
IBC. Environmental Documentation (required by DWQ)
Does the project involve an expenditure of public (federal/state) funds or the use of public
(federal/state) 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 NEPrVSEPA 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 ?
\. 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.
Will the project impact protected riparian buffers identified within 15A NCAC 213 .0233
(Neuse), 15A NCAC 213 .0259 (Tar-Pamlico), 15A NCAC 213 .0250 (Randleman Rules and
Water Supply Buffer Requirements), or other (please identify )?
Yes ? No ® If you answered "yes", provide the following information:
Identify the square feet and acreage of impact to each zone of the riparian buffers. If buffer
mitigation is required calculate the required amount, of mitigation by applying the buffer
multipliers.
Zone* Impact
(square feet) Multiplier Required
Mitigation
1 0 3 0
2 0 1.5 0
Total 0 0
' Zone 1 extends out 30 legit pctpendtcular from near battl: of channel; Lone 1 extends aft
additional 20 feet from the edge of Zone 1.
Page I 1 of 12
If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation
of Property, Conservation Easement, Riparian Buffer Restoration / Enhancement, Preservation or
Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as
identified within 15A NCAC 2B .0242 or.0260.
X1. 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.
As of this date plans for the access road have not been developed therefore currently there is no
increase of impervious surface.
XI1. 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.
No sewage is generated as a result of this plan.
X111. 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).
The existing violation is a result of NCDOT work in the area It appears that NCDOT has done
some remediation work but the amount and nature of the violation are unknown to us.
Irv ?1 ? z, -7b ?
Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Paee 12 of 12
PA &aei F. Easlav
a
O? ?G Governor Secretary
A'i darn G. Pzss, , 13CU C3
j ti De?a',mert o' .rri,rcrnt .. and Natural el n^.sou?cea
Q C Afar 7+. Kiireh, a.E., pairs Directx
Dlvi6vc r?la.erQea!ity
Janaarv 30. 2004
DWQ# 03-1519
Davidson Ccunty
CERTMED \LALL: 7002 2030 0002 7223 7441
RE, TURN RECEIPT REQUESTED
Mr. Andrew M. Haire
30 ,ria:de i ?ark Drive
Thcmasville, NC, 27360
Dear \4r. Haire:
Or. December 4, 2003; the NC D.v:sion of %%atcr Quality (DWQ) received your application for a General 161 Water
Quality Certi-5catior to impact 48 linear feet of perennia. stream ir. enter to construct an access road into your
property located at the intersection of Busi :ess I-85 and NC 109 ir. Davidson County. In acc3rdan?:e with 15A NCAC
2H.0506, an irspecticn of the sate was conduced on January 23, 2C0a by Mr. Daryl Lamb of the Division of NVater
Quality (DWQ), Winston-Salem Regional Oft-Ice. Dun; g this site visit, you in&:dted that the plans for the crossing
might have to be chanced in order 'o satisfy requirements of the Nosh Carolina Department of Transportaticn. Your
curent plan calls for connecting two existing DOT culverts With a third culvert that you intend to instal:. Based on
your conversations with Mr. Lamb, it is D WQ's unders-anding twat because of size differences between the two
exis:irg culverts, DOT is rcquesti.ng a plan different from what is described in your application. You indicated to Mr.
Lamb that you would need some additional time to negotiate a suitable play, with DOT. Based on this fact, and per
your request to INt. Lamb, we are placing your application on hold to allow you more time to finalize your plans for
the proposed road crossing in agreement with DOT requirements. ',Vhm you have Cnalized your plans and are ready
.o proceed with yourprojec:, please provide seven copies of the fnllowirg inform-aden:
1. ?.n amended General 401 N\la:er Qualirv Ccr*ifrcatiea appLcation (Pre-Construe.ion Notifrca:ion
Application Form) listing and telly d--scri'oing all impacts to State waters that will occur as a result o: your
proposed proj ect.
2. A site plan that slicws all stream impacts, fill_ slopes, dissipaters, and hark stabilization.
3. A drawing slto-Ning the cross section detaKs of he proposed culvert and the previsions for acuatic life
passage.
Urti: tie info raation listed above is provided, : Fillrequest (by copy of this letter) hat the U.S. Army Coms of
Engineers place this project on hold. Tre processing o: this application will begin when the r-.quested information is
received Plaase send tae requested infom-ation to infs. Cyndi Karely, N. C. Division of Water Quality, 40 i Wetlands
Certification Unit, '650 Mail Servi:,e Center, Raleigh, NC 27695-1650. If you have any questions, pleaae contact dlr.
Daryl Lamb, DWQ, Winston-Salem Regional Office, at (336) 7714601) extension 272.
Sincerely,
John Derney
401 Waver Quality Certifcation Program
Ncnh Carolina Division of Water Quality, 40' Wetlands Certifoaion Unit.
1E.0 Mail °ervl;,3 Center, Ralei,h, INC 27659-1650 (Mailing A' re33)
2321 Cra:'res BA., Ralaigi. NC 276.4-226C (.,cat-on)
919-733-1786 ioncne), 919-732-3393 (fax). htlo:7h2o.enrsta.e.nc.us/ncv5dand31
Office Use Only: Dorm Version May 2002
USACE Action ID No. DWQ No.
(If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A".)
1. 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
2. Nationwide, Regional or General Permit Number(s) Requested: 19
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: ?
4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for
mitigation of impacts (verify availability with NCWRP prior to submittal of PCN), complete
section Vlll 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: ?
WETLANDS / 401 GROUP
if. Applicant Information
Owner/Applicant Information FEB 1 9 2004
Name: Andrew M. Haire WATER Mailing Address: 30 Maiden Park Drive
Thomasville. NC 27360
Telephone Number: [phone]
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:
Company Affiliation:
Mailing Address:
Telephone Number: Fax Number:_
E-mail Address:
Fax Number:
Page 5 of 12
111111. Project Information
Attach a vicinity map clearly showing the location of the property with respect to local
landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property
boundaries and development plans in relation to surrounding properties. Both the vicinity map
and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities must be included. If possible, the maps and plans should
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USACE requires information to be submitted on sheets no larger than I l 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: Haire Property Culvert
2. T.I.P. Project Number or State Project Number (NCDOT Only): N/A
3. Property Identification Number (Tax PIN): 1632200000029A
4. Location
County: Davidson Nearest Town: Thomasville
Subdivision name (include phase/lot number):
Directions to site (include road numbers, landmarks, etc.): From High Point, take Hwy 68S
to Business I-85 Turn ri<7ht onto Business 1-85 Take Hwy 109 exit and turn right at top of
ramp Take first break in guardrail to the right Follow farm road to first creek
5. Site coordinates, if available (UTM or Lat/Long):
(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): 12.92 ac
7. Nearest body of water (stream/river/sound/ocean/lake)-Unnamed Trib. to Hunt's Fork Creek
8. River Basin: Yadkin - Pee Dee River Basin
(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;admininrtp !.)
9. Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this application: The stream has already been impacted by NCDOT. They
have recently tried to fix the damage The area surrounding the impact is cleared and
grassed due to recent NCDOT widening to Hwy 109 - I-85 exit
Page 6 of 12
10. Describe the overall project in detail, including the type of equipment to be used: The
project consists of extending an existin!_, 36" RCP by installing a manhole at the existing--
36" RCP invert and placing an additional 43 LF of 36" ADS N-12 Pipe. The outlet of the
new 36" pipe will have rip-rap outlet protection. There is an existing pipe that will be
removed for this installation that was a previous impact by NCDOT.
11. Explain the purpose of the proposed work: The area will be filled for a proposed access
IV. Prior Project History
If jurisdictional determinations and/or permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action ID Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules.
There are no previous permits associated with this project on this site. NCDOT has impacted
this reach previously but it is our understanding that the area was outside their permit.
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.
In the future there maybe an impact on a separate stream. As of this date no firm plans are in
process for the other crossing,.
V1. 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
evaluation and delineation forms should be included as appropriate. Photographs may be
included at the applicant's discretion. If this proposed impact is strictly for wetland or stream
mitigation, list and describe the impact in Section VIII below. If additional space is needed for
listing or description, please attach a separate sheet.
Page 7 of 12
1. Provide a written description of the proposed impacts: The impact will be piping of
approximately 48 LF of stream bed.
2. Individually list wetland impacts below:
Wetland Impact
Site Number
(indicate on mkt)
Tvpe of lmpact* Area of
Impact
(acres) Located within
100-year Floodplain**
(ves/no) Distance to
Nearest Stream
(linear feet)
Type of Wetland***

' List each impact separately and identify temporary impacts. Impact, include, but are not limited to: mechanized clearing, grading, till,
excavation, flooding, ditching/drainage, etc. For dam,, separately list impacts due to both structure and flooding.
•' 100-Year Ilexxlplains are identified through the I:cd,-Tal Emergency Management Agency's (11?MA) Plow! Insurance Rate Maps
(FIRM), or l-l{MA-approved local Iloodplam naps. Maps are available through the PI?MA Map Servicc Center at 1-8(X)-358-9616, or
online at .r:,, 1%' . .
List a wetland t}pe that best describes wetland to be impacted Ire.shwater/saltwater Imulll, lbrested wetland, beaver pond,
Carolina Bav, bog, etc.) Indicate il'wctkutd is isolated (determination of isolation to be made by USACIH, only).
List the total acreage (estimated) of all existing wetlands on the property: Unknown
Total area of wetland impact proposed: 0 ac
3. Individually list all intermittent and perennial stream impacts below:
Stream lmpact
Site Number
(indicate on nra)
Type of lmpact* Lcngth of
Impact
(linear feet)
Stream Narne** Average Width
of Stream
Before Impact Perennial or
Intermittent'?
( Icase specify)
1 Culvert 48 UT-Hunts Fork Creek 2' Perennial

" List each impact separately and identify temporary impacts. Impacts include, but are not limited to: culverts and associated rip-rap,
dams (separately list impacts due to both structure and flooding), relocation (include linear fast before and after, and net loss/gain),
stabilization activities (ce'me'nt wall, rip-rap, crib wall, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is
proposed, plans and profiles showing the linear footprint for both the oribin:rI and relocated streams must be includaf.
Stream names can be found on USGS topographic maps. If a stream has no name, list as UT (unnamed tributary) to the nearest
downstream named stream into which it flows. USGS maps are available through the USGS at 1-800-358-9616, or online at
_„%. Several internet sites also allow direct download and printing of USGS maps (e.g., e toowonc C"111,
marm, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: 48 L
Page 8 of 12
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 in )

Type of Impact # Area of

Impact
(acres)
Name of Watcrbod}?
(if applicable) Type of Waterbody

(lake, pond. estuary, sound,
bav. ocean, c1c.)

' List each unpacl separately and isentily temporary impacts. Impacts mcludc, but arc not linutcd to: till, excavation, dnxigim,
Iloodin-, draina-c, bulkhwss, ctc.
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.):
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.):
Size of watershed draining to pond: Expected pond surface area:
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.
Placina the impact on an alreadv impacted site allows us to have no future impacts on the stream
reach.
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
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
Page 9 of 12
IX. Environmental Documentation (required by DWQ)
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on March 9, 2000, mitigation will be required when
necessary to ensure that adverse effects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed. Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buf ers 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 Drall Technical Guide for Stream Work in North Carolina, available at
!rt"` ILA` "t'ltc nC U? !IC'AA:,r;rl!, ?I:!,1Z- 1uc litlr..
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 otTsite), afTected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.(.,,., 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 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 h_tt , _h_'o nr >;ato l:c u? %?rn incle\ hurl. 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): 0
Amount of buffer mitigation requested (square feet): 0
Amount of Riparian wetland mitigation requested (acres): 0
Amount of Non-riparian wetland mitigation requested (acres)
Amount of Coastal wetland mitigation requested (acres): 0
0
Page 10 of 12
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on March 9, 2000, mitigation will be required when
necessary to ensure that adverse effects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed. Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project, establishing and maintaining wetland
and/or upland vegetated bufFers to protect open waters such as streams, and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USACE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCWRP concurrence shall be placed on hold as
incomplete. An applicant may also choose to review the current guidelines for stream restoration
in DWQ's Draft 'T'echnical Guide for Stream Work in North Carolina, available at
11th Il_') ?:;11' "I'lle 11C lls.ll?',\l'tl;lill{? ?I;-l;l_ld IiUri.
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 of site), 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.
None
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 I>_IIp_. 110 enr_:tate nl u?,\\rj il?c{??.htnl. 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): 0
Amount of buffer mitigation requested (square feet): 0
Amount of Riparian wetland mitigation requested (acres): 0
Amount of Non-riparian wetland mitigation requested (acres
Amount of Coastal wetland mitigation requested (acres): 0
Page 10 of 12
IX. Environmental Documentation (required by DWQ)
Does the project involve an expenditure of public (federal/state) funds or the use of public
(federal/state) 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 V11 above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
Will the project impact protected riparian buffers identified within 15A NCAC 213 .0233
(Neuse), 15A NCAC 213 .0259 (Tar-Pamlico), 15A NCAC 213 .0250 (Randleman Rules and
Water Supply Buffer Requirements), or other (please identify )?
Yes ? No ® If you answered "yes", provide the following information:
Identify the square feet and acreage of impact to each zone of the riparian buffers. If buffer
mitigation is required calculate the required amount of mitigation by applying the buffer
multipliers.
Zone* Impact
(square feet) Multiplier Required
Mitigation
1 0 3 0
2 0 1.5 0
Total 0 0
* "Lone I extends out 30 Wet PLIPendtcutar trom near tx= of cnannet; Lone i extenas an
additional 20 IlLet from the ed-e of Zone 1.
Page 1 I of 12
If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation
of Property, Conservation Easement, Riparian Buffer Restoration / Enhancement, Preservation or
Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as
identified within 15A NCAC 2B .0242 or.0260.
X1. 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.
As of this date plans for the access road have not been developed therefore currently there is no
increase of impervious surface.
X11. 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.
No sewage is generated as a result of this plan.
X111. 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).
The existing violation is a result of NCDOT work in the area. It appears that NCDOT has done
some remediation work but the amount and nature of the violation are unknown to us.
Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 12 of 12
PROP
-EX. PERMANENT SEM
DRAINAGE
EX. 30_CM?
REMOVE EX.
EXISTING DITCH
?T
30" CMP

RIGHT OF WAY PROP. 42 L.F.
30 ADS N-12
p5 l ??
i
/ / ll ^ ice
?-
' ll

1-11
z REV DATE DESCRIPTION
a O

a o w
(} o
N cA
r Ir

These drawings are instruments of service and shall remain the property of the engineer
Z
LI
J whether the project for which they are made is executed or not. They are not to be used by
LL_
the owner or any other person on other projects or extensions to this project except by
? agreement in writing and with appropriate compensation to the engineer.
5 _
0 Copyright 2003 by Westcott Engineering & Consulting, PC, All Rights Reserved.
Except as permitted under the United States Copyright Act of 1976, no part of this
document may be reproduced or distributed in any form or by any means without the
written permission of Westcott Engineering & Consulting, PC.
/
43 L.F. 36" ADS
N-12 0 1.00%
PROP. STORM MH
TOP: PER OWNER
IN: 987.59 (EX. 36")
IN: 987.59 (PROP 30")
OUT: 984.89 (PROP 36")
/ ? Fx
\ / _ . / ??5 \ RI cyT 0 W
SITE INFORMATION TAKEN FROM ORIGINAL NCDOT \
CONSTRUCTION DOCUMENT, PROVIDED BY DISTRICT
ENGINEER.
GUARD RA/t
EX. DI - ,
X fkrTR? ?? ?,
?? -
?\\\ \ \\ \O/V \ \\\ \ \ \
EX. CB \ \ \
36' Flow ` 9' CLASS "II" / 13'
/ RIP-RAP
A-ti f}
-25
INVERT OF FLARED END SECTION
TO BE 3" BELOW TOP OF RIP-RAP
OUTLET PROTECTION
SYNTHETIC FILTER
!1-LC;
FABRIC (AS PER NCDOT ;I =i=
SPEC. #1056 TYPE-2 III-I I I I II I L RIP-RAP
N OTES: ?EX. GROUND' 35"
RP-RIP PIPE OUTLET PROTECTION APRONS ARE TO BE DESIGNED ACCORDING TO THE
NORTH CAPCLiNA 1.1=CN A4C "'1`!l1ENTCCNTRCL P1A44'4C AND CE5'.f1 IIA4l1AL.
SECTION &06.1 - AE.4
PUCE RIP-RAP AROUND PIPE AS DiRECTEDBY THE ENGINEER
RIP-RAP OUTLET PROTECTION DETAIL
N.T.S.
WESTCOTT ENGINEERING & CONSULTING, PC
4135 MENDENHALL OAKS PARKWAY, SUITE 140
HIGH POINT, NC 27265
PHONE: [phone]
FAX: [phone]
LOCATION
HAIRE PROPERTY
NC HWY 109 & BUSINESS 1-85
THOMASVILLE TOWNSHIP, DAVIDSON COUNTY
NORTH CAROLINA
OWNER/DEVELOPER: RALPH HAIRE
30 MAIDEN PARK DR.; THOMASVILLE, NC 27360
PHONE: [phone]
PROJECT NO. -
DATE: 01/23/04
SCALE: 1"=30'
DWG. BY: MBW/SDT
CHK. BY:wfdt-Z
1 of 1
SKETCH
PLAN
`$t%111111p1U1/
°?RtH CARpCI,y''.
2 AL
F2444 Z?
....N? Oo
11j111111111111``
GRAPHIC SCALE
30 0 15 30 60
,. - i inch = 30 M
EX. YARD INLET
IP-RAP REV DATE DESCRIPTION
- -EX, PERMANENT
DRAINAGE GE -EN -
PROP. PIPE INL
INVERT: MATCF
EXISTING DITCH
?T
REMOVE EX.
PROP. PIPE OUTLET
\
\
\
a
0
C9
0
c
En
D
fS
F-
w

d-
0
0
N
r?
ls.?
L
30' CMP
EX.
0
EX. 30

_ --?EX.
RIGNT
PROP. 42 L.F.
/
OF Wq`_ 30" ADS N-12 / 43 L.F. 36" ADS
N-12 0 1.00%

0
S PROP. STORM MH
TOP: PER OWNER
"
t
\
J )
987.59(. 36
EX ! IN: 987.59 (PROP 30")
OUT: 984.89 (PROP 36")
SITE INFORMATION TAKEN FROM ORIGINAL NCDOT
CONSTRUCTION DOCUMENT, PROVIDED BY DISTRICT
ENGINEER.
// - - - , _ `I f k GUARp RA T3 ' I Ow s' CLASS 'iP J ' u,
1- / RIP-RAP -
EX. DI
25?
?- - - _ - _ _ INVERT OF FLARED END SECTION
1 - TO BE 3' BELOW TOP OF RIP-RAP
CUTLET PROTECTION
0% GRADE
` II W \ \ \ SYNTHETIC FILTER ?r \ \ X1056 TYPE
EX. CB FABRIC (AS PER NCO OT
SPEC.
RIP-RAP
\ \ \ \ \ NOTES: EX. GROUND - 35'
\ \ \ \ RIP-RAP PIPE OUTLET PROTECTION APRCNSARE TO BE CE9CNEDA000RC1NC TO THE
VA \ V A NORTH exo)•yA ecti, A4n --tcNtt? w,4 va A4o rend uti I L
\\ \ \ \ SECTION B.Oe.1 - 606.4
\\ \ \ PUCE RIP-RAP AROUND PIPE AS DtRECTEO BY THE ENGINEER.
\ \\ \ \ \ \ RIP-RAP OUTLET PROTECTION DETAIL
\\ \ \ \ N.T.S.
2t
0
U
w
En
r-
CY
of
L1J

These drawings are instruments of service and shall remain the property of the engineer
whether the project for which they are made is executed or not. They are not to be used bN
the owner or any other person on other projects or extensions to this project except by
agreement in writing and with appropriate compensation to the engineer.
C Copyright 2003 by W'estcott Engineering & Consulting, PC, All Rights Reserved.
Except as permitted under the United States Copyright Act of 1976, no part of this
document may be reproduced or distributed in any form or by am means without the
written permission of R'estcott Engineering & Consulting, PC.
Aq,
Coe %.d?
WESTCOTT ENGINEERING & CONSULTING, PC
1135 NIENDENHALL OAKS PARKWAY, SUITE 140
HIGH POINT, NC 27265
PHONE: [phone]
FAX: [phone]
LOCATION
HAIRE PROPERTY
NC HWY 109 & BUSINESS 1-85
THOMASVILLE TOWNSHIP, DAVIDSON COUNTY
NORTH CAROLINA
OWNER/DEVELOPER: RALPH HAIRE
30 MAIDEN PARK DR.; THOMASVILLE, NC 27360
PHONE: [phone]
PROJECT NO. -
DATE: 01/23/04
SCALE: 1"=30'
DWG. BY: MBW/SDT
CHK, BY:M,,6&Z
10fl
SKETCH
PLAN
0,,RI1111111111/f'
?FESSIp
A
'..F)2? 4.'' AA,,
A`
C)
INS ?p
,?'ogF(B w?_s oo
/11111111x",
GRAPHIC SCALE
30 0 1 30 60
1 inch = 30 fL
EX. YARD INLET
PROP. RIP-RAP REV DATE DESCRIPTION
EX. PERMANENT
AGE EASEMENT -
PROP. PIPE INLET
INVERT: MATCH
EXISTING DITCH
REMOVE EX.
PROP. PIPE OUTLET
INVERT: 984.46

pRAIN ?- ? ? 1
- T
\
30" CMP _Z/
EX. 32L
- --,EX- R1GHT OF WAY PROP. 42 L.F. /
30" ADS N-12 / 43 L.F. 36" ADS
% N-12 © 1.00%
0.
D
O
CO
T
C=
D

PROP. Z
/??PEE EP ?
TOP: PER STORM OWNER
IN; 987.59 (EX. 36")
?• . ' ` . IN: 987.59 (PROP 30
kr, OUT: 984.89 (PROP 36")
STREAM
l cP = ?a5 R?cyr
-5b 4?
SITE INFORMATION TAKEN FROM ORIGINAL NCDOT \

CONSTRUCTION DOCUMENT, PROVIDED BY DISTRICT
ENGINEER.
?, - -r v v v v GUARD RA!
\
EX. DI " - \ \
EX. CB L13?3'
FLOW 9' CLASS 13'
/ RIP-RAP
?Z
zs' ? ? -
INVERT OF FLARED END SECTION
TO BE 3' BELOW TOP OF RIP-RAP
- OUTLET PROTECTION
3?• 0% GRADE
SYNTHETIC FILTER •?`? `? ?^?'? -_'
FABRIC (AS PER NCDOT =-=-'`"'
SPEC. #1056 TYPE-2 RIP-RAP
EX. GROUND 35'
NOTES:
RIP-RAP PIPE WILT PROTECTION APRCNSARE 7D BE DE9OIED ACCORDING TO THE
NCPM GAR "A E;ZP WD M'!YMTCCN'R? Fi44'A^ R1? mnJ YA
SECTION B.CE.1 - SGa.4
PUCE RIP-RAP AROUND PIPE AS DIRECTED BY THE ENGINEER.
RIP-RAP OUTLET PROTECTION DETAIL
N.T.S.
a-
0
0
N
e?
1-4
C0
W
LL
O
C.3
UJ
G1D
s
C3
rte-,
These drawings are instruments of service and shall remain the property of the engineer
ehether the project for which they are made is executed or not. They are not to be used by
the owner or any other person on other projects or extensions to this project except by
agreement in %%Titing and with appropriate compensation to the engineer.
G Copyright 2003 by NVestcott Engineering & Consulting, PC, All Rights Resened.
Except as permitted under the United States Copyright Act of 1976, no pan of this
document may be reproduced or distributed in any form or by any means without the
%%ritten permission of Westcott Engineering & Consulting, PC.

WESTCOTT ENGINEERING & CONSULTING, PC
4135 MENDENHALL OAKS PARKWAY, SUITE 140
HIGH POINT, NC 27265
PHONE: [phone]
FAX: [phone]
LOCATION
HAIRE PROPERTY
NC HWY 109 & BUSINESS 1-85
THOMASVILLE TOWNSHIP, DAVIDSON COUNTY
NORTH CAROLINA
OWNER /DEVELOPER: RALPH HAIRE
30 MAIDEN PARK DR.; THOMASVILLE, NC 27360
PHONE: [phone]
PROJECT NO. -
DATE: 01/23/04
SCALE: 1"=30'
DWG. BY: MBW/SDT
CHK. BY:W,6'-Z
1 of 1
SKETCH
PLAN
``111111111111111
%
?CAR041,
' ESSIp''
A
02 44
t A,
C,INti
1111111111101
GRAPHIC SCALE
30 0 15 30 60
FTTITT?'
1 inch = 30 1t"
EX, YARD INLET
EX. PERMANENT
DRAINAGE -
EX. 300 CMP -
PROP. PIPE INL
INVERT: MATCF
EXISTING DITCH

PROP. RIP-RAP
OUTLET PRO C
REMOVE EX.
30 CRAP
PROP. PIPE OUTLET
INVERT: 984.46
X. 30" CMP
RIGHT OF wAY

EXi EAM

PROP. 42 L.F. -•--
30" ADS N-12 /
i
• \ ? %? /?P?PGE EP

43 L.F. 36" ADS
N-12 © 1.007

REV I DATE
DESCRIPTION

O
C
o
o W
U:)
r N
These drawin¢s are instruments of service and shall remain the property of the engineer
M ?i whether the project for which they are made is executed or not. They are not to be used by

Q the owner or any other person on other projects or extensions to this project except by
LL! agreement in writing and with appropriate compensation to the engineer.
Ls LLJ
LLJ
' C Copyright 2003 by Westeott Engineering d Consulting, PC, All Rights Reserved.
S Except as permitted under the United States Copyright Act of 1976, no pan of this
document may be reproduced or distributed in any form or by any means without the
written permission of Westcott Engineering & Consulting, PC.
IN: 987.59 (EX. 36")
IN: 987,59 (PROP 30")
OUT: 984.89 (PROP 36")
/ \ fk
S \ RI Cyr OF h• E'f,• \qY
SITE INFORMATION TAKEN FROM ORIGINAL NCDOT
CONSTRUCTION DOCUMENT, PROVIDED BY DISTRICT
ENGINEER.
EX. DI
\C,?
EX C8=' \ \ \ \

36' FLOW r 9 ' CLASS 'II" 1 3'
RIP RAP
^

25'
INVERT OF FLARED END SECTION
-TO BE 3' BELOW TOP OF RIP-RAP
OUTLET PROTECTION
SYNTHETIC FILTER r ??--
FABRIC (AS PER NCOOT "'"-
SPEC. #1056 TYPE-2i RIP-RAP
EX. CROUND-?_I
NOTES: 35"
RIP-RAP PIPE 011 PROTECTION APRCNSARE TO BE DESCNEDACCORDING TO THE
NORTH AR"' R^tlIl A40 n"IVryTCCt{!q.'L p_AN4'4^- A40 -^?+ NA4
SECTICN 0.06.1 - 0.c6.4
PUCE RIP-RAP ARCUND PIPE AS DIRECTED BY THE ENGINEER
RIP-RAP OUTLET PROTECTION DETAIL
N.T.S.
WESTCOTT ENGINEERING & CONSULTING, PC
4135 NIENDENHALL OAKS PARKWAY, SUITE 140
HIGH POINT, NC 27265
PHONE: [phone]
FAX: [phone]
LOCATION
HAIRE PROPERTY
NC HWY 109 & BUSINESS 1-85
THOMASVILLE TOWNSHIP, DAVIDSON COUNTY
NORTH CAROLINA
OWNER/DEVELOPER: RALPH HAIRE
30 MAIDEN PARK DR.; THOMASVILLE, NC 27360
PHONE: [phone]
PROJECT NO. -
DATE: 01/23/04
SCALE: 1"=30'
DWG. BY: MBW/SDT
CHK. BY: N,61-Z
1 of 1
SKETCH
PLAN
v`stluwr??p
0o pCAR04/4/
FESSIp
02 44
2.4
p ..INE,,•
??'otigF? B ,%%
?''rEnEnT1+v??
GRAPHIC SCALE
30 0 15 30 60
i inch = 30 fL

EX. YARD INLET
PROP. RIP-RAP REV DATE DESCRIPTION
EX. PERMANENT
DRAINAGE EASEM- -
EXi EAM
EX. 30" Cb1P
EX. 30_CMP
RIGHT OF WAY

/ C
MCP
PROP, PIPE INLET
INVERT: MATCH
EXISTING DITCH
REMOVE EX.
CL
d
af
C4
0
sr
Cf)
Q
a
PROP. PIPE OUTLET
\ 1
PROP. 42 L.F.
30" ADS N-12

pR

/ X43 L.F. 36" ADS
N-12 0 1.00%
i
PROP. STORM MH
TOP: PER OWNER
IN: 987.59 (EX. 36")
IN: 987.59 (PROP 30")
OUT: 984.89 (PROP 36")
/ \ Fk

SITE INFORMATION TAKEN FROM ORIGINAL NCDOT \
CONSTRUCTION DOCUMENT, PROVIDED BY DISTRICT
ENGINEER.
R
ORAL(
EX. DI
--'--__ -_ l;l \\\??k?•\"bra ?\???
EX CB \ \ \ \

I-
?s-
0
cm
CV
r?
V -!
L
'r
ASS 11' J ^j 13'
IP-RAP
2s
INVERT OF FLARED END SECTION
TO BE 3" BELOW TOP OF RIP-RAP
I OUTLET PROTECTION
SYNTHETIC FILTER
FABRIC (AS PER NCDOT
SPEC. ,#1056 TYPE-2 RIP-RAP
NOTES: EX. GROUND 35'
RIP-RAP PIPE CUTLET PROIECTICN APACNSARE TO BE DESIGNED ACCORDING TO THE
NORTH CARD-NA 0'=M AN^ "R".uNTCO!Jn' FANNW; ANn =4 uA4I I
SECTICN &08.1 - &CE.4
PUCE RIP-RAP AROUND PIPE AS DIRECTED BY THE ENGINEER
RIP-RAP OUTLET PROTECTION DETAIL
N.T.S.
C:)
L:I
t-
a
lJ
2
These drawings are instruments of service and shall remain the property of the engineer
lyhether the project for which they are made is executed or not. They are not to be used by
the owner or any other person on other projects or extensions to this project except by
agreement in %Titing and with appropriate compensation to the engineer.
C Copyright 2003 by Westcott Engineering &: Consulting, PC, All Rights Resened.
Except as permitted under the United States Copyright Act of 1916, no part of this
document may be reproduced or distributed in any form or by any means without the
written permission of Westeott Engineering & Consulting, PC.

WESTCOTT ENGINEERING & CONSULTING, PC
4135 NIENDENHALL OAKS PARKWAY, SUITE 140
HIGH POINT, NC 27265
PHONE: [phone]
FAX: [phone]
LOCATION
HAIRE PROPERTY
NC HWY 109 & BUSINESS 1-85
THOMASVILLE TOWNSHIP, DAVIDSON COUNTY
NORTH CAROLINA
OWNER /DEVELOPER: RALPH HAIRE
30 MAIDEN PARK DR.; THOMASVILLE, NC 27360
PHONE: [phone]
PROJECT NO. -
DATE: 01/23/04
SCALE: 1"=30'
DWG. BY: MBW/SDT
CHK. BY:M.6&.Z
1 of 1
SKETCH
PLAN
``EySytN 111111,Ug4
,,.
'CAR04/
AL
02 44
,C I NE Gp
B 16-S
?'?nnuu'y
GRAPHIC SCALE
30 0 15 30 60
1 inch = 30 fL

EX. YARD INLET
EX. PERMANENT
GE EASEMENT -
PROP. PIPE INLET
INVERT: MATCH
EXISTING DITCH
PROP. RIP-RAP
OUTLET PROTEcTf
REMOVE EX.
30-" CAS
PROP. PIPE OUTLET
IN : 984.46
ORAIt_
- T
30" CMP \
EX. 30?WE-
/
- ?? RIGHT PROP, 42 L.F.
/
OF wq` 30" ADS N-12 / 43 L.F. 36" ADS
N-12 © 1.00%
` ? / ? ' / /?P SE?EtJ
a z
o

? o W

o CID
C N ?-
v ? r-

M T-4 Q

co

LL
_
tsr 1=

SOS / ,?ORp?tJ TO
ROP. P: PER STORM OWNER
(1 P IN: 987.59 (EX, 36")
/ IN: 987.59 (PROP 30")
k I x OUT: 984.89 (PROP 36")
SITE INFORMATION TAKEN FROM ORIGINAL NCOOT \
ij.
CONSTRUCTION DOCUMENT, PROVIDED BY DISTRICT
ENGINEER.
?_ -
CU4RD RAJ
EX. DI
U?
EX CB ??: v v v v v
Vv \ V A
,fr o
' „1 yv
36' FLOW y 9' CUSS "II" J 13'
I / RIP-RAP
•rs• :;n.r. a
,<<
?25'•--l
INVERT OF FLARED END SECTION
-TO BE 3" BELOW TOP OF RIP-RAP
- I OUTLET PROTECTION
SYNTHETIC FILTER
FABRIC (AS PER NCOOT =_'.' ' -
SPEC. X11056 TYPE-2 T _' i _ RIP-RAPS ? -
EX. GROUND-/NOTES. 35"
RIP-RIP PIPE CUTLET PROTECTION APRONS ARE TO BE CESCNED ACCORDING TO THE
NORM A-CLNA --SON 4n ? 1%INTGCN!9ry P!ANYNC: ANQ LM24 YkNUAL
SECTION U4.1 - ACE.4
PUCE RP-RAP AROUND PIPE AS DIAECTE7BY THE ENGINEER
\\ \ \ \ RIP-RAP OUTLET PROTECTION DETAIL
\\ \ \ \ N.T.S.
REV DATE DESCRIPTION

These dra%%ings are instruments of sen ice and shall remain the propertN of the engineer
TThether the project for nhich they are made is executed or not. They are not to be used by
the owner or any other person on other projects or extensions to this project except by
agreement in TTTiting and with appropriate compensation to the engineer.
C Copyright 2003 by W'estcott Engineering & Consulting, PC, All Rights Resened.
Except as permitted under the United States Copyright Act of 1976, no pan of this
document may be reproduced or distributed in any form or by any means without the
Tcritten permission of Westcott Engineering & Consulting, PC.

WESTCOTT ENGINEERING & CONSULTING, PC
4135 NIENDENHALL OAKS PARKWAY, SUITE 140
HIGH POINT, NC 27265
PHONE: [phone]
FAX: [phone]
LOCATION
HAIRE PROPERTY
NC HWY 109 & BUSINESS 1-85
THOMASVILLE TOWNSHIP, DAVIDSON COUNTY
NORTH CAROLINA
OWNER /DEVELOPER: RALPH HAIRE
30 MAIDEN PARK DR.; THOMASVILLE, NC 27360
PHONE: [phone]
PROJECT NO. -
Tgnunrg

DATE: 01 /23/04 ``T
rr
CAR04/,
SCALE: 1"=30' 'FESSIp'.9

DWG. BY: MBW/SDT
AL
CHK. BY:W,61-Z 02 44
1 of
?? B

SKETCH t
PLAN
GRAPHIC SCALE
30 0 15 30 60
1 inch = 30 fL
EX. YARD INLET
OP. RIP-RAP REV DATE DESCRIPTION
- -EX. PERMANENT
DRAINAGE EASEMENT -
PROP. PIPE INL
INVERT: MATCF
EXISTING DITCH
?T
REMOVE EX.
30" CAAP
PROP. PIPE OUTLET
\
\
EX. 30" CMP 1? \
EX.
/
RIGHT OF PROP. 42 L.F.
CL
O
C?
0
Cf)
H
W
lz?
YVA` 30" ADS N-12 43 L.F. 36" ADS
N-12 0 1.00%
!? ? ?? //?• POE •
4 7 P?tJ PROP. STORM MH
ADS / l '?0? TOP: PER OWNER
\ IN: 987.59 (EX. 36")
. ! IN: 987.59 (PROP 30")
OUT: 984.89 (PROP 36")
5 \ R??yP of
SITE INFORMATION TAKEN FROM ORIGINAL NCDOT
CONSTRUCTION DOCUMENT, PROVIDED BY DISTRICT
j / ENGINEER.
-„--
- \ \ \ qR? Rql 36' Flow CLASS 'll' J 13'
RIP-RAP ^.'
EX. DI v ?
\ \ \ "? XCY A`!
e
Xi r \ \
INVERT OF FLARED END SECTION
TO BE 3' BELOW TOP OF RIP-RAP
[CUTLET PROTECTION
E ? J6' II
\?\\??in \\ \\C/v \\??? ?\ I ,. I 07 GRADE
_ II \ \ \ \ SYNTHETIC FILTER
EX CB FABRIC (AS PER NCDOT =11 •"-°°'?-_?=== -
?' \ \ \ \ \ SPEC. 1056 TYPE-2 RIP-RAP
\ EX. GROUND
\ \ \\ \ \ \ \ NOTES: 35'
RIP-RAP PIPE CUTLET PROTECTION APRONS ARE TO BE CESCNEDAOCORONG TO THE
?\ \ \ \ NCRTH ARn'-N E4^?^N AN0 =T^'k=CCNTRCI ,uN'40 140 ESh, MANUAL
\\ \ \ \ SECTION EAE.I - 0.00.4
\\ \ \ \ PUCE RIP-RAP AROUNC PIPE AS DIRECTED BY THE ENGINEER.
\' \ \ \ \ RIP-RAP OUTLET PROTECTION DETAIL
\\ \ \ \ N.T.S.

These drawings are instruments of seniee and shall remain the propem of the engineer
whether the project for which they are made is executed or not. They are not to be used by
the owner or any other person on other projects or extensions to this project except by
agreement in venting and with appropriate compensation to the engineer.
C Copyright 2003 by Westcott Engineering & Consulting, PC, All Rights Resern ed.
Except as permitted under the United States Copyright Act of 1976, no part of this
document may be reproduced or distributed in any form or by am means without the
written permission of Westeott Engineering & Consulting PC.

WESTCOTT ENGINEERING & CONSULTING, PC
4135 NIENDENHALL OAKS PARKWAY, SUITE 140
HIGH POINT, NC 27265
PHONE: [phone]
FAX: [phone]
LOCATION
HAIRE PROPERTY
NC HWY 109 & BUSINESS 1-85
THOMASVILLE TOWNSHIP, DAVIDSON COUNTY
NORTH CAROLINA
OWNER/DEVELOPER: RALPH HAIRE
30 MAIDEN PARK DR.; THOMASVILLE, NC 27360
PHONE: [phone]
PROJECT NO. -
DATE: 01/23/04
SCALE: 1"=30'
DWG. BY: MBW/SDT
CHK. BY:N,,61-Z
1 of 1
SKETCH
PLAN
111111111111111,,
.?,IIpvN C.... 9%
Q FtiSSsIp
?C AL
02 44
I,,'1 ?I BI w 1111,,
GRAPHIC SCALE
30 0 15 30 60
t
1 inch = 30 fL
Z
O
E_-
d' U
o LL!
o
cv
ra ?
Ave d
f?
LL1 U
Lt_ ?
W
EX. YARD INLET
O-\ WAT _RQG
O
C
6 r

Michael F. Easley
Governor
William G. Ross, Jr., Secretary
Department of Environment and Natural Resources
Alan W. Klimek, P.E., Acting Director
Division of Water Quality
January 30, 2004
DWQ# 03-1519
Davidson County
CERTIFIED MAIL: 7002 2030 0002 7223 7441
RETURN RECEIPT REQUESTED
Mr. Andrew M. Haire
30 Maiden Park Drive
Thomasville, NC, 27360
Dear Mr. Haire:
On December 4, 2003, the NC Division of Water Quality (DWQ) received your application for a General 401 Water
Quality Certification to impact 48 linear feet of perennial stream in order to construct an access road into your
property located at the intersection of Business I-85 and NC 109 in Davidson County. In accordance with 15A NCAC
2H.0506, an inspection of the site was conducted on January 23, 2004 by Mr. Daryl Lamb of the Division of Water
Quality (DWQ), Winston-Salem Regional Office. During this site visit, you indicated that the plates for the crossing
might have to be changed in order to satisfy requirements of the North Carolina Department of Transportation. Your
current plan calls for connecting two existing DOT culverts with a third culvert that you intend to install. Based on
your conversations with Mr. Lamb, it is DWQ's understanding that because of size differences between the two
existing culverts, DOT is requesting a plan different from what is described in your application. You indicated to Mr.
Lamb that you would need some additional time to negotiate a suitable plan with DOT. Based on this fact, and per
your request to Mr. Lamb, we are placing your application on hold to allow you more time to finalize your plans for
the proposed road crossing in agreement with DOT requirements. When you have finalized your plans and are ready
to proceed with your project, please provide seven copies of the following information:
1. An amended General 401 Water Quality Certification application (Pre-Construction Notification
Application Form) listing and fully describing all impacts to State waters that will occur as a result of your
proposed project.
2. A site plan that shows all stream impacts, fill slopes, dissipaters, and bank stabilization.
3. A drawing showing the cross section details of the proposed culvert and the provisions for aquatic life
passage.
Until the information listed above is provided, I will request (by copy of this letter) that the U.S. Army Corps of
Engineers place this project on hold. The processing of this application will begin when the requested information is
received. Please send the requested information to Ms. Cyndi Karoly, N. C. Division of Water Quality, 401 Wetlands
Certification Unit, 1650 Mail Service Center, Raleigh, NC 27699-1650. If you have any questions, please contact Mr.
Daryl Lamb, DWQ, Winston-Salem Regional Office, at [phone] extension 272.
Sincerely,
John Dorney
401 Water Quality Certification Program
North Carolina Division of Water Quality, 401 Wetlands Certification Unit,
1650 Mail Service Center, Raleigh, NC 27699-1650 (Mailing Address)
2321 Crabtree Blvd., Raleigh, NC 27604-2260 (Location)
919-733-1786 (phone), 919-733-6893 (fax), http://h2o.enr.state.nc.us/ncwetiands/
Page 2 of 2
JD/cdl
cc: U. S. Army Corps of Engineers, Raleigh Regulatory Field Office
DWQ, Winston-Salem Regional Office
401/Wetlands Unit File Copy
Central Files
MEMORANDUM
TO: John Dorney Regional Contact: Daryl Lamb
Non-Discharge Branch WQ Supervisor: Steve Tedder
Date:
SUBJECT: WETLAND STAFF REPORT AND RECOMMENDATIONS
Facility Name Haire Property Culvert ( Andrew M. Haire) County Davidson
Project Number 03 1519 County2
Recvd From APP Region Winston-Salem
Received Date 12/4/03 Recvd By Region
Project Type culverting stream with ,junction box
Certificates Stream Stream Impacts (ft.)
Permit Wetland Wetland Wetland Stream Class Acres Feet > >?:i*s ?i'rl+:?
Type Type Impact Score Index Prim. Supp. Basin Req. Req.
F 19 Stream O Y O N 12-119-7-3 ?? 30,707. F__ F 48.00 48.00
F_ F__O Y _0N F_ F_ F_F_ F_ F_ F_ I F_
Mitigation Wetland
MitigationType Type Acres Feet
Is Wetland Rating Sheet Attached? Q Y * N Did you request more info? QQ Y O N
Have Project Changes/Conditions Been Discussed With Applicant? Q Y O N
Is Mitigation required? Q Y O N Recommendation: Q Issue O Issue/Cond O Deny
Provided by Region: Latitude (ddmmss) N 035545.18
Comments:
Longitude (ddmmss) W 0800541.07
Site visit made on 01/23/2004. Site is 12.92 acres in size and includes the nor theast portion of the
recently expanded Business 1-85/NC109 interchange . Two NCDOT installed c ulverts already exists
on-site; one is immediately upstream of the proposed impact and the other is i mmediately
downstream. The area surrounding the site is reside ntial and is bordered on t wo sides by highways -
NC109 on the west perimeter and Business 1-85 on t he south perimeter. The applicant wishes to
connect the two existing culverts with a 48 If section of 36" diameter ADS N12 pipe in order to
construct an access road into the site from NC109. This propesed access roa d would cross the
stream containing the two existing culverts. The 48 I f section will also include a concrete junction
box. However-problems have arisen since the appli cation was received by th e Central Office on
12/04/2003. The upstream DOT culvert is a 36" diam eter RCP and the downs tream culvert is a 30"
diameter CAAP_ Both culverts are on the applicants property which was conde mned by the DOT,
under eminent domain- in order to build the new inter change.
cc: Regional Office
Central Office Page Number 1
Facility Name Haire Property Culvert (Andrew M. Haire) County Davidson
Project Number 03 1519 Regional Contact: Daryl Lamb
Date: 1/28/2004
Comments (continued from page 1):
Applicant has a civil case against the DOT over inadequate compensation. DOT is telling the
applicant that he cannot connect the two culverts because of their dissimilar diameters. According to
the applicant- the smaller culvert was installed to allow construction equipment to cross the stream
while the interchange was being built. In addition, the applicant claims that the smaller culvert was
installed without a permit and that DOT was subsequently fined (by USACE, DENR?). In any event
the smaller culvert now appears to serve no purpose and should be removed if it can not be
incorporated into the proposed stream crossing. The applicant is currently negotiating with DOT over
the details of connecting with one or both of the existing culverts. The applicant has requested that
his 404/401 application be placed on hold until a mutually agreeable plan can be established with
DOT. WSRO will issue a hold letter for this application. In the mean time, WSRO will investiaato a the
circumstances of the installation of the smaller, downstream culvert and determine if it has been
properly permitted. If it has not been properly permitted then, depending on the details of the final
crossingproposal- WSRO will issue an NOV and require DOT to remove the culvert and restore the
cc: Regional Office
Central Office Page Number 2

O O -n 0 O O C7 n
a
Q CL $D D =3 (D cn cn (n 0 C
_0 Q 0 CD C)7

cn
0 0 0 0 0 o O O O o 0
w w w w w w w w w w w
J .l
? ?
cn .l
N J
N J
W ?
C ? ? ?
O J
N
p
C) C ) TV
C •A• cn
O Cn m m •A ? v O O O
?.
?
?
n _ CD CD

==,
O CD
Q- CD
Q
v D D CZ -0 (<p N (1)
0 _0
1 513
Q sl) < (?D (?D L 0 =3
w

'
O
:
0
- "
0
Q.
(
D
2
2
U
cn 0 cn 3 ( ? ? o
(D ¢? (a CD W

0 7

= :3 . «
(D 0
O Cn
(D

o

n =3

-
(D

, 0
s? ?, < o ? ? C n
o
< 1
w
(n
(D 5 CD 0

-
m
C
(
D
0

(D
m

O O O O O O O O O O O p
'
0
(D
n n 0 0 n 0 0 0 0 0

Q Q C1 Q Q Q 3 3 3 3 O
<<
= <<
M <<
= <<
= `<
7 Cl)
; ? Cf) C/) (J) U)

0
-
1 Sv
0
0 i1)
0
0
0
3
3
3
3 flj
C ) • •

n

N N N N 1 N N N N N N
.1
O
w
0
00
0
0
CO
2)0
o o \ 0 CD
CIO w Cl) w w w w CO w w w w <

C
v
N N N N N N \ N O
(.n C\ C\ N v 'O
(1) (.0 - c
D v
C)

Q.
1<
0.
0
r-+
C/)
(J)
O
L
--S
N
O
N
O
401 WQC Authorizations Issued
Subject: 401 WQC Authorizations Issued
From: Daryl Lamb <[e-mail]>
Date: Fri, 23 Jan 2004 13:24:13 -0500
To: Cyndi Karoly <[e-mail]>
Hi Cyndi,
The following 401 WQC authorizations have been issued effective 01/23/2004:
03-1475 Arabian Trails Subdivision
03-1505 Beck Ridge Manor Subdivision
03-1513 Viewmont Sandrock Mine
Hold letters for 03-1519 Haire Property Culvert and 03-1585 Barrocliff/647 Barrocliff Road will be
issued 01/26/2004. The applicant for Haire Property Culvert has requested that the application be put on
hold while lie negotiates with DOT on the diameter and placement of the proposed culvert. The
Borrocliff application is missing several required pieces of information as well as an engineering
determination of the appropriate culvert diameter. White Oaks Subdivision, 03-1504, will be issued
01/28/2004 if the USACE makes their jurisdictional call as scheduled on the 27th. If the USACE
reschedules, that application will also be put on hold. The main issue here is a jurisdictional/isolated
determination for a wetland.
Best regards,
Daryl
Daryl Lamb
NC DENR Winston-Salem Regional Office
Division of Water Quality, Water Quality Section
585 Waughtown Street
Winston-Salem, NC 27107
Voice: [phone] ext 272
FAX: [phone]
1 of 1 1/23/04 3:42 PM

Triage Ch eck List .y

Z - tA ?y a
1
Project Name: Y
o ?r C. •,_
.
Date:.
DWQ##. 03-15-19
j
?
c (1 v1
I
County: U
To: ? ARO Mike Parker ?' WaRO Tom Steffens
? FRO Ken Averitte ? WiRO Noelle Lutheran
? MRO Alan Johnson aWSRO Daryl Lamb
? RRO Steve Mitchell

From. .
m
` off
TelePhone : (919) ? 5 3 ? f? J6
The file attached is being forwarded to your for your evaluation.
Please call if you need as?Wance.
,-Stream length impacted
? Stream determination
? Wetland determination and distance to blue-line surface waters on USFW topo maps
nimization/avoidance issues
? Buffer Rules (Meuse, Tar-Pamlico, Catawba, Randleman)
? Pond fill
? Mitigation Ratios
? Ditching
?. Are the stream and or wetland mitigation sites available and viable?
Check drawings for accuracy
Is the application consistent with pre-application meetings?
Cumulative impact concern
Comments: 6
Office Use Only: Form Version May 2002
USACE Action ID No. DWQ No. 1 ' •11 i n
(If any particular item is not applicable to this proiect, please enter "Not Applicable" or "N/A".)
1. Processing
C'. _ +v?.
1. Check all of the approval(s?requested for tFi s pr(6J-a -- 6 ' r [
® Section 404 Permit Riparian or Watephed,Buffer Rules
? Section 10 Permit ? Isolated Wetland Permit from DWQ
® 401 Water Quality Certification
2. Nationwide, Regional or General Permit Number(s) Requested: 19
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: ?
4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for
mitigation of impacts (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: Andrew M. Haire
Mailing Address: 30 Maiden Park Drive '?N GROIJP
Thomasville NC 27360
L 0 J 7nn3
Telephone Number: [phone] Fax Number: ER QUAl aY sa;
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:
Company Affiliation:
Mailing Address:
Telephone Number:
E-mail Address:
Fax Number:
Page 5 of 12
III. Project Information
Attach a vicinity map clearly showing the location of the property with respect to local
landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property
boundaries and development plans in relation to surrounding properties. Both the vicinity map
and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities must be included. If possible, the maps and plans should
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USACE requires information to be submitted on sheets no larger than 11 by 17-inch format;
however, DWQ may accept paperwork of any size. DWQ prefers full-size construction
drawings rather than a sequential sheet version of the full-size plans. If full-size plans are
reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps are provided.
1. Name of project: Haire Property Culvert
2. T.I.P. Project Number or State Project Number (NCDOT Only): N/A
3. Property Identification Number (Tax PIN): 1632200000029A
4. Location
County: Davidson Nearest Town: Thomasville
Subdivision name (include phase/lot number):
Directions to site (include road numbers, landmarks, etc.): From High Point, take Hwy 68S
to Business I-85. Turn right onto Business I-85. Take Hwv 109 exit and turn right at top of
ramp. Take first break in guardrail to the right. Follow farm road to first creek
5. Site coordinates, if available (UTM or Lat/Long):
(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): 12.92 ac
7. Nearest body of water (stream/river/sound/ocean/lake):Unnamed Trib. to Hunt's Fork Creek
8. River Basin: Yadkin - Pee Dee River Basin
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at htth:Hii2o.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: The stream has already been impacted by NCDOT. They
have recently tried to fix the damage. The area surrounding the impact is cleared and
p,rassed due to recent NCDOT widening to Hwy 109 - I-85 exit.
Page 6 of 12
10. Describe the overall project in detail, including the type of equipment to be used: The
proiect consists of placing 48 LF of ADS N12 pipe and one junction box between an existing
36" RCP extending out of the Business I-85 ROW to an existing 30" CAAP that NCDOT
installed as part of their project.
11. Explain the purpose of the proposed work:_ The area will be filled for a proposed access
road.
IV. Prior Project History
If jurisdictional determinations and/or permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action ID Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules.
There are no previous permits associated with this project on this site. NCDOT has impacted
this reach previously but it is our understanding that the area was outside their permit.
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.
In the future, there may be an impact on a separate stream. As of this date no firm plans are in
process for the other crossing.
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
evaluation and delineation forms should be included as appropriate. Photographs may be
included at the applicant's discretion. If this proposed impact is strictly for wetland or stream
mitigation, list and describe the impact in Section VIII below. If additional space is needed for
listing or description, please attach a separate sheet.
Page 7 of 12
1. Provide a written description of the proposed impacts: The impact will be piping of
approximately 48 LF of stream bed.
2. Individually list wetland impacts below:
Wetland Impact
Site Number
indicate on ma
Type of Impact* Area of
Impact
acres Located within
100-year Floodplain**
(es/no Distance to
Nearest Stream
linear feet
Type of Wetland***

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: mechanized clearing, grading, fill,
excavation, flooding, ditching/drainage, etc. For dams, separately list impacts due to both structure and flooding.
** 100-Year floodplains are identified through the Federal Emergency Management Agency's (FEMA) Flood Insurance Rate Maps
(FIRM), or FEMA-approved local floodplain maps. Maps are available through the FEMA Map Service Center at 1-800-358-9616, or
online at http://ww,,v.fema.rov.
*** List a wetland type that best describes wetland to be impacted (e.g., freshwater/saltwater marsh, forested wetland, beaver pond,
Carolina Bay, bog, etc.) Indicate if wetland is isolated (determination of isolation to be made by USACE only).
List the total acreage (estimated) of all existing wetlands on the property: Unknown
Total area of wetland impact proposed: 0 ac
3. Individually list all intermittent and perennial stream impacts below:
Stream Impact
Site Number
(indicate on ma
Type of Impact* Length of
Impact
linear feet
Stream Name** Average Width
of Stream
Before Impact Perennial or
Intermittent?
(please seci
1 Culvert 48 UT-Hunts Fork Creek 2' Perennial

" List each impact separately and identify temporary impacts. Impacts include, but are not limited to: culverts and associated rip-rap,
danis (separately list impacts due to both structure and flooding), relocation (include linear feet before and after, and net loss/gain),
stabilization activities (cement wall, rip-rap, crib wall, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is
proposed, plans and profiles showing the linear footprint for both the original and relocated streams must be included.
** Stream names can be found on USGS topographic maps. If a stream has no name, list as UT (unnamed tributary) to the nearest
downstream named stream into which it flows. USGS maps are available through the USGS at 1-800-358-9616, or online at
www.usc's.?_,ov. Several internet sites also allow direct download and printing of USGS maps (e.g., www.topozone.com,
wlYw.m1p(jucsl.cO1T1, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: 48 LF
Page 8 of 12
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
(if Name applicable) Wateplicablee) Type of Waterbody
(lake, pond, estuary, sound,
bay, ocean, etc.

* 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.):
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.):
Size of watershed draining to pond: Expected pond surface area:
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.
Placing the impact on an alreadv impacted site allows us to have no future impacts on the stream
reach.
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
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
Page 9 of 12
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on March 9, 2000, mitigation will be required when
necessary to ensure that adverse effects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed. Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USACE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCWRP concurrence shall be placed on hold as
incomplete. An applicant may also choose to review the current guidelines for stream restoration
in DWQ's Draft Technical Guide for Stream Work in North Carolina, available at
http://Ii2o.enr.state.nc.us/ncwctIands/strmgide.litni1.
1. Provide a brief description of the proposed mitigation plan. The description should provide
as much information as possible, including, but not limited to: site location (attach directions
and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation 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.
None
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://li2o.enr.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): 0
Amount of buffer mitigation requested (square feet): 0
Amount of Riparian wetland mitigation requested (acres): 0
Amount of Non-riparian wetland mitigation requested (acres): 0
Amount of Coastal wetland mitigation requested (acres): 0
Page 10 of 12
IX. Environmental Documentation (required by DWQ)
Does the project involve an expenditure of public (federaUstate) funds or the use of public
(federal/state) 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 Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Meuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and
Water Supply Buffer Requirements), or other (please identify )?
Yes ? No ® If you answered "yes", provide the following information:
Identify the square feet and acreage of impact to each zone of the riparian buffers. If buffer
mitigation is required calculate the required amount of mitigation by applying the buffer
multipliers.
Zone* Impact
(square feet Multiplier Required
Mitigation
1 0 3 0
2 0 1.5 0
Total 0 0
* Zone 1 extends out 30 feet perpendicular from near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.
Page I I of 12
If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation
of Property, Conservation Easement, Riparian Buffer Restoration / Enhancement, Preservation or
Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as
identified within 15A NCAC 2B .0242 or.0260.
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.
As of this date plans for the access road have not been developed therefore currently there is no
increase of impervious surface.
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.
No sewage is generated as a result of this plan.
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).
The existing violation is a result of NCDOT work in the area. It appears that NCDOT has done
some remediation work but the amount and nature of the violation are unknown to us.
12-
Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 12 of 12
i opofone - i ne weo s i opograpnic iviap
rage > u> i
i? ltoozone ,1 S f r.
•'? • - _
rl 1 !
•r
62
4z
n.C? Y
L ? 1 ? 1' ? 1 L `,?,. e? 1 ? •r1
0 1 2 3 4 5 km G
0 1 2 3 4 5 mi
Map center is UTM 17 581871E 3974064N (WGS84/NAD83)
High Point West quadrangle - P1=-7,74
Projection is UTM Zone 17 NAD83 Datum G=0.532
http:/hvwxv.topozone.com/print.asp?z=17&n=3974064.00009517&e=581871.00000008&s... 12/1/2003
GQ
PROP. STORM MANHOLE
MATCH EXISTING INVERTS
AND ELEVATIONS /
PROP. 8 L.F. OF 24"
RCP TO EXISTING
DRAINAGE DITCH MATCH
p EXISTING INVERTS
,yO
Q?OQPO-??,??
/ Q
Graphic Scale
10 5 0 10 20
1 inch = 10 feet

ii I!I? II ??
? ? f
r
i
i
i
! ?
i
I '
i
? ?'
i
' Ii
t
?
iii
I
i
F I
J
I.
I
,'
f
r