20010569 Ver 1_Complete File_20010416

WETLANDS 140, G
? SUP
G 2 3 2004
STATE OF NORTH CAROLINA WAtF_k QUALI'ry
DEPARTMENT OF TRANSPORTATION SECr101V
MICHAEL F. EASLEY P.O. BOX 25201, RALEIGH, N.C. 2761 1-5201 LYNDO TIPPETT
GOVERNOR SFURF."I'ARY
August 16, 2004
North Carolina Division of Water Quality
401 /Wetlands Unit
1621 Mail Service Center
Raleigh, NC 27699-1621
Reference: DWQ Project No. 010569
NCDOT/SR 2222 Chatham County
Dear Sir or Madam:
Attached is certification of completion for the work performed under the above
referenced permit. The certification is signed by our field agent. If additional
information is required please advise.
Sincerely,
Timothy Joh son P.E.
Division Engineer
Attachment
cc: Tim Welch, PE
Art King
File
DIVISION 8, P. O. BOX 1067, ABERDEEN, NC 28315
Telephone: [phone] Fax: [phone]
State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
Michael F. Easley, Governor
William G. Ross, Jr., Secretary
Kerr T. Stevens, Director
DWQ Project No.: (31015(,0q
1 ? •
A0=00% 000%
NC ENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
County:
C- \r, a}\n a M
Applicant: 055 cc PE-, 01 V C S 10 t,j E N 61 N F,F Ie (S )
Project Name: 6e?LkEtAstJT of Mic)6rv 150
Date of Issuance of 401 Water Quality Certification: -Song Certificate of Completion
Upon completion of all work approved within the 401 Water Quality Certification or applicable Buffer
Rules, and any subsequent modifications, the applicant is required to return this certificate to the
401/Wetlands Unit, North Carolina Division of Water Quality, 1621 Mail Service Center, Raleigh, NC,
27699-1621. This form may be returned to DWQ by the applicant, the applicant's authorized agent, or the
project engineer. It is not necessary to send certificates from all of these.
Applicant's Certification
I, , hereby state that, to the best of my abilities, due care and
diligence was used in the observation of the construction such that the construction was observed to be built
within substantial compliance and intent of the 401 Water Quality Certification and Buffer Rules, the
approved plans and specifications, and other supporting materials.
Signature:
Date:
Agent's Certification
I, T F. WELCH hereby state that, to the best of my abilities, due care and
diligence was used in the observation of the construction such that the construction was observed to be built
within substantial compliance and intent of the 401 Water Quality Certification and Buffer Rules, the
approved plans and specifications, and other supporting materials.
Signature: Date: 2"5'"09"
Engineer's Certification
Partial Final
I, , as a duly registered Professional Engineer in the State
of North Carolina, having been authorized to observe (periodically, weekly, full time) the construction of
the project,for the Permittee hereby state that, to the best of my abilities, due care and diligence was used in
the observation of the construction such that the construction was observed to be built within substantial
compliance and intent of the 401 Water Quality Certification and Buffer Rules, the approved plans and
specifications, and other supporting materials.
Signature
Date
Registration No.
Wetlands/401 Unit 1650 Mail Service Center Raleigh, North Carolina 27699-1621
Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50%r, recycled/ 10% post consumer paper
State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
Michael F. Easley, Governor
William G. Ross, Jr., Secretary
Kerr T. Stevens, Director
1kT?WAJ
1 •
MONISM
NC ENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
ROAD CROSSING CERTIFICATION GENERAL CERTIFICATION FOR PROJECTS
ELIGIBLE FOR CORPS OF ENGINEERS NATIONWIDE PERMIT NUMBER 14 (ROAD
CROSSINGS), REGIONAL GENERAL PERMIT 198200031 AND NEUSE/TAR-
PAMLICO/RANDLEMAN BUFFER RULES
This General Certification is issued in conformity with the requirements of Section 401, Public Laws 92-
500 and 95-217 of the United States and subject to the North Carolina Division of Water Quality (DWQ)
Regulations in 15A NCAC 2H, Section .0500 and 15A NCAC 2B .0200 for the discharge of fill material to
waters and wetland areas as described in 33 CFR 330 Appendix A (B) (14) of the Corps of Engineers
regulations (i.e., Nationwide Permit No. 14 and Regional General Permit 198200031) and for the Neuse,
Tar-Pamlico and Randleman Buffer
Rules (15A NCAC 213 .0233, .0259 and .0250). The category of activities shall include any fill activity for
road crossing and is limited to fill less than one-third of an acre. This Certification replaces Water Quality
Certification Number 2177 issued on November 5, 1987, Water Quality Certification Number 2666 issued
on January 21, 1992, Water Quality Certification Number 2732 issued on May 1, 1992 and Water Quality
Certification Number 3103 issued on February 11, 1997. This WQC is rescinded when the Corps of
Engineers re-authorizes Nationwide
Permit 14 or Regional General Permit 198200031 when deemed appropriate by the Director of the DWQ.
The State of North Carolina certifies that the specified category of activity will not violate applicable
portions of Sections 301, 302, 303, 306 and 307 of the Public Laws 92-500 and 95-217 if conducted in
accordance with the conditions hereinafter set forth.
Conditions of Certification:
1. Proposed fill or substantial modification of wetlands or waters (including streams) under this General
Certification requires application to and prior written concurrence from the Division of Water Quality;
2. In accordance with North Carolina General Statute Section 143-215.3D(e), any application for a 401
Water Quality Certification must include the appropriate fee. If a project also requires a CAMA Permit,
one payment to both agencies shall be submitted and will be the higher of the two fees;
3. In accordance with 15A NCAC 2H .0506 (h) compensatory mitigation may be required for impacts to
streams and/or wetlands. In addition, buffer mitigation may be required for any project with Buffer
Rules in effect at the time of application. A determination of buffer, wetland and stream mitigation
requirements shall be made for any Certification for this Nationwide Permit. The most current design
and monitoring protocols from DWQ shall be followed and written plans submitted for DWQ approval
as required in those protocols;
4. For any project involving a stream re-alignment, a stream relocation plan must be included with the 401
application for written DWQ approval. Relocated stream designs should include the same dimensions,
patterns and profiles as the existing channel, to the maximum extent practical. The new channel should
be constructed in the dry and water shall not be turned into the new channel until the banks are
stabilized. Vegetation used for bank stabilization shall be limited to native woody species, and should
include establishment of a 30 foot wide wooded and an adjacent 20 foot wide vegetated buffer on both
sides of the relocated channel to the maximum extent practical. A transitional phase incorporating coir
Wetlands/401 Unit 1650 Mail Service Center Raleigh, North Carolina 27699-1 62 1
Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/10% post consumer paper
State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
Michael F. Easley, Governor
William G. Ross, Jr., Secretary
Kerr T. Stevens, Director
I ILF?WA
4
•
T
NC ENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
fiber and seedling establishment is allowable. Also, rip-rap may be allowed if it is necessary to maintain
the physical integrity of the stream, but the applicant must provide written justification and any
calculations used to determine the extent of rip-rap coverage requested. If suitable stream mitigation is
not practical on-site, then stream impact will need to be mitigated elsewhere;
Impacts to any stream length in the Neuse, Tar-Pamlico and Randleman River Basins requires written
concurrence from DWQ in accordance with 15A NCAC 2B.0233, 15A NCAC 2B .0259 and .0250 and
15A NCAC 2H .0500. New development activities located in the protected 50-foot wide riparian areas
(whether jurisdictional wetlands or not) within the Neuse, Tar-Pamlico and Randleman River Basins
shall be limited to "uses" identified within and constructed in accordance with 15A NCAC 2B .0233,
15A NCAC 2B .0259 and .0250. All new development shall be located, designed, constructed, and
maintained to have minimal disturbance to protect water quality to the maximum extent practicable
through the use of best management practices. Activities listed as "exempt" from these rules do not need
to apply for written concurrence under this Certification;
6. Placement of culverts and other structures in waters, streams, and wetlands must be placed below the
elevation of the streambed to allow low flow passage of water and aquatic life unless it can be shown to
DWQ that providing passage would be impractical. Design and placement of culverts and other
structures including temporary erosion control measures shall not be conducted in a manner that may
result in dis-equilibrium of wetlands or stream beds or banks, adjacent to or upstream and down stream
of the above structures. The applicant is required to provide evidence that the equilibrium shall be
maintained if requested in writing by DWQ. Additionally, when roadways, causeways or other fill
projects are constructed across FEMA-designated floodways or wetlands, openings such as culverts or
bridges must be provided to maintain the natural hydrology of the system as well as prevent constriction
of the floodway that may result in destabilization of streams or wetlands;
7. If this Certification is used to access building sites, all lots owned by the applicant must be buildable
without additional fill beyond that allowed under other General Certifications. Deed restrictions must be
placed on the remaining wetlands and streams on these lots to restrict future wetland and stream fill.
DWQ shall be sent copies of all deed restrictions applied to these lots;
8. That appropriate sediment and erosion control practices which equal or exceed those outlined in the
most recent version of the "North Carolina Sediment and Erosion Control Planning and Design Manual"
or the "North Carolina Surface Mining Manual" whichever is more appropriate (available from the
Division of Land Resources (DLR) in the DENR Regional or Central Offices) shall be in full
compliance with all specifications governing the proper design, installation and operation and
maintenance of such Best Management Practices in order to assure compliance with the appropriate
turbidity water quality standard;
9. All sediment and erosion control measures placed in wetlands or waters shall be removed and the natural
grade restored within two months after the Division of Land Resources has released the project;
IO.Measures shall be taken to prevent live or fresh concrete from coming into contact with waters of the
state until the concrete has hardened;
Wetlands/401 Unit 1650 Mail Service Center Raleigh, North Carolina 27699-1621
Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post consumer paper
State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
Michael F. Easley, Governor
William G. Ross, Jr., Secretary
Kerr T. Stevens, Director
A fflF'0v;WAJ
NC ENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
11. This Certification shall be utilized for roads from natural high ground to natural high ground. The
Certification for Nationwide Permit 18 may not be used in conjunction with this Certification to create
high ground for road access;
12. If an environmental document is required, this Certification is not valid until a Finding of No
Significant Impact (FONSI) or Record of Decision (ROD) is issued by the State Clearinghouse. All
water quality-related conditions of the FONSI or ROD shall become conditions of this Certification;
13. That additional site-specific conditions may be added to projects proposed under this Certification in
order to ensure compliance with all applicable water quality and effluent standards;
14. When written concurrence is required, the applicant is required to use the enclosed "Certification of
Completion Form" to notify DWQ when all work included in the 401 Certification has been completed;
15. Concurrence from DWQ that this Certification applies to an individual project shall expire three years
from the date of the cover letter from DWQ or on the same day as the expiration date of the
corresponding Nationwide Permit 14 and Regional General Permit 198200031 whichever is sooner.
Non-compliance with or violation of the conditions herein set forth by a specific fill project may result in
revocation of this Certification for the project and may also result in criminal and/or civil penalties.
The Director of the North Carolina Division of Water Quality may require submission of a formal
application for individual certification for any project in this category of activity, if it is determined that the
project is likely to have a significant adverse effect upon water quality or degrade the waters so that existing
uses of the wetland, stream or downstream waters are precluded.
Public hearings may be held for specific applications or group of applications prior to a Certification
decision if deemed in the public's best interest by the Director of the North Carolina Division of Water
Quality.
Effective date: 1 June 2000
DIVISION OF WATER QUALITY
By
Kerr T. Stevens
Director
WQC # 3289
Wetlands/401 Unit 1650 Mail Service Center Raleigh, North Carolina 27699-1621
Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/10% post consumer paper
State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
Michael F. Easley, Governor
William G. Ross, Jr., Secretary
Kerr T. Stevens, Director
DWQ Project No.:
Applicant:
Project Name:
Date of Issuance of 401 Water Quality Certification:
z
I Lj.K!W T
NC ENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
County:
Certificate of Completion
Upon completion of all work approved within the 401 Water Quality Certification or applicable Buffer
Rules, and any subsequent modifications, the applicant is required to return this certificate to the
401/Wetlands Unit, North Carolina Division of Water Quality, 1621 Mail Service Center, Raleigh, NC,
27699-1621. This form may be returned to DWQ by the applicant, the applicant's authorized agent, or the
project engineer. It is not necessary to send certificates from all of these.
Applicant's Certification
I, , hereby state that, to the best of my abilities, due care and
diligence was used in the observation of the construction such that the construction was observed to be built
within substantial compliance and intent of the 401 Water Quality Certification and Buffer Rules, the
approved plans and specifications, and other supporting materials.
Signature:
Agent's Certification
Date:
I, , hereby state that, to the best of my abilities, due care and
diligence was used in the observation of the construction such that the construction was observed to be built
within substantial compliance and intent of the 401 Water Quality Certification and Buffer Rules, the
approved plans and specifications, and other supporting materials.
Signature:
Engineer's Certification
Partial Final
Date:
I, , as a duly registered Professional Engineer in the State
of North Carolina, having been authorized to observe (periodically, weekly, full time) the construction of
the project,for the Permittee hereby state that, to the best of my abilities, due care and diligence was used in
the observation of the construction such that the construction was observed to be built within substantial
compliance and intent of the 401 Water Quality Certification and Buffer Rules, the approved plans and
specifications, and other supporting materials.
Signature Registration No.
Date
Wetlands/401 Unit 1650 Mail Service Center Raleigh, North Carolina 27699-1621
Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/10% post consumer paper
State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
Michael F. Easley, Governor
William G. Ross, Jr., Secretary
Kerr T. Stevens, Director
I 11kTWAA
4
T ?•
AIIINWIIIIII?!?l - - - ??
NC ENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
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 John Dorney at 919-733-9646.
Sincerely,
Attachment
cc: Wilmington District Corps of Engineers
Corps of Engineers Raleigh Field Office
DWQ Raleigh Regional Office
File Copy
Central Files
1 }
[evens
c:\ncdot\SR 2222\wqc\010569wgc.doc
Wetlands/401 Unit 1650 Mail Service Center Raleigh, North Carolina 27699-1621
Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/10% post consumer paper
State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
Michael F. Easley, Governor
William G. Ross, Jr., Secretary
Kerr T. Stevens, Director
1 01?WAA •
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
June 18, 2001
Chatham County
DWQ Project No. 010569
APPROVAL of 401 Water Quality Certification
Mr. E.B. Nelson, NCDOT
Division Bridge Maintenance Engineer
PO Box 289
Siler City, NC 27344
Dear Mr. Nelson:
You have our approval, in accordance with the attached conditions and those listed below, to place fill
material in 85 linear feet of streams for the purpose of replacing Bridge Number 150 on SR 2222 in
Chatham County. The project shall be constructed in accordance with your application dated March 26,
2001, and the subsequent addendum dated May 2, 2001. After reviewing your application, we have decided
that this fill is covered by General Water Quality Certification Number 3289. This certification corresponds
to the Nationwide Permit Number 14 issued by the Corps of Engineers. In addition, you should acquire any
other federal, state or local permits before you proceed with your project including (but not limited to)
Sediment and Erosion Control, Non-Discharge and Water Supply Watershed regulations. This approval
will expire with the accompanying 404 permit, unless otherwise specified in the Water Quality
Certification.
This approval is valid solely for the purpose and design described in your application (unless modified
below). Should your project change, you must notify the DWQ and submit a new application. If the
property is sold, the new owner must be given a copy of this Certification and approval letter, and is thereby
responsible for complying with all the conditions. If total wetland fills for this project (now or in the future)
exceed one acre, or of total impacts to streams (now or in the future) exceed 150 linear feet, compensatory
mitigation may be required as described in 15A NCAC 2H.0506 (h) (6) and (7). For this approval to
remain valid, you must adhere to the conditions listed in the attached certification.
1.) Upon completion of the project, the NCDOT shall complete and return the enclosed "Certification of
Completion Form" to notify DWQ when all work included in the 401 Certification has been completed.
The responsible party shall complete the attached form and return it to the 401/Wetlands Unit of the
Division of Water Quality upon completion of the project.
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 that conforms to Chapter 150B of the North Carolina General Statutes to the Office of
Administrative Hearings, P.O. Box 27447, Raleigh, N.C. 27611-7447. This certification and its conditions
are final and binding unless you ask for a hearing.
Wetlands/401 Unit 1650 Mail Service Center Raleigh, North Carolina 27699-1621
Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/10% post consumer paper
State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Bill Holman, Secretary
Kerr T. Stevens, Director
Mr. E. B. Nelson, NCDOT
Division Bridge Maintenance Engineer
Post Office Box 289
Silver City, NC 27344
Dear Mr. Nelson:
0,91? T
•
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
April 19, 2001
DWQ # 010569
Chatham County
On April 16, 2001 the Division of Water Quality (DWQ) was notified by receipt of
your applications regarding your plan to fill stream channels for the purpose of replacing
a bridge with arched pipes (Bridge No. 150 on SR 2222) in Chatham County. Approval
from DWQ is required to disturb this stream. Please report the length of stream to be
impacted by this arched pipe on line 10b of the application form.
Please call me at [phone] if you have any questions or would require
copies of our rules or procedural materials. This project will remain on hold as
incomplete in accordance with 15A NCAC 2H .0505(c). The processing time for this
application will begin when this information is received. If we do not hear from you by
writing within three (3) weeks we will assume you no longer want to pursue the project
and will consider it withdrawn.
i e
J R. Dorney
Cc: Raleigh DWQ Regional Office
Raleigh Corps of Engineers
File Copy
Central Files
Wetlands/401 Unit • 4401 Reedy Creek Road • Raleigh, North Carolina 27607
Telephone [phone] FAX # [phone]
An Equal Opportunity Affirmative Action Employer
50% recycled/10% post consumer paper
r
,wa
a
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY DIVISION OF HIGHWAYS
GOVERNOR
May 2, 2001
NCDENR
Div. of Water Quality
Mr. John Dorney
4401 Reedy Creek Rd.
Raleigh, NC 27607
PROJECT: Chatham Co. #150 - DWQ #010569
Randolph Co. #13 - DWQ #010567
RE: Stream Impacts
DAVID MCCOY
SECRETARY
Length of impact for both projects is expected to be 85 feet as indicated on the enclosed revised section of
the "Pre-Notification to Construct Form".
Sincerely,
ZA
E. B. Nelson, P.E.
Div. Bridge Mamt. Engineer
Cc: Bridge File
W. F. Rosser, P.E. - Division Engineer
Mike McNeill - City of Raeford
Bridge Maintenance Unit
PO Box 289 - Siler Citv NC 27344
CfI?TNw? ?/sU
FILLING. v EXCAVATION: C)
FLOODING: " OTHER : v
DRAINAGE : v TOTAL ACRES TO BE IMPACTED:
10b. (1) STREkM, CRANNELTO BE IMPACTED BY THE PROPOSED PROJECT (IF
RELOCATED, PROVIDE DISTANCE BOTH BEFORE AND AFTER RELOCATION:
LE-NGTH BEFORE: FT AFTER: PIS FT
WIDTH BEFORE (based on normal high water contours):
FT
AVERAGE DEPTH BEFORE: -_ F-; ,T-?D.
(2) STRE.A"M CH.-YNEQ DAPACTS «L REST---LT FROM: (CHECK ALL T-, a T APPLY)
OPEN CHAYNEL RE` OCATION: PLkCF-NM IT OF PIPE IN CjLk,`fNEL:
CH-1 NNEL EXCAVATION: COONSTRUCiiON OF A DAMM-CODIVG:
OTr ER:
11. IF CONSTRUCTION OF A POND IS PROPOSED, WHAT IS THE SIZE OF THE WATERSI=
DRAINING TO THE POND?
WI-iAT IS THE E;CPE=rD,
POND SURFACE AREA?
12. DISCTIPTTON OF PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF I IECE AMC AL
EQUIPME_NTTO BE USED? (AT'T'ACH PLANS: 8112 BY 1 I DRAWINGS ONLY)
QraPi A2 C jr ?i
T 21 fJG (? W! If L ?N g 5 d ?= d 3 iix -1
_GM(' i41ZGl? f? 4?uin L1Ti t-1Z1F-1> 1;-? Xe-AVArT01Z
1=. PURPOSE OFPROFOSED WORK: _ n,FF1L1m"T RKlr>c,g
1-'.. S TA E REASONS V'v;:y IT IS BEL IEVEO Tr aT T-HIS ACTIVITY ti1liST BE C.-?RRIFD OL i LN
W?TL?`IDS ( INCLUDE ANY MEASURES TAKEN TO VIItiZ-,,j= WE i L A V-D afp._ CC S')

ST?U%
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY ICI VISION OF HIGHWAYS LYNDO TIPPETP
GOVERNOR SECRETARY
March 26, 2001
USACOE 01 0 5 6
RECEIVED
Mr. Eric Alsmeyer WATFR (DUALITY SECTION
6512 Falls of the Neuse Road
Suite 105 APR U O 1UU1
Raleigh, N.C. 27615
Non-Disoha ge Penittling
Re: Chatham Co. Bridge No. 150 Replacement
Location: SR 2222, Branch of Rockv River
Dear Mr. Alsmeyer:
We are providing herewith an application package and copies of N.C. Department of Transportation,
Hydraulics Unit structure recommendation as part of a project involving the replacement of an existing
bridge with 2 lines of 103"x71" CM Pipe Arch. Construction shall begin in the Summer of 2001.
To our knowledge, no wetlands are involved and total fill in waters is expected to be less than 0.01 acre.
This bridge is not located in a high quality water area.
Please review this material, and if additional information is needed, or you have comments, please contact
our office.
Thank you for your cooperation and assistance in this matter.
SSincerelly
E.B. Nelson, P.E.
Div. Bridge Maint. Engineer
?J
Attachments r? t ,yr>
cc: Bill Rosser, P.E. - Division Engineer I rt
John Hennessey - DWQ - 7 copies w/ attachments r?
rTi
Mrs. Renee Gledhill-Earlcv - State Historic Preservation Officer _? -
Mike Crocker - US Fish & Wildlife Service
01V. 8 HRID0L VLUNTFNANCE
PO HOX 289 - SIL.ER CITY- NC - 27344
P] 1. 919.742.5649 PAX 919.663-0214
??LU NU13MMr1 L-v. rdX•yly-(JYJ'2S5 Jul 1J 1UUU 10:b8 P.04
MINIMUM CRITERIA DMR 0NATION C1MCKLIST
The following questions provide direction In detnrminitz whether a proposed project has only s
minim= potential for cnvirO=enW effects. Anewa the following questions by checking
either yea or W. Refer to the attached guidance for assiA mce.
TIP Project No.
State Project No. z
Prof ect Location: Gi?? rifA ?n Lo • '--r2 Z z z z fk2oSS geAAae- 4
c 7F 2oGic y 2fv r.,t.
ProjeatDweription: P..),2ir>c,& h4o
Antieiprated Permit or Consultation Requirements: N wp qo4
Special Project Information:
Ley. rax•y??r??-o ff Ju: 2U 2000 10:58 P.05
PA .r All MLM CRI RIp YES NO
1. Is the proposed project listed as a type which would qualify
as a Non-Major Action utidcr the Minimum Criteria?
PART Bt UM CRITERIA EXCEPTIONS
2. Is the proposed project likely to precipitate eigni$cant, foreseeable ? f'39
altemitans in land use, planned growth, or development patterns?
3_ Does the propowd action divide or disrupt an established community?
4. Does the proposed action bypass an existing oommuniry7 ?
5. Don the proposed action provide new access to area containing
significant amounts of exploitable natural resources?
6. Is the proposed action likely to have s afgalfieatnt detrimental impact
on air quuity? ?
7. Is the proposed action likely to love a signiflout detrimental impact
on ambient noise levels for adjoining areas?
8. Is the proposed action likely to have a significant impact on travel
patterns or traffic volumes?
9. Is the proposed action likely to significantly affect water quality?
10. Does the proposed action require the relocation of significant numbers
of people?
11. Is the project likely to be controversial? ? 0
12. Will the proposed action require the use of land owned by the
U. S. Forest service or the National park Scrvice?
PART Cs COMPLIANCE WITH STATE A.?YD FEDERAL REGULA'T'IONS
zcoloeical !m acta
13. Is a federally protected threatened or endangered species, or its habitat, CJ
likely to be Lmpaated by the proposed action?
14. Does the action rcqulra the ptaeement of fill in waters of the United States?
2
• 1
1-4?uv i I r ULJI\ru.f Lev.
raxyty-??0-o?ts5 Jul 20 2000 10:58 P.06

1 S. Does the project require the placement of a significant amount of fill in ? 9
high quality or relatively rare wetland ecosystems, such as mountain bogs
or pini ;avannalm?
16. Doke the project require strewn relocation or chwmel changes? ? 3
17. Is the proposed action located is an Area of Environmental Concern, ?
as deRUed in the Coastal Area Management Act?
Cultural Res =ee `
18. WM the project have an "effect" on a property or site listed on the ?
National Register of Historic Places?
19. Will the proposed action require acquisition of additional right of way ?
from publicly owned parkland or recreational areas?
Reviewed by; e- ?X6 t _ Date: ?,1z&10
?
Project Planning Engineer
Project Planning Unit Head
If MY questions 2 through 12 are answered "yes". the proposed project does not qualify as a
Non-Major Action. A stare environmental assessment (,EA) will be required. For assistance,
contact:
William D. Gilmore, P. E.
Manager, Project Development and Envirownental Analysis Brunch
F. O, Box 25201
Raleigh, NC 27611
[phone]
Fax: [phone]
Q11 WOM is Piet C are designed to assist the Engineer in-determining whether a permit or
consultation with a state or federal resource agency may be required. if any question in Part C is
answered "yea", refer to the Environmental Guidance Section of this document and contact the
appropriate individual for assistance.
3
o 1 o5 69
D`VQ ID:
CORPS ACTION ID:
NATIONtiVIDE PER,tiITT REQUESTED (PROVIDE NATIONWIDE PERMIT n)
PRE-CONSTRUCTION NOTIFICATION APPLICATION
FOR NATIONWIDE PERMITS THAT REQUIRE:
1) NOTIFICATION TO THE CORPS OF ENGINEERS
2) APPLICATION FOR SECTION 401 CERTIFCATION
3) COORDINATION WITH THE NC DIVISION OF COASTAL INIANAGENME_N-I'
SEND THE ORIGINAL AiVID (1) COPY OF T-rlIS COMPLETED FORM TO THE , PPROPRLATE
FIELD OFFICE OF THE CORPS OF ENGINEERS (SEE AG-=-,TCY ADDRESSES SHEET). SEVEN
(7) COPIES MUST BE SENT TO THE NC DIVISION OF WATER
QUALITY. ATTN: JOHN DORNEY. 4401 REEDY CREEK ROAD.
RALEIGH. NC 27607. PLEASE PRINT OR TYPE.
:. OWNER'S NAME: t46-00T- grzrDG,oL 1v1f1.11-J7T9NANZ-e
2. MAILNG ADDRESS: PO 901c Z89
SUBDIVISION NA-ME
CITY: _ S I LPE 2. G i rY STATE: m L ZIP CODE: Z 7 5 44
PROJECT LOCATION ADDRESS. INCLUDING SUBDIVISION NAME (IF DIFrERE- T FROM
MAII..ING ADDRESS ABOVE):
G /f,47'/-baAA LO. 1S21nG, r- 1\10 . 1,-5-41
3. TELEPHONE NUMBER: (HOME)
(WORK) 9 I? - ?4 Z - sC.?9
IF APPLICABLE. AG-=-N-T'S NANID OR RESPONSIBLE CORPORATE OFFICLa.L. ADDRESS.
PHONE NUMBER:
{¢ IZ1L /???-SorJ
LOCATION OF WORT{ (PROVIDE A PREF.: rR. ELY A COPY OF LSGS TOPOGR.a.PF-EC
MAP OR AERIAL PHOTOGR.421;'Y WT7H SCALE):
COUNTY: G/?a rlflan? -NEARESTTOw?: 1?'iT rsr3o20
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ECT )
5 2 z z z z rLOss GaA ,,? n C, r- 12,,,
6. IMPACTED OR NEAREST STRE,%.MfRNER: - Qo e- 14 y 0 ya 9-
RIVER, BASIN: GAPS Flzst2
7a. IS PROJECT LOCATED NEAR WATER CLASSIFIED AS TROUT, TID 4-L S ALTW A TER. (SA).
HIGH QUALITY WATERS (HQW), OUTSTANDING RESOURSE WATERS (ORW), WATER _
SUPPLY (WS-I OR WS-II)? YES ( ) NO ( X ) IF YES. E?L.A.LN:
7b. IS THE PROJECT LOCATED WITrZN A NORTH CAROLINA DIVISION OF COASTAL
.vLA- NAGF-vlEN-r AREA OF E_`IVIROMEVI AL CONCERN (AEC)? YES ( 1 NO ( X ;
7c. IF THE PROJECT IS LOCATED WITHLN A COASTAL COUNTY (SEE PACE 7 FOR LIST OF
COASTAL COUNTIES), WHAT IS THE LAND USE PLAIN (LUP) DESIGNATION?
8a. HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS
PROJECT? YES ( ) NO ()C) IF YES, PROVIDE ACTION I.D. NUMBER OF PREVIOUS
PE U,aTAND ANY ADDITIONAL INFORMATION (INCLUDE PHOTOCOPY OF 401
CERTIFICATION):
8b. ARE ADDITIONAL PERMIT REQUESTS ERPEC ED FOR THIS PROPERTY N i
FUTURE? YES ( ) NO (X) IF YES, DESCRIBE Al-,MCIPAT-r.D WORK:
9a. ESTLMATED TOTAL. NUMBERS OF ACRES N TRACT OF LAND: NSA
9b. EST MATED TOTAL NUMBER OF ACRES OF WE i L-.'N-DS LOCATED ON PROJECT S=
O
10a. NUti1B ER OF ACRES OF WETL.A:NDS L1,IP A CTED B Y TI-= PROPOSED PROJECT BY:
FILLING: v
FLOODING: C.2
DRAINAGE : v
EXCAVATION: O
OTHER:
v
TOTAL ACRES TO BE IMPACTED: O
10b. (1) STREA,VI CH_ NNEL'TO BE IMPACTED BY THE PROPOSED PROJECT (IF
RELOCATED, PROVIDE DISTANCE BOTH BEFORE AND AFTER RELOCATION:
LENGTH BEFORE: FT AFTER:
WIDTH BEFORE (based an normal high wave; contours): _.
FT
FT
AVERAGE DEPTH BEFORE: FT AFTER: F^
(2) STREAM CHA: N T DYIPACTS WILL RESULT F:?01 I: (CHECK ,'. L i r -? i APPLY)
OPEN CHANNEL RELOCATION: PLaCE:IYIF-N OF PIPE IN Cr kiNNEL:
CH'AN NEL EXCAVATION: COONSTRL C 11ON OF ?: D.4WFILOODD G:
OT'r-R:
11. IF CONSTRUCTION OF A POIND IS PROPOSED, 'rVHAT IS T'riE SIZE OF T'rE WATERSHED
DRAINING TO THE POND? WHAT IS THE EYPECTED
POND SURFACE AREA?
12. DISCnPTION OF PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF NIEC-H-1A.NIC L
EQUIPIAEYI' TO BE USED? (ATTACH PLANS: 8I/2 BY 1 I DRAWINGS ONLY)
erz???? x?STEtiIc K2igL iE w IrN Z Z- IN 1s yr
GMP /4?LFF g 42u1n I-ITILI?I?j7 g.:.Ar VATo2.
1:. PURPOSE OF PROPOSED WORT{: 2rmn??cu? n?Fr?rrtinrr R?rr?c,?
1-'.. STATE REASONS VV'r:Y IT IS BELIEVED Tr -?T THIS :? C T 17= MUST B E C.?RED OL 1 21i
WETLANDS ( INCLUDE ANY I IFASUTRES TAKEN TO ?ILYLti1I? ?'v'c i L a VD L1 IPAC I S )
15. YOU ARE REQUIRED TO CONTACT THE US FISH AND WILDLIFE SERVICE AND/OR
NATIONAL MARINE FISHERIES SERVE REGARDING THE PRESENCE OF ANY FEDERALY
LISTED OR PROPOSED FOR LISTING ENDANGERED OR THREATENED SPECIES OR
CRITICAL HABITAT IN THE PERMIT AREA THAT MAY BE AFFECTED BY THE PROPOSED
PROJECT. DATE. CONTACTED: R 1 L rr-rrr rL-
16. YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICER
(SHPO) REGARDING THE PRESENCE OF HISTORIC PROPERTIES IN THE PERMIT AREA
WHICH MAY BE AFFECTED BY THE PROPOSED PROJECT. DATE CONTACTED
#; 11... r rr rgrz
17. DOES THE PROJECT L- VOLVE ANN EXPENDFMRE OF PUBLIC FUNDS OT THE USE OF
PUBLIC (STATE) LAND? YES ( x) NO ( ) (IF NO, GO TO 16) _
a. IF YES, DOES THE PROJECT REQUIRE PREPE_RATION OF AN E.YVIRONMEN7AL.
DOCUMENT PURUANT TO THE REQUIREMENTS OF THE NORTH CAROLINA
ENVIRONMENTAL POLICY ACT? YES( Xj NO ( )
b. IF YES. HAS irr DOCU.1dEN T BEEN RE==)WED THROUGH T-HE NORT-H C.?ROLLN A
DEPARTMENT OF ADMINISTRATION STATE CLEAR.NGHOUSE YES ( ) NO (X)
1`AIN!/vN1jM G2r7'E1zsA c-*me-ft-usT --6L^J r T"o PD 4 115?
IF ANSWER 17b IS YES. THEN SUBMIT APPROPRIATE DOCUMENTATIONFRO&f THE ST Ai-
CLEARINGHOUSE W i THE NORTH CAROLD A ENVIRONMENTAL POLICY ACT.
QUESTIONS REGARDING THE STATE CLEARINGHOUSE REVIEW PROCESS SHOULD BE
DIRECTED TO MS. CHRYS BAGGEIT, DIRECTOR STATE CLEARINGHOUSE, NORTH
CAROLINA DEPARTMENT OF ADMINISTRATION, 116 WEST JONES STREET, RAT EGH,
NORTH CAROLINA 27603-8003, TELEPHONE [phone].
18. THE FOLLOWING ITEMS SHOULD BE E 1CLUDED WITH TIES APPLICATION IF PROPOSED
ACTIVITY INVOLVES THE DISCHARGE OF EXCAVATED OF FILL MATERIAL RN -1 O
WETLANDS:
a. WETLAND DELINEATION MAP SHOWING ALL WETLANDS, STRaA.: JS, LAS, ?N-D
PONDS ON THE PROPERTY (FOR NATIONWIDE PER-'Y= NU, IB ERS 1 18. 21. 26. _9.
AND 38). ALL STREAM (INTER:NIITH-N- T AND PERMA ENT) ON = PROPERTY
MUST BE SHOWN ON THE MAP. MAP SCALES SHOULD BE 1 INCH EQUALS 60 FEET
OF 1 INCH EQUALS 100 FEET OF THEIR EQUTVAL.Ev 71.
b.. IF AVAILABLE. REPRESENTATIVE PHOTOGRAPH OF WE TLA.NDS TO BE afP A C cD
BY PRODUCT.
c. L DELINEAITON WAS PERFORNfED BY A CONSULTANT, INCLUDE ALL DATA
Sc-. SETS REl VAiN7 TO TF-IEPLACENIENi OF T'rt DELLNEATION LINE.
d. ATTACH A COPY OF IF-=- STORIVWATER MANAGEMENT PLAN IF REQUIRED.
e. WH?-?T IS LAND USE OF SURROUNDING PROPOERTY7 12 LJ - UN n,? V SL-0 1-1£??
To LILT/4-T Z s/? 71hc_
f IF APPLICABLE. WHAT IS PROPOSED IhIETHOD OF SEWAGE DISPOSAL? ---LIA
SIGNED AND DATED. AGENT AUTHORIZATION I E"i'I ER. IF APPLICABLE.
NOTE: WTLANDS OR WATERS OF THE US MAY NOT BE LMPACTED PRIOR TO:
1) ISSUANCE OF A SECTION 404 CORPS OF ENGINEERS PERMIT,
Z) EITHER TIC ISSUANCE OR WAIVER OF A 401 DIVISION OF WATER QUALI-:
CERTIFICATION, AND
1 (R T THE TZLTNTY COASTAL. COLTITI"S ONLY). A LETTER FROM THE NORTH
CAROLINA DIVISION OF COASTAL ?fANAGE.NfHN T STATING THE PROPOSED
AC I'= IS CONSISTENT WITH THE NORTH CA ROLLNA COASTAL
.%L-%AGE% E-1 T PRCGR.ANl.
OWNER'SIAGF-N7'S SIGNAT'L?
(AGENT'S SIGNATURE VALID ONLY
IF AUTHORIZ-kTION LETTER FROM
THE OWNER IS PROVIDED).
?l ,P`3 ? '` ?+; Ch.
1365 t=A / Emmaus Cn. 1 M 2 / ? \ 3 „
C434 J1 09 5 i, ' \ m / '
ISYJ-; '? ,_bl? ?D 82
1501 '\
_y- \ 1'_1'5 1,_IZ'•\ '`; . ., v '\.. '•'
15'Y2 \ l \ r
Ch 1 ISIS ?'O I 15
L• \.. .15051 En
D. I IYJB _ 1513 \ \ , Al
C42" R Hicko,y 510 \ 5)8 51° ' \ '
1 ? 1
1-lJO? 1506 Mtn. ••? ? 1,a 1 .5 •<'•
• ( Cn.?.. ,512 a ` Mircne::6', \ c- ) ?
h.• ,`q3 '• 1 ° ? ? Isn ?1sn r ?'\.. ?\, cnwe;>-:. I i
1503 ?: r 151 423 422 r ` I re
:.d 1?q .C•. .q i v n
n 21,0 / ?`9 \ v i 165 n I!_a ,. 0 \ \I MTSBOAO
\4 ! •, '\ ,Il?•'?. ` 404 2163 •! •\ f^ tY l' ?\ /OP. I.M
21 r
2119 2,1, 1 1 1 I/
Y ,
P z' ` P1371 C43 ci 2 9aa
•.\ - .-' prom, 3 \ J- / `. -•, 1291 '2161 -'-25 '•.•• ,` `.., .7 i '' -
21 EA 2165 y \
^' \
2153 •_9 J r ?? 1 I '.9
141 ! 325 > I o toP - \`, % -•I`? •.\ J\ J' ',J `` 38,,
•.13 1sP135 i 216s °`. Cre•>< \ 92 C57 '\,R??Ntpm/ ' ; ??
2110 •_•-. a ,, 2191,
•\ ,.•\ /--•- 1 I5p5 m .2 /? ,.n e izo' e 190,2 ,951 ' e
212 142 4 s q `i =2
- 1506 / 5 '• ?•t' r I.
21)3 R ') 40 ~
o,o
°i143 2156 n i _ \ 36
?' 2116 I y ( d ? 215) '
621 2111 2 P362 619
q" , 19!9 q.? ,959
72119 "I ' 370 J ' w
2 /•' (3?
25
?,-• ,-175 2,)0 .? 1 28
21)5 .a 1,145 ?,.. ?• /.- , I
400: J'
21275 z155 .y•,? s1'• ?2_i '?.-'
/ n? R ' z/Cnomam a ` a ?? ????A ( cum
33 sp'l,
?r Ch.
Z, '•.y' r. 2132 Y. ?LI a ,956
2,87 '1 21 T2 2175 `1010 195 """? 8) i. q Ij '•.ti' 1
2152 ?s 963
, 1 •' 3
\ J 2z ` 2155 147 X150 990 a P399 i±i 1.
Mr, Vlee Ch.
i 2181 21 R 1 ?'' , boor .?` ,••l, ?? m Center Gr- 19`4
F , \149 9 - -Ch.
- <a 21 PA )402
2155 \ ,
J
l? \ 173 •, 170 6' _
\ 1 _ 1978
• ,,L •; 2102 •? Mays 1954
CnaOel 2173 21 •S 9
621 1. 2183 e r
r - 1 21 e zF? C f
•? ? 3 \. -, • 2113 ,f? i. 14 '\ '•`.t 221 ` 1953 1--tl
`• T •?" /...i••? \ •.`1010 anrlocn•Ch. 2188 ' \ TOylOrB 2h. °.. 19? y 1959
/ / a 2192 / 'j• R A 1
? 2135 ( ' 'L. 1.2 2t a2 ??' >?. .2 `
_ ?•' 19`.9
\ - \? 1.0 i.e /, 153 .•/ 'O=t3 / 2151 •' \
GOIDSTON / 2135 2137
\ ^ / C
tor. 3]° I '' /••'N ? J '\
P159
- - ' '\
`a'` ? '?-•' • 22,2 3r 3v
- la W b
° m23J3 '?? •? 9. '••• mil' 11158 _ `154 i zlas
2310
a\ C465 I- 215i\ ?L \ \ 157
O 1009 - .0 ?. / • y tom.. J , R' 1 N?MYE37ERN RY. ZY ? J I
-J ' 473
t ?.;. O l Na GVN
5 1 •I G? /. 51 ?
14
,? • C459
21T «g ` ' 201 /•'r. \
Carbuntgn
Cn, 50
e
'y 19.
----------- °1 e - c I V E D
WATER QUALITY SECTION
APR u o Cu:
k
Non-Di whargo ParmitUng
T Y
?T?
• `'? _ '? ?S ?\ 4 ? ?? v'• 111 ? ??ti ? 1 ! /?

?
? { c \ .1. ; ; ! mod,, / ?. , , ? • _ `"-?? `?. ? ? , ?-?
.v

W'

N35,?38 25'

? V r?J l
, JJ ?
L Jr •-?-•? •{'
, :
:
^
1 _.r-
35 38? /
-- ?? ?? ? ? I -' ??
l. ! f /
/ f' ! 1 1 .
.
:
?
?
4 \;6?
+
•?
?
4 ?
? \? _ ] ? ? i ,
am,
/ ??` ?,? ??
? 4 +? ?
'
?
\
? ?
r
/ _• f
rJ ,?
;? \ '
(
l f ? ?
1
\
_- i r
/
?
` I ?'.,?
;
N N
?
?
3537-75 ,.
? .,?1?`r7 • r , ?
;'fit ?.?..? ;?? r !?;'_•?--`s i+f ?' ? ? \ ''k? i' '?tji ?jr`?,`_?!r T ?l.?T"

tT35" 3.;5'- ? _:.,? ?.-3 ? J +y/?j/?yy".t t??, •t ,t \ v ? + ??7? ? ?'`{?,}?` - - r?`'?? ? ?_ ? _ -

C,

S

N? s

e7
?

Jt?,

S 1 01,
t!!
.1 51
S"
,
-
9-0 Topoguaas Copyright 0 1999 DeLorme Yarmouth, 13 04096 Source Data: OSGS 1500 ft Scale: 1 : 12,800 Detail: 14-0 Datum: IGS84
/ ?? \ .? -.. • I I ?? '! ?? / 1 ? /? \1 / j ? Cam/ t i ??1,
- `..........
17
L i1 ?) R
Cr.
4
---- --------------
515 1 tai{ ` ; ?. __ i
00
.•\ I i j - 1 .. \. _ ? it ?f-{?-K ? I ? Y/ / ' -
Creek . ---- -
-vek
- i f ,
p ?, - ? ~/? `r ? rte. ? ail 7 fn I ?', r, ?1 1 '' ,?•?'_
-? ? ? _ ' i_ r-'? ? ? ?t l !? • ? ? ,i ?.•" ? . r"! it
v: 7z?
TJ _ _ -r- _ ------ ------------
o
? rd.
-r - GOU,NTY
,
- _.; -A
o P
Idm ?
?9?Jl1L?'
:?cATTE?E?? r ?vo?v
CPA ? .

ic+so'P.o.T. CP. K??

tom-. -?-
+ -'c A c. D
TRetE: Z,
L
GI-ASS
if

. . ....... .
. . ........
... .... .. ... ..
.& /10
O ?C
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY DIVISION OF HIGHWAYS LYNDo TIPPETT
GovERNOR SECRETARY
March 26, 2001
USACOE
Mr. Eric Alsmeyer RECEIVED
6512 Falls of the Neuse Road WATER QUALITY SECTION
Suite 105
Raleigh, N.C. 27615 APR u u
Re: Chatham Co. Bridge No. 150 Replacement Non-Dischargo Permitting
Location: SR 2222, Branch of Rockv River
Dear Mr. Alsmeyer:
We are providing herewith an application package and copies of N.C. Department of Transportation,
Hydraulics Unit structure recommendation as part of a project involving the replacement of an existing
bridge with 2 lines of 103"x71" CM Pipe Arch. Construction shall begin in the Summer of 2001.
To our knowledge, no wetlands are involved and total fill in waters is expected to be less than 0.01 acre.
This bridge is not located in a high quality water area.
Please review this material, and if additional information is needed, or you have comments, please contact
our office.
Thank you for your cooperation and assistance in this matter.
Sincerely,
??iZ?
E.B. Nelson, P.E.
Div. Bridge Maint. Engineer
70 -L7
Attachments n
cc: Bill Rosser, P.E. - Division Enlrincer rn
John Hennessey - DWQ - 7 copies w/ attachments M
Mrs. Renee Gledlull-Earley - State Historic Preservation Officer
Mike Crocker - US Fish &- Wildlife Service
DIV. 8 BRIDGE N1,UNTENANCE
PO BOX 289 - SILER CITY- NC - 27344
I'll. 919.742.5649 PAN 919.663.0214
_ M-LUi , NUUM-all LLv. rdx•tJ iy-r??-J?2SJ Jul tJ 2000 1(),58 P.04
MINIMUM CRITERIA DETETMIWNATION CHECKLIST
The following questions provide direction In determining whether a proposed projoct has only o
minimum potential fer environmcnW effects. Answer the following questions by chc&k q
either yes or no. Refer to tho attzrhed suidaace for assistance.
TIP,P ro jcct No.
State Project No. -5.,5-Z,5 2-
Project Location: Gi??rif?M Go • 52 2 z z z A-,- r2-0 SS 9P-A e- 4
vF 2oG??/ 2?v?.rc.
Projoct Description.- Pji21?c,? /Zo 1,57-3
Anticipated Permit or Consultation Requirements: N wr> qo ,?
Special Project Information:
• --?+????Mr," LLV. rCIA, 71*--t"'fJJ-J725J Ju: 20 2000 10:58 P.05
?ART A: MINI14it1M CRI'T'ERIA YES NO
1. Is the proposed project listed as a type which would qualify
as n Non-Major Action udder the Minimum Criteria?
PARS' B: 'MT nmUM CRITERIA EXCEPTIONS
2. Is the proposed project likely to precipitate aigniflcant, foreseeable
alterntions In land use, planned growth, or development patterns? Q
3- Docs the proposed action divide or disrupt as established Community?
4. Doss the propoacd action bypass an existing communi y7
5. Dow the proposed action provide new access to areas containing
i
ifi
s
gn
cant amounts of exploitable natural resources?
6. Is ttzc proposed action likely to have a sigaificant detrimental impact
on
i
i
a
r qual
ty?
7. Is the proposed action likely to leave a significant detrimental Imp=
bi
on am
ent noise levels for adjoining arras?
8. Is the propoacd action likely to have a siam1fl It impact on travel
utt
p
erns or traffic volumes?
9. Is the proposed action likely to signi$crietly affect water quality? Q
10. D= the proposed action require the relocation of significant numbers
of people?
11. Is the project likely to be controversial? ?
12. Will ee proposed action require the use of land owned by the
U. S. Forest Service or the National Park scr-rice?
PART C: COINOLL-4,NCE WrrH STATE a Q )E'EDERAL gEr.Trr A IONS
Ecological Imoa_ts
13. Is a fedcr4y protected threatened or endangered species, or its habitat,
likely to be Lmpacted by &.;: propoacd Tenon?
14. Does the action rcquira to placement of fell in waters of the United States? El F-i
2
v N"mn-f' Lirv. r dx : yid- fJJ-J5255 Jul 20 2000 10:58 P. 06

15. Does the project require the placement of a significant amount of fill in ? El
high quality or relatively rare wetland ecosystems, such as mountain bogs
or pine savannah32.
16. Does the prnjeet r©gtiiro stream relocation or channel changes? ? z
17. Is the proposed action located in an Arcs of Environmental Concern, ?
as deftued in the Coastal Area Management Act?
Culttual Resouma
18- Will the project have en "effect" on a property or site listed on the ?
National Register of Historic Places?
19. Will the proposed action require acquisition of additional right of way
from publicly owned parkland or recreational areas?
Rovicwcd by; SJ?? Date: ?,/z6/0 1
Project Planning Engineer
Project Planning unit Head
If any questions 2 through 12 are answered "yes", the proposed project does not qualify as a
Non-Major Action. A stare environmental assessment (EA) will be required. For assistance,
contact:
William D. Gilmore, P. E.
Manager, Project Development and Enviromnental Analysis Branch
P. O, Box 25201
Raleigh, NC 27611
[phone]
Fax: [phone]
Questions in Part C are designed to assist the Engineer in-determining whether a permit or
consultation with a state or federal resource agency may be required. if any question in Part C is
answered "yes", refer to the Environmental Guidance section of this document and contact the
appropriate individual for assistance.

DWQ M:

CORPS ACTION ID:
NATIONWIDE PEILMIT REQUESTED (PROVIDE NATIONWIDE PEI;MIT n)
PRE-CONSTRUCTION NOTIFICATION APPLICATION
FOR NATIONWIDE PER-YEITS THAT REQUIRE:
1) NOTIFICATION TO THE CORPS OF ENGINEERS
2) APPLICATION FOR SECTION 401 CERTIFC.4TI0N
3) COORDL IATION WITH TrIE NC DMSION OF COASTAL- IA.NAGEIfE-NT
SEND THE ORIGINAL AN-D (1) COPY OF THIS COMPLETED FOR.N1 TO THE PPROPRL'k E
Fir n OFFICE OF THE CORPS OF ENGINEERS (SEE:. AGENCY ADDRESSES Si= ). SEVEN
(7) COPIES MUST BE SENT TO THE NC DIVISION OF WATER
QUALITY. ATTN: JOHN DORNEY. 4401 REEDY CREEK ROAD.
RALEIGH. NC 27607. PLEASE PRINT OR TYPE.
1. OWNER'S NAME: NL007-- 9/ZiontE- M,41NT)?FNANLrn
2. b1AILLNG ADDRESS: Ipo 99)'4 Z89
SUBDMSION NAIN E
CITY: S IL M rL G i rY STATE: Al L_ ZIP CODE: 2 7 3 4
PROJECT LOCATION ADDRESS, INCLUDING SUBDIVISION NA_IME (IF DI^r.--.'??YI' FROM
MAILING ADDRESS ABOVE):
G /-f, T'/' nd L Lo • F> 21n 6-7 /r- /'Jo . / I e.,
3. TELEPHONE NUMBED: (HOME)
(WORK) 9 I? - 7?f Z - 5C.?9
4. IF P.PPLICABLE: A G-=?Ni S NAN E OR RESPONSIBLE CORPORATE OFFi-CL-1.. ?IDDRESS.
PHONE NUMBER:
e- IZIL /??ct-5a?
5. LOCATION OF WORK (PROVIDE A NL-D. PRF ERA -LY A COPY OF LSGS TOPOGR.-?LEC
lf.Ap OR ki-E-FL-LL PHOTOGRAPHY W=H SCALE):
COLtiTz: G/>`aTlfr?M ,iE?REST TO?V?: I?Irrsr-,o2o
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ECI' )

6. IMPACTED OR NEAREST STREAlIM/RIVER: Qo e-1, -l
Qi yr? (Z
RIVER BASIN: GAp&- FIsArL
7a. IS PROJECT LOCATED VEAR WATER CLASSED AS TROL i . TIDAL SALTW a TER. (SA),
HIGH QUALITY WATERS (HQW), OUI'ST.,.NDLYG RESOURSE WATERS (ORW), WATER _
SUPPLY (W S-I OR WS-In? YES ( ) NO ( X ) IF YES. E.?LALN:
7b. IS THE PROJECT LOCATED WITrM-4 A NORT-r' CAROLINA DIVISION CF COASTar
.yLANAGE:tifEVT AREA OF EZNIVIRON=IAL CONCERN (AEC)? tS ( 1 ?O (x j
7c. IF THE PROJECT IS LOCATED WITHIN A COASTAL COUNTY (SEE PACE 7 FOR LIST OF
COASTAL COUNTIES), WHAT IS THE LAND USE PLAN (LUP) DESIGNATION?
8a. HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS
PROJECT? YES ( ) NO Q<) IF YES, PROVIDE ACTION I.D. NUMBER OF PREVIOUS
PERb,fIT-AND ANY ADDITIONAL INFORMATION (INCLUDE PHOTOCOPY OF -101
CERTIFICATION):
8b. ARE ADDITIONAL PERMIT REQUESTS 02EC ED FOR TIES PROPERTY 2,1 is
FUTURE? 'YES ( ) NO ()-,) IF YES, DESCRIBE ANTICIPATED WORN:
9a- ESTLvIATED TOTA r NUZ14BERS OF ACRES Lti iZ=.Ci OF L.-'-N-D: _ -4
9b. ESlIUMATED TOT=r NUMBER OF ACRES OFw?T': `+DS LCCAir-D ON PROIi=CTS=:
O
I0a. NtitifBER OF ACRES OF IN-E7-,Aa[PAC1ED 3 Y Tr= PROPOScD PROJECT BY:
FILLING: _ v
FLOODING:
DRAINAGE : v
TOTAL ACRES TO BE IMPACTED: O
10b. (1) STRE.4Vf CH_ NNEI: TO BEIMPACTED BY THE PROPOSED PROJECT (IF
RELOCATED. PROVIDE DISTANCE BOTH BEFORE AND AFTER RELOCATION:
LENGTH BEFORE: FT AFTER: FT
WIDTH BEFORE (based on normal high wave; contours): FT
AVERAGE DEPTH BEF ORE: FT AFTER: F-
(2) S=-',, f CH. - i r Ili fP ACi'S WILL RESULT FROtif: (CHECK ALL i r_AT APPLY)
OPEN CHAiWEL R= OCATION: Pl-k=Y1ELYT OF PIPE IN Ci AjYNEL:
CE-UN EE EXCAVATION-: COONSTRL=ON OF :? D a WFELOODI G:
OTTER:
I I. IF CONSTRUCTION OF A POND IS PROPOSED, 'YW AT IS THE SIZE OF T'r=. WATERSi-=J
DRAII`rING TO THE POND?
POND SURFACE AREA?
WHAT IS THE EXPE==D,
12. DISCTIIMON OF PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF ME:'-IikNIC SL
EQUIPME-q T TO B E USED? (ATTACH PLANS; 81/2 B Y I I DRAWINGS ONLY)
e?r'LAt 6x?srjoj6, l;2,o 7,T- w I-r4
z L 1, r S n r Jos iiK -11 11
GMP i41Z6A . e 4'u?p WTILISty-l> 1;_?' XUIVd,'r0re
I:. PURPOSE OF PROPOSED WORK: Ogn??cu? C??Fr??r?,,, ?- Rw?t>c,?
EXCAVATION: O
OTHER: v
1-'.. STATE RE:?S0NS 7L r f TT 15 BEL IvVED Ti- T THILS AC T?VIiY NfUST BE C? ??-D OL i
W7EiLA `jDS ( EN C7-U E ANY ,MEASLES T.tiKE.N TO MEN-IM1 H VV E T L ? ti tD afPACi 5'?
15. YOU ARE REQUIRED TO CONTACT THE US FISH AND WILDLIFE SERVICE AND/OR
NATIONAL MARINE FISHERIES SERTVE REGARDING THE PRESENCE OF ANY FEDERALY
LISTED OR PROPOSED FOR LISTING ENDANGERED OR THREATENED SPECIES OR
CRITICAL HABITAT IN THE PERMIT AREA THAT MAY BE AFFECTED BY THE PROPOSED
PROJECT. - DATE CONTACTED: R ? L ITT r 12
16. YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICER
(SHPO) REGARDING THE PRESENCE OF HISTORIC PROPERTIES IN THE PERMIT AREA
WHICH MAY BE AFFECTED BY THE PROPOSED PROJECT. DATE CONTACTED
K`I 4. rarr rse-
17. DOES THE PROJECT D 7VOLV-E AiY E PENDITURE OF PUBLIC FUNDS OT T- HE USE OF
PUBLIC (STATE) LAND? YES ( x ) NO ( ) (IF NO, GO TO 16) _
a. M YES, DOES THE PROJECT REQUIRE PREPERATION OF AN E-YVIRONMEVTAL
DOCUMENT PURUANT TO THE REQUIR -NM-NTS OF THE NORTH CA-ROLENA
EWHZON?VfEN T AL POLICY ACT? YES ( Xj NO ( )
b. IF YES. HAS i r? DOCUIvfHN- T BEEN RE.=:t.WED T rIROUGH T-HE NOR i r_ C .?ROLE A
DEPARTMENT OF ADMINISTR.-%TIOiI STATE CLE.kR.iG'i''OUSE Y EES ( } ,;0 (,K
MItjI/N[JM 61ITEIZld G*lee-k l-iST s?"-r -T-a Pairs
IF ANSWE_R 17b IS YES. THEY SUBMIT APPROPRIATE DOCUbfE:-1TA'I7ONFR01,1 THE STATE
C-iE.gRINGHOUSE VvTr_ THE NORTH CAROLINA EWMONMENTAL POLICY ACT.
QUESTIONS REGARDING THE STATE CLEARINGHOUSE REVIEW PROCESS SHOULD BE
DIRECTED TO MS. CHRYS BAGGEIT, DIRECTOR STATE CLEARINGHOUSE. NORTH
CAROLINA DEPARTMENT OF ADMINISTRATION, 116 WEST JONES STREET. . RA r EGH,
NORTH CAROLINA 27603-8003, TELEPHONE [phone].
18. THE FOLLOWING ITEMS SHOULD BE INCLUDED WITH THIS APPLICATION IF PROPOSED
ACTIVITY INVOLVES THE DISCHARGE OF EXC.gVAT?D OF HILL. MA=UAL ENT O
WETLANDS:
a- WETLAND DE -INEATION MAP SHOWING ALL WETLANDS, STRE.A.MS. L4iC=5, Avg
PONDS ON TEM- PROPERTY (FOR NATIONWIDE PERMIT NL7-,?fB ERS 1 18. 21.26. 29.
A.:ND 38). ALL STREAbf (INT-rR.NIrI7-NT AND PE-RbLA.NE:VT) ON TI-. PR0PE-aTY
MUST BE SHOWN ON TPM MAP. MAP SCALES SHOULD BE 1 INCH EQUALS 60 F=.=T
OF 1 LNCH EQUALS 100 F= -=i OF THEM EQUNa.LEr T .
b.. IF AVAILAB LE. REPRESENTATIVE PHOTOGRAPH OF WETLANDS TO B E L1 fP A C tD
BY PRODUCT.
c. IF DELINEATION WAS PERFOR.IED BY A CONSUL.T.?v'T, LNCLC.TJE ALL DATA
Si--_TS RE1,-E-VA:tiT TO THE PLACEINIEtiT OF THE DELLVEATION LIFE.
d. ATTACH A COPY OF THEE STOPUVWATER MANAGEME.NT PLAN IF REQLZRED.
e• 'WL-kT IS L ? YD USE OF SURROUNDING PROPOERTf? 2 u2?'. L - U1,4 nir- Vq-L-o Il£I>
70
f IF APPLICABLE. WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL? -A.IA_
SIGNED AND DATED. AGENT AUTHORIZ%TION LETTER. IF APPLICABLE.
NOTE: WTL.ANDS OR WATERS OF THE US MAY NOT BE EMPACTED PRIOR TO:
1) ISSUANCE OF A SECTION 404 CORPS OF ENGINEERS PER:IYUT,
Z) EITHER THM ISSUANCE OR WAIVER OF A 401 DIVISION OF WATER QUALr
CERTII-ZCATION, AND
=) (Ell i HE TWENTY COASTAL. COUNTIES OVZY). A LETEER FROM THE NORT-H
CAROLINA DIVISION OF COASTAL MANAGEINIENT STATING TF -E- PROPOSED
ACTIVITY IS CONSISTEN'T' WITH T'r"= NOR i K CA ROLL?i a, COAST 1L
NAG-=-?dE-N i P_RCGRAM.
h 3/Z?
OWNER'SiAGF:Yi•S SIGNATURE
(AGENT'S SIGH fATURE VALID OIVZY
IF AUTIHORM-MON L-T'ir.R FROM
THE OWNER IS PROVIDED).
Ip?3 i' 1346 `1_0 W o.
Vi -/ Emmaua Cn. '2 / -'dw?
a ?. a
t 1704. .• c R ti, •\ • • \
\ - \< C434
IY}3 N /..'r J15o9 I61
B2 \ r - ? ?/• 1,
° P308Yr bl \ /' ,93 1-115
,Sn
.!; •'J. ,• .? ,709 ` -
\ / \\ r-r Evans \ \ '
_ d loll
?r' Lh .?•; /'1? • `?I SCO 1 lob - 171) \ \ • / ?' -,
C42/ h MICk Ory \ 5 8 511 I /
,•jy3/ 17LL Mtn. •? . \ ,7 •4'' 1 ) 1
-" 1 Ch.-•• \ NltchGll3\, \ L?•
1511 1161 i CnaJGI `:r /1
422
!gyp }}??-''(( ' .p •1 - Q / rJn
.." n 2170 ._ E "MBoto
\421 3 \ _ ?( 404 . z1s3 t \ F R.l' ( ro..lae.
2E9 2152 `• I \ III ,,
P137. ..\ C43 0? e ? 2 94.
\. ?`°° ,•. , J' 1 ) 129
?, CAEq 2?M /•' •
141 1 325 l .a Rou o jp°j ^? \ --lir„ J\J J \\ 38,
`' ?t P135 `C57 1"'A..
,'rs?I\ \ 2191 Y RoDnm
'\ a'!o /r,\ /-. ?• ? 17.06 dh .2 /ziw ? I p '2?]I r? '? ,951 ?( e
v.•ur'2,, 142 91:'? ar. 1- saz t?
/ 2173 1?C4 M1 ') 40
n 2172
?? '\•.? c 1010I_2 D ?.
0143 z,?. I" / p ( Mal%?'J 1 \ 36
X21:0 2111 2 2152 P362 X19
\ 9 3
7,2-,,g
> 2 /•' 28 1 370,,-
175 X175 /
(Id.• 2, T •1 .• i .•.
145 400:1?
IB3 / , 2126 21'9 / Y / `Pads 1 t S X11,.
?? p? ?? / /Cncrn°m a,a /• Gum
128 ./ ?..` f 6000 ch. s-I,Q
1y4 ')P33 ch.
\ -•I 2152 1 zln 199 2176 ^IO,O •1} 111, , e O t, 1 19 1975 '•.1t' 1943
\
2, P399
219?? 75 147 \150 1
•'\ `^ 2191 , 21e 1 "?? (•' B"' -. r' `.•1149 G°r - _ Center crow 1978 Mt, we. CA
,94 9 - Ch. ?•N
-•.21.9 402 2176 /
he \ 173 170 i 9 6•. ;' -
1\_ 1 \- z,e, , '•? Maya - ,928 1954 J2M CnaDGI ••y zl'l3
4z1 IL z1e3 e h ? z!"? G 'fly
? - I zoos <"q C E
IS
19'37 9^9
zicn t d 19^y
','••/v '• '?`, 010 .nrlocrr Ch.
mot" .. \ _ '1 rarlore.tn. ^ a
F
.l •J r. '? / D
2197 / j
m /
r 21% / 3 •'\ ,.2 2142 ,1 2!Si .2
1 '3 19'19
17
GoLDsTom 21511
1'W. sse / ' 2135 2132
/ P159 I i
Z2, 2
?"
2 '.
- 23io ?zrn l % 1' ?.I '•\'" 21.2 158 z,s3? _ ...15\ m „1
\ C465, 157
C ,009 •./'.y 23'5 EFM 1
W. 214y r
2303 ' •\ ,, • • J ! 473 3", 214s a r,: - o L c4A - we 51
i
271.
?• ,.,C459 5"-' \ ?? 421 Ile,
/
217 ) •`•` \• /201 %,
/?'' •\ ?
,• a ,009
c9r
hnron s
ch. 50
' b C
N zxG
cr..n1., L 19
i
- -- -- ? RECEIVED
e - WATER OUALITY SECTION
APR u u
4
Non-Dischargo FomtiiCrKj
T Y

N35
-75
y
J 1 _

k? 13
N3 ?
?
r

a
z
t
y Imo-.:
? rl ?L..r 0
r
,0
??':'
°
• r
`'ter- -
t38 `-
JS

•
35'37- f
f ?-

J
^

\1
Cf
?
?\
J o? ^ ? © o r4V'? ?=T? ?i 1At

- Avyvw?ias CuyyciyU v 1335 ueLacae iaczoucn, rs ujuyo source uata: uses i-1500 ft Scale: 1 : 12,800 Detail: 11-0 Datua: IGS84
1
` ?`'?-_" \? 1Z0?Ky ?" "`r ,? ? ? / ??? "- t ???`i-??'• j 'yam ?I
-------5 --. O j i v
----------------
n Creek
? f_reek
'IS
1 ?- ~ I . r - ' . ?i, ` 1?` Z: t Y ' _ / - - i??. f?- ; _ _ _ - -1 • - - - - - - - - - - - - - - - - - - L E
O'U:;N_TY
o?
A
\\, ?,,' I I (? 1
C3
Idml ? ;
?9??l1Lt,
LaJlgc
R
0 `
(,.) o (:? D
is*so 9. n. T. CP. K?
SOIL

3 ScATTE?E1> I r LU0?S J
CC I i1 I /
? I
1 i ??"x.?7"CSpq
SIP
=:?CATTC:rL'E?l
7"L

??? Tl._