20020113 Ver 1_Complete File_20020123

o ?
Governor
William G. Ross, Jr., Secretary
Department of Environment and Natural Resources
Gregory J. Thorpe, Ph.D.
Acting Director
Division of Water Quality
DWQ Project No.: 02 I i County:
Applicant:
Project Name:
Date of Issuance of 401 Wat Quality Certification:

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, 1650 Mail Service Center, Raleigh, NC,
27699-1650. 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 aH of these.
Appi. 's Cert'fic on?
I, (°,t Lsan ra hereby state that, to the best of my abilities, due care and
diligence was used in the observat on 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 pl nd specifi tii and other supporting mat riaht
Signature r Date:_
i
Agent'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:
if this project was designed by a Certified Professional
I, , as a duly registered Professional (i.e., Engineer,
Landscape Architect, Surveyor, etc.) in the State of North Carolina, having been authorized to observe
(periodically, weekly, full time) the construction of the project, for the Permitee 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
K.
K E5r,i t
Division of Water Quality
VVetia.ndst=%, Unit: [phone]
16 s. __. ~ac27c °-,650
0 %
Cl) r
o ?
.
Governor
William G. Ross, Jr., Secretary
Department of Environment and Natural Resources
Gregory J. Thorpe, Ph.D.
Acting Director
Division of Water Quality
DWQ Project No.: _
Applicant:
Project Name:
Date of Issuance of
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, 1650 Mail Service Center, Raleigh, NC,
27699-1650. 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.
Applica 's CertifiAgent's Certification
li dTA --5- r7,
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 pla "'and specifi tiand other supporting mat ria
Signature: Date:? 17 1, __ , 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:
If this project was designed by a Certified Professional
1, , as a duly registered Professional (i.e., Engineer,
Landscape Architect, Surveyor, etc.) in the State of North Carolina, having been authorized to observe
(periodically, weekly, full time) the construction of the project, for the Permitee 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
ffl,?
Divrs'san of Water Quality 1650 Mail Service Center Raieigh, NC 27699-1650
Weilandz.v'=;v: Uni': [phone]
.-ax: (919`)• 733-6893
. O?0? W AT F9QG
r
4 `C
Michael F. Easley
Governor
William G. Ross, Jr., Secretary
Department of Environment and Natural Resources
Gregory J. Thorpe, Ph.D.
Acting Director
Division of Water Quality
DWQ Project No.:
Applicant:
Project Name: _
Date of Issuance
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, 1650 Mail Service Center, Raleigh, NC,
27699-1650. 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.
Applica:+ 's Certiff 'onn
I, , hereby state that, to the best of my abilities, due care and
diligence was used in the observat on 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 plap?And specificatigyd, and other supporting
Agent'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:
If this project was designed by a Certified Professional
I, , as a duly registered Professional (i.e., Engineer,
Landscape Architect, Surveyor, etc.) in the State of North Carolina, having been authorized to observe
(periodically, weekly, full time) the construction of the project, for the Permitee 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 140 IMUP
MAY 2 0 2004
VV'M_ :41 a S f ''
NCD€,
Division of Water Quality
1650 Mail Service Center Raleigh, NC 27699-1650
Wetlands/401 Unit: [phone]
Fax: [phone]
NN A TF Michael F. Easley, Governor
0 R pG William G. Ross Jr., Secretary
.
North Carolina Department of Environment and Natural Resources
co f Gregory J. Thorpe, Ph.D.
y Acting Director
p .? Division of Water Quality
January 29, 2002
Anson County
DWQ Project No. 020113
Bridge No. 219 on SR 1613 (Lee Road)
State Work Order No. 6.652017T
APPROVAL of 401 Water Quality Certification with Additional Conditions
Mr. Benton G. Pavne, P.E, Division Engineer
NCDOT Division 10
716 West Main Street
Albemarle, NC 28001
Dear Mr. Payne:
You have our approval, in a dawe -with the attached conditions and those listed below, to impact
70 linear feet of an unnam--d mFibutiry w Lanes Creek for the purpose of replacing Bridge No. 219 on
The project must be constructed in accordance with.your
SR 1613 (Lee Road) in Anson Counr
application dated January 15, 2902 (mreived January 23, 2002). After reviewing your application,
we have decided that this Ell is cDrvered by General Water Quality Certification No. 3289,
corresponding to the U.S. -I k= cif Engineers Nationwide Permit Number 14. In addition, you
must acquire any other f cr local permits before you proceed with your project including
(but not limited to) Sediue= anti Ercisioa Control, Non-Discharge and Water Supply Watershed
regulations. This approrA -ui l e,xzfirt with the accompanying 404 permit unless otherwise specified
in the Water Quality Certi5mdom
This approval is valid sot--1h, ix tbe 1rnpcse and design described in your application (unless
modified below). Should err 7- no- t cbmge, you must notify the DWQ in writing and submit a new
application. If the prope7-tv is sDkt 131-- mew owner must be given a copy of this Certification and
approval letter, and is tb=iby mspomsRile for complying with all the conditions. If total wetland fills
for this project (now or in fl>: hrwu) one acre, or if total impacts to streams (now or in the
future) exceed 150 linear mitigation may be required as described in 15A NCAC
2H .0506 (h) (6) and (7). For A& dal to be valid you must follow the conditions listed in the
attached certification and a I eandhiow listed below.
1. NCDOT shall follow Pk=Mu for the Protection of Surface Waters (March 1997) and
comply with the requiem=n RrNWSy-IV waters as speed in 15A NCAC 2B .0216.
2. Stormwater must be so lid areas or retention basins and must not be routed directly
into streams. Mowing of mated buffers is strongly discouraged, so that they may be
utilized for storm water3 ikaw-
3. Temporary or permanez I=barevim vegetation must be planted on all bare soil within 15 days of
ground-disturbing actiwftfes to pwwid-- long term erosion control.
4. The culverts shall bF--.&simwd amd installed in such a manner that the original stream and
floodplain dimensions wz? zt Existing stream dimensions (widths and depths) are to be
maintained above and of the twin culverts to provide sediment transport and
passage of aquatic life; 7k-- caftem shall be offset so that one pipe receives base flow and is
buried one foot into de mbsboar- Ilse of rip-rap shall be minimized and shall not impede the
abili of aquatic life "Tgw- law flow conditions.
Noah Carcrvm cr6VbW Ck aW. 401 Wetlands Certification Unit,
1650 Magi fez CerMar, ftdaiiA NC 21899-1650 (Mailing Address)
2321 Crabbee Bud- P-16ii;M HC 27604-2260 (Location)
919-733-1728;;t;rcn4 r K"?T., X3293 (ft 4, http:/lh2o.enr.state.nc.us/ncwetlands/
5. All work shall be performed during low flow conditions.
6. Disturbance of the stream channel must be limited to only what is necessary to perform the
culvert installation. Heavy equipment must be operated from the banks rather than in the stream
channel in order to minimize sedimentation and reduce the likelihood of introducing other
pollutants into the stream.
Upon completion of the project, the NCDOT shall complete and return the enclosed
"Certificate of Completion" form to notify NCDWQ 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 NC 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 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 Ms. Cynthia Van Der Wiele at 919.733.5715
or Mr. Ken Averitte of the Fayetteville Regional Office at [phone].
Sincerely,
Attachment
4irTh e, Ph.D.
ector
cc: Wilmington District Corps of Engineers
Corps of Engineers Asheville Field Office
NCDWQ Fayetteville Regional Office
Central Files
File Copy

STATE OF NORTH CAROLINA 0201 13
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EAsLEY DIVISION OF HIGHWAYS W. LYNDo TmPETT
GOVERNOR SECRETARY
January 15, 2002
U. S. Army Corps of Engineers
Asheville Regulatory Field Office
JAN 23,W
Attn: Mr. Steve Lund, M. S., P. W. S.
151 Patton Avenue, Room 208
Asheville, NC 28801-5006
Subject: Anson County, Proposed Replacement of Bridge No. 219 on SR 1613 (Lee Road)
over an unnamed tributary to Lanes Creek. State Work Order No. 6.652017T
(DWQ Minor Permit Fee $200.00)
Dear Mr. Lund:
The North Carolina Department of Transportation (NCDOT) proposes to replace Bridge No. 219
on SR 1613 (Lee Road) over an unnamed tributary to Lanes Creek. The purpose of this letter is
to request authorization from U. S. Army Corps of Engineers under a Section 404 General Permit
No. 198200031 to construct the project.
The existing bridge will be replaced by twin metal culverts, each measuring 112" x 75". Traffic
will be maintained using an off-site detour.
The project has been described in a Minimum Criteria Checklist and a natural resource
t-- r) investigation was conducted by the NCDOT on September 7, 2001. The subject project has been
Z?r
_LIJ determined to have no effect on any listed threatened or endangered plant or animal species.
LL
LIJ Impacts to waters of the United States will result from project construction. There are no
c w wetlands present, although impacts to surface waters will occur. There will be 0.042 acre of fill in
surface from the culvert installation, equating to 70 feet of stream channel loss. The stream is
located in a rural area approximately 4.25 miles west of the town of Ansonville and is located in
the Yadkin River Basin, Hydrologic Unit 03040105. A permit drawing and pre-construction
notification form are attached to this letter.
The NCDOT anticipates that the permit application will be authorized under a Section 404
General Permit No. 198200031. We are also hereby requesting a 401 Water Quality
Certification, General Certification Number 3289, from the Division of Water Quality. We are
providing seven copies of this application to the North Carolina Department of Environment and
Natural Resources, Division of Water Quality, for their review.
716 West Main Street, Albemarle, NC 28001 • [phone] • Fax [phone]
• 7
Thank you for your assistance with this project. If you have any questions or need any additional
information concerning this project, please contact Mr. Larry Thompson, Division Environmental
Officer, at [phone].
Sincerely,
t?- ? L6T
dy?
Benton G. Payne, P. E.
Division Engineer
LBT/BGP
Enclosures (2)
cc: Mr. John Dorney, NCDWQ
Ms. Marella Buncick, USFWS
Ms. Maryellen Haggard, NCWRC
Mr. Garland Haywood, P. E.
Mr. Larry Thompson, R. S.
Mr. David Harris, Roadside Environmental

BRIDGE # 219 ANSON COUNTY
Office Use Only' Form Version April 2001
ID No. DWQ No. ®2 01 13
USACE Action
If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A" rather than
leaving the space blank.
1. Processing
Check all of the approval(s) requested for this project:
® Section 404 Permit
? Section 10 Permit ` Z 3
® 401 Water Quality Certification
? Riparian or Watershed Buffer Rules
2. Nationwide, Regional or General Permit Number(s) Requested: General Permit 31
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: ?
4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for
mitigation of impacts (see section VIII - Mitigation), check here: ?
II. Applicant Information
1. Owner/Applicant Information
Name: N C Department of Transportation
Mailing Address: 716 West Main Street
Albemarle. NC 28001

Telephone Number: [phone] Fax Number: [phone]
E-mail Address:
2. Agent 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: Benton G Payne P E
Company Affiliation:
Mailing Address: Division Engineer
716 W. Main Street
Albemarle, NC 28001

Telephone Number: [phone] Fax Number: [phone]
E-mail Address: bpaynega dot state nc us
Page 3 of 12

BRIDGE # 219 ANSON COUNTY
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: Bridge 219
2. T.I.P. Project Number (NCDOT Only):
3. Property Identification Number (Tax PIN):
4. Location
County: Anson County Nearest Town: Ansonville
Subdivision name (include phase/lot number): N/A
Directions to site (include road numbers. landmarks, etc.): (From US 52 in Ansonville)
travel S toward Wadesboro N.C. Right on Ansonville-Polkton Rd. (SR 1418). travel 1.5
miles. then Right onto Randall Martin Rd (SR 1618) for 0.9 miles. then Left onto Morton
Road (SR 1654) for 1.5 miles then Right onto Lee Road (SR 1613). Bridge 219 will be the
first bridge you cross and is located 0.5 miles N.E. of Jct.with SR 1654.
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. Describe the existing land use or condition of the site at the time of this application:
Rural/Agricultural
7. Property size (acres): N/
8. Nearest body of water (stream/river/sound/ocean/lake): Branch of Lanes Creek
9. River Basin
Page 4 of 12
BRIDGE # 219 ANSON COUNTY
(Note - this must be one of North Caroiina`s seventeen designated major river basins. The
River Basin map is available at http•//h2o.enr.state.nc.us/admin/maps/.)
10. Describe the purpose of the proposed work: Installation of Two Lines of 112"X75" CMPA
This will replace an existing single 12 20'-4" Timber span Bridge built in 1955.
11. List the type of equipment to be used to construct the project: Track-Hoe.Boorn Truck.
& Dump Truck to remove existing bridge and install two lines of 112"X75" CMPA.
12. Describe the land use in the vicinity of this project: Wooded on both sides of stream.
cultivated fields beyond wooded buffer.
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.
N/A _
V. Future Project Plans
Are any additional permit requests anticipated for this project in the future? If so, describe the
anticipated work, and provide justification for the exclusion of this work from the current
application: N/A
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
Page 5 of 12
BRIDGE # 219 ANSON COUNTY
- 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.
1. Wetland Impacts
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***
N/A N/A N/A N/A N/A N/A

* 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 dams. separately list impacts due to both structure and flooding.
** 100-Year floodplains are identified through the Federal Emergence 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 ham://w%vw.icnia.(ov.
*** List a wetland type that best describes wetland to be impacted (e.g., fresh),vater/salt),vater marsh, forested wetland. beaver pond.
Carolina Bay, bog, etc.)
List the total acreage (estimated) of existing wetlands on the property: N/A
Total area of wetland impact proposed: N/A
2. Stream Impacts, including all intermittent and perennial streams
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 )
I Twin Culverts 60-FT. Lanes Creek Approx. 18-Ft. Perennial
2 Inlet Stabilization 5-FT. Lanes Creek Approx. 18-Ft. Perennial
3 Outlet Stabilization 5-FT. Lanes Creek Approx. 18-Ft. 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
wvvw.us8s.aov. Several internet sites also allow direct download and printing of USGS maps (e.g., www.topozone.com,
w%vw.mapquest.com, etc.).
Page 6 of 12
BRIDGE # 219 ANSON COUNTY
Cumulative impacts (linear distance in feet) to all streams on site: 60-Ft. X 24-Ft. for
Culverts / 10-Ft. Bank Stabilization - Total linear Distance within Channel - 70-Ft.
3. Open Water Impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any
other Water of the U.S.
Open Water Impact
Site Number
(indicate on ma)
Type of Impact* Area of
Impact
(acres) Name of Waterbody
(if applicable) Type of Waterbody
(lake, pond, estuary, sound,
bay, ocean, etc.)
N/A N/A N/A N/A N/A

* List each impact separately and identify temporary impacts. Impacts include. but are not limited to: fill, excavation, dredging.
flooding, drainage, bulkheads, etc.
4. 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.): N/A
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.): N/A
Size of watershed draining to pond: N/A Expected pond surface area: N/A
VII. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts.
NCDOT has determined that the installation of twin culverts would not only be financially viable
to replace the existing structure - but it would also greatly diminish the need for continual
maintenance activities at this site for the proposed replacement structure. Culverts require far
less attention than conventional span bridges of a timber or a steel /concrete construction
eliminating replacement of structural elements painting of steel & timber railings as well as the
necessity for installation of sub-structural members such as additional piles and /or additional
bents These culverts will be of sufficient length to minimize asphalt contamination from
reaching stream-bed should the road be resurfaced and/or widened in the future.
Page 7 of 12

BRIDGE # 21 ? ANSON COUNTY
Provisions shall be addressed to lessen impacts to aquatic habitat by establishing a minimum I-
ft differential between the two inverts allowing aquatic passage during low-flow conditions.
Bank stabilization activities will be limited to not more than 5-ft on either side of the proposed
culverts.
TempoM silt/sediment control devises will be installed down stream during all phases of
construction These shall be removed at the completion of the project.
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.
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
htti)://h2o.enr.state.nc.us/ncwetlands/stmigide.htm1.
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.
No mitigation is proposed for this project
Page 8 of 12

BRIDGE # 219 ANSON COUNTY
2. Mitigation may also be made by payment into the North Carolina Wetlands Restoration
Program (NCWRP) with the NCWRP's written agreement. Check the box indicating that
you would like to pay into the NCWRP. Please note that payment into the NCWRP must be
reviewed and approved before it can be used to satisfy mitigation requirements. Applicants
will be notified early in the review process by the 401/Wetlands Unit if payment into the
NCWRP is available as an option. For additional information regarding the application
process for the NCWRP, check the NCWRP website at http://h2o.enr.state.nc.us/w[p!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):
Amount of buffer mitigation requested (square feet):
Amount of Riparian wetland mitigation requested (acres):
Amount of Non-riparian wetland mitigation requested (acres):
Amount of Coastal wetland mitigation requested (acres):
IX. Environmental Documentation (DWQ Only)
Does the project involve an expenditure of public funds or the use of public (federal/state/local)
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 (DWQ Only)
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
Page 9 of 12

BRIDGE # 219 ANSON COUNTY
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 N/A )?
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
Miti ation
1 3
2 1.5
Total
* Zone 1 extends out 30 feet perpendicular trom near dank 01 cnanner Lonc = e:Xicnua lul
additional 20 feet from the edge of "Lone I.
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.
N/A
XI. Stormwater (DWQ Only)
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.
N/A
XII. Sewage Disposal (DWQ Only)
Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of
wastewater generated from the proposed project, or available capacity of the subject facility.
N/A
Page 10 of 12
• BRIDGE # 219 ANSON COUNTY
XIII. Violations (DWQ Only)
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).
=/ -02
Apphcant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
US Army Corps Of Engineers Field Offices and County Coverage
Asheville Regulatory Field Office Alexander Cherokee Iredell Mitchell
US Army Corps of Engineers Avery Clay Jackson Polk
151 Patton Avenue Buncombe Cleveland Lincoln Rowan
Room 208 Burke Gaston Macon Rutherford
Asheville, NC 28801-5006 Cabarrus Graham Madison Stanley
Telephone: [phone] Caldwell Haywood McDowell Swain
Fax: [phone] Catawba Henderson Mecklenburg Transylvania
Raleigh Regulatory Field Office Alamance Durham Johnston Rockingham
US Army Corps Of Engineers Alleghany Edgecombe Lee Stokes
6508 Falls of the Neuse Road Ashe Franklin Nash Surry
Suite 120 Caswell Forsyth Northampton Vance
Raleigh, NC 27615 Chatham Granville Orange Wake
Telephone: [phone] Davidson Guilford Person Warren
Fax: [phone] Davie Halifax Randolph Wilkes
Washington Regulatory Field Office Beaufort Currituck Jones
US Army Corps Of Engineers Bertie Dare Lenoir
Post Office Box 1000 Camden Gates Martin
Washington, NC 27889-1000 Carteret* Green Pamlico
Telephone: [phone] Chowan Hertford Pasquotank
Fax: [phone] Craven Hyde Perquimans
Pitt
Tyrrell
Washington
Wayne
Union
Watauga
Yancey
Wilson
Yadkin
*Croatan National Forest Only
Page 11 of 12

Z
0
9 f
IFfoc
/ 1ST 3 .\ o
V 52
/ 'PZ
\•? .e 1601° ?9. O
11600
1601 ^ ' 1
I _ \ 777 j
1601 1627
I Rocky 0 ? J ?
Q ' _ . H I\ S
River Ch."? •` ` 1105'
]!10' 11602 8 160.3 \ 3r 10•
T'o
?a 11653 1603 160, \ .5 1626
\
'bz41 A 16n .9 ?? 15J5 \ - / rp - \ p P 1626 1623 _ ?•\
a1
1459
146J , .1? .? .? 1621 S Concord 162]
160 6-O' M10hrmone Gh C.aor .''MONTGOMERY
1459 COUNTY
? •J - ?. ?' W ?l '' '?''r t Ibn` _.
1• 1 1156'' 1610 o t610 1619 1623 \ '627 P-- 0
1654? 1.6 ?'° ( -
1 . 1608 - 161 ? 1621 11 ° 53 J
-• Sorln93 1610 =. 1622
I ta59 Ch. V
7
161J ? 1612 1621
° 1458 1611 O G 1600 - -O 69
116] 1616
_52 1654 13 1619
errm 11. `71
_ Rea H1v
i 1456 1673 Ch.
0 LV ?° t
Q °
1s52 161g =\?.
h IaaS 'J 11654
Id_6 1452 (ovs _
j _ h ry ,F 1618 .??
i? 1.5 I !1150NVIl1F?
1614 - 1 POr ppv 2_
\ I _ 1610 '
` 1a51 516
o I Ia53 "!10 C1tW ? _ _ .6y ?. / ? - '
1.55 I S / 1617 1618 \1 .63t
is. i6 h '2 ',t Ceocr
]a•O] 1450 ; Grove'
449 f `h 1639 Ch. 165 \ 1639 ( 0 ,
'636
ioualaln Nlil I ?t -5 1450 h ill ?? ?`' 1418 161-
T 627
441
••1.1 ? Kik?n ? O 1638 '636
1002 n?,"-:' 1 31002 Imo: 1' \ \ Pcr CEE v6r10N4L \
1 5 a 9 2'
`r' 1649 - a 1002 I. r. /1434 \ I638 1637 '.Q91 ?ILDL:fE REFUGE
y - 439 438 n r S
0 y
1x48 ' / aa3 / \ ' ?'2\ 9 /,
'?- ? .1 446 0 163 awn. 1\1463 O h 1a ut. Vernon ... ? , ^ \,
/ \ ] h \1433 \ 1418 {., Ch.
1 :650 r
16.) °44$
2 1663 / 1614 C?6R.. ,? \ f
14.65 0 1438 \ . 6 f _ / . -
1.4
I - - 1x36 1I 35 115 :649
1 ?1$ 1a]O .t
1? 1443 9 r? .2 1.37
3' 1611 f . ,,k',\ 7 \ I / 5 r 1649 P19os0
.. \ ?p •O h 1621
1? h 110 ° O ^ 1438 v ?' _ •9? 1640 1648
0
i0 - 1412
'ca 1415 14 1x31 ` 1431 3. _/ N
\ 9 .9 1413 r O 1436 I • 2 C.? 1641 t \ M
D-D IG211a08 1413 1430 1629'\ 1641 01
I 1411 Sperm Os '? \ 2 1418' 1428 1652'. h _ M,on Co. / 'l \
Ch. \ .. . 0 1656 _ Airport
`laid 8 ( W,. 0 C - 16
\ 1407
a i C a 162]
1606 I 1 18 /. '? 1641 1!5 Rnknon /
:401 /, r ( ?yn? . 1. J 642 J \ 1645
- Harmony 1alh'.".I w,p. -' 4151.2
0 Ch. ( J POLIRON 1 1 1x20 t 'O / _ ,.,
I_ I I 6' roP. bt9 v I 4 6
11 ? CSx
R / 1 p
1420
1 O 1400 ' 5 I/ \ 1465
8 - I
.9 1661 1' V?
-10 r.pir?oe ?1 a 6 .3 I 1.0 1 j ? I' I 1269 C f \ \ 09
1 f\ . _ _ _ PEACHLAND 5 . 1250 1121! 6 ' 9 1
roP e?
1239 S y ' J 1
125] Ral
112x0 251 1267 2.6
1236 .6
_" - i \ \
i 1 NIS
1248 1 ( ? ?r"
12.0 J \
Microsoft TerraServer Print Page http://terraserver.homeadvisor.msn.com/printimage.asp?S=12&T=2&X=718&Y=4857&Z=17&W=1
61 km E of Charlotte, North Carolina, United States o1 jui 1991
UMS
?f
Y
F

t\ L`
4 V '
1 of2 11/5/01 5:09 PM
0' '.5Km 0' '.25Mi
' North Carolina Department of Transportation
Typical Plan and Elevation of Pipe Installation Permit It crown
Amount of Fill over Pipe
0.33.Pr
-FT. 1-IN HEIGHT FROM
eek Bed to Cmwn in Roadwav
0%,erall Leegth of Pipe
nu-1:T.
I or Class II Rip Rap
Elevation 2 Lines of Corragated Metal Pipe Arch. 112" X 75"
With Class I,or II Rip Rap Slope Protection on Inlet and Outlet end