20020111 Ver 1_Complete File_20020123

F W q TF Michael F. Easley, Governor
?D1%0V 9oG William G. Roar Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
>
D 'C
DWQ Project No.: O Z O I / /
County: L -5 Lv v S..
Applicant: P r r lam. ?i s 11 Z AI P Pe T D/
Project Name: ` I / k ¢
Date of Issuance of 401 Water Quality Certification: l ALL 5'?Q Z_
-j,ICerMcate 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/Wedands 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 Cerd"tign
I, 7f j, e y o i s e A /2 N , hereby state that, to the best of my abilities, dire care and diligence
was used in th observation of the construction such that the construction was observed to be built within substantial
compliance and intent of the erdfication and Buffer Rules, the approved plans and
specifications, and othq? rung ma s.
Signature: X Date: D 9?D Q?Og
Agent's Certification
I, Tin .. * S T. 4el .17&4 , 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 r
specifications, and offier supporting rgatgria .
Signature: 7 i Date:
Engineer's Ce don
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
Registration No.
Date
State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality

Michael F. Easley, Governor NC ENR
William G. Ross, Jr., Secretary NORTH CAROLINA DEPARTMENT OF
Gregory J. Thorpe, Ph.D., Acting Director ENVIRONMENT AND NATURAL RESOURCES
January 29, 2002
Columbus County
DWQ Project No. 020111
APPROVAL of 401 Water Quality Certification
Mr. T.R. Gibson, P.E., Division Engineer
NCDOT, Division 6
PO Box 1150
Fayetteville, NC 28302
Dear Mr. Gibson:
You have our approval, in accordance with the attached conditions and those listed below. to piace fill
material in 0.044 acres of wetlands for the purpose of realigning SR 118-1 in Columbus Counrr. The project
shall be constructed in accordance with your application dated Januarv 17. 2002. -After revie•.=:ing your
application, we have decided that this fill is covered by General Water Quality Cer ification Number 3289.
This certification corresponds to the Nationwide Permit Number 14 issued by the Corps of Er-aineers. In
addition, you should acquire any other federal, state or local permits before you proceed with -.our project
including (but not limited to) Sediment and Erosion Control. Non-Discharge and eater Supply Watershed
regulations. This approval will expire with the accompanying 404 perrniL unless otherwise srecified in the
Water Quality Certification.
This approval is valid solely for the purpose and design described in Hour application (unless --codified
below). Should your project change, you must notify the D«'Q and submit a ne•;,- 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 prrj t (now o; 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 21-1.0506 (h) (6) and (7). For this approval to
remain valid, you must adhere to the conditions listed in the attached ec:tification-
1.) Upon completion of the project, the NCDOT shall complete and return the dosed "Cenification 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 40l/Wetlarxis 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 adjudicatonr 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 rs conditions
are final and binding unless you ask for a hearing.
Wetlands/401 Unit 1650 Mail Service Center RaleizlL North Curi-na 2 7 699-1 62 1
Telephone [phone] FAX 733-r9-
An Equal Opportunity Affirmative Action Employer 50`E reeycled/Irf-C: prigs cons=rte paper
State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
1 ? •
Michael F. Easley, Governor NC ENR
William G. Ross, Jr., Secretary NORTH CAROLINA DEPARTMENT OF
Gregory J. Thorpe, Ph.D., Acting Director 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 contact John Hennessy at 919-733-5694.
Attachment
cc: Wilmington District Corps of Engineers
Corps of Engineers Wilmington Field Office
DWQ Wilmington Regional Office
File Copy
Central Files
c:\ncdot\SR 1184\wqc\020111wgc.doc
ncerely, l
r I
rr Tho D.
Sti Director
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
P
020111
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY.
GOVERNOR
JANUARY 17, 2002
NCDENR Division of Water Quality
John Hennessy
2321 Crabtree Blvd.
Suite 250
Raleigh, NC 27604-2260
RE: SR 1184 Realignment / Minor Road Crossing Columbus County
Work Order No.: 6.432408
USACOE NWP#14 / NCDENR WQC 3289
Dear Mr. Hennessy:
LYNDO TIPPETT
SECRETARY
JAN 2 3 2002
Enclosed, please find seven (7) copies of a PCN and related documentation for the realignment of
SR 1184 in Columbus County. The project will be completed in compliance with NCDENR
Division of Water Quality General Certifications 3289, and, USACE Nationwide Permit # 14.
Pursuant to a Department Memo the required $200.00 check will be via the automated payment
procedure. The Work Order No. is 6.432408.
If you should have any questions or comments regarding this notification, please feel free to
contact me.
mcerely,
Jam J. Rerko, PWS
Division 6 Environmental Officer
P'71
P. O. Box 1150, Fayetteville, NC 28302-1 150 - Telephone [phone] - Fax [phone]
020111
S
..
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY W. LYNDO TIPPETT
GOVERNOR SECRETARY
January 16, 2002
U.S. Army Corps of Engineers
Wilmington Regulatory Field Office
P.O. Box 1890
Wilmington, North Carolina 28402-1890
ATTN: Mr. Richard Spencer
NCDOT Coordinator
Dear Sir:
Subject: Notification for Nationwide Permit 14
Road Crossing SR 1184-Columbus County
The North Carolina Department of Transportation (NCDOT) proposes to realign a 600 foot +/-
section of SR 1184 in Columbus County. The realignment is necessary due to an intersection
conflict. SR 1184 and SR 1139 intersect NC 904 approximately 50 feet apart and sight distance
at the intersection with NC 904 is severely limited. Since SR 1184 is being improved, i.e. dirt to
pave, the District 1 Engineer has determined that this is the appropriate time to address the safety
concerns. SR 1184 intersects NC 904 at a skewed angle which reduces the available sight
distance. The realignment of SR 1184 was designed between the intersections of SR 1139 and
SR 1141 to provide a right angle intersection that allows for the maximum sight distance.
Negotiations with the property owner originally proposed the realignment to bisect a wooded area
and intersect NC 904 directly across from SR 1141. 1 conducted a preliminary field view of the
wooded area and determined that significant wetland impacts would ensue, i.e. approximately 1
acre. At that time, I suggested the alignment that is proposed which is situated within an
agricultural field. The property owner disagreed with my preliminary findings and contacted the
Wilmington District of the Corps of Engineers. A consultant was brought in to delineate the area.
The consultant flagged the wetland area, not to my surprise, it was very close to what my
preliminary findings were. I discussed the project with the consultant via a cell phone
conversation. Unfortunately, I was in transit and did not have the opportunity to write down who
it was, or, any way to contact him. He was to brief me concerning his findings. To date, I have
not heard from the consultant. L-:
P. O. Box 1150, Fayetteville, NC 28302-1150 -'t'elephone [phone]- Fax [phone]
RESOURCE STATUS
A Wetland Delineation / Natural Resource Inventory was conducted within the realigned Right-
of-Way of SR 1184 in Columbus County, North Carolina. As previously discussed, a private
consultant flagged the upland / wetland boundary. The area matched my preliminary findings, so,
I completed a Wetland Data Sheet to demonstrate the actual field condition. Richard Spencer of
the Corps of Engineers conducted a Jurisdictional Determination December 6, 2001.
A sampling point was chosen to confirm the consultants boundary. The point was located at a
Right-of-Way stake within the wetland. Sweetbay, water oak were the dominant tree species,
ink-berry was the dominant shrub, and, since the sampling point was close to the edge of the
roadway, giant cane was identified as the dominant herb. The area has been in a drought
condition for several months, but, prior to the investigation there was an ice / snow / rain
occurrence the week before. Soil saturation was noted at a depth of 5 inches from the surface.
Other secondary indicators of wetland hydrology consisted of morphological plant adaptations
such as multiple trunks and roots at the surface. Wetland hydrology was substantially verified.
Murville fine sand has been mapped by the Columbus County Soil Survey within the identified
wetland area. Murville is a very poorly drained soil that formed in sandy marine sediment. These
soils are on low flats and in Carolina bays. Soil hue, value and chroma of 5YR 2.5/1 was
observed. The distinction of 5 YR and IOYR was difficult to determine in the field due to an
overcast day. I did agree with the Soil Survey because the value and chroma was very close to
what was described.
In general, there will be minor impacts proposed as the result of the realignment of SR 1184 in
Columbus County. Approximately 1900 sq ft / 0.044 acres of jurisdictional wetland impacts are
expected. A Nationwide Permit #14 is required for the project due to the realignment of SR
1184.
Endangered Species: Plants and animals with Federal classification of Endangered (E) or
Threatened (T) are protected under provisions of Section 7 and Section 9 of the Endangered
Species Act of 1973, as amended. As of February 26, 2001, the U.S. Fish and Wildlife Service
lists six federally protected species for Columbus County.
Federally Protected Species for Blad en County
SCIENTIFIC NAME COMMON NAME STATUS
Acipenser brevirostrum Shortnose sturgeon E
Alligator mississippiensis American alligator T (S /A)
Picoides borealis Red-cockaded
woodpecker E
Meidia extensa Waccamaw silverside T
Lysimachia asperulaefolia Rough-leaved
loosestrife E
Thalictrum cooleyi Cooley's meadowrue E
"E" denotes Endangered (a species that is in danger of extinction throughout
all or a significant portion of its range).
T(S/A)- Threatened due to similarity of appearance, a species that is threatened
Due to similarity of appearance with other rare species and is listed for its
Protection. These species are not biologically endangered or threatened and
Are not subject to Section 7 consultation.
A biological conclusion of "No Effect" was reached for all species during the January 14, 2002
survey for protected species. Protected species were not identified, nor, was the general habitat
for each species identified.
REGULATORY APPROVALS
Application is hereby made for a Department of the Army Nationwide Permit 14 as required by
the above-described activities. Minor jurisdictional wetland impacts are expected, i.e. 0.044 acre,
as the result of this project. In discussing these impacts with Richard Spencer of the Corps of
Engineers, it was indicated that wetland mitigation for the 0.044 acres would not be required.
If you should have any questions, or, need additional information please contact James J. Rerko,
PWS at [phone].
?„??aaaq
oti wgtland
entalOfficfr
is
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?` u( 000772
ATTACHMENTS
cc: John Henessey (DWQ)
Tom McCartney (FWS)
Robert Crumpler, P.E. DME
Ken Murphy, P.E. DME
incerely
James . Rerko, PW
Division 6 Environm
DATA FORM
ROUTINE WETLAND DETERMINATION
0 987 COE Wetlands Delineation Manual)
Proiect/Site•
Applicant%Owner:
Investigator:
Do Normal Circumstances exist on the site?
Is the site significantly disturbed (Atypical Situation)?
Is the area a potential Problem Area?
(If needed, explain on reverse.)
No Community ID:
Yes U Transect ID:
Yes N§) Plot 10:
4
VEGETATION
F49 nt Species Stratum Indicator Dominant Rant Species Stratum Indicator
U A*eja" 9.
/ 10.
,E{l 11.
, 12.
13.
14.
15.
16.
Percent of Dominant species that am OBL. FACW or FAC ?l4 ?a
(excluding FAC-).
l.?J/?ifin :.? C % f /1"/G.1 > •01'. !?/¢?
/ r
Remarks: 7`4 eex 'y
HYDROLOGY
_ Recorded Data (Describe in Remarks): Wetland Hydrology Indicators:
_ Stream. Lake, or Tide Gauge Primary Indicators:
_ Aerial Photographs _ Inundated
_ Other Saturated in Upper 12 Inches
No Recorded Data Available -Water Marks
_ Drift Lines
_ Sediment Deposits
Field Observations: Drainage Patterns in Wetlands
Secondary Indicators (2 or more required):
Depth of Surface Water: (in.) _ Oxidized Root Channels in Upper 12 Inches
_ Water-Stained Leaves
(in.) Local Soil Survey Data
Depth to Free Water in Pit: FAC-Neutral Test
Depth to Saturated Soil: __Z__(in.) _ Other (Explain in Remarks)
U/tr /? f/'?rr,?CS ? /'Dofs QfS?/'?;r?C /1v'?':7 ?/??/?.Faci?? , ?_v/
Remarks:
Date: _
County:
State:
o. Nw
7
SOILS
Map Unit Name
/// r dl ?lC ->Li h t
(Series and Phase):
SGn Drainage Class: VhD
Feld Observations
Taxonomy (Subgroup): t/ih i gohae-1AgL Confirm Mapped Type? (59 No
Profile Description:
Depth Matrix Color Mottle Colors Mottle Texture. Concretions.
inches Horizon (Munsell Moist) (Munsell Moist) Abundance/Contrast Structure, etc.

Hydric Soil Indicators:
Histosol _ Concretions
_
_ Histic Epipadon _ High Organic Content in Surface Layer in Sandy Soils
Sulfidic Odor _ Organic Streaking in Sandy Soils
_
_ Aquic Moisture Regime. Listed on Local Hydric Soils List
Reducing Conditions Listed on National Hydric Soils List
Wayad or Low-Chrome Colors _ Other (Explain in Remarks)
Remarks:
3-4
WETLAND DETERMINATION
i
A . L LUw of _ ? 4• tY + .,\ `. ,
,L
i. ' Lu y }fA • JS ?.C?? •. r
%
?.r• p ???' ?! WaB
cr8
U,
16
GoA
11? Na
GYB
AuB
\ BUB ,{e Ec
d cr8 .. ''i uai
Go/Lla
Gr8 _nB
? AuB '
Cr6 Ec t
Y Mu C
Ly
LoB
Ly Ec
GoA ? e ± B `V
Fo LnB .? j
\,
?`
v AuB
`t
{,
?
\ GoA

ucl

Ec

Ec
a Do
Ec
WaB

LnB
Ec Jf
•
LnB

a
Aky
WaB
.
fy
Lc
_ ti+?r ' ?• of
a
Mu
,
;olumbus County. North Carolina
Murville Series
The Murville series consists of very poorly drained
sods that formed in sandy marine sediment. These soils
are on low flats and in Carolina bays. Slope ranges
from 0 to 2 percent.
Typical pedon of Murville fine sand: 1.3 miles
southwest of'Nakina. 0.2 mile south of the intersection
of secondary roads 1113 and 1116, 300 feet west of
secondary road 1113 (135.500N: 2.094.OOOE):
Oi-3 to 0 inches: partly decomposed leaves, moss,
and twigs.
Al-0 to 4 inches; black (N 2!0) fine sand; weak
medium granular structure: very friable: many fine
roots; very strongly acid: clear wavy boundary.
A2-4 to 7 inches; black (10YR 2/1) fine sand: weak
medium granular structure; very friable; many fine
roots: very strongly acid: clear wavy boundary.
Bh1-7 to 14 inches: black (5YR 2/1) fine sand;
massive: friable; weakly cemented; coatings of
organic matter on sand grains; few fine roots;
extremely acid: gradual wavy boundary.
Bh2-14 to 40 inches: dark reddish brown (5YR 2/2)
fine sand; massive; friable; weakly cemented:
coatings of organic matter on sand grains;
extremely acid: gradual wavy boundary.
Cgt-40 to 60 inches: light brownish gray (10YR 6/2)
fine sand; single grained; loose; extremely acid:
gradual wavy boundary.
Cg2-60 to 70 inches: light gray (10YR 7/1) fine sand:
single grained: loose; extremely acid.
The solum is 30 to 60 inches thick. Reaction is
extremely acid to strongly acid except where lime has
been added to the soil.
The Ap or A horizon has hue of 10YR or 7.5YR,
value of 2 or 3, and chroma of 1 or 2: or it is neutral
and has value of 2.
The Bh horizon has hue of 5YR to 10YR, value of 2
or 3, and chroma of 1 or 2. The texture is sand or fine
sand.
The C horizon has hue of 10YR, value of 5 to 8, and
chroma of 1 to 3. The texture is dominantly fine sand or
sand, but lenses or layers of loamy material can occur
at a depth of 50 to 70 inches.

69
Echaw Series
The Echaw series consists of moderately well
drained soils that formed in sandy marine sediment.
These soils are on uplands and stream terraces. Slope
ranges from 0 to 2 percent.
Typical pedon of Echaw loamy sand; 4 miles west-
northwest of Old Dock, 0.6 mile south of the
intersection of North Carolina Highway 130 and
secondary road 1925, 2,000 feet west on a farm road,
50 feet west of road, in a field (161,000N; 2,108,000E):
Ap-0 to 8 inches; very dark grayish brown (10YR 3/2)
loamy sand; weak medium granular structure; very
friable; many fine and medium roots; very strongly
acid; abrupt smooth boundary.
E1-8 to 24 inches; brownish yellow (10YR 6/6) loamy
sand; weak medium granular structure; very friable;
many fine and medium roots; coated sand grains;
very strongly acid; clear wavy boundary.
E2-24 to 28 inches; yellow (10YR 7/6) loamy sand;
common medium faint brownish yellow (10YR 6/6)
mottles; weak medium granular structure; very
friable: few fine roots: coated sand grains; very
strongly acid; clear wavy boundary.
E3-28 to 38 inches; brownish yellow (10YR 6/6) loamy
sand; few medium distinct white (10YR 8/2) mottles,
common medium faint yellowish brown (10YR 5/6)
mottles, and few medium prominent dark brown
(7.5YR 4/4) mottles; weak medium granular
structure; very friable; few fine roots; coated sand
grains; very strongly acid; gradual smooth
boundary.
E4-38 to 42 inches; very pale brown (10YR 7/3) loamy
sand: common medium distinct light yellowish
brown (10YR 6/4) mottles and common medium
prominent dark reddish brown (5YR 3/2) mottles;
weak medium granular structure; very friable; few
fine roots; coated sand grains; very strongly acid;
clear wavy boundary.
Bh1-42 to 55 inches; dark reddish brown (5YR 2/2)
sand; common medium prominent brown (7.5YR
4/2) mottles; weak medium subangular blocky
structure; very friable; very strongly acid; gradual
wavy boundary.
Bh2-55 to 65 inches; black (5YR 2/1) sand; common
medium faint dark reddish brown (5YR 3/2) mottles;
weak medium subangular blocky structure; very
friable; very strongly acid; gradual wavy boundary.
Bh3-65 to 75 inches; dark reddish brown (5YR 3/2)
sand; common medium distinct black (5YR 2/1)
mottles and common medium prominent brown
Office Use Only' Form Version October 2001
USACE Action ID No. DWQ No.
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
® 401 Water Quality Certification
? Riparian or Watershed Buffer Rules
2. Nationwide, Regional or General Permit Number(s) Requested: NWP#14 / GC 3289
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: T R Gibson, P E / NCDOT/Div 6 / Division Engineer
Mailing Address: P.O. Box 1150
Fayetteville, NC 28302
Telephone Number: 910-486-1493 Fax Number: 910-486-1959
E-mail Address: teibson dot.state.nc us
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: James J. Rerko PWS
Company Affiliation: NCDOT / Div 6 / Division Environmental Officer
Mailing Address: Same
Telephone Number: 910-486-1792 Fax Number: 910486-1959
E-mail Address: jjrerko dot state nc us
Pagel of 8
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: SR 1184 Realignment Project No 6.432408
2. T.I.P. Project Number or State Project Number (NCDOT Only):
3. Property Identification Number (Tax PIN):
4. Location
County: Columbus Nearest Town: Guide
Subdivision name (include phase/lot number):
Directions to site (include road numbers, landmarks, etc.): 1.6 mile west of the intersection
of SR 1006 along NC 904
5. Site coordinates, if available (UTM or Lat/Long):34°04'20"N 78°43'14"W
(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:-
Highway Application / Agricultural field
7. Property size (acres): less than 1 acre
8. Nearest body of water (stream/river/sound/ocean/lake): UT to Grissett Swamp
9. River Basin: Lumber River
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://h2o enr state.nc us/admin/mans/.)
Page 2 of 8
10. Describe the purpose of the proposed work: Realign the intersection of SR 1184 with
NC 904 to provide adequate sight distance and improve highway safety. The project
will ultimate impact 0.044 acres of 'uri Aictional wetlands.
11. List the type of equipment to be used to construct the project: Track Excavator &
Motor Grader
12. Describe the land use in the vicinity of this project: Rural
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.
U_SACOE NWP#14 Minor Road Crossing Action ID 200101365 (10/19/01)
NCDENR DW Pro'ect No. 011474 11/07/01
Permit obtained to replace and extend culvert crossing
Jurisdictional Determination conducted b Richard Spencer USACOE 12/06/01
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:
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 3 of 8

Wetland Impact
Site Number

a
di
Type of Impact* Area of Located within
Impact 100-year eFlooodplain**

acres Distance to
Nearest
feet Stream

Type of Wetland***
cate on m
in b/Shrub
S
nment
li
d R Fill 0.044ac No 1000 ft cru
Palustrine
g
ea
Roa

--1..A- L- t i;,,,;t-A t.• mf- rhanized clearing, grading, fill. uUt
• List each impact separately and identl , temporary impacts- tmpacts ,
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 //w-Am •fema.gov.
*** List a wetland type that best describes wetland to he impacted (e.g., freshwater/saltwater marsh, forested wetland beaver pond,
Carolina Bay, bog, etc.)
List the total acreage (estimated) of existing wetlands on the property: 0.044ac
Total area of wetland impact proposed: 0.044 ac
2. Stream Impacts, including all intermittent and perennial streams
Width Perennial or
Stream Impact
Site Number
on ma
t
di
i Type of Impact* Length of
Impact
linear feet Stream Name** Average
Before of St ea act Intermittent?
se
e
ca
n
N/A

_?._?_ ?.. . t:..:t..I t.,• -1wr rtc and acsnciated rin-rap,
k List each impact separately and identify temporary Impacts. Impacts QIciuuc, UUL all 1-1
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
w-%-A.usgs.gov. Several intemet sites also allow direct download and printing of USGS maps (e.g., w-wA'tooozone.com,
w y.mapquest.com, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: 0 LF
Page 4 of 8
3. Open Water Impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any
other Water of the U.S.
e of Waterbody
T
Open Water Impact
Site Number #
Type of Impact Areqof
Im
ac Name of Waterbody
(if applicable) yp
Iake, pond, estuary, sound,
( ba , ocean, etc.
indicate on ma
N/A

_..1...1,. i...... .,.,f i- ;tm tn• fill excavation. dredizinp,
* List each impact separately and identity temporary impacts. unpucta ?????.•??. ?,
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.):
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.
Road realignment necessary to improve traffic safety. Land owner preferred alignment
would have impacted 1 acre +/ NCDOT has chosen the least environmentally dama?nE
practicable alternative Key points regarding the chosen alignment are: separation of
intersections ade uate sip-ht distance and the land owner desires to build a residence in the
remainin a field without a roadwa between her and her mothers house.
VIII. Mitigation
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
Page 5 of 8
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
USACE - In accordance 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://h2o.enr.state.nc.us/ncwetlands/strmgide.html.
Provide a brief description of the proposed mitigation plan. The description should provide
as much information as possible, including, but not limited to: site location (attach directions
and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed method of construction. Please attach
a separate sheet if more space is needed.
Mitigation is not required for this project
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://li2o.enr.statc.nc.usim,rp/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):
Page 6 of 8
IX.
Amount of Riparian wetland mitigation requested (acres):
Amount of Non-riparian wetland mitigation requested (acres):
Amount of Coastal wetland mitigation requested (acres):
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
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
l 3
2 1.5
Total
* Zone 1 extends out 30 feet perpendicular from near bank: of channel: Zone 2 exlends an
additional 20 feet from the edge of Zone 1.
Page 7 of 8
If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation
of Property, Conservation Easement, 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 (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.
Erosion and Sedimentation Control Plan shall be incorporated into the construction plan
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.
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).

Applicant/AgenllN Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 8 of 8
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