20020554 Ver 1_Complete File_20020411

. Q? w HT ?RpG
Y
Michael F. Easley
Governor
William G. Ross, Jr., Secretary
Department of Environment and Natural Resources
Gregory J. Thorpe, Ph.D.
Acting Director
Division of Y( ater.Quality
AU3
DWQ Project No.: 010554- County: u f Lroiz-7r7 '-°---
Applicant: M _DF_P/-9-TMENT 0F- ?ANSpo2TA'rIorJ
Project Name: S+Z3432's L?asswooa ADS
Date of Issuance of 401 Water Quality Certification: 4 -11- 0Z
n`? f
3 R

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.
Applicant's Certification
I, :T-?. ZNG QAh'? , 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 V d s cifications, and other supporting materials.
Signatur . Date: 7 - 8 - OZ
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
fJ?DEhct
Division of Water Quality 1650 Mail Service Center Raleigh, NC 27699-1650
Wetlands/401 Unit: [phone]
Fax: [phone]
? NJATF Michael F. Easley, Governor
\O?O 9QG William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Gregory J. Thorpe, Ph.D.
Acting Director
Division of Water Quality
April 11, 2002
Guilford County
DWQ Project No. 020554
SR 3438 (Rosswood Road)
APPROVAL of 401 Water Quality Certification with Additional Condition
Mr. S. L. Hall, District Engineer
NCDOT District 2. Division 7
1584 Yanceyville Street
Greensboro, NC 27415
Dear Mr. Hall:
You have our approval, in accordance with the attached conditions and those listed below, to
permanently impact 66 linear feet and temporarily impact 80 linear feet of unnamed tributaries to Big
Alamance Creek in order to upgrade SR 3438 (Rosswood Road) in Guilford County. The project
should be constructed in accordance with your application dated April 8, 2002 (received April 11.
2002). After reviewing your application, we have decided that this fill is covered by General Water
Quality Certification No. 3375 corresponding to the U.S. Army Corps of Engineer Nationwide
Permit Number 14. 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 only valid for the purpose and design that you described in your application except as
modified below. If you change your project, you must notify us. in writing, and send us 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 conditions. If total wetland fills for
this project (now or in the future) exceed one acre, or if stream impacts exceed 150 linear feet,
compensatory mitigation may be required as described in 15A NCAC 2H.0506 (h) (6) and (7). For
this approval to be valid, you must follow the conditions listed in the attached certification and any
additional conditions listed below.
1. Use of rip-rap for bank stabilization is to be minimized; rather, native vegetation is to be planted
when practical. If necessary, rip-rap must be limited to the stream bank below the high water
mark, and vegetation must be used for stabilization above high water.
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.
North Carolina Division of Water Quality, 401 Wetlands Certification Unit,
1650 Mail Service Center, Raleigh, NC 27699-1650 (Mailing Address)
2321 Crabtree Blvd., Raleigh, NC 27604-2260 (Location)
919-733-1786 (phone), 919-733-6893 (fax), httpJ/h2o.enr.state.nc.us/ncwetlands/
std y
STATE OF NORTH CAROLINA
DEPARTNIENT OF TRANSPORTATION
MICHAEL F. EASLEY 1584 YANCEYVILLE STREET, GREENSBORO, NC 27415
GOVERNOR
April 8, 2002
MEMORANDUM TO:
FROM:
Ms. Cynthia Van der Wiele
Wetlands/401
S.L. Hall nit
I la
District Engineer, District 2, Division 7
SUBJECT:
t
06
LYNDO TIPPETT
SECRETARY

Payment Information - Water Quality Certificate forGuilford County,
Rosswood Road East (SR 3438)
In accordance with General Statute 143-215.3D(e) the following information if being provided to
facilitate payment of fees associated with the appropriate Water Quality Certificate:
o Certificates being requested: #3375 (NWP 14) and #3366 (NWT 33)
o Work Order Number : 9.8073102
o Amount of fee: $200
Sincerely,
S.L. Hall
District Engineer, District 2, Division 7
PAYMENT
RECEIVED
PIIONE 336-334-3192 FAX [phone]
r 4NF u?
0-905
STATE OF NORTH CAROLINA
DEPART MNT OF TRANSPORTATION
MICHAEL F. EASLEY 1584 YANCEYVILLE STREET, GREENSBORO, NC 27415 LYNDO TIPPETT
GOVERNOR SECRETARY
April 8, 2002 'p P II U`
of Water Quality DENR Division o Q ty ? ?----?
1650 Mail Service Center''
Raleigh, NC 27699 VI -T1 P?,nc r.;:nua
ATTN.: Ms. Cynthia Van der Wiele rj )
Wetlands/401 Unit
? ]"L ' ?;
Dear Ms. Van der Wiele
TY SECT1011 -
SUBJECT: Guilford County, Upgrade of Rosswood Road East (SR 3438) from an unpaved
secondary road to a paved secondary road.
Please find seven (7) copies a Pre-Construction Notification Application package attached for you
review. If you have any questions or need any additional information, please contact Lane Hall at
[phone] or Len Smith at [phone]. Your time and effort are appreciated.
SincerelyAtl?
S.L. Hall
District Engineer, District 2, Division 7
cc: Mrs. Jean Manuele, USACE Ci? b r?/a8/6 Z
Mr. Lenwood Smith, II, PWS, NCDOT
Mr. J. Mike Mills, P.E., Division Engineer NCDOT

PHONE [phone] FAX [phone]
y?q
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY 1584 YANCEYVILLE STREET, GREENSBORO, NC 27415 LYNDO TIPPETT
GOVERNOR SECRETARY
April 8, 2002
US Army Corps of Engineers
Regulatory Field Office
6508 Falls of the Neuse Road, Suite 105
Raleigh, North Carolina 27615
ATTN.: Mrs. Jean Manuele
NCDOT Coordinator
SUBJECT: Guilford County, Upgrade of Rosswood Road East (SR 3438) from an unpaved
secondary road to a paved secondary road.
Dear Mrs. Manuele:
The North Carolina Department of Transportation (NCDOT) proposes to upgrade Rosswood Road
(SR 3438) from an unpaved to a paved secondary road to reduce future maintenance needs and
increase traffic safety. This activity will result in impacts to streams due to the replacement and
extension of crossline pipes to facilitate travel lane and shoulder widening. Total project length is
0.57 miles. The replacements, which are occurring in US waters within the Cape Fear River Basin,
are as follows:
Site Existing Pie Proposed Pie Stream type Impacts ft
A 40' of 36" RCP 60' of 36" RCP Perennial 20 (en), 40 (trop),
10
B 34' of 36" RCP 60' of 36" RCP Perennial 26 (en), 40 (trop),
10
Cumulative Impacts 46 (en), 80 (tmp),
20
RCP = reinforced concrete pipe; CMP = Corrugated metal pipe; CMPA = Corrugated metal pipe arch.
en = enclosure; tmp = temporary, rp = rip rap energy dissipaters placed above ordinary high water.
Permanent impacts will result from stream enclosure and placement of rip rap energy dissipaters
above the ordinary high water mark on each side of the newly installed pipes (energy dissipaters will
be included within the confines of the temporary work area). If the stream being impacted is
perennial, temporary impacts will result from the placement of ABC aggregate or a less intrusive
dewatering device within each stream during the dewatering operation. Dewatering devices will be
placed on both sides of each pipe being replaced. If the stream being impacted is intermittent,
PHONE [phone] FAX [phone]
yd I -"n
aw-?
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY 1584 YANCEYVILLE STREET, GREENSBORO, NC 27415 LYNDO TIPPETT
GOVERNOR SECRETARY
temporary impacts will result from the placement of a rock silt screen downstream from each pipe
outlet.
The road being upgraded is a dead end; therefore, a temporary travel lane will be constructed as an
on-site detour during dewatering of perennial streams. On-site detours will not provided pipe
replacements in intermittent streams due to the short duration of the activity. Within 15 working
days of the of the pipe replacement activities all dewatering structures and rock silt screens will be
entirely removed and natural stream contours will be restored and seeded.
Mitigation is not anticipated, as the impacts to any individual stream do not exceed 150 feet. The
project is not located in a High Quality Water. The project will not impact an Essential Fisheries
Habitat. No Threatened or Endangered species were observed during field surveys conducted by
Len Smith for species known to occur in Guilford County (See the attached Endangered Species
Review Sheet for further information).
Records from the NCDOT Historic Architect indicate that no National Register, Study List, or
Determination of Eligibility properties are located within the project area.
Secondary impacts will be minimized by strict enforcement of Best Management Practices for the
protection of surface waters, restrictions against the staging of equipment in or adjacent to waters of
the US, and coordination with the Division Environmental Officer.
The NCDOT anticipates that the pipe replacement activities will be authorized under Nationwide
Permit (NWP) 14 and the dewatering operations will be authorized under NWP 33. This application
is intended as a request for formal written authorization from the USACE for dewatering activities
occurring under NWP 33. This application is also intended as request for written authorization from
the NC Division of Water Quality for filling activities under General Water Quality Certificate # 3375
(NWP 14). Enclosed please find the Pre-construction Notification Form and supporting
documentation for the above referenced project. Construction is anticipated to begin
as soon as practicable following authorization and take 4 weeks to complete.
If you have any questions or need any additional information, please contact Lane Hall at
[phone] or Len Smith at [phone]. Your time and effort are appreciated.
PHONE [phone] FAX [phone]

STATE OF NORTH CAROLINA
DEPARTN MNT OF TRANSPORTATION
MICHAEL F. EASLEY 1584 YANCEYVILLE STREET, GREENSBORO, NC 27415
GOVERNOR
Sincerely,
S.L. Hall
District Engineer, District 2, Division 7
cc: Ms. Cynthia Van der Wiele NCDWQ 6
Mr. Lenwood Smith, II, PWS, NCDOTc??
Mr. J. Mike Mills, P.E., Division Engineer NCDOT
LYNDO TIPPETT
SECRETARY
PHONE [phone] FAX [phone]
Office Use Only: Form Version October 2001
,20
USACE Action ID No. DWQ No. J
If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A" rather than
leaving the space blank.
I. Processing
1. 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 & 33
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: Mr. J.M. Mills, RE, Division Engineer - Division 7
Mailing Address: P.O. Box 14996
Greensboro, NC 27415
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: [e-mail]
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: Mr. S.L. Hall, District 2 Engineer
Company Affiliation: NCDOT - Division 7
Mailing Address: 1584 Yanceyville Street
Greensboro NC 27415
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: lhall(a dot.state.nc.us
Page 1 of 8
M. 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: Rosswood Road - SR 3438
2. T.I.P. Project Number or State Project Number (NCDOT Only):9.8073102 (non-TIP)
3. Property Identification Number (Tax PIN): N/A
4. Location
County: Guilford Nearest Town: Pleasant Garden
Subdivision name (include phase/lot number): N/A
Directions to site (include road numbers, landmarks, etc.): From I-85/40 take Exit # 126
south onto US-421 (James M. Hunt Jr. Expressway). Proceed 3.3 miles and turn right onto
Hwy-22 (Alliance Church Road). Proceed 2.9 miles and turn left onto SR 3438.
5. Site coordinates, if available (UTM or Lat/Long): See the attached sheet
(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:
Primarily Residential
7. Property size (acres): N/A
8. Nearest body of water (stream/river/sound/ocean/lake): UT to Big Alamance Creek
9. River Basin: _Cape Fear
(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/maps/.)
Page 2 of 8
10. Describe the purpose of the proposed work: To upgrade an unpaved secondary road to a
paved secondary road. Paving and widening are being conducted to reduce future
maintenance costs, bring the road up to current construction standards and increase traffic
safety.
11. List the type of equipment to be used to construct the project: Road construction
equipment (trackhoe, grader, backhoe, and bulldozer).
12. Describe the land use in the vicinity of this project:
Disturbed forest
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
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
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 tb
Nearest Stream
linear feet
Type of Wctland***
N/A

T List eacn impact separately and identity temporary impacts. Impacts include, but are not limited to: mechanized clearing, grading, fill,
excavation, flooding, ditching/drainage, etc. For dams, separately list impacts due to both structure and flooding.
** 100-Year floodplains are identified through the Federal Emergency Management Agency's (FEMA) Flood Insurance Rate Maps
(FIRM), or FEMA-approved local floodplain maps. Maps are available through the FEMA Map Service Center at 1-800-358-9616, or
onlineatlittl2://,,tiiv,,v.fenia.gov.
* * * List a wetland type that best describes wetland to be 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: 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?
leasespecify)
Site A (Station
pipe replacement 20 (
40 (tmp),
10
UT to BCreek amance
2.5'
Perennial
Site B (Station
11+70) pipe replacement 40 26 (en), (tmp)
10 UT to Big Alamance
Creek 3.0' Perennial

List each impact separately and identity 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
wNvw.usos.eov. Several internet sites also allow direct download and printing of USGS maps (e.g., www.topozone.coni,
www.mapquest.com, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: 46 - enclosure (en),
80 - temporary (tmn), 20 - rip rap (m)
Page 4 of 8
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

* 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.
Pipe replacement and widening activities are necessary to increase travel lane and shoulder width
to current construction standards. Impacts will be minimized by strict enforcement of Best
Management Practices for the protection of wetland and surface waters, restrictions against the
staging of equipment in or adjacent to waters of the US, and coordination with the Division
Environmental Officer.
VIII. Mitigation
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
Page 5 of 8
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
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
Will the project impact protected riparian buffers identified within 15A NCAC 213 .0233
(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 from near bank of channel; Zone 2 extends 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.
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.
In accordance with the February 25, 1991 delegation agreement one copy of the sediment and
erosion control plan will be submitted to DENR - Division of Land Resources and NCDOT
Roadside Environmental Prior to construction.
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/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 8 of 8
SITE COORDINATES
Site Approximate
Station Easterly Northerly
A 07+55 17 06 12 735 00 39 79 942
B 11+70 17 06 12 846 00 39 80 012
NATURAL RESOURCE EVALUATION SHEET
State Project # SR Number Road Name T county Investigator(s)
1. S O -+:r 1 O L 3438 Rosswood Road Guilford Len Smith
Date: River Basin: Water Quality Designation Buffer Rules (Y/N )
09/25/01 Cape Fear WS-1V 9.5 miles from C.A. No
Primary Land Use Percent Residential Percent Agricultural: Percent Unmaintained:
Residential 60 20 20
Types of Unmaintained Upland Properties
Community
Type Dominant Tree(s) Dominant Shrub(s) Dominant Herb(s)
Disturbed
forest eastern red cedar, black walnut,
slippery elm flowering dogwood,
multiflora rose, slippery
elm Japanese honeysuckle,
muscadine grape, pokeweed,
Nepal microste ium

Waters of the US
Streams

Station
Stream Name Perennial or
Intermitt cut Ave. Wdth
O Ave. Dpth
(OHNVAI) Ave. Wdth
TOB Ave. Dpth
TOB
Notes
7+48 UT to Big Alamance
Creek Intermittent 2.5' <0.5' 3.5' 3.5' No blueline
11+75 UT to Big Alamanee
Creek Intermittent 3.0' <0.5' 6.0' 4.0'

M.M. = Mile Marker, OHWM = Measurements made from Ordinary High Water Marker, TOB =
Measurements made from the Top of the Bank
Wetlands

M.M. Within 100-year
Floodplain Distance to
Nearest Stream
linear feet
Cowardin Classification
Dominant Plants
N/A

Open Water
M.M. Name of Waterbody
if applicable) Type of
Waterbod M.rvL Name of Waterbody
if applicable) Type of Waterbody
N/A

General Notes/Comments:
d Yz Z -f?d J
Division Environmental Officer Date
ENDANGERED SPECIES REVIEW FOR DIVISION 7
DISTRICT 2
State Pro'ect # SR Number Road Name county
3 oZ 3438 Rosswood Road Guilford
Guilford County
Bald Eagle (Haliaeetus leucocephalus). Lake Higgins Area.
Is the activity within the primary or secondary zone Yes ? No
James s in ussel Pleurobema collina - Roanoke Basin
Habitat Survey Date Investigator(s) Man-hours Comments/Findings
N/A
Potential Species (Listed in Nearby Counties)
Schweinitz's sunflower Helianthus sclaveinitzir Ma be surveyed for from late August to October
Habitat Survey Date Investigator(s) Man-hours Comments/Findings
No 09/25/01 Len Smith 0.5
General Notes/Comments:
Division Environmental Officer
Date

NCDOT
HAZARDOUS SPILL BASIN CHECKLIST
Division Seven County Guilford Project ID: 9.8073102
River Basin Cape Fear Bridge No: N/A
Route 3438 Stream UT to Big Alamance Creek
Water Quality Criteria
Yes No
Stream Crossing Blueline on USGS Z ?
ORW ? Z
WSI ? Z
WS II, III, or IV Crossing Within 0.5 mi. of W.S. Critical Area ? Z
Roadway Criteria
Route Designation Yes No
Arterial Urban ?
Arterial Rural ? Z
Additional Site Information:
Yes No
Is a Hazardous Spill Basin Required? ? Z
Criteria Based Upon NCDOT "Best Management Practices for the
Protection of Surface Waters" (March, 1997).

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T.E. & BETTY V. KIRKMAN JR.
DB 2901-821
.,..PROPOSED IMPROVEMENTS ' s
SR. `3438;: ROSINODRQADfST
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MARTHA K. NICHOLS
DB 3338-768
PB 73.124
60 Ft.
RIGHT OF WAY
Not To Scale
April 8, 2002
Site A
Construction Sequence and Erosion Control Plan for Replacement of
Pipe with Pipe using an On-site Detour - Guilford County, SR 3438
Work to begin as soon as practicable following authorization.
Construction is anticipated to take 4 weeks.
1. Install a rock silt dam downstream of the work area to prevent incidental sediment
loss.
2. Install ABC aggregateor a less intrusive dewatering device to allow dewatering of the
work area.
3. Install pumps to divert flow around the work area.
4. Place a temporary extension at one end of the existing pipe to allow a travel lane
shift.
5. Place a temporary detour over the temporary extension.
6. Opposite the detour, remove existing RC pipe to at least the centerline of the
roadway.
7. Excavate to sufficient depth to allow 20% burial of the pipe, place base stone, and
sections of 30' long 36" RC pipe.
8. Backfill the new section of pipe and place rip rap only as needed.
9. Place the temporary detour over the new sections of pipe.
10. Remove remaining sections of pipe.
11. Excavate to sufficient depth to allow 20% burial of the pipe, place base stone, and
sections of 30' long 36" RC pipe.
12. Backfill the new section of pipe and place rip rap only as needed.
13. Remove the dewatering device and restore the natural stream contours.
14. Place final roadway in desired location.
15. Notify landscape department for final seeding.
16. Silt fences to be placed as site conditions require.
17. A 10' X 15' dirt bag will be used to remove excess water in the hole where the new
pipe is being replaced.
18. Site conditions and weather may alter these plans.
19. A method less intrusive than a pump around system may be utilized if site conditions
allow.

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Site B
Construction Sequence and Erosion Control Plan for Replacement of
Pipe with Pipe using an On-site Detour - Guilfored County, SR 3438
Work to begin as soon as practicable following authorization.
Construction is anticipated to take 4 weeks.
1. Install a rock silt dam downstream of the work area to prevent incidental sediment
loss.
2. Install ABC aggregateor a less intrusive dewatering device to allow dewatering of the
work area.
3. Install pumps to divert flow around the work area.
4. Place a temporary extension at one end of the existing pipe to allow a travel lane
shift.
5. Place a temporary detour over the temporary extension.
6. Opposite the detour, remove existing RC pipe to at least the centerline of the
roadway.
7. Excavate to sufficient depth to allow 20% burial of the pipe, place base stone, and
sections of 30' long 36" RC pipe.
8. Backfill the new section of pipe and place rip rap only as needed.
9. Place the temporary detour over the new sections of pipe.
10. Remove remaining sections of pipe.
11. Excavate to sufficient depth to allow 20% burial of the pipe, place base stone, and
sections of 30' long 36" RC pipe.
12. Backfill the new section of pipe and place rip rap only as needed.
13. Remove the dewatering device and restore the natural stream contours.
14. Place final roadway in desired location.
15. Notify landscape department for final seeding.
16. Silt fences to be placed as site conditions require.
17. A 10' X 15' dirt bag will be used to remove excess water in the hole where the new
pipe is being replaced.
18. Site conditions and weather may alter these plans.
19. A method less intrusive than a pump around system may be utilized if site conditions
allow.

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Name: CLIMAX Location: 17 612776 E 3979970 N
Date: 2/2712002 Caption: Location of permitted activities - SR 3438
Scale: 1 inch equals 2000 feet
Copyright (C) 1997, Maptech, Inc.

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View of the existing pipe inlet - Site A.
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STATE OF NORTH CAROLINA
DEPARTNMNT OF TRANSPORTATION
MICHAEL F. EASLEY
GoVERNOR
Mike Mills, PE
Division Engineer
1584 Yanceyville Street
Greensboro, NC 27415-4996
CS4 02-16-44
December 13, 2001
Dear Mr. Mills:
(Please Distribute to Division/District Maintenance Engineers and DEO):
oec ¢oa
NO Dept, of Transportatiorl
Dlvililon of H?ghways.m D"
LYNDO TIPPETT
SECRETARY
The NCDOT Historic Architecture Section has received your county commission-approved 2001-2002
Secondary Roads Rural Paving Program. We have map-checked all submitted roads at the NC State
Historic Preservation Office (SHPO) for the following currently designated historic property types:
National Register (NR), Study List (SL), and Determined Eligible (DOE) properties. Based on the map-
check reviews, we are writing (1) to inform you of the current historic compliance status for your SR Rural
Paving Program; (2) to notify you of the SR projects that definitely will require our fieldwork; (3) to
provide you with information that can be included (or attached) in your cover letter for a Pre-Construction
Notification.
If coordination is required, the NCDOT staff architectural historian will notify the Division/District
Maintenance Engineers to start a mitigation effort involving environmental commitment agreeable to all
parties. Documentation will be coordinated by the staff architectural historian with the Division
Environmental Officer.
When additional SR projects arc added to a Program, individual updates will be sent to the
Division/District Maintenance Engineers and the DEO. All status updates can be tracked on the Division
Support website. If there are errors or omissions in this letter or on the wcbsitc, please e-mail your NCDOT
staff architectural historian or call the Division Coordinator, Richard Silverman, 919-733-7844 x298.
Sincerely,
-f '- d'.'? <5?- 6'??
Richard L. Silverman
Attachment
MAILING ADDRESS:
NC DEPARTMENT OF TRANSPORTATION
PROJECT DEVELOPMENT AND ENVIRONMENTAL ANALYSIS
1548 MAIL SERVICE CENTER
RALEIGH NC 27699-1548
TELEPHONE: [phone]
FAX: [phone]
WEDSITE: WWW.DON.DOT.STATE.NC.US
LOCATION:
TRANSPORTATION BUILDING
1 SOUTH WLMINGTON STREET
RALEIGH NC
HISTORIC ARCHITECTURE STATUS REVIEW SHEET
NCDOT Secondary Roads Rural Paving Projects
The county-commission approved 2001-2002 SR Rural Paving Program for Division 7 has been map-
checked at the NC Historic Preservation Office by NCDOT Architectural Historians. The results of this
map-check should be included in your Pre-Construction Notification application (by attachment of this
document with the applicable SR J1 circled or by inclusion in your own letter).
Historic Properties Present (NR, SL, or DOE)
Status: THE DIVISION WILL NOT PROCEED until compliance work is completed by NCDOT
Historic Architecture and Concurrence has been obtained from the NC State Historic Preservation
Office
Further Information & Scheduling: Contact your assigned Architectural Historian or go to
http://www.dot.state.nc.us/planning/pe/histarchUdivsupport/
Based on a review of USGS county survey quad maps at the SHPO, the following roads have
properties that are currently designated as historic. Please do not proceed with construction until
compliance work is completed by the Historic Architecture Section. We will be in contact with the
Division/District Maintenance Engineers and the Division Environmental Officer to coordinate this
effort. Please note: not all NR, SL, or DOE properties will necessarily require mitigation. We will
work with the Division and District Maintenance Engineers if environmental commitments are
required. At any time, if you are not in agreement with the proposed mitigation efforts, please contact
Richard Silverman, Division Coordinator at 919-733-7844 x298.
Alamance: SR 1107 (NR)
Orange: None
Guilford: None
Caswell: None
Rockingham: None
HISTORIC ARCHITECTURE STATUS REVIEW SHEET (Continued)
NCDOT Secondary Roads Rural Paving Projects
No Designated Historic Properties Present (NO NR/SL/DOE)
Status for projects with No Federal Permit: PROCEED
Status for projects with a Federal Permit anticipated: PROCEED WITH CONDITIONS
(see below)
Further Information & Scheduling: Contact your assigned Architectural Historian or go to
rt/
http://%vww.dot.state.nc.us/plannin_g/pe/histarchi/divsuppo
Based on a review of USGS county survey quad maps at the HPO, the following roads do not have
properties that are currently designated historic. The Division may proceed with construction with the
following conditions: If the Division applies for a Federal Permit, the NC State Historic Preservation
Office (SHPO) may request additional fieldwork, (usually to identify Potentially Eligible properties).
Typically this request is made for counties where historic resource surveys have not been completed or
are out-of-date. If additional historic properties are identified, further coordination, including
environmental commitments, may be required as part of the project. For SR Projects where no Federal
Permit is to be applied for, no further compliance work is anticipated by NCDOT. Those projects may
proceed unconditionally.
Alamance: SR 2384, 2333, 1191, 1565, 1502, 2012, 1758, 2013, 1534C
Orange: SR 1115, 1503, 1368, 1302, 1359, 1132, 1529, 1897
Guilford: SR 2035, 3382, 2102, 3524, 2771, 2833, 1140N, 1140S, 3105E, 2762, 3344, 3083,
2904W, 1827, 3359
Caswell: SR 1608, 1755, 1569, 1758, 1109, 1601, 1332, 1712, 1344, 1313, 1172, 1551, 1570
Rockingham: SR 1163, 2628, 2405, 2404, 1377, 2187, 2713, 2197, 2339, 1383, 1934, 1217,
1111, 2259, 2559, 1122, 2024, 2133, 2382N, 2156, 2388, 2425, 1397