20011319 Ver 1_Complete File_20010905

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
Michael F. Easley, Governor
William G. Ross, Jr., Secretary
Gregory J. Thorpe, Ph.D., Acting Director
Mr. J.G. Nance, P.E., Division Engineer
NCDOT, Division 5
2612 N. Duke Street
Durham, NC 27704
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March 25, 2002
?' G2
Re: 401 Water Quality Certification Modification Request for proposed widening and paving of SR 1104
(McCullock Loop Road) from SR 1103 (Hurdle Mills Road) to SR 1103 (Hurdle Mills Road) in
Person County, DWQ No. 011319
Dear Mr. Nance:
The Division of Water Quality has reviewed your submittal for a 401 Water Quality Certification for the
aforementioned project. Review of your application revealed it lacking necessary information required for
making an informed permit decision. The permit application was deficient in the following areas:
There is an inadequate avoidance and minimization (as well as a no practical alternative analysis)
assessment for the referenced project at Site 4. At Site 4, the project as presently designed, widens the
road symmetrically on both sides. The design failed to assess the potential for widening of the road
asymmetrically to the eastern side of the existing road. The proposed right-of-way (ROW) for this
project is 60 feet on either side of the road. Therefore, we believe that sufficient ROW exists to apply
asymmetrical widening to the eastern side of the road. Please redesign the project as requested above.
Therefore, pursuant to 15A NCAC 2H .0507(a)(5), we will have to place the permit application on hold
until we are supplied the necessary information. Furthermore, until the information is received by the NC
Division of Water Quality, we request (by copy of this letter) that the US Army Corps of Engineers place
the permit application on hold.
Hopefully, we can work together to expedite the processing of your permit application. If you have any
questions or require additional information, please contact John Hennessy at 919-733-5694.
J . Dorney
ater Quality Ce t tc tion Program
cc: DWQ Raleigh Regional Office
US Army Corps of Engineers Raleigh Field Office
Central Files
C:\ncdot\SR 1104\correspondence\011319hld.doc
Wetlands/401 Unit 1621 Mail Service Center Raleigh, North Carolina 27699-1 62 1
Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post consumer paper
State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
AWMA" e??
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
DWQ Project No.: 011319 County: ??1 SO1'I
Applicant: 1VO-WfC•AW(Lo"2 -I- for 1406"
Project Name:

Date of Issuance of 401 Water 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, 1621 Mail Service Center, Raleigh, NC,
27699-1621. This form may be returned to DWQ by the applicant, the applicant's authorized agent, or the
project engineer. It is not necessary to send certificates from all of these.
Applicant's Certification
1, 70-.-/ G. n/pn c c. , 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 complia a intent of the 401 Water Quality Certification and Buffer Rules, the
approved plans and sp ifica ' other supporting materials.
Signature: h/ Date:
Agent's Certifica on
I, , hereby state that, to the best of my abilities, due care and
diligence was used in the observation of the construction such that the construction was observed to be built
within substantial compliance and intent of the 401 Water Quality Certification and Buffer Rules, the
approved plans and specifications, and other supporting materials.
Signature:
Engineer's Certification
Partial Final
Date:
1, , as a duly registered Professional Engineer in the State
of North Carolina, having been authorized to observe (periodically, weekly, full time) the construction of
the project,for the Permittee hereby state that, to the best of my abilities, due care and diligence was used in
the observation of the construction such that the construction was observed to be built within substantial
compliance and intent of the 401 Water Quality Certification and Buffer Rules, the approved plans and
specifications, and other supporting materials.
Signature
Date
Registration No.
Wetlands/401 Unit 1650 Mail Service Center Raleigh, North Carolina 27699-1621
Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post consumer paper
State of North Carolina
Department of Environment
and Natural Resources AM •
Division of Water Quality
Michael F. Easley, Governor RCDENR
William G. Ross, Jr., Secretary Gregory J. Thorpe, Ph.D., Acting Director
March 25, 2002
Mr. J.G. Nance, P.E., Division Engineer
NCDOT, Division 5
2612 N. Duke Street
Durham, NC 27704
Re: 401 Water Quality Certification Modification Request for proposed widening and paving of SR 1104
(McCullock Loop Road) from SR 1103 (Hurdle Mills Road) to SR 1103 (Hurdle Mills Road) in
Person County, DWQ No. 011319
Dear Mr. Nance:
The Division of Water Quality has reviewed your submittal for a 401 Water Quality Certification for the
aforementioned project. Review of your application revealed it lacking necessary information required for
making an informed permit decision. The permit application was deficient in the following areas:
• There is an inadequate avoidance and minimization (as well as a no practical alternative analysis)
assessment for the referenced project at Site 4. At Site 4, the project as presently designed, widens the
road symmetrically on both sides. The design failed to assess the potential for widening of the road
asymmetrically to the eastern side of the existing road. The proposed right-of-way (ROW) for this
project is 60 feet on either side of the road. Therefore, we believe that sufficient ROW exists to apply
asymmetrical widening to the eastern side of the road. Please redesign the project as requested above.
Therefore, pursuant to 15A NCAC 2H .0507(a)(5), we will have to place the permit application on hold
until we are supplied the necessary information. Furthermore, until the information is received by the NC
Division of Water Quality, we request (by copy of this letter) that the US Army Corps of Engineers place
the permit application on hold.
Hopefully, we can work together to expedite the processing of your permit application. If you have any
questions or require additional information, please contact John Hennessy at 919-733-5694.
Y,
J QDorney
ater uality Ce t tc ti on Program
cc: DWQ Raleigh Regional Office
US Army Corps of Engineers Raleigh Field Office
Central Files
C:\ncdot\SR 1104\correspondence\011319hid.doc
Wetlands/401 Unit 1621 Mail Service Center Raleigh, North Carolina 27699-1621
Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post consumer paper
? W ATF Michael F. Easley, Governor
\O?Q 9pG William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
co Alan W. Klimek, P.E. Director
>_ y Division of Water Quality
O `r
July 3, 2002
Person County
DWQ Project No. 011319
APPROVAL OF 401Water Quality Certification and ADDITIONAL CONDITIONS and Neuse River Buffer
Rules
Mr. J.G. Nance, P.E., Division Engineer
NCDOT, Division 5
2612 N. Durham Street
Durham, NC 27704
Dear Mr. Nance:
You have our approval, as described in your application dated March 8, 2002 and the subsequent addendum dated
April 16, 2002, and in accordance with the attached conditions and those listed below, to place fill material in 0.02
acres of wetlands, 110 linear feet of streams, and 6,674 square feet of protected riparian buffers. In addition, you are
authorized to have temporary impacts to 96 linear feet of streams. The project purpose is the widening and
improving of SR 1104 (McCullock Loop Road) from SR 1103 (Hurdle Mills Road) to SR 1103 (Hurdle Mills Road)
in Person County. The project shall be constructed in accordance with your application dated March 8, 2002 for
impacts Sites 1, 2, and 3. For Site 4, the project shall be constructed in accordance with the addendum dated April
16, 2002. After reviewing your application, we have decided that this fill is covered by General Water Quality
Certification Number 3375. This certification corresponds to the Nationwide Permit 14 issued by the Corps of
Engineers. This approval is also valid for the Neuse River buffer rules (15A NCAC 213 .233). 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 when the accompanying 404 permit expires unless otherwise specified in the General Certification.
This approval is valid solely for the purpose and design described in your application (unless modified below).
Should your project change, you must notify the DWQ and submit a new application. If the property is sold, the
new owner must be given a copy of this Certification and approval letter, and is thereby responsible for complying
with all the conditions. If total wetland fills for this project (now or in the future) exceed one acre, or of total
impacts to streams (now or in the future) exceed 150 linear feet, compensatory mitigation may be required as
described in 15A NCAC 2H .0506 (h) (6) and (7). ). This approval shall expire with the corresponding Nationwide
Permit expires or as otherwise provided in the General Certification. For this approval to be valid, you must follow
the conditions listed in the attached certification and any additional conditions listed below.
1. Stormwater shall be directed to sheetflow at nonerosive velocities through the protected stream buffers.
2. Upon completion of the project, the NCDOT shall complete and return the enclosed "Certification of
Completion Form" to notify DWQ when all work included in the 401 Certification has been completed. The
responsible party shall complete the attached form and return it to the 401/Wetlands Unit of the Division of
Water Quality upon completion of the project.
3. For the 96 linear feet of streams being impacted due to site dewatering activties, the sites shall be graded to its
preconstruction contours and revegetated with native vegetation.
A-,
N. C. Division of Water Quality 1650 Mail Service Center Raleigh, NC 27699-1650 [phone]
Customer Service: 1 800 623-7748
W A 7 eC Michael F. Easley, Governor
\0?0 qQG William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
fi) Alan W. Klimek, P.E. Director
O -c
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, P.O.
Box 27447, Raleigh, N.C. 27611-7447. 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 contact John Hennessy at 919-733-5694 or Steve Mitchell at 919-571-4700.
Sincerely,
n W. Klimek, P.E.
-F-5,6L
Attachment
cc: Wilmington District Corps of Engineers
Corps of Engineers Raleigh Field Office
DWQ Raleigh Regional Office
File Copy
Central Files
c:\ncdot\SR 1104\wqc\011319wgc.doc
N. C. DEPARTMENT OF TRANSPORTATION
TRANSMITTAL SLIP DATE
4 16.
C-1
TO: REF. NO. OR ROOM, BLDG.

FROM:: REP. NO. OR ROOM, BLDG.

J rr
AC 1 N
? NOTE AND FILE ? PER OUR CONVERSATION
? NOTE AND RETURN TO ME '? PER YOUR REQUEST
? RETURN WITH MORE DETAILS ? FOR YOUR APPROVAL
? NOTE AND SEE ME ABOUT THIS ? FOR YOUR INFORMATION
? PLEASE ANSWER ? FOR YOUR COMMENTS
? PREPARE REPLY FOR MY SIGNATURE ? SIGNATURE
? TAKE APPROPRIATE ACTION ? INVESTIGATE AND REPORT
COMMENTS:
aswev '' ? `?`'
APR 1 9 2U02
'!a••• s• WERANDS GROUP
,, WATE QU?iLITY SECTION
STATE OF NORTH CAROLINA -
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY
GOVERNOR
April 16, 2002
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Wetlands/401 Unit
2321 Crabtree Blvd.
Raleigh, NC 27604-2260
Attention: Mr. John Dorney
LYNDO TIPPETT
SECRETARY
Subject: REVISED PERMIT MODIFICATION REQUEST-Secondary
road improvements to SR 1104 (McCullock Loop Road) from SR 1103
(Hurdle Mills Road) to SR 1103 (Hurdle Mills Road) in Person County.
NCDOT Work Order No. 6.382150. DWO No. 011319,
References: 1. Regulatory permit application (NCDOT, August 28, 2001)
2. USACE Section 404 permit (October 9, 2001; Action ID Nos.
200220004 and 200220005)
3. NCDENR-DWQ Section 401 Water Quality Certification and
Additional Conditions and Neuse River Buffer Rules (September 26,
2001; DWQ Project No. 011319)
4. Permit Modification Request (NCDOT, March 8, 2002)
The North Carolina Department of Transportation (NCDOT) proposes to upgrade
and pave SR 1104 (McCullock Loop Road) from SR 1103 (Hurdle Mills Road) to SR
1103 (Hurdle Mills Road) in Person County (Figures 1 and 2). The NCDOT permit
application for this project was initially submitted to the regulatory agencies on August
28, 2001. The United States Army Corps of Engineers (USACE) issued Nationwide
Permit (NWP) 14 and NWP 33 (Action ID Nos. 200220004 and 200220005) on October
9, 2001. The North Carolina Department of Environment and Natural Resources-
Division of Water Quality (NCDENR-DWQ) issued Water Quality Certification No.
3289 and Additional Conditions and Neuse River Buffer Rules (DWQ Project No.
011319) on September 26, 2001. A permit modification request was submitted to the
regulatory agencies on March 8, 2002. This permit modification was specifically related
to impacts to waters of the United States and riparian buffer at Site 4.
Division 5, 2612 N. Duke Street, Durham, NC 27704
Phone: [phone] Fax: [phone]
The NCDENR-DWQ placed the project modification application on HOLD, as
referenced in a letter dated March 25, 2002. The agency determined that there is
inadequate avoidance and minimization (as well as no practical alternative analysis)
assessment for the project at Site 4. The agency has proposed that the NCDOT
investigate asymmetrical widening to the eastern side of SR 1104. The purpose of this
letter is to address this issue and present a modified construction plan for this site.
Site 4-Station 83+18-Lt- to 83+30-Lt- and 83+22-Rt- to 83+83-Rt-
The project crosses an unnamed perennial tributary to Bushy Fork Creek (DWQ
Index No. 27-3-3-1, Best Usage Classification WS-III NSW). The existing structure that
conveys the creek is a 60 inch corrugated metal pipe that is 40 feet long. Please note
that the proposed right of wav width for this project is 60 feet centered on the
existing centerline of the gravel roadway (see revised Figure 6).
The initial design for the proposed structure at this site was a 95 inch x 67 inch
corrugated metal arch pipe that is 80 feet long (Figure 6). A total of 10 linear feet of rip
rap would be placed at the inlet and the outlet of the structure to provide adequate
streambank stabilization. Permanent impacts at the site associated with the replacement
of the structure and minimal amounts of rip rap to protect the structure include <0.01 acre
fill in surface water and 83 linear feet existing channel impacted.
Proposed New Design
In an effort to minimize riparian buffer and stream impacts and widen
asymmetrically to the eastern side of SR 1104, the NCDOT has revised the proposed
construction at this site (Revised Figure 6, Figure 7 and Figure 8). The NCDOT now
proposes to place the outlet of the proposed pipe at the extreme limits of the proposed 60
foot right of way limits on the east side of SR 1104. This will asymmetrical widening to
the east side of the proposed right of way limits. A total of 12 feet of rip rap will be
placed at the outlet of the pipe (and outside the proposed right of way limits) to provide
adequate streambank stabilization. All efforts will be made during construction to reduce
this amount of rip rap at the outlet side. Only the amount of rip rap necessary to provide
adequate stabilization will be placed in this area. The NCDOT also proposes to construct
a concrete headwall at the inlet. This will preclude the need for rip rap at the inlet of the
structure for streambank stabilization. The revised permanent impacts at the site
associated with the replacement of the structure and minimal amounts of rip rap to protect
the structure at the outlet only include <0.01 acre fill in surface water and 46 linear feet
existing channel impacted.
The NCDOT proposes to temporarily dewater the perennial stream at Site 4
during the construction of the project. This will involve the temporary placement of
sandbags or Class B or Class 2 rip rap covered with filter fabric in the stream channel
approximately 5 feet upstream of the proposed pipe inlet and approximately 12 feet
downstream of the proposed pipe outlet (revised Figure 6). To maintain water flow
during construction, water upstream of this impervious structure will be temporarily
pumped out and conveyed downstream of the construction activity where it will be
allowed to filter through vegetation before flowing into the stream at the proposed pipe
outlet. The stream will be dewatered seven days. This will result in temporary impacts
to the surface water. Temporary impacts to the stream at this site from this activity will
result in the dewatering of <0.01 ac of stream bed and 51 linear feet stream channel. The
sandbags or rip rap covered with filter fabric will be removed after construction.
The unnamed perennial tributary to Bushy Creek at Site 4 is depicted on both the
Hurdle Mills (USGS, 1968) topographic quadrangle and on the Soil Survey of Person
County, North Carolina (USDA-NRCS, 1995) and is subject to the Rule. The
construction of the project at Site 4 results in impacts to the riparian buffer (Revised
Figure 6). Construction impacts at Site 4 total 1,261 square feet in Zone 1, 827 square
feet in Zone 2 and 46 linear feet of riparian buffer. Based on the impacts to the riparian
buffer at this site, this crossing is allowable. The NCDOT certifies that the criteria
documented in Sub-Item (8)(a) of the buffer rules (which find that there are no practical
alternatives to the project) are met (see minimization section). The NCDOT requests an
Authorization Certificate for this activity at this project.
Waters of the U.S. Mitigation
Avoidance: All wetlands and surface waters not affected by the project will be
protected from unnecessary encroachment. No staging of construction equipment or
storage of construction supplies will be allowed in wetlands or near surface waters.
Minimization:
1. The side slopes have been steepened to the extent possible at jurisdictional
sites.
2. Strict enforcement of sedimentation and erosion control Best Management
Practices for the protection of wetlands and surface waters will be enforced
during project construction.
3. Continued coordination will occur with maintenance forces and the
Environmental Officer during construction to minimize impacts to these sites.
The amount of rip rap placed at the outlet of Site 4 has been reduced to the
amount that is only necessary to provide for adequate streambank stabilization
(based on what can be determined at this time). All efforts will be made
during construction to reduce this amount of rip rap at the outlet side.
4. A concrete headwall is proposed at the inlet of the structure at Site 4. This
will preclude the need for rip rap at the inlet of the structure for streambank
stabilization.
5. The NCDOT has reviewed the construction plans for this project and proposes
to asymmetrically widen to the east at Site 4. The NCDOT proposes to place
the outlet of the proposed pipe at the extreme limits of the proposed 60 foot
right of way limits on the east side of SR 1104.
6. The proposed 95 inch x 67 inch corrugated steel pipe arch has been reduced in
length. The original design proposed an 80 foot long pipe arch. The revised
design proposes a 60 foot long pipe arch.
4
7. This revised design has reduced impacts to the perennial stream and riparian
buffer.
Compensatory, Mitigation: Construction of the project will result in only minimal
impacts to waters of the United States. Impacts have been avoided and minimized to the
maximum extent possible during the design process. Due to minimal impacts,
compensatory mitigation for stream and wetland impacts will not be provided for this
project.
Summary
Revised permanent impacts at Site 4 include <0.01 acre fill in surface water and
46 linear feet existing channel impacted. Revised temporary impacts to the stream at Site
4 will result in the dewatering of <0.01 ac of stream bed and 51 linear feet stream
channel. Revised riparian buffer impacts at Site 4 include 1,261 square feet in Zone 1,
827 square feet in Zone 2 and 46 linear feet of riparian buffer. This formation, including
impacts to streams, wetlands and riparian buffer for all four sites at the project are
presented in Revised Table 1.
Revised Table 1. Summary of impacts.
Existing
Existing Channel
Channel Impacted Zone 1 Zone 2 Linear
Impacted (Temporary- Fill in Buffer Buffer Buffer
Site (Permanent) Dewatering) Wetlands Impact Impact Impact
1 34 linear ft 0 linear ft <0.01 ac 1,449 sq ft 937 sq R 34 liner ft
2 0 linear ft 0 linear ft O.Olac 0 sq ft 0 sq ft 0 linear ft
3 30 linear ft 45 linear ft O.Olac 1,338 sq ft 862 sq ft 45 linear R
4 46 linear ft 51 linear ft 0.0 ac 1,261 sq ft 827 sq ft 46 linear ft
Total 110 linear ft 96 linear ft 0.02 ac 4,048 sq ft 2,626 sq ft 125 linear ft
The information provided in this letter addressees the information concerns noted
by your agency in the above-mentioned letter dated March 25, 2002. The NCDOT has
provided minimization to streams and riparian buffers at Site 4 by asymmetrically
widening to the east of SR 1104 and reducing the pipe length of the proposed structure.
If you have any questions or need additional information, please contact me at (919) 560-
6081.
Sincerely,
Christopher A. Murray, P.W.S.
Division Environmental Officer
cc: Mr. John Hennessy, NCDENR-DWQ, Raleigh
Mr. Rodney Cooper, P.E., NCDOT District Engineer, Durham
Mr. Billy Timberlake, NCDOT County Maintenance Engineer, Person
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(DOQ Rip Rap
F111 1n Surface Waters
Temp, Rock Silt Check (Type A)
Temp, Rock Sediment Dam (Type g)
Temp, Silt Basin (Type B) and
Temp. Rock Silt Check (Type B)
Temp. Placement of
Rip Rap or Sandbags
to Dewoter Stream
?0\0 o,?e / <> Zone \
Proposed GO ft ROWS
Existing Gravel Road G(IJ//i? 1 ?®
Proposed Pipe --? I
Existing Gravel Rood Existing Pipe
Proposed GO fit ROW--._,,, ® )b- C: <
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Site 4--Construction Impact and
Erosion and Sediment Control Plan
SR 1104 McCullock Loop koad
Person County
Figure 6 1 "=30'
Note:
(Doo Rip Rap
Fill In Surface Waters
Temp. Rock Silt Check (Type A)
Temp. Rock Sediment Dam (Type B)
Temp. Placement of ®' Temp. Silt Basin (Type B) and
Rip Rap Or Sandbags Temp. Rock Silt Check (Type B)
to Dewater Stream
2
Zone 2 ona ` ` \ \ ?one ?Z?ne 2
t; Existing Gravel Road--y
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Existing Gravel Road
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Site 4-Revised Construction Impact and
Erosion and Sediment Control Plan
SR 1104 McCullock Loop Road
Person County
Revised Figure 6 191=30'
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O N O
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Site 4-Plan View depicting location of
survey points along creek.
SR 1104 McCullock Loop Road
Person County
Figure 7 111=209
f-- Water Flow
„103 #112 "114
#101 90.217 91.397 92.621
87.268 (D 0
0 0 "III "113
#100 #102 91.359 92.495
86.833 87.546
Site 4-Profile View depicting location of
survey points along creek.
SR 1104 McCullock Loop Road
Person County
Figure 8 191=30'
, N. C. DEPARTMENT OF TRANSPORTATION
TRANSMITTAL SLIP DATE
`.16. A
TO: REF. NO. OR ROOM, BLDG.
J 4'e
FROM: REF. NO. OR ROOM, BLDG.
II
?Vv 1 A,3 r
A T N
? NOTE AND FILE ? PER OUR CONVERSATION
? NOTE AND RETURN TO ME ? PER YOUR REQUEST
? RETURN WITH MORE DETAILS ? FOR YOUR APPROVAL
? NOTE AND SEE ME ABOUT THIS ? FOR YOUR INFORMATION
? PLEASE ANSWER ? FOR YOUR COMMENTS
? PREPARE REPLY FOR MY SIGNATURE ? SIGNATURE
? TAKE APPROPRIATE ACTION ? INVESTIGATE AND REPORT
COMMENTS:
d..
APR 19 2002.
WETLANDS G'"UP
N1ATE i UALITY SLCTI-M'
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY
GovERNOR
April 16, 2002
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Wetlands/401 Unit
2321 Crabtree Blvd.
Raleigh, NC 27604-2260
Attention: Mr. John Dorney
LYNDO TIPPETT
SECRETARY
Subject: REVISED PERMIT MODIFICATION REQUEST-Secondary
road improvements to SR 1104 (McCullock Loop Road) from SR 1103
(Hurdle Mills Road) to SR 1103 (Hurdle Mills Road) in Person County.
NCDOT Work Order No. 6.382150. DWO No. 011319.
References: 1. Regulatory permit application (NCDOT, August 28, 2001)
2. USACE Section 404 permit (October 9,2001; Action ID Nos.
200220004 and 200220005)
3. NCDENR-DWQ Section 401 Water Quality Certification and
Additional Conditions and Neuse River Buffer Rules (September 26,
2001; DWQ Project No. 011319)
4. Permit Modification Request (NCDOT, March 8, 2002)
The North Carolina Department of Transportation (NCDOT) proposes to upgrade
and pave SR 1104 (McCullock Loop Road) from SR 1103 (Hurdle Mills Road) to SR
1103 (Hurdle Mills Road) in Person County (Figures 1 and 2). The NCDOT permit
application for this project was initially submitted to the regulatory agencies on August
28, 2001. The United States Army Corps of Engineers (USACE) issued Nationwide
Permit (NWP) 14 and NWP 33 (Action ID Nos. 200220004 and 200220005) on October
9, 2001. The North Carolina Department of Environment and Natural Resources-
Division of Water Quality (NCDENR-DWQ) issued Water Quality Certification No.
3289 and Additional Conditions and Neuse River Buffer Rules (DWQ Project No.
011319) on September 26, 2001. A permit modification request was submitted to the
regulatory agencies on March 8, 2002. This permit modification was specifically related
to impacts to waters of the United States and riparian buffer at Site 4.
Division 5, 2612 N. Duke Street, Durham, NC 27704
Phone: [phone] Fax: [phone]
The NCDENR-DWQ placed the project modification application on HOLD, as
referenced in a letter dated March 25, 2002. The agency determined that there is
inadequate avoidance and minimization (as well as no practical alternative analysis)
assessment for the project at Site 4. The agency has proposed that the NCDOT
investigate asymmetrical widening to the eastern side of SR 1104. The purpose of this
letter is to address this issue and present a modified construction plan for this site.
Site 4-Station 83+18-Lt- to 83+30-Lt- and 83+22-Rt- to 83+83-Rt-
The project crosses an unnamed perennial tributary to Bushy Fork Creek (DWQ
Index No. 27-3-3-1, Best Usage Classification WS-III NSW). The existing structure that
conveys the creek is a 60 inch corrugated metal pipe that is 40 feet long. Please note
that the proposed right of way width for this project is 60 feet centered on the
existing centerline of the gravel roadway (see revised Figure 6).
The initial design for the proposed structure at this site was a 95 inch x 67 inch
corrugated metal arch pipe that is 80 feet long (Figure 6). A total of 10 linear feet of rip
rap would be placed at the inlet and the outlet of the structure to provide adequate
streambank stabilization. Permanent impacts at the site associated with the replacement
of the structure and minimal amounts of rip rap to protect the structure include <0.01 acre
fill in surface water and 83 linear feet existing channel impacted.
Proposed New Design
In an effort to minimize riparian buffer and stream impacts and widen
asymmetrically to the eastern side of SR 1104, the NCDOT has revised the proposed
construction at this site (Revised Figure 6, Figure 7 and Figure 8). The NCDOT now
proposes to place the outlet of the proposed pipe at the extreme limits of the proposed 60
foot right of way limits on the east side of SR 1104. This will asymmetrical widening to
the east side of the proposed right of way limits. A total of 12 feet of rip rap will be
placed at the outlet of the pipe (and outside the proposed right of way limits) to provide
adequate streambank stabilization. All efforts will be made during construction to reduce
this amount of rip rap at the outlet side. Only the amount of rip rap necessary to provide
adequate stabilization will be placed in this area. The NCDOT also proposes to construct
a concrete headwall at the inlet. This will preclude the need for rip rap at the inlet of the
structure for streambank stabilization. The revised permanent impacts at the site
associated with the replacement of the structure and minimal amounts of rip rap to protect
the structure at the outlet only include <0.01 acre fill in surface water and 46 linear feet
existing channel impacted.
The NCDOT proposes to temporarily dewater the perennial stream at Site 4
during the construction of the project. This will involve the temporary placement of
sandbags or Class B or Class 2 rip rap covered with filter fabric in the stream channel
approximately 5 feet upstream of the proposed pipe inlet and approximately 12 feet
downstream of the proposed pipe outlet (revised Figure 6). To maintain water flow
during construction, water upstream of this impervious structure will be temporarily
pumped out and conveyed downstream of the construction activity where it will be
allowed to filter through vegetation before flowing into the stream at the proposed pipe
outlet. The stream will be dewatered seven days. This will result in temporary impacts
to the surface water. Temporary impacts to the stream at this site from this activity will
result in the dewatering of <0.01 ac of stream bed and 51 linear feet stream channel. The
sandbags or rip rap covered with filter fabric will be removed after construction.
The unnamed perennial tributary to Bushy Creek at Site 4 is depicted on both the
Hurdle Mills (USGS, 1968) topographic quadrangle and on the Soil Survey of Person
County, North Carolina (USDA-NRCS, 1995) and is subject to the Rule. The
construction of the project at Site 4 results in impacts to the riparian buffer (Revised
Figure 6). Construction impacts at Site 4 total 1,261 square feet in Zone 1, 827 square
feet in Zone 2 and 46 linear feet of riparian buffer. Based on the impacts to the riparian
buffer at this site, this crossing is allowable. The NCDOT certifies that the criteria
documented in Sub-Item (8)(a) of the buffer rules (which find that there are no practical
alternatives to the project) are met (see minimization section). The NCDOT requests an
Authorization Certificate for this activity at this project.
Waters of the U.S. Mitigation
Avoidance: All wetlands and surface waters not affected by the project will be
protected from unnecessary encroachment. No staging of construction equipment or
storage of construction supplies will be allowed in wetlands or near surface waters.
Minimization:
1. The side slopes have been steepened to the extent possible at jurisdictional
sites.
2. Strict enforcement of sedimentation and erosion control Best Management
Practices for the protection of wetlands and surface waters will be enforced
during project construction.
3. Continued coordination will occur with maintenance forces and the
Environmental Officer during construction to minimize impacts to these sites.
The amount of rip rap placed at the outlet of Site 4 has been reduced to the
amount that is only necessary to provide for adequate streambank stabilization
(based on what can be determined at this time). All efforts will be made
during construction to reduce this amount of rip rap at the outlet side.
4. A concrete headwall is proposed at the inlet of the structure at Site 4. This
will preclude the need for rip rap at the inlet of the structure for streambank
stabilization.
5. The NCDOT has reviewed the construction plans for this project and proposes
to asymmetrically widen to the east at Site 4. The NCDOT proposes to place
the outlet of the proposed pipe at the extreme limits of the proposed 60 foot
right of way limits on the east side of SR 1104.
6. The proposed 95 inch x 67 inch corrugated steel pipe arch has been reduced in
length. The original design proposed an 80 foot long pipe arch. The revised
design proposes a 60 foot long pipe arch.
?. This revised design has reduced -impacts to the perennial stream and riparian
buffer.
Compensatory Mitigation: Construction of the project will result in only minimal
impacts to waters of the United States. Impacts have been avoided and minimized to the
maximum extent possible during the design process. Due to minimal impacts,
compensatory mitigation for stream and wetland impacts will not be provided for this
project.
Summary
Revised permanent impacts at Site 4 include <0.01 acre fill in surface water and
46 linear feet existing channel impacted. Revised temporary impacts to the stream at Site
4 will result in the dewatering of <0.01 ac of stream bed and 51 linear feet stream
channel. Revised riparian buffer impacts at Site 4 include 1,261 square feet in Zone 1,
827 square feet in Zone 2 and 46 linear feet of riparian buffer. This formation, including
impacts to streams, wetlands and riparian buffer for all four sites at the project are
presented in Revised Table 1.
Revised Table 1. Summa of impacts.
Existing
Existing Channel
Channel Impacted Zone 1 Zone 2 Linear
Impacted (Temporary- Fill in Buffer Buffer Buffer
Site (Permanent) Dewatering) Wetlands Impact Impact Impact
-- ----- --- -
1 34 linear ft 0 linear ft <0.01 ac 1,449 sq ft 937 sq ft 34 liner ft
2 0 linear ft 0 linear ft O.Olac 0 sq ft 0 sq ft 0 linear ft
3 30 linear ft 45 linear ft O.Olac 1,338 sq ft 862 sq ft 45 linear ft
4 46 linear ft 51 linear ft 0.0 ac 1,261 sq ft 827 sq ft 46 linear ft
Total 110 linear ft 96 linear ft 0.02 ac 4,048 sq ft 2,626- ssft 125 linear ft .
The information provided in this letter addressees the information concerns noted
by your agency in the above-mentioned letter dated March 25, 2002. The NCDOT has
provided minimization to streams and riparian buffers at Site 4 by asymmetrically
widening to the east of SR 1104 and reducing the pipe length of the proposed structure.
If you have any questions or need additional information, please contact me at (919) 560-
6081.
Sincerely,
-16_
Christopher A. Murray, P.W.S.
Division Environmental Officer
cc: Mr. John Hennessy, NCDENR-DWQ, Raleigh
Mr. Rodney Cooper, P.E., NCDOT District Engineer, Durham
Mr. Billy Timberlake, NCDOT County Maintenance Engineer, Person
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Person County
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SR 1104 McCullock Loop Road
Person County
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SR 1104 McCullock Loop Road
Person County
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SR 1104 McCullock Loop Road
Person County
Figure 8 199=30'
N. C. DEPARTMENT OF TRANSPORTATION

DATE
TRANSMITTAL SLIP
3. 9-
TO: \ REF. NO. OR ROOM, BLDG.
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FROMC: (? REF. NO. OR ROOM, BLDG.
L y r-r ACTT
Ll NOTE AND FILE ? PER OUR CONVERSATION
? NOTE AND RETURN TO ME CJ PER YOUR REQUEST
? RETURN WITH MORE DETAILS FOR YOUR APPROVAL
? NOTE AND SEE ME ABOUT THIS FOR YOUR INFORMATION
? PLEASE ANSWER Ll FOR YOUR COMMENTS
PREPARE REPLY FOR MY SIGNATURE SIGNATURE
? TAKE APPROPRIATE ACTION ) INVESTIGATE AND REPORT
COMMENTS:
C) 11 319
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s?STATj u?
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STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY
GOVERNOR
LYNDO TIPPETT
SECRETARY
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March 8, 2002
U.S. Army Corps of Engineers
Raleigh Regulatory Field Office
6508 Falls of the Neuse Road, Suite 120
Raleigh, NC 27609
Attention: Mr. Eric Alsmeyer
NCDOT Coordinator
C) l 13/911-ioo
Subject: PERMIT MODIFICATION REQUEST-Secondary road
improvements to SR 1104 (McCullock Loop Road) from SR 1103 (Hurdle
Mills Road) to SR 1103 (Hurdle Mills Road) in Person County.
NCDOT Work Order No. 6.382150. .
References: 1. Regulatory permit application (NCDOT, August 28, 2001)
2. USACE Section 404 permit (October 9, 2001; Action ID Nos.
200220004 and 200220005)
3. NCDENR-DWQ Section 401 Water Quality Certification and
Additional Conditions and Neuse River Buffer Rules (September 26,
2001; DWQ Project No. 011319)
The North Carolina Department of Transportation (NCDOT) proposes to upgrade
and pave SR 1104 (McCullock Loop Road) from SR 1103 (Hurdle Mills Road) to SR
1103 (Hurdle Mills Road) in Person County (Figures 1 and 2). The NCDOT permit
application for this project was initially submitted to the regulatory agencies on August
28, 2001. The United States Army Corps of Engineers (USACE) issued Nationwide
Permit (NWP) 14 and NWP 33 (Action ID Nos. 200220004 and 200220005) on October
9, 2001. The North Carolina Department of Environment and Natural Resources-
Division of Water Quality (NCDENR-DWQ) issued Water Quality Certification No.
3289 and Additional Conditions and Neuse River Buffer Rules (DWQ Project No.
011319) on September 26, 2001.
The permit application outlined impacts to jurisdictional sites at three sites (Sites
1-3) along McCullock Loop Road. An additional stream crossing, which is a perennial
tributary to Bushy Fork Creek (DWQ Index No. 27-3-3-1, Best Usage Classification WS-
III NSW), is located along McCullock Loop Road. However, at the time of the initial site
visit (and the initial permit application), it was determined that the pipe at this crossing
Division 5, 2612 N. Duke Street, Durham, NC 27704
Phone: [phone] Fax: [phone]
would not be replaced. Accordingly, this site was not addressed in the NCDOT permit
application as a jurisdictional impact. The Person County Bridge Unit was assessing pipe
condition throughout the county in February 2002. It was determined during the survey
that this pipe that conveys a perennial tributary to Bushy Fork Creek must be replaced
(Note: This site is now referenced as Site 4), which will result in impacts to surface
waters. Therefore, the purpose of this letter is to request a permit modification of the
existing USACE Section 404 permit and the NCDENR-DWQ Section 401 Water Quality
Certification and Additional Conditions and Neuse River Buffer Rules to include
additional impacts to surface waters and riparian buffers at Site 4.
Impacts to Waters of the United States
Construction of the project will necessitate impacts to waters of the United States
in the Neuse River Basin. Wetland delineations were conducted using the field
delineation method outlined in the 1987 Corps of Engineers Wetland Delineation Manual
(Environuw*talb) bi;riatory,'1987). U.S. Army Corps of Engineers (USACE) Wetland
Data FoHs anti a 14drth Carolina Division of Water Quality (DWQ) Wetland Rating
Form are attached to this application.
Site 1-Sta.12+92-Lt- to Sta. 13+09-Lt- and Sta. 13+10-Rt-
The project crosses an unnamed intermittent tributary to Bushy Fork Creek
(DWQ Index No. 27-3-3-1, Best Usage Classification WS-III NSW) (Figure 3). The
existing structure that conveys the creek is a 24-inch concrete pipe that is 38 feet long.
The replacement structure is a 36 inch reinforced concrete pipe that is 52 feet long.
Permanent impacts at the site associated with the replacement of the structure and
minimal amounts of rip rap to protect the structure include <0.01 acre fill in surface water
and 34 linear feet existing channel impacted. Impacts at this site also occur to an
emergent-nonpersistent wetland (PEM213). Permanent impacts at this site include <0.01
acre fill in wetlands. The wetland has a DWQ wetland rating of 20.
Site 2-Sta. 26+75-Rt- to Sta. 27+52-Rt-
The project impacts a palustrine emergent-nonpersistent/forested-broad leaved
deciduous wetland (PEM2-FO1 B) (Figure 4). Permanent impacts at this site include 0.01
acre fill in wetlands. The wetland has a DWQ wetland rating of 25. Please note that
there is no jurisdictional stream located at this site.
Site 3-Station 79+30-Lt- to 79+75-Lt- and 79+20-Rt- to 79+30-Rt- and 79+60-Rt-
The project crosses an unnamed perennial tributary to Bushy Fork Creek (DWQ
Index No. 27-3-3-1, Best Usage Classification WS-III NSW) (Figure 5). The existing
structure that conveys the creek is a 36-inch reinforced concrete pipe that is 42 feet long.
The replacement structure is a 36 inch concrete pipe that is 52 feet long. Permanent
impacts at the site associated with the replacement of the structure and minimal amounts
of rip rap to protect the structure include <0.01 acre fill in surface water and 30 linear feet
existing channel impacted. Impacts at this site also occur to a palustrine emergent-
nonpersistent wetland (PEM2B). Permanent impacts at this site also include 0.01 acre fill
in wetlands. The wetland has a DWQ wetland rating of 34.
Site 4-Station 83+18-Lt- to 83+30-Lt- and 83+22-Rt- to 83+83-Rt-
The project crosses an unnamed perennial tributary to Bushy Fork Creek (DWQ
Index No. 27-3-3-1, Best Usage Classification WS-III NSW) (Figure 6). The existing
structure that conveys the creek is a 60 inch corrugated metal pipe that is 40 feet long.
The replacement structure is a 95 inch x 67 inch corrugated metal arch pipe that is 80 feet
long. Permanent impacts at the site associated with the replacement of the structure and
minimal amounts of rip rap to protect the structure include <0.01 acre fill in surface water
and 83 linear feet existing channel impacted. The increased impacts at this site are
attributable to the course of the stream channel at the west side of McCullock Loop Road.
The stream course enters McCullock Loop Road at a very acute angle. It has been
determined that the proposed structure is an 80 foot long corrugated metal arch pipe,
which results in increased stream impacts.
Dewatering
The NCDOT proposes to temporarily dewater the perennial stream at Site 3 and
Site 4 during the construction of the project.
Site 3
.This will involve the temporary placement of sandbags or Class B or Class 2 rip
rap covered with filter fabric in the stream channel approximately 15 feet upstream of the
proposed pipe inlet (Figure 5). To maintain water flow during construction, water
upstream of this impervious structure will be temporarily pumped out and conveyed
downstream of the construction activity where it will be allowed to filter through
vegetation before flowing into the stream at the proposed pipe outlet. The stream will be
dewatered two days. This will result in temporary impacts to the surface water.
Temporary impacts to the stream at this site from this activity will result in the
dewatering of <0.01 ac of stream bed and 45 linear feet stream channel. The sandbags or
rip rap covered with filter fabric will be removed after construction.
Site 4
This will involve the temporary placement of sandbags or Class B or Class 2 rip
rap covered with filter fabric in the stream channel approximately 10 feet upstream of the
proposed pipe inlet and approximately 10 feet downstream of the proposed pipe outlet
(Figure 6). To maintain water flow during construction, water upstream of this
impervious structure will be temporarily pumped out and conveyed downstream of the
construction activity where it will be allowed to filter through vegetation before flowing
into the stream at the proposed pipe outlet. The stream will be dewatered seven days.
This will result in temporary impacts to the surface water. Temporary impacts to the
stream at this site from this activity will result in the dewatering of <0.01 ac of stream
bed and 83 linear feet stream channel. The sandbags or rip rap covered with filter fabric
will be removed after construction.
Riparian Butler Impacts
The construction of the project involves a road crossing of streams that are subject
to the Neuse River Riparian Buffer Rule. The unnamed intermittent tributary to Bushy
Fork Creek at Site l and the unnamed perennial tributary to Bush Fork Creek at Site 3 are
not depicted on the most recent version of the Hurdle Mills (USGS, 1968) and Caldwell
(USGS, 1997), North Carolina topographic quadrangle (Figure 1). However, these
streams are depicted on the Soil Survey of Person County, North Carolina (USDA-
NRCS, 1995) (Figure 2) and are, therefore, subject to the Rule. The unnamed perennial
tributary to Bushy Creek at Site 4 is depicted on both the Hurdle Mills (USGS, 1968)
topographic quadrangle and on the Soil Survey of Person County, North Carolina
(USDA-NRCS, 1995) and is subject to the Rule.
The construction of the project at Site 1 results in impacts to the riparian buffer
(Figure 3). Construction impacts at Site 1 total 1,449 square feet in Zone 1, 937 square
feet in Zone 2 and 34 linear feet of riparian buffer. Based on the impacts to the riparian
buffer at this site, this crossing is exempt.
The construction of the project at Site 3 results in impacts to the riparian buffer
(Figure 5). Construction impacts at Site 3 total 1,338 square feet in Zone 1, 862 square
feet in Zone 2 and 45 linear feet of riparian buffer. Based on the impacts to the riparian
buffer at this site, this crossing is allowable. The NCDOT certifies that the criteria
documented in Sub-Item (8)(a) of the buffer rules (which find that there are no practical
alternatives to the project) are met. The NCDOT requests an Authorization Certificate for
this activity at this project.
The construction of the project at Site 4 results in impacts to the riparian buffer
(Figure 6). Construction impacts at Site 4 total 1,980 square feet in Zone 1, 827 square
feet in Zone 2 and 83 linear feet of riparian buffer. Based on the impacts to the riparian
buffer at this site, this crossing is allowable. The NCDOT certifies that the criteria
documented in Sub-Item (8)(a) of the buffer rules (which find that there are no practical
alternatives to the project) are met. The NCDOT requests an Authorization Certificate for
this activity at this project.
The NCDOT proposes to install temporary erosion and sediment control devices
at Site 1, Site 3 and Site 4 in Zone 1 and Zone 2 of the riparian buffer. Specifically, the
NCDOT will place a temporary rock silt check (Type A) in Zone 1 and a temporary rock
sediment dam (Type B) in Zone 2. The temporary structures will be removed once
vegetation has been established and then seeded with a seed mixture of fescue and bahia
grass. Based on impacts to the riparian buffer at this site from this use, this activity is
allowable. The sediment and erosion control plans for Site 1, Site 3 and Site 4 are
depicted in Figure 3, Figure 5 and Figure 6, respectively. The NCDOT certifies that the
criteria documented in Sub-Item (8)(a) of the buffer rules (which find that there are no
practical alternatives to the project) are met. The NCDOT requests an Authorization
Certificate for this activity at this project.
Waters of the U.S. Mitigation
Avoidance: All wetlands and surface waters not affected by the project will be
protected from unnecessary encroachment. No staging of construction equipment or
storage of construction supplies will be allowed in wetlands or near surface waters.
Minimization: The side slopes have been steepened to the extent possible at
jurisdictional sites. Strict enforcement of sedimentation and erosion control Best
Management Practices for the protection of wetlands and surface waters will be enforced
during project construction. Continued coordination will occur with maintenance forces
and the Environmental Officer during construction to minimize impacts to these sites.
Compensatory Mitigation: Construction of the project will result in only minimal
impacts to waters of the United States. Impacts have been avoided and minimized to the
maximum extent possible during the design process. Due to minimal impacts,
compensatory mitigation for stream and wetland impacts will not be provided for this
project.
Protected Species
Plants and animals with federal classifications of Endangered, Threatened,
Proposed Endangered and Proposed Threatened are protected under provisions of Section
7 and Section 9 of the Endangered Species Act. As of February 27, 2001, there are no
federally protected species listed for Person County.
Historical Compliance
Historic compliance work to be scheduled and concurrence with Historic
Preservation Office will be obtained if required.
Summary
NCDOT proposes to upgrade and pave SR 1104 in Person County. Permanent
impacts at Site 1 include <0.01 acre fill in surface water, 34 linear feet existing channel
impacted and <0.01 acre fill in wetland. Permanent impacts at Site 2 include 0.01 acre
fill in wetland. Permanent impacts at Site 3 include <0.01 acre fill in surface water, 30
linear feet existing channel impacted and 0.01 acre fill in wetland. Permanent impacts at
Site 4 include <0.01 acre fill in surface water and 83 linear feet existing channel
impacted. Temporary impacts to the stream at Site 3 will result in the dewatering of
<0.01 ac of stream bed and 45 linear feet stream channel. Temporary impacts to the
stream at Site 4 will result in the dewatering of <0.01 ac of stream bed and 83 linear feet
stream channel. Some of this information, including impacts to riparian buffer, is
presented in Table 1.
6
Table 1. Summary of impacts
Existing
Existing Channel
Channel Impacted Zone 1 Zone 2 Linear
Impacted (Temporary- Fill in Buffer Buffer Buffer
Site (Permanent) Dewatering) Wetlands Impact Impact Impact `
1 34 linear ft O linear ft <0.01 ac 1,449 sq ft 937 sq ft 34 liner ft
2 0 linear ft 0 linear ft O.Olac 0 sq ft 0 sq ft 0 linear ft
3 30 linear ft 45 linear ft O.Olac 1,338 sq ft 862 sq ft 45 linear ft
4 83 linear ft 83 linear ft 0.0 ac 1,980 sq ft 827 sq ft 83 linear ft
Total 147 linear ft 128 linear ft 0.02 ac 4,767 s ft 2 626 s ft 162 linear ft
Application is hereby made to request a modification to the previously submitted
permit application. The NCDOT will comply with all applicable NWP, WQC and
Riparian Buffer Rule conditions. A modified pre-construction notification is attached
with this request. If you have any questions or need additional information, please
contact me at [phone].
Sincerely,
GAG? ?-?---?,
Christopher A. Murray, P.W.S.
Division Environmental Officer
cc: Mr. John Dorney, NCDWQ, Raleigh
Mr. Rodney Cooper, P.E., NCDOT District Engineer, Durham
Mr. Billy Timberlake, NCDOT County Maintenance Engineer, Person
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Project Study Area
SR 1104 McCullock Loop Road
Person County
Hurdle Mills USGS Topo Map (1968)
Caldwell USGS Topo Map (1997)
Figure 1 1:24,000
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Site 1-Construction Impact and
Erosion and Sediment Control Plan
SR 1104 McCullock Loop Road
Person County
Figure 3 1"=100'
X/STING GRAVEL ROAD
NOTE:
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Site 2-Construction Impact and
Erosion and Sediment Control Plan
SR 1104 McCullock Loop Road
Person County
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SR 1104 McCullock Loop Road
Person County
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® ®> C: r-
'l ?? 11 PROP. 60' RM ,
r'; %' ? 11 G8( CON-ST. LIMITS
IN ?? 11 Temporary Sandbag or
Rip Rap to Facilitate ?
Dewatering of Stream
Temp. Placement of
Rip Rap Or Sandbags
to Dewoter Stream
Z
ZO`e O/,e ?
Proposed 60 ft ROWS
Existing Gravel Road,
Existing Gravel Road
Proposed 60 ft ROW
N
O
O
M
00
<M
Site 4-Construction impact and
Erosion and Sediment Control Plan
SR 1104 McCullock Loop Road
Person County
Figure 6 1"=30'
2 ?
Proposed Pipe
Note:
COO Rip Rap
Fill in Surface Waters
Temp. Rock Silt Check (Type A)
Temp. Rock Sediment Dam (Type B)
Temp. Silt Basin (Type B) and
Temp. Rock Silt Check (Type B)
v /
O N I//
N
Temp. Placement of
Rip Rap Or Sandbags
to Dewoter Stream
I
f~Fxlctinn Dt--
DATA FORM
nvv'iiiE WETLAND DETERMINATIUN
(1987 COE Wetlands Delineation Manual)
Project/Site: 51L log Date:
Applicant?Owner: ??' 4 Ls- County: en oet
Investigator: State: N L
Do Normal Circumstances exist on the site? es N Community ID:
Is the site significantly disturbed (Atypical Situation)? o Transect ID:
Is the area a potential Problem Area? Yes Plot ID:
(If needed, explain on reverse.)
VF[:FTOT11nN
Dominant Plant Species Stratum Indicator Dominant Plant Species Stratum Indicator
1.?oa?.?•tar.a.c•,l?.?r:? c?1
2. t?_ Wt' 10.
?? S S ?-
3. J "A c ?-c PAc?Jt 11.
a
4. 12.
5. 13.
6. 14.
7. 15.
8. 18.
Percent of Dominant Species that are OBL. FACW or FAC
(excluding FAC-).

Remarks:
uvnont nr_v
Recorded Data (Describe In Remarks): Wetland Hydrology Indicators:
_
Stream, Lake, or Tide Gauge Primary Indicators:
_ Aerial Photographs Inundated
!Saturated in Upper 12 Inches
_ Other
?lo Recorded Data Available -Water Marks
Drift Lines
_
D
it
di
S
ment
epos
s
e
Field Observations: -lbrainage Patterns in Wetlands
Secondary Indicators (2 or more required):
Depth of Surface Water: (in.) Oxidized Root Channels in Upper 12 Inches
Water-Stained Leaves
Depth to Free Water in Pit: 7 Z (in.) _ Local Soil Survey Data
FAC-Neutral Test
Depth to Saturated Soil: ?_lin•) _
- Other (Explain in Remarks)
Remarks:
I

,
weAACZAD, dtD 0 c?..7 ?s preSe^f- aE- S0 4"e
SOILS
Map Unit Name
(Series and Phase):1}Qk4l S
4 Drainage Class:

Taxonomy (Subgroup): AutZl Field Observations
- IL I n Confirm Mapped Type? Yes No
Profile Description:
Depth Matrix Color
inches Horizon (Munsell Moist) Mottle Colors Mottle Texture, Concretions,
(Munsell Moist) Abundance/Contrast Structure, etc.

0-2- to a- -/
!o f R..4 l z w ?? h " $."L
t
G
l
_
-n to ?6 6 ah
oa M
l
.
?"5`( (z S'f 6 Sa??
-( to -t 2.61, S `1 R. r?6 ew hnc?- So
dC
??
?
1
w
a. ?
oa-?,
Hydric Soil Indicators:
_ Histosol Concretions
_ Histic Epipedon _
_ Hiph Organic Content in Surface Layer in Sandy Soils
Sulfidio Odor Organic Streaking in Sandy Soils
_ Aquio Moisture Regime Listed on Local Hydric Soils List
_ Reducing Conditions _ Listed on National Hydric Soils List
__=-Gleysd or Low-Chroma Colors _ Other (Explain in Remarks)
Remarks:

WETLAND DETERMINATION
Hydrophytic Vegetation Present? No (Circle) (Circle)
Wetland Hydrology Present? No
Hydric Soils Present? No Is this Sampling Point Within a Wetland? l J No
Remarks: v
S ?e ?s w0- a l? ?Q r4tnP4-ems
Approved by HQUSACE 2192
DATA FORM
ROUTINE WETLAND DETERMINATION
(1987 COE Wetlands Delineation Manual)
Project/Site: 5 Z- (10 `( - PGrs a.. C Z. Date:
Applicant/Owner: 41 r4'*) oT` County: Pe rs 5,1
Investigator: rr State: Al C
Do Normal Circumstances exist on the site? I; NQ_ Community ID: 5,fe
Is the site significantly disturbed (Atypical Situation)? Yes I Transect ID:
Is the area a potential Problem Area? Yes Plot ID:
(If needed, explain on reverse.)
VEGETATION
Dominant Plant Species Stratum Indicator Dominant Plant Species Stratum Indicator
1.45peseto. Se r; Cea L4 UQi^ S
2.V
jauS arcufiyS S!f? P?o)r 1o.
S
^^
3.
/ nom, 1G•K fo1 U to j? ? Fq (_ 11.
//
4.bA"Cf.r'o. )C1ooA? c Pl?c_ 12.
5 1 t V'PrG.t- 13.
6. Acee SI FAL 14.
7. 15.
8. 16.
Percent of Dominant Species that are OBL, FACW or FAC
3-5 Vo
(excluding FAC-).

Remarks:
f e "N` eel ce c I
o\ vi o A "-' h xrJ

SI? ('
Q hit R C e.C ". S C'
HYDROLOGY
4161
Recorded Data (Describe in Remarks): Wetland Hydrology Indicators:
_
Stream, Lake, or Tide Gauge Primary Indicators:
_
Aerial Photographs _ Inundated
_
_ Other -saturated in Upper 12 Inches
,4o 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,l 2 Inches
_ Water-Stained Leaves
Depth to Free Water in Pit: (in.) _ Local Soil Survey Data
_ FAC-Neutral Test
Depth to Saturated Soil: (in.) Other (Explain in Remarks)
Remarks:
LJe?AVA 11at Pre 4e
j
'i
i
SOILS
Mao Unit Name C /
(Series and Phase): tnre,7Gn L n
7-1905 Q QQ
? ?t0 Drainage Class: (,J
Field Observations
Taxonomy (Subgroup): t Confirm Mapped Type? Yes No
Profile Description:
Depth Matrix Color Mottle Colors Mottle Texture, Concretions,
inches Horizon (Munsell Moist) (Munsell Moist) Abundance/Contrast Structure, etc.
I I ?S?Z r?A
G(
C
?
I'
?
?
Jwy ?•sJ.t?f
?
aS
,?tC
'
571 Z 6
- - t, A A
Hydric Soil Indicators:
_ Histosol _ Concretions
Histic Epipedon _ High Organic Content in Surface Layer in Sandy Soils
_
_ Sulfidio Odor _ Organic Streaking in Sandy Soils
Aquic Moisture Regime _ Listed on Local Hydrio Soils List
_ Reducing Conditions _ Listed on National Hydric Soils List
Gleyed or Low-Chroma Colors ` Other (Explain in Remarks)
Remarks:
II nn
/"dal-??t ?l?tc So?? c'S p?eS e??
e%'4e
WETLAND DETERMINATION
Hydrophytio Vegetation Present? Yes o (Circle)
Wetland Hydrology Present? Yes
Hydric Soils Present? Yes
Remarks:
SIlt ?5 , n??-w??14?,?;
(Circle)
Is this Sampling Point Within a Wetland? Yes 6
fG???eJ(e?S otre
51fe
DATA FORM
ROUTINE WETLAND DETERMINATION
(1987 COE Wetlands Delineation Manual)
Project/Site: 5(L J(0 q Date: '7,_76 , o (
Applicant/Owner: ,UG?) OT County: Dersan Ai-
t--Investigator: C. ?rrC.. State: v .. ...
Do Normal Circumstances exist on the site?
t No Community ID: ?&f_ Z.
Is the site significantly disturbed (Atypical Situation)? s ® Transect ID:
Is the area a potential Problem Area? Yes Plot ID:
(if needed, explain on reverse.)
VEGETATION
Dominant Plant Species Stratum Indicator Dominant Plant Species Stratum Indicator
I. ratel 14 9.
2.SM?
a?K (otyitd?
? ?L 10.
?
r
3, r^rr CnpC?>5?ti ou?nnutfvl. ? 'phc 11.
4. PAC. 12.
5. cer fIAC 13.
f?
e.?-?AV, ..bur St'traC.?o? ?I 14.

8. 16.
Percent of Dominant Species that are OBL, FACW or FAC
4
(excluding FAC-). Q
D
Remarks:
Vej_lcAce- J_ ?K?r?p??hc SPc C6 e-, at
HYDROLOGY
Recorded Data (Describe in Remarks): Wetland Hydrology Indicators:
_
_ Stream, Lake, or ride Gauge Primary Indicators:
_ Aerial Photographs _ Inundated
_ Other
Recorded Data Available -Saturated in Upper 12 Inches
_ 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
Depth to Free Water in Pit: (in.) _ Local Soil Survey Data
_ FAC-Neutral Test
Depth to Saturated Soil: _(in.) _ Other (Explain in Remarks)
Remarks:
UG????? ?n-t?rol?g`
?S E'v, e,+- a!- 5i e
?
SOILS
Map Unit Name f
(Series and Phase): 14e?JA- 504:1.•. 1I
.... 241j004LA? Nt3 Drainage Class:

T
S _
Field Observations
,
axonomy (
ubgroup): Confirm Mapped Type? Yes No
Profile Description:
Depth Matrix Color Mottle Colors Mottle Texture, Concretions,
inches Horizon (Munsell Moist) (Munseil Moist) Abundance/Contrast Structure, etc.
0 7- 0 Cy?M?n1r?ishnat- G?a-ti (00.60
2_3 (o ?. C(
(
Qc,"
41

-lZ IoKLy(I C(e:•j (04^.
Hydric Soil Indicators:
_ Histosol _ Concretions
Histic Epipedon _ 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
_ZMayed or Low-Chroma Colors _ Other (Explain in Remarks)
Remarks:
II nn? ,
?'t KJ?. c. f o g IS Q (t 5 eit ? q f" Si 1 Z
WETLAND DETERMINATION
Hydrophytic Vegetation Present? a No (Circle) (Circle)
Wetland Hydrology Present? No
Hydric Soils Present? a No Is this Sampling Point Within a Watland? 'e No
Remarks:
W e Ir` alt ?-G re e P ? ?e+cr? ar e__ pre C' A-t
Approved by HQUSACE /
DATA FORM
ROUTINE WETLAND DETERMINATION
(1987 COE Wetlands Delineation Manual)
Project/Site: e- i l o y I D e v 5 a Date: 7• 0 f
Applicant/Owner: ' h Ll- County: P e rS -D"?
Investigator: t. r-ki r r•c State: /V C_
Do Normal Circumstances exist on the site? No Community ID:51?
Is the site significantly disturbed (Atypical Situation)? Yes ® Transect ID: U
Is the area a potential Problem Area? Yes Plot ID:
(If needed, explain on reverse.)
VEGETATION
Dominant Plant Species Stratum Indicator Dominant Plant Species Stratum Indicator
1.(?uGrcu? a`? 4 t -EP'CJ 9,
U?L_ 10.
3•t! .4 u: A ....??.r Sf `r/ vc( a ?? FAG t- 11.
4. Acre ri rJ..., _ Pt C- 12.
5. r_arAJ-, 010r.A a FhC 13.
6. PS FA-_ - 14.
7•f v?1fEl?ruM, ar6JreAJA , Sis_ PAC y 15.
8. 16.

Percent of Dominant Species that are OBL. FACW or FAC -2
(excluding FAC-).
Remarks:
B re?a?e??
of- J ?- \
?? ?<< sPe? es a
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,l2 Inches
_ Water-Stained Leaves
Depth to Free Water in Pit: (in,) _ Local Soil Survey Data
_ FAC-Neutral Test
Depth to Saturated Soil: (in.) Other (Explain in Remarks)
Remarks:

Zr,
SOILS
Mao Unit Name
Q Q
!'P
W
(Series and Phase): i? Drainage Class:

Taxono
(S
b
)
.T- 1
d Field Observations
my
u
group
. u 1 Confirm Mapped Type? Yes No
Profile Description:
Depth Matrix Color Mottle Colors Mottle Texture, Concretions,
inches Horizon (Munsell Moist) (Munsell Moist) Abundance/Contrast Structure, etc,
2•s't 61.3 c(a.-t (ts

Hydric Soil Indicators:
_ Histosoi _ Concretions
Histic Epipedon Hioh 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
_ Gleyed or Low-Chroma Colors ^ Other (Explain in Remarks)
Remarks:
10.9A-?Kae.C. 5611 i5 Q."elk't CO $I
WETLAND DETERMINATION
Hydrophytio Vegetation Present? Yes (Circle)
Watland Hydrology Present? Yea o
Hydric Soils Present? Yas
Remarks:
?1I e LS ?l ice' @ lot X ?/ ?t
(Circle)
Is this Sampling Point Within a Wetland? Yes (
Pk?a??i-e.iS 04:'P, 40 t- ej 7L,,
a f- 5, ?r
DATA FORM
ROUTINE WETLAND DETERMINATION
(1987 COE Wetlands Delineation Manual)
Project/Site: 5 (L- ((0?( P'?c ?((? (c Q 9 Date:
Applicant?Owner: _ N > n- County: Pen ??
Investigator: J rc?n State: _ N G
Do Normal Circumstances exist on the site? es Community ID: ,
Is the site significantly disturbed (Atypical Situation)? Yes Transect ID:
Is the area a potential Problem Area? Yes t& Plot ID:
(If needed, explain on reverse.)
VEGETATION
Dominant Plant Species Stratum Indicator Dominant Plant Species Stratum Indicator

-
3. S 4ra1 U tyc
c _ -A-
1.
4.
7y 1C 1% 12.
5. Co,r h! S 0 17L_ - 13.
6. 14.
7. 15.

Percent of Dominant Species that are OBL, FACW or FAC

(excluding FAC-).
-71
Remarks:
o 11 (p? I1
f QJ.?It?Ce aT` ??t,7r?ih{I?aL 5 e d'
e al S?,?e
i
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 Date Available _ Water Marks
_ Drift Lines
_ Sediment Deposits
Field Observations: ? rainage Patterns in Wetlands
Secondary Indicators (2 or more required):
Depth of Surface Water: (in.) _ Oxidized Root Channels in Upper.12 Inches

7
11 Water -Stained
to Free Water in Pit:
I Z
(in.) Local Soil Survey Data
FAC-Neutral Test
Depth to Saturated Soil: (in.) _ Other (Explain in Remarks)
Remarks:
'J 2v,cQr, t ?tH 5; f e
SOILS
Map Unit Name UwL
(Series and Phase):VA-ct S 1? ,?•??9?. - Drainage Class:
-
Field Observations
Taxonomy (Subgroup): r. - v Confirm Mapped Type? Yes No
Profile Description:
Depth Matrix Color Mottle Colors Mottle Texture, Concretions,
inches Horizon (Munsell Moist) (Munsell Moist) Abundance/Contrast Structure, etc.
7.y( ` ?gw "rn 44
L(0.-1(e)an
1- (t9 `tQ.?6(I __S `t24?? nn
Cs?r1MJ?? l?ika..r?-- ?ov+Jl' Ck-'=j `006
Hydrio Soil Indicators:
Histosol _
i Concretions
Histic Epipedon Hieh 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
_
yed or Low-Chroma Colors _ Other (Explain in Remarks)
Remarks:
14 ,L ?./.C S9rt j s ?f85? h }' 'e?' s r 1 t.

WETLAND DETERMINATION
Hydrophytio Vegetation Present? N No (Circle) (Circle)
Wetland Hydrology Present? No
Hydric Soils Present? No Is this Sampling Point Within a Wetland? 601) No
Remarks: I (?
Sr?e ?5 W??-`M?-? Q?l ree ?Gr?. e+e-r-% czr q.- Presc,%-
a ?- 15if,e
pp
DATA FORM
ROUTINE WETLAND DETERMINATION
(1987 COE Wetlands Delineation Manual)
Project/Site: 5 L I(a,( - mcLol.lorlc. Date: C'%'16' 0
Applicant/Owner: -PC 'M County: Re-r* J1
Investigator; r State: /Vl
Do Normal Circumstances exist on the site? es N n, Community ID:
Is the site significantly disturbed (Atypical Situation)? es Transect ID: uet^
Is the area a potential Problem Area? Yes Plot ID:
(If needed, explain on reverse.)
VEGETATION
Dominant Plant Species Stratum Indicator Dominant Plant Species Stratum Indicator
1. c C. ra rh!•c' 17 - y Q L 9.
2. S/S_ fC, 10.
3.5oti1La!5Q
4. L O.t? t2r,o, \, w n n? Co, t/ -I , ' 12.

Al? ro n
5. g C -t ft c- 13.
6. P?•.ato?atcc, Qr? f?Cwne 4 EAC-) 14.

? %J
8.
16.
Percent of Dominant Species that are OBL, FACW or FAC
L
L
(excluding FAC-). tA
2
Remarks:
? ????+?2nce .J_
v1,-)A-k-Jf0
J?t t fL< spec,?es a? s,?e
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
Depth to Free Water in Pit: (in.) _ Local Soil Survey Data
_ FAC-Neutral Test
Depth to Saturated Soil: (in.) Other (Explain in Remarks)
Remarks:
1
W Q.-'VI( hN??? *j -1
1,? AZ) t
PV. ? CA f' a
SOILS
Map Unit Name V
(Series and Phase) an?? Ja.?SI-? (?.,,.? _ `??? brainage Class: l,'JD

Taxonomy (Subgroup): T , _
Field Observations
Confirm Mapped Type? Yes No
Profile Description:
Depth Matrix Color Mottle Colors Mottle Texture, Concretions,
Cinches) Horizon (Munsell Moist) (Munsell Moist) Abundance/Contrast Structure, etc.
?i
V-----? K?.g-L d
-7-13q(+-616 ('%A4.-%jA,?1 0h .?I- c(w`., (og?.
L l2 ?' Stia-g6 Z•5 6(6
f
a
c
Hydric Soil Indicators:
_ Histosol Concretions
Histic Epipedon _
_ 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
_ Gleyed or Low-Chroma Colors _ Other (Explain in Remarks)
Remarks:
?5p?pk?4- aNS.?1?
WETLAND DETERMINATION
Hydrophytic Vegetation Present?
Wetland Hydrology Present?
Hydric Soils Present?
Remarks:
' dI-Lltf(a-t91 A( l
Yes (Circle) (Circle)
Yes
Yes Is this Sampling Point Within a Wetland? Yesp
t 4qf-rr AA e kr3 G re A a t ? "'e 5 1 ,I 1-- -T 1- 5, t(-
JZ_
WETLAND RATING WORKSHEET (4th VERSION),
Project Name: S(LIIDC(-McC"Ilock Pla County: p2
Nearest Road: Mc e_(I-Gk.. 99. Date: -7.u-o(
Wetland Area (ac) : 4No.o(0. Wetland Width (ft)'17
Name of Evaluator(s): C.N-,
Wetland Location:
on sound or estuary
pond or lake
on perennial stream
on intermittent stream
within interstream divide
other _
Adjacent Land Use:
(within 1/2 mi upstream,
upslope, or radius)
--" forested/natural veg. 50%
i agriculture/urbanized 415_-o
*11
--7 impervious surface o
Adjacent Special Natural Areas
Soils
S o i l S e r i e s c erg ., o
predominantly organic
(humus, muck or peat)
predominantly mineral (non-sandy)
predominantly sandy
Hvdraulic Factors
freshwater brackish
steep topography
ditched or channelized
total wetland width > 100 feet.
Dominant Vezetation
(2) ( 3 )
Flooding and Wetness
semipermanently to
permanently flooded or
inundated
_Zseasonally flooded or
inundated or
intermittently flooded or
.temporary surface water
Wetland Tvoe (select one)* no evidence of flooding or
Bottomland Hardwood Forest, surface water
Swamp Forest Bog/Fen
Carolina Bay Headwater Forest
Pocosin Bog Forest
Pine Savannah Ephemeral Wetland
Freshwater Marsh ? Other: NeJ_w--kr f,Mer-vch -F- W04-
*The rating system cannot be applied to salt or brackish marshes or
stream channels.
DEW RATING
WATER STORAGE x 4.00

POLLUTANT REMOVAL f *
t x 5.00
WILDLIFE HABITA'r 2.00 = Z
AQUATIC LIFE VALUE ?- x 4.00 =
RECREATION/EDUCATION x 1.00 =
??
WETLAND SCORE =
-
(TOTAL)
* ?ri? nn;rir if ;r' co.,.Z;r;va m1i-PrrhPri and >10°: r,nnooint disturbance

?'-T' 2-
WETLAND RATING WORKSHEET (4th VERSION),
?2fS?n
'
Project Name: 5 R-Ilo4 J'?c C?lloc? ?9. County:
Nearest Road: ?_A,t?11,?,y_ Qfl, Date:
Wetland Area (ac): ?0.1 ac. Wetland Width (ft):
Name of Evaluator(s)
Wetland Location:
on sound or estuary
pond or lake
on perennial stream
on intermittent stream
within interstream divide
other 5??? Waµ c Ina,.?.e\
Soils I
Soil Series AAA.,
predominantly
(humus, muck
predominantly
predominantly
5 A„ nk%D 4
organic
)r peat)
mineral (non-sandy)
sandy
Hvdr'au 1 is ' c-actors
freshwater brackish
steep topography
ditched or channelized
total wetland width > 100 feet.
Adiacent and Use:
(Within 1/2 mi upstream,
upslope, or radius)
forested/natural veg. ? 0,
agriculture/urbanized YS o
impervious surface;
Adjacent Special Natural Areas
Dominant Vezetation
( Lre-
.=ql '
(3) 6114
Flooding and Wetness
semipermanently to
permanently flooded or
inundated
seasonally flooded or
inundated ??5at?ra?c.}?
intermittently flooded or
.temporary surface water
Wetland Tvve (select one)* no evidence of flooding or
Bottomland Hardwood Forest' surface water
Swamp Forest Bog/Fen
Carolina Bay 7,Headwater Forest
Pocosin Bog Forest
Pine Savannah Ephemeral Wetland
Freshwater Marsh Other:
*The rating system cannot be applied to salt
stream channels.
( N? kpoc?39"'A4?
or brackish marshes or
DEM RAT I.NG
WATER STORAGE x 4.00 = q
N K, ;:)ii ?;'*: 1.iN1 E T".AJs,.,.:..:;.. -,:'d .i _ =..;.i0 0
POLLUTANT REMOVAL ?_* x 5.00 =

WILDLIFE HABITA'r 2.00

AQUATIC LIFE VALUE x 4.00
RECREATION/EDUCATION x 1.00 =
WETLAND SCORE __-
(TOTAL)
__-I _,.,a ___,...,r rti-,,, nce

WETLAND RATING WORKSHEET (4th VERSION)
Project Name: SLIWC4 McC„1 k2c County: Q?r5J^
Nearest Road: Mc C.9 ??y,4 Z Date: f•lb•o?
Wetland Area (ac): *40.0(Rc Wetland Width (ft):
Name of Evaluator(s)
Wetland Location:
on sound or estuary
pond or lake
?an perennial stream
on intermittent stream
within interstream divide
other
Adjacent Land Use:
(Within 1/2 mi upstream,
`pslope, or radius)
_.? forested/natural veg. agriculture/urbanized %
a
impervious surface
Adjacent Special Natural Areas
Soils
Soi 1 Series Vance-
predominantly organic
(humus, muck or peat)
predominantly mineral (non-sandy)
predominantly sandy
H%rdr'au1 is Factors
freshwater brackish
steep topography
ditched or channelized
total wetland width > 100 feet.
Dominant ve2e.ation
(2) (3) ?uncrs k x
flooding and Wetness
semipermanently to
permanently flooded or
inundated
seasonally flooded or
inundated u/ SGfi?4?t,?
intermittently flooded or
.temporary surface water
Wetland Tyne (select one)* no evidence of flooding or
Bottomland Hardwood Forest' surface water
Swamp Forest Bog/Fen
Carolina Bay Headwater Forest
Pocosin Bog Forest
Pine Savannah Ephemeral Wetland
Freshwater Marsh Other: geu9w??? £".e??t^?- WQ?-}
*The rating system cannot be applied to salt or brackish marshes or
stream channels.
DEH RATING

WATER STORAGE ? x 4.00 = b

E To
POLLUTANT REMOVAL x 5.00 =
WILDLIFE HABITA'r 2.00 = ?_
12
'J
AQUATIC LIFE VALUE x 4.00 =

RECREATION/EDUCATION x 1.00 = - '
WETLA,NID SCORE
(TOTAL)
;f ;.. ?a..cit;rn ..?rareIna A a n A ?1OM nnnnn int disturbance

G
6`O
> Dwa,-Pr-l
Pre-Construction Notification (PCN) Application Form
For Section 404 and/or Section 10 Nationwide, Regional and General Permits, Section 401
General Water Quality Certifications, and Riparian Buffer and Watershed Buffer Rules
This form is to be used for projects qualifying for any of the U.S. Army Corps of Engineers' (USACE)
Nationwide, Regional or General Permits as required by Section 404 of the Clean Water Act and/or
Section 10 of the Rivers and Harbors Act, and for the North Carolina Division of Water Quality's
(DWQ) associated General 401 Water Quality Certifications. This form is also to be used for any
project requiring approval under any Riparian Buffer Rules implemented by the N.C. Division of Water
Quality. This form should not be used if you are requesting an Individual 404 Permit or Individual 401
Water Quality Certification. The USACE Individual Permit application form is available online at
littp.//www_.saw. usaceearmv,pill/wetIatids/Perm Perin.,app. lit iii.
The USACE is the lead regulatory agency. To review the requirements for the use of Nationwide,
Regional or General permits, and to determine which permit applies to your project, please go to the
USACE website at htt?//Www.s?tw._usac,e._armyatti_UNvetlaiidS/I-Pgtc?ur_htnt, or contact one of the field
offices listed at the end of this application. The website also lists the responsible project manager for
each county in North Carolina and provides additional information regarding the identification and
regulation of wetlands and waters of the U. S.
The DWQ issues a corresponding Certification (General or Individual), and cannot tell the applicant
which 401 Certification will apply until the 404 Permit type has been determined by the USACE.
Applicants are encouraged to visit DWQ's 401/Wetlands Unit website at
ht_tv M120_etir.state. t1c_us/ncwetlaiids to read about current requirements for the 401 Water Quality
Certification Program and to determine whether or not Riparian Buffer Rules are applicable. The
applicant is also advised to read the full text of the General Certification (GC) matching the specific 404
Permit requested. In some cases, written approval for some General Certifications is not required,
provided that the applicant adheres to all conditions of the GC. Applicants lacking access to the internet
should contact DWQ's Central Office in Raleigh at [phone].
Trout Waters Coordination - Special coordination with the North Carolina Wildlife Resources
Commission (NCWRC) is also required for projects occurring in any of North Carolina's twenty-five
counties that contain trout waters. In such cases, the applicant should contact the appropriate NCWRC
regional coordinator (listed by county on the last page of this application).
Page 1 of 12
CAMA Coordination - If the project occurs in any of North Carolina's twenty coastal counties (listed on
the last page of this application) the applicant should also contact the North Carolina Division of Coastal
Management (DCM) lit '(919r) 733-2293. DCM will determine whether or not the project involves a
designated Area of Environmental Concern, in which case DCM will act as the lead permitting agency.
In such cases, DCM will require a Coastal Area Management Act (CAMA) Permit and will coordinate
the 404/401 Permits.
USACE Permits - Submit one copy of this form, along with supporting narratives, maps, data forms,
photos, etc. to the applicable USACE Regulatory Field Office (addresses are listed at the end of this
application). Upon receipt of an application, the USACE will determine if the application is complete as
soon as possible, not to exceed 30 days. This PCN form is designed for the convenience of the applicant
to address information needs for all USACE Nationwide, Regional or General permits, as well as
information required for State authorizations, certifications, and coordination. Fully providing the
information requested on this form will result in a complete application for any of the USACE
Nationwide, Regional or General permits. To review the minimum amount of information that must be
provided for a complete PCN for each USACE Nationwide permit, see Condition 13, 65 Fed.Reg. 12893
(March 9, 2000), available at Litt o saw. usace._armymiU_w:etlands/nwt)t nalFedRe_L)?pdf.
Processing times vary by permit and begin once the application has been determined to be complete.
Please contact the appropriate regulatory field office for specific answers to permit processing periods.
401 Water Quality Certification or Buffer Rules - All information is required unless otherwise stated
as optional. Incomplete applications will be returned. Submit seven collated copies of all USACE
Permit materials to the Division of Water Quality, 401/Wetlands Unit, 1650 Mail Service Center,
Raleigh, NC, 27699-1650. If written approval is required or specifically requested for a 401
Certification, then a non-refundable application fee is required. In brief, if project impacts include less
than one acre of cumulative wetland/water impacts and less than 150 feet cumulative impacts to
streams, then a fee of $200 is required. If either of these thresholds is exceeded, then a fee of $475 is
required. A check made out to the North Carolina Division of Water Quality, with the specific name of
the project or applicant identified, should be stapled to the front of the application package. For more
information, see the DWQ website at htth 8112u ehnrstate_nc. Lis/ncwetlands/fees.html. The fee must be
attached with the application unless the applicant is a federal agency in which case the check may be
issued from a separate office. In such cases, the project must be identifiable on the U.S. Treasury check
so that it can be credited to the appropriate project. If written approval is sought solely for Buffer Rules,
the application fee does not apply, and the applicant should clearly state (in a cover letter) that only
Buffer Rule approval is sought in writing. Wetlands or waters of the U.S. may not be impacted prior to
issuance or waiver of a Section 401 Water Quality Certification. Upon receipt of a complete application
for a 401 Certification, the Division of Water Quality has 60 days to prepare a written response to the
applicant. This may include a 401 Certification, an on-hold letter pending receipt of additional
requested information, or denial.
Page 2 of 12 \
Office Use Only: q Form Version April 2001
USACE Action ID No. DWQ No. f 3 /
If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A" rather than
leaving the space blank.
******************MODIFIED PCN APPLICATION************************
1. 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 and NWP 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: NCDOT/Christopher A Murray
Mailing Address: 2612 N. Duke Street Durham NC 27704
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: cmurray_@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:
Company Affiliation:
Mailing Address:_
Telephone Number:_
E-mail Address:
Fax Number:
Page 3 of 12
III. Project Information
Attach a vicinity map clearly showing the location of the property with respect to local
landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property
boundaries and development plans in relation to surrounding properties. Both the vicinity map
and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities must be included. If possible, the maps and plans should
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USACE requires information to be submitted on sheets no larger than 11 by 17-inch format;
however, DWQ may accept paperwork of any size. DWQ prefers full-size construction
drawings rather than a sequential sheet version of the full-size plans. If full-size plans are
reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps are provided.
1. Name of project: SR 1104 (McCullock Loop Road) from SR 1103 (Hurdle Mills Road to
SR 1103 (Hurdle Mills Road) in Person County.
2. T.I.P. Project Number (NCDOT Only): NCDOT Division Project (non-TIP)
3. Property Identification Number (Tax PIN): N/A
4. Location
County: Person Nearest Town: Hurdle Mills
Subdivision name (include phase/lot number): N/A
Directions to site (include road numbers, landmarks, etc.): From Hurdle Mills, turn left and
travel southwest on SR 1103. Turn right onto SR 1104 to project.
5. Site coordinates, if available (UTM or Lat/Long): Site 1: 17 670159E 4012667N;
Site 2: 17 670189E 4013083N• Site 3: 17 671332E 4013505N• Site 4. 17 671317E
4013388N.
(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: Site is
surrounded by a mixture of undeveloped land, farm land and scattered residential houses.
7. Property size (acres): Project footprint is 1.8 mile (9,504 feet) long and has a right of way
of 60 feet. Property size is 13.1 acres.
8. Nearest body of water (stream/river/sound/ocean/lake): Unnamed Tributary to Bushy Fork
Creek at Site 1, Site 3 and Site 4
9. River Basin: Neuse River
Page 4 of 12
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at Iml '?;,_'() k?ml ?,,wk: nt ?? ?,?tl.>>in n ',I ps .)
10. Describe the purpose of the proposed work: Grade, drain, base pave and erosion control at
SR 1104 McCullock Loop Road). At Site 1, the existing 38 foot pine will be replaced with a
52 foot pipe. Additionally at Site 1, proiect construction will impact <0.01 acre of an
emergent-nonpersistent wetland. At Site 2, project construction will impact 0.01 acre of an
emergent-nonpersistent/forested-broad leaved deciduous wetland. At Site 3, the existing 42
foot pipe will be replaced with a 52 foot pipe. Additionally at Site 3, project construction
will impact 0.01 acre of an emer ent-nonpersistent wetland. At Site 4, the existing 40 foot
pipe will be replaced with a 80 foot pipe.
11. List the type of equipment to be used to construct the project: Excavator, Backhoe,
Bulldozer and Grader.
12. Describe the land use in the vicinity of this project: Mixture of undeveloped land, farm land
and scattered residential housing.
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.
No previous project jurisdictional determination or permit history, associated with site.
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: None anticipated
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
Page 5 of 12
mitigation, list and describe the impact in Section VIII below. If additional space is tieeded 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***
1 Fill <0.01 No Adjacent Emergent
2 Fill 0.01 No 100 feet Emergent-Forested
3 Fill 0.01 No Adjacent Emergent
• List each impact separately and identify temporary impacts. Impacts include, but are not limited to: mechanized clearing, grading, fill,
excavation, flooding, ditching/drainage, etc. For dams, separately list impacts due to both structure and flooding.
** 100-Year floodplains are identified through the Federal Emergency Management Agency's (FEMA) Flood Insurance Rate Maps
(FIRM), or FEMA-approved local floodplain maps. Maps are available through the FEMA Map Service Center at 1-800-358-9616, or
online at IiItp;r_ ._1?ma, m.
*** 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: 0.02 acre in project
limits.
Total area of wetland impact proposed: 0.02 acre fill in project limits.
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 secif )
Site 1 Fill (pipe) and rip rap 34 UT Bushy Fork Ck. 2 feet Intermittent
Site 3 Fill (pipe) and rip rap 30 UT Bushy Fork Ck. 5 feet Perennial
Site 3 Dcwater (Temporary) 45 UT Bushy Fork Ck. 5 feet Perennial
Site 4 Fill (pipe) and rip rap 83 UT Bushy Fork Ck. 4 feet Perennial
Site 4 Dewater (Temporary) 83 UT Bushy Fork Ck. 4 feet 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 losstgain),
stabilization activities (cement wall, rip-rap, crib wall, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is
proposed, plans and profiles showing the linear footprint for both the original and relocated streams must be included.
Stream names can be found on USGS topographic maps. If a stream has no name, list as UT (unnamed tributary) to the nearest
downstream named stream into which it flows. USGS maps are available through the USGS at 1-800-358-9616, or online at
Several internet sites also allow direct download and printing of USGS maps (e.g.,
in iL sl _cqm, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: 147 feet existing, channel
impacted (fill from pipe and rip rap) and 128 feet temporary impact (dewatering).
Page 6 of 12
3. Open Water Impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any
other Water of the U.S.
Open Water Impact Area of
Name Wat Type of Waterbody
Site Number Type of Impact* Impact )
(if applicable) (lake, pond, estuary, sound,
indicate on ma acres bay, ocean, etc.

List each impact separately and identify temporary impacts. Impacts include, but are not limited to: fill, excavation, dredging,
flooding, drainage, bulkheads, etc.
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.):
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.
All wetlands and surface waters not affected by vroiect construction will be protected from
unnecessary encroachment No staging of equipment will be allowed in or adjacent to waters of
the U.S. The side slopes at the jurisdictional site has been steepened to the maximum extent
possible Strict enforcement of Best Management Practices for the protection of wetlands and
surface waters will be enforced during construction. Only the smallest amount of fill necessary
to complete the project will be placed in waters of the United States.
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
Page 7 of 12
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.stat_e_nc us/ncNvetlands/scrim-,ide;_limil.
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.
Not Applicable.
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 htt1):/nh2o.enr.state_nc.us/%%gVinicx,titm. 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): N/A
Amount of buffer mitigation requested (square feet): N/A
Amount of Riparian wetland mitigation requested (acres): N/A
Amount of Non-riparian wetland mitigation requested (acres): N/A
Amount of Coastal wetland mitigation requested (acres): N/A
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 ?
Page 8 of 12
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
(Neuse), 15A NCAC 213 .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.
SITE 1
Zone* Impact
(square feet Multiplier Required
Mitigation
1 1,449 3
2 937 1.5
Total 2,386
* 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.
SITE 3
Zone* Impact
(square feet Multiplier Required
Mitigation
1 1,338 3
2 862 1.5
Total 2,200
* 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 9 of 12
SITE 4
Zone* Impact
(square feet Multiplier Required
Mitigation
1 1,980 3
2 827 1.5
Total 2,807
* 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.
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.
Existing: 4.6 acre impervious surface of 13.1 acre total protect size. Proposed: 4.6 acre
impervious surface of 13.1 acre total project size The erosion control plan for the project is
designed for 900 cubic feet of storage per acre. Erosion and sediment control devices along the
project are comprised of temQorarv rock pipe inlet sediment trap (Type A). temporary silt basin
(Type B) temporary rock silt check (Type B) temporary rock sediment dam (Type B),
temporary rock silt check (Type A). Temporary rock silt check (_Type A will be placed in
Zone 1 of the riparian buffer at Site 1 Site 3 and Site 4 Temporary rock sediment dam (Type B)
will be placed in Zone 2 of the riparian buffer at Site 1 Site 3 and Site 4. All temporarily
disturbed areas will be revegetated after 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.
_
The project will not generate wastewater.
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
Page 10 of 12
YIV. 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).
?. P. 0 Z
Applicant/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
Wilmington Regulatory Field Office Anson Duplin Onslow
US Army Corps Of Engineers Bladen Harnett Pender
Post Office Box 1890 Brunswick Hoke Richmond
Wilmington, NC 28402-1890 Carteret Montgomery Robeson
Telephone: [phone] Columbus Moore Sampson
Fax: [phone] Cumberland New Hanover Scotland
Pitt
Tyrrell
Washington
Wayne
Union
Watauga
Yancey
Wilson
Yadkin
*Croatan National Forest Only
Page 11 of 12
US Fis
US Fish and Wildlife Service
Raleigh Field Office
Post Office Box 33726
Raleigh, NC 27636-3726
Telephone: [phone]
h and Wildlife Service / National N
US Fish and Wildlife Service
Asheville Field Office
160 Zillicoa Street
Asheville, NC 28801
Telephone: [phone]
[arine Fisheries Service
National Marine Fisheries Service
Habitat Conservation Division
Pivers Island
Beaufort, NC 28516
Telephone: [phone]
North Carolina State Agencies
Division of Water Quality
401 Wetlands Unit
1650 Mail Service Center
Raleigh, NC 27699-1650
Telephone: [phone]
Fax: [phone]
Division of Water Quality
Wetlands Restoration Program
1619 Mail Service Center
Raleigh, NC 27699-1619
Telephone: [phone]
Fax: [phone]
CAMA and NC Coastal Counties
State Historic Preservation Office
Department Of Cultural Resources
4617 Mail Service Center
Raleigh, NC 27699-4617
Telephone: [phone]
Fax: [phone]
Division of Coastal Management Beaufort Chowan Hertford Pasquotank
1638 Mail Service Center Bertie Craven Hyde Pender
Raleigh, NC 27699-1638 Brunswick Currituck New Hanover Perquimans
Telephone: [phone] Camden Dare Onslow Tyrrell
Fax: [phone] Carteret Gates Pamlico Washington
NCWRC and NC Trout Counties
Western Piedmont Region Coordinator Alleghany Caldwell Watauga
3855 Idlewild Road Ashe Mitchell Wilkes
Kernersville, NC 27284-9180 Avery Stokes
Telephone: [phone] Burke Sunry
Mountain Region Coordinator Buncombe Henderson Polk
20830 Great Smoky Mtn. Expressway Cherokee Jackson Rutherford
Waynesville, NC 28786 Clay Macon Swain
Telephone: [phone] Graham Madison Transylvania
Fax: [phone] Haywood McDowell Yancey
Page 12 of 12
jr,
N; C. DEPARTMENT OF TRANSPORTATION

TRANSMITTAL SLIP DATE
e Sf \
TO: REF. NO. OR ROOM, BLDG.

FROM: REF. NO. OR ROOM. BLDG.
I
u r r
ACTT N
? NOTE AND FILE ? PER OUR CONVERSATION
? NOTE AND RETURN TO ME ? PER YOUR REQUEST
? RETURN WITH MORE DETAILS ? FOR YOUR APPROVAL
? NOTE AND SEE ME ABOUT THIS ? FOR YOUR INFORMATION
? PLEASE ANSWER ? FOR YOUR COMMENTS
? PREPARE REPLY FOR MY SIGNATURE ? SIGNATURE
? TAKE APPROPRIATE ACTION ? INVESTIGATE AND REPORT
COMMENTS:
Q 3/ 1 4w /'4700
omp
?113l9/?ro?
? ss ANE°?
y r
.? aw ?STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY
GOVERNOR
March 8, 2002
N.C. Dept. of Environment and Natural Resources
Division of Water Quality
2321 Crabtree Blvd.
Raleigh, NC 27604-2260
Attention: Mr. John Dorney
Coordinator
PAYMENT
RECEIVED
Subject: PERMIT MODIFICATION REQUEST-Secondary road
improvements to SR 1104 (McCullock Loop Road) from SR 1103 (Hurdle
Mills Road) to SR 1103 (Hurdle Mills Road) in Person County.
NCDOT Work Order No. 6.382150.
References: 1. Initial NCDOT permit application (NCDOT, August 28, 2001)
2. Permit Modification Request (NCDOT, March 8, 2002)
The North Carolina Department of Transportation (NCDOT) plans to upgrade and
pave SR 1104 (McCullock Loop Road) from SR 1103 (Hurdle Mills Road) to SR 1103
(Hurdle Mills Road) in Person County. Construction of the project will necessitate
impacts to waters of the United States. Application was made for a Department of the
Army Section 404 Nationwide Permit (NWP) 14 and NWP 33 and North Carolina
Division of Water Quality (NCDWQ) Section 401 Water Quality Certification (WQC)
No. 3289 and WQC No. 3114 by permit application dated August 28, 2001. The
NCDOT has determined that a permit modification must be requested for this project.
This permit modification request was submitted to the regulatory agencies on March 8,
2002.
An automated payment procedure has recently been implemented between the
NCDOT and NCDWQ. This procedure will enable the Division to apply for the 401
WQC without submitting a check for this permit application. This new procedure will
provide payment to the NCDWQ by charging the permit application fee directly to the
appropriate NCDOT work order.
The NCDOT work order for this project is 6.382150. Project impacts are less
than one acre of cumulative wetland/water impacts and less than 150 linear feet
cumulative impacts to streams; therefore, please note that a fee of $200.00 is reauired for
this project. If you have any questions or need additional information, please contact me
at [phone].
LYNDO TIPPETT
SECRETARY
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Division 5, 2612 N. Duke Street, Durham, NC 27704
Phone: [phone] Fax: [phone]
w
Sincerely,
(4a- --zs-
Christopher A. Murray, P.W.S.
Environmental Officer

M
.4 Wd?
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY
GOVERNOR
March 8, 2002
U. S. Army Corps of Engineers
Raleigh Regulatory Field Office
6508 Falls of the Neuse Road, Suite 120
Raleigh, NC 27609
Attention: Mr. Eric Alsmeyer
NCDOT Coordinator
LYNDO TIPPETT
SECRETARY
d ll3/9 IVoP
Subject: PERMIT MODIFICATION REQUEST-Secondary road
improvements to SR 1104 (McCullock Loop Road) from SR 1103 (Hurdle
Mills Road) to SR 1103 (Hurdle Mills Road) in Person County.
NCDOT Work Order No. 6.382150.
References: 1. Regulatory permit application (NCDOT, August 28, 2001)
2. USACE Section 404 permit (October 9, 2001; Action ID Nos.
200220004 and 200220005)
3. NCDENR-DWQ Section 401 Water Quality Certification and
Additional Conditions and Neuse River Buffer Rules (September 26,
2001; DWQ Project No. 011319)
The North Carolina Department of Transportation (NCDOT) proposes to upgrade
and pave SR 1104 (McCullock Loop Road) from SR 1103 (Hurdle Mills Road) to SR
1103 (Hurdle Mills Road) in Person County (Figures 1 and 2). The NCDOT permit
application for this project was initially submitted to the regulatory agencies on August
28, 2001. The United States Army Corps of Engineers (USACE) issued Nationwide
Permit (NWP) 14 and NWP 33 (Action ID Nos. 200220004 and 200220005) on October
9, 2001. The North Carolina Department of Environment and Natural Resources-
Division of Water Quality (NCDENR-DWQ) issued Water Quality Certification No.
3289 and Additional Conditions and Neuse River Buffer Rules (DWQ Project No.
011319) on September 26, 2001.
The permit application outlined impacts to jurisdictional sites at three sites (Sites
1-3) along McCullock Loop Road. An additional stream crossing, which is a perennial
tributary to Bushy Fork Creek (DWQ Index No. 27-3-3-1, Best Usage Classification WS-
III NSW), is located along McCullock Loop Road. However, at the time of the initial site
visit (and the initial permit application), it was determined that the pipe at this crossing
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Division 5, 2612 N. Duke Street, Durham, NC 27704
Phone: [phone] Fax: [phone]
r
would not be replaced. Accordingly, this site was not addressed in the NCDOT permit
application as a jurisdictional impact. The Person County Bridge Unit was assessing pipe
condition throughout the county in February 2002. It was determined during the survey
that this pipe that conveys a perennial tributary to Bushy Fork Creek must be replaced
(Note: This site is now referenced as Site 4), which will result in impacts to surface
waters. Therefore, the purpose of this letter is to request a permit modification of the
existing USACE Section 404 permit and the NCDENR-DWQ Section 401 Water Quality
Certification and Additional Conditions and Neuse River Buffer Rules to include
additional impacts to surface waters and riparian buffers at Site 4
Impacts to Waters of the United States
Construction of the project will necessitate impacts to waters of the United States
in the Neuse River Basin. Wetland delineations were conducted using the field
delineation me oil gut4nwd,in the 1987 Corps of Engineers Wetland Delineation Manual
(EnQdental ab&ator?,' 19 7). U.S. Army Corps of Engineers (USACE) Wetland
Data Forms and a North Carolina Division of Water Quality (DWQ) Wetland Rating
Form are attached to this application.
Site 1-Sta.12±92_-Lt- to Sta. 13+09-Lt- and Sta. 13+10-Rt-
The project crosses an unnamed intermittent tributary to Bushy Fork Creek
(DWQ Index No. 27-3-3-1, Best Usage Classification WS-III NSW) (Figure 3). The
existing structure that conveys the creek is a 24-inch concrete pipe that is 38 feet long.
The replacement structure is a 36 inch reinforced concrete pipe that is 52 feet long.
Permanent impacts at the site associated with the replacement of the structure and
minimal amounts of rip rap to protect the structure include <0.01 acre fill in surface water
and 34 linear feet existing channel impacted. Impacts at this site also occur to an
emergent-nonpersistent wetland (PEM213). Permanent impacts at this site include <0.01
acre fill in wetlands. The wetland has a DWQ wetland rating of 20.
Site 2-Sta. 26+75-Rt- to Sta. 27+52-Rt-
The project impacts a palustrine emergent-nonpersistent/forested-broad leaved
deciduous wetland (PEM2-FO1 B) (Figure 4). Permanent impacts at this site include 0.01
acre fill in wetlands. The wetland has a DWQ wetland rating of 25. Please note that
there is no jurisdictional stream located at this site.
Site 3-Station 79+30-Lt- to 79+75-Lt- and 79+20-Rt- to 79+30-Rt- and 79+60-Rt-
The project crosses an unnamed perennial tributary to Bushy Fork Creek (DWQ
Index No. 27-3-3-1, Best Usage Classification WS-III NSW) (Figure 5). The existing
structure that conveys the creek is a 36-inch reinforced concrete pipe that is 42 feet long.
The replacement structure is a 36 inch concrete pipe that is 52 feet long. Permanent
impacts at the site associated with the replacement of the structure and minimal amounts
of rip rap to protect the structure include <0.01 acre fill in surface water and 30 linear feet
existing channel impacted. Impacts at this site also occur to a palustrine emergent-
rionpersistent wetland (PEN12B). Permanent impacts at this site also include 0.01 acre fill
in wetlands. The wetland has a DWQ wetland rating of 34.
Site 4-Station 83+18-Lt- to 83+30-Lt- and 83+22-Rt- to 83+83-Rt-
The project crosses an unnamed perennial tributary to Bushy Fork Creek (DWQ
Index No. 27-3-3-1, Best Usage Classification WS-III NSW) (Figure 6). The existing
structure that conveys the creek is a 60 inch corrugated metal pipe that is 40 feet long.
The replacement structure is a 95 inch x 67 inch corrugated metal arch pipe that is 80 feet
long. Permanent impacts at the site associated with the replacement of the structure and
minimal amounts of rip rap to protect the structure include <0.01 acre fill in surface water
and 83 linear feet existing channel impacted. The increased impacts at this site are
attributable to the course of the stream channel at the west side of McCullock Loop Road.
The stream course enters McCullock Loop Road at a very acute angle. It has been
determined that the proposed structure is an 80 foot long corrugated metal arch pipe,
which results in increased stream impacts.
Dewatering
The NCDOT proposes to temporarily dewater the perennial stream at Site 3 and
Site 4 during the construction of the project.
Site 3
.This will involve the temporary placement of sandbags or Class B or Class 2 rip
rap covered with filter fabric in the stream channel approximately 15 feet upstream of the
proposed pipe inlet (Figure 5). To maintain water flow during construction, water
upstream of this impervious structure will be temporarily pumped out and conveyed
downstream of the construction activity where it will be allowed to filter through
vegetation before flowing into the stream at the proposed pipe outlet. The stream will be
dewatered two days. This will result in temporary impacts to the surface water.
Temporary impacts to the stream at this site from this activity will result in the
dewatering of <0.01 ac of stream bed and 45 linear feet stream channel. The sandbags or
rip rap covered with filter fabric will be removed after construction.
Site 4
This will involve the temporary placement of sandbags or Class B or Class 2 rip
rap covered with filter fabric in the stream channel approximately 10 feet upstream of the
proposed pipe inlet and approximately 10 feet downstream of the proposed pipe outlet
(Figure 6). To maintain water flow during construction, water upstream of this
impervious structure will be temporarily pumped out and conveyed downstream of the
construction activity where it will be allowed to filter through vegetation before flowing
into the stream at the proposed pipe outlet. The stream will be dewatered seven days.
This will result in temporary impacts to the surface water. Temporary impacts to the
stream at this site from this activity will result in the dewatering of <0.01 ac of stream
bed and 83 linear feet stream channel. The sandbags or rip rap covered with filter fabric
will be removed after construction.
4
Riparian Buffer Impacts
The construction of the project involves a road crossing of streams that are subject
to the Neuse River Riparian Buffer Rule. The unnamed intermittent tributary to Bushy
Fork Creek at Site 1 and the unnamed perennial tributary to Bush Fork Creek at Site 3 are
not depicted on the most recent version of the Hurdle Mills (USGS, 1968) and Caldwell
(USGS, 1997), North Carolina topographic quadrangle (Figure 1). However, these
streams are depicted on the Soil Survey of Person County, North Carolina (USDA-
NRCS, 1995) (Figure 2) and are, therefore, subject to the Rule. The unnamed perennial
tributary to Bushy Creek at Site 4 is depicted on both the Hurdle Mills (USGS, 1968)
topographic quadrangle and on the Soil Survey of Person County, North Carolina
(USDA-NRCS, 1995) and is subject to the Rule.
The construction of the project at Site 1 results in impacts to the riparian buffer
(Figure 3). Construction impacts at Site 1 total 1,449 square feet in Zone 1, 937 square
feet in Zone 2 and 34 linear feet of riparian buffer. Based on the impacts to the riparian
buffer at this site, this crossing is exempt.
The construction of the project at Site 3 results in impacts to the riparian buffer
(Figure 5). Construction impacts at Site 3 total 1,338 square feet in Zone 1, 862 square
feet in Zone 2 and 45 linear feet of riparian buffer. Based on the impacts to the riparian
buffer at this site, this crossing is allowable. The NCDOT certifies that the criteria
documented in Sub-Item (8)(a) of the buffer rules (which find that there are no practical
alternatives to the project) are met. The NCDOT requests an Authorization Certificate for
this activity at this project.
The construction of the project at Site 4 results in impacts to the riparian buffer
(Figure 6). Construction impacts at Site 4 total 1,980 square feet in Zone 1, 827 square
feet in Zone 2 and 83 linear feet of riparian buffer. Based on the impacts to the riparian
buffer at this site, this crossing is allowable. The NCDOT certifies that the criteria
documented in Sub-Item (8)(a) of the buffer rules (which find that there are no practical
alternatives to the project) are met. The NCDOT requests an Authorization Certificate for
this activity at this project.
The NCDOT proposes to install temporary erosion and sediment control devices
at Site 1, Site 3 and Site 4 in Zone 1 and Zone 2 of the riparian buffer. Specifically, the
NCDOT will place a temporary rock silt check (Type A) in Zone 1 and a temporary rock
sediment dam (Type B) in Zone 2. The temporary structures will be removed once
vegetation has been established and then seeded with a seed mixture of fescue and bahia
grass. Based on impacts to the riparian buffer at this site from this use, this activity is
allowable. The sediment and erosion control plans for Site 1, Site 3 and Site 4 are
depicted in Figure 3, Figure 5 and Figure 6, respectively. The NCDOT certifies that the
criteria documented in Sub-Item (8)(a) of the buffer rules (which find that there are no
practical alternatives to the project) are met. The NCDOT requests an Authorization
Certificate for this activity at this project.
Waters of the U.S. Mitigation
Avoidance: All wetlands and surface waters not affected by the project will be
protected from unnecessary encroachment. No staging of construction equipment or
storage of construction supplies will be allowed in wetlands or near surface waters.
Minimization: The side slopes have been steepened to the extent possible at
jurisdictional sites. Strict enforcement of sedimentation and erosion control Best
Management Practices for the protection of wetlands and surface waters will be enforced
during project construction. Continued coordination will occur with maintenance forces
and the Environmental Officer during construction to minimize impacts to these sites.
Compensatory Mitigation: Construction of the project will result in only minimal
impacts to waters of the United States. Impacts have been avoided and minimized to the
maximum extent possible during the design process. Due to minimal impacts,
compensatory mitigation for stream and wetland impacts will not be provided for this
project.
Protected Species
Plants and animals with federal classifications of Endangered, Threatened,
Proposed Endangered and Proposed Threatened are protected under provisions of Section
7 and Section 9 of the Endangered Species Act. As of February 27, 2001, there are no
federally protected species listed for Person County.
Historical Compliance
Historic compliance work to be scheduled and concurrence with Historic
Preservation Office will be obtained if required.
Summary
NCDOT proposes to upgrade and pave SR 1104 in Person County. Permanent
impacts at Site 1 include <0.01 acre fill in surface water, 34 linear feet existing channel
impacted and <0.01 acre fill in wetland. Permanent impacts at Site 2 include 0.01 acre
fill in wetland. Permanent impacts at Site 3 include <0.01 acre fill in surface water, 30
linear feet existing channel impacted and 0.01 acre fill in wetland. Permanent impacts at
Site 4 include <0.01 acre fill in surface water and 83 linear feet existing channel
impacted. Temporary impacts to the stream at Site 3 will result in the dewatering of
<0.01 ac of stream bed and 45 linear feet stream channel. Temporary impacts to the
stream at Site 4 will result in the dewatering of <0.01 ac of stream bed and 83 linear feet
stream channel. Some of this information, including impacts to riparian buffer, is
presented in Table 1.
Table 1 Summary of impacts.
Existing
Existing Channel
Channel Impacted Zone 1 Zone 2 Linear
Impacted (Temporary- Fill in Buffer Buffer Buffer
Site (Permanent) Dewatering) Wetlands Impact Impact. Impact
1 34 linear ft O linear ft <0.01 ac 1,449 sq ft 937 sq ft 34 liner ft
2 O linear ft O linear ft O.Olac 0 sq ft 0 sq ft 0 linear ft
3 30 linear ft 45 linear ft O.Olac 1,338 sq ft 862 sq ft 45 linear ft
4 83 linear ft 83 linear ft 0.0 ac 1,980 sq ft 827 sq ft 83 linear ft
Total 147 linear ft 128 linear ft` 0.02 ac 4,767 sq ft 2,626 sc ft 162 linear µft
Application is hereby made to request a modification to the previously submitted
permit application. The NCDOT will comply with all applicable NWP, WQC and
Riparian Buffer Rule conditions. A modified pre-construction notification is attached
with this request. If you have any questions or need additional information, please
contact me at [phone].
Sincerely,
Christopher A. Murray, P.W.S.
Division Environmental Officer
cc: Mr. John Dorney, NCDWQ, Raleigh
Mr. Rodney Cooper, P.E., NCDOT District Engineer, Durham
Mr. Billy Timberlake, NCDOT County Maintenance Engineer, Person
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BETTY J. FREELAND
DB 217-491
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?_EXISTING GRAVEL ROAD
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It .EXISTING GRAVEL ROAD
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M Temp. Rock Sllt Check (Type A)
cz Temp. Rock Sedlment Dom (Type 8)
M? Temp. Rock lSII It Check (Type B)
0 Rlp Rap
Site 1-Construction Impact and
Erosion and Sediment Control Plan
SR 1104 McCullock Loop Road
Person County
Figure 3 1"=100'
NOTE:
Temp. Rock Plpe Inlet Sediment Trap (Type A)
e Temp. Rock Sediment Dom (Type B)
<® Temp. Slit Basln (Type B) and
Temp. Rock Slit Check (Type B)
Wetland
PROP. 60' R/W Cq
o CONST. LIMITS o
----- ---------- --
4EM
?® I? EXISTING GRAVEL ROAD
ELOISE F.RIMMER WHITE
Site 2-Construction Impact and
Erosion and Sediment Control Plan
SR 1104 McCullock Loop Road
Person County
Figure 4 1"=100'
NOTE:
Temp. Rock S11t Click (Type A)
Temp. Rock Sediment Dam (Type 8)
< ® Te
TemP. mp. Rock l SII It Ch ck (Type B)
Wetland
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CONST. LIMITS
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Dewatering of Stream
Site 3-Construction Impact and
Erosion and Sediment Control Plan
SR 1104 McCullock Loop Road
Person County
Figure 5 111=100'
Temp, Placement of
Rip Rap Or Sandbags
to Dewater Stream
<>0/)0
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Existing Gravel Road
Proposed 60 fit ROW
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Site 4-Construction Impact and
Erosion and Sediment Control Plan
SR 1104 McCullock Loop Road
Person County
Figure 6 1 "=30'
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Sediment Dam (Type B)
Basin (Type B) and
Silt Check (Type B)
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Note:
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Temp. Rock
Temp. Rock
Temp. Silt
Temp. Rock
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Temp, Placement of
Rfp Rap Or Sandbags
to Dewoter Stream
I
DATA FORM
nvvTli:E WETLAND DETERMINATION
(1987 COE Wetlands Delineation Manual)
Project/Site: S R_ H ok Qers ter. ?o Date: -7. &6-c-
Applicant/Owner: la,- b 61'" County: Vera o l
Investigator: State: N L.
Do Normal Circumstances exist on the site? es N Community ID:
Is the site significantly disturbed (Atypical Situation)? o Transect ID:
Is the area a potential Problem Area? Yes Plot ID:
(If needed, explain on reverse.)
vCrrCTAT1n1U
Dominant Plant Species Stratum Indicator Dominant Plant Species Stratum Indicator
-f cwr- 9.
2.?.Antr:5 eL?? rc Pico 4- 10.
?? s S ?-
3. J o A c y-c PAc?.}f 11.
i
4. 12.
5. 13.
6. 14.
7. 15.
8. 16.
Percent of Dominant Species that are DEL, FACW or FAC
(excluding FAC-).

Remarks:
uvnnnr nc!v
Recorded Data (Describe in Remarks): Wetland Hydrology Indicators:
_
Stream, Lake, or Tide Gauge Primary Indicators:
_ Aerial Photographs Inundated
!Saturated in Upper 12 Inches
_ Other
/No Recorded Data Available _ Water Marks
_., Drift Lines
_
i
di
D
S
ment
epos
ts
e
Field Observations: ?brainage Patterns in Wetlands
Secondary Indicators (2 or more required):
Depth of Surface Water: (in.) _ Oxidized Root Channels in Upper 12 Inches

)
7 Z (in Water-Stained Leaves
+ Local Soil Survey Data
.
Depth to Free Water in Pit: FAC-Neutral Test
Depth to Saturated Soil: n.) _ Other (Explain in Remarks)
Remarks:
I rr
o ( 0 g ,7 ?5 P re S e.. f- a f- S? ,
SOILS
Map Unit Name
(Series and Phase):1'l6t,
Drainage Class: X4"j

Taxonomy (Subgroup): Jt[ Field Observations
?JLV n Confirm Mapped Type? Yes No
Profile Description:
Depth Matrix Color
Cinches) Horizon (Munsell Moist) Mottle Colors Mottle Texture, Concretions,
{Munsell Moist) Abundance/Contrast Structure, ate.

0.2- /?
hnr
l? SanJl-
:
la
?g

-' (o R- fi 6 .
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, C
.
ti
?, S `i g- S-16 f ¢w tS h .%C.l- SG As
7 A. r/6 , hnc?- Sa
?C
?
(
1
w
g ?
oa-.,
Hydrio Soil Indicators:
_ Histosol _ Concretions
Histic Epipedon
- _ High Organic Content in Surface Layer in Sandy Soils
_ Sulfidio Odor Organic Streaking in Sandy Soils
_ Aquic Moisture Regime Listed on Local Hydrio Soils List
Reducing Conditions _ Listed on National Hydric Soils List
_ Gleyed or Low-Chroma Colors _ Other (Explain in Remarks)
Remarks:

WETLAND DETERMINATION
Hydrophytic Vegetation Present? 9 No (Circle) (Circle)
Wetland Hydrology Present? No
Hydric Soils Present? No Is this Sampling Point Within a Wetland? O No
Remarks:
s C? l? C, wQ'r?'1?J Q ( ?Q rGMe+e
Gf- 5;4f.
DATA FORM
ROUTINE WETLAND DETERMINATION
(1987 COE Wetlands Delineation Manual)
Project/Site: 5 9- 11 0 - Pe,S r. C°,. Date: 1?6 _0_l_
Applicant/Owner: ? oT- County: .5-1
Investigator: State:
Do Normal Circumstances exist on the site? Community ID: 51fe Is the site significantly disturbed (Atypical Situation)? Yes ? Transect ID: J 1°
Is the area a potential Problem Area? Yes Plot ID:
(If needed, explain on reverse.)
VFr:FTATInN
Dominant Plant Species Stratum Indicator Dominant Plant Species Stratum Indicator
i tf-50ele2w Se r; ceo, L4 ?1- 9•
2. 1f.J os grautJS f!? lppfcJ?r 10.

3. 5
;a kr*
4.C.dn?Cer? IaOon? PA-C.- 12•
5 } } ,ice 13.
6. r 5I5 Fes`' 14.
7. 15.
8. 16.
Percent of Dominant Species that are OBL. FACW or FAC ?j
?J
(excluding FAC-). I

Remarks:
Qf2?..`enG2 c
0` ??loti'"I??t??J
??'?t?C 5?2.C??8Sa?- ?I? e
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4161
Recorded Data (Describe in Remarks): Wetland Hydrology Indicators:
_
Stream, Lake, or Tide Gauge Primary Indicators:
_
Aerial Photographs _ Inundated
_
_ Other _ Saturated in Upper 12 Inches
o Recorded Data Available _ Water Marks
Drift Lines
i
_ Sediment Depos
ts
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
Depth to Free Water in Pit: (in.) _ Local Soil Survey Data
FAC-Neutral Test
Depth to Saturated Soil: (in.) _
_ Other (Explain in Remarks)
Remarks:
{} I
SOILS
Mao Unit Name //
(Series and Phase): H i??en`.?cn L.o
-?,Q(?=5skm 111I QQ
a ?1t0 Drainage Class: W
v Field Observations
Taxonomy (Subgroup): 11 S2 iL 9%o w 4- Confirm Mapped Type? Yes No
Profile Description:
Depth Matrix Color Mottle Colors Mottle Texture, Concretions,
inches Horizon (Munsell Moist) (Munsell Moist) Abundance/Contrast Structure, etc.
7• el
S'
C
i" CL (D
k
L? A.h
JJ.t'Gi5
iC
C
A. -I o AA_
Hydric Soil Indicators:
_ Histosol _ Concretions
Histic Epipedon _ High Organic Content in Surface Layer in Sandy Soils
_
_ Sulfidio Odor _ Organic Streaking in Sandy Soils
r Aquic Moisture Regime _ Listed on Local Hydric Soils List
_ Reducing Conditions _ Listed on National Hydric Soils List
Gleyed or Low-Chroma Colors ` Other (Explain in Remarks)
Remarks:
`` nn
cX?cc So?1 ?`g P?eS e?¢
a F- 5,'?e
WETLAND DETERMINATION
Hydrophytic Vegetation Present? Yes o (Circle) (Circle)
Wetland Hydrology Present? Yes
Hydric Soils Present? Yea Is this Sampling Point Within a Wetland? Yes
Remarks: I (?
!' fe ?S c1 /lJ?' lJ ?.}l4?Jl, q ?? ?Gr4?e}e?s ?t?e ??o?

pp
DATA FORM
ROUTINE WETLAND DETERMINATION
(1987 COE Wetlands Delineation Manual)
Project/Site: V L ((J q- 2 r S ?? (? ,, Date: 7, Z g, o(
Applicant/Owner: ,)61 sdT' County: Dersan At Lti
Investigator: C. . orra State: v ?.,-.
Do Normal Circumstances exist on the site?
O
' No Community ID: ,
Is the site significantly disturbed (Atypical Situation)? e
s ® Transect ID:
Is the area a potential Problem Area? Yes (tq Plot ID:
(If needed, explain on reverse.)
VEGETATION
Dominant Plant Species Stratum Indicator Dominant Plant Species Stratum Indicator
1.rarc? P. 14 9.
2. AA. q t,/it ? _ 10.
3. wri'?ncn?c.>S.+ti au?nau[fvl, ? ??(, 11.
4. PAL 12.
5. c e r f r,,..., -rPi4c 13.
V, ,.. ,- 5t7rP&:V[jN BSI; 1 fi
'
r 14.
r
, 15.
8. 18.
Percent of Dominant Species that are OBL, FACW or FAC
(excluding FAC-).
Remarks:
rr
Pfe.,a\ence. ar' V??t?op?Kh?.. SPCC?e? at S.?-e
HYDROLOGY
Recorded Data (Describe in Remarks): Wetland Hydrology Indicators:
_
Stream, Lake, or Tide Gauge
i Primary Indicators:
_ Aerial Photographs _ Inundated
_ Other -Saturated in Upper 12 Inches
Reoorded 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
Depth to Free Water in Pit: (in.) Local Soil Survey Data
FAC-Neutral Test
Depth to Saturated Soil: Jn.) Other (Explain in Remarks)
Remarks:
uc?l?n? ?.1Slrol?g , j e?,Qc?f- ca (- Si e

SOILS
Map Unit Name f 1
(Series and Phase): k4C`JAc 5-4:3(0-%!t ?1
3.0 .6 nos ! Ot3 Drainage Class: N

T
S , --
Field Observations
axonomy (
ubgroup): Confirm Mapped Type? Yes No
Profile Description:
Depth Matrix Color Mottle Colors Mottle Texture, Concretions,
inches Horizon (Munsell Moist) (Munseil Moist) Abundance/Contrast Structure, et
c.
//
2-3

_ ID't?.L?I S `(?y1y CeMMO ?.J,sl?..?- cla.r og..?
-12 I0 K!'`t(1 Gam} ?0CA
Hydric Soil Indicators:
_ Histosol _ Concretions
Histic Epipedon _ Hieh 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
_,elGleyed or Low-Chroma Colors _ Other (Explain in Remarks)
Remarks:
14 ?,?? S o; IS P rt S ?.t r- a t- S• ?~e
WETLAND DETERMINATION
Hydrophytic Vegetation Present? a No (Circle) (Circle)
Wetland Hydrology Present? No
Hydric Soils Present? a No Is this Sampling Point Within a Wetland? l./ No
Remarks: v
we? all "ree Pau ,e?cr-? arm ?re5e1\-`- qf-- S' ?e
Approved by HQUISACE 2/97
DATA FORM
ROUTINE WETLAND DETERMINATION
0 987 COE Wetlands Delineation Manual)
Project/Site: S Q- 1(?`(? A e r s r` Cam. Date: 7• Z.6, 0 1
Applicant/Owner: t'? Ll- County: e (} ae?
Investigator: C. P-lJ rrc. State: N L
Do Normal Circumstances exist on the site? ? No Community ID:544
Is the site significantly disturbed (Atypical Situation)? Yes (0 Transect ID: U3
Is the area a potential Problem Area? Yes Plot ID:
(if needed, explain on reverse.)
VEGETATION
Dominant Plant Species Stratum Indicator Dominant Plant Species Stratum Indicator

kom#A,76Sw UM 10.
Styr 4 t l -r FA G t- 11.
4. Ace, f..lL
f.?. _t fi4C' 12.
/1
a
5. ( a r AJti k j,4 r l n. -A
y_ 13.
6. ?yoAA:3AnJS c m2r.[an p
c
,1S )IS 14.
7.4v?1E1d?0h air6jrCAJft SIS ?= 15.
8. 16.
Percent of Dominant Species that are OBL, FACW or FAC
(excluding FAC-).
Remarks:
Q?e?0.?ertc?
oJ v1,n- \
HYDROLOGY
Recorded Data (Describe in Remarks): Wetland Hydrology Indicators:
_
_ Stream, Lake, or ride Gauge Primary Indicators:
/ Aerial Photographs _ Inundated
/ _ Other -saturated in Upper 12 Inchos
???N, 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.l2 Inches
_ Water-Stained Leaves
Depth to Free Water in Pit: (in.) _ Local Soil Survey Data
_ FAC-Neutral Test
Depth to Saturated Soil: ((n.) Other (Explain in Remarks)
Remarks:
L,J C?? ???< 0104•, ??s nJt QrpSe?ta- ?f S? + .
Z17
SOILS
Map Unit Name
o
Q n 4
!'P
W
(Series and Phase):
n.-M
Drainage Class:

Taxonomy (Subgroup) 1 k
Wu t? Field Observations
Confirm Mapped Type? Yes No
Profile Description:
Depth Matrix Color Mottle Colors Mottle Texture, Concretions,
inches Horizon (Munsell Moist) (Munseil Moist) Abundance/Contrast Structure, etc.

t' r`a Z.sti 613
%
'Z
ew
(
G
L!rt
C
0 C4
8`124- ?•>?` -2
Hydric Soil Indicators:
_ Histosol _ Concretions
_ Histic Epipedon _ Hieh 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
_ Gleyed or Low-Chroma Colors _ Other (Explain in Remarksl
Remarks:
N o?? - ?K ??? c 5 a. i s P/rSc.t a? S
WETLAND DETERMINATION
Hydrophytic Vegetation Present? Yes 4 (Circle)
Wetland Hydrology Present? Yes o
Hydric Soils Present? Yea P
Remarks:
?ke (.S c, v1" j e+(%J 4( (
(Circle)
Is this Sampling Point Within a Wetland? YesN
04rZ 40J'-- P,'v'5c,j 7(,,

DATA FORM
ROUTINE WETLAND DETERMINATION
0 987 COE Wetlands Delineation Manual)
Project/Site: 5 Q- ((0L( Mc .It It. h (2.9 Date:
$ . 6, 0 k
Applicant%Ovvner: _ N e L,_) Tr _
County:
Pis.)??
Investigator:. tA, rr _
State: N G
Do Normal Circumstances exist on the site? es Community m: ,
Is the site significantly disturbed (Atypical Situation)? Yes Transect ID: e
Is the area a potential Problem Area? Yes I2D Plot ID:
(If needed, explain on reverse.)
VEGETATION
Dominant Plant Species Stratum Indicator Dominant Plant Species Stratum Indicator
1.'oe Mel., 9.
' F
3. i S 4rn tvc_ ?6C 0-4- 11.
4.:fJ,.CL%% e f_ ,F.,..,!S 12.
5. 1 o,r *%4 Q • 17L_ - 13.
6. 14.
7. 15.
8. 16.

Percent of Dominant Species that are OBL, FACW or FAC
(excluding FAC-).
Remarks:
R?e?.,lt?ce a?- ?.?.?.?i??ct?.c Species qt• 5?,?e

HYDROLOGY
_ Recorded Data (Describe in Remarks): Wetland Hydrology Indicators:
_ Stream, Lake, or Tide Gauge Primary Indicators:
Aerial Photographs
- Inundated
Other _
?Saturated in U
er 12 Inch

?No Recorded Data Available pp
es
_ Water Marks
_ Drift Lines
_ Sediment Deposits
Field Observations: _reinage Patterns in Wetlands
Secondary Indicators (2 or more required):
Depth of Surface Water: (in.) _ Oxidized Root Channels in Upper.12 Inches
Water-Stained Leaves
r
Depth to Free Water in Pit: (in.) Local Soil Survey Data
FAC-Neutral Test
Depth to Saturated Soil: (in.) _ Other (Explain in Remarks)
Remarks:
?
W eklwty- ?
-<ol??.? ,5 -Pv??rtt- ?t1?5, te.
SOILS
Map Unit Name q'-
/
(Series and Phase):V0"V-C S 1o w•-T 007o 4,ogt Drainage Class:
Field Observations
Taxonomy (Subgroup): Confirm Mapped Type? Yes No
Profile Description:
Depth Matrix Color Mottle Colors Mottle Texture, Concretions,
inches Horizon (MMunsell Moist) (Munseli Moist) Abundance/Contrast Structure, etc.
o. Z- -1 Lf
s- 't a- 4
Hydric Soil Indicators:
_ Histosol Concretions
Histic Epipedon 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
_
Ieysd or Low-Chroma Colors Other (Explain in Remarks)
Remarks:
( 4 !> ) s f rest ?, ?- .?+ s ? ?r .
WETLAND DETERMINATION
Hydrophytic Vegetation Present? No (Circle) (Circle)
Wetland Hydrology Present? No
Hydric Soils Present? No Is this Sampling Point Within a Wetland? ? No
Remarks: I (?
51 ?? t5 W 2a-`M? J aLl ekr's qr Q Presc,-,t-
a f- 15ti e
DATA FORM
ROUTINE WETLAND DETERMINATION
(1987 COE Wetlands Delineation Manual)
Project/Site: 5 L I (oq - M c t uLt a clc W91 Date: S-16.0)
Applicant/Owner: County: RP_r:) J 1
Investigator: r State: i(!
Do Normal Circumstances exist on the site? lis I b4 Community ID:
Is the site significantly disturbed (Atypical Situation)? Transact ID: u
Is the area a potential Problem Area? Yes Plot ID:
(If needed, explain on reverse.)
VEGETATION
Dominant Plant Species Stratum Indicator Dominant Plant Species Stratum Indicator
1. " .. If- U ?L s.
2.
v . S/S_ FAC,) 10.
CC
3. 11.
4.[ JA?ceM .5 A, C"Q, lI ?=Ac_ 12.
5.
(? S C E! 14C- 13.
I
6. Qh4?o?atca QM f;Cwn 1? E
Jr`
f 14.
?
p
7. A? 15.
a. 16.
Percent of Dominant Species that are OBL, FACW or FAC
(excluding FAC-).
Remarks: p n. ?T
C QJ °1lP/? C 2 cat` VkOA- k-L,6 ??.1 ?L L SQ e C ?\ S CL 51 T 4Q
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
Depth to Free Water in Pit: (in.) _ Local Soil Survey Data
_ FAC-Neutral Test
Depth to Saturated Soil: (in.) _ Other (Explain in Remarks)
Remarks:
w e-VIQ ?y,?r? [0 *j -1 15 A.Z
SOILS
Map Unit Name P
I/
4 'r^
V ?
(Series and Phass):
IACC fd.,
1 &SI l0a rainage Class:

Taxonomy (Subgroup): T , 14y,
v k Field Observations
Confirm Mapped Type? Yes No
Profile Description:
Depth Matrix Color Mottle Colors Mottle Texture, Concretions,
inches Horizon (Munsell Moist) (Munsell Moist) Abundance/Contrast Structure, etc.
O ' 11 -7.5 't?L 616 (,.AO",A, a15-b c4- <<e?)
l a L Sti2r (, z.S"'( 6(6 ?o ?,
l-
(a
_ ? ;ga
c
Hydric Soil Indicators:
_ Histosol _ Concretions
Histic Epipedon _ 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
_ Gleyed or Low-Chroma Colors _ Other (Explain in Remarks)
Remarks:
JU,YN- ?q c 11 ?a I S Preset, f- a f" 5.
WETLAND DETERMINATION
Hydrophytie Vegetation Present?
Wetland Hydrology Present?
Hydric Soils Present?
Remarks:
'VJ1-Lit-F(46% a(l
Yes (Circle) (Circle)
Yes
Yes Is this Sampling Point Within a Wetland? Yes ?p
?Qrk:j Kew Gre A a t i'e5t1f- 4 >-5, f(°

WETLAND RATING WORKSHEET (4th VERSION),
Project Name: SR-II??(-McC?tlock QS1 County:
Nearest Road: Mr ?..ll??k Q9. Date: -7. u. ?
Wetland Area (ac): wetland Width (ft):17!
Name of Evaluator(s): C. r-(?rr N-,
Wetland Location:
on sound or estuary
pond or lake
on perennial stream
on intermittent stream
within interstream divide
other
Soils
Soil Series
predominantly organic
(humus, muck or peat)
predominantly mineral (non-sandy)
predominantly sandy
H,.dr'auI is cactors
freshwater brackish
steep topography
ditched or channelized `
total wetland width > 100 feet.
Adiacent Land Use:
(Within 1/2 mi upstream,
upslope, or radius)
forested/natural veg. S
agriculture/urbanized
impervious surface
Adjacent Special Natural Areas
Dominant Vezetation
(2)
V'J V S of } ?] ?'?) i
Floodin7 and Wetness
semipermanently to
permanently flooded or
inundated
,/seasonally flooded or
inundated or s•.t??0.}..?
intermittently flooded or
temporary surface water
Wetland Tvve (select one)* no evidence of flooding or
Bottomland Hardwood Forest surface water
Swamp Forest Bog/Fen
Carolina Bay Headwater Forest
Pocosin Bog Forest
Pine Savannah Ephemeral Wetland
Freshwater Marsh ? Other: New-,k ?r?erychi- we+{.z,?
*The rating system cannot be applied to salt or brackish marshes or
stream channels.
DEH RATING
WATER STORAGE

POLLUTANT REMOVAL
WILDLIFE HAB ITA'r
AQUATIC LIFE VALUE
RECREATION/EDUCATION

Y I A A 1 '_ I, f- i 9 : n e, n I. ; t' i er n .,r t }• a v c $I to A
x 4.00
x 5.00
Z.00 = Z
x 4.00
x 1.00 =
WETLA" SCORE = 2
(TOTAL)
anH >>n-? nnnnnint disturbance

?,- ,- Z.
WETLAND RATING WORKSHEET (4th VERSION),
Project Name, 5 R-Il??f J`1c C?tl, Q,?, County: Nearest Road: Date: I.Z6,01
Wetland Area (ac): ?.1a? Wetland Width (ft):
Name of Evaluator (s) : c.M?? w?
Wetland Location:
on sound or estuary
pond or lake
on perennial stream
on intermittent stream
within interstream divide
other S1-> c-,-- ;-c fr otv,P_\
Adjacent and Use:
(Within 1/2 mi upstream,
upslope, or radius)
/ forested/natural veg. mac? a
agriculture/urbanized YS, v
impervious surface;
Adjacent Special Natural Areas
Soils Dominant Vezetation
Sail Series A. -I ( le? e, p,
predominantly organic (2) Arcr r?r.,.r.
(humus, muck or peat) (3) 6_,c..,,%?611QS
predominantly mineral (non-sandy)
predominantly sandy Floodin; and Wetness
semipermanently to
Hvdr'au 1 is 'F•actors permanently flooded or
freshwater brackish inundated
steep topography -seasonally flooded or
ditched or channelized inundated 0r5c.t-r--ie-J_
total wetland width > 100 feet. intermittently flooded or
temporary surface water
wetland Tvne (select one)* no evidence of flooding or
Bottomland Hardwood Forest, surface water
Swamp Forest Bog/Fen
-"
N° c ?npnnt? c?P,,e??p Mv???
Headwater
Carolina Bay Forest
?ocosin Bog Forest
Pine Savannah Ephemeral Wetland
Freshwater Marsh Other:
*The rating system cannot be applied to salt or brackish marshes or
stream channels.
WATER STORAGE
R A TI XT
D E.TI
x 4.00 = q
1NE Ji"" ij wl. .. .. •._.C? V
POLLUTANT REMOVAL ^* x 5.00 =

WILDLIFE HABITAT 2.00 =
n
`?
AQUATIC LIFE VALUE x 4.00 =
_-
RECREATION/EDUCATION x 1.00 =
WETLAND SCORE _?.
(TOTAL)
.A.4 1 anA >>n% -,nnnnint disturbance

5,\t.Q- -5
WETLAND RATING WORKSHEET (4th VERSION),
Project Name: 5??15`l Mcd.t ,k(L5 County: Ye(5-?^ '
Nearest Road: McC!.tL -jLDate: '8•lb•o?
Wetland Area (ac): wo-olac Wetland Width (f t):
Name of Evaluator(s) : r.M.,rra=
Wetland Location:
on sound or estuary
pond or lake
on perennial stream
on. intermittent stream
within interstream divide
other
Soils
Soi 1 Series Vance-
predominantly organic
(humus, muck or peat)
predominantly mineral (non-sandy)
predominantly sandy
Hvdr'aul is r-actors
freshwater brackish
steep topography
ditched or channelized
total wetland width > 100 'feet.
Adjacent Land Use:
(Within 1/2 mi upstream,
,_.slope, or radius)
up
forested/natural veg. A-S-_;
agriculture/urbanized %
0
impervious surface
Adjacent Special Natural Areas
Dominant Vegetat ion
( 1
1 ) lK? Y"-.,Pel-(H e f . - C?1 ?MrAc? c •?
(2) v u f
(3) TyncJt k x
Floodin- and Wetness
semipermanently to
permanently flooded or
inundated
seasonally flooded or
inundated .1
SGfi?4?-e
intermittently flooded or
.temporary surface water
Wetland Type (select one)* no evidence of flooding or
Bottomland Hardwood Forest surface water
Swamp Forest Bog/Fen
Carolina Bay Headwater Forest
?ocosin Bog Forest
Pine Savannah Ephemeral Wetland
Freshwater Harsh / Other: ?eu9wc?tcr £e??,<.,+- l,.?ea,-}
*The rating system cannot be applied to salt or brackish marshes or
stream channels.
DEM. RATING

WATER STORAGE x 4.00

POLLUTANT REMOVAL x 5.00 =
WILDLIFE HAB I TA't 2.00 =

AQUATIC LIFE VALUE x 4.00 =
RECREATION/EDUCATION x 1.00 = - '
WETLAND SCORE _ 4H-
(TOTAL)
* Add 1 ooint if in sensitive watershed and >10') nonpoint disturbance

?0 G
(35 IDLLQ,,
-?
Pre-Construction Notification (PCN) Application Form
For Section 404 and/or Section 10 Nationwide, Regional and General Permits, Section 401
General Water Quality Certifications, and Riparian Buffer and Watershed Buffer Rules
This form is to be used for projects qualifying for any of the U.S. Army Corps of Engineers' (USACE)
Nationwide, Regional or General Permits as required by Section 404 of the Clean Water Act and/or
Section 10 of the Rivers and Harbors Act, and for the North Carolina Division of Water Quality's
(DWQ) associated General 401 Water Quality Certifications. This form is also to be used for any
project requiring approval under any Riparian Buffer Rules implemented by the N.C. Division of Water
Quality. This form should not be used if you are requesting an Individual 404 Permit or Individual 401
Water Quality Certification. The USACE Individual Permit application form is available online at
littP//www saw. Usace_army._miI/wetlands/Perm .sapp. hml.
The USACE is the lead regulatory agency. To review the requirements for the use of Nationwide,
Regional or General permits, and to determine which permit applies to your project, please go to the
USACE website at http://www_saw_usace army_..»il/wetlandsiregtqur_htni, or contact one of the field
offices listed at the end of this application. The website also lists the responsible project manager for
each county in North Carolina and provides additional information regarding the identification and
regulation of wetlands and waters of the U. S.
The DWQ issues a corresponding Certification (General or Individual), and cannot tell the applicant
which 401 Certification will apply until the 404 Permit type has been determined by the USACE.
Applicants are encouraged to visit DWQ's 401/Wetlands Unit website at
Iittp_//h?o.enr.state. e.us/ncwetlands to read about current requirements for the 401 Water Quality
Certification Program and to determine whether or not Riparian Buffer Rules are applicable. The
applicant is also advised to read the full text of the General Certification (GC) matching the specific 404
Permit requested. In some cases, written approval for some General Certifications is not required,
provided that the applicant adheres to all conditions of the GC. Applicants lacking access to the internet
should contact DWQ's Central Office in Raleigh at [phone].
Trout Waters Coordination - Special coordination with the North Carolina Wildlife Resources
Commission (NCWRC) is also required for projects occurring in any of North Carolina's twenty-five
counties that contain trout waters. In such cases, the applicant should contact the appropriate NCWRC
regional coordinator (listed by county on the last page of this application).
Page 1 of 12
CAMA Coordination - If the project occurs in any of North Carolina's twenty coastal counties (listed on
the last page of this application) the applicant should also contact the North Carolina Division of Coastal
Management (DCM) at (919)'733=2293. DCM will determine whether or not the project involves a
designated Area of Environmental Concern, in which case DCM will act as the lead permitting agency.
In such cases, DCM will require a Coastal Area Management Act (CAMA) Permit and will coordinate
the 404/401 Permits.
USACE Permits - Submit one copy of this form, along with supporting narratives, maps, data forms,
photos, etc. to the applicable USACE Regulatory Field Office (addresses are listed at the end of this
application). Upon receipt of an application, the USACE will determine if the application is complete as
soon as possible, not to exceed 30 days. This PCN form is designed for the convenience of the applicant
to address information needs for all USACE Nationwide, Regional or General permits, as well as
information required for State authorizations, certifications, and coordination. Fully providing the
information requested on this form will result in a complete application for any of the USACE
Nationwide, Regional or General permits. To review the minimum amount of information that must be
provided for a complete PCN for each USACE Nationwide permit, see Condition 13, 65 Fed.Reg. 12893
(March 9, 2000), available at Ii-tto-1/- ww_ saw usac-e arniv..mil/wetlands/nxyptinalFedRef4.pdf.
Processing times vary by permit and begin once the application has been determined to be complete.
Please contact the appropriate regulatory field office for specific answers to permit processing periods.
401 Water Quality Certification or Buffer Rules - All information is required unless otherwise stated
as optional. Incomplete applications will be returned. Submit seven collated copies of all USACE
Permit materials to the Division of Water Quality, 40l/Wetlands Unit, 1650 Mail Service Center,
Raleigh, NC, 27699-1650. If written approval is required or specifically requested for a 401
Certification, then a non-refundable application fee is required. In brief, if project impacts include less
than one acre of cumulative wetland/water impacts and less than 150 feet cumulative impacts to
streams, then a fee of $200 is required. If either of these thresholds is exceeded, then a fee of $475 is
required. A check made out to the North Carolina Division of Water Quality, with the specific name of
the project or applicant identified, should be stapled to the front of the application package. For more
information, see the DWQ website at hap1/h 2u.ehnr.stateticus/ncwetlands/ ees_html. The fee must be
attached with the application unless the applicant is a federal agency in which case the check may be
issued from a separate office. In such cases, the project must be identifiable on the U.S. Treasury check
so that it can be credited to the appropriate project. If written approval is sought solely for Buffer Rules,
the application fee does not apply, and the applicant should clearly state (in a cover letter) that only
Buffer Rule approval is sought in writing. Wetlands or waters of the U. S. may not be impacted prior to
issuance or waiver of a Section 401 Water Quality Certification. Upon receipt of a complete application
for a 401 Certification, the Division of Water Quality has 60 days to prepare a written response to the
applicant. This may include a 401 Certification, an on-hold letter pending receipt of additional
requested information, or denial.
Page 2 of 12
Office Usc Only: Form Version April 2001
USACE Action ID No. DWQ No. 01131 l
If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A" rather than
leaving the space blank.
******************MODIFIED PCN APPLICATION************************
1. 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 and NWP 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
Owner/Applicant Information
Name: NCDOT/Christopher A. Murray
Mailing Address: 2612 N. Duke Street, Durham NC 27704
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:
Company Affiliation:
Mailing Address:
Telephone Number: - Fax Number:
E-mail Address:
Page 3 of 12
III. Project Information
Attach a vicinity map clearly showing the location of the property with respect to local
landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property
boundaries and development plans in relation to surrounding properties. Both the vicinity map
and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities must be included. If possible, the maps and plans should
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USACE requires information to be submitted on sheets no larger than 11 by 17-inch format;
however, DWQ may accept paperwork of any size. DWQ prefers full-size construction
drawings rather than a sequential sheet version of the full-size plans. If full-size plans are
reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps are provided.
1. Name of project: SR 1104 (McCullock Loop Road) from SR 1103 (Hurdle Mills Road) to
SR 1103 (Hurdle Mills Road) in Person County.
2. T.I.P. Project Number (NCDOT Only): NCDOT Division Project (non-TIP)
3. Property Identification Number (Tax PIN):
4. Location
County: Person Nearest Town: Hurdle Mills
Subdivision name (include phase/lot number): N/A
Directions to site (include road numbers, landmarks, etc.): From Hurdle Mills, turn left and
travel southwest on SR 1103. Turn right onto SR 1104 to project.
5. Site coordinates, if available (UTM or Lat/Long): Site 1: 17 670159E 4012667N;
Site 2: 17 670189E 4013083N• Site 3: 17 671332E 4013505N• Site 4. 17 671317E
4013388N.
(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: Site is
surrounded by a mixture of undeveloped land, farm land and scattered residential houses.
7. Property size (acres): Project footprint is 1.8 mile (9,504 feet) long and has a right of way
of 60 feet. Property size is 13.1 acres.
8. Nearest body of water (stream/river/sound/ocean/lake): Unnamed Tributary to Bushy Fork
Creek at Site 1, Site 3 and Site 4
9. River Basin: Neuse River
Page 4 of 12
(Note -- this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http ?: li'k) III- 1h A"'lolli)
10. Describe the purpose of the proposed work: Grade, drain, base pave and erosion control at
SR 1104 McCullock Loop Road). At Site 1, the existing 38 foot pipe will be replaced with a
52 foot pipe. Additionally at Site 1, project construction will impact <0.01 acre of an
emergent-nonpersistent wetland. At Site 2, project construction will impact 0.01 acre of an
emergent-nonpersistent/forested-broad leaved deciduous wetland. At Site 3, the existing 42
foot pipe will be replaced with a 52 foot pipe. Additionally at Site 3, project construction
will impact 0.01 acre of an emergent-nonpersistent wetland. At Site 4, the existing 40 foot
pipe will be replaced with a 80 foot pipe.
11. List the type of equipment to be used to construct the project: Excavator, Backhoe,
Bulldozer and Grader.
12. Describe the land use in the vicinity of this project: Mixture of undeveloped land, farm land
and scattered residential housing,.
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.
No previous project jurisdictional determination or permit history associated with site.
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: None anticipated
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
Page 5 of 12
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***
1 Fill <0.01 No Adjacent Emergent
2 Fill 0.01 No 100 feet Emergent-Forested
3 Fill 0.01 No Adjacent Emergent
List each impact separately and identify temporary impacts. Impacts include, but are not limited to: mechanized clearing, grading, fill,
excavation, flooding, ditching/drainage, etc. For dams, separately list impacts due to both structure and flooding.
** 100-Year floodpWns 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 l !tpJ/N_\ \\ Ic.inai -o\.
*** 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: 0.02 acre in project
Total area of wetland impact proposed: 0.02 acre fill in project limits.
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 scif )
Site 1 Fill (pipe) and rip rap 34 UT Bushy Fork Ck. 2 feet Intermittent
Site 3 Fill (pipe) and rip rap 30 UT Bushy Fork Ck. 5 feet Perennial
Site 3 Dewater (Temporary) 45 UT Bushy Fork Ck. 5 feet Perennial
Site 4 Fill (pipe) and rip rap 83 UT Bushy Fork Ck. 4 feet Perennial
Site 4 Dewater (Temporary) 83 UT Bushy Fork Ck. 4 feet 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
\%y\\ Hsul .g0\. Several intemet sites also allow direct download and printing of USGS maps (e.g., %?y\\ topom is com,
?????.m i x ursLce nt, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: 147 feet existing channel
impacted fill from pipe and rip rap) and 128 feet temporary impact dewatering).
Page 6 of 12
Open Water Impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any
other Water of the U.S.
Open Water Impact Area of
Name
Wat Type of Waterbody '
Site Number Type of Impact* Impact )
(if
applicable) (lake, pond, estuary, sound,
indicate on ma acres bay, ocean, etc.

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: fill, excavation, dredging,
flooding, drainage, bulkheads, etc.
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.):
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.
All wetlands and surface waters not affected by project construction will be protected from
unnecessary encroachment. No staging of equipment will be allowed in or adjacent to waters of
the U.S. The side slopes at the jurisdictional site has been steepened to the maximum extent
possible Strict enforcement of Best Management Practices for the protection of wetlands and
surface waters will be enforced during construction. Only the smallest amount of fill necessary
to complete the project will be placed in waters of the United States.
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
Page 7 of 12
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
I?tt??;!'h?o enr,st_ate..n? u?'t?e??etLand?!strnl?ide__himl.
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.
Not Applicable.
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 ltttLaaltzo _enr_si_,ic.nc,us/Nkrp/inc?c _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): N/A
Amount of buffer mitigation requested (square feet): N/A
Amount of Riparian wetland mitigation requested (acres): N/A
Amount of Non-riparian wetland mitigation requested (acres): N/A
Amount of Coastal wetland mitigation requested (acres): N/A
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 ?
Page 8 of 12
If yes, does the project requite 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.
SITE 1
Zone* Impact
(square feet Multiplier Required
Miti ation
1 1,449 3
2 937 1.5
Total 2,386
* 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.
SITE 3
Zone* Impact
(square feet Multiplier Required
Mitigation
1 1,338 3
2 862 1.5
Total 2,200
* Zone I extends out 30 feet perpendicular from near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.
Page 9 of 12
SITE 4
Zone* Impact
(square feet Multiplier Required
Miti ation
1 1,980 3
2 827 1.5
Total 2,807
* 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.
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.
Existine: 4.6 acre impervious surface of 13.1 acre total protect _size. Proposed: 4.6 acre
impervious surface of 13.1 acre total project size The erosion control plan for the project is
designed for 900 cubic feet of storage per acre. Erosion and sediment control devices along the
project are comprised of temporary rock pipe inlet sediment trap (Type A temporary silt basin
(Type B temporary rock silt check (Type B temporary rock sediment dam (Type B)
temporary rock silt check (Type A) Temporary rock silt check (Type A will be placed in
Zone 1 of the riparian buffer at Site 1 Site 3 and Site 4. Temporary rock sediment dam (Type B)
will be placed in Zone 2 of the riparian buffer at Site 1 Site 3 and Site 4. All temporarily
disturbed areas will be revepetated after 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.
The project will not generate wastewater.
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
Page 10 of 12
YIV. 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).
?. ??•0L
ApplicantAgent'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
Wilmington Regulatory Field Office Anson Duplin Onslow
US Army Corps Of Engineers Bladen Harnett Pender
Post Office Box 1890 Brunswick Hoke Richmond
Wilmington, NC 28402-1890 Carteret Montgomery Robeson
Telephone: [phone] Columbus Moore Sampson
Fax: [phone] Cumberland New Hanover Scotland
Pitt
Tyrrell
Washington
Wayne
Union
Watauga
Yancey
Wilson
Yadkin
*Croatan National Forest Only
Page 11 of 12
US Fis
US Fish and Wildlife Service
Raleigh Field Office
Post Office Box 33726
Raleigh, NC 27636-3726
Telephone: [phone]
h and Wildlife Service / National M
US Fish and Wildlife Service
Asheville Field Office
160 Zillicoa Street
Asheville, NC 28801
Telephone: [phone]
[arine Fisheries-Service
National Marine Fisheries Service
Habitat Conservation Division
Pivers Island
Beaufort, NC 28516
Telephone: [phone]
North Carolina State Agencies
Division of Water Quality
401 Wetlands Unit
1650 Mail Service Center
Raleigh, NC 27699-1650
Telephone: [phone]
Fax: [phone]
Division of Water Quality
Wetlands Restoration Program
1619 Mail Service Center
Raleigh, NC 27699-1619
Telephone: [phone]
Fax: [phone]
CAMA and NC Coastal Counties
State Historic Preservation Office
Department Of Cultural Resources
4617 Mail Service Center
Raleigh, NC 27699-4617
Telephone: [phone]
Fax: [phone]
Division of Coastal Management Beaufort Chowan Hertford Pasquotank
1638 Mail Service Center Bertie Craven Hyde Pender
Raleigh, NC 27699-1638 Brunswick Currituck New Hanover Perquimans
Telephone: [phone] Camden Dare Onslow Tyrrell
Fax: [phone] Carteret Gates Pamlico Washington
NCWRC and NC Trout Counties
Western Piedmont Region Coordinator Alleghany Caldwell Watauga
3855 Idlewild Road Ashe Mitchell Wilkes
Kernersville, NC 27284-9180 Avery Stokes
Telephone: [phone] Burke Surry
Mountain Region Coordinator Buncombe Henderson Polk
20830 Great Smoky Mtn. Expressway Cherokee Jackson Rutherford
Waynesville, NC 28786 Clay Macon Swain
Telephone: [phone] Graham Madison Transylvania
Fax: [phone] Haywood McDowell Yancey
Page 12 of 12
State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
Michael F. Easley, Governor
William G. Ross, Jr., Secretary
Gregory J. Thorpe, Ph.D., Acting Director
10•
NC ENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
September 26, 2001
Person County
DWQ Project No. 011319
APPROVAL OF 401 Water Quality Certification and ADDITIONAL CONDITIONS and Neuse
River Buffer Rules
Mr. J.G. Nance, P.E., Division Engineer
NCDOT, Division 5
2612 N. Durham Street
Durham, NC 27704
Dear Mr. Nance:
You have our approval, as described in your application dated August 28, 2001, and in accordance with the
attached conditions and those listed below, to place fill material in 0.02 acres of wetlands and 109 linear
feet of streams for the purpose of widening and improving SR 1104 (McCullock Loop Road) from SR 1103
(Hurdle Mills Road) to SR 1103 (Hurdle Mills Road) in Person County. In addition, you are authorized to
impact 4586 square feet of protected buffers. The project shall be constructed in accordance with your
application dated August 28, 2001. After reviewing your application, we have decided that this fill is
covered by General Water Quality Certification Number 3289. This certification corresponds to the
Nationwide Permit Number 14 issued by the Corps of Engineers. This approval is also valid for the Neuse
River buffer rules (15A NCAC 213 .0233). 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 when the
accompanying 404 permit expires unless otherwise specified in the General Certification.
This approval is valid solely for the purpose and design described in your application (unless modified
below). Should your project change, you must notify the DWQ and submit a new application. If the
property is sold, the new owner must be given a copy of this Certification and approval letter, and is thereby
responsible for complying with all the conditions. If total wetland fills for this project (now or in the future)
exceed one acre, or of total impacts to streams (now or in the future) exceed 150 linear feet, compensatory
mitigation may be required as described in 15A NCAC 2H.0506 (h) (6) and (7). ). This approval shall
expire with the corresponding Nationwide Permit expires or as otherwise provided in the General
Certification. For this approval to be valid, you must follow the conditions listed in the attached
certification and any additional conditions listed below.
1. Stormwater shall be directed to sheetflow at nonerosive velocities through the protected stream buffers.
2. Upon completion of the project, the NCDOT shall complete and return the enclosed "Certification of
Completion Form" to notify DWQ when all work included in the 401 Certification has been completed.
The responsible party shall complete the attached form and return it to the 401/Wetlands Unit of the
Division of Water Quality upon completion of the project.
Wetlands/401 Unit 1650 Mail Service Center Raleigh, North Carolina 27699-1621
Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post consumer paper
State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
T M?W'A •
Michael F. Easley, Governor NCDENR
William G. Ross, Jr., Secretary NORTH CAROLINA DEPARTMENT OF
Gregory J. Thorpe, Ph.D., Acting Director ENVIRONMENT AND NATURAL RESOURCES
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, P.O. Box 27447, Raleigh, N.C. 27611-7447. 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 contact John Hennessy at 919-733-1786, or Steve Mitchell at 919-
571-4700.
Attachment
cc: Wilmington District Corps of Engineers
Corps of Engineers Raleigh Field Office
DWQ Raleigh Regional Office
File Copy
Central Files
c:\ncdot\SR 1104\wgc\011319wgc.doc
incer ly,
& r . Thorpe, h.D.
ting irector
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
A f&. DEPARTMENT OF TRANSPORTATION
TRANSMITTAL SLIP DATE
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? NOTE AND RETURN TO ME ? PER YOUR REQUEST
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? NOTE AND SEE ME ABOUT TH IS ? FOR. YOUR INFORMATION
? PLEASE ANSWER ? 'FOR; YOUR COMMENTS
C3 PREPARE REPLY FOR MY SIGNATURE ? 'SIGNATURE
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401 ISSUEb'"
1/1, Je-1
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY
GOVERNOR
LYNDO TIPPETT
SECRETARY
August 28, 2001
U. S. Army Corps of Engineers
Raleigh Regulatory Field Office
6508 Falls of the Neuse Road, Suite 120
Raleigh, NC 27609
01 1319
Attention: Mr. Eric Alsmeyer
NCDOT Coordinator
Subject: Secondary road improvements to SR 11104 (McCullock Loop Road) from
SR 1103 (Hurdle Mills Road) to SR 1103 (Hurdle Mills Road) in Person
County.
The North Carolina Department of Transportation (NCDOT) proposes to upgrade
and pave SR 11104 (McCullock Loop Road) from SR 1103 (Hurdle Mills Road) to SR
1103 (Hurdle Mills Road) in Person County (Figures I and 2). Total project length is 1.8
miles. Transportation and highway laws of North Carolina (G.S. 136-44.6, 136-44.7,
136-44.7A, 136-44.8, and 136-44.9) require the NCDOT to develop annual work
programs for construction and maintenance of secondary roads. These general statutes
specifically set forth requirements for annual construction and paving of existing unpaved
roads. Paving of these roads is performed in priority order as established by the NCDOT
for each unpaved road within a given county. This number is based on characteristics of
each road, including number of homes, schools, churches, businesses, industries,
recreational facilities, traffic counts, presence of school bus routes, and value as a
thoroughfare. SR 1104 is scheduled to be paved in the 2001-2002 Secondary Roads
Construction Program.
Impacts to Waters of the United States
Construction of the project will necessitate impacts to waters of the United States
in the Neuse River Basin. Wetland delineations were conducted using the field
delineation method outlined in the 1987 Corps of Engineers Wetland Delineation Manual
(Environmental Laboratory, 1987). U. S. Army Corps of Engineers (USACE) Wetland
Data Forms and a North Carolina Division of Water Quality (DWQ) Wetland Rating
Form are attached to this application.
Division 5, 2612 N. Duke Street, Durham, NC 27704 f n\/r l? f r ! I
Phone: [phone] Fax: [phone]
? 2
Site 1-Sta.12+92-Lt- to Sta. 13+09-Lt- and Sta. 13+10-Rt-
The project crosses an unnamed intermittent tributary to Bushy Fork Creek
(DWQ Index No. 27-3-3-1, Best Usage Classification WS-III NSW) (Figure 3). The
existing structure that conveys the creek is a 24-inch concrete pipe that is 38 feet long.
The replacement structure is a 36 inch reinforced concrete pipe that is 52 feet long.
Permanent impacts at the site associated with the replacement of the structure and
minimal amounts of rip rap to protect the structure include <0.01 acre fill in surface water
and 34 linear feet existing channel impacted. Impacts at this site also occur to an
emergent-nonpersistent wetland (PEM2B). Permanent impacts at this site include <0.01
acre fill in wetlands. The wetland has a DWQ wetland rating of 20.
Site 2-Sta. 26+75-Rt- to Sta. 27+52-Rt-
The project impacts a palustrine emergent-nonpersistent/forested-broad leaved
deciduous wetland (PEM2-FO1B) (Figure 4). Permanent impacts at this site include 0.01
acre fill in wetlands. The wetland has a DWQ wetland rating of 25. Please note that
there is no jurisdictional stream located at this site.
Site 3-Station 79+30-Lt- to 79+75-Lt- and 79+20-Rt- to 79+30-Rt- and 79+60-Rt-
The project crosses an unnamed perennial tributary to Bushy Fork Creek (DWQ
Index No. 27-3-3-1, Best Usage Classification WS-III NSW) (Figure 5). The existing
structure that conveys the creek is a 36-inch reinforced concrete pipe that is 42 feet long.
The replacement structure is a 36 inch concrete pipe that is 52 feet long. Permanent
impacts at the site associated with the replacement of the structure and minimal amounts
of rip rap to protect the structure include <0.01 acre fill in surface water and 30 linear feet
existing channel impacted. Impacts at this site also occur to a palustrine emergent-
nonpersistent wetland (PEM2B). Permanent impacts at this site also include 0.01 acre fill
in wetlands. The wetland has a DWQ wetland rating of 34.
Dewatering
The NCDOT proposes to temporarily dewater the perennial stream at Site 3
during the construction of the project. This will involve the temporary placement of
sandbags or Class B or Class 2 rip rap covered with filter fabric in the stream channel
approximately 15 feet upstream of the proposed pipe inlet (Figure 5). To maintain water
flow during construction, water upstream of this impervious structure will be temporarily
pumped out and conveyed downstream of the construction activity where it will be
allowed to filter through vegetation before flowing into the stream at the proposed pipe
outlet. The stream will be dewatered two days. This will result in temporary impacts to
the surface water. Temporary impacts to the streams from this activity will result in the
dewatering of <0.01 ac of stream bed and 45 linear feet stream channel. The sandbags or
rip rap covered with filter fabric will be removed after construction.
Riparian Buffer Impacts
The construction of the project involves a road crossing of a stream that is subject
to the Neuse River Riparian Buffer Rule. The unnamed intermittent tributary to Bushy
Fork Creek at Site 1 and the unnamed perennial tributary to Bush Fork Creek at Site 3 are
not depicted on the most recent version of the Hurdle Mills (USGS, 1968) and Caldwell
(USGS, 1997), North Carolina topographic quadrangle (Figure 1). However, these
streams are depicted on the Soil Survey of Person County, North Carolina (USDA-
NRCS, 1995) (Figure 2) and are, therefore, subject to the Rule.
The construction of the project at Site 1 results in impacts to the riparian buffer
(Figure 3). Construction impacts at Site 1 total 1,449 square feet in Zone 1, 937 square
feet in Zone 2 and 34 linear feet of riparian buffer. Based on the impacts to the riparian
buffer at this site, this crossing is exempt.
The construction of the project at Site 3 results in impacts to the riparian buffer
(Figure 5). Construction impacts at Site 3 total 1,338 square feet in Zone 1, 862 square
feet in Zone 2 and 45 linear feet of riparian buffer. Based on the impacts to the riparian
buffer at this site, this crossing is allowable. The NCDOT certifies that the criteria
documented in Sub-Item (8)(a) of the buffer rules (which find that there are no practical
alternatives to the project) are met. The NCDOT requests an Authorization Certificate for
this activity at this project.
The NCDOT proposes to install temporary erosion and sediment control devices
at Site 1 and Site 3 in Zone 1 and Zone 2 of the riparian buffer. Specifically, the NCDOT
will place a temporary rock silt check (Type A) in Zone 1 and a temporary rock sediment
dam (Type B) in Zone 2. The temporary structures will be removed once vegetation has
been established and then seeded with a seed mixture of fescue and bahia grass. Based
on impacts to the riparian buffer at this site from this use, this activity is allowable. The
sediment and erosion control plans for Site 1 and Site 3 are depicted in Figure 3 and
Figure 5. The NCDOT certifies that the criteria documented in Sub-Item (8)(a) of the
buffer rules (which find that there are no practical alternatives to the project) are met.
The NCDOT requests an Authorization Certificate for this activity at this project.
Waters of the U.S. Mitigation
Avoidance: All wetlands and surface waters not affected by the project will be
protected from unnecessary encroachment. No staging of construction equipment or
storage of construction supplies will be allowed in wetlands or near surface waters. An
unnamed perennial tributary to Bushy Fork Creek is located at Station 82+90-L-. This
stream will not be impacted during project construction.
Minimization: The side slopes have been steepened to the extent possible at
jurisdictional sites. Strict enforcement of sedimentation and erosion control Best
Management Practices for the protection of wetlands and surface waters will be enforced
during project construction. Continued coordination will occur with maintenance forces
and the Environmental Officer during construction to minimize impacts to these sites.
Compensatory Mitigation: Construction of the project will result in only minimal
impacts to waters of the United States. Impacts have been avoided and minimized to the
maximum extent possible during the design process. Due to minimal impacts,
compensatory mitigation for stream and wetland impacts will not be provided for this
project.
Protected Species
Plants and animals with federal classifications of Endangered, Threatened,
Proposed Endangered and Proposed Threatened are protected under provisions of Section
7 and Section 9 of the Endangered Species Act. As of February 27, 2001, there are no
federally protected species listed for Person County.
Historical Compliance
Historic compliance work to be scheduled and concurrence with Historic
Preservation Office will be obtained if required.
Summary
NCDOT proposes to upgrade and pave SR 1104 in Person County. Permanent
impacts at Site 1 include <0.01 acre fill in surface water, 34 linear feet existing channel
impacted and <0.01 acre fill in wetland. Permanent impacts at Site 2 include 0.01 acre
fill in wetland. Permanent impacts at Site 3 include <0.01 acre fill in surface water, 30
linear feet existing channel impacted and 0.01 acre fill in wetland. Temporary impacts to
the stream at Site 1 will result in the dewatering of <0.01 ac of stream bed and 45 linear
feet stream channel.
Application is hereby made for a Department of the Army Section 404
Nationwide Permit (NWP) 14 and NWP 33 and DWQ Section 401 Water Quality
Certification (WQC) No. 3289 and No. 3114 for construction of this project. The
NCDOT will comply with all applicable NWP, WQC and Riparian Buffer Rule
conditions. In compliance with Section 143-215.3D(e) of the NCAA we have enclosed a
check for $200.00 to act as payment for processing the Section 401 permit application. A
pre-construction notification is attached with this request. If you have any questions or
need additional information, please contact me at [phone].
Sincerely,
Christopher A. Murray, P.W.S.
Division Environmental Officer
cc: Mr. David Franklin, USACE, Wilmington
Mr. John Dorney, NCDWQ, Raleigh
Mr. David Cox, NCWRC, Creedmoor
Mr. Garland Pardue, USFWS, Raleigh
Mr. Rodney Cooper, P.E., NCDOT District Engineer, Durham
Mr. Billy Timberlake, NCDOT County Maintenance Engineer, Person

o?_ w A reR
Pre-Construction Notification (PCN) Application Form
For Section 404 and/or Section 10 Nationwide, Regional and General Permits, Section 401
General Water Quality Certifications, and Riparian Buffer and Watershed Buffer Rules
This form is to be used for projects qualifying for any of the U. S. Army Corps of Engineers' (USACE)
Nationwide, Regional or General Permits as required by Section 404 of the Clean Water Act and/or
Section 10 of the Rivers and Harbors Act, and for the North Carolina Division of Water Quality's
(DWQ) associated General 401 Water Quality Certifications. This form is also to be used for any
project requiring approval under any Riparian Buffer Rules implemented by the N.C. Division of Water
Quality. This form should not be used if you are requesting an Individual 404 Permit or Individual 401
Water Quality Certification. The USACE Individual Permit application form is available online at
httAPw?ww saw.Llsace arrny_.rnil/w_etlands/Perm ann.li n.
The USACE is the lead regulatory agency. To review the requirements for the use of Nationwide,
Regional or General permits, and to determine which permit applies to your project, please go to the
USACE website at htt-p;//w_ww,_saw, Usace,army.rnil/wetlands/re tourr._htm, or contact one of the field
offices listed at the end of this application. The website also lists the responsible project manager for
each county in North Carolina and provides additional information regarding the identification and
regulation of wetlands and waters of the U. S.
The DWQ issues a corresponding Certification (General or Individual), and cannot tell the applicant
which 401 Certification will apply until the 404 Permit type has been determined by the USACE.
Applicants are encouraged to visit DWQ's 401/Wetlands Unit website at
http:..L ?o__enr_state.nc.us/n_cwetlands to read about current requirements for the 401 Water Quality
Certification Program and to determine whether or not Riparian Buffer Rules are applicable. The
applicant is also advised to read the full text of the General Certification (GC) matching the specific 404
Permit requested. In some cases, written approval for some General Certifications is not required,
provided that the applicant adheres to all conditions of the GC. Applicants lacking access to the internet
should contact DWQ's Central Office in Raleigh at [phone].
Trout Waters Coordination - Special coordination with the North Carolina Wildlife Resources
Commission (NCWRC) is also required for projects occurring in any of North Carolina's twenty-five
counties that contain trout waters. In such cases, the applicant should contact the appropriate NCWRC
regional coordinator (listed by county on the last page of this application).
Page 1 of 12
CAMA Coordination - If the project occurs in any of North Carolina's twenty coastal counties (listed on
the last page of this application) the applicant should also contact the North Carolina Division of Coastal
Management (DCM) at [phone]. DCM will determine whether or not the project involves a
designated Area of Environmental Concern, in which case DCM will act as the lead permitting agency.
In such cases, DCM will require a Coastal Area Management Act (CAMA) Permit and will coordinate
the 404/401 Permits.
USACE Permits - Submit one copy of this form, along with supporting narratives, maps, data forms,
photos, etc. to the applicable USACE Regulatory Field Office (addresses are listed at the end of this
application). Upon receipt of an application, the USACE will determine if the application is complete as
soon as possible, not to exceed 30 days. This PCN form is designed for the convenience of the applicant
to address information needs for all USACE Nationwide, Regional or General permits, as well as
information required for State authorizations, certifications, and coordination. Fully providing the
information requested on this form will result in a complete application for any of the USACE
Nationwide, Regional or General permits. To review the minimum amount of information that must be
provided for a complete PCN for each USACE Nationwide permit, see Condition 13, 65 Fed.Reg. 12893
(March 9, 2000), available at liqp-//www. sawUsace arniv_m.lI/wetlands/nwPEinalF edge .pdt:
Processing times vary by permit and begin once the application has been determined to be complete.
Please contact the appropriate regulatory field office for specific answers to permit processing periods.
401 Water Quality Certification or Buffer Rules - All information is required unless otherwise stated
as optional. Incomplete applications will be returned. Submit seven collated copies of all USACE
Permit materials to the Division of Water Quality, 401/Wetlands Unit, 1650 Mail Service Center,
Raleigh, NC, 27699-1650. If written approval is required or specifically requested for a 401
Certification, then a non-refundable application fee is required. In brief, if project impacts include less
than one acre of cumulative wetland/water impacts and less than 150 feet cumulative impacts to
streams, then a fee of $200 is required. If either of these thresholds is exceeded, then a fee of $475 is
required. A check made out to the North Carolina Division of Water Quality, with the specific name of
the project or applicant identified, should be stapled to the front of the application package. For more
information, see the DWQ website at http-//h2o.ehnr.state.nc.us/ncwetlaii(ts/rees.htnil. The fee must be
attached with the application unless the applicant is a federal agency in which case the check may be
issued from a separate office. In such cases, the project must be identifiable on the U. S. Treasury check
so that it can be credited to the appropriate project. If written approval is sought solely for Buffer Rules,
the application fee does not apply, and the applicant should clearly state (in a cover letter) that only
Buffer Rule approval is sought in writing. Wetlands or waters of the U.S. may not be impacted prior to
issuance or waiver of a Section 401 Water Quality Certification. Upon receipt of a complete application
for a 401 Certification, the Division of Water Quality has 60 days to prepare a written response to the
applicant. This may include a 401 Certification, an on-hold letter pending receipt of additional
requested information, or denial.
Page 2 of 12
Office Use Only: Form Version April 2001
USACE Action ID No. DWQ No. 0113 19
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
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 and NWP 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: NCDOT/Christopher A. Murray
Mailing Address: 2612 N. Duke Street Durham NC 27704
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: cmurrayna.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:
Company Affiliation:
Mailing Address:
Telephone Number: Fax Number:
E-mail Address:
Page 3 of 12
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: SR 1104 (McCullock Loop Road) from SR 1103 (Hurdle Mills Road) to
SR 1103 (Hurdle Mills Road) in Person County,
2. T.I.P. Project Number (NCDOT Only):_ NCDOT Division Project non-TIP)
3. Property Identification Number (Tax PIN): N/A
4. Location
County: Person Nearest Town: Hurdle Mills
Subdivision name (include phase/lot number): N/A
Directions to site (include road numbers, landmarks, etc.): From Hurdle Mills, turn left and
travel southwest on SR 1103. Turn right onto SR 1104.
5. Site coordinates, if available (UTM or Lat/Long): Site 1: 17 670159E 4012667N,
Site 2: 17 670189E 4013083N, Site 3: 17 671332E 4013505N
(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: Site is
surrounded by a mixture of undeveloped land, farm land and scattered residential houses
7. Property size (acres): Project footprint is 1.8 mile (9,504 feet) long, and has a right of way
of 60 feet. Property size is 13.1 acres.
8. Nearest body of water (stream/river/sound/ocean/lake): Unnamed Tributary to Bushy Fork
Creek at Site 1 and Site 3.
9. River Basin: Neuse River
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at l?tt1?://h???.t?t? state.nc us/admire/maps/.)
Page 4 of 12
10. Describe the purpose of the proposed work: Grade, drain, base pave and erosion control at
SR 1104 (McCullock Loop Road). At Site 1 the existing 38 foot pipe will be replaced with a
52 foot pipe. Additionally at Site 1 project construction will impact <0.01 acre of an
emergent-nonpersistent wetland. At Site 2, project construction will impact 0.01 acre of an
emer eng_t-nonpersistent/forested-broad leaved deciduous wetland At Site 3 the existing 42
foot pipe will be replaced with a 52 foot pipe. Additionally at Site 3, project construction
will impact 0.01 acre of an emer end npersistent wetland.
11. List the type of equipment to be used to construct the project: Excavator, Backhoe,
Bulldozer and Grader.
12. Describe the land use in the vicinity of this project: Mixture of undeveloped land, farm land
and scattered residential housing.
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.
No previous project jurisdictional determination or permit history associated with site.
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: None anticipated.
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 5 of 12
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***
1 Fill <0.01 No Adjacent Emergent
2 Fill 0.01 No 100 feet Emergent-Forested
3 Fill 0.01 No Adjacent Emergent
* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: mechanized clearing, grading, fill,
excavation, flooding, ditching/drainage, etc. For dams, separately list impacts due to both structure and flooding.
** 100-Year floodplains are identified through the Federal Emergency Management Agency's (FEMA) Flood Insurance Rate Maps
(FIRM), or FEMA-approved local floodplain maps, Maps are available through the FEMA Map Service Center at 1-800-358-9616, or
online at hU/??.}?w Ccitia.Acrv.
*** 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: 0.02 acre in project
limits.
Total area of wetland impact proposed: 0.02 acre in project limits.
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 Im ct Perennial or
Intermittent?
( lease s ci )
Site 1 Fill (pipe) and rip rap 34 UT Bushy Fork Ck. 2 feet Intermittent
Site 3 Fill (pipe) and rip rap 30 UT Bushy Fork Ck. 5 feet Perennial
Site 3 Dewater (Temporary) 45 UT Bushy Fork Ck. 5 feet Perennial
" List each impact separately and identify temporary impacts. Impacts include, but are not limited to: culverts and associated rip-rap,
dams (separately list impacts due to both structure and flooding), relocation (include linear feet before and after, and net loss/gain),
stabilization activities (cement wall, rip-rap, crib wall, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is
proposed, plans and profiles showing the linear footprint for both the original and relocated streams must be included.
Stream names can be found on USGS topographic maps. If a stream has no name, list as UT (unnamed tributary) to the nearest
downstream named stream into which it flows. USGS maps are available through the USGS at 1-800-358-9616, or online at
Several intemet sites also allow direct download and printing of USGS maps e.., to mzonexom,
ww??.ncLesLccnn, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: 64 feet permanent fill and
45 feet temporary impact (dewatering).
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 Waterbod
(if applicable) y Type of Waterbody
(lake, pond, estuary, sound,
bay, ocean, etc.

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: fill, excavation, dredging,
flooding, drainage, bulkheads, etc.
Page 6 of 12
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.):
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.
All wetlands and surface waters not affected by project construction will be protected from
unnecessary encroachment. No staging of equipment will be allowed in or adjacent to waters of
the U.S. Impacts to a perennial stream located at 82+90-Lt- will be avoided during construction
The side slopes at the jurisdictional site has been steepened to the maximum extent possible
Strict enforcement of Best Management Practices for the protection of wetlands and surface
waters will be enforced during construction. Only the smallest amount of fill necessary to
complete the project will be placed in waters of the United States
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.
Page 7 of 12
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 //_h_2g enr.state. tic. tas/ncxvetlatidsstrnigi de.htnil.
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.
Not Applicable.
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 til(t)://li2o cnr st ?ie-iic. us/ti%r,/itid x.>>ti». 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): N/A
Amount of buffer mitigation requested (square feet): N/A
Amount of Riparian wetland mitigation requested (acres): N/A
Amount of Non-riparian wetland mitigation requested (acres): N/A
Amount of Coastal wetland mitigation requested (acres): N/A
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
Page 8 of 12
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.
SITE 1
Zone* Impact
(square feet Multiplier Required
Miti ation
1 1,449 3
2 937 1.5
Total 2,386
* Zone l extends out 30 feet perpendicular from near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.
SITE 3
Zone* Impact
(square feet Multiplier Required
Mitigation
1 1,338 3
2 862 1.5
Total 2,200
* Zone I extends out 30 feet perpendicular from near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.
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.
Page 9 of 12
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.
Existing: 4.6 acre impervious surface of 13.1 acre total project size Proposed: 4.6 acre
impervious surface of 13.1 acre total project size. The erosion control plan for the project is
designed for 900 cubic feet of storage per acre Erosion and sediment control devices along the
project are comprised of tempor rock pipe inlet sediment trap (Type A temporary silt basin
(Type B temporary rock silt check (Type B) temporary rock sediment dam (Type B),
temporary rock silt check (Type A) Temporary rock silt check (Type A) will be placed in
Zone 1 of the riparian buffer at Site 1 and Site 3 Temporary rock sediment dam (Type B) will
be placed in Zone 2 of the riparian buffer at Site 1 and Site 3 All temporarily disturbed areas
will be revegetated after 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.
The project will not generate wastewater.
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).
g'Z8'
Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 10 of 12
US Army Corps Of Engineers Field Offices and County Coverage
Asheville Regulatory Field Office Alexander Cherokee Iredell Mitchell Union
US Army Corps of Engineers Avery Clay Jackson Polk Watauga
151 Patton Avenue Buncombe Cleveland Lincoln Rowan Yancey
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 Wilson
US Army Corps Of Engineers Alleghany Edgecombe Lee Stokes Yadkin
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 Pitt
US Army Corps Of Engineers Bertie Dare Lenoir Tyrrell
Post Office Box 1000 Camden Gates Martin Washington
Washington, NC 27889-1000 Carteret* Green Pamlico Wayne
Telephone: [phone] Chowan Hertford Pasquotank
Fax: [phone] Craven Hyde Perquimans *Croatan National Forest Only
Wilmington Regulatory Field Office Anson Duplin Onslow
US Army Corps Of Engineers Bladen Harnett Pender
Post Office Box 1890 Brunswick Hoke Richmond
Wilmington, NC 28402-1890 Carteret Montgomery Robeson
Telephone: [phone] Columbus Moore Sampson
Fax: [phone] Cumberland New Hanover Scotland
US Fis
US Fish and Wildlife Service
Raleigh Field Office
Post Office Box 33726
Raleigh, NC 27636-3726
Telephone: [phone]
Division of Water Quality
401 Wetlands Unit
1650 Mail Service Center
Raleigh, NC 27699-1650
Telephone: [phone]
Fax: [phone]
h and Wildlife Service / National N
US Fish and Wildlife Service
Asheville Field Office
160 Zillicoa Street
Asheville, NC 28801
Telephone: [phone]
Division of Coastal Management
1638 Mail Service Center
larine Fisheries Service
National Marine Fisheries Service
Habitat Conservation Division
Pivers Island
Beaufort, NC 28516
Telephone: [phone]
North Carolina State Agencies
Division of Water Quality
Wetlands Restoration Program
1619 Mail Service Center
Raleigh, NC 27699-1619
Telephone: [phone]
Fax: [phone]
CAMA and NC Coastal Counties
Beaufort Chowan
Bertie Craven
State Historic Preservation Office
Department Of Cultural Resources
4617 Mail Service Center
Raleigh, NC 27699-4617
Telephone: [phone]
Fax: [phone]
Hertford Pasquotank
Hyde Pender
Page 11 of 12
Raleigh, NC 27699-1638 Brunswick Currituck New Hanover Perquimans
Telephone: [phone] Camden Dare Onslow Tyrrell
Fax: [phone] Carteret Gates Pamlico Washington
NCWRC and NC Trout Counties
Western Piedmont Region Coordinator Alleghany Caldwell Watauga
3855 Idlewild Road Ashe Mitchell Wilkes
Kernersville, NC 27284-9180 Avery Stokes
Telephone: [phone] Burke Surry
Mountain Region Coordinator Buncombe Henderson Polk
20830 Great Smoky Mtn. Expressway Cherokee Jackson Rutherford
Waynesville, NC 28786 Clay Macon Swain
Telephone: [phone] Graham Madison Transylvania
Fax: [phone] Haywood McDowell Yancey
Page 12 of 12
Is" I
r
i
I ?
)l \ J O 1i
?'
\ ?I
II /?-
II Q
ni 1 Ta v
k Snh ??
u ..
668 \
I
/in
1 6:
//W?? ea 11 ?_.
.
50

D
O???vC?J\l 1 iT/T. 2 ?/?'ral''i? l\ ( 1h ???o_ / ?11?\c J?I ! II
AE

SITE
v? SITE -1 cem.. End Project
=ti 1
Begin Project
19
50,
I l_ _
ORAN E G ?---- -=----- - -- - -- 17 --L
1 ?_ c? llti / a n
7 u
64
i
684
;
i

1
1 ;
46
BETTY J. FREELAND
,) Wetland Llmlts
I
? DB 2/7-49/
I
W
= ? ? ?? ??

11 ? NI
I ?21
1 dl o
I
r~ IN IN 11 NI NI

F
PROP. 60' R/W I 1 11
h'I 1 I
i ;

i
& CONST. LIMITS 1
EX/STING GRAVEL ROAD

o I
PROP.
60'R/W
& CONST. LIMITS

1
1
11 1 1
11 1 1
EXISTING GRAVEL ROAD
I 1
1
IN 1- 11 1 i
11 - 1 N 1
I 1? 1?
I
I ?1
11 ?1
. I N
N
1 1 11 NI NI
,
11
Note:
M Temp. Rock SIIt Check (Type A)
Temp. Rock Sediment Dom (Type B)
Temp. SIIt Bosln (Type B) and
Temp, Rock Sllt Check (Type B)
Rlp Rap
Site 1-Construction Impact and
Erosion and Sediment Control Plan
SR 1104 McCullock Loop Road
Person County
Figure 3 1"=100'
NOTE:
Temp. Rock Plpe Inlet Sediment Trop (Type A)
e Temp. Rock Sediment Dom (Type B)
Temp. Silt Bosln (Type B) and
Temp. Rock Sllt Check (Type B)
Wetland
PROP. 60' R/W cam,
o CONST. LIMITS Q)
_ - - --- --- ---
N _
--------------- --
(1 EXISTING GRAVEL ROAD
ELOISE F. RIMMER WHITE
Site 2-Construction Impact and
Erosion and Sediment Control Plan
SR 1104 McCullock Loop Road
Person County
Figure 4 111=100'
NOTE:
Temp. Rock Sllt Check (Type A)
Temp. Rock Sediment Dam (Type B)
® Temp. S11t Bosln (Type B) and
Temp. Rock S11t Check (Type B)
Wetland
g RIp Rop
D
n
r
z
rn
00
U?
O
I I
c
I-EXISTING GRAVEL ROAD '
I I - -7-I - I gyp- - -
® ®> ®-- -1------------
t" CD -4®
Site 3-Construction Impact and
Erosion and Sediment Control Plan
SR 1104 McCullock Loop Road
Person County
Figure 5 111=100'
?ct
o?
II Cal
II T--
VIOLA VINCENT ROP ;lam ?' II ?& CO. . IMIT
l v , , Temporary Sandbag or ,
Rip Rap to Facilitate
Dewatering of Stream
?
?
?
,
?
This page intentionally left blank.
DATA FORM
ROUTINE WETLAND DETERMINATION
0 987 COE Wetlands Delineation Manual)
Project/Site: S 2 11 D q Qe f-s ?.. ?a Date: -7.46 • o_
Applicant?Owner: _W C 6 County: ems o
Investigator: State: N L
Do Normal Circumstances exist on the site? es N Community ID:
e 4--
Is the site significantly disturbed (Atypical Situation )1 o Transect ID:
Is the area a potential Problem Areal Yes Plot ID:
(If needed, explain on reverse.)
VEGETATION
Dominant Plant Species Stratum Indicator Dominant Plant Species Stratum Indicator
-P C t,Jt 9-
2. prr_.L1'tJS cj4-
V: 10.
!
3. Jun cy?? ?ttui-_? pf)cy}t 11.
4. 12.
5. 13.
6. 14.
7, 15.
a. 16.
Percent of Dominant Species that are OBL, FACW or FAC
(excluding FAC-). ILL
Remarks:

HYDROLOGY
Recorded Data (Describe in Remarks): Wetland Hydrology Indicators:
_
Stream, Lake, or Tide Gauge Primary Indicators:
_
_ Aerial Photographs Inundated
!Saturated in Upper 12 Inches
_ Other
Z/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
i _ Water-Stained Leaves
Depth to Free Water in Pit: 7 (Z (in.) _ Local Soil Survey Data
_ FAC-Neutral Test
Depth to Saturated Soil: Other (Explain in Remarks)
Remarks:
I r
t,JQ4cS_ ??Qio(a5,? ?5 PreSe?.f- af- Si ,
SOILS
Map Unit Name
ie
d Ph
(S
Vek
er
s an
ase):
.cn, Drainage Class:

(Subgroup): 'L") it- Field
-10 C ObmeMapped
Mapped Type? Yes No
Profile Description:
Depth Matrix Color Mottle Colors Mottle Texture, Concretions,
inches Horizon (Munsell Moist) (Munsell Moist) Abundance/Contrast Structure, etc.
0'2- to it-
(O `( R4'Zw ?? h`
$c•n?5la•
?Da.?
_ ?
,
l7
0 to ?6 6
2 p /?
7-5 `f 516 hew. 0(ish-%c- SQn ? G(,w,
-? to x-611 s a. r/ 6 ?w hrnc.--- so tk
$..
Hydric Soil Indicators:
_ Histosol Concretions
`
_ Histic Epipedon High Organic Content in Surface Layer in Sandy Soils
_ Sulfidic Odor Organic Streaking in Sandy Soils
_ Aquic Moisture Regime _ Listed on Local Hydrio Soils List
Reducing Conditions _ Listed on National Hydric Soils List
Waved or Low-Chroma Colors _ Other (Explain in Remarks)
Remarks:
(4,tg(tc Se?1 ,S QreS??.f
WETLAND DETERMINATION
Hydrophytic Vegetation Present? No (Circle) (Circle)
Wetland Hydrology Present? No
Hydric Soils Present? VAd No Is this Sampling Point Within a Wetland? 0 No
Remarks:

4 tne4-ems
S Ee ?s c, rc

Approves py HUU,Ak:t 1/y1
DATA FORM
ROUTINE WETLAND DETERMINATION
0 987 COE Wetlands Delineation Manual)
Project/Site: 5 Z- (( 0 `-( Date: ?• " 0
Applicant/Owner: Al G+'?) nr7 County: Pe r-, O'l
Investigator: a State: Al C_
Do Normal Circumstances exist on the site? ®
? Community ID: e,
Is the site significantly disturbed (Atypical Situation)? Yes Transect ID: J 1'e
Is the area a potential Problem Area? Yes Plot ID:
(If needed, explain on reverse.)
vcr_V;TeTinN
Dominant Plant Species Stratum Indicator Dominant Plant Species Stratum Indicator-
1.?? a i,17 O o. Se r C o? . U Q i-
14 9.
2.?
..aaol. ArgutJ$ sly ffk?+ 10.
SS
4. V ' G T on. cQ_ 12.
5 j ?_ PRGr 13.
6. 14.
7. 15.
8. 1 B.
Percent of Dominant Species that are OBL, FACW or FAC ??
(excluding FAC-). - -

Ramer 9:
uvnoni nrav
-44
Recorded Data (Describe in Remarks): Wetland Hydrology Indicators:
_
Stream, Lake, or Tide Gauge Primary Indicators:
_
Aerial Photographs _ Inundated
_
_ Other -saturated in Upper 12 Inches
o Recorded Data Available _ Water Marks
Drift Lines
_
i
D
epos
ts
_ Sediment
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
Depth to Free Water in Pit: (in.) _ Local Soil Survey Data
FAC-Neutral Test
Depth to Saturated Soil: (in.) _
_ Other (Explain in Remarks)
Remarks:
LJe?Ae?A prrseA4- a?- 5?4fe
SOILS
Map Unit Name
(Series and Phase): A_Glency? Lo
%.,,
7- 6 e190 Q
„e ?!D Drainage Class: (,tJ
T Field Observations
Taxonomy (Subgroup): Confirm Mapped Type? Yes No
Profile Descriotiom,
Depth Matrix Color Mottle Colors Mottle Texture, Concretions,
i ches Horizon (Munsell Moist) (Munsell Moist) Abundance/Contrast Structure, etc.
-
d
Lot
OA
L
is
J.-4.40
4

Hydric Soil Indicators:
_ Histosol _ Concretions
_ Histic Epipedon _ 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
_ Gleyed or Low-Chroma Colors _ Other (Explain in Remarks)
Remarks:
,,
WETLAND DETERMINATION
Hydrophytic Vegetation Present? Yes to (Circle)
Wetland Hydrology Present? Yes
Hydric Soils Present? Yes
Remarks:
1'}C na?l-tj pq(l
(Circle)
Is this Sampling Point Within a Wetland? Yes 6
QcaP. ?2rS ?tr? ??0?
?(e 5 e,,+- +- 51 fe
DATA FORM
ROUTINE WETLAND DETERMINATION
0 987 COE Wetlands Delineation Manual)
Project/Site: 5 R I (J q- Date: ? 2. o I
Applicant?Owner: ,t1G,acT County: Dens s n A?e-
Investigator: f. tj rr'a. State: v •...
Do Normal Circumstances exist on the site? No
O
i Community ID: ,
Is the site significantly disturbed (Atypical Situation)? e Transect ID:
Is the area a potential Problem Area? Yes Plot ID:
(If needed, explain on reverse.)
VEGETATION
Dominant Plant Species Stratum Indicator Dominant Plant Snacies Stratum Indicator
1. / 1 Ar P% 14 ?'-
- 9.
?
2. A C t??
_ ? F Pf r- 10.
p
3.4r* ltA3C•>S?? ownauefyl, ? Pftc 11.
4. c5k P'Ac. 12.
5. c er f r,,,.., n4G 13.

1
s.?1
'
c?ySt-trc?c,>^?oi'! ( ?
14.
,??
F/ 15.
8. 18.
Percent of Dominant Species that are OBL, FACW or FAC
(excluding FAC-).
Remarks:
PceJa\ence o?- ?4rapk-t SpCc,,e.N at
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
ENO 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.) idized Root Channels in Upper,12 Inches
O
_
_ZWater•Stained Leaves
Depth to Free Water in Pit: (in.) _ Local Soil Survey Data
_ FAC-Neutral Test
Depth to Saturated Soil: -(in.) _ Other (Explain in Remarks)
Remarks:

St?j' e
c J-

SOILS
Map Unit Name
D
l( t'
Z
n
(Series and Phase):
e
"nom, 5? oS? Ht Drainage Class:
.
-?y

T
,
L ?
Field Observations
axonomy (Subgroup):
OIC Confirm Mapped Type? Yes No
Profile Description:
Depth Matrix Color Mottle Colors Mottle Texture, Concretions,
inches Horizon (Munsell Moist) (Munseli Moist) Abundance/Contrast Structure, etc.

j
- Q 42 -1
3-'?, IotiR.Llf S `tQ-y?? Ca•??,o?,.?,sk,..c??,a? (0cte,
-l2 Io-t 6'4 I c_etj (Oct
,
Hydrio Soil Indicators:
_ Histosol _ Concretions
Histic Epipedon _ 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
_,edleyed or Low-Chroma Colors _ Other (Explain in Remarks)
Remarks:
('t K? ? c.. for Nj D (Y 5 tit (-- q f- Si '?
WETLAND DETERMINATION
Hydrophytio Vegetation Present? a No (Circle) (Circle)
Wetland Hydrology Present?
Hydric Soils Present? a No
No
Is this Sampling Point Within a Wetland? 17y ?e No

Remarks:
allr?e are_ S,
Approvea Dy nuuDA" 4luz
DATA FORM
ROUTINE WETLAND DETERMINATION
(1987 COE Wetlands Delineation Manual)
Project/Site: Q- If Q4 I fl e v s o.. C? Date: Z6' 0 1
,
Applicant%Owner: ?I C_ > LSi' County:
i
Investigator: C. r-t. e r r c? State: N G.
Do Normal Circumstances exist on the site? No Community I13:51k
Is the site significantly disturbed (Atypical Situation)? Yes ® Transect ID: G
Is the area a potential Problem Area? Yes Plot ID:
(If needed, explain on reverse.)
VEGETATION
Dominant Plant Species Stratum Indicator Dominant Plant Species Stratum Indicator
1 r
.?yer•Cu% a.Ik'
_ CJ
9.
2Jra%e Gr
.
?JMlA t 1S A ?_ U ?L- 10.
p
3.&.4 u, d(w... L e- St ir• sel ? 1- . AC, 11.
4. A'«, (...(j- _ ?4C 12.
n
5. ( L3 (AJ-i k ?Qr.Aa. C
-PP 13.
6. Sc?an?MJS 4rt2r.can ,
? SKIS FJI 14.
7.?uA1Q1d/U..,, ar?Jreu.., , 1? ??[y 15.
S. 16.
Percent of Dominant Species that are OBL, FACW or FAC
29
(excluding FAC-).
Remarks:
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 Reoordsd 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
Depth to Free Water in Pit: Local Soil Survey Data
_ FAC-Neutral Test
Depth to Saturated Soil: (in.) _ Other (Explain in Remarks)
Remarks:
n
W ell krtQ? ?5 n3k-
D/PSe,0--
Rt Si .
ZI?
SOILS
Map Unit Name
L
/
(Series and Phase): 1
Drainage Class:

Taxonomy (Subgroup) 1 k Field Observations
Eu Confirm Mapped Type? Yes No
Profile Description:
Depth Matrix Color Mottle Colors Mottle Texture, Concretions,
inches Horizon (Munsell Moist) (Munsell Moist) Abundance/Contrast Structure, etc.
z.s-t 613 r(Z eW

47 0 C,
Hydric Soil Indicators:
_ Histosol _ Concretions
_ Histio Epipedon _ 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
Gleyed or Low-Chroma Colors _ Other (Explain in Remarks)
Remarks:
N 0/1 - ?K a(.. L 5 01 i S Q/rSc.? cad S
WETLAND DETERMINATION
Hydrophytic Vegetation Present? Yes ILN4 `rA (Circle)
Wetland Hydrology Present? Yes Ao
Hydric Soils Present? Yes
Remarks:
?ke- 0 -L Aopt- Q eAaS'i Gt( (
(Circle)
Is this Sampling Point Within a Wetland? Yes
u f- 5, ?r -
DATA FORM
ROUTINE WETLAND DETERMINATION
0 987 COE Wetlands Delineation Manual)
Project/Site: 5 Q- (10L( Mc C-It odc. V-9 Date: %46,01
Applicant/Owner: c_ L-3 UT County: _Q eel
Investigator: 'J r State: N G
Do Normal Circumstances exist on the site? es Community ID:
Is the site significantly disturbed (Atypical Situation)? Yes Transect ID: e
Is the area a potential Problem Area? Yes I& Plot ID:
(If needed, explain on reverse.)
VEGETATION
Dominant Plant Species Stratum I icater Dominant Plant Species Stratum Indicator
1.Boe men; - I+ _O?G - 9.
2.1u9n,,taI u ., F" I j'&kj ... 14 FA 10.
3. b jS 4rw"WS _ PC '4- 11.
4.;J%j&co% a ?• % US ?? - 12.
5. Co.r hL ; 0 13.
6. 14.
7. 15.
8. 16.
Percent of Dominant Species that are OBL, FACW or FAC
(excluding FAC-).
Remarks:
Q cei*. face. aar- ah S- 4
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: rainage Patterns in Wetlands
Secondary Indicators (2 or more required):
Depth of Surface Water: (in.) _ Oxidized Root Channels in Upper.12 Inches
_ Water-Stained Leaves
Depth to Free Water in Pit: 7 (Z, (in.) _ Local Soil Survey Data
_ FAC-Neutral Test
Depth to Saturated Soil: 0 (in.) _ Other (Explain in Remarks)
Remarks: \
e-t

SOILS
Map Unit Name USG

(Series and Phase):Vw^ct S r„rti,f( O7o 5I.ODt'_
Drainage Class:
-
Field Observations
Taxonomy (Subgroup): 140\ ., v Confirm Mapped Type? Yes No
Profile Description:
Depth Matrix Color Mottle Colors Mottle Texture, Concretions,
inches Horizon (M
un
sellMoist) (Munsell Moist) Abundance/Contrast Structure, etc.
'
?
Z- Ls _I.S-1Anq ` So? G w
Q- ?c9Y25C ?/
S. 't 24th ?O4?.
?J
h+'?J1
l?S?nc? " ?pnJl
[J 0.-
_ ,
.
.
?
y
Hydrio Soil Indicators:
_ Histosol _ Concretions
_ Histic Epipedon 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
yed or Low-Chroma Colors _
_ Other (Explain in Remarks)
Remarks:
(4??/?CSfl?, js ffeStn? .?? S.T.
WETLAND DETERMINATION
Hydrophytic Vegetation Present? X No (Circle) (Circle)
Wetland Hydrology Present? No
Hydric Soils Present? No Is this Sampling Point Within a Wetland? 6J No
Remarks:
5??2 k5 c.` wQA-I - (?
`(V J Qtl `1'kre2 ?u(ti e7 s ??Z P?cse?7'?
A ?- '5(+e
DATA FORM
ROUTINE WETLAND DETERMINATION
0 987 COE Wetlands Delineation Manual)
Project/Site: $ l- 1(0-( - M c euLt a dr_ Date: .16, 0
Applicant/Owner: _ j' '= County:
Investigator: r State: Af
Do Normal Circumstances exist on the site? Nn
es 1 Community ID:
Is the site significantly disturbed (Atypical Situation)l ,
es Transect ID: .. "
Is the area a potential Problem Area? Yes Plot ID:
(If needed, explain on reverse.)
VEGETATION
Dominant Plant Species Stratum Indicator Dominant Plant Species Stratum Indicator
1. UFL 9.
2. .j?jj,, SC LJi-, $I s F' 4C J L 10.

4.L sA. ce enen• 'g y 1-Ac- 12.
5.
105cOs y tn.an _ !PM 13.
11
6. P?.{To?arca qM riC?aA, ?ACJ? 14.
7. A PL_ 15.
8. 16.
Percent of Dominant Species that are 08L, FACW or FAC
L
L
(excluding FAC-). 2
,__
Remarks:
C'QJ C 2 pp I
at` t/1 Jn- k tj 0 I
?LC SQ e C .\eS 0-1 Sf ??
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
Depth to Free Water in Pit: (in.) _ Local Soil Survey Data
_ FAC-Neutral Test
Depth to Saturated Soil: (in.) _ Other (Explain in Remarks)
Remarks:
w 4L -k' ?.?9C? 63g.1 1 ? kZ
SOILS
Map Unit Name 1? n
(Series and Phase):V ante fo•nJ4-t (c- a1'?
% 2-6 &'.1 lae ^
Linage Class:

Taxonomy (Subgroup): T
v Field Observations
Confirm Mapped Type? Yes No
Profile Description;
Depth Matrix Color Mottle Colors Mottle Texture, Concretions,
(inches) Horizon (Munsell Moist) (Munsell Moist) Abundance/Contrast Structure, etc.

lZ ?" $ti2 6 Z S" `t 6t6 Co???? ?
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fi
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Hydrio Soil Indicators:
_ Histosol _ Concretions
_ Histio Epipedon 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
_ Gleyed or Low-Chroma Colors ^ Other (Explain in Remarks)
Remarks:
II
J e% ' &' C Stx 1
1 S p?eScrl f
?t N 5. p
WETLAND DETERMINATION
Hydrophytio Vegetation Present?
Wetland Hydrology Present?
Hydric Soils Present?
Remarks:
tI - w tf(a,19, R ( l
Yes (Circle) (Circle)
Yes
Yes Is this Sampling Point Within a Wetland? Yes
?Qrro -IQkr-3 G' re- A a f ? e5<-(t R /- 5, to-
/ I
WETLAND RATING WORKSHEET (4th VERSION),
Project Name, 15P (IDS! - Mc 6 1(ock. e9 County: PP-
Nearest Road: Mc e..ll??k ¢9. Date:. Z6. o?
Wetland Area (ac): 4,o.o(0.c Wetland Width (ft)
Name o f Eva luator (s) : c. r•-1,rr N-, ?1----
Wetland Location:
on sound or estuary
pond or lake
on perennial stream
on intermittent stream
within interstream divide
other
Soils
S o i I Series a
predominantly organic
(humus, muck or peat)
Predominantly mineral (non-sandy)
predominantly sandy
Hvdr'aul is Factors
freshwater brackish
steep topography
ditched or channelized
total wetland width > 100 feet.
Adjacent and Use:
(Within 1/2 mi upstream,
upslope, or radius)
-' forested/natural veg. S
i agriculture/urban i zed `f`ir a
impervious surface D o
Adjacent Special Natural Areas
Dominant ye?etation
(1 ) N. e
(2) ( 3 )
Flooding and Wetness
semipermanently to
permanently flooded or
inundated
_Zseasonally flooded or
inundated or
intermittently flooded or
temporary surface water
Wetland Type (select one)* no evidence of flooding or
Bottomland Hardwood Forest, surface water
Swamp Forest Bog/Fen
Carolina Bay Headwater Forest
Pocosin Bog Forest
Pine Savannah Ephemeral Wetland
Freshwater Harsh Other: We,„9,. -444 ? er,ch ?- we+(•-??
*The rating system cannot be applied to salt or brackish marshes or
stream channels.
WATER STORAGE
l\rvi1`IL
POLLUTANT REMOVAL
WILDLIFE HABiTA'r
AQUATIC LIFE VALUE
RECREATION/EDUCATION
DEM, RATING

* Add 1 point if in sensitive watershed
1u; 1 /9 m:li, llncrrnom IIncinnp n
x 4.00
x 5.00
2.00 -
Z
x 4.00 =
x 1.00 =
WETLAND SCORE = Z?
(TOTAL)
d and >10q nonpoint disturbance
r rariiuS_

WETLAND RATING WORIKSHEET (4th VERSION),
Project Name: 59-((,3q JAcc.lloLV-1M. County:
Nearest Road: n-A,Q?kk„.k- q(l, Date: •?i
Wetland Area (ac): gyn.( AL Wetland Width (ft): `? .
Name of Evaluator (s) Wetland Location:
on sound or estuary
pond or lake
on perennial stream
on intermittent stream
within interstream divide
4+ w0.k'' c 4?0, ?.?•e \
-7 other
Soils
Soil Series lt\,tA
predominantly
(humus, muck
predominantly
predominantly
organic
3r peat)
mineral (non-sandy)
sandy
Hvdr"aul is Factors
freshwater brackish
steep topography
ditched or channelized
total wetland width > 100 feet.
Adiacent and Use:
(Within 1/2 mi upstream,
upslope, or radius)
forested/natural veg. ? 0a
agriculture/urbanized yS a
impervious surface k_a
Adjacent Special Natural Areas
Dominant Ve etation
( lc., erg p•
(2) Q er f^ 1.?.,..
(3) _,t.'µ4 ?Ld Ji4
Flooding and Wetness
semipermanently to
permanently flooded or
inundated
seasonally flooded or
inundated vr5o,t?rG?t?
intermittently flooded or
.temporary surface water
Wetland Tvve (select one)* no evidence of flooding or
Bottomland Hardwood Forest, surface water
Swamp Forest Bog/Fen
Carolina Bay __7?Headwater Forest
?ocosin Bog Forest
Pine Savannah Ephemeral Wetland
Freshwater Marsh Other:
*The rating system cannot be applied to salt
stream channels.
( N c lA P nn c\ &4P J, 0 9 MP A 4,
or brackish marshes or
DEW RATING
WATER STORAGE _ x 4.00 = `r

POLLUTANT REMOVAL x 5.00

WILDLIFE HABITAT 2.00 =
IL
AQUATIC LIFE VALUE x 4.00 =
RECREATION/EDUCATION x 1.00 =
WETLAND SCORE _ _
(TOTAL)
* Add 1 point if in sensitive watershed and >10a nonpoint disturbance

WETLAND RATING WORKSHEET (4th VERSION).
Project Name: 5LiW4 McC.,I 2c
11 County: Qe(S
Nearest Road: MCC..11 2. Date: 8 lb o? _ __
Wetland Area (ac)* ftoo.o(Rc Wetland Width (f t)
Name of Evaluator(s) : C.M.xra-•a
Wetland Location:
on sound or estuary
pond or lake
on perennial stream
on intermittent stream
within interstream divide
other
Soits
Soil Series Vance- a ?!
predominantly organic
(humus, muck or peat)
predominantly mineral (non-sandy)
predominantly sandy
Hvdraulic Factors
freshwater brackish
steep topography
ditched or channelized
total wetland width > 100 feet.
Adjacent and Use:
(Within 1/2 mi upstream,
pslope, or radius) _
forested/natural veg.
agriculture/urbanized 4?_o
'0
-'-impervious surface
Adjacent Special Natural Areas
Dominant Vezetation
v u ( w.
.(2)
(3) Tvn?,? e x
Flooding and Wetness
semipermanently to
permanently flooded or
inundated
seasonally flooded or
inundated D t
S Gfi?r? ?-e ,?
intermittently flooded or
,temporary surface water
Wetland Tvne (select one)* no evidence of flooding or
Bottomland Hardwood Forest, surface water
Swamp Forest Bog/Fen
Carolina Bay Headwater Forest
?ocosin Bog Forest
Pine Savannah Ephemeral Wetland
Freshwater Marsh / Other: ?cu9w?-?? ' "-Ar?,t^?
*The rating system cannot be applied to salt or brackish marshes or
stream channels.
DEM. RATING
WATER STORAGE ? x 4.00 = t?
1NE JI??':?i??. !. ? _ i41 r? .. •t 1./0 ...
POLLUTANT REMOVAL x 5.00 =
WILDLIFE HABITA'r 2.00 =
'J
AQUATIC LIFE VALUE x 4.00 =
RECREATION/EDUCATION x 1.00 =
WETLAND SCORE =_
(TOTAL)
* Add 1 point if in sensitive watershed and >10a nonpoint disturbance
I... L. .. I In _. I- .. . ,.. .,. .. ... .. __I___ __ -ri',ie
??pF W A TF,gp Michael F. Easley, Governor
William G. Ross Jr., Secretary
G North Carolina Department of Environment and Natural Resources
j r Alan W. Klimek, P.E. Director
DWQ Project No.: 011319 1",1a! County: PerSol,?
Applicant: MPOTZ- C /Lluri?, ,- % 41.,Nce
Project Name:
Date of Issuance of 401 Water 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, 1621 Mail Service Center, Raleigh, NC, 27699-1621. This form may be
returned to DWQ by the applicant, the applicant's authorized agent, or the project engineer. It is not necessary to
send certificates from all of these.
Applicant's Certification
I, Tan/ 6. /Vane , 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 Water Quality Certification and Buffer Rules, the approved plans and
specifications, and other ppor materials.
Signature: G..i Date: /b
Agent's Certificati
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:
Engineer's Certification
Partial Final
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