20031289 Ver 1_Complete File_20031014

? W A
TF Michael F. Easley, Governor
0 9pG William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Cq
- Alan W. Klimek, P.E. Director
j Division of Water Quality
.? Coleen H. Sullins, Deputy Director
Division of Water Quality

October 27, 2003
Alamance County
DWQ Project No. 031289
Pipe Replacements on SR 1577 (Lee Lewis Road)
APPROVAL of 401 Water Quality Certification with Additional Conditions
Mr. J.M. Mills, P.E., Division Engineer
NCDOT Division 7
P.O. Box 14996
Greensboro, NC 27415
Dear Mr. Mills:
You have our approval, in accordance with the attached conditions and those listed below, to permanently
impact 116 linear feet and to incur 30 linear feet of temporary impacts on two unnamed tributaries to the
Haw River in order to replace two pipes on SR 1577 (Lee Lewis Road) in Alamance County. The project
should be constructed in accordance with your application dated October 10, 2003 (received October 14,
2003). After reviewing your application, we have decided that this fill is covered by General Water
Quality Certification Nos. 3366 and 3404 corresponding to the U.S. Army Corps of Engineers
Nationwide Permit Numbers 33 and 14. In addition, you should acquire any other federal, state or local
permits before you proceed with your project including (but not limited to) Sediment and Erosion
Control, Non-Discharge and Water Supply Watershed regulations. This approval will expire with the
accompanying 404 permit unless otherwise specified in the Water Quality Certification.
This approval is only valid for the purpose and design that you described in your application except as
modified below. If you change your project, you must notify us, in writing, and send us a new
application. If the property is sold, the new owner must be given a copy of this Certification and approval
letter and is thereby responsible for complying with all conditions. If total wetland fills for this project
(now or in the future) exceed one acre, or if stream impacts exceed 150 linear feet, compensatory
mitigation may be required as described in 15A NCAC 2H.0506 (h) (6) and (7). For this approval to be
valid, you must follow the conditions listed in the attached certification and any additional conditions
listed below.
The impacted waters are classified as Nutrient Sensitive Waters. Therefore, NCDOT shall use Best
Management Practices for the Protection of Surface Waters (NCDOT March 1997) and
Sedimentation and Erosion control Guidelines for Sensitive Watersheds (15A NCAC 4B .0124) prior
to any ground-disturbing activities to minimize impacts to downstream aquatic resources. Temporary
or permanent herbaceous vegetation shall be planted on all bare soil within 15 days of ground-
disturbing activities to provide long term erosion control.
NCDOT shall comply with WS-IV Water Supply Watershed regulations, including the requirement
for a 30-foot vegetated buffer.
Stormwater should be directed to vegetated buffer areas, grass-lined ditches or retention basins and
must not be routed directly into streams. Mowing of existing vegetated buffers is strongly
discouraged, so that they may be utilized for storm water sheet flow.
NCDM
North Carolina Division of Water Quality, 401 Wetlands Certification Unit,
1650 Mail Service Center, Raleigh, NC 27699-1650 (Mailing Address)
2321 Crabtree Blvd., Raleigh, NC 27604-2260 (Location)
919-733-1786 (phone), 919-733-6893 (fax), hftp://h2o.enr.state.nc.us/ncwetlands/
r
NCDOT SR 1577, DWQ # 031289
Page 2
October 27, 2003
4. Riparian vegetation must be reestablished within the construction limits of the project by the
end of the growing season following completion of construction.
5. The culverts shall be designed and installed to allow for fish and other wildlife movement as well as
prevent headcutting of the stream.
6. Use of rip-rap for bank stabilization is to be minimized; rather, native vegetation is to be planted
when practical. If rip-rap is necessary, it must be limited to the stream bank below the high water
mark, and vegetation must be used for stabilization above high water. Rip rap shall not be placed in
the stream bottom.
7. Erosion and sediment control practices must be in full compliance with all specifications governing
the proper design, installation and operation and maintenance of such Best Management Practices in
order to protect surface waters standards:
a. The erosion and sediment control measures for the project must be designed, installed, operated,
and maintained in accordance with the most recent version of the North Carolina Sediment and
Erosion Control Planning and Design Manual.
b. The design, installation, operation, and maintenance of the sediment and erosion control measures
must be such that they equal, or exceed, the requirements specified in the most recent version of
the North Carolina Sediment and Erosion Control Manual. The devices shall be maintained on
all construction sites, borrow sites, and waste pile (spoil) projects, including contractor-owned or
leased borrow pits associated with the project.
c. For borrow pit sites, the erosion and sediment control measures must be designed, installed,
operated, and maintained in accordance with the most recent version of the North Carolina
Surface Mining Manual.
d. The reclamation measures and implementation must comply with the reclamation in accordance
with the requirements of the Sedimentation Pollution Control Act.
8. No waste, spoil, solids, or fill of any kind shall occur in wetlands, waters, or riparian areas beyond the
footprint of the impacts depicted in the Preconstruction Notice Application. All construction activities,
including the design, installation, operation, and maintenance of sediment and erosion control Best
Management Practices, shall be performed so that no violations of state water quality standards,
statutes, or rules occur.
9. Sediment and erosion control measures shall not be placed in wetlands or waters to the maximum
extent practicable. If placement of sediment and erosion control devices in wetlands and waters is
unavoidable, they shall be removed and the natural grade restored within six months of the date that
the Division of Land Resources has released the project.
10. All work shall be performed during low flow (below bankfull) conditions.
11. Heavy equipment must be operated from the banks rather than in the stream channel in order to
minimize sedimentation and reduce the likelihood of introducing other pollutants into the stream.
12. All mechanized equipment operated near surface waters must be regularly inspected and maintained
to prevent contamination of stream waters from fuels, lubricants, hydraulic fluids, or other toxic
materials.
13. Upon completion of the project, the NCDOT shall complete and return the enclosed
"Certificate of Completion" form to notify NCDWQ when all work included in the §401
Certification has been completed. The responsible party shall complete the attached form
and return it to the 401/Wetlands Unit of the NC Division of Water Quality upon
completion of the project. Please include photographs upstream and downstream of the
structure to document correct installation.
NCDOT SR 1577, DWQ # 031289
Page 3
October 27, 2002
If you do not accept any of the conditions of this certification, you may ask for an adjudicatory hearing.
You must act within 60 days of the date that you receive this letter. To ask for a hearing, send a written
petition that conforms to Chapter 150B of the North Carolina General Statutes to the Office of
Administrative Hearings, 6714 Mail Service Center, Raleigh, N.C. 27699-6714. This certification and its
conditions are final and binding unless you ask for a hearing.
This letter completes the review of the Division of Water Quality under Section 401 of the Clean Water
Act. If you have any questions, please telephone Ms. Beth Barnes at 919.715.8394 or Mr. Daryl Lamb of
the Winston-Salem Regional Office at 336.771.4600.
Sincerely,

/ Alan W. Klimek, P.E.
Attachment /
Pc: Wilmington District Corps of Engineers
John Thomas, USACE Raleigh Field Office
NCDWQ Winston-Salem Regional Office
Central Files
File Copy

STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY LYNDO TIPPETT
GOVERNOR SECRETARY
October 10, 2003
Attn: John Thomas FILE COPY
U.S. Army Corps of Engineers
Regulatory Field Office
6508 Falls of the Neuse Road, Suite 105
Raleigh, NC 27615
Attn: Beth Barnes
Wetlands/401 Unit
NC DENR-DWQ
1650 Mail Service Center
Raleigh, NC 27699
031289
WETLANDS/ 401 GROUP
OCT 14 2003
WATER QUALITY SECTION
SUBJECT: Alamance County, Upgrade of Lee Lewis Road (SR 1577) from an unpaved secondary
road to a paved secondary road. (This is a re-submittal due to the permit expiring
prior to starting the project. It was permitted under Action ID numbers 200220284
and 2002200285 for the USCOE and under # 011788 for DWQ). STATE
PROJECT NUMBER 6.472464
To Whom It May Concern:
The North Carolina Department of Transportation (NCDOT) proposes to upgrade Lee Lewis Road (SR
1577) from an unpaved to a paved secondary road to reduce future maintenance needs and increase
traffic safety. Total project length is 1.20 miles.
This activity will result in the impacts to waters of the United States including streams and wetlands.
The waters to be impacted are located within the Cape Fear River Basin. Streams impacts will result
from the replacement and extension of crossline pipes to facilitate travel lane and shoulder widening
during the upgrade. The pipe replacements are as follows:
P. O. Box 14996 Greensboro, NC 27415-4996 Telephone No. [phone] Fax No. [phone]
Site Existing Pie Proposed Pie Stream type Impacts ft
1 40'of 72" CMP 80' of 117" X 79" Perennial 40 (pm), 20 (tmp),
CMPA 10
2 24' of 18" CMP 60' of 24" RCP Intermittent 36 (pm), 10 (trop),
10
Cumulative Impacts 96 (pm), 30 (trop),
20
RCP = reinforced concrete pipe; CMP = Corrugated metal pipe; CMPA = Corrugated metal pipe arch.
pm = permanent; tmp = temporary, rp = rip-rap energy dissipators placed above ordinary high water.
Permanent impacts due to pipe replacement activities will result from stream enclosement and placement
of rip-rap energy dissipators above the ordinary high water mark. Rip-rap energy dissipators will be
placed on each side of the newly installed pipes. Temporary impacts will result from the placement of
sand bags during the dewatering operation. The road being upgraded is not a dead end; therefore, a
temporary travel lane will not be needed for an on-site detour. Within 10 days of the of the pipe
replacement activities all dewatering structures will be entirely removed and natural stream contours will
be restored and seeded.
All wetland impacts will occur in irregularly maintained palustrine emergent wetlands identified as Units
A and B (See the attached data forms). Permanent impacts to Units A and B will result from the
placement of fill material to facilitate travel lane and shoulder improvement. Temporary impacts will
result from the placement of silt fence at the construction perimeter to facilitate compliance with the
Sedimentation Pollution Control Act. Wetland impacts will equal 0.02 acres. Secondary impacts will
be minimized by strict enforcement of Best Management Practices for the protection of surface waters,
restrictions against the staging of equipment in or adjacent to waters of the US, and coordination with
the Division Environmental Officer.
Required mitigation is not anticipated, as the impacts to any individual stream do not exceed 150 feet.
The project is not located in a High Quality Water. No Threatened or Endangered species were
observed during field surveys conducted by Lenwood Smith, II for species known to occur in Alamance
County (See the attached Endangered Species Review Sheet for further information). Records from the
NCDOT Historic Architect indicate compliance with the National Historic Preservation Act.
The NCDOT anticipates that the proposed filling activities will be authorized under Nationwide Permit
(NWP) 14 and the dewatering operation at Site 1 will be authorized under NWP 33. This application is
intended as a request for formal written authorization from the USACE to place fill in wetlands at site 2
under NWP 14; and dewater the stream at Site 1 under NWP 33. This application is also intended as
request for written authorization from the NC Division of Water Quality to fill waters at Sites 1 and 2
under General Water Quality Certificate # 3289 (NWP 14). Enclosed please find the project site map
and the pre-construction notification form for the above referenced project. Construction is anticipated
to begin as soon as practicable following authorization and take 1 day to complete at each water of the
us.
P. O. Box 14996 Greensboro, NC 27415-4996 Telephone No. [phone] Fax No. [phone]
If you have any questions or need any additional information, please contact
Jerry Parker at [phone]. Your time and effort are appreciated.
Sincerely,

Mike Mills
Division Environmental Officer
Division Seven
cc: Jerry Parker, NCDOT
Barry Harrington. NCDOT
Chuck Edwards, NCDOT
P. O. Box 14996 Greensboro, NC 27415-4996 Telephone No. [phone] Fax No. [phone]
Office Use Only: t .% g Form Version October 2001
'f
USACE Action ID No. DWQ No.
If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A" rather than
leaving the space blank.
1. Processing
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 33
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: ?
4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for
mitigation of impacts (see section VIII - Mitigation), check here: ?
II. Applicant Information
1. Owner/Applicant Information
Name: Mr. J M Mills P E Division Engineer - Division 7
Mailing Address: P.O. Box 14996
Greensboro NC 27415
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: [e-mail]
2. Agent Information (A signed and dated copy of the Agent Authorization letter must be
attached if the Agent has signatory authority for the owner/applicant.)
Name: Jerry Parker Division Environmental Officer
Company Affiliation: NCDOT- Division 7
Mailing Address: P.O. Box 14996
Greensboro NC 27415
Telephone Number: 336-256-2063 Fax Number: 336-334-4149
E-mail Address: jparker o dot state nc.us
Page I of 8
III. Project Information
Attach a vicinity map clearly showing the location of the property with respect to local
landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property
boundaries and development plans in relation to surrounding properties. Both the vicinity map
and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities must be included. If possible, the maps and plans should
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USACE requires information to be submitted on sheets no larger than 11 by 17-inch format;
however, DWQ may accept paperwork of any size. DWQ prefers full-size construction
drawings rather than a sequential sheet version of the full-size plans. If full-size plans are
reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps are provided.
1. Name of project: Lee Lewis Road (SR 1577)
2. T.I.P. Project Number or State Project Number (NCDOT Only):6.472464 (non-TIP)
3. Property Identification Number (Tax PIN):
4. Location
County: Alamance Nearest Town: Burlington
Subdivision name (include phase/lot number): N/A
Directions to site (include road numbers, landmarks, etc.): From I-85/40 near Burlington
take exit 147 (NC 87) and head north on NC HWY 87. From the intersection of NC 87 and
NC 100 go 8.6 miles north on NC HWY 87 until you get to SR 1576 (Jughouse Road) Turn
left onto SR 1576, proceed 0.5 miles and turn right onto SR 1577.
5. Site coordinates, if available (UTM or Lat/Long): See the attached sheet.
(Note - If project is linear, such as a road or utility line, attach a sheet that separately lists the
coordinates for each crossing of a distinct waterbody.)
6. Describe the existing land use or condition of the site at the time of this application:
Agricultural and low density residential
7. Property size (acres): N/A
8. Nearest body of water (stream/river/sound/ocean/lake): UT to Haw River
9. River Basin: Cape Fear
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://l12o.enr.state.ne.us/admin/maps/.)
Page 2 of 8
10. Describe the purpose of the proposed work: To upgrade an Maved secondary road to a
paved secondary road Paving and widening are being conducted to reduce future
maintenance costs bring the road up to current construction standards, and increase traffic
safety
11. List the type of equipment to be used to construct the project: Road construction
equipment ((rackhoe. grader, backhoe, and bulldozer)
12. Describe the land use in the vicinity of this project: Farming /Low Density Residential
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.
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:
VI. Proposed Impacts to Waters of the United States/Waters of the State
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. The applicant must also
provide justification for these impacts in Section VII below. All proposed impacts, permanent
and temporary, must be listed herein, and must be clearly identifiable on an accompanying site
plan. All wetlands and waters, and all streams (intermittent and perennial) must be shown on a
delineation map, whether or not impacts are proposed to these systems. Wetland and stream
evaluation and delineation forms should be included as appropriate. Photographs may be
included at the applicant's discretion. If this proposed impact is strictly for wetland or stream
mitigation, list and describe the impact in Section VIII below. If additional space is needed for
listing or description, please attach a separate sheet.
Page 3 of 8
1. Wetland Impacts
Wetland Impact Area of Located within Distance to
Site Number Type of Impact* Impact 100-year Floodplain** Nearest Stream Type of Wetland***
indicate on ma acres es/no linear feet
Placement of fill
2 to facilitae road
and shoulder 0.02 No 0' PEMIC
widening

* 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 htti)://www.fema.gov.
*** List a wetland type that best describes wetland to be impacted (e.g., freshwater/saltwater marsh, forested wetland, beaver pond,
Carolina Bay, bog, etc.)
List the total acreage (estimated) of existing wetlands on the property: N/A
Total area of wetland impact proposed: 0.02
2. Stream Impacts, including all intermittent and perennial streams
Stream Impact Length of Average Width Perennial or
Site Number Type of Impact* Impact Stream Name** of Stream Intermittent?
indicate on ma linear feet Before Impact leasespecify)
40(pm)
1 Pipe replacement 20(tmp) UT Haw River 9.0' Perennial
IOr
36(pm)
2 Pipe replacement 10(tmp) UT Haw River 1.0' Intermittent
10(rp)

* 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
www.usgs.aov. Several intemet sites also allow direct download and printing of USGS maps (e.g., www.topozone.coni,
www.mapquest.com, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: 96-permanent pmn
30-temporary (tmQ), 20-rip rap (rp)
Page 4 of 8
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 Wat )
(if applicable) Type of Waterbody
(lake, pond, estuary, sound,
bay, ocean, etc.
N/A

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: fill, excavation, dredging,
flooding, drainage, bulkheads, etc.
4. Pond Creation
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ? uplands ? stream ? wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.): N/A
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.): N/A
Size of watershed draining to pond: N/A Expected pond surface area: N/A
VII. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts.
Pine replacement and widening activities are necessary to increase travel lane and shoulder width
to current construction standards. Impacts will be minimized by strict enforcement of Best
Management Practices for the protection of wetland and surface waters, restrictions against the
staging of equipment in or adjacent to waters of the US and coordination with the Division
Environmental Officer.
VIII. Mitigation
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
Page 5 of 8
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on March 9, 2000, mitigation will be required when
necessary to ensure that adverse effects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed. Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USACE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCWRP concurrence shall be placed on hold as
incomplete. An applicant may also choose to review the current guidelines for stream restoration
in DWQ's Draft Technical Guide for Stream Work in North Carolina, available at
http://h2o.enr.state.nc.us/ncwetlands/strmgide.htmi.
1. Provide a brief description of the proposed mitigation plan. The description should provide
as much information as possible, including, but not limited to: site location (attach directions
and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed method of construction. Please attach
a separate sheet if more space is needed.
A fmdin of f insignificant impact is anticipated. Cumulative impacts are less than 150 feet.
The maximum amount of impact to a single stream is linear feet. No Outstanding
Resource Waters, federally protected species or their habitats occur in the project area. The
project is not located in a High Quality Water.
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 litip:Hh2o.enr.state.nc.us/wr)/index.litm. 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
Page 6 of 8
IX. Environmental Documentation (DWQ Only)
Does the project involve an expenditure of public funds or the use of public (federal/state/local)
land?
Yes ® No ?
If yes, does the project require preparation of an environmental document pursuant to the
requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)?
Note: If you are not sure whether a NEPA/SEPA document is required, call the SEPA
coordinator at [phone] to review current thresholds for environmental documentation.
Yes ? No
If yes, has the document review been finalized by the State Clearinghouse? If so, please attach a
copy of the NEPA or SEPA final approval letter.
Yes ? No ?
X. Proposed Impacts on Riparian and Watershed Buffers (DWQ Only)
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required state and local buffers associated with the project. The applicant must also provide
justification for these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Meuse), 15A NCAC 213 .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and
Water Supply Buffer Requirements), or other (please identify N/A )?
Yes ? No ® If you answered "yes", provide the following information:
Identify the square feet and acreage of impact to each zone of the riparian buffers. If buffer
mitigation is required calculate the required amount of mitigation by applying the buffer
multipliers.
Zone* impact
(square feet Multiplier Required
Mitigation
1 3
2 1.5
Total
* Zone 1 extends out 30 feet perpendicular from near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.
Page 7 of 8
If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation
of Property, Conservation Easement, Riparian Buffer Restoration / Enhancement, Preservation or
Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as
identified within 15A NCAC 2B .0242 or.0260.
N/A
XI. Stormwater (DWQ Only)
Describe impervious acreage (both existing and proposed) versus total acreage on the site.
Discuss stormwater controls proposed in order to protect surface waters and wetlands
downstream from the property.
In accordance with the February 25, 1991 delegation agreement one copy of the sediment and
erosion control plan will be submitted to DENR - Division of Land Resources and NCDOT
Roadside Environmental Prior to construction.
XII. Sewage Disposal (DWQ Only)
Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of
wastewater generated from the proposed project, or available capacity of the subject facility.
XIII. Violations (DWQ Only)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H.0500) or any Buffer Rules?
Yes ? No ?
Is this an after-the-fact permit application?
Yes ? No ?
XIV. Other Circumstances (Optional):
It is the applicant's responsibility to submit the application sufficiently in advance of desired
construction dates to allow processing time for these permits. However, an applicant may
choose to list constraints associated with construction or sequencing that may impose limits on
work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and
Threatened Species, accessibility problems, or other issues outside of the applicant's control).
/0, /6- 63
?f/Agents Signature Date
signature is valid only if an authorization letter from the applicant is provided.)
Page 8 of 8
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SITE COORDINATES
Site Number Approximate
Station Easternly Northerly
1 24+15 17 06 31 986 00 40 10 170
2 49+40 17 06 32 166 00 40 10 910

I
L006?

Cf111YORD Co

1
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Name: OSSIPEE Location: 036° 13'38.0" N 079° 31'50.3" W y
Date: 10/10/2003 Caption: Lee Lewis Rd (SR 1577)
Scale: 1 inch equals 2000 feet Alamance County
Site 1 and Site 2
Copyright (C) 1997, hUptech, Inc.

View of the existing p
- Site 1

View upstream from the existing pipe- Site 1
r
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4 [.' 3b?L 41
View of the blowhole immediately downstream from the existing
Site 1

View of the existing pipe outlet - Site 1

View downstream from the blowhole as;
View of wetland
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View of wetland community B - Site 2
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Site # 1
Construction Sequence and Erosion Control Plans for Pipe
Replacement with Pipe in Alamance County on
Lee Lewis Road (SR 1577)
WON 6.472464
Construction will begin as soon as practicable
following authorization and take one day.
1. Install Rip Rap Check Dam
2. Excavate excess material around existing pipe above water line.
3. Install sand bags to contain water and pump water around if site requires.
4. Remove existing line of 40 ft long by 72" corrugated metal pipe .
5. Excavate to sufficient depth (one foot) to allow placement of one line of 80 foot long
117" X 70" corrugated metal arch pipe
6. Rip rap ends and remove sand bags when site allows.
7. All de-watering will be into a 10'X 15' Dirt Bag.
8. Silt Fences to be installed as site conditions require.
9. Seed and mulch as needed during project.
10. Site conditions and weather may alter these plans.
Site 2
Construction Sequence and Erosion Control Plan for Pipe
Replacement of Pipe with Pipe in an Intermittent Stream
Alamance County - SR 1577 (Lee Lewis Road)
Work to begin as soon as practicable following authorization
Construction is anticipated to take 1 day.
I . Prior to removing the existing pipe, install a rock silt screen downstream to prevent
incidental sediment loss due to unforeseen precipitation.
2. Install sand bags to contain water and pump water around if site requires.
3. Remove one existing line of 24' long 18" CM pipe arch.
4. Excavate to sufficient depth to allow placement of the pipe to be buried 20% (4.8
inches) of the diameter of the pipe, place base stone, and single line of 60' long 24"
RC pipe.
5. Backfill the structure.
6. Place rip-rap on the four corners of the exposed banks.
7. Remove the rock silt screen and restore natural stream contours.
8. Seed and mulch remaining disturbed areas.
9. Silt fences to be placed as site conditions require.
10. Site conditions and weather may alter these plans.

f0'-0'
RIGHT F WAY
A'?1 201-0' h•?- n'?_
SHOULDER PAV M SHOULDER OrrCH
I/a' ; FT. I 1/4' / FT.
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Intermittent Stream
Temporary Silt Fence _ ---tom
I'emporarv Rock Sedimen[
Dam TvUe.-3
SITE # 2
SR 1577
LEE LEWIS ROAD
ALANIANCE COUNTY
CAPE FEAR RIVER BASIN
SC,ALE : '„-50,

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ALAMANCE COUNTY
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NCDOT
HAZARDOUS SPILL BASIN CHECKLIST
Division:Seven County: Alamance Project ID: 6.472464
River Basin: Cape Fear Bridge No: N/A
Route: 1577
Stream: UT to Haw River
Water Quality Criteria:
Yes No
a ?
ORW ? L!
WSI ? E
WS ILIII OR IV, Crossing Within 0.5mi of W.S. Critical Area ? F
Roadway Criteria:
Route Designation-
Arterial Urban
Arterial Rural
Additional Site Information:
? R
Yes No
Is a Hazardous Spi1l Basin Required? ? E
Yes No
Criteria Based Upon NCDOT "Best Management Practices for the
Protection of Surface Waters" (March, 1997).
11110,1ECT LEGEND
POWEIt POLE GUY WIRE
® TELEPHONE PEDESTAL FENCELINE
® WELL/ WELLHOUSE -'--- EXISTING R/W
® EXISTING IRON PIPE PROPOSED R/W
O 1RON NOT FOUND
NOTE: ANY POINTS ON N9AP OTIIER'1'IIAN LEG END POIN'T'S WILE, BEE LABELED ON MA 1'.
Erosion Control _ Sequence of operations 2-26-92
1. Review Erosion Control Plans and standards. Identify all
release points (outlets of crOEsline pipes, tail ditches,
roadway ditches; fill slopes, etc.)
2. Install all measures $ release points prior to clearing &
grubbing. See Erosion Control Standards for proper
installation.
3. Begin grading operations - install all other measures as
grading progresses and monitor their effectiveness.' If
any measures need to be changed, consult Highway
Maintenance Engineer. Show changes on Erosion Control
Plans.
4. Locate all borrow pits and waste areas with their erosion
control measures on Erosion Control Plans 'or attach a
separate sheet showing same.
5. Before moving to next job site, review all measures. for
effectiveness; make any adjustments, clean-outs, or,
repair; call Roadside Environmental Department for
installation of a ditch liner and seeding and mulching
of all disturbed areas.
6. Continue to check and maintain all measures after each
- significant rainfall until all disturbed areas become
stabilized
7. Fill in all silt basins and silt ditches; remove all silt
fences and slope drains; redistribute all stone from silt
checks, sediment dams, and silt screens. Seed and mulch
disturbed areas.
EROSION CONTROL LEGEND
F?Ipm
TEMP. ROCK SED. DAM - TYPE A
® TEMP. ROCK SED. DAM - TYPE B
' TEMP. ROCK SILT CHECK DAM - TYPE B
F. G. ROVING OR E. C. MATTING
-E E E E- STONE LINER
-f}?--!I! TEMP. SILT FENCE
0 PIPE OUTLET PROTECTION
- - * EARTH BERM
TEMP. SLOPE DRAIN
-TSD- TEMP. SILT DITCH
` 0 SILT BASIN - TYPE B (MIN. 10'x2'x3')
'R•U6I 1-BARRIER-
ROCK SILT SCREEN

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