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February 25, 2004
Orange County
DWQ Project No. 040200
Pipe replacement on SR 1960 (Lloydtown Road)
APPROVAL of 401 Water Quality Certification with Additional Conditions
Mr. J.M. Mills, Division Engineer
NCDOT Division 7
P.O. Box 14996
Greensboro, NC 27415-4996
Dear Mr. Mills:
You have our approval, in accordance with the attached conditions and those listed below, to incur the
170 linear feet of impacts to two unnamed tributaries to Cane Creek. NCDWQ understands that these
impacts are necessary in order to replace two pipes on SR 1960 (Lloydtown Road) in Orange County.
The project shall be constructed in accordance with your application dated January 12, 2004. After
reviewing your application, we have decided that these impacts are authorized by General Water Quality
Certification Nos. 3404 and 3366, corresponding to the U.S. Army Corps of Engineers Nationwide Permit
Numbers 14 and 33. This approval shall also act as your Authorization Certificate as required within the
Neuse River Area Protection Rules (15A NCAC 2B .0233). In addition, you must 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 valid solely for the purpose and design described in your application (unless modified
below). Should your project change, you must notify the DWQ in writing 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). For this
approval to be valid, you must follow the conditions listed in the attached certification and any additional
conditions listed below.
1. 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 water standards:
¦ 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.
¦ 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.

Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
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/
Mr. J.M. Mills, P.E.
DWQ Project 040200
February 25, 2004
¦ If there are 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.
¦ Any reclamation measures and implementation must comply with the reclamation in accordance
with the requirements of the Sedimentation Pollution Control Act.
2. 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.
3. 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.
4. NCDOT is encouraged to use onsite vegetation and materials for streambank stabilization when
practicable.
5. Riparian vegetation must be reestablished within the construction limits of the project by the end
of the growing season following completion of construction.
6. Stormwater should be directed to vegetated buffer areas, grass lined ditches or other means
appropriate to the site for the purpose of pre-treating stormwater runoff, and must not be routed
directly into streams. Mowing of existing vegetated buffers is strongly discouraged, so that they
may be utilized for stormwater sheet flow.
7. Where fish passage is present or where significant aquatic life may be present upstream (and
where practicable), culverts should be oversized and buried to prevent perched culverts. If
oversized piping cannot restore aquatic life passage by reconnecting the stream ecosystem, riprap
installation should be accomplished in a manner to provide or restore water channels downstream
to help facilitate aquatic life movement.
8. Where practicable, culverts that are less than 48-inch in diameter should be buried to a depth
equal to or greater than 20% of their size to allow for aquatic life passage. Culverts that are 48-
inch in diameter or larger should be buried at least 12 inches below the stream bottom to allow
natural stream bottom material to become established in the culvert following installation and to
provide aquatic life passage during periods of low flow. These measurements must be based on
natural thalweg depths. This may require increasing the size of the culvert to meet flow
conveyance requirements. If any of the existing pipes are perched, they shall be removed and
replaced, and re-installed correctly, unless demonstrated that this is topographically unfeasible.
All waters must flow through without freefalling or damming on either end of the culverts during
low flow conditions, to maintain aquatic life and/or fish passage.
9. The dimension, pattern and profile of the stream, above and below the crossing, should not be
modified by widening the stream channel or reducing the stream depth. Disturbed floodplains
and streams should be restored to natural geomorphic conditions.
10. Riprap should be minimized and installed in a manner so as not interfere with aquatic life passage
during low flow conditions. Riprap placed for bank stabilization should be limited to the
streambank below the high water mark and vegetation should be used for stabilization above the
high water mark.
11. If concrete is used, work must be accomplished so that wet concrete does not contact the stream
water. This will lessen the chance of altering the stream's water chemistry and causing a fish kill.
12. 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.
13. 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.
A r
a

Mr. J.M. Mills, P.E.
DWQ Project 040200
February 25, 2004
14. The presence of equipment in the channels must be minimized. Under no circumstances must
rock, sand or other materials be dredged from the wetted stream channel under authorization of
this permit, except in the immediate vicinity of the culverts.
15. Removal of vegetation and grading and backfilling at the stream crossing and adjacent to stream
should be minimized. Native trees and shrubs should be planted along the streambank to
reestablish the riparian zone and provide long-term erosion control and cover for fish and wildlife
in the vicinity of the road crossing and along the streams within the dedicated rights of way.
Backfill materials should be obtained from upland sites.
16. 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 NCDOT
is strongly advised to send in photographs upstream and downstream of each structure to
document correct installation.
If you do not accept any of the conditions of this certification, you may ask for an adjudicatory hearing.
You must act within 60 days of the date that you receive this letter. To ask for a hearing, send a written
petition which conforms to Chapter 150B of the North Carolina General Statutes to the Office of
Administrative Hearings, 6714 Mail Service Center, Raleigh, N.C. 27699-6714. This certification and its
conditions are final and binding unless you ask for a hearing.
This letter completes the review of the Division of Water Quality under Section 401 of the Clean Water
Act. If you have any questions, please telephone Ms. Beth Barnes at 919.715.8394.
Since ,
7iC
an W. Klimek, P.E.
Attachment
cc: Wilmington District Corps of Engineers
John Thomas, USACE Raleigh Field Office
NCDWQ Raleigh Regional Office
Central Files
File Copy
P
401 ISSUED FILE COPY
STATE of NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY LYNDO TIPPETT
GOVERNOR SECRETARY
January 15, 2004
Ms. Beth Barnes
Wetlands/401 Unit
NC DENR Division of Water Quality
1650 Mail Service Center 040200
Raleigh, NC 27699 WETLANDS 1401 GROUP
(Seven Copies)
Mr. John Thomas FEB I ? 7004
US Army Corps of Engineers
6508 Falls of the Neuse Suite 120 WATER QUALP SECTION
Raleigh, NC 27615-6814
(Two Copies)
Subject: Orange County, Pipe Replacement on Lloydtown Road (SR 1960)
Project Number # 7C.068041
To Whom It May Concern:
The North Carolina Department of Transportation (NCDOT) proposes to replace a 22 ft X 18 inch
RCP with a 52 ft X 30 inch RCP on Lloydtown Rd (SR 1960) in Orange County. The work is
proposed in order to increase lane width and improve traffic safety. This activity will result in
impacts to an unnamed tributary of Cane Creek. In an effort to obtain the necessary permits for the
subject pipe extension, we are providing a pre-construction notification application with supporting
documentation. We believe this project can be permitted under the Nationwide Permit Numbers 14
and 33. This application is intended as a request for formal written authorization from the USCOE
for NWP 14 and 33. This application is also intended as a request for written authorization from the
NC Division of Water Quality for minor road crossing under General Water Quality Certificates
#3376 and #3404.
The following information is being provided to satisfy conditions of General Water Quality
Certification.
P. O. Box 14996 Greensboro, NC 27415-4996 Telephone No. [phone]
Fax No. [phone]
. I
PROJECT INFORMATION
Road Name SR Number Project Length
miles Classification
Llo dtown Road SR 1960 N/A Rural
River Basin: DWQ
ID Water Quality
Designation % Impervious
Surface
Ca Fear 16-27-(7) C; NSW N/A
Buffer Rulesa Buffer Rule Conditions where applicable)
No Request Exemption
Protected Species
Present Mapped Historic
Properties CAMA
AEC Essential Fishery
Habitat
No No No No
PIPE EXTENSION INFORMATION (SITE A)
Site N/A Stream Type Intermittent
Station
Existing Pie 22'X 18" RCP Replace 52'X 30" RCP
Construction Diversion Channel Dewatering ABC Aggregate
Method Device
Burial Depth 20% E/C Plan
Date
Construction As soon as practicable Duration One day
Date
Impacts (ft.) 30 ft-enclosure; 20 linear ft-rip-rap dissipaters; 50 sf-temporary ABC
aggregate and rock silt dam
Special
Conditions
Restoration Within 15 working days of the pipe extension the natural stream contours will
Plan be restored and seeded. Temporary silt screens will be cleaned and removed
following vegetation establishment.
RCP = reinforced concrete pipe; CMP = Corrugated metal pipe; CMPA = Corrugated metal pipe arch; E/C = Erosion
control. *A less intrusive dewatering device may be used in lieu of the one proposed.
P. O. Box 14996 Greensboro, NC 27415-4996 Telephone No. [phone] Fax No. [phone]
4V

PIPE EXTENSION INFORMATION (SITE B)
Site N/A Stream Type Intermittent
Station
Existing Pie 40' X 24" RCP Extend 10' X 24" RCP
Construction Diversion Channel Dewatering ABC Aggregate
Method Device
E/C Plan
Burial Depth 20% Date
Construction As soon as practicable Duration One day
Date
10 ft-enclosure; 10 linear ft-rip-rap dissipaters; 50 sf-temporary ABC
Impacts (ft.) aggregate and rock silt dam
Special
Conditions
Restoration Within 15 working days of the pipe extension the natural stream contours will
Plan be restored and seeded. Temporary silt screens will be cleaned and removed
following vegetation establishment.
RCP = reinforced concrete pipe; CMP = Corrugated metal pipe; CMPA = Corrugated metal pipe arch; E/C = Erosion
control. *A less intrusive dewatering device may be used in lieu of the one proposed.
MINIMIZATION INFORMATION
Impacts will be minimized by strict enforcement of Best Management Practices for the protection of
surface waters and wetlands, restrictions against the staging of equipment in or adjacent to waters
of the US, and coordination (including a pre-construction meeting) with the Division Environmental
Officer.
MITIGATION INFORMATION
Stream mitigation is not anticipated, as the impacts to any individual stream do not exceed 150 feet
Wetland mitigation is not anticipated, as wetland impacts do not exceed 0.10 acres and do not
occur in a unique natural wetland.
P. O. Box 14996 Greensboro, NC 27415-4996 Telephone No. [phone] Fax No. (3361334-3637
r
1 .• M APPLICATION INFORMATION
Enclosed please find the Pre-construction Notification Form and supporting documentation for the
above referenced project. If you have any questions or need any additional information, please
contact Jerry Parker at [phone]. Your time and effort are appreciated.
Sincerely,
Nw\ ?wl_
Mr. Mills, P.E.
Divi ion ngineer, Division 7
Enclosures
CC: Barry Harrington, NCDOT
Chuck Edwards,NCDOT
B.J. Howell, NCDOT
Jerry Parker, NCDOT
P. O. Box 14996 Greensboro, NC 27415-4996 Telephone No. [phone] Fax No. [phone]
M
Office Use Only: 4 0 2 0 0 Form Version October 2001
USACE Action ID No. DWQ No. ?J
If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A" rather than
leaving the space blank.
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 & 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
Company Affiliation: NCDOT - Division 7
Mailing Address: 1584 Yanceyville Street
Greensboro NC 27415
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: lhall e,dot state nc us
Pagel of 9

1
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: Lloydtown Road (SR 1960)
2. T.I.P. Project Number or State Project Number (NCDOT Only):47C.068041 (non-TIP)
3. Property Identification Number (Tax PIN): N/A
4. Location
County: Orange Nearest Town: Carrboro
Subdivision name (include phase/lot number): N/A
Directions to site (include road numbers, landmarks, etc.): From I-85/40 take Exit 154 in
Alamance County near Mebane onto Mebane Oaks Road. Head south on Mebane Oaks road
for approximately 8.3 miles to NC 54. Immediately after crossing NC 54 turn left on
Lloydtown Road. Go 1.7 miles on Lloydtown Road to Site B. Site A is approximately 150
feet west of Site B.
5. Site coordinates, if available (UTM or Lat/Long): See the attached USGS map.
(Note - If project is linear, such as a road or utility line, attach a sheet that separately lists the
coordinates for each crossing of a distinct waterbody.)
6. Describe the existing land use or condition of the site at the time of this application:
Rural residences with agriculture, cattle farming and forest.
7. Property size (acres): N/A
8. Nearest body of water (stream/river/sound/ocean/lake): UTs to Cane Creek
Page 2 of 9

9. River Basin: Cape Fear
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://h2o.enr.state.ne.us/admin/maps/.)
10. Describe the purpose of the proposed work: To upgrade a paved secondary road by
widening the paved road. Paving and widening are being conducted to improve traffic safety
and bring the road up to current construction standards. The replacement and/or extension of
two pipe culverts will be necessary in the process.
11. List the type of equipment to be used to construct the project: Road construction
equipment (trackhoe, grader, backhoe, and bulldozer).
12. Describe the land use in the vicinity of this project: Rural residential and cow pasture.
IV. Prior Project History
If jurisdictional determinations and/or permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action ID Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules.
N/A
V. Future Project Plans
Are any additional permit requests anticipated for this project in the future? If so, describe the
anticipated work, and provide justification for the exclusion of this work from the current
application:
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
Page 3 of 9
0.".
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.
1. Wetland Impacts
Wetland Impact
Site Number
indicate on ma
Type of Impact* Area of
Impact
acres Located within
100-year Floodplain**
es/no Distance to
Nearest Stream
linear feet
Type of Wetland***
N/A

* 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 htto://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: N/A
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)
30 ft(en)
Site A Pipe replacement 50sf(tmp) UT to Cane Creek 2 feet Intermittent
20fl r
10 fl(en)
Site B Pipe replacement 50sf(tmp) UT to Cane Creek 2 feet Intermittent
WWI))

* 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 aflcr, 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
wAIIw.us?Ys.Zov. Several internet sites also allow direct download and printing of USGS maps (e.g., Nv w.topozone.com,
www.mapquest.com, ctc.).
Page 4 of 9
Cumulative impacts (linear distance in feet) to all streams on site: Although there are two
stream crossings that both drain to Cane Creek they are separate streams. The cumaative
impacts for both streams are - 40 linear feet enclosure (en),
100 Square feet- temporary (tmp) 30 linear feet- rip ran (rp)
3. Open Water Impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any
other Water of the U.S.
Open Water Impact
Site Number
indicate on ma
Type of Impact* Area of
Impact
acres Name of Waterbody

(if applicable) Type of Waterbody
(lake, pond, estuary, sound,
bay, ocean, etc.
N/A

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: fill, excavation, dredging,
flooding, drainage, bulkheads, etc.
4. Pond Creation
if construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ? uplands ? stream ? wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.): N/A
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.): N/A
Size of watershed draining to pond: N/A Expected pond surface area: N/A
VII. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts.
Pine replacement and widenina 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.
Page 5 of 9

VIII. Mitigation
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on March 9, 2000, mitigation will be required when
necessary to ensure that adverse effects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed. Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USACE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCWRP concurrence shall be placed on hold as
incomplete. An applicant may also choose to review the current guidelines for stream restoration
in DWQ's Draft Technical Guide for Stream Work in North Carolina, available at
littp:Hii2o.enr. state. nc.us/ncwetiands/strm,Qide.litnil.
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 finding of insignificant impact is anticipated. Cumulative impacts are less than 150 feet.
The maximum amount of impact to a single stream is 56 linear feet. No Outstanding
Resource Waters federally protected species or their habitats, or essential fishery 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 httn://h2o.encstate.nc.uqNN,rp/index.htm. If
use of the NCWRP is proposed, please check the appropriate box on page three and provide
the following information:
Page 6 of 9

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
If yes, has the document review been fmalized 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 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.
Page 7 of 9
A- I -
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.
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 cony of the sediment and
erosion control plan will be submitted to DENR - Division of Land Resources and NCDOT
Roadside Environmental Prior to construction.
XH. 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.
XUL Violations (DWQ Only)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H .0500) or any Buffer Rules?
Yes ? No X
Is this an after-the-fact permit application?
Yes ? No X
Page 8 of 9
4
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).
Signature / Iifate
is valid only if an authorization letter from the applicant is provided.)
Page 9 of 9
N.C. D.O.T.
DISTRICT OFFICE ''
EROSION CONTROL SEQUENCE
ORANGE CO. 336 570 6833
SR 1.7-43' /9(0 O
66o yd4ovor, R--?
PIPE No. N/A
PROJECT
No.
7C.068041
DESCRIPTION: REMOVAL OF EXISTING PIPE STRUCTURE 22' LONG 18" RCP & REPLACE WITH
52' LONG 30" RCP.
1 INSTALL A ROCK SILT DAM DOWNSTREAM THE WORK AREA TO PREVENT
INCIDENTAL SEDIMENT LOSS.
2 INSTALL ABC AGGREGATE OR A LESS INTRUSIVE DEWATERING DEVICE TO
ALLOW DEWATERING OF THE WORK AREA.
3 INSTALL PUMPS TO DIVERT FLOW AROUND THE WORK AREA.
4 REMOVE ONE EXISTING LINE OF 22'0F 18" RCP.
5 EXCAVATE TO SUFFICIENT DEPTH TO ALLOW 200,10 BURIAL OF THE PIPE, PLACE
BASE STONE, AND SINGLE LINE OF 52' LONG 30" RC PIPE.
6 BACKFILL THE NEW LINE OF PIPE AND PLACE RIP RAP ONLY AS NEEDED.
7 STARTING FROM THE DOWNWARD END, REMOVE THE DEWATERING
STRUCTURE, AND RESTORE THE NATURAL STREAM CONTOURS.
8 NOTIFY LANDSCAPE DEPARTMENT FOR FINAL SEEDING.
9 SILT FENCES TO BE PLACED AS SITE CONDITIONS REQUIRE.
10 A 10'X15' DIRT BAG WILL BE USED TO REMOVE EXCESS WATER IN THE HOLE
WHERE THE NEW PIPE IS BEING REPLACED.
11 SITE CONDITIONS AND WEATHER MAY ALTER THESE PLANS.
12 A METHOD LESS INTRUSIVE THAN A PUMP AROUND SYSTEM MAY BE UTILIZED
IF SITE CONDITIONS ALLOW.
APPROXIMATE PROJECT START DATE
PREPARED BY D.K. WAGONER
N/A
TRANSPORTATION TECH. III ' DATE 11/24/2003
kwagnner
A..

May 24, 2003
Site A
Construction Sequence and Erosion Control Plan jor Replacement of Pipe Using a Pump Around-Alamance County
ORANGE CO.
SR 1960
LLOYDTOWN RD.
SEQUENCE1
PIPE No.
N/A 1 Installl a rock silt dam downstream of the work area to prevent incidental sediment loss.
2 Install ABC aggregate or a less intrusive dewatering device to allow dewatering of the
work area.
3 Install pumps to divert flow around the work area.
4 Remove one existing line of 22' Of 18" RC Pipe.
5 Excavate to sufficient depth to allow 20% burial of the pipe, place base stone,
and single line of 52' long 30" RC Pipe.
6 Backfill..the new line of pipe and place rip rap only as needed.
7 Starting from the downward end, remove the dewatering structure and restore the natural
sream contours.
;
SANBAGS
SR 1960 ;
20 ,,,
GRAVEL ??
60' '
,
PIPE 1
i i
SR. 1960
V
SR 2188
kwa(joner
10'X15'
DIRT BAG

RIP RAP
ORANGE CO.
P q 170
PIPE No.
N/A
S/rE A
SEQUENCE2
8 Notify landscape department for final seeding.
9 Silt fences to be placed as site conditons require.
10 A 10'X15' dirt bag will be used to remove excess water in the hole where new pipe
is being replaced.
11 Site conditions and weather may alter these plans.
12 A method less intrusive than a pump around system may be utilized if site conditions
allow.
SILT FENCE -f>
AS NEEDED
SILT FENCE
AS NEEDED
SR 1960
20
GRAVEL
60' R/W
4 ---SILT FENCE
AS NEEDED
kwagoner
4
ORANGE CO.
SR 1960
LLOYDTOWN RD.
PIPE No. N/A
PROJECT
No.
7C.068041
N.C. D.O.T.
DISTRICT OFFICE
EROSION CONTROL SEQUENCE
336 570 6833
sire -8
DESCRIPTION: EXTEND SINGLE 24" EXISTING RC PIPE UNTIL IT'S 30' FROM PROPOSED
CENTERLINE ON SOUTH SIDE.
1 INSTALL A ROCK SILT DAM DOWNSTREAM THE WORK AREA TO PREVENT
INCIDENTAL SEDIMENT LOSS.
2 INSTALL ABC AGGREGATE OR A LESS INTRUSIVE DEWATERING DEVICE TO
ALLOW DEWATERING OF THE WORK AREA.
3 INSTALL PUMPS TO DIVERT FLOW AROUND THE WORK AREA.
4 EXTEND SOUTH SIDE OF ONE EXISTING LINE OF 40' OF 24" RC PIPE.
5 USE EXISTING CHANNEL, PLACE BASE STONE, AND
EXTEND SINGLE 24" RC PIPE UNTIL IT'S 30' FROM THE PROPOSED CENTERLINE.
6 BACKFILL THE NEW LINE OF PIPE AND PLACE RIP RAP ONLY AS NEEDED.
7 STARTING FROM THE DOWNWARD END, REMOVE THE DEWATERING
STRUCTURE, AND RESTORE THE NATURAL STREAM CONTOURS.
8 NOTIFY LANDSCAPE DEPARTMENT FOR FINAL SEEDING.
9 SILT FENCES TO BE PLACED AS SITE CONDITIONS REQUIRE.
10 A 10'X15' DIRT BAG WILL BE USED TO REMOVE EXCESS WATER IN THE HOLE
WHERE THE NEW PIPE IS BEING REPLACED.
11 SITE CONDITIONS AND WEATHER MAY ALTER THESE PLANS.
12 A METHOD LESS INTRUSIVE THAN A PUMP AROUND SYSTEM MAY BE UTILIZED
IF SITE CONDITIONS ALLOW.
APPROXIMATE PROJECT START DATE N/A
PREPARED BY D,K. WAGONER TRANSPORTATION TECH. III
DATE 11/24/2003
kwagoner
Q a ' ITT _g
May 24, 2003
Site B
Construction: Sequence and Erosion: Control Plan for Replacement of Pipe Using a Pump Around-Alanranrce County
ORANGE CO.
SR 1960
LLOYDTOWN RD.
PIPE No.
N/A 1 Installl a rock silt dam downstream of the work area to prevent incidental sediment loss.
2 Install ABC aggregate or a less intrusive dewatering device to allow dewatering of the
work area.
3 Install pumps to divert flow around the work area.
4 Extend south side of one existing line of 40' Of 24" RC Pipe.
5 Use existing channel, place base stone, and extend single 24" RC pipe
until it's 30' from the proposed centerline.
6 Backfill the new line of pipe and place rip rap only as needed.
7 Starting from the downward end, remove the dewatering structure and restore the natural
sream contours.
SR 1960
20
GRAVEL
60'
SANBAGS
SR. 1960
SR 2188
kwagoner
ORANGE CO.
SR 1960
PIPE No.
N/A
Si--/-E B
8 Notify landscape department for final seeding.
9 Silt fences to be placed as site conditons require.
10 A 10'X15' dirt bag will be used to remove excess water in the hole where new pipe
is being replaced.
11 Site conditions and weather may alter these plans.
12 A method less intrusive than a pump around system may be utilized if site conditions
allow.

SILT FENCE
AS NEEDED

SILT FENCE
AS NEEDED
kwagoner
W K/VV
--SILT FENCE
AS NEEDED
LOW AREA
FILTER FABRIC
UNDER RIP RAP
q---SILT FENCE
AS NEEDED

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Name: SAXAPAHAW Location: 035° 56'09.9" N 079° 15'32.6" W
Date: 1115/2004 Caption: Lloydtown Road (SR 1960)
Scale: 1 inch equals 2000 feet SITE A and SITE B
Orange County
Copyright (C) 1997, Mapteeh, Inc.

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SITE B View looking downstream from road