20040444 Ver 1_Complete File_20040322

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William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
co r Alan W. Klimek, P.E. Director
> y Division of Water Quality
.? Coleen H. Sullins, Deputy Director
Division of Water Quality
April 27, 2004
Orange County
DWQ Project No. 040444
APPROVAL of 401 Water Quality Certification
Mr. J.M. Mills, P.E., Division Engineer
NCDOT, Division 7
PO Box 14996
Greensboro, NC 27415-4996
Dear Mr. Mills:
You have our approval, in accordance with the attached conditions and those listed below, to place fill material in
182 linear feet of streams (52 linear feet of permanent impacts and 130 linear feet of temporary impacts) for the
purpose of widening and improving SR 1539 in Orange County. The project shall be constructed in accordance with
your application dated received March 22, 2004. After reviewing your application, we have decided that this fill is
covered by General Water Quality Certification Number 3404. This certification corresponds to the Nationwide
Permit 14 issued by the Corps of Engineers. This approval is also valid for the Tar-Pamlico River Buffer Rules
(15A NCAC 2B .0259). 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 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). For this approval to remain valid, you must adhere to the
conditions listed in the attached certification.
1.) 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.
2.) During the construction of the project, no staging of equipment of any kind is permitted in waters of the U.S., or
protected riparian buffers.
3.) Riparian vegetation must be reestablished within the construction limits of the project by the end of the growing
season following completion of construction.
4.) 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 depth of the stream. Disturbed floodplains and streams should be
restored to natural geomorphic conditions.
"
ry; F,t
N. C. Division of Water Quality 1650 Mail Service Center Raleigh, NC 27699-1650 [phone]
Customer Service: 1 800 623-7748
F \N A TF Michael F. Easley, Governor
9 William G. Ross Jr., Secretary
`O? pG North Carolina Department of Environment and Natural Resources
0) Alan W. Klimek, P.E. Director
O `C
5.) Any riprap used must not interfere with thalweg performance and aquatic life passage during low flow
conditions.
6.) 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.
7.) Discharging hydroseed mixtures and washing out hydroseeders and other equipment in or adjacent to surface
waters is prohibited.
8.) The outside buffer, wetland or water boundary as well as along the construction corridor within these
boundaries approved under this authorization shall be clearly marked by orange fabric fencing for the areas that
have been approved to infringe within the buffer, wetland or water prior to any land disturbing activities.
9.) There shall be no excavation from or waste disposal into jurisdictional wetlands or waters associated with this
permit without appropriate modification of this permit. Should waste or borrow sites be located in wetlands or
stream, compensatory mitigation will be required since it is a direct impact from road construction activities.
10.) Pursuant to NCACI5A 2B.0233(6), sediment and erosion control devices shall not be placed in Zone 1 of any
Neuse Buffer without prior approval by the NCDWQ. At this time, the NCDWQ has approved no sediment and
erosion control devices in Zone 1 anywhere on this project. Moreover, sediment and erosion control devices
shall be allowed in Zone 2 of the buffers provided that Zone 1 is not compromised and that discharge is released
as diffuse flow.
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, 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.
Si re ,
an W. Klimek,
Attachment
cc: Wilmington District Corps of Engineers
Corps of Engineers Raleigh Field Office
DWQ Raleigh Regional Office
File Copy
Central Files
c:\ncdot\SR 1539\wqc\040444 wqc.doc
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co lor
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY LYNDO TIPPETT
GOVERNOR SECRETARY
March 17, 2003
Ms. Beth Barnes
Wetlands/401 Unit
NC DENR Division of Water Quality
1650 Mail Service Center
Raleigh, NC 27699
(Seven Copies) A
Mr. John Thomas
US Army Corps of Engineers
6508 Falls of the Neuse Suite 120
Raleigh, NC 27615-6814
(Two Copies)
Subject: Orange County, Two Pipe Extensions on Richard Lane (SR 1539) Orange County
Project Number # 7C.068035
To Whom It May Concern:
The North Carolina Department of Transportation (NCDOT) proposes to extend a 33' X 36" RCP
an additional 20 feet at SITE A on Richard Lane and extend a 20'X 36" RCP an additional 32 feet at
SITE B on Richard Lane in Orange County. The work is proposed in order to increase lane width
and improve traffic safety. This activity will result in impacts to unnamed tributaries of South Pork
Little River. In an effort to obtain the necessary permits for the subject pipe extensions, 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]
PROJECT INFORMATION
Road Name SR Number Project Length
miles Classification
Richard Lane SR 1539 N/A Rural

River Basin: DWQ
ID Water Quality
Designation % Impervious
Surface
Neuse 27-2-21-2 WS-II N/A
Buffer Rules,, Buffer Rule Conditions where applicable)
Yes 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 33'X 36" RCP Extension 20'X 36" RCP
Construction
PAP `Found Dewatering ABC Aggregate or less
Method Device* intrusive method
E/C Plan
Burial Depth Minimum 20% (7.2 inches) Date
Construction As soon as practicable Duration One day
Date
20 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; CM1' = Corrugatea metal pipe; k Mrft = l.orrugdLVU 111CLUL FLPV, o1%1U1
control. *A Tess intrusive dewatering device may be used in lieu of the one proposed.
Erosion
P. O. Box 14996 Greensboro, NC 27415-4996 Telephone No. [phone] Fax No. 1336) 334-3637
PIPE EXTENSION INFORMATION (SITE B)
Site N/A Stream Type Intermittent
Station
Existing Pi 20'X 36" RCP Extend 32'X 36" RCP
Construction
PAP `Found Dewatering ABC Aggregate or
Method Device* sandbags
E/C Plan
Burial Depth Minimum 20% (7.2 inches) Date
Construction As soon as practicable Duration One day
Date
32 ft-enclosure; 20 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 m a unique n&tur we ari - ----- -- - -- -- -- - ------ -- -- ------------- - ------
P. O. Box 14996 Greensboro, NC 27415-4996 Telephone No. [phone] Fax No. [phone]
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,
- --m '
r. J.M. Mills, P.E.
Division Engineer, 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]
Office Use Only: Form Version May 2002 04044 USACE Action ID No. DWQ No.
(If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A".)
I. Processing
1. Check all of the approval(s) requested for this project:
® Section 404 Permit ? Riparian or Watershed Buffer Rules
? Section 10 Permit ? Isolated Wetland Permit from DWQ
® 401 Water Quality Certification
2. Nationwide, Regional or General Permit Number(s) Requested: NWP14
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 (verify availability with NCWRP prior to submittal of PCN), complete
section VIII and check here: ?
5. If your project is located in any of North Carolina's twenty coastal counties (listed on page
4), and the project is within a North Carolina Division of Coastal Management Area of
Environmental Concern (see the top of page 2 for further details), check here: ?
H. 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 27415-4996
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: [e-mail]
2. Agent/Consultant 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: J r A Parker
Company Affiliation: NCDOT
Mailing Address: P.O. Box 14996
Greensboro NC 27415-4996
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: jparker dot state nc us
Pagel of 9
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 Richard Lane Culvert Extensions (2 Sites)
2. T.I.P. Project Number or State Project Number (NCDOT Only): 7C.0613035
3. Property Identification Number (Tax PK: Not Applicable
4. Location
County: Orange Nearest Town: Hillsborough
Subdivision name (include phase/lot number): Not Applicable
Directions to site (include road numbers,- landmarks, etc.):
The project is northeast of Hillsborough in Orange County. From US 70 bypass near
Hillsborough turn north on St.. Mary's Road (SR 1002) and proceed for approximately 1.6
miles to New Sharon Rd (SR 1538). Turn left on New Sharon Rd and proceed
approximately 4.5 miles to Richard Lane (SR 1539) on the left.
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. Property size (acres): Not Applicable -
7. Nearest body of water (stream/river/sound/ocean/lake): UT to South Fork Little River
8. River Basin: Neuse
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at hftp://h2o.enr,state.ne.us/admin/maps/.)
Page 2 of 9
9. Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this application: Unpaved secondary road in low density rural neighborhood
10. Describe the overallproject in detail, including the type of equipment to be used: The
project will involve extending two culverts at two sites on Richard Lane. The SITE A culvert
is a 33' X 36" culvert pipe that will be extended 16 feet on the (downstream) pond side and
4 feet on the upstream side The SITE B culvert is a 20' X 36" culvert that will be extended
g
16' on the downstream side and 16' on the upstream side SITE A will also involve the fillin
of a maximum of 1920 sf of open water. The fillings necessary in order to increase the road
width and attain proper shoulder width The Department opted to fill the open water (pond)
side of the road because wetlands existed beyond 12 feet on the opposite (upstream) side.
The increase in length of the culverts is necessary in order to bring the proposed paved road
up to current DOT standards Pipe extensions at both sites will be a minimum of 20 % (7.2
inches) of the pipe diameter. Right-of-way width is illustrated on the attached site plan.
Equipment used will be standard road construction equipment trackhoe grader, backhoe,
and bulldozer)
11. Explain the purpose of the proposed work: To maintain traffic safety and to reduce future
maintenance costs.
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.
Not Applicable
V. Future Project Plans
Are any future permit requests anticipated for this project? If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application.
Not Applicable
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
Page 3 of 9
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.
1. Provide a written description of the proposed impacts: Permanent stream impacts will
result from channel enclosure Temporary stream impacts will result from placement of
cofferdams and siltscreens. .
2. Individually list wetland impacts below:
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
feet
Type of Wetland***
N/A

* List each impact separately and identity temporary impacts. impacts mcmae, our are par uuaLw .U. 111"11. Hu u ?.?...•==t;, t;.......•8?
excavation, flooding, ditching/drainage, eta 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 httn'/hvww.fema.cov.
*** List a wetland type that best describes wetland to be impacted (e.g., freshwater/saltwater marsh, forested wetland, beaver pond,
Carolina Bay, bog, eta) Indicate if wetland is isolated (determination of isolation to be made by USACE only).
List the total acreage (estimated) of all existing wetlands on the property: Not Applicable
Total area of wetland impact proposed: Not Applicable
3. Individually list all intermittent and perennial stream impacts below:
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 lease s ecif
(en)20 if UT to South Fork Little
Richard Lane Culvert tmp) 50sf River 1-3 feet Intermittent
SITE A Extension 10

SITE B Culvert (cn)32
(tmp)50sf UT to South Fork Little
1-2 feet
Intermittent
Extension 20 If River

_J
* List each impact separately and identify temporary impacts. impacts include, bur are not itimieu io. cwvcrrs uuu asso'ca' aw ill,-l",,
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.Rov. Several intemet sites also allow direct download and printing of USGS maps (e.g., www.tobozone.com,
www.marguest.com, eta).
Page 4 of 9
*Cumulative impacts (linear distance in feet) to all streams on site:
SITE A project should involve increase of 20 linear feet of impacts to the stream - enclosure
(en) 20 f3 Impacts from temporary(tmp, sandbags and riprap in streams at SITE A should
not exceed 50 sf (tmp 50 sfl Permanent impacts from riprap dissipators at SITE A will not
exceed ten linear feet. (all on the upstream side).
SITE B project should involve 32 linear feet of stream impacts -enclosure (en) 32 R..
Impacts from temporary sandbags and riprap at SITE B should not exceed 50 sf. (tmp 50 sfl.
Permanent impacts from riprap dissipators at SITE B will not exceed twenty linear feet.
(approx 10 fl per side)
4. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.? below:
Open Water Impact
Site Number
indicate on ma
Type of Impact* Area of
Impact
acres
(if Name of applicable) V ) ody Type of Waterbody
(lake, pond, estuary, sound,
bay, ocean, etc.
Maximum Pond located in
SITE A Fill of 1920 sf
(.04 acres) drainageway of UT to South
Fork Little River Man-made pond

dr d
List each impact separately and identify temporary impacts. Impacts include, but are not hnuted to: fill, excavation, c gng,
flooding drainage, bulkheads, etc.
Permanent impacts to pond will involve 1920 sq ft of fill.
5. 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.): Not Applicable
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.): Not Applicable
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
Page 5 of 9
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts.
Culvert extension activities are necessary to maintain travel safety. 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 (including a pre construction meeting) 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.
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
ide.html.
http://h2o.enr.state.ne.us/ncwetlands/strmg
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 findin of f insignificant impact is anticipated, therefore a mitigation plan is not provided.
Cumulative impacts are less than 150 feet The maximum amount of impact to a single
stream is approximately 32 linear feet No Outstanding Resource Waters federally protected
species or their habitats or essential fishery habitats occur in the project area. The protect is
located in a WS II Huh Quality Water.
Page 6 of 9
2. Mitigation may also be made by payment into the North Carolina Wetlands Restoration
Program (NCWRP). Please note it is the applicant's responsibility to contact the NCWRP at
[phone] to determine availability and to request written approval of mitigation prior
to submittal of a PCN. For additional information regarding the application process for the
NCWRP, check the NCWRP website at http://h2o enr state ne.us/wrp/index.htm. If use of
the NCWRP is proposed, please check the appropriate box on page three and provide the
following information:
Amount of stream mitigation requested (linear feet): Not Applicable
Amount of buffer mitigation requested (square feet): Not Applicable
Amount of Riparian-wetland mitigation requested (acres): Not Applicable
Amount of Non-riparian wetland mitigation requested (acres): Not Applicable
Amount of Coastal-wetland mitigation requested (acres): Not Applicable
IX. Environmental Documentation (required by DWQ)
Does the project involve an expenditure of public (federal/state) funds or the use of public
(federal/state) 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 (required by DWQ)
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 Neuse River V
Yes X No_ If you answered "yes", provide the following information:
Page 7 of 9
The Department of Transportation is requesting an exemption from the Neuse Buffer
Rules based on the project being a road crossing as described in 15A NCAC 2B .0233 (6)
(Road crossings of streams and other surface waters subject to this rule) and (7) (a).
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.
Not Applicable: The department believes that since the project will impact less than 40 linear
feet of riparian buffer at each site that it qualifies for an exemption as described in 15A NCAC
2B .0233 (6) (Road crossings- of streams. and other surface waters subject to this rule) and
(7) (a)•
Zone" Impact
(square feet Multiplier Required
Mitigation
1 N/A 3
2 N/A 1.5
Total N/A
• Zone l extends out .1U teei perpenuleuiur uUM uc:u U.uul vi vi?ui?a, c v... . ••. •• .
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.
Not Applicable
XI. Stormwater (required by DWQ)
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.
Not A licable
XII. Sewage Disposal (required by DWQ)
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.
Not Applicable
X1H. Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (15A NCAC 21-1,0500) or any Buffer Rules?
Yes No X
Page 8 of 9
Is this an after-the-fact permit application?
Yes No X
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).
an. ?ue?o IpPE a ?a
Applicant/Agent's Signature Date
s signature is valid only if an authorization letter from the applicant is provided.)
Page 9 of 9
MRR-15-20U4 lb; l4 M- Lu I UMHrlr•rr'r
ua v a?avw 01,TLLICT I
PROPOSED IMPROVEN)FNTS
SR 1539 RICHARD LANE
LITTLE RIVER TWSP. - ORANGE COUNTY
LENGTH 0.54 MILES 50' R/W - 60' R/W* SHEET I OF 2
SCALE V = 50' W.O. # 6.502371
UTILITIES : PIEMONT ELECTRIC
l SPRINT CENTEL
TIME WARNER CABLE
10 0 100 260
DATE: SEPTEN®ER, 2002
r 'REVISED OCTOBER, 2002
I 'REVISED JANUARY, 2002
• J0'R/W FROMSrA 3+t0.:J TO Pl ST.,. C+9.,JJ P'L.
JJ' RAW FR0U SrA.1l+10.00 TO STd. 1 d +00. on.
NOTE: 1Yr HAVE SOME E.YISTI,VC my
r

1 ? O
bQ-TOU Z, vJ047 ISE USED BRUCE CLYDE ROBERTS
1497-36.1
PB 76 PG 112
o3=Mn?6 TUIPOPAXaGE STRL'CTIOS
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SITE A
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TOTAL P. 02.
N.C. D.O.T.
DISTRICT OFFICE
EROSION CONTROL SEQUENCE
ORANGE CO. 336 570 6833
SR 1539
RICHARD LANE
PIPE No. NIA
PROJECT
No. SITE A
7C.068035
DESCRIPTION: EXTEND 36" RC PIPE 4 FEET ON UPSTREAMI SIDE AND 16 FEET ON DOWNSTREXil SIDE
ESTABLISH TYPICAL 6'-8' SHOULDERS.
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 PIPE 4 FEET ON UPSTREAM SIDE OF EXISTING PIPE AND
16 FEET ON DOWNSTREAM SIDE (POND SIDE) OF EXISTING PIPE
ESTABLISH 6'-8' SHOULDERS & 2:1 SLOPE.
5 USE EXISTING CHANNEL, PLACE BASE STONE, AND EXTEND SINGLE 36" 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. FENGES.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 2/2/2004
kwagoner
N.C. D.O.T.
DISTRICT OFFICE
EROSION CONTROL SEQUENCE
ORANGE CO. 336 5706833
SR 1539
RICHARD LANE
PIPE No. NIA
PROJECT
140. SITE B
7C.068035
DESCRIPTION: EXTEND 36" RC PIPE 16 FEET ON BOTH SIDES OF ROAD.
ESTABLISH TYPICAL 6'-8' SHOULDERS.
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 PIPE 16 FEET ON BOTH SIDES OF EXISTING PIPE (TOTAL LENGTH 52 FEE1
ESTABLISH 6'-8' SHOULDERS & 2:1 SLOPE.
5 USE EXISTING CHANNEL, PLACE BASE STONE, AND EXTEND SINGLE 36" 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 PLAC.ED.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 2/2/2004
kwagoner
?i
4' PIPE
EXTENSION
WITH ROAD
WIDENING
PUMP
FLOW ->
UT
33' EaISTINC
36" RCP PIP[
I 1 1

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DfUla
SILT FENCE
AS NEEDED
8110 P.1-71 p
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t IL i E PALO,P IC
RICHARD LA
/`
SILT FENCE
AS NEEDED
PUMP AROUND FOR UT OF SOUTH FORK LITTLE RIVER
RICHARD LANE (SITE A)
ORANGE COUNTY
NCDOT - DIVISION 7
(NOT TO SCALE)

16, PIPE MITENSION
WITH RoaD WiDr.'WING
li' PERVIOUS DIME
20'
EXISTING
3G" Rcp
FLOC= PIPE •.• V
j
VJ/ UNDER LYING
=ILTER. F:.",P.IC
SILT FENCE
AS NEEDED
i
nicHnno LACE

IP P111?P
T."J/ U N D E :LYING
F1L T E A-61 "Li IC
?/

SILT FENCE
AS NEEDED
PUMP AROUND FOR UT OF SOUTH FORD LITTLE RIVER
RICHARD LANE (SITE B)
ORANGE COUNTY
NCDOT - DIVISION 7
(NOT TO SCALE)

SITE A View of outlet pipe from downstream side

SITE B Downstream view from road
J.. i
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SITE
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Name: CALDWELL Location:
Date: 3/18/2004 Caption: F
Scale: 1 inch equals 2000 feet

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/ . ? 1571 ° 08'52.2" N 079° 00'08.4" W
and Lane (SR1539)
A and SITE B
ge County

i
0YMM
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY LYNDO TIPPETT
GOVERNOR SECRETARY
March 17, 2003
Ms. Beth Barnes
Wetlands/401 Unit
NC DENR Division of Water Quality
1650 Mail Service Centers
Raleigh, NC 27699 4
(Seven Copies)
Mr. John Thomas
US Army Corps of Engineers
6508 Falls of the Neuse Suite 120
Raleigh, NC 27615-6814
(Two Copies)
Subject: Orange County, Two Pipe Extensions on Richard Lane (SR 1539) Orange County
Project Number # 7C.068035
To Whom It May Concern:
The.North Carolina Department of Transportation (NCDOT) proposes to extend a 33'X 36" RCP
an additional 20 feet at SITE A on Richard Lane and extend a 20'X 36" RCP an additional 32 feet at
SITE B on Richard Lane in Orange County. The work is proposed in order to increase lane width
and improve traffic safety. This activity will result in impacts to unnamed tributaries of South Fork
Little River. In an effort to obtain the necessary permits for the subject pipe extensions, 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. (3361334-3192 Fax No. [phone]

PROJECT INFORMATION
Road Name SR Number Project Length
miles Classification
Richard Lane SR 1539 N/A Rural
River Basin: DWQ
ID Water Quality
Designation % Impervious
Surface
Neuse 27-2-21-2 WS-II N/A
Buffer Rulesa Buffer Rule Conditions where applicable)
Yes Request Exemption
Protected Species
Present Mapped Historic
Properties CAMA
AEC Essential Fishery
Habitat
No No No No
PIPE EXTENSION INFORMATION (SITE A)
RCP = reinforced concrete pipe; CMP = Corrugated metal pipe; CMPA = Corrugated metal pipe arch; E/C = Erosion
control. *A Tess intrusive dewatering device may be used in lieu of the one proposed.
Site N/A Stream Type Intermittent
Station
Existing Pie 33'X 36" RCP Extension 20'X 36" RCP
Construction
PAP Found Dewatering ABC Aggregate or less
Method Device* intrusive method
E/C Plan
Burial Depth Minimum 20% (7.2 inches) Date
Construction As soon as practicable Duration One day
Date
20 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.
P. O. Box 14996 Greensboro, NC 27415-4996 Telephone No. [phone] Fax No. [phone]
PIPE EXTENSION INFORMATION (SITE B)
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.
Site N/A Stream Type Intermittent
Station
Existing Pi 20' X 36" RCP Extend 32' X 36" RCP
Construction
PAP Around Dewatering ABC Aggregate or
Method Device* sandbags
E/C Plan
Burial Depth Minimum 20% (7.2 inches) Date
Construction
As soon as practicable
Duration
One day
Date
ate
32 ft-enclosure; 20 linear ft-rip-rap dissipaters; 50 sf temporary ABC
=Impacts 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.
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 nEkof r we an __ _--_--
P. O. Box 14996 Greensboro, NC 27415-4996 Telephone No. [phone] Fax No. [phone]
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,
6 --m - f
r. J.M. Mills, P.E.
Division Engineer, Division 7
Enclosures
CC. Barry Harrington, NCDOT
Chuck Edwards,NCDOT
H.J. Howell, NCDOT
Jerry Parker, NCDOT
P. O. Box 14996 Greensboro, NC 27415-4996 Telephone No. [phone] Fax No. [phone]
Office Use Only: Form Version May 2002
USACE Action ID No. DwQ No. C14 0 4 4 4
(If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A".)
I. Processing
1. Check all of the approval(s) requested for this project:
® Section 404 Permit ? Riparian or Watershed Buffer Rules
? Section 10 Permit ? Isolated Wetland Permit from DWQ
® 401 Water Quality Certification
2. Nationwide, Regional or General Permit Number(s) Requested: NWP14
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 (verify availability with NCWRP prior to submittal of PCN), complete
section VIII and check here: ?
5. If your project is located in any of North Carolina's twenty coastal counties (listed on page
4), and the project is within a North Carolina Division of Coastal Management Area of
Environmental Concern (see the top of page 2 for further details), check here: ?
H. 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 27415-4996
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: mmills @,dot state nc us
2. Agent/Consultant 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: Jerky A Parker
Company Affiliation: NCDOT
Mailing Address: P.O. Box 14996
Greensboro NC 27415-4996
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: jparker@a dot state nc us
Pagel of 9
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 Richard Lane Culvert Extensions (2 Sites
2. T.I.P. Project Number or State Project Number (NCDOT Only): 7C.068035
3. Property Identification Number (Tax PIN): Not Applicable
4. Location
County: Orange Nearest Town: Hillsborough
Subdivision name (include phase/lot number): Not Applicable
Directions to site (include road numbers, landmarks, etc.):
The project is northeast of Hillsborough in Orange County. From US 70 bypass near
Hillsborough turn north on St. Mary's Road (SR 1002) and proceed for approximately 1.6
miles to New Sharon Rd (SR 1538). Turn left on New Sharon Rd and proceed
approximately 4.5 miles to Richard Lane (SR 1539) on the left.
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. Property size (acres): Not Applicable
7. Nearest body of water (stream/river/sound/ocean/lake): UT to South Fork Little River
8. River Basin: Neuse
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://h2o.enr.state.nc.us/admin/mqp .)
Page 2 of 9
9. Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this application: Unpaved secondary road in low density rural neighborhood
10. Describe the overall project in detail, including the type of equipment to be used: The
project will-involve extending two culverts at two sites on Richard Lane. The SITE A culvert
is a 33' X 36" culvert pine that will be extended 16 feet on the (downstream) pond side and
4 feet on the upstream side The SITE B culvert is a 20' X 36" culvert that will be extended
16' on the downstream side and 16' on the ppstream side SITE A will also involve the filling
of a maximum of 1920 sf of open water. The filling is necessary in order to increase the road
width and attain proper shoulder width. The Department opted to fill the open water (pond)
side of the road because wetlands existed beyond 12 feet on the opposite (upstream) side.
The increase in length of the culverts is necessary in order to bring, the proposed paved road
up to current DOT standards Pipe extensions at both sites will be a minimum of 20 %o (7.2
inches of the pipe diameter. RRight-of-Way width is illustrated on the attached site plan.
EgApment used will be standard road construction equipment (trackhoe grader, bac oe.
and bulldozers
11. Explain the purpose of the proposed work: To maintain traffic safety and to reduce future
maintenance, costs.
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.
Not A licable
V. Future Project Plans
Are any future permit requests anticipated for this project? If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application.
Not Applicable
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
Page 3 of 9
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.
1. Provide a written description of the proposed impacts: Permanent stream impacts will
result from channel enclosure TeMMrary stream impacts will result from placement of
cofferdams and siltscreens. .
2. Individually list wetland impacts .below:
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 mdude, but are not muted to: mecnaiuccu clctuul& 81auulr, ,,.,,
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.) Indicate if wetland is isolated (determination of isolation to be made by USACE only).
List the total acreage (estimated) of all existing wetlands on the property: Not Applicable
Total area of wetland impact proposed: - Not Applicable
3. Individually list all intermittent and perennial stream impacts below:
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)
(en)20 If UT to South Fork Little
Richard Lane Culvert tmp) 50sf River 1-3 feet Intermittent
SITE A Extension 10

SITE B Culvert (en)32
(tmp)50sf UT to South Fork Little
1-2 feet
Intermittent
Extension 20 If River

* List each impact separately and identity temporary impacts. impacts mcruae, out are not 4umtcu LU. Lwvvita a..., w?w.ww r ?r?
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.uov. Several internet sites also allow direct download and printing of USGS maps (e.g., www.topozone.com,
www.mapgtiest.com, etc.).
Page 4 of 9
*Cumulative impacts (linear distance in feet) to all streams on site:
SITE A project should involve increase of 20 linear feet of impacts to the stream - enclosure
(en) 20 ft Ingcts from temporary (trop) sandbags and riprap in streams at SITE A should
not exceed 50 sf (tmp 50 s!) Permanent impacts from rip rap dissipators at SITE A will not
exceed ten linear feet (all on the upstream side).
.
SITE B project should involve 32 linear feet of stream impacts -enclosure (en) 32 ft
Impacts from temporary sandbags and riprap at SITE B should not exceed 50 sf. (tmp 50 sfl.
Permanent impacts from riprap dissipators at SITE B will not exceed twenty linear feet.
(V=x 10 ft per sided -
4. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.) below:
Open Water Impact
Site Number
indicate on ma
Type of Impact* Area of
Impact
acres
(if Name of applicable) ody Type of Waterbody
lake, pond, estuary, sound,
bay, ocean, etc.

SITE A
Fill Maximum
of 1920 sf
(.04 acres) Pond located in
drainageway of UT to South
Fork Little River
Man-made pond

List each impact separately and identify temporary impacts. impacts mclude, but are not umiiea to: nu, extavautay tuvugpur,
flooding, drainage, bulkheads, etc.
Permanent impacts to pond will involve 1920 sq ft of fill.
5. 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.): Not Applicable
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.): Not Applicable
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
Page 5 of 9
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts.
Culvert extension activities are necessary to maintain travel safety 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 (including a pre construction meeting) 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.
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/strmizide.html.
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 finding of insignificant impact is anticipated, therefore a mitigation plan is not provided.
Cumulative impacts are less than 150 feet The maximum amount of impact to a single
stream is approximately 32 linear feet No Outstanding Resource Waters federally protected
%?gcies or their habitats or essential fishery habitats occur in the project area. The project is
located in a WS II High Quality Water.
Page 6 of 9
2. Mitigation may also be made by payment into the North Carolina Wetlands Restoration
Program (NCWRP). Please note it is the applicant's responsibility to contact the NCWRP at
[phone] to determine availability and to request written approval of mitigation prior
to submittal of a PCN. For additional information regarding the application process for the
NCWRP, check the NCWRP website at http://h2o.enr.state,nc.us/wrp/index,.htm. If use of
the NCWRP is proposed, please check the appropriate box on page three and provide the
following information:
Amount of stream mitigation requested (linear feet): Not Applicable
Amount of buffer mitigation requested (square feet): Not Applicable
Amount of Riparian. wetland mitigation requested (acres):., Not Applicable
Amount of Non-riparian wetland mitigation requested (acres): Not Applicable
Amount of Coastal wetland mitigation requested (acres): Not Applicable
IX. Environmental Documentation (required by DWQ)
Does the project involve an expenditure of public (federal/state) funds or the use of public
(federal/state) 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 Z
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 Butlers (required by DWQ)
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 Neuse River V
Yes X No_ If you answered "yes", provide the following information:
Page 7 of 9
The Department of Transportation is requesting an exemption from the Neuse Buffer
Rules based on the project being a road crossing as described in 15A NCAC 2B .0233 (6)
(Road crossings of streams and other surface waters subject to this rule) and (7) (a).
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.
Not Applicable: The department believes that since the project will impact less than 40 linear
feet of riparian buffer at each site that it qualifies for an exemption as described in 15A NCAC
2B .0233 (6) (Road crossingsof streams, and other surface waters subject to this rule) and
(7) (a)•
Zone* Impact
(square feet Multiplier Required
Miti ation
1 N/A 3
2 N/A 1.5
Total N/A
* Zone 1 extends out su teet perpenalcmar II'om near umm ur wlcuui, ?.,¦.. ..
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 213 .0242 or.0260.
Not Applicable
XI. Stormwater (required by DWQ)
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.
Not Applicable
XII. Sewage Disposal (required by DWQ)
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.
Not A licable
XIH. Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H .0500) or any Buffer Rules?
Yes No X
Page 8 of 9
Is this an after-the-fact permit application?
Yes No X
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).
are. TAUP6 I PW _ a / g
Applicant/Agent's Signature Date
s signature is valid only if an authorization letter from the applicant is provided.)
Page 9 of 9
MAR-16-2W04 1b; 14 NC. Uu I UKHrIHI'I +"" - "- -
?a??ivrI)lJl'LLIC'I' 1

PROPOSED IMPROVEMENTS
SR
R
1539
ICHARD LANE
LITTLE RIVER TWSP. - ORANGE COUNTY
LENGTH 0.54 MILES 50' R/W - 60' R/W* SHEET I OF 2
SCALE V = 50' W.O. # 6.502371
UTILITIES : PIEMONT ELECTRIC
I SPRINT CENTEL
TIME WARNER CABLE

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DATE: SEPTEMBER, 2002
'REVISED OCTOBER, 2002
'REVISED JANUARY, 2002
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N.C. D.O.T.
DISTRICT OFFICE
EROSION CONTROL SEQUENCE
ORANGE CO. 336 5706833
SR 1539
RICHARD LANE
PIPE No. N/A
PROJECT
No. SITE A
7C.068035
DESCRIPTION: EXTEND 36" RC PIPE 4 FEET ON UPSTREAM SIDE AND 16 FEET ON DOWNSTREAM SIDE
ESTABLISH TYPICAL 6'-8' SHOULDERS.
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 PIPE 4 FEET ON UPSTREAM SIDE OF EXISTING PIPE AND
16 FEET ON DOWNSTREAM SIDE (POND SIDE) OF EXISTING PIPE
ESTABLISH 6'-8' SHOULDERS & 2:1 SLOPE.
5 USE EXISTING CHANNEL, PLACE BASE STONE, AND EXTEND SINGLE 36" 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 N/A
PREPARED BY D,K. WAGONER TRANSPORTATION TECH. III
DATE 2/2/2004
kwagoner
N.C. D.O.T.
DISTRICT OFFICE
EROSION CONTROL SEQUENCE
ORANGE CO. 336 5706833
SR 1539
RICHARD LANE
PIPE No. NIA
PROJECT
No. SITE B
7C.M035
DESCRIPTION: EXTEND 36" RC PIPE 16 FEET ON BOTH SIDES OF ROAD.
ESTABLISH TYPICAL 6'-8' SHOULDERS.
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 PIPE 16 FEET ON BOTH SIDES OF EXISTING PIPE (TOTAL LENGTH 52 FEE1
ESTABLISH 6'-8' SHOULDERS & 2:1 SLOPE.
5 USE EXISTING CHANNEL, PLACE BASE STONE, AND EXTEND SINGLE 36" 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
STRUCTURES AND RESTORE•T14E 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 2/2/2004
kwagoner
N?
IMPERVIOUS DIKE
FLOW --*
RIP RAP
W/ UNDERLYING
FILTER FABRIC
SILT FENCE
AS NEEDED
16' PIPE EXTENSION
WITIf,ROAD WIDENING
20'
EXISTING
36" RCP
PIPE

RICHARD LANE
RIP RAP
W/ UNDERLYING
FILTER FABRIC
SILT FENCE
AS NEEDED
PUMP AROUND FOR UT OF SOUTH FORK LITTLE RIVER
RICHARD LANE (SITE B)
ORANGE COUNTY
NCDOT DIVISION 7
(NOT TO SCALE)
N?
SILT BAG
4' PIPE
EXTENSION
WITH ROAD 33' EXIS1
WIDENING _ 36" RCP
PUMP
FLOW -? UT
RIP RAP
W/ UNDERLYING.
FILTER FABRIC
IMPERVIOUS
DIKE
SILT FENCE
AS NEEDED
RICHARD
SILT FENCE
AS NEEDED
PUMP AROUND FOR UT OF SOUTH FORK LITTLE RIVER
RICHARD LANE (SITE A)
ORANGE COUNTY
NCDOT - DIVISION 7
(NOT TO SCALE)

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Name: CALDWELL L
Date: 3118/2004 C
Scale: 1 inch equals 2000 feet
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in: 038° 08' 52.2" N 079° 00' 08.4" W
is Richard Lane (SR1539)
SITE A and SITE B
Orange County