20041248 Ver 1_Complete File_20040729

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N. C. DEPARTMENT OF Ir. kANSPORTATION

tRANSMITTAL SLIP DATE
TO:
6 REP. NO. ON ROOM, BLDG
62
PROM: REP. NO. OR ROOM, BLDG.

? NOTE AND FILE ? PER OUR OONVERSATION
? NOTE AND RETURN TO ME ? PER YOUR REQUEST
? RETURN WITH MORE DETAILS ? POR YOUR APPROVAL
? NOTE AND SEE ME ABOUT THIS ? FOR YOUR INFORMATION
? PLEASE ANSWER ? POR YOUR OOMMENTS
? PREPARE REPLY FOR MY SIGNATURE ? SIGNATURE
? TAKE APPROPRIATE AOTION ? INVESTIGATE AND REPORT
OOMMENTS:
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STA'L'E of NORTI I CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY LYNDO TIPPF.TT
GovI:RNOR SECRETARY
November 22, 2006
Attention: Mr. Eric Alsmeyer, USACE-NCDOT Coordinator
From: Ms. Heather Montague, Environmental Technician
Subject: Revised drawings [As-Builts]
References: Action ID: 200521634, 200521635, dated 04/12/05
DWQ Project No. 041248, dated 08/11/04
NCDOT SR 1565 application, date07/28/04 [WBS element 5C.073015]
The secondary road improvements to SR 1565 (Bunnie Huff Road) in Person County are
currently underway. This paving project involves three permit sites. Please see the attached
revised drawings which represent the project as-builts. NCDOT Division projects generally
do have as-builts, but these are provided to ensure your office has the latest information on
the construction activities on this project. Below is a description of the revisions as drawn.
Site 1 (STA 33+55) -
Please note that the original drawing (Figure 3) attached to the referenced application is
incorrect in that the dewatering limits and rip rap armoring are shown at the wrong location
for the pipe inlet. The revised drawing shows the 8 tt pipe extension and the 36 ft of stream
loss correctly as it was proposed and built. This revision does not alter the jurisdictional
impacts as presented in the referenced application and therefore we are not requesting a
modification to any permits.
Site 2 (STA 15+84) and Site 3 (STA 14+82) -
Field conditions at this site, required removal of accumulated sediments and debris from the
channels at the outlet of both Site 2 and Site 3, in order to achieve positive flow downstream
of our structures (Figure 4 & Figure 5). The area depicted in the revised drawing as `access
zone' within a maintained agricultural field is associated with this sediment and debris
removal. This revision does not alter the jurisdictional impacts as presented in the referenced
application and therefore we are not requesting a modification to any permits.
CC: Mr. Rob Ridings, NCDWQ Transportation Permitting Unit
Ms. Tasha Johnson P.E., NCDOT District 2 Engineer
Mr. Dion Viventi, P.E., NCDOT Person County Maintenance
Ms. Katie Simmons, NCDOT Roadside Environmental Field Ops Technician
Division 5, 2612 N. Duke Street, Durham, NC 27704
Phone: [phone] Fax: [phone]
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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
August 11, 2004
Person County
DWQ Project No. 041248
APPROVAL of 401 Water Quality Certification
Mr. Jon G. Nance, P.E. Division Engineer
NCDOT, Division 5
2612 N. Duke Street
Durham, NC 27704
Dear Mr. Nance:
You have our approval, in accordance with the conditions listed below, for the following impacts for the purpose of
secondary road improvements to SR 1565 (Bunnie Huff Road) from SR 1536 (Denny's Store Road) to SR 1564
(McFarland Road) in Person County.
Impact Locations Stream Impacts
(Linear Feet) Riparian Buffer Impacts (Square Feet) Wetland Impacts
(acres)
Site 1 (STA 33+55) 46 1,566 (1,004 Zone 1\+ 562 Zone 2) NONE
Site 2 (STA 15+84) 26 21316 (1,327 Zone 1 + 989 Zone 2) 144 s q. ft. (0.003)
Site 3 (STA 14+82) 26 2,348 (1,364 Zone 1 +M4 Zone 2) 104 sq. ft. (0.002)
The project shall be constructed in accordance with your revised application dated received July 29, 2004. After
reviewing your application, we have decided that the stream impacts and wetland fills described are covered by
General Water Quality Certification Numbers 3404 and 3366. This certification corresponds to the Nationwide
Permit 14 and the Nationwide Permit 33 issued by the Corps of Engineers. This approval is also valid for the Tar-
Pamlico River Buffer Rules (15A NCAC 213 .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.) All stormwater runoff shall be directed to sheetflow through stream buffers at nonerosive velocities, unless
approved otherwise by this certification.
3.) 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.
One
N6
fthCarolina
Transportation Permitting Unit Natfurally
1650 Mail Service Center, Raleigh, North Carolina 27699-1650
2321 Crabtree Boulevard, Suite 250, Raleigh, North Carolina 27604
Phone: [phone] / FAX [phone] / Internet: http://h2o.enr.state.nc.us/ncwetlands
4.) Riparian vegetation must be reestablished within the construction limits of the project by the end of the growing
season following completion of construction.
5.) The 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.
6.) Any riprap used must not interfere with thalweg performance and aquatic life passage during low flow
conditions.
7.) 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.
8.) Discharging hydroseed mixtures and washing out hydroseeders and other equipment in or adjacent to surface
waters is prohibited.
9.) 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.
10.) 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 directlimpact from road construction activities.
11.) Pursuant to NCACI5A 2B.0259(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, outside of the approved project impacts, 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.
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.) Placement of culverts and other structures in waters, streams, and wetlands must be placed below the elevation
of the streambed by one foot for all culverts with a diameter greater than 48 inches, and 20 percent of the
culvert diameter for culverts having a diameter less than 48 inches, to allow low flow passage of water and
aquatic life. Design and placement of culverts and other structures including temporary erosion control
measures shall not be conducted in a manner that may result in dis-equilibrium of wetlands or stream beds or
banks, adjacent to or upstream and down stream of the above structures. The applicant is required to provide
evidence that the equilibrium shall be maintained if requested in writing by DWQ.
14.) No live or fresh concrete shall come into contact with waters of the state until the concrete has hardened
15.) 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.
16.) All work shall be performed during low or normal flow conditions.
17.) All fill slopes located in jurisdictional wetlands shall be placed at slopes no flatter than 3:1.
18.) A copy of this Water Quality Certification shall be posted on the construction site at all times. In addition, the
Water Quality Certification and all subsequent modifications, if any, shall be maintained with the Division
Engineer and the on-site project manager.
19.) For 46 linear feet of stream at Site 1, 26 linear feet of stream at Site 2, and 26 linear feet of stream at Site 3
being impacted due to site dewatering activties, the site shall be graded to its preconstruction contours and
revegetated with native vegetation.
20.) All protected riparian buffers impacted by the placement of temporary fill or clearing activities shall be restored
to the preconstruction contours and revegetated with native woody species upon completion of the project
construction. A post-construction as-built with the restoration activities included shall be submitted to the
DWQ no later than 60 days after the project is closed out by the Department of Transportation.
21.) No changes to the horizontal or vertical placement of the stormwater outfall locations, the horizontal or vertical
placement of the culverts, the horizontal or vertical placement of bridges, the horizontal or vertical placement of
grassed swales, or the horizontal or vertical placement of open ditches is permitted without written approval
from the NC Division of Water Quality 401 Wetlands Unit. In addition, no changes to the flow spreader
locations or designs, preformed scour hole locations or designs are permitted without written approval from the
NC Division of Water Quality 401 Wetlands Unit. Any request for changes to the referenced items above will
require submittal of a modification request, with seven copies, and corresponding fees will need to be submitted
to the North Carolina Division of Water Quality.
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 bearing, 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 Nicole Thomson at 919-715-3415.
S' cerely
n W. Klimek, P.E. ?.
JEH/njt
Attachment
cc: Wilmington District, US Army Corps of Engineers
Mr. Eric Alsmeyer, US Army Corps of Engineers, Raleigh Field Office
Mr. Chris Murray, Division 5 Environmental Officer, 2612 N. Duke Street, Durham, NC 27704
Mr. Battle Whitley, P.E., NCDOT, District Engineer, District 2, 815 Stadium Drive, Durham, NC 27704
Mr. Billy Timberlake, NCDOT, County Maintenance Engineer, PO Box 991, Roxboro, NC 27573
Mr. Jeremy Goodwin, El, CPESC, NCDOT, Roadside Field Operations, Divisions 4 & 5,1558 MSC, Raleigh,
NC 27699-1558
NCDWQ Raleigh Regional Office
Central Files
File Copy
c:\Correspondence\D W Q041248\081104wge.doc

STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY LYNDO TIPPETT
GOVERNOR WET $?CC ETARY
July 28, 2004 (?N S/ 401 G80Up
U.S.,Army Corps of Engineers JUL 2 9 200¢
Raleigh Regulatory Field Office
6508 Falls of the Neuse Road, Suite 120 WATER QUALITY SECTI
Raleigh, NC 27609 ON
Attention: Mr. Eric Alsmeyer ®4 1 2 4 8
NCDOT Coordinator
Subject: Secondary,road improvements to SR 1565 (Burnie Huff Road) from SR 1536
(Denny's Store Road) to SR 1564 (McFarland Road) in Person County.
WBS element 5C.073015 for $200.00 401 WOC fee.
The North Carolina Department of Transportation (NCDOT) proposes to upgrade and pave
SR 1565 (Burnie Huff Road) from SR 1536 (Denny's Store Road) to SR 1564 (McFarland
Road) in Person County (Figures 1-5). See Appendix One for photographs of each site and
Appendix Two for USACE Wetland Delineation forms/DWQ rating sheets. Total project
length is 1.46 miles. Transportation and highway laws of North Carolina (G.S. 136-44.6,
136-44.7, 136-44.7A, 136-44.8, and 136-44.9) require the NCDOT to develop annual work
programs for construction and maintenance of secondary roads. These general statutes
specifically set forth requirements for annual construction and paving of existing unpaved
roads. Paving of these roads is performed in priority order as established by the NCDOT for
each unpaved road within a given county. This number is based on characteristics of each
road, including number of homes, schools, churches, businesses, industries, recreational
facilities, traffic counts, presence of school bus routes, and value as a thoroughfare. SR 1565
is scheduled to be paved in the 2004-2005 Secondary Roads Construction Program.
Impacts to Waters of the United States
Site 1 (33+55) - Waters of US
Construction at this site will impact an unnamed intermittent tributary to the Tar River
(NCDENR-DWQ Index No. 28-(1), Best Usage Classification WS-IV NSW) (Figure 3) in
the Tar-Pamlico River Basin. The existing structure that conveys the creek is a 24-inch
reinforced concrete pipe that is 40 feet long. (see Appendix One for Photographs 1 and 2).
This pipe will not be replaced. However, 36 feet of pipe extensions will be added to the inlet
end of the existing pipe. Permanent impacts at the site associated with the pipe extensions
and minimal amounts of rip rap to protect the extensions include 46 linear feet existing
Division 5, 2612 N. Duke Street, Durham, NC 27704
Phone: [phone] Fax: [phone]
channel impacted. The Site 1 work zone will be temporarily dewatered for approximately
5 days. This will involve the temporary placement of sand bags in the creek at the upstream
and downstream limits of construction. Due to the intermittent nature of this stream,
dewatering may or may not be necessary at the time of construction. Once the stream has
been dewatered (if necessary), the pipe extensions will be positioned into place. To maintain
water flow during construction, water upstream of the sand bags will be temporarily pumped
out and conveyed downstream of the sand bags. Temporary concurrent impacts to the
stream from this activity will result in dewatering 46 linear feet of stream. Any sand bags
used will be removed after construction.
Site 2 (15+84) - Waters of US
Construction at this site will impact an unnamed intermittent tributary to the Tar River
(NCDENR-DWQ Index No. 28-(1), Best Usage Classification WS-IV NSW) (Figure 4) in
the Tar-Pamlico River Basin. The existing structure that conveys the creek is a 24-inch
reinforced concrete pipe that is 36 feet long. (see Appendix One for Photographs 3 and 4).
This pipe will not be replaced. However, 8 feet of pipe extensions will be added to both the
inlet and the outlet ends of the existing pipe. Permanent impacts at the site associated with
the pipe extensions and minimal amounts of rip rap to protect the extensions include 26 linear
feet existing channel impacted. The Site 2 work zone will be temporarily dewatered for
approximately 5 days. This will involve the temporary placement of sand bags in the creek at
the upstream and downstream limits of construction. Due to the intermittent nature of this
stream, dewatering may or may not be necessary at the time of construction. Once the stream
has been dewatered (if necessary), the pipe extensions will be positioned into place. To
maintain water flow during construction, water upstream of the sand bags will be temporarily
pumped out and conveyed downstream of the sand bags. Temporary concurrent impacts to
the stream from this activity will result in dewatering 26 linear feet of stream. Any sand bags
used will be removed after construction.
Fill in wetlands is also anticipated at this site. The herbaceous fringe wetland community
adjacent to the unnamed tributary at this crossing is composed primarily of Juncus effesscrs,
Carex sp., and Typha sp. (see Appendix One for Photographs 3 and 4). The fill associated
with pipe extensions and rip rap used to protect the new structure will result in 144 ft'-
(0.003 ac) of fill in this wetland system (See Appendix Two for USACE Wetland Delineation
forms/DWQ rating sheets).
Site 3 (14+82) - Waters of US
Construction at this site will impact an unnamed intermittent tributary to the Tar River
(NCDENR-DWQ Index No. 28-(1), Best Usage Classification WS-IV NSW) (Figure 5) in
the Tar-Pamlico River Basin. The existing structure that conveys the creek is a 24-inch
reinforced concrete pipe that is 36 feet long. (see Appendix One for Photographs 5 and 6).
This pipe will not be replaced. However, 8 feet of pipe extensions will be added to both the
inlet and the outlet ends of the existing pipe. Permanent impacts at the site associated with
the pipe extensions and minimal amounts of rip rap to protect the extensions include 26 linear
feet existing channel impacted. The Site 3 work zone will be temporarily dewatered for
approximately 5 days. This will involve the temporary placement of sand bags in the creek at
the upstream and downstream limits of construction. Due to the intermittent nature of this
stream, dewatering may or may not be necessary at the time of construction. Once the stream
has been dewatered (if necessary), the pipe extensions will be positioned into place. To
maintain water flow during construction, water upstream of the sand bags will be temporarily
pumped out and conveyed downstream of the sand bags. Temporary concurrent impacts to
the stream from this activity will result in dewatering 26 linear feet of stream. Any sand bags
used will be removed after construction.
Fill in wetlands is also anticipated at this site. The herbaceous fringe wetland community
adjacent to the unnamed tributary at this crossing is composed primarily of Juncus e/fiisus,
Carex sp., and Typha sp. (see Appendix One for Photographs 5 and 6). The fill associated
with pipe extensions and rip rap used to protect the new structure will result in 104 ft'-
(0.002 ac) of fill in this wetland system (See Appendix Two for USACE Wetland Delineation
forms/DWQ rating sheets).
Riparian Buffer Impacts
Site l (33+55) - Buffers
The construction at this site involves a road crossing of a stream that is subject to the
Tar-Pamlico Riparian Buffer Rule. The unnamed intermittent tributary to the Tar River at
Site 1 is not depicted on the most recent version of the Triple Springs (1980) topographic
quadrangle (Figure 1) however it does appear on the Soil Survey of Person County (USDA-
SCS, 1984) (Figure 2). The NCDOT proposes to install temporary erosion and sediment
control devices in Zone 1 and Zone 2 of the riparian buffer. Specifically, the NCDOT
will place of temporary rock sediment dam (Type B) and temporary silt fence in Zone 1,
with temporary rock silt check (Type B), temporary rock silt check (Type A), and
temporary silt fence in Zone 2. The temporary structures will be removed once the
vegetation has been established and then seeded with a seed mixture of fescue and bahia
grass. Please note that the placement of these structures are within the 60 right-of-way
width and their associated impacts total 1,004 ft2 in Zone 1 and 562 ft2 in Zone 2
(totaling 40 linear feet of riparian buffer impacts outside the Existing Transportation
Facility). Based on the impacts to the riparian buffer at this site, this crossing is EXEMPT.
Site 2 (15+84) - Buffers
The construction at this site involves a road crossing of a stream that is subject to the
Tar-Pamlico Riparian Butler Rule. The unnamed intermittent tributary to the Tar River at
Site 2 is not depicted on the most recent version of the Triple Springs (1980) topographic
quadrangle (Figure l) however it does appear on the Soil Survey of Person County (USDA-
SCS, 1984) (Figure 2). The NCDOT proposes to install temporary erosion and sediment
control devices in Zone 1 and Zone 2 of the riparian buffer. Specifically, the NCDOT
will place of temporary rock sediment dam (Type B) and temporary silt fence in Zone 1,
with temporary rock silt check (Type B), temporary rock silt check (Type A), and
temporary silt fence in Zone 2. The temporary structures will be removed once the
vegetation has been established and then seeded with a seed mixture of fescue and bahia
width and their associated impacts total 1,327 ft` in Zone 1 and 989 ft` in Zone_ 2
(totaling 26 linear feet of riparian buffer impacts). Based on the impacts to the riparian
buffer at this site, this crossing is EXEMPT.
Site 3 (14+82) - Buffers
The construction at this site involves a road crossing of a stream that is subject to the
Tar-Pamlico Riparian Buffer Rule. The unnamed intermittent tributary to the Tar River at
Site 3 is depicted on the most recent version of the Triple Springs (1980) topographic
quadrangle (Figure 1) and the Soil Survey of Person County (USDA-SCS, 1984) (Figure 2).
The NCDOT proposes to install temporary erosion and sediment control devices in Zone
1 and Zone 2 of the riparian buffer. Specifically, the NCDOT will place of temporary
rock sediment dam (Type B) and temporary silt fence in Zone 1, with temporary rock silt
check (Type B), temporary rock silt check (Type A), and temporary silt fence in Zone 2.
The temporary structures will be removed once the vegetation has been established and
then seeded with a seed mixture of fescue and bahia grass. Please note that the
impacts total 1,364 fe in Zone 1 and 984 ft` in Zone 2 (totaling 26 linear feet of riparian
buffer impacts). Based on the impacts to the riparian buffer at this site, this crossing is
EXEMPT.
Waters of the U.S./Riparian Buffer Mitigation
Avoidance: All wetlands and surface waters not affected by the project will be protected from
unnecessary encroachment. No staging of construction equipment or storage of construction
supplies will be allowed in wetlands or near surface waters.
Minimization: The side slopes have been steepened to the extent possible at jurisdictional
sites. Strict enforcement of sedimentation and erosion control Best Management Practices for
the protection of wetlands and surface waters will be enforced during project construction.
Continued coordination will occur with maintenance forces and the Environmental Officer
during construction to minimize impacts to these sites.
Compensatory Mitigation: Construction of the project will result in only minimal impacts to
waters of the United States. Impacts have been avoided and minimized to the maximum
extent possible during the design process. Due to minimal impacts, compensatory mitigation
for stream and buffer impacts will not be provided for this project.
Protected Species
Plants and animals with federal classifications of Endangered, Threatened, Proposed
Endangered and Proposed Threatened are protected under provisions of Section 7 and
Section 9 of the ESA. As of January 29, 2003, there is one federally protected species listed
for Person County: dwarf wedgemussel (Alasmidonta heterodon). The unnamed tributaries to
the Tar River along this roadway are intermittent and within the headwaters of a drainage
system. Therefore, neither of these streams provide suitable habitat for mussel fauna.
Therefore, based on the lack of suitable habitat observed during the 07/09/04 site visit, a
biological conclusion of No Effect has been rendered for this species.
Historical Compliance
This project has been screened by all pertinent parties to ensure historic compliance.
? i
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SR 1565 Bunnie Huff Road
Person County
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Summary
NCDOT proposes to upgrade and pave SR 1565 (Bunnie Huff Road) in Person County.
Impacts are proposed to Waters of the United States including surface water fill and fill in
wetlands. In addition impacts to the riparian buffers within the Tar-Pamlico River Basin are
proposed, however impacts to each site are EXEMPT. Application is hereby made for a
Department of the Army Section 404 Nationwide Permit (NWP) 14, NWP 33, and
NCDENR-DWQ Section 401 Water Quality Certification (WQC) No. 3404 and WQC No.
3366 for above-described activities.
An automated payment procedure has recently been implemented between the NCDOT and
NCDWQ. This procedure will enable the Division to apply for the 401 WQC without
submitting a check for this permit application. This new procedure will provide payment to
the NCDWQ by charging the permit application fee of $200.00 directly to the appropriate
NCDOT WBS element 5C.073015. A pre-construction notification is attached with this
request. If you have any questions or need additional information, please contact Ms. Heather
Montague at [phone].
Sincerely,
•S'.13
on G. Nance, P.E.
Division Engineer
cc: Ms. Nicole Thomson, NCDWQ
Mr. Battle Whitley, NCDOT
Mr. Billy Timberlake, NCDOT
Mr. Jeremy Goodwin, NCDOT
Office Use Only: Form Version May 2002
USACE Action ID No. DWQ NJ) 412 4 8
(it any particular item is not applicable to this project, please enter "Not Applicable" or "N/A".)
1. Processing
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: NWP 14 and NWP 33
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: ?
4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for
mitigation of impacts (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: ?
II. Applicant Information
1. Owner/Applicant Information
Name: NCDOT Division 5 Jon G. Nance
Mailing Address: 2612 N. Duke St. Durham NC 27704
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: JNanceRdot.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:
Company Affiliation:
Mailing Address:
Telephone Number: Fax Number:
E-mail Address:
Page I 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 fonnat;
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: Proposed extensions of structures conveying unnamed tributaries to the
Tar River in association with upgrading and paving SR 1565 (Bunnie Huff Road) in Person
County.
2. T.I.P. Project Number or State Project Number (NCDOT Only):_
WBS Element No. 5C.073015
3. Property Identification Number (Tax PIN): N/A
4. Location
County: Person Nearest Town: Roxboro
Subdivision name (include phase/lot number): N/A
Directions to site (include road numbers, landmarks, etc.): From Roxboro take
Mtn Rd/Allensville Road east towards Allensville. After Allensville road names charges to
Denny's Store Road. At the community of Denny's Store make a left onto Bunnie Huff
Road to permit sites.
5. Site coordinates, if available (UTM or Lat/Long): Site 1: 36.3887°N, 78.8129°W
Site 2: 36.3855°N 78.8165°W
Site 3: 36.3848°N 78.8171 °W (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): 10.6 acre (Project is 1.46 mi long)
7. Nearest body of water (stream/river/sound/ocean/lake):_
Site 1: Unnamed Tributary to the Tar River
Site 2: Unnamed Tributary to the Tar River
Site 3: Unnamed Tributary to the Tar River
Page 2 of 9
I&
S. River Basin: Tar-Pamlico
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://li2o.enr.state.nc.us/admin/maps/.)
9. Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this application: Sites are surrounded by wooded areas and agriculture land
10. Describe the overall project in detail, including the type of equipment to be used: Grade,
drain, pave, and erosion control at SR 1565 (Bunnie Huff Rd) The NCDOT will also
dewater each work site (as necessary) during construction Equipment may include
excavator, backhoe, bulldozer, grader, and crane.
11. Explain the purpose of the proposed work: The project is part of the 2004-2005 secondary
road paving program. The existing gravel roadway will be paved with asphalt
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.
None that are known for NCDOT activities.
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.
VI. Proposed Impacts to Waters of the United States/Waters of the State
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. The applicant must also
provide justification for these impacts in Section VII below. All proposed impacts, permanent
and temporary, must be listed herein, and must be clearly identifiable on an accompanying site
plan. All wetlands and waters, and all streams (intermittent and perennial) must be shown on a
delineation map, whether or not impacts are proposed to these systems. Wetland and stream
evaluation and delineation forms should be included as appropriate. Photographs may be
included at the applicant's discretion. If this proposed impact is strictly for wetland or stream
mitigation, list and describe the impact in Section VIII below. If additional space is needed for
listing or description, please attach a separate sheet.
Page 3 of 9
I. Provide a written description of the proposed impacts See cover letter for a thorough
description of the proposed impacts at each site The NCDOT will also dewater each work
site (as necessary) during construction
2. Individually list wetland impacts below:
Wetland Impact Area of Located within Distance to
Site Number Type of Impact* Impact 100-year Floodplain*
* Nearest
Type of Wetland***
(indicate on map) (acres) (yes/no) Stream (linear
feet
Site 1 NONE N/A N/A N/A N/A
144 ft
Site 2 Fill (0.003) Yes adjacent fringe wetland
104 ft
Site 3-- Fill (0.002) Yes adjacent fringe wetland
1-IM cacn onpact separately ana wennty temporary impacts. Impacts include, but are not limited to: mechanized clearing, grading, till,
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 http://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 USAGE only).
List the total acreage (estimated) of all existing wetlands on the property: 0.005 ac
Total area of wetland impact proposed: 0.005 ac
I Individually list all intermittent and Derennial stream impacts below-
Stream Impact
Site Number
Type of Impact*
Length of Impact
Stream Name** Average Width
of Stream Perennial or
Intermittent?
indicate on ma) (linear feet) Before Impact (please secif )

Pipe extension 36 ft
Rip rap along
Site 1 streambank for loft Tar River 1 ft intermittent
stabilization only
Temporary 46 ft (concurrent)
Dewatering
Pipe extension 16 ft
Rip rap along
Site 2 streambank for loft UT
Tar River 1 ft intermittent
stabilization only
Temporary 26 ft (concurrent)
Dewatering
Pipe extension 16 ft
Rip rap along
Site 3 streambank for loft UT
Tar River 1.5 ft intermittent
stabilization only
Temporary 26 ft (concurrent)
Dewatering
Page 4 of 9
* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: culverts and associated rip-rap,
dams (separately list impacts due to both structure and flooding), relocation (include linear feet before and after, and net loss/gain),
stabilization activities (cement wall, rip-rap, crib wall, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is
proposed, plans and profiles showing the linear footprint for both the original and relocated streams must be included.
** Stream names can be found on USGS topographic maps. If a stream has no name, list as UT (unnamed tributary) to the nearest
downstream named stream into which it flows. USGS maps are available through the USGS at 1-800-358-9616, or online at
www.usgs. o . Several internet sites also allow direct download and printing of USGS maps (e.g., www.topozone.com,
www.maUucst.com, etc.).
Cumulative impacts (linear distance in feet) to all streams on site:_
Site 1: 46 ft (fill from placement of extension rip rap along streambank for stabilization)
Site 2: 26 ft (fill from placement of extension rip rap along streambank for stabilization)
Site 3: 26 ft (fill from placement of extension rip rap along streambank for stabilization)
in addition to concurrent temporary impacts from dewatering at each site.
4. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and an other water of the U.S.) below:
Open Water Impact Area of
Name Wat Type of Waterbody
Site Number Type of Impact* Impact )
(if applicable) (lake, pond, estuary, sound,
indicate on ma) (acres) bay, ocean, etc.)
N/A

List each impact separately and identity temporary impacts. Impacts include, but are not limited to: till, excavation, dredging,
flooding, drainage, bulkheads, etc.
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.);
Proposed use or purpose of pond
local stormwater requirement, etc.)
Size of watershed draining to pond
(e.g., livestock watering, irrigation, aesthetic, trout pond,
N/A
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.
All wetlands and surface waters not affected by construction will be protected from unnecessary
encroachment during construction. Strict enforcement of Best Management Practices for the
protection of wetlands and surface waters will be enforced during construction. Only the
smallest amount of fill necessary to complete the project will be placed in waters of the United
States or protected riparian buffers
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.
USAGE - 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/stnn ig de.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.
z. 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 llttp://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): N/A
Amount of buffer mitigation requested (square feet): N/A
Amount of Riparian wetland mitigation requested (acres): N/A
Amount of Non-riparian wetland mitigation requested (acres): N/A
Amount of Coastal wetland mitigation requested (acres): N/A
Page 6 of 9
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 213 .0233
(Neuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and
Water Supply Buffer Requirements), or other (please identify )?
Yes ® No ? If you answered "yes", provide the following information:
Identify the square feet and acreage of impact to each zone of the riparian butters. If buffer
mitigation is required calculate the required amount of mitigation by applying the buffer
multipliers.
Site 1 (STA 33+55)
Zone* Impact
(square feet) Multiplier Required
Mitigation
1 1,004 3 N/A
2 562 1.5 N/A
Total 1,566 N/A
* Zone I extends out 30 feet perpendicular from near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.
Page 7 of 9
Site 2 (STA 15+84)
Zone* Impact
(square feet) Multiplier Required
Mitigation
1 1,327 3 N/A
2 989 1.5 N/A
Total 2,316 N/A
* Zone 1 extends out 30 feet perpendicular from near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.
Site 3 (STA 14+82
Zone* Impact Multiplier Required
(square feet) Mitigation
1 1,364 3 N/A
2 984 1.5 N/A
Total 2,348 N/A
* Zone I extends out 30 feet perpendicular from near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.
If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation
of Property, Conservation Easement, Riparian Buffer Restoration / Enhancement, Preservation or
Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as
identified within 15A NCAC 2B .0242 or.0260.
N/A
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.
Existing: 3.9 acre impervious surface (avg 22 foot wide gravel road) of 10.6 acre total project size.
Proposed: 3.5 acre impervious surface (proposed 20 foot wide asphalt paved road) of 10.6 acre total
project size The erosion control plan for this project is designed for 900 cubic feet of storage per acre.
Erosion and sediment control devices along the project are comprised of temporary rock sediment dam
(Type B), temporary rock silt check (Type B) temporary rock silt check (Type A), and temporary silt
fence The NCDOT proposes to install temporary erosion and sediment control devices in Zone 1 and
Zone 2 of the riparian buffer. Specifically, the NCDOT will place of temporary rock sediment dam
(Type B) and temporary silt fence in Zone 1 with temporary rock silt check (Type B) temporary rock
silt check (Type A) and temporary silt fence in Zone 2 The temporary structures will be removed once
the vegetation has been established and then seeded with a seed mixture of fescue and bahia grass.
Please note that the placement of these structures are within the 60 right-of-way width and their
associated impacts are listed above.
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.
The project will not generate wastewater.
Page 8 of 9
XIII. Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H .0500) or any Buffer Rules?
Yes ? No
Is this an after-the-fact permit application?
Yes ? No
XIV. Other Circumstances (Optional):
It is the applicant's responsibility to submit the application sufficiently in advance of desired
construction dates to allow processing time for these permits. However, an applicant may
choose to list constraints associated with construction or sequencing that may impose limits on
work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and
Threatened Species, accessibility problems, or other issues outside of the applicant's control).
. ,.U . ?wD ? ?1V 1 sLo?J, '? ? ? G+LhI£,6TL 7/
Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 9 of 9
Appendix One
(Photographs of each site)
I ?

i

1 F: ?
1

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Photograph 1. View from above inlet at Site 1.
Photograph 2. View from below outlet at Site 1.
i
j
Photograph 3. View from above inlet at Site 2.

Photograph 6. View from below outlet at Site 3.
if

11
t

Photograph 5. View from above inlet at Site 3.
Appendix Two
(USAGE Wetland Delineation forms/
DWQ rating sheets)
DATA FORM
ROUTINE WETLAND DETERMINATION
(1987 COE Wetlands Determination Manual)

Project / Site: WE 15G S /?ct.1?I?Y lTtc J Date:
"

Applicant / Owner:
-
-
County:
4xti
?
Investigator: A
w4e- W
o State:
Do normal circumstances exist on the site? Yes No Community ID:
Is the site significantly disturbed (Atypical situation)? Yes No Transect ID:
Is the area a potential problem area? yes No Plot ID:
(explain on reverse if needed)
VEGETATION
Dominant Plant Species Stratum Indicator Dominant Plant Species Stratum Indicator
1. S V #- oB L 9.
2. _? /05L 10.
3. a8L 11. .
4. .4 & 12.
5. ?C<?
S 13.
6.
C i rnu s c/? AIL 14.
7 15.
8. 16.
Percent of Dominant Species that are OBL, FACW, or FAC excluding FAC-).
Remarks: Wetland Vegetation Present Based Upon Greater than 50% of the Plant Species are/are not
Classified as FAC-OBL in the National List of Plant Species that Occur in Wetlands. Sample plot was taken...
We f?? t?-
HYDROLOGY
_ Recorded Data (Describe In Remarks): Wetland Hydrology Indicators
Stream, Lake, or Tide Gauge
_ Aerial Photographs Primary Indicators:
_ Other Ip?uundated
?5
t
12"
t
d i
U
No Recorded Data Available a
ura
pper
e
n
_ Water Marks
_ Drift Lines
Field Observations: _ Sediment Deposits
Drainage Patterns In Wetlands
Depth of Surface Water: Secondary Indicators:
Depth to Free Water In Pit: < 1 Z (in.) Oxidized Roots Channels in Upper 12"
Water-Stained Leaves
?,,ocal Soil Survey Data
Depth to Saturated Soil: 17- (in.) ?FAC-Neutral Test
_ Other (Explain in Remarks)
Remarks:

.q y P?7'.I G
?C7 ( ?j?,?,yv /A
7 //
SOILS
Map Unit Name
(Series and Phase): Drainage Class:
Taxonomy (Subgroup): Confirm Mapped Type? Yes_ No
Profile Description:
Depth Matrix Colors Mottle Colors Mottle Texture, Concretions,
(inches) Horizon (Munsell Moist) (Munsell Moist) Abundance/Contrast Structure, etc.
Hydric Soil Indicators:
Histosol _ Concretions
Histic Epipedon _ High Organic Content in Surface Layer in Sandy Soils
_ Sulfidic Odor Organic Streaking In Sandy Soils
Aquic Moisture Regime Listed On Local Hydric Soils List
-ucing Conditions Listed on National Hydric Soils List
?Gleyed or Low-Chroma Colors _ Other (Explain in Remarks)
Remarks:
yGLv2 ?Sb? r?S ?I^lf??
WETLAND DETERMINATION
Hydrophytic Vegetation Present? Yes _jZ ,iVo Is the Sampling Point /
Wetland Hydrology Present? Yes r/,,No Within a Wetland? Yes r_/No_
Hydric Soils Present? Yes P/ No
Remarks: Location (describe) is/is not classified as a wetland based upon the criteria set forth in the 1987
Army Corps of Engineers Wetlands Delineation Manual.
Wey oiewx ,? r A-re^--e?
DATA FORM
ROUTINE WETLAND DETERMINATION
(1987 COE Wetlands Determination Manual)
?'4 1 ?d
1P
Project / Site: SR 1!;(e.5 OwmfC Date: -7q
Applicant / Owner: 1( M<
- County: "Jr
-
Investigator: re 0
T4 ? 1 G
State:
Do normal circumstances exist on the site? Yes I/No Community ID:
Is the site significantly disturbed (Atypical situation)? Yes No G--, Transect ID:
Is the area a potential problem area? Yes No Plot ID:
(explain on reverse if needed)
VEGETATION
Dominant Plant Species Stratum Indicator Dominant Plant Species Stratum Indicator
f 9.
2. 'r G 10.
3. nu 11.
4. 12.
5. 13.
6. 14.
7. 15.
8. 16.
Percent of Dominant Species that are OBL, FACW, or FAC excluding FAC-). 33 ° o
Remarks: Wetland Vegetation Present Based Upon Greater than 50% of the Plant Species are/are not
Classified as FAC-OBL in the National List of Plant Species that Occur in Wetlands. Sample plot was taken...
//

HYDROLOGY
Recorded Data (Describe In Remarks): Wetland Hydrology Indicators
_ Stream, Lake, or Tide Gauge
_ Aerial Photographs Primary Indicators:
_ Other _ Inundated
-Saturated in Upper 12"
No Recorded Data Available _ Water Marks
_ Drift Lines
Field Observations: _ Sediment Deposits
_ Drainage Patterns in Wetlands
Depth of Surface Water: /lode (in.) Secondary Indicators:
Depth to Free Water in Pit: 7 (Z (in.) Oxidized Roots Channels in Upper 12"
_ Water-Stained Leaves

7 IZ _ Local Soil Survey Data
(in.)
Depth to Saturated Soil: _ FAC-Neutral Test
_ Other (Explain in Remarks)
Remarks:
?o Sin S e? ? ? o l09 y
SOILS

Map Unit Name
(Series and Phase): Drainage Class:
Taxonomy (Subgroup): Confirm Mapped Type? Yes_ No
Profile Description:
Depth Matrix Colors Mottle Colors Mottle Texture, Concretions,
(inches) riHo zon (Munsell Moist) (Munseil Mois t) Abundance/Contrast Structure, .
o"t 76 R 3 z - S
-/Zf o R 2 - SG
Hydric Soil Indicators:
_ Histosol _ Concretions
_ Histlc Epipedon _ High Organic Content in Surface Layer in Sandy Soils
_ Suifldlc Odor Organic Streaking In Sandy Soils
- Aquic Moisture Regime Listed On Local Hydric Soils List
_ Reducing Conditions Listed on National Hydric Soils List
- Gleyed or Low-Chroma Colors Other (Explain in Remarks)
Remarks:
/
/l0?1 ?y ? 2 S ?/ ?r? s?+-?
WETLAND DETERMINATION
Hydrophytic Vegetation Present? Yes No Is the Sampling Point
Wetland Hydrology Present? Yes No Within a Wetland? Yes_ No-,'-?
Hydric Soils Present? Yes No 7
Remarks: Location (describe) is/is not classified as a wetland based upon the criteria set forth in the 1987
Army Corps of Engineers Wetlands Delineation Manual

?71Y RZA /S rIW- a 4,77??
??qq `? , ,, ,y? i ?r.Fi A: ?" s',v: xwr+: 1:',e,{'s. 1: p uLL..C1.T:hJ.Y;.1.Rrf::i:li J: •V 4l ??;,3r i:;Hi 3eSJ t E ?S3i''?.6+`
?•`..:s'?:.. ?'.... .`:#?'?1.? •?".»t?3.?`+?'?'3???e':?r°•i?t:.:;a :E:VS?lr...S?.itit•?'?E!?l:?ivti.?,..:e? `T`
Project Name SQ ?SGS I""Pe Nearest Road 5? /SGS
County 807- Wetland Area. 9• 003 acres Wetland Width < s° • fee
Name of evaluator Date
Wetland Location
_ on pond or lake
on perennial stream
on intermittent stream
within interstream divide
other
Soil series
predominantly organic - humus, muck,
or peat
pledominantly mineral - non-sandy
predominantly sandy
Adjacent land use
(within 1/2 mile upstream, ups-lope, or tadius)
v
forested/natural vegetation °/
agriculture, urban/subu.Z v "/o
f impervious surface -%
Dominant vegetation

(2) S,O
(3)
Flooding and wetness
Hydraulic factors
steep topography
ditched or channelized
total wetland width 2100 feet
_ semipermanently to permanently
flooded or inundated
_ seasonally flooded or inundated
tntermittanly flooded or temporary
surface water
no evidence of floodin¢ or surface water
Wetland type (select one)*
Bottomland hardwood forest Pine savanna
Headwater forest Freshwater marsh
Swamp forest Bog/fen
Wet flat Ephemeral wetland
Pocosin C,,arolina Bay
Bog forest - /Other _14;11
*the rating system cannot be applied t2_salt or brackish marshes or stream channels
weight
R Water storage Z x 4.00 = `>s•: >£:
A Bank/Shoreline stabilization x 4.0
7' Pollutant removal x 5.00=.
I
Wildlife habitat
x 2.00 = Y " ' i.K
N Aquatic life value / x 4.00 =
G Recreation/Education x 1.00 =
Wetland
Rating
*Add 1 point if in sensitive watershed and >10% nonpoint disturbance within 1/2 mile upstream,
u slo a or radius ------------------------------
DATA FORM
ROUTINE WETLAND DETERMINATION
(1987 COE Wetlands Determination Manual)
y,de Z P-e??
Project / Site: 6 Date: 9 I 0
Applicant / Owner: County:
Investigator: State:
Do normal circumstances exist on the site? Yes L-110-- Community ID:
Is the site significantly disturbed (Atypical situation)? Yes No ? Transect ID:
Is the area a potential problem area? Yes No Plot ID:
(explain on reverse if needed)
VEGETATION
Dominant Plant Species Stratum Indicator Dominant Plant Species Stratum Indicator
1. ?ar?c&r /f. A k- o& L 9.
2. A _W -04
_gtk 10.

4. tNy- 12.
5. on, r+ t f/ oW19 13.
6. u 14.
7. 15.
8. 16.
Percent of Dominant Species that are OBL, FACW, or FAC excluding FAC-).
Remarks: Wetland Vegetation Present Based Upon Greater than 50% of the Plant Species are/are not
Classified as FAC-OBL in the
t S
pecies that Occur in Wetlan s. Sample plot was taken...
National ' List of Plan
/
e
ff
HYDROLOGY
Recorded Data (Describe In Remarks): Wetland Hydrology Indicators
- Stream, Lake, or Tide Gauge
_ Aerial Photographs Primary Indicators:
Other In ted
=
aturated in Upper 12"
No Recorded Data Available _ Water Marks
_ Drift Lines
Field Observations: _ Sediment Deposits
_ Drainage Patterns in Wetlands
Depth of Surface Water: 11446- (in.) Secondary Indicators:
Depth to Free Water In Pit: /Z (in.)
) Oxidized Roots Channels in Upper 12"
_ Water-Stained Leaves

Depth to Saturated Soil:
(in.) L al Soil Survey Data
C-Neutral Test
Other (Explain in Remarks)
Remarks:

SOILS
Map Unit Name
(Series and Phase): Drainage Class:
Taxonomy (Subgroup): Confirm Mapped Type? Yes _ No
Profile Description:
Depth Matrix Colors Mottle Colors Mottle Texture, Concretions,
(inches) Horizon (Munsell Molgjl (Munsell Mois t). Abundance/Contrast Structure, etc.
6Z- Z- /Oa'/j Z ? ?.
Hydric Soil Indicators:
_ Histosol _ Concretions
_ Histic Epipedon _ High Organic Content in Surface Layer in Sandy Soils
Sulfidic Odor Organic Streaking In Sandy Soils
Aqulc Moisture Regime Listed On Local Hydric Solis List
_ R ucing Conditions Listed on National Hydric Soils List
leyed or Low-Chroma Colors _ Other (Explain in Remarks)
Remarks:

WETLAND DETERMINATION
Hydrophytic Vegetation Present? Yes _?No Is the Sampling Point
Wetland Hydrology Present? Yes =No Within a Wetland? Yes N o_
Hydric Soils Present? Yes No
Remarks; Location (describe) is/is not classified as a wetland based upon the criteria set forth in the 1987
Army Corps of Engineers Wetlands Delineation Manual.
4.
DATA FORM -
ROUTINE WETLAND DETERMINATION
(1987 COE Wetlands Determination Manual)

Project / Site: 5,k 15,65 a+?C T °1
Date:
Applicant / Owner: E
County: f
Investigator: .% vn State: C
Do normal circumstances exist on the site? Yes No
? Community ID:
Is the site significantly disturbed (Atypical situation)? Yes No-? _ Transact ID:
Is the area a potential problem area? Yes No Plot ID:
(explain on reverse if needed)
VEGETATION.
minant Plant Scacles
,gtratum Indicator
Doml'nan! Plant Swiss Stratum .. indicator . ,.
2. P T G/ 10.
3. u5,' 2jjt*kt?
T F1?C'?J
11.
4. 12.
5. 13.
.6. _ 14.
7. 15.
8. 16.
Percent of Dominant Species that t are OBL, FACW, or FAC exeluding , FAC-). 33Y-
Remarks: Wetland, Vegetation Present Based Upon Greater than 50% of the Plant Species arelare not
Classed as FAC-OBL in the National List of Plant Species that Occur in Wetlands. Sample plot was taken...
GtiYf?,ti-?I to ?bh n? a ti.
HYDROLOGY, ,
_ Recorded Data (Describe In Remarks): Wetland Hydrology Indicators
- Stream, Lake, or Tide Gauge
-_-_ Aerial Photographs Primary Indicators:
_ Other _ Inundated
_Saturated in Upper 12"
No Recorded Data Available _ Water Marks
Drift Lines
Field Observations: _ Sediment Deposits
Drainage Patterns in Wetlands
Depth of Surface Water: 404e. (in.) Secondary Indicators:
Depth to Free Water In Pit: ?/Z (in. Oxidized Roots Channels in Upper 12"
_ Water-Stained Leaves
Local Soil Survey Data , . ,
Depth to Saturated Soil:
(in-) - FAC-Neutral Test
_ Other (Explain in Remarks)
Remarks.
/Vb r??n5
a? ?(?, ,t,?7. y

SOILS

Map Unit Name
(Series and Phase): Drainage Class:
Taxonomy (Subgroup): Confirm Mapped Type? Yes No .
Profile Description: ti
Depth Matrix Colors Mottle Colors, Mottle „ Texture, Concretions,
(InChief Morti40_ (Munsill Moist) (Munsell Molst). AbundancNContrest Structure, eta. -
az Me 3 Z - _
Z -45{1 o X V/7- _ 5C
Hydric Soil Indicators:
- Histosoi _ Concretions
Histic Epipedon High Organic Content In Surface Layer In Sandy Soils
- Sulfidic Odor Organic Streaking In Sandy Soils
_ Aquic Moisture Regime Listed On Local Hydric Soils List
- Reducing Conditions Listed on National Hydric Soils'List
_ Gleyed or Low-Chroma Colors Other (Explain in Remarksj`
Remarks: ., ...
WETLAND DETERMINATION
Hydrophytic Vegetation Present?' Yes No Is the Sampling Point
Wetland Hydrology Present? Yes No k--" Within a Wetland? Yes_ No v?
Hydric Soils Present? Yes No ??
Remarks: ' Location (describe) istis not classified as a wetland based upon the criteria set forth in the 1987
Army Corps of 1~ismeers Wetlands Delineation Manual.

t
srk ?Y?Q
Project Name s?e
county.. &'5 ? 'Aretl
Name of evaluator-
4200
_ Nearest Road 10fl-12 Is6s
acres Wetland Width `-5519 f et
Date 4 Q
Wetland Location
on pond or lake
oaperennial stream
11
?on intermittent stream
within interstream divide
other
Soil series
predominantly organic - humus, muck,
or peat
predominantly mineral - non-sandy
predominantly sandy
Hydraulic factors
steep topography
ditched or channelized
total wetland width 2100 feet
Adjacent land use
(within 1/2 mile upstream, upslope, or radius)
$? forested/natural vegetation v%
agriculture, urban/suburb;; ? %
impervious surface Z%
Dominant vegetation
(1) -- 7uHcas Sr? -"
(2)
T-
Flooding and wetness
_ semipermanently to permanently
flooded or inundated
onally flooded or inundated
tntermittanly flooded or temporary
surface water
no evidence of floodin¢ or surface water
Wetland type (select one)*
Bottomland hardwood forest Pine savanna
Headwater forest Freshwater marsh
Swamp forest Bog/fen
Wet flat Ep emeral wetland
Pocosin girolina B y
Z
Bog forest - Other ?l
*the rating system cannot be applied to salt or brackish marshes or stream channels
---------- ------- ----------------------- ---------------------------------
weight
R Water storage x 4.00 = N. Yl'< Wetland
R
i
A Bank/Shoreline stabilization O x 4.00
at
ng
T Pollutant removal x 5.00 = t
I Wildlife habitat x 2.00
N Aquatic life value x 4.00 = : .
G Recreation/Education x 1.00
*Add 1 point if in sensitive watershed and >10% nonpoint disturbance within 1/2 mile upstream,
u slo a or radius ------------------------------