20041174 Ver 1_Complete File_20040720

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
September 15, 2004
Rockingham County
DWQ Project No. 04-1174
Victory Hill Church Rd (SR 1348)
APPROVAL of 401 Water Quality Certification
Mr. J.M. Mills, P.E.
Division Engineer, Division 7
North Carolina Department of Transportation
1584 Yanceyville Street
Greensboro, North Carolina, 27415
Dear Mr. Mills:
You have our approval, in accordance with the attached conditions and those listed below, to incur the following impacts
in order to replace bridge #157 on Victory Hill Church Rd in Rockingham County.
• 100 linear feet of new impacts to an unnamed tributary to the Mayo River (60 feet width of corrugated metal pipe arch
and 40 feet of rip-rap);
Temporary dewatering impacts of approximately 50 square feet for sandbags and rock silt dam.
The project shall be constructed in accordance with your application dated July 16, 2004 and an amended application
dated September 3, 2004. After reviewing your application, we have decided that this fill is covered by General Water
Quality Certification Nos. 3404 and 3366, corresponding to the U.S. Army Corps of Engineers Nationwide Permit
Numbers 14 and 33. 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 Division of Water Quality (Division) and submit a new application. If the
property is sold, the new owner must be given a copy of this approval letter and certifications, 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 if
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 and any additional conditions listed below.
1. Erosion and sediment control practices must be in full compliance with all specifications governing the proper design,
installation and operation and maintenance of such Best Management Practices in order to protect surface waters
standards:
a. The erosion and sediment control measures for the project must be designed, installed, operated, and maintained
in accordance with the most recent version of the North Carolina Sediment and Erosion Control Planning and
Design Manual.
b. The design, installation, operation, and maintenance of the sediment and erosion control measures must be such
that they equal, or exceed, the requirements specified in the most recent version of the North Carolina Sediment
and Erosion Control Manual. The devices shall be maintained on all construction sites, borrow sites, and waste
pile (spoil) projects, including contractor-owned or leased borrow pits associated with the project. N w Carolina
Naturally
North Carolina Division of Water Quality 585 Waughtown Street Phone [phone] Customer Service
Internet: h2o.enr.state.nc.us Winston-Salem, NC 27107 FAX [phone]
An Equal Opportunity/Affirmative Action Employer- 50% Recycled/10% Post Consumer Paper

Mr. J.M. Mills, PE
September 15, 2004
DWQ# 04-1174
Page 2
c. For borrow pit sites, the erosion and sediment control measures must be designed, installed, operated, and
maintained in accordance with the most recent version of the North Carolina Surface Mining Manual.
d. The reclamation measures and implementation must comply with the reclamation in accordance with the
requirements of the Sedimentation Pollution Control Act.
2. No waste, spoil, solids, or fill of any kind shall occur in wetlands, waters, or riparian areas beyond the footprint of the
impacts depicted in the Preconstruction Notice Application. All construction activities, including the design,
installation, operation, and maintenance of sediment and erosion control Best Management Practices, shall be
performed so that no violations of state water quality standards, statutes, or rules occur.
3. Sediment and erosion control measures shall not be placed in wetlands or waters to the maximum extent practicable.
If placement of sediment and erosion control devices in wetlands and waters is unavoidable, they shall be removed
and the natural grade restored within six months of the completion of the project.
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. Stormwater should be directed to vegetated buffer areas, grass lined ditches or other means appropriate to the site for
the purpose of pre-treating stormwater runoff, and must not be routed directly into streams. Mowing of existing
vegetated buffers is strongly discouraged, so that they may be utilized for stormwater sheet flow.
6. Where practicable, culverts that are less than 48-inch in diameter should be buried to a depth equal to or greater than
20% of their size to allow for aquatic life passage. Culverts that are 48-inch in diameter or larger should be buried at
least 12 inches below the stream bottom to allow natural stream bottom material to become established in the culvert
following installation and to provide aquatic life passage during periods of low flow. These measurements must be
based on natural thalweg depths. This may require increasing the size of the culvert to meet flow conveyance
requirements. If any of the existing pipes are perched, they shall be removed and replaced, and re-installed correctly,
unless demonstrated that this is topographically unfeasible. All waters must flow through without freefalling or
damming on either end of the culverts during low flow conditions, to maintain aquatic life and/or fish passage.
7. 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.
8. Disturbed floodplains and streams should be restored to natural geomorphic conditions.
9. Use of rip-rap for bank stabilization is to be minimized; rather, native vegetation is to be planted when practical. If
rip-rap is necessary, it must be limited to the stream bank below the high water mark, and vegetation must be used for
stabilization above high water. Any rip-rap used must not interfere with aquatic life passage during low flow
conditions.
10. If concrete is used, work must be accomplished so the wet concrete does not contact the stream water. This will
lessen the chance of altering the stream's water chemistry and causing a fish kill.
11. Heavy equipment must be operated from the banks rather than in the stream channel in order to minimize
sedimentation and reduce the likelihood of introducing other pollutants into the stream.
12. All mechanized equipment operated near surface waters must be regularly inspected and maintained to prevent
contamination of stream waters from fuels, lubricants, hydraulic fluids, or other toxic materials.
13. 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.
14. Temporary dewatering sites must be restored to preexisting conditions unless more natural geomorphic conditions can
be provided.
15. All work shall be performed during low flow conditions.
t
Mr. J.M. Mills, PE
September 15, 2004
DWQ# 04-1174
Page 3
16. 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.
If you do not accept any of the conditions of this certification, you may ask for an adjudicatory hearing. You must act
within 60 days of the date that you receive this letter. To ask for a hearing, send a written petition, which conforms to
Chapter 150B of the North Carolina General Statutes to the Office of Administrative Hearings, 6714 Mail Service Center,
Raleigh, N.C. 27699-6714. This certification and its conditions are final and binding unless you ask for a hearing.
This letter completes the review of the Division of Water Quality under Section 401 of the Clean Water Act. If you have
any questions, please contact Sue Homewood at 336-7714600 extension 287 or at [e-mail].
Sincerely,
Alan W. Klimek, P.E.
Attachment
cc: Wilmington District Corps of Engineers
John Thomas, USACE Raleigh Field Office
Jerry Parker, Division 7, Division Environmental Officer
Winston Salem Regional Office
Central Files
T
Mr. J.M. Mills, PE
September 15, 2004
DWQ# 04-1174
Page 4
DWQ Project No.:
County:
Applicant:
Project Name:
Date of Issuance of 401 Water Quality Certification:
Certificate of Completion
Upon completion of all work approved within the 401 Water Quality Certification or applicable Buffer Rules, and any
subsequent modifications, the applicant is required to return this certificate to the 401/Wetlands Unit, North Carolina
Division of Water Quality, 1621 Mail Service Center, Raleigh, NC, 27699-1621. This form may be returned to DWQ by
the applicant, the applicant's authorized agent, or the project engineer. It is not necessary to send certificates from all of
these.
Applicant's Certification
I, , hereby state that, to the best of my abilities, due care and diligence was
used in the observation of the construction such that the construction was observed to be built within substantial
compliance and intent of the 401 Water Quality Certification and Buffer Rules, the approved plans and specifications, and
other supporting materials.
Signature:
Agent's Certification
Date:
I, , hereby state that, to the best of my abilities, due care and diligence was
used in the observation of the construction such that the construction was observed to be built within substantial
compliance and intent of the 401 Water Quality Certification and Buffer Rules, the approved plans and specifications, and
other supporting materials.
Signature:
Engineer's Certification
Partial Final
Date:
I, , as a duly registered Professional Engineer in the State of North
Carolina, having been authorized to observe (periodically, weekly, full time) the construction of the project,for the
Permittee hereby state that, to the best of my abilities, due care and diligence was used in the observation of the
construction such that the construction was observed to be built within substantial compliance and intent of the 401 Water
Quality Certification and Buffer Rules, the approved plans and specifications, and other supporting materials.
Signature Registration No.
Date
MEMORANDUM
TO: John Dorney Regional Contact:
Non-Discharge Branch WQ Supervisor:
Date:
SUBJECT: WETLAND STAFF REPORT AND RECOMMENDATIONS
Facility Name NCDOT - Bridge 157 on SR 1348 County ROCKINGHAM
Project Number 04 1174 County2
Recvd From DOT Region. Winston-Salem
Received Date 7/20/04 Recvd By Region
Project Type replace bridge with culvert
Certificates Stream Stream Impacts (ft.)
Permit Wetland Wetland Wetland Stream Class Acres Feet "-
Type Type Impact Score Index Prim. Supp. Basin Req. Req.
F14 Stream PT -@N F- 22-30-(5.5) «"STS' F 30.'0. F 1777 F_F_-
Mitigation Wetland
MitigationType Type Acres Feet
Is Wetland Rating Sheet Attached? Q Y 0 N Did you request more info? Q Y (0 N
Have Project Changes/Conditions Been Discussed With Applicant? Q Y Q N
Is Mitigation required? Q Y 0 N
Recommendation: Q Issue O Issue/fond O Deny
Provided by Region: Latitude (ddmmss) 362846 Longitude (ddmmss) 795837
Comments:
site visit 9/13/04
issued 9/15/04
Stream has widened beneatch existing bridge, braided somewhat from deposits, but looks stable
both upstream and downstream of existing bridge. CMPA should not adversely impact stream's
cc: Regional Office
Central Office Page Number 1
?T
MICHAEL F. EASLEY
GOVERNOR
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
1584 YANCEYVILLE STREET, GREENSBORO, NC 27415
July 16, 2004
Ms. Beth Barnes
Wetlands/401 Unit
NC DENR Division of Water Quality
1650 Mail Service Center
Raleigh, NC 27699
(Courtesy Notification, Two Copies)
Mr. John Thomas
U.S. Army Corps of Engineers
Regulatory Field Office
6508 Falls of the Neuse Road, Suite 105
Raleigh, North Carolina 2761
(Two. Copied

041174
LYNW TIPPETT
SECRETARY
WETLANDS 1401 GROUP
JUL 2 0 2004
WATER QUALITY SECTION
SUBJECT: Rockingham County, Bridge Replacement with CM Pipe Arch on Victory Hill
Church Road (SR 1348) crossing an unnamed tributary of Mayo River. Project
Number 7B.207911
To Whom It May Concern:
The North Carolina Department of Transportation (NCDOT) proposes to replace a bridge on
Victory Hill Church Rd (SR 1348) a single line of Corrugated Metal (CM) Pipe Arch. The proposed
work is being done in order to reduce future maintenance needs and increase traffic safety. This
activity will result in impacts to an UT of Mayo River. The NCDOT anticipates that the bridge
replacement activity will be authorized under Nationwide Permit (NWP) 3 and 33. This application
is intended as a request for Nationwides 3 and 33 from the US Army Corps of Engineers. This
application is also intended to serve as a courtesy notification to the NC Division of Water Quality as
according to General Water Quality Certification. The following information is being provided to
satisfy General Water Quality Certificate # 3376 and #3366.
Mussel pre-screenings were conducted by permitted biologists and appropriate resource agencies. It
was determined that the site had low probability of supporting mussel fauna and was approved for a
mussel screening carried out by NCDOT personnel. No mussels were observed. The stream has
clean pebble/gravel/sand substrate. Therefore a biological conclusion of "May Affect-Not Likely to
Adversely Affect" was issued for the James spinymussel (attached). Gary Jordan of the US Fish and
Wildlife has been mailed a copy of the survey report and concurrence has been requested (attached).
No work will be performed until concurrence is received from US Fish and Wildlife Service.
PHONE [phone] FAX [phone]
PROJECT INFORMATION
Road Name SR Number Project Length
(miles) Classification
Victory Hill Church
Road SR 1348 N/A Rural
River Basin: DWQ
ID Water Quality
Designation % Impervious Surface
Roanoke 22-30-(5.5) WS -IV N/A
Buffer Rule? Buffer Rule Conditions (where applicable)

Protected Species
Presentb Mapped Historic
Pro erti& CAMA
AEC Essential Fishery
Habitat
No (See attached
letters No No No
° Separate documentation attached as needed: ° See the attached Endangered Species Review Sheet for further
information: 'When Applicable - See the attached Historic Review Letter for further information
BRIDGE REPLACEMENT INFORMATION
Site N/A Stream Type Perennial
(Station)
Existing 36 ft Long X 29 ft wide Proposed 1 @ 137" X 87"X 60 ` W
Bride Pie CMPA
Construction Pump Around Dewatering ABC Aggregate
Method Device*
Burial Depth One Foot E/C Plan See Attached
Date
Construction As soon as practicable Duration 15 days
Date
Impacts (ft.) 31 lin. ft-enclosure; 30 lit. ft-rip-rap; Approx. 50 sq.ft temporary
Special
Conditions
Restoration Within 15 working days of the of the pipe replacement the natural stream
Plan contours will be restored and seeded. Temporary silt screens placed along
I shoreline will be cleaned and removed following vegetation establishment.
RCP = reinforced concrete pipe; CW = 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.
-2-
MINIMIZATION INFORMATION
Impacts will be minimized by strict enforcement of Best Management Practices for the protection of
surface waters and wetlands, restrictions against the staging of equipment in or adjacent to waters of
the US, and coordination (including a pre-construction meeting) with the Division Environmental
Officer.
MITIGATION INFORMATION
Stream mitigation is not anticipated, as the impacts to any individual stream do not exceed 150 feet
Wetland mitigation is not anticipated, as wetland impacts do not exceed 0.10 acres and do not occur
in a unique natural wetland.
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 Dennis Johnson at [phone] or Jerry Parker at [phone]. Your time and effort
are appreciated.
Sincerely,
Mr. )on Mills, P.E.
Di ngineer, Division 7
cc: Mr. Jerry Parker, Division Environmental Officer
Mr. Herbert McDowell, District Engineer
Mr. Dennis Johnson, Bridge Maintenance Engineer
Mr. Henry Adkins, County Maintenance Engineer
Mr. Barry Harrington, Area Roadside Field Operations Engineer
Ms. Sue Homewood, NC DWQ
-3-
Office Use Only: 0 4117 4 Form Version October 2001
USACE Action ID No. DWQ No.
If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A" rather than
leaving the space blank.
1. Processing
1. Check all of the approval(s) requested for this project:
® Section 404 Permit
? Section 10 Permit
® 401 Water Quality Certification
? Riparian or Watershed Buffer Rules
2. Nationwide, Regional or General Permit Number(s) Requested: NWP 3 & 33
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: X
4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for
mitigation of impacts (see section VIII - Mitigation), check here: ?
H. Applicankhfermation
1. Owner/Applicant Information
Name: Mr. J.M. Mills, P.E, Division Engineer - Division 7
Mailing Address: P.O. Box 14996
Greensboro, NC 27415
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: mmillskdot.state.nc.us
2. Agent Information (A signed and dated copy of the Agent Authorization letter must be
attached if the Agent has signatory authority for the owner/applicant.)
Name: Jerry Parker
Company Affiliation: NCDOT - Division 7
Mailing Address: 1584 Yanceyyille Street
Greensboro NC 27415
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: jparker@a dot.state.nc.us
Page 1 of 9
M. Project Information
Attach a vicinity map clearly showing the location of the property with respect to local
landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property
boundaries and development plans in relation to surrounding properties. Both the vicinity map
and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities must be included. If possible, the maps and plans should
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USACE requires information to be submitted on sheets no larger than 11 by 17-inch format;
however, DWQ may accept paperwork of any size. DWQ prefers full-size construction
drawings rather than a sequential sheet version of the full-size plans. If full-size plans are
reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps are provided.
1. Name of project: Victory Hill Church Road Bridge Replacement (SR1348) (Bridge 4157E
2. T.I.P. Project Number or State Project Number (NCDOT Only):#7B.207911(non-TIP)
3. Property Identification Number (Tax PIN): N/A
4. Location
County: Itackingham Nearest Town: Stoneville
Subdivision name (include phase/lot number): N/A
Directions to site (include road numbers, landmarks, etc.): From NC 220 N (Battleg ound
Ave) in Greensboro go approximately 30 miles to NC 770 near Stoneville in Rockingham
County Turn left on NC 770 and go approximately 3.5 miles to Victory Hill Church Rd (SR
1348) crosssing the Mayo River in the process. Turn right on Victory Hill Church Road and
travel approximately 0.7 miles to the site.
5. Site coordinates, if available (UTM or Lat/Long): See the attached USGS map.
(Note - If project is linear, such as a road or utility line, attach a sheet that separately lists the
coordinates for each crossing of a distinct waterbody.)
6. Describe the existing land use or condition of the site at the time of this application:
Low density residential. Agriculture and forest.
7. Property size (acres): N/A
8. Nearest body of water (stream/river/sound/ocean/lake): UT to Mayo River
Page 2 of 9
9. River Basin: Roanoke
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at httl2://h2o.enr.state.nc.us/admin/maps/.)
10. Describe the purpose of the proposed work: To replace a structurally deficient bridge with
one line of 137" X 87" X 60 foot Corrugated Metal Pipe Arch. CMPA). The bridge is being
replace, d to improve traffic safety and bring the bridge up to current construction standards.
Best Management Practices will be utilized for the removal of the existing bridge.
11. List the type of equipment to be used to construct the project: Road construction
equipment (trackhoe grader, bbackhoe, and bulldozer).
12. Describe the land use in the vicinity of this project: Rural Low density residential and
agricultural farmland.
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
bum impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules.
N/A
V. Future Project Plans
Are any additional permit requests anticipated for this project in the future? If so, describe the
anticipated work, and provide justification for the exclusion of this work from the current
application:
N/A
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. Wetland Impacts
Wetland Impact
Site Number
indicate on ma
Type of Impact* Area of
Impact
acres Located within
100-year Floodplain**
es/no Distance to
Nearest Stream
linear feet
Type of Wetland***
N/A

* List each impact separately and identify temporary impacts. Impacts include, but are not Itmtted to: mecnamzea clearing, gramng, nii,
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 h T://www.fema.goV.
*** List a wetland type that best describes wetland to be impacted (e.g., freshwater/saltwater marsh, forested wetland, beaver pond,
Carolina Bay, bog etc.)
List the total acreage (estimated) of existing wetlands on the property: N/A
Total area of wetland impact proposed: N/A
2. Stream Impacts, including all intermittent and perennial streams
Stream Impact Lengthof Average Width Perennial or
Site Number Type of Impact* Impact Stream Name** of Stream Intermittent?
indicate on ma linear feet Before Impact leasespecify)
Bridge 31 ft(en)
Bridge Site replacement with
one line of 50sf(tmp) UT to Mayo River 6 to 10 feet Perennial

CMPA 30ft(rp)

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: culverts and associated rip-rap,
dams (separately list impacts due to both structure and flooding), relocation (include linear feet before and after, and net loss/gain),
stabilization activities (cement wall, rip-rap, crib wall, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is
proposed, plans and profiles showing the linear footprint for both the original and relocated streams must be included
** Stream names can be found on USGS topographic maps. If a stream has no name, list as UT (unnamed tributary) to the nearest
downstream named stream into which it flows. USGS maps are available through the USGS at 1-800-358-9616, or online at
www.usgs.gov. Several internet sites also allow direct download and printing of USGS maps (e.g., www.toyozone.com,
www.mapquest.com, etc.).
Page 4 of 9
Cumulative impacts (linear distance in feet) to all streams on site: The camalative impacts
are - 31 linear feet enclosure (enl 50 square feet- temporary (tmp), 30 linear feet- rip rap
(m)
3. Open Water Impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any
other Water of the U.S.
Open Water Impact
Site Number
indicate on ma
Type of Impact* Area of
Impact
acres Name of Waterbody
(if applicable) Type of Waterbody
(lake, pond, estuary, sound,
bay, ocean, etc.
N/A

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: till, excavation, dredging,
flooding, drainage, bulkheads, etc.
4. Pond Creation
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be-described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ? uplands ? stream ? wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.): N/A
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.): N/A
Size of watershed draining to pond: N/A Expected pond surface area: N/A
VII. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts.
Bridge replacement and wideninm activities are necessary to increase travel lane and shoulder
width to current construction standards. Impacts will be minimized by strict enforcement of Best
Management Practices for the protection of wetland and surface waters, restrictions against the
staging of equipment in or adjacent to waters of the US, and coordination with the Division
Environmental Officer. Best Management Practices will also be utilized during the demolition of
the old bridge
Page 5 of 9
VIII. Mitigation
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on March 9, 2000, mitigation will be required when
necessary to ensure that adverse effects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed. Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USACE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCWRP concurrence shall be placed on hold as
incomplete. An applicant may also choose to review the current guidelines for stream restoration
in DWQ's Draft Technical Guide for Stream Work in North Carolina, available at
-- -- -------http://h2o enr.state nc.us/ncwetlands/strmgide.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 Cumulative impacts are less than 150 feet.
The maximum amount of permanent impact to a the stream is 31 linear feet. No
Outstanding Resource Waters federally protected species or their habitats or essential
fishery habitats occur in the project area The project is not located in a High Quality Water.
2. Mitigation may also be made by payment into the North Carolina Wetlands Restoration
Program (NCWRP) with the NCWRP's written agreement. Check the box indicating that
you would like to pay into the NCWRP. Please note that payment into the NCWRP must be
reviewed and approved before it can be used to satisfy mitigation requirements. Applicants
will be notified early in the review process by the 401/Wetlands Unit if payment into the
NCWRP is available as an option. For additional information regarding the application
process for the NCWRP, check the NCWRP website at htip://h2o.enr.state.nc.us/«Tp/index.htm. If
use of the NCWRP is proposed, please check the appropriate box on page three and provide
the following information:
Page 6 of 9
Amount of stream mitigation requested (linear feet): N/A
Amount of buffer mitigation requested (square feet): N/A
Amount of Riparian wetland mitigation requested (acres): N/A
Amount of Non-riparian wetland mitigation requested (acres): N/A
Amount of Coastal wetland mitigation requested (acres): N/A
IX. Environmental Documentation (DWQ Only)
Does the project involve an expenditure of public funds or the use of public (federal/state/local)
land?
Yes ® No ?
If yes, does the project require preparation of an environmental document pursuant to the
requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)?
Note: If you are not sure whether a NEPA/SEPA document is required, call the SEPA
coordinator at [phone] to review current thresholds for environmental documentation.
Yes ? No
If yes, has the document review been finalized by the State Clearinghouse? If so, please attach a
copy of the NEPA or SEPA final approval letter.
Yes ? No ?
X. Proposed Impacts on Riparian and Watershed Buffers (DWQ Only)
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required state and local buffers associated with the project. The applicant must also provide
justification for these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Meuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and
Water Supply Buffer Requirements), or other (please identify N/A )?
Yes ? No ® If you answered "yes", provide the following information:
Identify the square feet and acreage of impact to each zone of the riparian buffers. If buffer
mitigation is required calculate the required amount of mitigation by applying the buffer
multipliers.
Page 7 of 9
Zone* Impact
(square feet Multiplier Required
Miti tion
1 3
2 1.5
Total
* Zone 1 extends out 30 feet perpendicular from near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.
If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation
of Property, Conservation Easement, Riparian Buffer Restoration / Enhancement, Preservation or
Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as
identified within 15A NCAC 2B .0242 or.0260.
N/A
XL Stormwater (DWQ Only)
Describe impervious acreage (both existing and proposed) versus total acreage on the site.
Discuss _ stormwater controls proposed in order to protect surface waters and wetlands
downstream from the property.
In accordance with the Februarv 25. 1991 delegation agreement one cony of the sediment and
erosion control plan will be submitted to DENR - Division of Land Resources and NCDOT
Roadside Environmental Prior to construction.
XH. Sewage Disposal (DWQ Only)
Clearly detail the. ultimate treatment methods and disposition (non-discharge or discharge) of
wastewater generated from the proposed project, or available capacity of the subject facility.
XEIL Violations (DWQ Only)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H .0500) or any Buffer Rules?
Yes ? No X
Is this an after-the-fact permit application?
Yes ? No X
Page 8 of 9
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).

Applicant/ east's Signature Date
(Agent's ,i nature is valid only if an authorization letter from the applicant is provided.)
Page 9 of 9

DEPARTMENT OF TRANSPORTATION
MICHAEL F. EAsLEY
GOVERNOR
Gary Jordan
US Fish and Wildlife Service
Post Office Box 33726
Raleigh, North Carolina-27636
Dear Mr. Jordan:
The North Carolina Department of Transportation (NCDOT) proposes to replace Bridge
No. 157 on SR 1348 (Victory Hill Church Road) over an unnamed tributary of Mayo
River in Caswell County (Project # 7B.207911). The U. S. Fish and Wildlife Service lists
James spinymussel (Pleurobema collina) as potentially occurring in Caswell County. Since
the Unnamed Tributary occurs within the Mayo River subbasin of the Roanoke River
basin, a-survey was conducted. Attached please find a survey report dated July 7, 2004,
documenting a survey of the project area for this federally-endangered mussel by NCDOT
employee, Jason Mays. As a result of the survey, the Biological Conclusion of "May
Affect - Not Likely to Adversely Affect" is considered appropriate. The concurrence of
the US Fish and Wildlife Service for this Biological Conclusion is requested.
If additional information is required to respond to this request, please contact Jason Mays
at 715-1446. Thank you for your assistance.
Sincerely,
erry Parker
Environmental Supervisor
Division Seven
NCDOT
STATE OF NORTH CAROLINA
July 16, 2004

LYNDU TIPP£Tr
SECRETARY
Attachment: survey report
MAILING ADDRESS:
NC DEPARTMENTOFTRANSPORTATION
PROJECT DEvELOWENT AND ENvtRONMENTALANALYSIS
1548 MAIL. SERVICE CENTER
TELEPHONE [phone]
FAX:' 919-733-9794
WEBSITE: WWW.N0007'.ORG
LOCATION:
TRANSPORTATION BuimNG
1 SOUTH WILMINGTON STREET
RALEIGH NC
U4,,
STATE OF NORTH CAROLINA
DEPAR.TNENT OF TRANSPORTATION
MICHAEL F. EASLEY
GOVERNOR
July 07, 2004
Memorandum To: Jerry Parker, DEO Division 7
LYNW TIPPETT
SECRETARY
From Jason W. Mays, Environmental Specialist
Office of Natural Environment
Subject: Endangered species survey report for replacement of Rockingham
County bridge #157, Victory Hill Church Rd (SR 1348) crossing of
an unnamed tributary to the Mayo River.
This message addresses the Federally Endangered James spinymussel (Pleurobenaa
collina), listed by the US Fish and Wildlife Service as occurring in Rockingham County.
Division 7 (NCDOT) proposes replacing bridge #157 on Victory Hill Church Road (SR

The Natural Heritage Program database indicates a known occurrence of this
species approximately 3 stream miles down stream from the project site at the Hwy. 770
crossing of the Mayo River and several more occurrences up and down stream in the
Mayo River. This site was pre-screened by permitted biologists and appropriate resource
agencies. It was determined that the site had low probability of supporting mussel fauna
and was approved for a mussel screening carried out by NCDOT personnel.
Office of Natural Environment, Environmental Specialists Jason Mays and Mike
Sanderson visited the site on June 17, 2004. Approximately 500 meters of stream were
covered in 1.5 hours of search time. No mussels were observed. The stream has clean
pebble/gravel/sand substrate.
Due to the proximity of James spinymussel in the Mayo River and the high quality
of this stream it is very important to implement strict erosion control during the
replacement of this bridge in order to avoid degradation of the habitat in this.creek and in
the Mayo River.
Biological Conclusion for James spinymussel : May Affect-Not Likely to
Adverselv Affect
MAILING ADDRESS: TELEPHONE: [phone] LOCATION:
NC DEPARTMENT OF TRANSPORTATION FAX: [phone] TRANSPORTATION BUILDING
1 SOUTH WILMINGTON
PROJECT DEYELOPMENTAND ENVIRONMENTAL ANALYSIS RALEIGH NC
1548 MAIL SERVICE CENTER WEBSITE: WWW.DOH.DOT.STATE.NC.US RALEIGH
Qualifications of Primary Investigators are found below:
Investigator: Michael Sanderson, Environmental Biologist
Education: B.S. Fisheries and Wildlife Science, North Carolina State University
Experience: Environmental Biologist, NCDOT, April 2004 - present
Wildlife Research Biologist, Down to Earth Environmental,
February - June, 2003
Wildlife Research Technician, NC Cooperative Fish and Wildlife
Research unit, October, 1991-March 1999
Biological Science Technician (Wildlife),`iJS Fish and Wildlife
Service, April 1995-April 1997
Expertise: Bird surveys, behavioral analysis, habitat use/evaluation, Section 7
field investigations, protected species (terrestrial/aquatic) surveys
Investigator: Jason Mays, Environmental Specialist, NCDOT, March 2004-

Education: present
B.S. Biological Sciences minor Chemistry, UNC Chapel Hill

Experience: 2002
UNC Dept of Biological Sciences Research Technician Dec 2000
May 2002
NCWRC Field Biologist May 2002-October 2003
Expertise: Section 7 field investigations, protected species (terrestrial/aquatic)
surveys, Wetland delineation/ determination: GIS studies.
ROCKINGHAM C)LWM
SR 1348
VICTORY HILT. CWHIROAfl
BR# 157
N.C. D.O.T.
BRIDGE MAINT. DEPT.
EROSION CONTROL SEQUENCE
?.?? -63µ Y.?6 JD
PROJECT
No.
7b.207911 *MOVE EXISTING BRIDGE AND REPLACE WITH
1 a 137 x 07 x 00 CMPA
1 DAM BATH ENDS of STREAM with ABC AGGREGATE (underlain & wrapped with
Fiftw Fabrio) or LESS INTRUSIVE DEVICE to ALLOW DEWATERING of WORK AREA
2 IIiISTALL PUMPS to DIVERT FLOW AROUND WORK AREA
PIMP CLEAN WATER AROUND WORK AREA
3 EkCAVATE SITE to REMOVE E; XISTING BRIDGE AND INSTALL NEW PIPE
4 WWATER WORK AREA S PUMP WATER INTO DIRT BAG
5 ED(CAVATE to SUFFICIENT DEPTH to ALLOW BURIAL of the PIPE to 1 foot BELOW
111TINVAND PLACE BASE STONE & SECTIONS OF 137' x 87" x 60'
! INtSTALL SILT FlNCE AS SITE CONDITION REQUIRE
7 0kCXFILL PIPE AND SHOULDER AREA
S PLACE FILTER FABRIC AROUND PIPE dSLOPE AREA then RIP RAP
I.EPM RIP RAP OUT of STREAM
0 IIEMOVE BOTH DAMS of ABC AGGREGATE or LESS INTRUSIVE DEWATERING
. Cf VICE to ALLOW NORMAL STREAM FLOW
it 010INED AREA AS NEEDED
14 PLACE SILT SCREEN AT TOP OF PIPE AND DOWN SLOPES
APPROXIMATE PftDACT START DATE 711212004
PREPARED BY W. D. WATKINS TRANSPORTATION SUPV. DATE
3/29/2004
APPROVAL DfV. E ENG. DATE 3- 3 D- D y
Rockingharnfifit r
SR_. 1348
VICTORY HILL 04MH ROAD
8R# 157
RIVER BASIN
CAPE FEAR RIVER BASIN
SEQUENCEI
STREAM NAME
PRONG OF MAYO RIVER
i DAM BOTH ENDS OF STREAM WITH ABC AGGREGATE (underlain & wrapped w+th
Flftr FabrlC) or LESS INTRUSIVE DEVICE to ALLOW DEWATERING of WORK AREA
2. INSTALL PUMPS to DIVERT FLOW AROUND WORK AREA
PUMP CLEAN WATER AROUND WORK AREA?ARIOytr
3 EXCAVATE SITE TO REMOVE EXISTING-PIPE & EXCAVATE AREA FOR NEW PIPE
4 DIEWATER WORK AREA & PUMP WATER INTO SILT BAG
$ EXCAVATE to SUFFICIENT OEPTH to ALLOW BURIAL of the PIPE to 1 foot BELOW
STREAM M PLACE BASE STONE & SEC CTION OF 137 x 87x 160' LONG CMPA
9 INSTALL SILT FENCE AS SITE CONDITION REQUIRE
SR 1346
SILT FENCE
Aa We 0
_,,,SILT FENCE
AS NEEDED
$TREAM FLO N
PUMP
tL
$ILT S
ABC AGGREGATE
(underlain & wrapped with Filter Fabric)
Sla FENCE ILT FENCE
AS NEEDED AS NEEDED
SR 1346

+a?,, ,? : ,' ttbeas
joomso
ROCKINGHAM O% MtY
SEQUENCE 2
SR.. 1348
I SACKFILL PIPE & SHOULDER AREA
PLACE FILTER FABRIC AROUND PIPE & SLOPE AREA THEN RIP RAP
KNPINQ RIP RAP OUT of STREAK!
BR##157 III REMOVE BOTH DAMS of ABC AGGREGATE or LESS INTRUSIVE DEWATERING
DEVICE to ALLOW NORMAL STREAM FLOW
YiI REWED AREA AS NEEDED
SR 1341!
SILT FENCE
AS NEEDED
RIP RAP on
STREA1
not in 5T
'SILT FENCE
AS NEEDED
IPE 1
SIL T FENCE ••?+?
AS NEEDED
SR 13"

STREAM Ft. av
FILTER FABRIC
`LINGER RIP RAP
4-------SILT FENCE
SILT FENCE
Joomall
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L
A 1 N n 0 S 3 N

of bridge looking north
C i 4Y

_ ,lam
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Victory Hill Church
Downstream view from bridge
Victory Hill
Road- Upstream view from bridge
i? ' 1 F f _YI rf #?j?F ?a"9
*{ 4
z,

Victory Hill Church Road-View of bridge from downstream side
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Victory Hill Church Road- View of bridge from upstream side
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ova.
Chapel
BO J
0
Name: MAYODAN Location: 036° 28'46.2" N 079° 58'37.4" W
Date: 711412004 Caption: Victory Hill Church Rd
Scale: 1 inch equals 2000 feet Bridge 157
SR 1348