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Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.3 Dec 10 2008
Pre-Construction Notification C Form
A. Applicant Information
1. Processing
la. Type(s) of approval sought from the
Corps:
®Section 404 Permit El section 10 Permit
1b. Specify Nationwide Permit (NWP) number: 3 or General Permit (GP) number:
I c. Has the NWP or GP number been verified by the Corps? ? Yes ® No
1d. Type(s) of approval sought from the DWQ (check all that apply):
® 401 Water Quality Certification - Regular ? Non-404 Jurisdictional General Permit
? 401 Water Quality Certification - Express ® Riparian Buffer Authorization
le. Is this notification solely for the record
because written approval is not required? For the record only for DWQ 401
Certification:
? Yes ® No For the record only for Corps Permit:

® Yes ? No
If. Is payment into a mitigation bank or in-lieu fee program proposed for mitigation
of impacts? If so, attach the acceptance letter from mitigation bank or in-lieu
fee program. ? Yes ® No
1g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1h
below. ® Yes ? No
1h. Is the project located within a NC DCM Area of Environmental Concern (AEC)? ? Yes ® No
2. Project Information
2a. Name of project: SR 1129, Haw Branch Road Pipe Replacement Site #10 Station
Replacement Site #11 Station 90+42 80+00 and Pipe, .
2b. County: Beaufort
2c. Nearest municipality ! town: Washington
2d. Subdivision name: N/A
2e. NCDOT only, T.I.P. or state
project no: 2C.007099
3. Owner Information
3a. Name(s) on Recorded Deed: North Carolina Department of Transportation
3b. Deed Book and Page No. WA
3c. Responsible Party (for LLC if
applicable): N/A
3d. Street address: 105 Pactolus Highway NC 33 P.O. Box 1587
3e. City, state, zip: Greenville, NC 27835
3f. Telephone no.: 252-830-3490
3g. Fax no.: 252-830-3341
3h. Email address: [e-mail]
Page 1 of 11 .
PCN Form - Version 1.3 December 10, 2008 Version
4. Applicant Information (if different from owner)
4a. Applicant is: ? Agent ® Other, specify: Division 2 Environmental Officer
4b. Name: Jay B. Johnson
4c. Business name
(if applicable): North Carolina Depratment of Transportation
4d. Street address: P.O. Box 1587
4e. City, state, zip: Greenville, NC 27835
0. Telephone no.: 252-830-3490
4g. Fax no.: 252-830-3341
4h. Email address: [e-mail]
5. Agent/Consultant Information (If applicable)
5a. Name: N/A
5b. Business name
(if applicable):
5c. Street address:
5d. City, state, rip:
5e. Telephone no.:
5f. Fax no.:
5g. Email address:
B. Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID): N/A
Latitude: N 35.421567 Longitude: - W
1b. Site coordinates (in decimal degrees): 77.079541 Site#10
N35.4118708 W77.079525 Site #11
(DD.DDDDDD) (-DD.DDDDDD)
1c. Property size: N/A acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to
Chocowinity Creek
proposed project:
2b. Water Quality Classification of nearest receiving water. C;Sw;NSW
2c. River basin: Tar-Pamlico
3. Project Description
3a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this
application:
Agricultural
3b. List the total estimated acreage of all existing wetlands on the property:
N/A
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
60' This site is part of a longer adjacent stream system
3d. Explain the purpose of the proposed project:
Site #10 is a Pipe Replacement Existing 34'x 42" CMP to Be Replaced with a Proposed 54'x 48" CMP Site #11 is a
Pipe Replacement Existing 48'x 84" CMP to be replaced with 60'x 96" CMP.
3e. Describe the overall project in detail, including the type of equipment to be used:
Site #10 The Existing 34'x 42" CMP will be replaced with a Proposed 54'x 48" CMP. Site #11 is a Pipe Replacement
Existing 48'x 84" CMP to be replaced with 60'x 96" CMP.Excavators,Dump Trucks,and Crane Trucks will be used for the
Bridge To Pipe Replacement.
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
®Yes ? NO ? Unknown
project (including all prior phases) in the past?
Comments:
4b. If the Corps made the jurisdictional determination, what type
? Preliminary ? Final
of determination was made?
4c. If yes, who delineated the jurisdictional areas? Agency/Consultant Company: NCDCM, NCDWQ, And
Name (if known): Mr. Stephen Lane,NCDCM Mr. Garcy NCDOT
Ward, NCDWQ, and Mr.Jay B. Johnson,NCDOT Other.
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
August, 2010 and November, 2010
5. Project History
5a. Have permits or certifications been requested or obtained for ? Yes ® No ? Unknown
this project (including all prior phases) in the past?
5b. If yes, explain in detail according to 'help file' instructions.
Page 3 of 11
PCN Form - Version 1.3 December 10, 2008 Version
S. Future Project Plans
6a. Is this a phased project? ? Yes ®No
6b. If yes, explain.

C. Proposed Impacts Inventory
1. Impacts Summary
1 a. Which sections were completed below for your project (check all that apply):
? Wetlands ® Streams - tributaries ® Buffers
? Open waters ? Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
2a. 2b. 2c. 2d. 2e. 2f.
Wetland impact Type of jurisdiction
number- Type of impact Type of wetland Forested (Corps - 404, 10 Area of impact
Permanent (P) or (if known) DWQ - non-404, other) (acres)
Temporary
W1 ? P ? T ? Yes ? Corps
? No ? DWQ
W2 ? P ? T ? Yes ? Corps
? No ? DWQ
W3 ? P ? T ? Yes ? Corps
? No ? DWQ
W4 ? P ? T ? Yes ? Corps
? No ? DWQ
W5 ? P ? T ? Yes ? Corps
? No ? DWQ
W6 ? P ? T ? Yes ? Corps
? No ? DWQ
2g. Total wetland impacts 0
2h. Comments: No 404 Wetland Impacts
3. Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this
question for all stream sites impacted.
3a. 3b. 3c. 3d. 3e. 3f. 3g.
Stream impact Type of impact Stream name Perennial Type of jurisdiction Average Impact
number - (PER) or (Corps - 404, 10 stream length
Permanent (P) or intermittent DWQ - non-404, width (linear
Temporary (T) (INT)? other) (feet) feet)

S1 ®P ? T Site #10 Pipe Un-Named
Tributary of ® PER ? Corps
10
21
Replacement Chowvrinity Creek ? INT ® DWQ

S2 ® P ? T Sie #11 Pipe Un-Named
Tributary of ® PER ? Corps
10'
14'
Replacement Chocowinity Creek ?INT ® DWO
S3 ? P ? T ? PER ? Corps
? INT ? DWQ
S4 ? P ? T ? PER ? Corps
? INT ? DWQ
SS E] P ? T ? PER El Corps
? INT ? DWQ
S6 ? PEI T ? PER ? Corps
? INT ? DWQ
3h. Total stream and tributary impacts 35'
3i. Comments: 35 Linear Feet of Stream Impacts
Page 5 of 11
PCN Form -Version 1.3 December 10, 2008 Version
4. Open Water Impacts
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of
the U.S. then individually list all open water impacts below.
4a. 4b. 4c. 4d. 4e.
Open water Name of waterbody
impact number- (if applicable) Type of impact Waterbody type Area of impact (acres)
Permanent (P) or
Temporary
01 ?P?T
02 ?P?T
03 ?P?T
04 ?P?T
4f. Total open water impacts None
4g. Comments: None
5. Pond or Lake Construction
If and or lake construction proposed, then complete the chart below.
5a. 5b. 5c. 5d. 5e.
Wetland Impacts (acres) - Stream Impacts (feet) Upland
Pond ID Proposed use or purpose (acres)
number of pond
Flooded Filled Excavated Flooded Filled Excavated Flooded
P1
P2
5f. Total None
5g. Comments: None
5h. Is a dam high hazard permit required?
? Yes ? No If yes, permit ID no:
5i. Expected pond surface area (acres):
5j. Size of pond watershed (acres):
5k. Method of construction:
6. Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer, then complete the chart below. If yes, then individually list all buffer impacts
below. If an impacts require mitigation, then you MUST fill out Section D of this forth.
6a.
? Neuse NTar-Pamlico ? Other:
Project is in which protected basin? ? Catawba ? Randleman
6b. 6c. 6d. 6e. 6f. 6g.
Buffer impact
number- Reason Buffer Zone 1 impact Zone 2 impact
Permanent (P) or for Stream name mitigation (square feet) (square feet)
Temporary impact required?
B1 N P ? T Pipe Tributary of Chocowinity ? Yes 0 Sq. Ft. 0 Sq. Ft.
Creek N No
B2 N P ? T Pipe Tributary of Chocowinity ? Yes 150 Sq. Ft. 100 Sq. Ft.
Creek N No
B3 N P ? T Pipe Tributary of Chocowinity ? Yes 0 Sq. Ft. 120 Sq. Ft.
Creek Z No
6h. Total buffer impacts
6i. Comments: Site #10 See Page 6-A For Total
Page 6 of 11
PCN Form -Version 1.3 December 10, 2008 Version
4. Open Water Impacts
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of
the U.S. then individually list all open water impacts below.
4a. 4b. 4c. 4d. 4e.
Open water Name of waterbody
impact number- (if applicable) Type of impact Waterbody type Area of impact (acres)
Permanent (P) or
Temporary
01 ?P?T
02 ?P?T
03 ?P?T
04 ?P?T
4f. Total open water impacts None
4g. Comments:
5. Pond or Lake Construction
If and or lake construction ro sect, then complete the chart below.
5a. 5b. 5c. 5d. 5e.
Wetland Impacts (acres) Stream Impacts (feet) Upland
Pond ID Proposed use or purpose (acres)
number ofpond
Flooded Filled Excavated Flooded Filled Excavated Flooded
P1
P2
5f. Total None
5g. Comments: None
5h. Is a dam high hazard permit required?
? Yes ? No If yes, permit ID no:
5i. Expected pond surface area (acres):
5j. Size of pond watershed (acres):
5k. Method of construction:
6. Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer, then complete the chart below. If yes, then individually list all buffer impacts
below. If an impacts require mitigation, then you MUST fill out Section D of this form.
6a.
? Neuse ®Tar-Pamlico ? Other. None
Project is in which protected basin? ? Catawba ? Randleman
6b. 6c. 6d. 6e. 6f. 6g.
Buffer impact
number - Reason Buffer Zone 1 impact Zone 2 impact
Permanent (P) or for Stream name mitigation (square feet) (square feet)
Temporary impact required?
81 ®P ? T B4 B 4 Tributary of Chocowinity ? Yes
0 Sq. Ft.
0 Sq. Ft.
Pipe Creek ® No
B2 ?P?T ?Yes
? No
B3 ?P?T ?Yes
? No
6h. Total buffer impacts 150 Sq. Ft. 220 Sq. Ft.
6i. Comments: Site # 10 150 Sq. Ft. Buffer Zone 1 Impacts 220 Sq. ft. Buffer Zone 2 Impacts
Page -of 10
PCN Form Version 1.3 December 10, 2008 Version .
6. Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer, then complete the chart below. If yes, then individually list all buffer impacts
below. If an impacts require mitigation, then you MUST fill out Section D of this form.
6a.
? Neuse ED Tar-Pamlico ? Other. None
Project is in which protected basin? ? Catawba ? Randleman
6b. 6c. 6d. 6e. 6f. 6g.
Buffer impact
number- Reason for Buffer Zone 1 impact Zone 2 impact
Permanent (P) impact Stream name mitigation (square feet) (square feet)
or Temporary required?
81 ®P ? T Pipe Tributary of Chocowinity ? Yes 0 Sq. Ft. 100 Sq. Ft.
Replacement Creek ® No
B2 ®P ? T Pipe Tributary of Chocowinity ? Yes 0 Sq. Ft. 220 Sq. Ft.
Replacement Creek ®No
B3 ®P ? T Pipe Tributary of Chocowinity ? Yes 160 Sq. ff. 120 Sq. Ft.
Replacement Creek ® No
6h. Total buffer impacts
6i. Comments: Site # 11
D. Impact Justification and Mitigation
1. Avoidance and Minimization
la. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
Wetland Impacts have been minimized to the extent feasible, with impacts occurring only where necessary to accommodate
the proposed bridge and water line.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Use of existing roadway to operate construction equipment; no equipment will enter wetlands.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for ? Yes ®No
impacts to Waters of the U.S. or Waters of the State?
2b. If yes, mitigation is required by (check all that apply): ? DWQ ? Corps
? Mitigation bank
2c. If yes, which mitigation option will be used for this project? ? Payment to in-lieu fee program
? Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
3b. Credits Purchased (attach receipt and letter) Type Quantity
4. Open Water Impacts
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of
the U.S. then individually list all open water impacts below.
4a. 4b. 4c. 4d. 4e.
Open water Name of waterbody
impact number- (if applicable) Type of impact Waterbody type Area of impact (acres)
Permanent (P) or
Temporary
01 ?P?T
02 ?P?T
03 ?P?T
04 ?P?T
4f. Total open water impacts None
4g. Comments:
5. Pond or Lake Construction
If and or lake construction proposed, then complete the chart below.
5a. 5b. 5c. 5d. 5e.
Wetland Impacts (acres) Stream Impacts (feet) Upland
Pond ID Proposed use or purpose (acres)
number of pond
Flooded Filled Excavated Flooded Filled Excavated Flooded
P1
P2
5f. Total None
5g. Comments: None
5h. Is a dam high hazard permit required?
? Yes ? No If yes, permit ID no:
5i. Expected pond surface area (acres):
5j. Size of pond watershed (acres):
5k. Method of construction:
6. Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer, then complete the chart below. If yes, then individually list all buffer impacts
below. If an impacts require mitigation, then you MUST fill out Section D of this form.
6a.
? Neuse ®Tar-Pamlico ? Other. None
Project is in which protected basin? ? Catawba ? Randleman
6b. 6c. 6d. 6e. 6f. 6g.
Buffer impact
number- Reason Buffer Zone 1 impact Zone 2 impact
Permanent (P) or for Stream name mitigation (square feet) (square feet)
Temporary impact required?
B1 ®P ? T B4- B 4 Tributary of Chocowinity ? Yes 150 Sq. Ft. 240 Sq. Ft.
Pipe Creek ® No
B2 ?P?T ?Yes
? No
B3 ?P?T ?Yes
? No
6h. Total buffer impacts 330 Sq. Ft. 660 Sq. Ft..
6i. Comments: Site # 11 330 Sq. Ft. Buffer Zone 1 Impacts 66 0 Sq. ft. Buffer Zone 2 Impacts
Page Vof 10
PCN Form -Version 1.3 December 10, 2008 Version
6. Buffer Mitigation (State Regulated Riparian Buffer Rules) -required by DWQ
6a. Will the project result in an impact within a protected riparian buffer that requires ? Yes ® No
buffer mitigation?
6b. If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation. Calculate the
amount of mitigation required.
6c. 6d. 6e.
Zone Reason for impact Total impact Multiplier Required mitigation
(square feet) (square feet)
Zone 1 .3 (2 for Catawba)
Zone 2 1.5
6f. Total buffer mitigation required: None
6g. If buffer mitigation is required, discuss what type of mitigation is proposed (e.g., payment to private mitigation bank,
permittee responsible riparian buffer restoration, payment into an approved in4ieu fee fund).
WA
6h. Comments:
E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Plan
1a . Does the. project include or is it adjacent to protected riparian buffers identified ® Yes ? No
within one of the NC Riparian Buffer Protection Rules?
1 b . If yes, then is a diffuse flow plan included? If no, explain why.
Comments: Sheet Flow through the Vegetated Shoulders and Silt Fence will be ® Yes ? No
used to treat Stormwater Run-Off From the Road.
2. Stormwater Management Plan
2a . What is the overall percent imperviousness of this project? N/A RoadwayBridge Project %
2b . Does this project require a Stormwater Management Plan? ® Yes ? No
2c. If this project DOES NOT require a Stormwater Management Plan, explain why:
2d. If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
Diffuse Flow Through Vegetation and Special Silt Fences will be used to contain sediment on the project as shown on
the plan sheet.
? Certified Local Government
2e . Who will be responsible for the review of the Stormwater Management Plan? ? DWQ Stor mwater Program
® DWQ 401 Unit
3. Certified Local Government Stormwater Review
3a. In which local govemment's jurisdiction is this project? N/A
? Phase II
? NSW
3b. Which of the following locally-implemented stormwater management programs ? USMP
apply (check all that apply): ? Water Supply Watershed
? Other: N/A
3c. Has the approved Stormwater Management Plan with proof of approval been ? Yes ® No
attached?
4. DWQ Stommater Program Review
? Coastal counties
? HQW
4a. Which of the following state-implemented stormwater management programs apply ? ORW
(check all that apply): ? Session Law 2006-246
® Other. NPDES Permit
4b. Has the approved Stormwater Management Plan with proof of approval been
? Yes ®No
attached?
5. DWQ 401 Unit Stormwater Review
5a. Does the Stormwater Management Plan meet the appropriate requirements? ? Yes ? No
5b. Have all of the 401 Unit submittal requirements been met? ? Yes ? No
Page 9 of 11
PCN Form - Version 1.3 December 10, 2008 Version
F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
la. Does the project involve an expenditure of public (federal/state/local) funds or the ®yes ? No
use of public (federal/state) land?
1b. If you answered "yes" to the above, does the project require preparation of an
environmental document pursuant to the requirements of the National or State ? Yes ® No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
Ile- If you answered 'yes' to the above, has the document review been finalized by the
State Clearing House? (If so, attach a copy of the NEPA or SEPA final approval
? Yes
? No
letter.)
Comments:
2. Violations (DWQ Requirement)
2a. Is the site in violation of DWQ Wetland Rules (15A NCAC 2H .0500), Isolated
Wetland Rules (15A NCAC 2H .1300), DWQ Surface Water or Wetland Standards, ? Yes ® No
or Riparian Buffer Rules (15A NCAC 2B .0200)?
2b. Is this an after-the-fact permit application? ? Yes ®No
2c. If you answered "yes to one or both of the above questions, provide an explanation of the violation(s):
3. Cumulative Impacts (DWQ Requirement)
3a. Will this project (based on past and reasonably anticipated future impacts) result in ? Yes ® No
additional development, which could impact nearby downstream water quality?
3b. If you answered 'yes" to the above, submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWQ policy. If you answered 'no,* provide a short narrative description.
4. Sewage Disposal (DWQ Requirement)
4a. 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.
N/A
Page 10 of 11
PCN Form -Version 1.3 December 10, 2008 Version
S. Endangered Species and Designated Critical Habitat (Corps Requirement) i
5a. Will this project occur in or near an area with federally protected species or ? Yes
No
habitat?
5b. Have you checked with the USFWS concerning Endangered Species Act
? Yes No
impacts?
[:1 Raleigh
5c. If yes, indicate the USFWS Field Office you have contacted.
? Asheville
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
On-Site Investigation
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat? ? Yes ® No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
On-Site Investigation
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
7a. Will this project occur in or near an area that the state, federal or tribal
governments have designated as having historic or cultural preservation ? Yes No
status (e.g., National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?
NCDOT HEU Historic architecture and Archaeology
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain? ® Yes ? No
8b. If yes, explain how project meets FEMA requirements: Pipe designed to no-rise standards
8c. What source(s) did you use to make the floodplain determination? FEMA FIRM Maps
Jay B. Johnson
(I
v
December 21,
wv
_? 2010
Applicant/Agent's Printed Name App y an g Ys Signature
. Date
(Agents signature is v on
a uthorization letter from the applicant
is provided.)
Page 11 of 11
PCN Form -Version 1.3 December 10, 2008 Version

SR 1119, HAW BRANCH ROAD, BEAUFORT COUNTY
BEGINPROJECT WIDEN EXISTING PAVEMENT FROM
Y= 621225.0743 16' TO 20'AND RESURFACE
X=2569052.4907 FROM SR 1127 POSSUM TRACK ROAD TO END
N35 ^-26'-31 " EXISTING PAVEMENT 2.24 MILES
W HACKNEY US GS QUAD MAP AND SHEET NUMBER 12
N 355.441 .4418 778 8 DEGREES
W 76.089322 DEGREES OF THE SOIL SURVEY OFBEAUFORT COUNTY
FIRM PANEL NUMBERS 5661 JAND 5660 J
:;X F FIRM MAP NUMBERS 3 72 05662 00 JAND 3 72 0566 000 J
WBS ELEMENT NUMBER 2C. 007099
a AUGUST 11,2010
rays T_' ?.s " \ /
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Haw c
PERMIT SITE #10
END PROJECT
Y= 609969.0230 / - J r
X=2572278.3919 N35^-24'-39" °
W 77^-04'45" _ PERMIT SITE #11
N 35.410 786 DEGREES
W 77.079225 DEGREES r•' - ,?
1 inch = 2,000 feet ? ? / .? //
0 875. 1,750 3,500 5,250 7,000 r
Feet % ,`
LAMA SR 1129Beaufort.txt
From: Lane, Stephen
sent: Friday, December 10, 2010 4:35 PM
To: Sutton, Michael W
Subject: RE: SR 1129,Beaufort
Iii Mike,
1 have finally been able to get out to the three sites on SR1129 in Beaufort county.
I have determined that all three sites on the road are not within any of the LAMA
AECs and therefore no LAMA Permits will be required for the work. Please let me
know if i can be of any further assistance with this project.
sincerely,
Stephen Lane
Coastal Management Representative
-----Original Message-----
From: Sutton, Michael w
Sent: Tuesday, October 26, 2010 8:06 AM
To: Lane, Stephen
Cc: Johnson, Jay B
subject: SR 1129,Beaufort
Good Morning Mr. Stephen.... we would like to get a jurisdictional call on this road,
SR 1129,Haw Branch Road,Beaufort County. There are three sites of particular
concern. Attached are some maps for your use. Call me if you have any
questions.... Thanks... mike
Email correspondence to and from this sender is subject to the N.C. Public Records
Law and may be disclosed to third parties.
Page 1

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Project Tracking No. (Internal Use)
10-08_0007
NO SURVEY REQUIRED FORM
PROJECT INFORMATION
Project No:
WBS No:
F.A. No:
SR1129
County: Beaufort
2C.007099
n/a
Federal (USACE) Permit Required?
Document: Minimum Criteria Sheet
Funding: ® State ? Federal
® Yes ? No Permit Type: Nationwide
Project Description: Widen SR1129 (Haw Branch Rd.) from 16' to 20' and resurface from SR1127
(Possum Track Rd) to the end of existing pavement. The project length is 2.24 miles and the proposed
improvements will occur within the existing 60ft. wide right-of-way.
SUMMARY OF CULTURAL RESOURCES REVIEW
Brief description of review activities, results of review, and conclusions:
A map review and site file search was conducted at the Office of State Archaeology (OSA) on Thursday,
August 19, 2010. No previously recorded archaeological sites were contained within the presently defined
APE or adjacent to the general project study area. A review of National Register of Historic Places
(NRHP) listed archaeological properties and historic maps (NC Maps website) was completed which
identified no resources within or near to the project area. In addition, topographic maps, USDA soil
survey maps (Le, La & Ly), and aerial photographs (Google) were inspected/utilized by the cultural
resource specialist to gauge environmental factors that may have contributed to historic or prehistoric
settlement within the project study area and to assess the level of modem, agricultural, hydrological, and
erosive disturbances within the APE. The majority of the project corridor is characterized by agricultural
land interspersed withmodest residential development.
Brief Explanation of why the available information provides a reliable basis for reasonably predicting
that there are no unidentified historic properties in the APE:
Due to the lack of existing archaeologicaVhistoric resources within the currently defined APE, the
relatively diminutive nature of the rural improvement project & proposed construction impacts, and
agriculturally & residentially altered ground surfaces and poorly drained soils surrounding the APE,
significant NRHP eligible cultural resources are unlikely to be contained within the project's construction
footprint/APE. No further archaeological work is recommended for this rural, state-funded construction
effort.
SUPPORT DOCUMENTATION
See attached: ® Map(s) ® Previous Survey Info ? Photos ?Correspondence
? Photocopy of County Survey Notes
FINDING BY NCDOT CULTURAL RESOURCES PROFESSIONAL
NO SURVEY REQUIRED
"No Survey Required"form j rMinor 7ior Wononon Pmjecu ere Queri ed m the 2007 Programmatic Agreement.
NCDGTArehoenlagy & Hrsroric Architecture Groups
"No Survey Requimd"form for Mirror Tmiuponatim Pmjecu m QwIOO d m the 1007 Progmmmalic Agraemm.
NCOOTArchoeo/ogy & HUlarlc Amhitecmm Gmupr
n1HUN A1NHOJ iaoi 1V38
TI 838WnN 133HS
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Project Tracking No. (internal Use)
L16 -015-000
NO PREHISTORIC OR HISTORIC PROPERTIES
PRESENT/AFFECTED FORM
PROJECT INFORMATION
Project No:
WBS No:
F.A. No:
2C.007099
County: Beaufort
N/A
Federal (USACE) Permit Required?
Document: Minimum Criteria Sheet
Funding: ® State ? Federal
® Yes ? No Permit Type. NWP3
Project Description: Widen existing pavement of SR 1129 (Haw Branch Road) from 16; to 20; and
resurface from SR 1127 (Possum Track Road) to end of existing pavement. Chocowinity Hackney vic.
SUMMARY OF FINDINGS
The North Carolina Department of Transportation (7VCD07) reviewed the subject project and determined.-
Historic Architecture/Landscapes
? There are no National Register-listed or Study Listed properties within the project's area of potential
effects.
? There are no properties less than fifty years old which are considered to meet Criteria Consideration G
within the project's area of potential effects.
? There are no properties within the project's area of potential effects.
? There are properties over fifty years old within the area of potential effects, but they do not meet the
criteria for listing on the National Register.
? All properties greater than 50 years of age located in the APE have been considered and all compliance
for historic architecture with Section 106 of the National Historic Preservation Act and GS 121-12(a) has
been completed for this project.
® There are no historic properties present or affected by this project. (Attach any notes or documents as
needed)
Archaeology
? There are no National Register-listed or Study Listed properties within the project's area of potential
effects.
? No subsurface archaeological investigations are required for this project.
? Subsurface investigations did not reveal the presence of any archaeological resources.
? Subsurface investigations did not reveal the presence of any archaeological resources considered eligible
for the National Register.
? All identified Archaeological sites located within the APE have been considered and all compliance for
archaeological resources with Section 106 of the National Historic Preservation Act and GS 121-12(a)
has been completed for this project.
? There are no historic properties present or affected by this project. (Attach any notes or documents as
needed)
"No Historic Pmpenies Pmsmt-formforMymr Tr ponatim Pmjeasas Qualyledin the 2007Pmgrammattc Agreemem.
NCDOTArdae.&V & Hinoric Architecture Gmups
SUMMARY OF CULTURAL RESOURCES REVIEW
Briefdescription ofreview activities, results ofreview, and conclusions:
CRS received this project on 8-18-2010. Review of HPO quad maps, historic designations roster, and
indexes was undertaken on 8-19-2010, including examination of extant HPO survey files; BF 48, a log
tobacco bam, was surveyed in the 1980s and the area remains rural. Because Beaufort County is
completing its historic architecture survey and data is incomplete, and because aerial maps indicated
older buildings within the permit site areas, CRS surveyed the project area on 8-25-2010.
First, it should be noted that the maps sent to CRS by the Division leave out the approximately quarter-
mile lower end of the project area; the full project area is shown on an attached CRS map based upon .
HPO's annotated Hackney USGS quad map.
Second, BF 48 is no longer standing. It was a square-notched log tobacco barn with chinking, built circa
1921. The surveyor who completed the file for HPO noted that a barn of this log construction was
unusual for this part of Beaufort County, where tobacco bams were primarily frame, which is the
construction of remaining barns in the project area. There is a surprisingly high retention of older
dwellings along this road, from a circa 1870 coastal cottage and a later nineteenth-century one-room plan
house, to a tum-of-the-twentieth-century farmstead at the APE's southernmost end, indicating the tight-
knit rural community Haw Branch was into the early twentieth century. However, all of the houses have
been considerably altered and all but the abovementioned farmstead have lost corresponding
outbuildings. In the case of the farmstead, while several outbuildings remain, they are in deteriorated
shape with no associated fields or field patterns left; at least two of the outbuildings were moved to the
site some years ago. There is nothing in the APE that is individually eligible for the National Register,
nor is there a potential rural historic district.
SUPPORT DOCUMENTATION
See attached: Map(s), Previous Survey Info, Photos, Photocopy of notes from survey.
Signed:
S" -Z7-7610
Cultural Resources Specialist, NCDOT
Date
"No Historic Properites Present "form for Minor Trmuponntion Projects as Quol fed in the 7007 Prog aaa atic Agreement.
NCQOTAschaeolagy& Historic Architecture Groups
P,A.10.08-0007: Widen existing pavement of SR 1129 (Haw Branch Road) from 16' to 20' and
Resurface from SR 117 jct to end of existing pavement
Chocowinity vic./ Beaufort County/ Division 2
Historic Architecture / August 2010
PA 10;08-0007: Widen Existing Pavement of SR 1129 (Haw Branch Road) from
16' to 20' and resurface from SR 1127 to end of existing pavement
Chocowinity vic., Beaufort County / Division 2
Historic Architecture / 8-2010
r
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Annotated NC-HPO Copy of Hackney USGS Quad selection: No NR, SL, or DE properties in
APE.
I?r -16,
51-al .
Project Tmcking No. (Internal Use)
F/ v-":?)O --OHO
PROJECT INFORMATION
Project No: County: Beaufort
WBSNo: 2C.007099 Document: Minimum Criteria Sheet
F.A. No: Funding: Z State ? Federal
Federal (USACE) Permit Required? ® Yes ? No Permit Type: NWP3
Project Description: Widen existing pavement of SR 1129 (Haw Branch Road) from 16' to 20' and
resurface from SR 1127 (Possum Track Road) to end of existing pavement, Chocowinity vie.
SUMMARY OF CULTURAL RESOURCES REVIEW -SURVEYREQUIRED
Briefdescription of review activities, results of review, and conclusions:
CRS received this project on 8-18-2010. Review of UPO quad maps, historic designations roster,
and indexes was undertaken on 8-19-2010, including examination of extant I1P0 survey files;
BF 48, a log tobacco ham, was surveyed in the 1980s and the area remains rural. Because
Beaufort County is currently completing its historic architecture survey and data is incomplete,
and because aerial maps have indicated older buildings within the permit site areas, CRS will
survey this project on 8-25-2010, and should have findings and a summary/recommendation by
8-27-2010.
SUPPORT DOCUMENTATION
See attached: Map(s), Previous Survey Info, Photos, Correspondence, Photocopy of notes from county
survey.
FINDING BY NCDOT CULTURAL RESOURCES PROFESSIONAL - SURVEYREQUIRED
Archaeology Historic Architecture (circle one)
?H.tL ??S.eclc g - 2a . Zd . v
Npeclallst
Date
1`-ZS-Zot0
Proposed fieldwork completion date
Survey Requimd Form jorMinor Traaspotiolion Pmjecls as Qualified in the 2007 Programmatic Agreement.
NCDOTAmhaeologv @ Historic Architecture Groups
State of North Carolina
Division of Archives and History
HISTORIC SITES SURVEY
_??3? ?.
County
SEE INSTRUCTIONS IN HOW TO COMPLETE NATIONAL REGISTER FORMS
TVPP AT I FNITRIFC __ TYYRAPI FTr APPI IT`ARI F CLT`T[n N'Z
NAME
®LOCATION
,,,5 \ t NUMB 11?? w T YI.? c 1 (IL ?1 -NOT F0APII IIf Dl
VICINITY OF
CODE
CATION
CODE
CATEGORY OWNERSHIP STATUS PRESENT USE
-DISTRICT
PPUBLIC 1000PIED YAGRICULTURE -MUSEUM
-BUILDING(S) IVATE
"P -UNOCCUPIED -COMMERCIAL -PARK
)/STRUCTURE -BOTH -WORK IN PROGRESS -EDUCATIONAL -PRIVATE RESIDENCE
-SITE PUBLIC ACQUISITION ACCESSIBLE -ENTERTAINMENT -RELIGIOUS
-OBJECT JN PROCESS 4145. RESTRICTED -GOVERNMENT -SCIENTIFIC
-BEING CONSIDERED _YE& UNRESTRICTED -INDUSTRIAL -TRANSPORTATION
-NO JNIUTARY -OTHER
DOWNER OF PROPERTY
NAME / th 74/ / i ! /?1 ! I \ ?j//. /J
I ?'OIA// ?(IVo
CITY. TOWN
,(
? STATE
/
V
t ? UI VICINITY OF
13LOCATION OF LEGAL D CRIPTION
COURTHOUSE.
REGISTRY OF OEEn ETC.
STREET A NUMBER
13REPRESENTATION IN EXISTING SURVEYS
TITLE
-FEDERAL -STATE -COUNTY -LOCAL
DEPOSITORY FOR
SURVEY RECORDS
STATE
® DESCRIPTION
CONDITION CHECK ONE CHECK ONE
-EXCELLENT .-DETERIORATED ?NALTERED _OFUGINALSI7E
-GOOD -RUINS -ALTERED 716MOVED DATE
YFAIR _UNSXPOSED
DESCRIBE THE PRESENT AND ORIGINAL OF KNOWN) PHYSICAL APPEARANCE
6-13 D o d
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13SIGNIFICANCE
PERIOD AREAS OF SIGNIFICANCE --CHECK AND JUSTIFY BELOW
-PREHISTORIC -A RCHEULUGY-PREHISTORIC -COMMUNITY PLANNING -.LANDSCAPE ARCHITECTURE _REUGION
_1400-1199 CHEOLOGY HISTORIC
-
A -CONSERVATION -LAW -SCIENCE
-_1500-1599 ?
?
1'AGRICULTURE -ECONOMICS -LITERATURE -SCULPTURE
_1600.1699 VARCHITECTURE -EDUCATION -MILITARY -SOCIAL/HUMANITARIAN
_1700.1199 .ART -ENGINEERING -MUSIC -THEATER
_1800-1899 -COMMERCE -EXPLORATION/SETTLEMENT -PHILOSOPHY -TRANSPORTATION
lZ900- -COMMUNICATIONS -INDUSTRY _POUTICSIGOVERNMENT -OTHER ISPECIFYI
-INVENTION
SPECIFIC DATES 1 1; / BUILDER/ARCHITECT
STATEMENT OF SIGNIFICANCE
op- juta mac . ?ucu ed f/??D a'u ?ce?.
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Guide to the Beaufort County Schools Inspection
and Survey Report, 1934
(Manuscript Collection #650)
Title: Beaufort County Schools Inspection and Survey Report
Creator: Beaufort County Schools
Repository: J.Y. Joyner Library, East Carolina University
Language: English
Abstract: Survey (1934) including photographs of schools, option to buy property,
information on property location, weather, type of roof, etc.
Extent: 0.110 cubic feet, 1 item, with eighty-one photographs of schools and an option to
buy property.
EDUCATION-PUBLIC SCHOOLS-Old Ford School
Description: Erected in 1915
Location: Beaufort Co., NC
Date: 1934
Call Number: p-650/23
EDUCATION-PUBLIC SCHOOLS-Swainsland School
Description: Erected in 1917
Location: Beaufort Co., NC
Date: 1934 _
E6ATTON-PUBLIC SCHOOLS-Haw
2nption: Erected in 1915
Location: Beaufort Co., NC
Date: 1934
Call Number. p-650/16
EDUCATION-NCH
Description: Erected in 1915
Location: Beaufort Co., NC
Date: 1934
Call Number: p-650/45
School
Ec u
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t?,..r s et E c ti • ?.
V c•.. It 1<6
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