20110371 Ver 1_Application_20110419

Ig n
STATE OF NORTH CAROLINA ?srpRo?? ?I?
DEPARTMENT OF TRANSPORTATION ey
BEVERLY EAVES PERDUE EUGENE A. CONTI, JR.
GOVERNOR SECRETARY
April 15, 2011
N.C. Division of Water Quality 110371
Transportation Permitting Unit
2321 Crabtree Blvd./Suite 250
Raleigh, NC 27604-2260
Attention: Mr. Rob Riding, NCDOT Project Coordinator
Subject: Proposed roadway construction and extension of a structure conveying
Crooked Creek on SR 1558 (Faulkner Long Road aka Chandler Road) in
Person County. WBS No. 5C.073057
The North Carolina Department of Transportation (NCDOT) proposes construct
SR 1558 (Faulkner Long Road) in Person County. This roadway improvement project
will include grade, drain, base, pave, and erosion control for the project length of
0.80 mile. A pipe extension is necessary at the stream crossing to provide adequate
shoulders and slope sections. Permanent impacts include 1Oft of surface water fill and
loft of rip rap armoring around the pipe ends (5ft to the inlet and 5ft to the outlet).
Additionally the old sandbag headwall on the outlet end will be removed and replaced
with rip rap armoring underlined with filter fabric.
Temporary stream impacts of 65 LF for dewatering will be used in order to maintain a
dry work area during the pipe work. The dewatering limits were selected based on the
stream's topography and the best fit location to facilitate dewatering. Please note that
this crossing is mapped as hydric (Cw) and wetlands do exist fringing the stream off of
the ROW to the inlet side of the roadway. However the stream bank excavation for
placement of joints onto the two overflow pipes would total an area of less than 150 SF
and will be within higher banks with brighter soils than the wetter areas upstream of the
Site 1. This project is within the Roanoke River Basin, so no protected riparian buffer
rules apply.
Application is hereby made for NCDENR-DWQ Section 401 Water Quality
Certification (WQC) No. 3820. A pre-construction notification, construction plan
sketch, project mapping, and photographs are attached with this request. By copy of this
letter we are notifying the USACE of the intent to work under a non-reporting NWP 14.

Division Five-2612 North Duke Street, Durham, North Carolina 27704
Telephone: [phone] Fax: [phone]
If you have any questions or need additional information, please contact Ms. Heather
Montague at [phone].
Sincerely,
J.W. Bowman, P.E.
e Division Engineer
cc: Mr. Eric Alsmeyer, NCDOT Coordinator, U.S. Army Corps of Engineers
Ms. Tasha Johnson, NCDOT DIV 5; District 2 Engineer
Mr. Anthony Talley, NCDOT Person County Maintenance Engineer
Ms. Dawn Phipps, NCDOT DIV 5 Roadside Environmental Field Operations
178.816 666° W I 1 178.8008000- W I ( 178.783 333° W I 1 1
+? l\ < 1 % Ir r \ 1 ys \ f - r" / F cJ r , t\\ (
.41 1 t'\ `li
?+ ?,.
a . , I /
/ /
t , a
7 1 (+
i v 1
l > 1 6Slt
H/
? ?
vl ?
? -)
,
r
{
i
S
;.
S
/ /
I
?? > f ..., , J f J ?+ j r
y ?`
I i
7 3i
l
'•
59/ .Jf
4 s
--
/
)
??
?
(_..
__
J
?t
i !
. r
. G
.
il
"
,
-• ? \? t / ., s1 .1 /' ,? f` k f ? t it
'v iI iA1f ilt
'!. ?
ll
A
!+
(
.'i r /l ?Iti f 50 ?4,.1 G /.' ? ? 1 tiOR 4B0\?'rl
... 11 ?1 h '`. t rr / /q?lit A V ?/` ?^ t / !.. /1 V r rsJ ,#S= Y1 l i
'\: 'ti / :. 1v? ? (`?" (??tl /) , ri1/ f/ v / I \?•,v ?_ /i 7? I iiv ?s a fr v ?
?,? r r ?v f rr XI r` mss, ?I
l
' J
!
.t
/ I ) '' ?
(
"F
l v
^
I
J? ? ?
%
!/
? ? IU?4 ?
?
?
'?l
(

Z y
K
.
_ f
, r
I
-v
,L
r
/
I F
1
+
,A, vv._? ;? ';L`-Jx
\A rf YN 3?'r it '`.i+'V -. `y',v ?/ Ij/??'/,y
it AA1 {i,
ri? ? f/ ,? Y ^ri •l
?-
i .ll1,l t'.-e._ ? ?? ,_1f ? '~l ? JJ t ? S } ? + f/ ?U r, ?1 l ..fY f ?\ \ \ ))) !l ( J » ?.'. 0 \::.

Z
a<?4`,?t ? t'C?..la ?_?•-i:?+??: ? Ili, tir r?-.,':_ ??...t f?J'f .!.t::?u s5,.:..` _. o
t1 /??? y.' ) r'/ /J i % i A l t
J 4, .`+
tl
?r
JR)
/
,1//2 y.
,v /
y iJ i^'? ? {t t'ff t l ? Gk 'a; ,I
t J I(.

r j \ ?•.'.:l it?? ? ?' rr 1 ?"-„l .e? ?r? (?? {"'?.?4. ?i ? l l . ? ? . j,r,r.
{ t f?l'1j-
+f
l(
l
t'9 4 ? a ?? C?;J L ? yl n 7>e 1 ; ??. # rt '\18 {J) ?
-•?/ \1 ' e (?/ ?r r .SITE n'/('i '" , ,' tl ty !1"% t?\ (:1 i !' 3?j f e y'; f'.
t 1 / ? 1`„ / ? ` t\ \,: } ?ti I j .-- a l..•?-, I , I ? j r 1 t ' ? r; ? JJ ?f --? ? ? .
??' ?' ?' ., -?' ??1'y ,.?J+), rt' „?
?r J
?
t 'ic ? /?/
`
??:,-- )
;
Ir 4? ??/
1k?7 r
'#,t`i"7r
• rtl i-?
y>?
t
,
?.
/
j
,
,
.
tt
(
///
#
]
?ICA+ l ••T '?--?.jl?l}-? l /tx l???A? ''. / r ?\??V it/ .1?, ??l? •, ? cg ? i ?-v r?? ? ?.
- f ? ? •^?. 3 S ?? tT f
i' ?
'?
?
? f
!
(l ?
?+

Z ,
1
•.i
}
1
1 ?` f \
t
l?'
/` n r CI`!J(' J/l/('tq r ; ., )1r ,3+1 Q' \
I?'GC(I??
?` J fff ! I l{y' E[XI/. / I I) e f' l ` ?,y \ 1
Ir l / 11
80.1Z F1 l ? \ ?r ! z

M
M
?

M l r1 / ,"? flsrr
? },, ? ? :?j l / nv i, /(/x %
? Jl 1 ?Js
?t :. ,1 ? /' •:6T , r ? [?.!?
l }( t u v-j ?fjf ?I flao ! I + ? IfI ? ? r }!/?f
+?? 31? ????,F-'/ .ii?(? ?`t0 > ??k?`? ?/ aas ? 1 _ }t ?1>? i. i? ?.1?`tel?
f i' D / 3r ??r t \ li ? ? ! / 1? ? ? ? V ^. L I ?
, np ?, ? ,?? ? / Fr ) /. (C W ??? A , . I ?,,?. ]vl J rt ? ? ? . ,
2 rl l 11? }c^ ? ,A A ,?,. ? 1( ,
a M
o
M
f
??,? r I ? , ,? ?? r C, I
srr% ?
/ ,,.,, l? tl)? +?,1), r ? x ? ?/,,' /l1 l ,• ? i?? ? {' f ' ' i, ; ',;
xt
u rte r'? •r >` ? ? y Jn ?,., ? ?; f// ?,/.? ? C L??/ l g t ,

le-ql ?A,, Piti r 1 /' hf//1;f'? .7
), 71 fl fr'// // / (?cc r I. 1 lI? 1 ???`?1 A AS f?l'J?
f
? .?? ' A/ Y! I ! l %r ?}. t ?
•?, \\L / .(?t /?S )'1 f ( j Y? / f l I)
? / ?? ? J ? f ? ? ? ?? r I F fJ
/ ? llri Curt l i i i (?.
?.t
? / ? ???????
iJ JI
z /
/, ,. z
' ?
?
'
M /fi//;
t,
?,1's%?
??, ?
-+ ?
mil(
•I
,'j/ ?>-?tl V?\ ,i
)•S M
,
-, ,
.
I ' 1 878.8166666° W' ' ' ' '78.BOOg000' W' 't t5.t8s:{ssa- vvw I
Name: TRIPLE SPRINGS C(9%0)
Date: 1/7/2011
Scale: 1 inch equals 2000 feet ,
Location: 036.4895032° N 078.8022726° W
Caption: SR 1558 Chandler Road
0.80 mi - Secondary Rds Program
Person County F?
sheet
CE l

Project Study Area
SR 1558 Faulkner Long Road
Person County V,
USDA-SCS (1995) i

Figure 1 1:24,000
F9ure 2
ifiti
J
V :u?.- -
0
YL6. t`o .ss..s

N?dc:
h'P wr
?° ?'X?erlsio?
U
O
N c
o 'L'7
r o
-_a -p
" 1' Io 5c oh,
F ?
SR 1558
PERSDN Ca,
rock
S.-k? - lGn \/;ew
S2 IS58 -..Fc?tiljcvle? Loncl P.?l
P.e r son Cain-t-,? 1
Or wa rF?
O IR? ,
Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.3 Dec 10 2008
Pre-Construction Notification PC Form
A. Applicant Information
1. Processing
1a. Type(s) of approval sought from the

Corps: non-reporting
®Section 404 Permit ? Section 10 Permit
1b. Specify Nationwide Permit (NWP) number: non-reporting NWP 14 or General Permit (GP) number:
1c. 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
1e. 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
1f. 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 1 In
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 1558 (Faulkner Long Road aka Chandler Road)
2b. County: Person
2c. Nearest municipality / town: Roxboro
2d. Subdivision name: N/A
2e. .NCDOT only, T.I.P. or state
project no: WBS No. 5C.073057
3. Owner Information
3a. Name(s) on Recorded Deed: NCOOT Division 5
3b. Deed Book and Page No. N/A
3c. Responsible Party (for LLC if
applicable): N/A
3d. Street address: 2612 N. Duke Street
3e. City, state, zip: Durham, NC 27704
3f. Telephone no.: [phone]
3g. Fax no.: [phone]
3h. Email address: wbowman(o)ncdot.oov
4. Applicant Information (if different from owner) N/A
5. Agent/Consultant Information (if applicable) N/A
Page 1 of 8
PCN Form - Version 1.3 December 10, 2008 Version
B. Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID): N/A
1 b. Coordinates (in decimal degrees):
Site: Latitude: 36.4879 Longitude: -78.8073
(DD.DDDDDD) (-DD.DDDDDD)
1c. Property size: < 6.0 acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to Crooked Creek
proposed project:
2b. Water Quality Classification of nearest receiving water: C
2c. River basin: Roanoke
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:
Existing roadway is gravel and will be paved. Existing 3 line structure is only 40ft long and will be extended 1 Oft. Site is
surrounded by wooded and agricultural lands.
3b. List the total estimated acreage of all existing wetlands on the property:
NONE - Please note that this crossing is mapped as hydric (Cw) and wetlands do exist fringing the stream off of the
ROW to the inlet side of the roadway. However the stream bank excavation for placement of joints onto the two overflow
pipes would total an area of less than 150 SF and will be within higher banks with brighter soils than the wetter areas
upstream of the Site 1.
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
60 ft
3d. Explain the purpose of the proposed project: The cross line extension and proposed roadway improvements will
provide for a safer travel way and adequate shoulder widths. This project is part of the secondary road paving program.
The existing gravel roadway will be paved with asphalt.
3e. Describe the overall project in detail, including the type of equipment to be.used:
The NCDOT will extend the existing cross line by 1 Oft and add new, rip rap armoring at the inlet. Additionally the old sandbag
headwall on the outlet end will be removed and replaced with rip rap armoring underlined with filter fabric. Note that it will be
necessary that some rip rap extend out between the pipes for support of the fill slope above. The NCDOT will also dewater
the work zone during construction. Equipment used will include a backhoe, an excavator, and grader, an, and dump trucks.
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: N/A
4b. If the Corps made the jurisdictional determination, what type
El Preliminary [-
Final
]
of determination was made? -
4c. If yes, who delineated the jurisdictional areas? Agency/Consultant Company: N/A
Name (if known): N/A Other: N/A
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
N/A
Page 2 of 8
PCN Form - Version 1.3 December 10, 2008 Version
6. 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.
N/A
6. Future Project Plans
6a. Is this a phased project? ? Yes ® No
6b. If yes, explain.
N/A
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 N/A N/A ? Yes
? No ? Corps
? DWQ N/A
2g. Total Wetland Impacts: NONE
2h. Comments: N/A
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)
Site 1 ® P ? T fill Crooked Creek ® PER ® Corps 12 10
Stream 1 ? INT ® DWQ
Site 1 ®P ? T rip rap Crooked Creek ® PER ® Corps 12 10
Stream 1 ? INT ® DWQ banks only
Site 1 ? P ®T
Stream 1
dewatering
Crooked Creek ® PER
? INT ® Carps
® DWQ
12 65
(20 ?no.n t)
3h. Total stream and tributary impacts 65
3i. Comments: rip rap will be placed on banks only for stabilization at the pipe ends and between pipes to a maximum of 5ft -
dewatering limits go beyond rip rap a bit to facilitate best fit for placement of im pervious dikes.
Page 3 of 8
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.
Open water impact
number -
Permanent (P) or
Temporary 4b.
Name of waterbody
(if applicable) 4c.

Type of impact 4d.

Waterbody type 4e.

Area of impact (acres)
01 ? P ? T N/A N/A N/A N/A
4f. Total open water impacts NONE
4g. Comments: N/A

5. Pond or Lake Construction
If and or lake construction proposed, then complete the chart below.
5a.

Pond ID 5b.

Proposed use or purpose of 5c.
Wetland Impacts (acres) 5d.
Stream Impacts (feet) 5e.
Upland
(acres)
number pond
Flooded
Filled
Excavated
Flooded
Filled
Excavated
Flooded
P1 N/A N/A N/A N/A N/A N/A N/A N/A
P2
5f. Total NONE NONE NONE NONE NONE NONE NONE
5g. Comments: N/A
5h. Is a dam high hazard permit required?
? Yes ®No If yes, permit ID no: N/A
5i. Expected pond surface area (acres): N/A
5j. Size of pond watershed (acres): N/A
5k. Method of construction: N/A
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.

Project is in which protected basin?
? Neuse ®Tar-Pamlico ? Other:
? Catawba ? Randleman
6b.
Buffer impact
number -
Permanent (P) or
Temporary T 6c.

Reason for
impact 6d.

Stream name 6e.

Buffer
mitigation
required? 6f.

Zone 1 impact
(square feet) 6g.

Zone 2 impact
(square feet)
Site ? P ? T
Buffer Impact 1 ? Yes
? No NONE NONE

6h. Total buffer impacts NONE NONE
6i. Comments: N/A
Page 4 of 8
PCN Form - Version 1.3 December 10, 2008 Version
D. Impact Justification and Mitigation -upgrade to the cross line pipe is necessary to construct this roadway
1. Avoidance and Minimization
1 a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
The permanent and temporary impacts to stream are necessary to met safety standards for construction.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Sediment and erosion control Best Management Practices for protection of surface waters will be enforced during project
construction.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory ' Mitigation for
impacts to Waters of the U.S. or Waters of the State? ? Yes ®No
2b. If yes, mitigation is required by (check all that apply): ? DWQ ? Corps

2c. If yes, which mitigation option will be used for this project? ? Mitigation bank
? Payment to in-lieu fee program
? Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank: N/A
3b. Credits Purchased (attach receipt and letter) Type N/A Quantity N/A
3c. Comments: N/A
4. Complete if Making a Payment to In-lieu Fee Program
4a. Approval letter from in-lieu fee program is attached. ? Yes
4b. Stream mitigation requested: N/A linear feet
4c. If using stream mitigation, stream temperature: ? warm ? cool ?cold
4d. Buffer mitigation requested (DWQ only): N/A square feet
4e. Riparian wetland mitigation requested: N/A acres
4f. Non-riparian wetland mitigation requested: N/A acres
4g. Coastal (tidal) wetland mitigation requested: N/A acres
41h. Comments: N/A
5. Complete if Using a Permittee Responsible Mitigation Plan
5a. If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
N/A
Page 5 of 8
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
buffer mitigation? ? Yes ® No
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.

Zone 6c.
Reason for impact 6d.
Total impact
(square feet)
Multiplier 6e.
Required mitigation
(square feet)
Zone 1 N/A N/A 3 (2 for Catawba) N/A
Zone 2 N/A N/A 1.5 N/A
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 in-lieu fee fund). N/A
6h. Comments: N/A
E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Plan
la . Does the project include or is it adjacent to protected riparian buffers identified ? Yes ®No
within one of the NC Riparian Buffer Protection Rules?
1b . If yes, then is a diffuse flow plan included? If no, explain why.
? Yes ® No
Comments: this pipe extension will not alter storm water runoff at this site
2. Stormwater Management Plan
2a . What is the overall percent imperviousness of this project? 20 %
21b. Does this project require a Stormwater Management Plan? ? Yes ® No
2c. If this project DOES NOT require a Stormwater Management Plan, explain why: NCD OT state Permit No. NCS000250
2d. If this project DOES require a Stormwater Management Plan, then provide a brief, na rrative description of the plan: N/A
? Certified Local Government
2e. Who will be responsible for the review of the Stormwater Management Plan? ? DWQ Stormwater Program
? DWQ 401 Unit
3. Certified Local Government Stormwater Review
3a. In which local government's jurisdiction is this project? Person County
? Phase II
3b. Which of the following locally-implemented stormwater management programs ? NSW
? USMP
apply (check all that apply): ? Water Supply Watershed
? Other:
3c. Has the approved Stormwater Management Plan with proof of approval been ? Yes ? No
attached? N/A
Page 6 of 8
PCN Form - Version 1.3 December 10, 2008 Version
4. DWQ Stormwater Program Review
? Coastal counties
? HOW
4a. Which of the following state-implemented stormwater management programs apply ? ORW
(check all that apply): N/A ? Session Law 2006-246
? Other:
4b. Has the approved Stormwater Management Plan with proof of approval been
? Yes ? No
attached? N/A
5. DWQ 401 Unit Stormwater Review
5a. Does the Stormwater Management Plan meet the appropriate requirements? N/A ? Yes ? No
5b. Have all of the 401 Unit submittal requirements been met? N/A ? Yes ? No
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)?
1c. 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: N/A
2. Violations (DWQ Requirement)
2a. Is the site in violation of DWQ Wetland Rules (15A NCAC 2H .0500), Isolated
Wetland Rules (15A NCAC 2H .1 300), 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): N/A
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.
N/A
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 7 of 8
PCN Form - Version 1.3 December 10, 2008 Version
5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or
habitat? No DWM is known to occur within the Roanoke River Basin, ? Yes N No
additionally this stream is a smaller stream with no habitat for DWM.
5b. Have you checked with the USFWS concerning Endangered Species Act ? Yes N No
impacts?

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?
hftp://www.fws.gov/nc-es/es/countyfr.html and NC Natural Heritage Program Database, Element Occurrences
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish ? Yes ® No
habitat?
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
http://ocean.floridamarine.org/efh coralAms/viewer.htm
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
7a. Will this project occur in or near an area that the state, federal or tribal

"
? Yes N No
governments have designated as having historic or cultural preservation
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?
HPO's historic layer using GIS ArcView database - NCDOT HEU/SHPO review and determination of no effect
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain? ? Yes S No
8b. If yes, explain how project meets FEMA requirements: N/A
8c. What source(s) did you use to make the floodplain determination? http://www.ncfloodmaps.com/

J. W. Bowman,
4 04/15/11
Applicant/Agent's
Printed Name
" Applicant/Agent's Signatur
(Agent's signature is valid only if an authorization let r from the applicant Date
... is provided.)
Page 8 of 8
PCN Form - Version 1.3 December 10, 2008 Version
A 4„ ? t I 'J ?'J?? •11 r,
j., , P

g? y , a
i7
;
j .
_,
qyY

Photograph 1. View of inlet Site 1.

x

SR 1558 (Faulkner Long Road) -- Person Countv
Photograph 2. View of outlet Site 1.