20060532 Ver 1_Complete File_20060407

, o?OF W ATF9pG
r
r
>`
O ?
APR 1 17nf)- Michael F. Easley, Governor
#?N t ?V#

William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
Sr?W4r't' B April 7, 2006
'H Surry County
DWQ Project No. 06-0532
Piedmont Drive Extension in the Triad West Industrial Park (No. SR #)
APPROVAL of 401 Water Quality Certification
Mr. Mike Pettyjohn, P.E.
Division Engineer, Division 11
N C Department of Transportation
Post Office Box 250
North Wilkesboro, North Carolina 28659
Dear Mr. Pettyjohn:
You have our approval, in accordance with the attached conditions and those listed below, to incur the following impacts
in order to construct a new paved roadway (Piedmont Drive Extension) along primarily new alignment in Surry County.
• 156 linear feet of new piping impacts to an unnamed tributary to Stewarts Creek;
• 80 linear feet of stream restoration from the removal of a pipe under an existing gravel road to be abandoned; and
Temporary dewatering impacts of approximately 0.013 acres.
The project shall be constructed in accordance with your application dated March 23, 2006. 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 13, 14 and 33 respectively. 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 federal permit. This condition supercedes, condition No. 19 in the General
Certification 3404, and condition No. 12 in General Certification 3366.
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.
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.
N r` Caro na
atura?y
North Carolina Division of Water Quality 585 Waughtown Street Phone [phone] Customer Service
Internet: www.ncwaterquality.org Winston-Salem, NC 27107 FAX [phone]
An Equal Opportunity/Affirmative Action Employer - 50% Recycledl10% Post Consumer Paper
_.___ _. _ ___JJ____, _ ._.
April 7, 2006
DWQ# 06-0532
Page 2
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.
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. Upon removal of the pipe under the existing gravel road that is to be abandoned, the stream banks will be
reshaped to match the upstream and downstream areas and stream banks will be stabilized with native vegetation
and rolled erosion control products if necessary.
3. 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.
4. 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.
5. Riparian vegetation must be reestablished within the construction limits of the project by the end of the growing
season following completion of construction.
6. 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.
7. 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 now
through without freefalling or damming on either end of the culverts during low flow conditions, to maintain
aquatic life and/or fish passage.
8. 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.
9. Disturbed floodplains and streams should be restored to natural geomorphic conditions.
10. 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.
11. 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.
12. Heavy equipment must be operated from the banks rather than in the stream channel in order to minimize
sedimentation and reduce the likelihood of introducing other pollutants into the stream.
13. 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.
I
Mr. Mike Pettyjohn, P.E.
April 7, 2006
DWQ# 06-0532
Page 3
14. 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.
15. Temporary dewatering sites must be restored to preexisting conditions unless more natural geomorphic conditions
can be provided.
16. All work shall be performed during low flow conditions.
17. 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 336-771-4964 or at [e-mail].
Sincerely,
Alan W. Klimek, P.E.
Attachment
cc: John Thomas, USACE Raleigh Field Office
Heath Slaughter, Division 11, Division Environmental Officer
DWQ Wetlands/401 Transportation Unit
DWQ Winston Salem Regional Office
DWQ Central Files
lrll. lrlll?\+ 1 \. L.Ypilul, 1 .J-.
April 7, 2006
DWQ# 06-0532
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
Date:
Partial Final
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

r,,. swr o
`G .?_ iC VVV
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY P. O. Box 25201, Raleigh, NC 27611-5202 LYNDO TIPPETT
(iU\'ERNOR HioNiz: 919-733-2520 S[CRLTARY
Mr. John Thomas
U. S. Army Corps of Engineers
Raleigh Regulatory Field Office
6508 Falls of Neuse Road, Suite 120
Raleigh, NC 27615
March 23, 2006
21-9@00y,20
MAR 3'0 2006

E tTU."1DA AND STORf MATER BU CH
Piedmont Drive Extension in Triad West Industrial Park (No 5R ;?)
Surry County, North Carolina
Project Number: 36335 (Moving Ahead Project) (DWQ Permit Fee: $200)
Dear Mr. Thomas:
The NC Department of Transportation is scheduled to extend Piedmont Drive from its current
termination point to SR 1359 on a primarily new alignment. Total project length is approximately
0.7 nines. The new paved roadway width including curb and gutter will be 33' wide. Lanes are
wider than normal since this is an industrial complex. Impervious surface area will increase by 2.8
linear acres. Due to the roadway's new alignment, this project will require the installation of one
(1) new wet pipe as shown below:
Existing Proposed Pipe Riprap Impacts Total Impacts at
Station Number Structure Size Size feet this Station ft.
156 linear feet due
45+58 None 92' x 66" w/ 10 feet or to stream curvature
HWs 0.002 acres & riprap
45+58 (Upstream)* 80' x 48" None 0 - 80 feet
Total Stream Impacts = 76 feet
* Since the new alignment at station 45+58 is downstream of the existing alignment, we will
remove the old upstream pipe as a way to reduce overall stream impacts associated with this
project. Once this old pipe is permanently removed, the creek banks at that location will be
sloped back on a 2:1, seeded and matted. The old pipe is also perched, so removing it while
burying the new pipe should reestablish aquatic life passage at this location.
W]

P. O. Box 250, N. %VILKLS90Ro. NC 28659
PHONE [phone] FAX [phone]

Mr. John Thomas
Piedmont Drive Extension, Surry
Page 2
March 23, 2006
The installation of the new wet pipe at station 45+58 will require temporary dewatering. Nli
impervious sandbag dike will be constructed approximately 20 feet upstream of the existing
structure to create a small pool. Clean water will temporarily be pumped around the construction
area and will be discharged into a buffer area downstream. Any dirty water located inside the
construction area will be pumped into a silt bag. The dewatered area at station 45+58 will total
approximately 0.013 acres. Once the new structure and headwalls arc in place, the impervious
dike will be removed and preconstruction streambed elevations will be restored.
Construction of this project will require impacts to waters of the United States in the Yadkin
River Basin. The above noted wet pipe carries an unnamed tributary to Stewarts Creek (Class:
Q. This project was reviewed for the presence of threatened and endangered species on March
20, 2006. This project will have no effect on any federally listed endangered plant or animal
species. Historic compliance work will be scheduled and concurrence '„•ith the State Historic
..?.,?i'?.dii?iiL?iiiCC: *1iiI i.. Ui•....iF?u ?i iai:L.'(:.
The proposed project should not remove or degrade existing water quality uses and will
reestablish aquatic life passage at this location. The proposed new pipe size is the minimum
necessary to create a safe roadway. By utilizing the erosion control measures outlined in the
attachments to this application, downstream water quality standards will be protected. All
appropriate BMPs will be used during construction.
Attached is a Preconstruction Notification Form, plan sheets, a marked county map, a marked
topography map and photographs.
By copy of this letter, it is requested that Mr. Ron Linville, Mountain Region Coordinator, with
the North Carolina Wildlife Resources Commission continent directly to you concerning the 404
Nationwide Permit application with a copy sent to me.
By copy of this letter, I am forwarding seven (7) copies of this application package to John
Hennessy, NCDENR, Division of Water Quality, 401/Wetlands Unit, for his review. It is
requested that any comments related to the 401 certification be forwarded directly to me with a
copy sent to the US Army Corps of Engineers.
We would like to begin construction as soon as possible. If further information is required, please
let me know. Your early review and consideration will be appreciated.
Sincerely,
?rC- /??-
Heath Slaughter
Division Environmental Officer
Enclosures
Mr. John Thomas
Piedmont Drive Extension, Surry
Page 3
March 23, 2006
cc: John Thomas, US Army Corps of Engineers (1 additional copy)
Ron Linville, Western Piedmont Region Coordinator, NCWRC
John Hennessy, Division of Water Quality (7 copies)
Sue Homewood, Division of Water Quality
Mike Pettyjolin, PE, Division Engineer
Brandon Whitaker, PE, District Engineer
Mark Williams, County Maintenance Engineer
Heath Slaughter, Division Environmental Officer
Neil Trivette, Roadside Environmental Field Operations Engineer
Joe Laws, Division Project Manager
Office Use Only: Porin Version April 2001
2 0 0 6 0
USACE Action 11) No. DWQ No. 5 3 2
If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A" rather than
leaving the space blank.
1. Processinb
1. Check all of the approval(s) requested for this project:
® Section 404 Permit
? Section 10 Permit
® 401 V?Iater Quality Certification
? Riparian or Watershed Buffer Rules

3. If this notif icat ion is solely a courtesy copy because 'written approval for the 401 Certification
is not required, check here: ?
4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for
mitigation of impacts (see section VIII - Mitigation), check here: ?
11. Applicant Information
1. Owner/Applicant Information
Name: North Carolina Department of Transportation
Mailing Address: P. O. Box 250, North Wilkesboro, NC 28659
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: hslau hg_ ter(a?dot.state.ne.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: Heath Slauehter. Division Environmental Officer
Company Affiliation: North Carolina Department of Transportation
Mailing Address: P. O. Box 250, North Wilkesboro, NC 28659
'T'elephone Number: [phone] Fax Number: [phone]
E-mail Address: hslauehter(a1dot.state.nc.us
Page 3 of 12
111. 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 I I 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.
J
?
?
iirV
_u ,: ?
:`I [it:tL Vt ?'1 V??a t. t
1?.v 11lve11 ? i..1..r1

2. T.I.P. Project Number (NCDOT Only): 36335 (NC Moving; Ahead Project)
3. Property Identification Number (Tax PIN): N/
4. Location
County: Surry Nearest Town: i\Iount Airy
Subdivision name (include phase/lot number): N/A
Directions to site (include road numbers, landmarks, etc.): See attached SR map.
5. Site coordinates, if available (UTM or Lat/Long):
45+58 DD: 36.47992 ON, 80.65622 0 W
(Note - If project is linear, such as a road or utility line, attach a sheet that separately lists the
coordinates for each crossing of a distinct Nvaterbody.)
6. Describe the existing land use or condition of the site at the time of this application:
7. Property size (acres): Approximately 4.2 acres.
8. Nearest body of water (stream/river/sound/ocean/lake): UT to Stewarts Creek (Class: C.
9. River Basin: Yadkin
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http:/.h2o.enr.state nc.us/admin/maps/.)
Page 4 of 12
10. Describe the purpose of the proposed work: Extend Piedmont Drive on new alignment for
industrial Complex expansion.
11. List the type of equipment to be used to construct the project: Track hoe/backhoe, motor
Prader. bulldozers and dump trucks.
12. Describe the land use in the vicinity of this project: Residential/Commercial/Industrial
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, DNN'Q Project Number, application d :te. and date permits and
0-ftllllalivio Vr Allli UJCllul iai.l
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules.
Jurisdictional Determination made by the COE on 7/19/04. Action ID # 200421300
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 tx; clearly identifiable on an accompanying site
plan. All Nmlands and waters, and all streams (intermittent and perennial) must be shown on a
delineation map, whether or not impacts are proposed to these systems. Wetland and stream
evaluation and delineation forms should be included as appropriate. Photographs may be
included at the applicant's discretion. If this proposed impact is strictly for wetland or stream
mitigation, list and describe the impact in Section VIII below. If additional space is needed for
listing or description, please attach a separate sheet.
Page 5 of 12
1. Wetland Impacts
Wetland Impact
Site Number
indicate on map)
Type of Impact* Area of
Impact
(acres) Located within
100-year Floodplain**
(yes/no) Distance to
Nearest Stream
linear feet)
Type of Wetland***
N/A

* List each impact separately and identity temporary impacts. Impacts include, but are not limited to: mechanized clearing. grading, till,
excavation, fhxxiing. ditchingfdrainage, etc. For dams, separately list impacts due to both structure and Ilwding.
• * 100-Year floodplains are identified through the Federal Emergency Management Agency's (FEMA) Flood Insurance Rate Maps
(FIRM). or FEMA-approved local Iloodplain maps. Maps are available through the FEAtA Map Scrvice Center at 1.800-358-9616, or
online at http'//tt?t?t' Irma _,,ov.
•** List a wetland type that best describes ttetland to be impacted (e.g.. freshwater/saltwater marsh, forested wetland, beater pond.
Carolina Bay. hog. etc.)
List the total acreage (estimated) of existing \Nctlands on the property:
2. Stream Impacts. including all intermittent and perennial streams
Stream Impact
Site Number

(indicate on map)
Type of Impact* Length of
Impact

(linear feet)
Stream Name*
* Average
Width of
Stream Before
Im act perennial or

Intermittent?
(please specify)
Station No. 45+58 Pipe addition 146 feet UT # I to Stewarts Creek 3 feet Perennial
Station No. 45+58
(Upstream) pipe removal - 80 feet UT # 1 to Stewarts Creek 3 feet Perennial

* 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 belbre and after, and net loss/gain).
stabilization activities (cement stall, 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 tributar)) to the nearest
downstream named stream into tthich it (lofts. USGS maps are available through the USGS at 1-800-358-9616, or online at
tvtvtv.uses.loa. Several Internet sites also allow direct download and printing of USGS maps (e.g., \ttttttolxuone.cont,
ttwtv.tna)eluest col. etc.).
Cumulative impacts (linear distance in feet) to all streams on site:_ 66 In. fl. of new permanent impacts.
Page 6 of 12
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 Impacts Area of
Impact
(acres) Name of Waterbody
(if applicable) Type of \Vaterbody
(lake, pond, estuary, sound,
bay, ocean, etc.)
45+58 Temporary Dewatering 0.013 UT to Stewarts Creek Stream
45+58 Riprap bank stabilization 0.002 UT to Stewarts Creek Stream

• List each impact scparaicly and identify temporary impacts. Impacts include, but arc not limited to: fill, excavation, dredgin&
tlwding, drainage, bulkheads, etc.
4. Pond Creation
If construction of a pond is proposed, associated wetland and stream impacts should be
irclu:a::I ab ?? in the ,vctLind and stream imp~=ct !z--ctions. ads_. the r,.op:,sc-d pond should
iti'iCscr:iki1 hero onj Illustrated .:Si _1'1 Ei:1J "?llCcait;tl.
Pond to be created in (check all that apply): LJ upl::nds ? stream j 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.):
Size of watershed draining to pond: Expected pond surface area:
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.
Removing the old upstream pipe will eliminate a perched pipe and 80 linear feet of permanent
fill. By utilizing _all appropriate IIIv1Ps, adverse impacts to streams in the area will be minimized.
The new pipe length is the minimum needed to safely construct the new paved roadway.
Page 7 of 12
VIII. Mitigation
DWQ - In accordance with 15A NCAC 211 .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
i.nd?or upland vegetated buffers to protect open waters such as streams; and replacing losses of
111il?tlC?iiJ ilila ?i;l.i ?. j, tir:.f::iaril.'. .ii ..::. :?::ii::. •1';,t?::.tl??. '
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
llttp://h2o.enr. state.nc.us; ncwetlands/strmuide. htm1.
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 ofl'site), 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.
Removing the old upstream pipe will eliminate a perched pipe and 80 linear feet of
permanent fill. Banks will be sloped on a 2:1, seeded and matted.
Pace 8 of 12
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 NC\VRP Nvebsite at him. If
use of the NCWRP is proposed, please check the appropriate box on page three and provide
the following information:
Amount of stream mitigation requested (linear feet): To be determined by COE
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
t.?. s tt?ifuttmetttal Docui-ovtltetioki (l VVQ Oal.)
Does the project involve an expenditure of public funds or the use of public (federaUstate/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 213 .0233
(Neuse), 15A NCAC 213 .0259 (Tar-Pamlico), 15A NCAC 213 .0250 (Randleman Rules and
Water Supply Buffer Requirements), or other (please identify )?
Yes ? No ® If you answered "yes", provide the following information:
Page 9 of 12
Identify the square feet and acreage of impact to each zone of the riparian butlers. If buffer
mitigation is required calculate the required amount of mitigation by applying the buffer
multipliers.
Zone' Impact
(square feet Multiplier Required
Mitigation
3
2 1.5
Total
lone I extends out 30 fret perpendicular from near twik of channel; Zone 2 extends an
additional 20 feet from the edge of Zone I.
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

XI. 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.
Impervious surface area will increase by 2.8 linear acres. All appropriate best management
practices for sediment and erosion control will be implemented during construction.
XII. Sewage Disposal (DWQ Only)
Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of
wastewater generated frorn the proposed project, or available capacity of the subject facility.
XIII. Violations (DWQ Only)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H .0500) or any Buffer Rules?
Yes ? No
Is this an after-the-fact permit application?
Yes ? No
Page 10 of 12
XIV. Other Circurnstances (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
Nvork 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).

'?Af%I%i i?. ii lil %tiLClitS
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
US Army Corps Of Engineers Field Offices and County Coverage
Asheville Regulatory Field Office Alexander Cherokee Iredell Mitchell
US Army Corps of Engineers Avery Clay Jackson Polk
151 Patton Avenue Buncombe Cleveland Lincoln Rowan
Room 208 Burke Gaston Macon Rutherford
Asheville, NC 28801-5006 Cabarrus Graham Madison Stanley
Telephone: [phone] Caldwell Haywood McDowell Swain
Fax: [phone] Catawba Henderson Mecklenburg Transylvania
Raleigh Regulatory Field Office Alamance Durham Johnston Rockingham
US Army Corps Of Engineers Alleghany Edgecombe Lee Stokes
6508 Falls of the Neuse Road Ashe Franklin Nash Surry
Suite 120 Caswell Forsyth Northampton Vance
Raleigh, NC 27615 Chatham Granville Orange Wake
Telephone: [phone] Davidson Guilford Person Warren
Fax: [phone] Davie Halifax Randolph Wilkes
Washington Regulatory Field Office Beaufort Currituck Jones
US Army Corps Of Engineers Bertie Dare Lenoir
Post Office Box 1000 Camden Gates Martin
Washington, NC 27889-1000 Carteret* Green Pamlico
Telephone: [phone] Chowan Hertford Pasquotank
Fax: [phone] Craven Hyde Perquimans
Wilmington Regulatory Field Office Anson Duplin Onslow
US Army Corps Of Engineers Bladen Harnett Pender
Post Office Box 1890 Brunswick Hoke Richmond
Wilmington, NC 28402-1890 Carteret Montgomery Robeson
Telephone: [phone] Columbus Moore Sampson
Fax: [phone] Cumberland New Hanover Scotland
Pitt
Tyrrell
Washington
Wayne
Union
\I'atauga
Yancey
11'ilson
Yadkin
*Croatan National Forest Only
Page I I of 12
Action 11)
11!-1-1 U.S.:;R.`I l CORi!;l O
!•
'Xilu1:11r 1011 r 11h I ct
1`otifi(::ltiou 1)1*.lif t ildicliaual Ddermiu.?tivu
Property
Owner---NC POT
J. Tiwip;:. ?h D
Address j >4S-%La'! C r: is (? Conicr
,___
le!el)huut 1u:n1)er_ ?)1? -1 ? I??!
.lrl -:
Authorized ? ? ??
Agent __RKI.C;IC
r _
;11•:1)1`1,!:z i!!:!!l}Cl'_ c) ? \.':it•1:
'•)i:: i'1: ii: Ji ?[? I?.-:: r ,it?1>iun:? i\r.iu !.ii:: c:?t iL:.1:C:i i.:ll i:r i!i til (' in,crSC.ri"•:j 1?(ti' 'ltt,
5.11jacent to 1 ecch Crerfi.'%Cst [)f Mount :;ir%, in Surj-, Noith ('ar.!:111:1.
ludicate ?i hicu of the FulloNsing appli :
... _....:C .'.Ct!.til:; ..'i::ii:....'+'a?c!:?(:t:1`.-;11(1'.'1:.:1 •'.1.....',lr• _'?.,I'. ..:I....it...+:(,;?(:,):,?i-I..._t'.L1?11:+.!a?. -.
1:.:1: .. t::.. +. I- !ii i1 J!Il Jt'1- !

F -L:1LL?C J) talc s:2C c .'rur ru.-c-It`. .)ur n CS:.f:
I
r ? 1« l tl-. 1? i(1 ;? r r ;ilk
l :u'. Ct! c:1 1(11::1
1 :Till a:Jl r? Of j) \'+
: •
l i'
r
'.'amio[ accoml'lishcii i n a , (mzi\' ni;= : .
,
_
., .. +
r1-:1•. iti . i ?•i_t l .. c; ! t >1,.?u tail bt.,
.in a m1•rr: t1r,1'.
ciC! :.Cl1li1)r Qr. 1110 \<Cli;l:({i. 011c; Cic Cons...Iut •. Iti- ;.rr't_ ;v G)rvi yt:?ii `•c''i
rt.. !P !t. 11n,L 1: ;i ,i{, ;Il-j1• .%e srn\nv]\' :.'.r tia ll :4nri1•. \'„! ... lib:
l : C \ Cl'): '.: ;!: . c i :?GiiC :, ia:.li +1111iJ:a:::•?:..L :_..r-,?...l.i:..1.'•+! :, ar(1!wh.' :;i )l;l ai ,:
1r rs y,_t/Ie i .?. to in ltrrl? ?rlit:r:?l% ?__?{_t,; ,;s:-
-cr_c ar;rrarclrr_i?r rr i.:r it;°;:ire r'?: ? ? r?r:'r:c
?
•
-
i
? t ,
, - r
,
delineated ht' t•o7rr r(
)+lul.err
' ]
t:r(d i;
c
t
r•
:r
r
:
l
•c•r
r
?i
1,
l
fa
l
,
,
.
,
a
.
_ _
_
, .,
?
.
.
r.
_ _ _
_
cc
lrl
.r
,
`lm-c !t 79, 7,UO- . an the eiefine t(:J_J_1 (1I_r!I_sr?' u; ..il(i/: L ): ?.^.^?•?-.... _.. .. ;, __
ln1t.+•
:!p 1-1. 2004
has h•
m detertnined by Me C Ur'i,.
.? rri be Eased oil Ole i
l
'
`
'
+
.
.
- .
n t
:
t.+<:
li
J: 7
iilr.i !!tilt'. Uhles3 ihere i.i a Char:-c: ;ah, l)1 oii.•_)lit)lish,!J revalativrl.v. t i
determination may he relied r jwn for (.' r?cr; )d !7:(f l:l e_YCe.ed iitt• vear-,• 6-11/11 lie darE'

.•
1
•??tl??'1 -111.1 .Jt a:r•C "_.ttl (.? .1.'.. :t.li ')_ ? 1+ l ( ?.
+ .
•:a '. '?:. 'f:.-t: .. .lL!'1:-,C ... h,_
1:...:1:11i-. fill' !!_11'111!.1'. .. :I H'X. i''l: lv!:C,i ;I`'?; -t .+. •' ' ?.
tll?lll T+.llt:\J11.
1 .1•: ?\. !?`.:: I i(!?:_ll:. !Ii 1:'I? ... i1... _.'J (.,:, _. I: l '.t ....? .. .r.!l. it: .. .',1,.(.l !?.. 11'::t1?.?. •):.I1 :_ ?/:!1t( 1.. .1.•...I

Y
1n -Mc.-rt t:. ?c?crn:?? IJ..1r re\;alrr n
I'Liceruent of dred+'ed or till material in %%etiaitds (,u (hk tltotlrlty witl?,)ut a bvp:?rltt?.•ut (.1 r(.•'
?rntr permit is in Illost cairn it Vic)latiull of 301 rf the Clean 1'r'uter A(t (33 US( !
lici mit is nut I t_(-1uiivL fur 1SOr!i I.)it ihr I)rl;I!e'rt4 la: t11'l l'IC!j ent1: C15 to existing rti(,•`,h ground. tl l i..
hay c' alts questions rc,?arlti:?a? the Cor!» (if .:tj.L,* ern ry,ul:,turf Ilru?ranl, pleas( cailtact
?
lC!111 1 Th+)ill ?? t:• l• t 7 - (? - :?-tti I C?.tc'.i? i:l!it
Pro t:ct ManaIzer Si•)umurr i
Date ::ik 1,:). 1:.x ii-:lti6n U.ltl' - !a'1_.n'!.a 1.111'1
OIp -- wA ?',J
r: /,f °. ?,•?E? ? d•C, e µ9 3 ?? "' 1-'1\•0 ? --
.
" .1 yes -,o Lu ?'^ -•'•_.-; F F 'c.1. - ''j B
_ z<lz ,
Ire I° ?''.<6 '3 ="r., ve1• •1O .? 'ti >°?• ?' 6°? .ate
2- JL
, I A) 10 J 'i<9 j
o• ?C Buz ,J,6 9`
\ 1_ 1-3 MT. AIRY 'i
?? ? * _ t .y ror e.s1< s.v
,e
3^
33
.01
•'? ? ? ' - _, i'? ?'. .a2 - ?,• :? '21'6 __'E
/. IAA ?5 r =•0 F
1?g / -
?• - •\ •C t wn.ti 7X10 2,9
r \ i p ey.n O
... - .. _ ?• 261
zmn • u lI
ro 1-3 210)
a2 /•
-- - .03
' fit?'1 - q?. ' t}'?o r+ ? 5:. ?.1 s3??if1"`.,h ri ? ` .,+ ,h•sl-rte s _ .?_.? { x ..
1 ?e t 4i f ?•.! `fl' 4 t ?'? r 1? 1 ? 1 -. ? ? e
,s »_ ?'I?A, _ -s ,=_. - -••d:l r?: rti+lla?MS"-?.,?i. "+?!? *.:'?. f.. ?.!1?•'_ r,j • 'r '?1 •' 'f?• ._ t;
?, ; ? c`? _ ? }rr;\ ?-;J ???.,(( I ? « ril: ? ?? `+` .ice ? 1 ry": •-fjr; . -'? ? -

End Pro ect
\j ?'
••
i
??\ / •
?
`\
/
?•'
??
\ Il
. ('. •_ /:
?
/
??
`?1 I
?
\ <
+I
/
?
??„? ",
- ? '1 yam' • • ? l? . ?. i? ?? ?) a? - / ?\
? V?
?k r r
'1»?
{
?
?
.\
??
?
,
?
lam-
i ? . .
_
?

•
. ..
,
,
Otl7 .. ?,
i
+
'
fi
.
/
?
,
. I o .
?. r
( t
.
?\
r
`` ?J 1 P
Begin Project -??

\j bul
\?? ?.? - ?- ? _ ?, _ ?.,? '••? ?? `.. rte- =? j ?, i
I l (((\/\QfJ I ?
?aOtr "_l r-
?
,a"?J(1
? ?:`l?lj':
? _
1j
• ?
, _? .\
? ? .
r
i

- i -? off' ? i, -- ?: , .,?, ?' •) : n.1 ? 1 ?_' -? -
r-Q- ''
-
j
'0'
2
000 ' •a o
000
0
f ?` 8
6
00
0-
?
,
;
?-
;
}
..
,
,
,
.
Feet'

1 inch equals 1,998.29 feet N.C. DEPT. OF TRANSPORTATION
DIVISION OF HIGHWAYS
SURRY COUNTY
LOCATION PROJECT NO. WBS # 36335
PIEDMONT DRIVE E EXTENSION
TO MICKINNEY ROAD (SR 1359)
IN PIEDMONT TRIAD WEST INDUSTRIAL PARK
IN THE CITY OF MOUNT AIRY
SHEET 2 12/03/04
Source: USGS 7.5 Minute Quadrangle, Dobson, NC
fur ._?.?w 1,v.?;?P'y ?+(y?/t a• r,n.i'.,,?-'.
.J ?

Tit
f' tl 11,? -h' w4 ;
?,? .?{ -. fie r•.• ?'? ? '{Gi ?"..'tj',.?? ? ?i
'l'op: Upstream view from proposed pipe location at station 45+58 on the Piedmont Drive
Extension project, Surry.
Bottom: Downstream view from proposed pipe location at station 45+58 on the Piedmont Drive
Extension project, Surry.
? ?`.•- r C?? ?1 •Y,+??.•. ,l ll1...?tt., ?'? •7 ,. ?{? l`wr .1 i+ j ,. ?.? -7 \?Sj?
!!?j;.,? •t l 10 t7 L:?+At `£???' t~n?;?!1?'? ? /?l?` „f'? ? ,?•?.:!`,'i k ?'.,. .? ? Fl - ,J• f`?
?? ? •Y '??C???rlt ?? s????I u? \`,.4 '?f ? ? a.? Jj ?P'I?! .? lk iul'}+ '±. - _. ? - ,S` '
• ."r . Y M L#'? ?2 ..ter t !. •` I,. M j;1 ./? ti ? i1.
:,?`?V. ;.??J`,•.?I,? ?l ?. ???? '?.s?:? ?r ra."c1•l•. t?I ?f f''1?^? ? 71?. 1; I ?1 f } ??. ?..r/ r#:?'w
.d.:? r - r+ty •TA ?, ? ? ( v ? f ? 3' :..'? ! ,•-. ? r .f.n ,? l.?v ?1 "'!.',. ?y +•. ry v7.
L \ Z'I ?""`?- i /"t ?• I P S? . 4?- y r. }°S• f. .!, 1• {.b f Tl-
\???ti mr'I'?t? :.?t.1.'fti_. ?..?..... A`ri'?I! .•?4?`+.W. ,?Sea.``:._ ?..-rJ•?:'?'?. t.'2'?t .?• l .x„•,,, .? 1T.__ '._ '!-'It_ -?(. :s:
r? f +a
? l•?t1"
1: r

•?/ "1:.11: .-a?'? ` i?,?.''?? ? ? ? ti _..>?
Fi??•?/ i t 1 f ?? 4 ?'? ytr's?
A ?? 41 C
County.
Existing perched pipe upstream of station 45+58 on the Piedmont Drive Extension project, Surry
V)
' W
Q: I
O

O
O `
O
N.C. DEPT. OF TRANSPORTATION
DIVISION OF HIGHWAYS
SURRY COUNTY
SITE MAP
PROJECT NO. WBS # 36335
PIEDMONT DRIVE EXTENSION
TO MICKINNEY ROAD (SR 1359)
IN PIEDMONT TRIAD WEST INDUTRIAL PARK
IN THE CITY OF MOUNT AIRY
SHEET 3
1/05/04
c
I WETLAND "LEGEND I
--WL6 WETLAND BOUNDARY

L WETLAND
DENOTES FILL IN
® WETLAND
® DENOTES FILL
SURFACE WATER
R
DENOTES FILL
® SURFACE WATER
R
(POND)
DENOTES TEMPORARY
FILL IN WETLAND
DENOTES EXCAVATION
,
? j
IN WETLAND
, 7, DENOTES TEMPORARY
:LL ,pi ;Lc L. f- p

•• •• •
GEN'OTES MECHANIZED
•
• CLEARING
FLOW DIRECTION
Z TB TOP OF BANK
...-..-WE ....... EDGE OF WATER
-- C--- PROP. LIMIT OF CUT
-- F -- PROP. LIMIT OF FILL
-- A PROP. RIGHT OF WAY
---NG--- NATURAL GROUND
---P?-- PROPERTY LINE

PROPOSED BRIDGE
PROPOSED BOX CULVERT
PROPOSED PIPE CULVERT
12'-48'
(DASHED LINES DENOTE PIPES
EXISTNG STRUC TURES) 54' PIPES
& ABOVE
W SINGLE TREE
?- WOODS LINE
DRAINAGE INLET
-?4
RIP RAP
5 ADJACENT PROPERTY OWNER
OR PARCEL NUMBER
IF AVAILABLE
? PREFORMED SCOUR HOLE (PSH)
LEVEL SPREADER (LS)
- TDE - TEMP. DRAINAGE
EASEMENT
- PDE - PERMANENT DRAINAGE
EASEMENT
?
--EAB-- EXIST. ENDANGERED GRASS SWALE
ANIMAL BOUNDARY
--EPB-- EXIST. ENDANGERED
PLANT BOUNDARY
-••-•• ••-••-••-•• WATER SURFACE
x x x x x LIVE STAKES
x x x
BOULDER
- - - CORE FIBER ROLLS
N.C. DEPT. OF TRANSPORTATION
DIVISION OF HIGHWAYS
SURRY COUNTY
PROJECT NO. WBS 4 36335
PIEDMONT DRIVE EXTENSION
TO MICKINNEY ROAD (SR 1358)
IN PIEDMONT TRIAD WEST INDUTRIAL PARK
IN THE CITY OF MOUNT AIRY
SHEET 4 12103/44
i.\nnjirrnck zn zncnnn, ..,.,- .,. . ?,,,

N 0
m
?
Z
O

I I
? ?

I i i
I 1
I i
i I
1
t
i
I ?
?
.
I
i I

i

j I

i
?
I Li
?
r-,

-{ m

o ?

? O
o
c ?
Z

D
_
?
Z
? D

m
-? m
o p
? m
0
x 0
?
o m

7 D

D Z
1 ?

D
Z
n ?
N ?
? m
o cn
LA
0 N
Z
G7
Ln
nl
v
0
Z
0
0
I
i
0
z

r

A
+ T1 cn
Ln
0 d
C) O
f O 7
N

Ql r
` C

C) N
D

I
I I
I I
I I
I ?
I
I I
I
I I I
I !
I
!
I
I 1 ?
1
1 I
I i
I _
I I 2 -
t ?
t
o rn
r
D

3 ? z
o v
° v
v
:3 m ? m
z
o ;u
?
m s -I
x
? .
O v
° < D
C) 3
D ° v
n

rD C
O
(D :r
n w w

v d

v a
O O z T
O
? p
j o d
° C ?
N (n

_ m

O
n U7 cn
c
cn 71
D
C)
m
3
cn v
D
v?T

D
a j V'
x C)
U
CL c°
O (n
O ::r W rD C
nr
V :3 3