20050103 Ver 1_Complete File_20050209

O?0F W A TF/9pG Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
(7 .? Alan W. Klimek, P.E. Director
Division of Water Quality
February 9, 2005
Guilford County
DWQ Project No. 05-0103
SR 1005 (Alamance Church Rd)
APPROVAL of 401 Water Quality Certification
Mr. J.M. Mills, P.E.
Division Engineer, Division 7
North Carolina Department of Transportation
1584 Yanceyville Street
Greensboro, North Carolina, 27415
19§@TnV§1
FEB 2 3 2005
? M BRAK14
OENR. p ST EO W*TE'
Dear Mr. Mills:
You have our approval, in accordance with the attached conditions and those listed below, to incur the following impacts
in order to replace bridge #230 on SR 1005 (Alamance Church Rd) in Guilford County with a two corrugated metal pipes.
• 80 linear feet of piping impacts (60 feet of pipe and 20 feet of rip-rap); and
• Temporary dewatering impacts of approximately 80 linear feet.
The project shall be constructed in accordance with your application dated January 18, 2005 (received January 24, 2005).
After reviewing your application, we have decided that this fill is covered by General Water Quality Certification Nos.
3404 and 3366, corresponding to the U.S. Army Corps of Engineers Nationwide Permit Numbers 14 and 33. In addition,
you should acquire any other federal, state or local permits before you proceed with your project including (but not
limited to) Sediment and Erosion Control, Non-Discharge and Water Supply Watershed regulations. This approval will
expire with the accompanying 404 permit, unless otherwise specified in the Water Quality Certification.
This approval is valid solely for the purpose and design described in your application (unless modified below). Should
your project change, you must notify the Division of Water Quality (Division) and submit a new application. If the
property is sold, the new owner must be given a copy of this approval letter and certifications, and is thereby responsible
for complying with all the conditions. If total wetland fills for this project (now or in the future) exceed one acre, or if
total impacts to streams (now or in the future) exceed 150 linear feet, compensatory mitigation may be required as
described in 15A NCAC 2H .0506 (h) (6) and (7). For this approval to remain valid, you must adhere to the conditions
listed in the attached certification and any additional conditions listed below.
1. Erosion and sediment control practices must be in full compliance with all specifications governing the proper
design, installation and operation and maintenance of such Best Management Practices in order to protect surface
waters standards:
a. The erosion and sediment control measures for the project must be designed, installed, operated, and
maintained in accordance with the most recent version of the North Carolina Sediment and Erosion Control
Planning and Design Manual.
North Carolina Division of Water Quality 585 Waughtown Street
Internet: h2o.enr.state.nc.us Winston-Salem, NC 27107
NonehCaro na
Natura11y
Phone [phone] Customer Service
FAX [phone]
An Equal Opportunity/Affirmative Action Employer- 50% Recycled/10% Post Consumer Paper
Mr. J.M. Mills, P.E.
February 9, 2005
DWQ# 05-0103
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. No waste, spoil, solids, or fill of any kind shall occur in wetlands, waters, or riparian areas beyond the footprint of
the impacts depicted in the Preconstruction Notice Application. All construction activities, including the design,
installation, operation, and maintenance of sediment and erosion control Best Management Practices, shall be
performed so that no violations of state water quality standards, statutes, or rules occur.
3. Sediment and erosion control measures shall not be placed in wetlands or waters to the maximum extent
practicable. If placement of sediment and erosion control devices in wetlands and waters is unavoidable, they
shall be removed and the natural grade restored within six months of the completion of the project.
4. Riparian vegetation must be reestablished within the construction limits of the project by the end of the growing
season following completion of construction.
5. Stormwater should be directed to vegetated buffer areas, grass lined ditches or other means appropriate to the site
for the purpose of pre-treating stormwater runoff, and must not be routed directly into streams. Mowing of
existing vegetated buffers is strongly discouraged, so that they may be utilized for stormwater sheet flow.
6. Where practicable, culverts that are less than 48-inch in diameter should be buried to a depth equal to or greater
than 20% of their size to allow for aquatic life passage. Culverts that are 48-inch in diameter or larger should be
buried at least 12 inches below the stream bottom to allow natural stream bottom material to become established
in the culvert following installation and to provide aquatic life passage during periods of low flow. These
measurements must be based on natural thalweg depths. This may require increasing the size of the culvert to
meet flow conveyance requirements. If any of the existing pipes are perched, they shall be removed and replaced,
and re-installed correctly, unless demonstrated that this is topographically unfeasible. All waters must flow
through without freefalling or damming on either end of the culverts during low flow conditions, to maintain
aquatic life and/or fish passage.
7. One of the new pipes shall be fitted with a concrete sill at the inlet, placed so that this pipe is only to receive
stormwater flows. The pipe receiving base flow should be located along the existing active stream alignment.
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.
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.
Mr. J.M. Mills, P.E.
February 9, 2005
DWQ# 05-0103
Page 3
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 336-771-4600 extension 287 or at [e-mail].
Sincerely,
Alan W. Klimek, P.E.
(?V
Attachment
cc: Wilmington District Corps of Engineers
John Thomas, USACE Raleigh Field Office
Jerry Parker, Division 7, Division Environmental Officer
Wetlands/401 Unit
Winston Salem Regional Office
Central Files
1Lff@L30V@0
FEB 2 3 700.5 DENR - WATER UUALI Y
*7 ANDS AND STORMNATER BRAKcp,
Mr. J.M. Mills, P.E.
February 9, 2005
DWQ# 05-0103
Page 4
DWQ Project No.:
County:
Applicant:
Project Name:
Date of Issuance of 401 Water Quality Certification:
Certificate of Completion
Upon completion of all work approved within the 401 Water Quality Certification or applicable Buffer Rules, and any
subsequent modifications, the applicant is required to return this certificate to the 401/Wetlands Unit, North Carolina
Division of Water Quality, 1621 Mail Service Center, Raleigh, NC, 27699-1621. This form may be returned to DWQ by
the applicant, the applicant's authorized agent, or the project engineer. It is not necessary to send certificates from all of
these.
Applicant's Certification
I, , hereby state that, to the best of my abilities, due care and diligence was
used in the observation of the construction such that the construction was observed to be built within substantial
compliance and intent of the 401 Water Quality Certification and Buffer Rules, the approved plans and specifications, and
other supporting materials.
Signature:
Agent's Certification
Date:
I, , hereby state that, to the best of my abilities, due care and diligence was
used in the observation of the construction such that the construction was observed to be built within substantial
compliance and intent of the 401 Water Quality Certification and Buffer Rules, the approved plans and specifications, and
other supporting materials.
Signature:
Engineer's Certification
Partial Final
Date:
I, , as a duly registered Professional Engineer in the State of North
Carolina, having been authorized to observe (periodically, weekly, full time) the construction of the project,for the
Permittee hereby state that, to the best of my abilities, due care and diligence was used in the observation of the
construction such that the construction was observed to be built within substantial compliance and intent of the 401 Water
Quality Certification and Buffer Rules, the approved plans and specifications, and other supporting materials.
Signature
Registration No.
Date
y „a 51A)E u
0 _J 0.1
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY
GOvERNOR
January 18, 2005.
Ms. Beth Barnes
Wetlands/401 Unit
NC DENR Division of Water guality
1650 Mail Service Center
Raleigh, NC 27699
(Seven Copies) Written Authorization Required
LYNDO TIPP=
SECRL IY1RY
P 2
LU"
Mr. John Thomas I,= pE7'.a.v" t
US Army Corps of Engineers ``?S'L'3 S1C, /1,: y
6508 Falls of the Neuse Suite 120 y
Raleigh, NC 27615-6814
(Two Copies) ?1;10
acf"%'? 41e
Subject: P=n-County, Bridge Replacement on Alamance Church Rd (SR 1005) crossing UT to
South Prong of Stinking quarter Creels
Project Number # 7B.2041114.3 $2-OO
To Whom It May Concern:
The North Carolina Department of Transportation (NCDOT) proposes to replace a structurally
deficient bridge with two corrugated metal pipes on Alamance Church Road (SR 1005) in
southeastern Guilford County. An offsite detour will be utilized during the installation of the pipes.
The proposed work is being done in order to reduce future maintenance needs and increase traffic
safety. The NCDOT anticipates that the bridge replacement can be permitted under the Nationwide
Permit numbers 14 and 33 from the Army Corps of Engineers. This application is also intended as a
courtesy notification to the North Carolina Division of Water guality as according to the General
Water Quality Certification. The following information is being provided to satisfy condition I of
General Water guality Certificate #3404 and #3366.
RECEi VED
P. O. Box 14996 Greensboro, NC 27415-4996 Telephone No. [phone] Fax No. [phone]
PROJECT INFORMATION
Road Name SR Number Project Length
(miles) Classification
Alamance Church SR 1005 N/A Rural
River Basin: DWg
ID Water Quality
Designation % Impervious
Surface
Cape Pear 16-19-8-2-(1) B;NSW N/A
Buffer Rulesa Buffer Rule Conditions (where applicable)
No Request Exemption
Protected Species
Presentb Mapped Historic
Properties' CAMA
AEC Essential Fishery
Habitat
No No No No-
a Separate documentation attached as needed: b See the attached Endangered
Species Review Sheet for further information: e When Applicable - See the attached
Historic Review Letter for further information
BRIDGE REPLACEME NT INFORMATION
Site Hensley Road Stream Type Perennial
Station
Existing 29' Length X 25'5" Width Proposed 60' Length X 120"
Bridge Bridge Diameter
Construction Bridge to (2) Corrugated Metal Dewatering Cofferdams & Pump Around
Method Pipes Device*
Burial Depth 1 foot E/C Plan See Attached
Date
Construction As soon as practicable Duration Pour weeks
Date
Impacts (ft.) 60 ft-enclosure; 20 linear ft-rip rap; 80 if -temporary cofferdams to allow pouring
of concrete footings
Special
Conditions
Restoration Within 15 working days of the bridge replacement the natural stream contours will
Plan be restored and seeded. Temporary silt screens will be cleaned and removed
following vegetation establishment.
RCP = reinforced concrete pipe; CMP = Corrugated metal pipe; CMPA = Corrugated metal pipe arch; E/C = Erosion
control. *A less intrusive dewatering device may be used in lieu of the one proposed.
P. O. Box 14996 Greensboro, NC 27415-4996 Telephone No. [phone] Fax No. [phone]
MINIMIZATION INFORMATION
Impacts will be minimized by strict enforcement of Best Management Practices for the protection of
surface waters and wetlands, restrictions against the staging of equipment in or adjacent to waters of
the US, and coordination (including a pre-construction meeting) with the Division Environmental
Officer.
MITIGATION INFORMATION
Stream mitigation is not anticipated, as the impacts to any individual stream do not exceed 150 feet
Wetland mitigation is not anticipated, as wetland impacts do not exceed 0.10 acres and do not occur
in a unique natural wetland.
APPLICATION INFORMATION
Enclosed please find the Pre-construction Notification Form and supporting documentation for the
above referenced project. If you have any questions or need any additional information, please
contact Jerry Parker at [phone]. Your time and effort are appreciated.
Sincerely,
J.M. Mills, P.E.
ivision Engineer, Division 7
Enclosures
CC: Jerry Parker. NCDOT
Lane Hall, NCDOT
Barry Harrington, NCDOT
Dennis Johnson, NCDOT
Sue Homewood, NCDWQ
Paul Ingram, NCDOT
Jeremy Delapp, NCDOT
P. O. Box 14996 Greensboro, NC 27415-4996 Telephone No. [phone] Fax No. [phone]

Office Use Only: ' Form Version May 2002
USACE Action ID No. DWQ No.
(If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A".)
I. Processing
Check all of the approval(s) requested for this project:
® Section 404 Permit ? Riparian or Watershed Buffer Rules
? Section 10 Permit ? Isolated Wetland Permit from DWQ
® 401 Water Quality Certification
2. Nationwide, Regional or General Permit Number(s) Requested: NWPs 14 & 33
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: ?
4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for
mitigation of impacts (verify availability with NCWRP prior to submittal of PCN), complete
section VIII and check here: ?
5. If your project is located in any of North Carolina's twenty coastal counties (listed on page
4), and the project is within a North Carolina Division of Coastal Management Area of
Environmental Concern (see the top of page 2 for further details), check here: ?
II. Applicant Information
Owner/Applicant Information
Name: Mr. J.M. Mills, RE, Division Engineer - Division 7
Mailing Address: P.O. Box 14996
Greensboro, NC 27415-4996
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: [e-mail]
2. Agent/Consultant Information (A signed and dated copy of the Agent Authorization letter
must be attached if the Agent has signatory authority for the owner/applicant.)
Name: Jerry A. Parker
Company Affiliation: NCDOT
Mailing Address: P.O. Box 14996
Greensboro, NC 27415-4996
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: [e-mail]
Page 1 of 8
III. Project Information
Attach a vicinity map clearly showing the location of the property with respect to local
landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property
boundaries and development plans in relation to surrounding properties. Both the vicinity map
and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities must be included. If possible, the maps and plans should
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USACE requires information to be submitted on sheets no larger than 11 by 17-inch format;
however, DWQ may accept paperwork of any size. DWQ prefers full-size construction
drawings rather than a sequential sheet version of the full-size plans. If full-size plans are
reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps are provided.
1. Name of project Alamance Church Road (SR 1005) Bridge Replacement
2. T.I.P. Project Number or State Project Number (NCDOT Only): 713.2041114.3
3. Property Identification Number (Tax PIN): Not Applicable
4. Location
County: Guilford Nearest Town: Kimesville
Subdivision name (include phase/lot number): Not Applicable
Directions to site (include road numbers, landmarks, etc.):
The project is located in.Southeastern Guilford County near the Alamance County Line, just
west of the town of Kimesville. From 140 West; Take exit 143 and turn left (south) on NC
62. Proceed south/southeast on NC 62 for approximately 6 miles to Alamance Church Rd
(SR 1005) and turn left. Proceed approximately 2 miles east to bridge site (just east of
Lineberry Rd. - SR 3344).
5. Site coordinates, if available (UTM or Lat/Long): See the attached USGS map.
(Note - If project is linear, such as a road or utility line, attach a sheet that separately lists the
coordinates for each crossing of a distinct waterbody.)
6. Property size (acres): Not Applicable
7. Nearest body of water (stream/river/sound/ocean/lake): UT to South Prom of Stinking
Quarter Creek
8. River Basin: Cape Fear
Page 2 of 8
(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.ne.us/admin/maps/.)
9. Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this application: Rural/Low Density Residential
10. Describe the overall project in detail, including the type of equipment to be used: The
project will involve replacing a structurally deficient bride and replace with 2 new 60' X
120" corrugated metal pines to improve traffic safety and bring the road up to current
construction standards. Best Management Practices will utilized for the demolition of the
existing bridge and cofferdams will divert flow to allow installation of each pine in the dry.
The new pipes will be buried to a depth of at least 12 inches. Equipment used will be
standard bridge construction equipment (trackhoe, grader, backhoe, and bulldozer). An
offsite detour will be utilized during the installation of the pipes.
11. Explain the purpose of the proposed work: To maintain traffic safety and to reduce future
maintenance costs.
IV. Prior Project History
If jurisdictional determinations and/or permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action ID Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules.
Not Applicable
V. Future Project Plans
Are any future permit requests anticipated for this project? If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application.
Not Annlicable
VI. Proposed Impacts to Waters of the United States/Waters of the State
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. The applicant must also
provide justification for these impacts in Section VII below. All proposed impacts, permanent.
and temporary, must be listed herein, and must be clearly identifiable on an accompanying site
plan. All wetlands and waters, and all streams (intermittent and perennial) must be shown on a
delineation map, whether or not impacts are proposed to these systems. Wetland and stream
evaluation and delineation forms should be included as appropriate. Photographs may be
included at the applicant's discretion. If this proposed impact is strictly for wetland or stream
Page 3 of 8
mitigation, list and describe the impact in Section VIII below. If additional space is needed for
listing or description, please attach a separate sheet.
Provide a written description of the proposed impacts: Permanent impacts to the stream will
result from enclosure by the replacement structures. Temporary stream impacts will result from
placement of cofferdams.
Wetland Impact
Site Number
(indicate on ma)
Type of Impact* Area of
Impact
(acres) Located within
100-year Floodplain**
(es/no) Distance to
Nearest Stream
(linear feet)
Type of Wetland***
N/A

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: mechanized clearing, grading, fill,
excavation, flooding, ditching/drainage, etc. For dams, separately list impacts due to both structure and flooding.
** 100-Year floodplains are identified through the Federal Emergency Management Agency's (FEMA) Flood Insurance Rate Maps
(FIRM), or FEMA-approved local floodplain maps. Maps are available through the FEMA Map Service Center at 1-800-358-9616, or
online at http://www.feina.tzov.
*** List a wetland type that best describes wetland to be impacted (e.g., freshwater/saltwater marsh, forested wetland, beaver pond,
Carolina Bay, bog, etc.) Indicate if wetland is isolated (determination of isolation to be made by USACE only).
List the total acreage (estimated) of all existing wetlands on the property: Not Applicable
Total area of wetland impact proposed: Not Applicable
1. Individually list all intermittent and perennial stream impacts below:
Stream Impact Length of Average Width Perennial or
Site Number Type of Impact* Impact Stream Name** of Stream Intermittent?
indicate on ma) (linear feet Before Impact (please secif

Alamance Church
Bridge (en) 60 if

(tmp) 801f
UT to South Prong of
Rd
Replacement
(rp) 201E Stinking Quarter Creek 6-8 feet Permanent
Bridge 230

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: culverts and associated rip-rap,
dams (separately list impacts due to both structure and flooding), relocation (include linear feet before and after, and net loss/gain),
stabilization activities (cement wall, rip-rap, crib wall, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is
proposed, plans and profiles showing the linear footprint for both the original and relocated streams must be included.
** Stream names can be found on USGS topographic maps. If a stream has no name, list as UT (unnamed tributary) to the nearest
downstream named stream into which it flows. USGS maps are available through the USGS at 1-800-358-9616, or online at
www.uses.kov. Several intemet sites also allow direct download and printing of USGS maps (e.g., www.topozone.coni,
www.mapquest.coni, etc.).
*Cumulative impacts (linear distance in feet) to all streams on site:
Project should involve an increase of 60 linear feet of permanent stream impacts from
enclosure(en): - temporary (tmp) cofferdams and siltscreens---approximately 80 If-, riprap
(m) permanent placement of riprap for bank stabilization ---approximately 201f total,
2. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
. Ocean and any other water of the U.S.) below:
Page 4 of 8
Open Water Impact
Site Number
(indicate on ma)
Type of Impact* Area of
Impact
(acres) Name of Waterbod
(if applicable) y Type of Waterbody
(lake, pond, estuary, sound,
bay, ocean, etc.)

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: fill, excavation, dredging,
flooding, drainage, bulkheads, etc.
3. Pond Creation
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ? uplands ? stream ? wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.): Not Applicable
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.): Not Applicable
Size of watershed draining to pond: N/A Expected pond surface area: N/A
VII. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts.
Pipe replacement activities are necessary to maintain travel safety. Impacts will be minimized
by strict enforcement of Best Management Practices for the protection of wetland and surface
waters, restrictions against the staging of equipment in or adjacent to waters of the US, and
coordination (including a pre-construction meeting) with the Division Environmental Officer.
VIII. Mitigation
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on March 9, 2000, mitigation will be required when
necessary to ensure that adverse effects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
Page 5 of 8
mitigation as proposed. Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USACE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCWRP concurrence shall be placed on hold as
incomplete. An applicant may also choose to review the current guidelines for stream restoration
in DWQ's Draft Technical Guide for Stream Work in North Carolina, available at
http://h2o.enr.state.nc.us/ncwetlaiids/strmgide.html.
1. Provide a brief description of the proposed mitigation plan. The description should provide
as much information as possible, including, but not limited to: site location (attach directions
and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed method of construction. Please attach
a separate sheet if more space is needed.
A finding of insignificant impact is anticipated; therefore, a mitigation plan is not provided.
Cumulative impacts are less than 150 feet. The maximum amount of impact to a single
stream is approximately 60 linear feet. No Outstanding Resource Waters, federally protected
species or their habitats, or essential fishery habitats occur in the project area. The project is
located in a WS-II High Quality Water.
2. Mitigation may also be made by payment into the North Carolina Wetlands Restoration
Program (NCWRP). Please note it is the applicant's responsibility to contact the NCWRP at
[phone] to determine availability and to request written approval of mitigation prior
to submittal of a PCN. For additional information regarding the application process for the
NCWRP, check the NCWRP website at http://h2o.enr.state.nc.us/wrp/index.htm. If use of
the NCWRP is proposed, please check the appropriate box on page three and provide the
following information:
Amount of stream mitigation requested (linear feet): Not Applicable
Amount of buffer mitigation requested (square feet): Not Applicable
Amount of Riparian wetland mitigation requested (acres): Not Applicable
Amount of Non-riparian wetland mitigation requested (acres): Not Applicable
Amount of Coastal wetland mitigation requested (acres): Not Applicable
IX. Environmental Documentation (required by DWQ)
Page 6 of 8
Does the project involve an expenditure of public (federal/state) funds or the use of public
(federal/state) land?
Yes ® No ?
If yes, does the project require preparation of an environmental document pursuant to the
requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)?
Note: If you are not sure whether a NEPA/SEPA document is required, call the SEPA
coordinator at [phone] to review current thresholds for environmental documentation.
Yes ? No
If yes, has the document review been finalized by the State Clearinghouse? If so, please attach a
copy of the NEPA or SEPA final approval letter.
Yes_ No
X. Proposed Impacts on Riparian and Watershed Buffers (required by DWQ)
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required state and local buffers associated with the project. The applicant must also provide
justification for these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Neuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and
Water Supply Buffer Requirements), or other (please identify )?
Yes No X If you answered "yes", provide the following information:
Identify the square feet and acreage of impact to each zone of the riparian buffers. If buffer
mitigation is required calculate the required amount of mitigation by applying the buffer
multipliers.
Zone* Impact
(square feet Multiplier Required
Mitigation
1 N/A 3
2 N/A 1.5
Total N/A
* Zone 1 extends out 30 feet perpendicular from near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.
If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation
of Property, Conservation Easement, Riparian Buffer Restoration / Enhancement, Preservation or
Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as
identified within 15A NCAC 2B .0242 or.0260.
Not Applicable
Page 7 of 8
XI. Stormwater (required by DWQ)
Describe impervious acreage (both existing and proposed) versus total acreage on the site.
Discuss stormwater controls proposed in order to protect surface waters and wetlands
downstream from the property.
Not Applicable
XII. Sewage Disposal (required by DWQ)
Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of
wastewater generated from the proposed project, or available capacity of the subject facility.
Not Applicable
XIII. Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H.0500) or any Buffer Rules?
Yes No X
Is this an after-the-fact permit application?
Yes_ No X
XIV. Other Circumstances (Optional):
It is the applicant's responsibility to submit the application sufficiently in advance of desired
construction dates to allow processing time for these permits. However, an applicant may
choose to list constraints associated with construction or sequencing that may impose limits on
work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and
Threatened Species, accessibility problems, or other issues outside of the applicant's control).

Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 8 of 8
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Name: KIMESVILLE Location: 035° 57' 02.9" N 079'33'03.0" W
Date: 1/19/2005 Caption: Alamanc© Church Road (SR 1005)
Scale: 1 inch equals 2000 feet Guilford County
Copyright (C) 1997, Maptech, Inc.
N.C. D.O.T.
BRIDGE MAINT. DEPT.
EROSION CONTROL SEQUENCE
COUNTY Guilford
S.R. No. 1005 Alamance Church Road
BRIDGE No. 230
PROJECT No.
DESCRIPTION: REMOVAL OF EXISTING BRIDGE STRUCTURE & REPLACE WITH NEW
2 LINES @ 120" Round CM PIPE
Note:
All Erosion Control devices & proper installation plus maintenance of erosion control will be performed
by using - NCDOT Best Management Practices for Construction and Maintenance Activites Manual
1. PLACE FILTER FABRIC UNDER BRIDGE TO CATCH ASPHALT & DEBRIS
2. REMOVE EXISTING BRIDGE THEN REMOVE FILTER FABRIC
3. USE SILT BAG FOR STILLING BASIN
4. Note: IF NEEDED - BUILD ABC COFFER DAMS WRAPPED WITH FILER FABIC in WORST CASE
5. INSTALL SILT FENCE AS NEEDED (1605.00)
6. INSTALL COFFER DAM TO DIVERT STREAM AWAY FROM PIPE JAI
7. INSTALL SILT FENCE AS SITE CONDITION REQUIRE
8. BEGIN EXCAVATION FOR 1st CM PIPE
EXCAVATE to SUFFICIENT DEPTH to ALLOW BURIAL of the PIPE to 1 foot BELOW
STREAMBED PLACE BASE STONE & SECTIONS CM PIPE
9. DEWATER WORK AREA & PUMP WATER into SILT BAG
10. DIVERT STREAM INTO PIPE #1
11. BEGIN EXCAVATION FOR 2nd CM PIPE
EXCAVATE to SUFFICIENT DEPTH to ALLOW BURIAL of the PIPE to 1 foot BELOW
STREAMBED PLACE BASE STONE & SECTIONS CM PIPE
12. POUR CONCRETE SEAL in 2nd CM PIPE
13. BACKFILL PIPE & SHOULDER AREA
14. PLACE FILTER FABRIC AROUND PIPE & SLOPE AREA THEN RIP RAP
KEEPING RIP RAP OUT of STREAM
15. REMOVE BOTH DAMS of ABC AGGREGATE or LESS INTRUSIVE DEWATERING
DEVICE to ALLOW NORMAL STREAM FLOW
16. RESEED all EXPOSED AREAS as NEEDED
17. REMOVE ALL EROSION CONTROL DEVICES AFTER VEGETATION is ESTABLISHED
APPROXIMATE PROJECT STA DATE 5 -I - 05
PREPARED BY TT
APPROVAL
TT III. DATE 12-8'0
y
TRANSPORTATION SU ERVI 0 III DATE ? -v/j e)
DIV. BRIDGE ENG. DATE 2 - ICI D N
COUNTY Guilford
S.R. No. 1005 Alamance Church Road
BRIDGE No 230
SEQUENCE1
1. PLACE FILTER FABRIC UNDER BRIDGE TO CATCH ASPHALT & DEBRIS
2. REMOVE EXISTING BRIDGE THEN REMOVE FILTER FABRIC

1005
,*_
:?Y
FILTER FABRIC
UNDER BRIDGE

?-Vj
0

BRIDGE STREAM FLOW
230
1005 t
LEGENDS
trees
jcomell
COUNTY Guilford
S.R. No. 1005 Alamance Church Road
BRIDGE No 230
SEQUENCE2
1. DAM BOTH ENDS of STREAM with ABC AGGREGATE (underlain & wrapped with
Filter Fabric) or LESS INTRUSIVE DEVICE to ALLOW DEWATERING of WORK AREA
2. INSTALL PUMPS to DIVERT FLOW AROUND WORK AREA
PUMP CLEAN WATER AROUND WORK AREA if NEEDED
3. INSTALL SILT FENCE AS SITE CONDITION REQUIRE
4. BEGIN EXCAVATION FOR 1st CM PIPE
EXCAVATE to SUFFICIENT DEPTH to ALLOW BURIAL of the PIPE to 1 foot BELOW
STREAMBED PLACE BASE STONE & SECTIONS CM PIPE
6. DEWATER WORK AREA & PUMP WATER into SILT BAG
y?
w
SILT FENCE
AS NEEDED

SILT FENCE
•?? AS NEEDED
PIPE 1
PUMP BURIED 1 ft. BELOW STREAM BED
STREAM FLOW
SLIT BAG
51LT FENCE
AS NEEDED

(underla`in
%ILT FENCE
AS NEEDED
ABC AGGREGATE
& wrapped with Filter Fabric)
LEGENDS
trees
jcornell
COUNTY Guilford
S.R. No. 1005 Alamance Church Road
BRIDGE No 230
SEQUENCES
1. BEGIN EXCAVATION FOR 2nd CM PIPE
EXCAVATE to SUFFICIENT DEPTH to ALLOW BURIAL of the PIPE to 1 foot BELOW
STREAMBED PLACE BASE STONE & SECTIONS CM PIPE
2. POUR CONCRETE SEAL in 2nd CM PIPE
3. BACKFILL PIPES & SHOULDER AREA
4. PLACE FILTER FABRIC AROUND PIPE & SLOPE AREA THEN RIP RAP
KEEPING RIP RAP OUT of STREAM
I 1005
0,
SILT FENCE
AS NEEDED
% r
PIPE 1
BURIED 1 ft. BELOW STREAM BED
STREAM FLOW
------------
PIPE 2
SLIT BAG BURIED 1 ft. BELOW STREAM BED
CONCRETE SEAL
SILT FENCE
AS NEEDED
N-A
` vj,F
SILT FENCE
AS NEEDED
LEGENDS
treeS
!,1
`,r
r
,SILT FENCE
AS NEEDED
COUNTY Guilford
S.R. No. 1005 Alamance Church Road
BRIDGE Nc 230
SEQUENCE 4
1. RESEED ALL EXPOSED AREAS AS NEEDED
2. REMOVE ALL TEMPORARY EROSION CONTROL DEVICES UPON COMPLETION of PROJECT
0 1 1005
0
RIP RAP on STREAM BANKS on
not in STRC?
PIPE 1
27' 60'
PIPE 2
ILT FENCE
R. AS NEEDED
0

k.a
Main Stream Flow
t
Concrete Seal
F 12" to 18" high
Y?
1005
LEGENDS
AREA TO BE SEEDED
BY BRIDGE?MAIN f
0 0 b rip rap
?Q>O?Q>
?, trees
4