20040310 Ver 1_Complete File_20040303

•eiu-t ny:5b FROM:DWO-WETLANDS 9197336893
wA rFR
QG
TO:83363343637
P:6/6
Mlohael F. I:a91*y, Govemor
North Carolina Department of Enviro m0en
am G. Ross Jr., t and. Natural Rescurvoas
Alan W. Klknek, P.E Director /
Dfvbfon of Water Quality ?./

DWQ Project No.: -1 6 - 304-11(D C? 1 ff)r?_
Applicant: -r County:
Project Name: r%01W r av? u c-h
Date of Issuance of ater Ouality Certification: `b32vDc` S 13 Z
22(1 ftelte of Comet X -0 T
Upon completion of all work approved within the 40.1 Water Quality Certification or applicable Buffer
Rules, and any subsequent modifications, the applicant is required to return this certificate to the
40I/Wetlands Unit. North Carolina Division of Water Quality, 1650 Mail Service Center, Raleigh, NC,
27699-1650. 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 Cowffleatfon
I, hereb and diligence was used in the observation of the construct on such ,that the co structioniwas observed to
be built within substantial AR^if ce and intent of the 401 Water
Rules, the approved ns cations,and other su Quality Certification and Buffer
Signature:___ Ppot?ing rpatterials.
AgeoYa Llerlifi atlo
1. %---- I bere. by state and diligence was used in the observation of the construction such that the constru tiaonn ?was observed to es, due cam
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:
ate:
1f this pr%ct dray 410819ned by a Certifled professional
I,
Engineer, Landscape Architect. Surveyor, etc.) in the State of North Carolina- bang been authorized
to observe (periodically, weCkly full time) the construction of the project. for the Permitee hereby stare
that, to the best of my abilities, due care and diligence was used in the observation of the construction
much 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.
I?ata
SEP (J
Di Ny W ?Q(?6
WcT(ANL7SANDST RMWATtRB
RANt;H
North Carolina Dfvisfon of Water quality, 401 Wetlands Csrt(Dcatlon Unh,
1650 Mail SenAce Center, Fiwlelgh, NC 27699-1650 (Mailing Address)
2321 Crabtree Blvd„ Raleigh, NC 27804.2260 (Location)
919-7331786 (phone). 919.733.6893 (fox), httpi/h2c.enr.state,ne,us/ncwetlands/
O?O? WA T ll?9pG
r
O ?
March 3, 2004
Guilford County
DWQ Project No. 040310
Repair of Bridge No. 52 on SR 1322 (Scientific Road)
APPROVAL of 401 Water Quality Certification
Mr. J.M. Mills, Division Engineer
NCDOT Division 7
P.O. Box 14996
Greensboro, NC 27415-4996
Dear Mr. Mills:
You have our approval, in accordance with the attached conditions and those listed below, to incur the
following impacts to an unnamed tributary to the Deep River:
¦ 21 linear feet of permanent stream impacts
¦ 50 linear feet of temporary impacts
NCDWQ understands that these impacts are necessary in order to repair a failing wingwall on Bridge No.
52 on SR 1322 (Scientific Road) in Guilford County. The project shall be constructed in accordance with
your application dated March 3, 2004. After reviewing your application, we have decided that these
impacts are authorized by General Water Quality Certification Nos. 3376 and 3366, corresponding to the
U.S. Army Corps of Engineers Nationwide Permit Numbers 3 and 33. In addition, you must, 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 Writer 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 DWQ in writing and submit a new application.
If the property is sold, the new owner must be given a copy of this Certification and approval letter, 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 of 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 be valid, you must follow the conditions listed in the attached certification and any additional
conditions listed below.
1. Construction shall be performed so that no violations of state water quality standards, statutes, or
rules occur.
¦ NCDOT shall abide by the requirements for WS-IV [ 15A NCAC 2B .0216] and Randleman
Lake Water Supply Watershed [15A NCAC 2B .0250 and .0251].
¦ 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 water quality standards.
¦ The erosion and sediment control measures for this project must equal or exceed the proper
design, installation, operation and maintenance outlined in the most recent version of the
North Carolina Sediment and Erosion Control Planning and Design Manual. These devices
.,hall hP maintainPrl nn all rnn.,tnirtinn citac, hnrrnw .,ita.,and wngta pile rpnil) girjyP-rt?? NCDM
North Carolina Division of Water Quality, 401 Wetlands Certification Unit,
1650 Mail Service Center, Raleigh, NC 27699-1650 (Mailing Address)
2321 Crabtree Blvd., Raleigh, NC 27604-2260 (Location)
919-733-1786 (phone), 919-733-6893 (fax), hftp://h2o.enr.state.nc.us/ncwetlands/
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
Mr. J.M. Mills, P.E.
DWQ Project 040310
March 3, 2004
including contractor-owned or leased borrow pits associated with the projects included under
this Certification.
If this project requires borrow pit sites, the erosion and sediment control measures must equal
or exceed the proper design, installation, operation and maintenance outlined in the most
recent version of the North Carolina Surface Mining Manual.
Any reclamation measures and implementation must comply with the reclamation in
accordance with the requirements of the Sedimentation Pollution Control Act.
This section of the Deep River and its unnamed tributaries are on the 303(d) list of impaired
waters due to sediment and turbidity from urban runoff and storm sewers. NCDOT shall
maximize the use of Best Management Practices with regard to sediment and erosion control
during construction. Stormwater runoff shall be treated by the use of grass swales, pre-formed
scours holes or other means that are compatible with the project site's topography, prior to
reaching the stream. NCDOT shall take corrective actions to repair the storm ditch that is
eroding another bank of the road and transporting soil/silt to the stream on the opposite side of
the stream from the failed area (but same side of the road).
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 30 days after the
project has been released.
4. NCDOT and its contractors and/or agents shall not excavate, fill, or perform mechanized land
clearing at any time in the construction or maintenance of this project within waters, riparian
buffers, and/or wetlands, except as authorized by this Certification (e.g., no work shall occur
outside of the footprint of the plans provided). In addition, there shall be no excavation from or
waste disposal into jurisdictional wetlands or waters associated with this Certification.
5. The outside buffer, wetland or water boundary as well as along the construction corridor within
these boundaries approved under this Certification shall be clearly marked by orange fabric
fencing for the areas that have been approved to infringe within the buffer, wetland or water prior
to any land disturbing activities to ensure compliance with 15A NCAC 213 .0250.
6. This Certification does not authorize the discharge of waste rock and dirt into the stream or
riparian zone except for permitted areas associated with culvert conditions
7. All stormwater runoff shall be directed to sheetflow through stream buffers at non-erosive
velocities, unless approved otherwise by this Certification.
8. During the construction of the project, no staging of equipment of any kind is permitted in waters of
the state or protected riparian buffers.
9. The post-construction removal of any temporary structures will need to return the project site to its
preconstruction contours and elevations. The re-vegetation of the impacted areas with appropriate
native species is also required.
10. All protected Randleman riparian buffers impacted by the placement of temporary fill or clearing
activities shall be restored to the preconstruction contours and re-vegetated with native woody
species upon completion of the project construction. A post-construction as-built with the
restoration activities included shall be submitted to the DWQ no later than 60 days after the project
is closed out by the Department of Transportation.
Mr. J.M. Mills, P.E.
DWQ Project 040310
March 3, 2004
11. The structures required for this project shall be installed in such a manner that the original stream
profiles are not altered (i.e. the depth of the channel must not be reduced by a widening of the
streambed).
12. Culverts that are 48-inch 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. This may require
increasing the size of the culvert to meet flow conveyance requirements.
13. If concrete is used during culvert installation (e.g., wing walls), a dry work area should be
maintained to prevent direct contact between curing concrete and stream water. Water that
inadvertently contacts uncured concrete should not be discharged to surface waters.
14. The presence of equipment in the channels must be minimized. Under no circumstances must
rock, sand or other materials be dredged from the stream channel under authorization of this
Certification, except in the immediate vicinity of the culverts. Instream dredging has catastrophic
effects on aquatic life and disturbance of the natural form of the stream channel will likely cause
downstream erosion problems, possibly affecting other landowners.
15. Heavy equipment should be operated from the bank rather than in the stream channel rather than
in the stream channel in order to minimize sedimentation and reduce the likelihood of introducing
other pollutants into the stream.
16. All mechanized equipment operated near surface waters should be inspected and maintained
regularly to prevent contamination of stream waters from fuels, lubricants, hydraulic fluids or
other toxic substances.
17. Discharging hydroseed mixtures and washing out hydroseeders and other equipment in or
adjacent to surface waters is strictly prohibited.
18. Upon completion of the project, the NCDOT and/or its authorized agents shall complete and
return the enclosed "Certificate of Completion" form to the 401/Wetlands Unit of the NC
Division of Water Quality upon completion of the project. Please include photographs upstream
and downstream of each structure to document correct installation.
Mr. J.M. Mills, P.E.
DWQ Project 040310
March 3, 2004
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 telephone Ms. Cynthia Van Der Wiele at 919.733.5715 or Ms. Sue
Homewood of the Winston-Salem Regional Office 336.771.4608 ext. 252.
Sincerely,
Attachment
l
P.E
cc: Wilmington District Corps of Engineers
John Thomas, USACE Raleigh Field Office
NCDWQ Winston-Salem Regional Office
Central Files
File Copy
imap:Hcynthia. vanderwiele%40dwq.denr.ncmail.net @cros.ncmai1.net...
Subject: bridge 25/scientific dr.
From: Sue Homewood <[e-mail]>
Date: Wed, 03 Mar 2004 16:32:11 -0500
To: cynthia vanderwiele <[e-mail]>
Hi Cynthia,
I went out and met Jerry Parker at this site. Its in pretty bad shape. I confirmed their plans for
repair. They expect it to take 1-2 weeks. they are installing a concrete base for the new wing
wall. they will place fill along the slope (not in the stream, just refilling what has eroded away)
afterwards. He assured me that seeding would occur the day after construction is complete.
there will be no temporary fill in the stream so I'm not sure why a NWP33 would be needed.
although they do plan to use sandbags to stop the flow upstream.
I confirmed with John Thomaas that they consider this an emergency and will cover it under a
NWP 3 and possibly NWP 33 (see comment above)
my 2 biggest concerns are that the erosion has caused a concrete support for an aerial sewer
line to fail. its obvious there has already been a sewer overflow most likely reaching the
stream. Jerry said he informed the high point utilities staff of the situation and they've taken
some temporary measures but its not a good situation. I stressed with him the need to ensure
that they do their utmost during construction to protect what integrity is left in that line and to
work with the high point utilties staff because they'll want to get a new support up asap.
my second concern is that there's a storm ditch (i think its just storm) that's eroding another
bank of the road (and under a that sewer line -- could be a problem) and most likely,
transporting soil/silt to the stream on the opposite side of the stream from the failed area (but
same side of the road). I'd really like someone to help me figure out what to tell them about
that, once the current repairs are made. jerry indicated it wasn't something of theirs (although
i think it would be in their right of way), but i think it still needs to be looked at. at least by
someone who can tell me that its ok as it is. so if you have any ideas about how to handle
that please let me know.
I stressed to Jerry that you said you'd turn the certification around in 1 day and he should
leave you alone tomorrow. i hope he heard me.
if there's anything else you need/have questions about, let me know. i'II be heading to raleigh
tomorrow am but you can email me (i can get my emails there) or call my raleigh extension
which is still active (since I'm still doing a little work for them) its 733-5083 x502.
when this is over, I'd like to talk to you more if you have time, now that John will be out for a
while.
Sue
Sur" fh-wl(-svm)d
INC f)h',??lP vV i 1 ,* ori!'In ??ccx i i>n511 t)f I i ct!
Di v i s i cn r>i v4,It,(,r Olio f
5H i l^!tn!(IIIt na!i „Lr ?r??t
1 of 2 3/3/2004 5:30 PM
O? WAT ?ApG
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
' r Alan W. Klimek, P.E., Director
Division of Water Quality
Coleen H. Sullins, Deputy Director
Division of Water Quality
Division of Water Quality
Department of Environmental and Natural Resources
Wetlands/401 Unit
Street Address: 2321 Crabtree Boulevard, Suite 250
Raleigh, NC 27604-2260
Mailing Address: 1650 Mail Service Center
Raleigh, NC 27699-1650
Contact Information: Phone #: [phone]
Fax #: [phone]
Fax To: 3, a • ? "1 ?S Fax #: 33 0. -3-7>4. 3637
Company: Ncpo7T Date: 3 • ' ?"
Number of pages including cover sheet:
Notes or special instructions:
Y CIA- S C
o tk
CU6
RM
N. C. Division of Water Quality, 401 Wetlands Certification Unit,
1650 Mail Service Center, Raleigh, NC 27699-1650 (Mailing Address)
2321 Crabtree Blvd., Raleigh, NC 27604-2260 (Location)
[phone] (phone), 919-733-6893 (fax), (http://h2o.enr.state.nc.us/ncwetlands
OF
W A TF9PG
r
O `C
March 3, 2004
Guilford County
DWQ Project No. 040310
Repair of Bridge No. 52 on SR 1322 (Scientific Road)
APPROVAL of 401 Water Quality Certification
Mr. J.M. Mills, Division Engineer
NCDOT Division 7
P.O. Box 14996
Greensboro, NC 27415-4996
Dear Mr. Mills:
You have our approval, in accordance with the attached conditions and those listed below, to incur the
following impacts to an unnamed tributary to the Deep River:
¦ 21 linear feet of permanent stream impacts
¦ 50 linear feet of temporary impacts
NCDWQ understands that these impacts are necessary in order to repair a failing wingwall on Bridge No.
52 on SR 1322 (Scientific Road) in Guilford County. The project shall be constructed in accordance with
your application dated March 3, 2004. After reviewing your application, we have decided that these
impacts are authorized by General Water Quality Certification Nos. 3376 and 3366, corresponding to the
U.S. Army Corps of Engineers Nationwide Permit Numbers 3 and 33. In addition, you must.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 DWQ in writing and submit a new application.
If the property is sold, the new owner must be given a copy of this Certification and approval letter, 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 of 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 be valid, you must follow the conditions listed in the attached certification and any additional
conditions listed below.
1. Construction shall be performed so that no violations of state water quality standards, statutes, or
rules occur.
¦ NCDOT shall abide by the requirements for WS-IV [15A NCAC 2B .0216] and Randleman
Lake Water Supply Watershed [15A NCAC 2B .0250 and .0251].
¦ 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 water quality standards.
¦ The erosion and sediment control measures for this project must equal or exceed the proper
design, installation, operation and maintenance outlined in the most recent version of the
North Carolina Sediment and Erosion Control Planning and Design Manual. These devices
,,hall hP maintainPrl nn all rnn,,tnirtinn citpC? hnrrnw citrcand wade ilP (c nil) girniartc N=NR
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
North Carolina Division of Water Quality, 401 Wetlands Certification Unit,
1650 Mail Service Center, Raleigh, NC 27699-1650 (Mailing Address)
2321 Crabtree Blvd., Raleigh, NC 27604-2260 (Location)
919-733-1786 (phone), 919-733-6893 (fax), http://h2o.enr.state.nc.us/ncwetlands/
Mr. J.M. Mills, P.E.
DWQ Project 040310
March 3, 2004
including contractor-owned or leased borrow pits associated with the projects included under
this Certification.
If this project requires borrow pit sites, the erosion and sediment control measures must equal
or exceed the proper design, installation, operation and maintenance outlined in the most
recent version of the North Carolina Surface Mining Manual.
Any reclamation measures and implementation must comply with the reclamation in
accordance with the requirements of the Sedimentation Pollution Control Act.
2. This section of the Deep River and its unnamed tributaries are on the 303(d) list of impaired
waters due to sediment and turbidity from urban runoff and storm sewers. NCDOT shall
maximize the use of Best Management Practices with regard to sediment and erosion control
during construction. Stormwater runoff shall be treated by the use of grass swales, pre-formed
scours holes or other means that are compatible with the project site's topography, prior to
reaching the stream. NCDOT shall take corrective actions to repair the storm ditch that is
eroding another bank of the road and transporting soil/silt to the stream on the opposite side of
the stream from the failed area (but same side of the road).
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 30 days after the
project has been released.
4. NCDOT and its contractors and/or agents shall not excavate, fill, or perform mechanized land
clearing at any time in the construction or maintenance of this project within waters, riparian
buffers, and/or wetlands, except as authorized by this Certification (e.g., no work shall occur
outside of the footprint of the plans provided). In addition, there shall be no excavation from or
waste disposal into jurisdictional wetlands or waters associated with this Certification.
5. The outside buffer, wetland or water boundary as well as along the construction corridor within
these boundaries approved under this Certification shall be clearly marked by orange fabric
fencing for the areas that have been approved to infringe within the buffer, wetland or water prior
to any land disturbing activities to ensure compliance with 15A NCAC 2B .0250.
6. This Certification does not authorize the discharge of waste rock and dirt into the stream or
riparian zone except for permitted areas associated with culvert conditions
7. All stormwater runoff shall be directed to sheetflow through stream buffers at non-erosive
velocities, unless approved otherwise by this Certification.
8. During the construction of the project, no staging of equipment of any kind is permitted in waters of
the state or protected riparian buffers.
9. The post-construction removal of any temporary structures will need to return the project site to its
preconstruction contours and elevations. The re-vegetation of the impacted areas with appropriate
native species is also required.
10. All protected Randleman riparian buffers impacted by the placement of temporary fill or clearing
activities shall be restored to the preconstruction contours and re-vegetated with native woody
species upon completion of the project construction. A post-construction as-built with the
restoration activities included shall be submitted to the DWQ no later than 60 days after the project
is closed out by the Department of Transportation.
Mr. J.M. Mills, P.E.
DWQ Project 040310
March 3, 2004
11. The structures required for this project shall be installed in such a manner that the original stream
profiles are not altered (i.e. the depth of the channel must not be reduced by a widening of the
streambed).
12. Culverts that are 48-inch 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. This may require
increasing the size of the culvert to meet flow conveyance requirements.
13. If concrete is used during culvert installation (e.g., wing walls), a dry work area should be
maintained to prevent direct contact between curing concrete and stream water. Water that
inadvertently contacts uncured concrete should not be discharged to surface waters.
14. The presence of equipment in the channels must be minimized. Under no circumstances must
rock, sand or other materials be dredged from the stream channel under authorization of this
Certification, except in the immediate vicinity of the culverts. Instream dredging has catastrophic
effects on aquatic life and disturbance of the natural form of the stream channel will likely cause
downstream erosion problems, possibly affecting other landowners.
15. Heavy equipment should be operated from the bank rather than in the stream channel rather than
in the stream channel in order to minimize sedimentation and reduce the likelihood of introducing
other pollutants into the stream.
16. All mechanized equipment operated near surface waters should be inspected and maintained
regularly to prevent contamination of stream waters from fuels, lubricants, hydraulic fluids or
other toxic substances.
17. Discharging hydroseed mixtures and washing out hydroseeders and other equipment in or
adjacent to surface waters is strictly prohibited.
18. Upon completion of the project, the NCDOT and/or its authorized agents shall complete and
return the enclosed "Certificate of Completion" form to the 401/Wetlands Unit of the NC
Division of Water Quality upon completion of the project. Please include photographs upstream
and downstream of each structure to document correct installation.
Mr. J.M. Mills, P.E.
DWQ Project 040310
March 3, 2004
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 telephone Ms. Cynthia Van Der Wiele at 919.733.5715 or Ms. Sue
Homewood of the Winston-Salem Regional Office 336.771.4608 ext. 252.
Sincerely,
Attachment
. Kli , 'PEO
cc: Wilmington District Corps of Engineers
John Thomas, USACE Raleigh Field Office
NCDWQ Winston-Salem Regional Office
Central Files
File Copy
V
Ot- : T T 03t1 t tit?- ?! !lJ
+ f
S'L'ATE of NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
K i I_AEL F. EAS LEY LYNDO TIPPETT
GiOVERNOR SECRETARY
Mnrch 3, 2004
;. cth Barnes
: L`:_Irids/401 Unit
` )ENR Division ofWatei, Quality
Nlail Service Center
NC 27699
:'•? ; : n Copies)
WETLANDS 1401 GROUP
HAR 3 2004
WATER QUALITY SECTION
r..;ohn Thomas
Array Corps of Engineers
F,?lIs of the Neiuw Suite 120
;.cl: ?r;l?, NC 27615-6814
lVu Copies)
.,- -_, .r-T:_u
? ____ _::__ J I - -
DIVISION OF WATER QUALITY
Guilford County, Bridge repair on Scientific Road (SR 1322)) C3r?dye s??
flumber H 713 ire a !?2 i
!'•, It May Concern:
'I,Jw, North Carolina Department ofTransportation (NCDOT) proposes to replace a severely
:ar??itr?c*<td wingwall that is being used to protect a bridge and it's approaches by deflecting stream
1.1. nw away from the hridpc and road in order to maintain traffic safety. The failed wingwall has
c:;u Itcd in increased crosiorn of the nortlisidc approach to the bridge resulting in a damaged
;,tc'_?:cay and a potential colinpse of the bridge. In an effort to obtain the necessary pertllits for the
: ! L-cl wingwall and bridge repair we are providing apre-construction notification application with
AI W!.;c-sing documrntntian. The wort: is necessary immediately because of the etreat potential for
?I l;, cyst' of the existing approach to the bridge. We believe this project can be permitted under the
ri.;rtvide Permit numbers 3 and 33.
riff.' !'011nwing information i:: being provided to :satisfy conditions of General Writer Quality
{:ccific mion.

;, (). 1 Sox 149,96 Qreminhoro, %(-V41!-)-1(196
Telephone No. (3361334-3192 Fax No. 1336) 3343637
T : c T V0FA- -20-dUIJ
-?i71il-=fl?:3lJN1J ?r3°92'f 6T6:-131 0t-:TT 73P1 tt=it=t?- ?Hll
PROJECT INrOILMATION
I ._
en),.trate documentation attached as needed: b See the attached Endangered
t its Review Sheet for further information: r-When Applicable - See the attached
;-,uric Review Letter for further information
.t
13RMCE REPAIR INI?MORMATION
Site T N/A Stream Type Perennial
(Station
Existing 20 feet Proposed 40.5 feet
Wht wall Win wall
I t,'onstruetion Puinp around with ofTsite detour Dewaterin Sandbags rock silt dam
Method Device*
Burial Depth 011e foot E/C Plan
Date
Construction As soon xs practicable Duration One week
Date
:;enacts ft. ?20.5 l.near feet; 50 linear feet --temporary stindba s and rock silt dam
:'pecial l
Conditions
Restoration Within 15 working days of the pipe replacement the natural stream contours
mein will brestored and seeded. Temporary silt screens will be cleaned and
removed fbllo`vi g, vegetation cstablishment.
!,,C11 reinforced concrete pipes; CMP ° Corrugated metal pipe; CMPA = Corrugated metal pipe arch; E/C T Er(
,?cllflol. 'A less intrusive &viatcrinp device .nay bo used in lieu of the one proposed.
i'. (`. ?3Gx 14996 Grcenfharo, NC 27-115-40116
hoad Name Sit Number Project Length Classification
miles
:'.c?ie?ntific Drive Sit 1332 N/A Urbwi
DWQ Water Quality % Impervious
Cover Basal: ID Designation Surface
Cape rear --- --_17-?3 3 WS-IV;* N/A
Ruffer Rules- Buffer Rule Conditions where applicable)
_
No _
N/A
1ected Species P,/hipped T storie CAMA Essential Fishery
Present, 1'rvpertics
`
AEC
Habitat
No u _
No No No
Telc-phanc No. [phone] Fax No. 1336) 334-3637
T27 _'T r00_-'-O-dUH
T6 : -1Al Ot- : T T 03.1 b?=tt=t?- -;?HIJ
lat IDIIZATION INFOlM. ATION
tt,tp:,t-ty will be minintirecd by strict etiforcetnent of Hest Management Practices for the protection of
tlt (.'': waters and wetland:., restrictions against the surging of equipment in or adjucent to waters
tt:;! t15, and coordination (including n pre-constriction meeting) with the Division Environmental
;tttc .?r.
UITIGATIOPI =ORMATIOI4
't r; irn initigation is not anticipated, wa the impact3 to any individual stream do not exceed 150 feet
tl;=,nd mitigation is not anticipated, as wetland impacts do not exceed 0.10 acres and do not
:,ccor in a unique natural vietkind.
APPLIC,r'LTIOH UII2'OltFiiATIGN
rd please find the Pre-construction Notification Form and supporting documentation for the
>'. -referenced project. If you htive tiny questions or need any additional information, please
:;: ttt tot S. Lane Hall at [phone] or Jerry Parker at [phone]. Your time and effort are
:p dated.
-ittc--rely,
t:, i.,,f. Mills. P.E.
" ion I
.i?fI!,; m Engineer, Divis
':;:cio ;arcs
Jerry A. Parker, NCDOT
Dennis Johnson, Bridge Maintenance NCDOT
Barry Harrington, rICDOT
5. Lane Ball, NC:DOT
t; !?. ISox 14996 Green3bwo, TIC 27415-4996 Tetenhone No. 1336) 334-3192 Fax No. 1336) 334-3637
-i T2:7T r1=11???[1?H11
7t; +-! I_-!! 1-Cif h7 ll1HFJ 6,=:`??r,Tr :??1 1=1b TT a3i,i t-F1n7:, -ati i
4 )f;t Use Only:
E Action ID No. DWQ No.
(Irany patticular item is rot appliLable to Utis project, please enter
;. Processing
I Jo7 Version May 2002
Applimble" or "N/A".)
1. Check all of the approval(s) requested for this project:
? Section 404 Permit ? Riparian or Watershed Buffer Rules
? Section 101'cnnit ? Isotlted Wetland Permit from DWQ
X 401 Water Quality Certification
2. Nationwide, Re;:ioral or General Permit Number(s) Requested: NWP 3 and 33
If this notificatit)n is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: El
.t. If payment into the North Carolinas Wetlands Restoration Program (NCWRP) is proposed for
mitigation of impacts (verify availability with NCVW prior to submittal of PCN), complete
section YII1 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 Concerts (sec the top of page 2 for further details), check here: ?
Applicant Inforuirtion
1, owner/Applicant Information
Name ___ _Ivl?r. ,i.M. Mills P.E Division En_gincer -Division 7 _
141ailing Address:___ __._P.o. Box 14,996
(ireenstoro, NC 27415-4996
Telephone Nutntrcr:)_33 Fax Number: (336334-3673
E-mail Address: ___mmill n dc?tat.?te.nc.us
2. Agent/Consultawt Infilrauition (A signed tutd dated copy of the Agent Authorization letter
must be attached if the Agent has signatory authority for the owner/applicant.)
Name: __--Jc1IX2.jrk -
Company Afliliation:_, Uiviion Fnvi_ronmcn stl OiTiccr
Mailhie,, Addres ,:.. _ P.O.-Box 14996
Grviishom NG 2 415- 996
Telephone Number:-)_i.56-2063 Fax Number: [phone] _
E-mail Address:_._iparkerdot.saate.ne?us
Page 1 of 8
i T' : ^ T rOUE-`2r -;6HW
kEk-11TH-11=11,1-rOA7:DWHF1 `768'?V'c' !6T6:-131 Tt,:TT 011H t-00?-2-aUld
II. Project Information
Attach a vicinity inup clearly showing the locution of the property with respect to local
landmarks such is towns, rivers, and roads. lUso provide a detailed site plan showing property
boundaries and development plants 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 surfices, or other facilities must be included. If possible, the maps and plans should
include the appropriate US(iS Topographic Quad Map and NRCS Soil Survey with the property
tmwidarics outlined. Plan drawings, or other =ups 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 ntay accept paper wrk 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 :,cafe such that the fuial version is illegible, the applicant will be informed that
the project has teen placed on hold until decipherable maps are provided.
1. Name of project:__Scjrntific Street (5R1332a ge Repair of Failing W?ll
2. T.I.P. Project I lumber or State Project NmnbLT (NCDOT Only): 713.304110
3. Property Identification Number (Tax PIN): Not Applicable
4. Location
Cowtty: Guilford____ Nearest Town: High Point
Subdivision name (include phase/lot ntunber):_ Not Applicable
Directions to site (include. road numbers, landmarks, etc.):
The project is in I ligh Point near Busiucss 85. If approaching from Raleigh on I-85/40, take
the outer loop around Greensboro near Mt. Hope Church Road toward Charlotte. Exit the
loop on I-8.5 west towards Charlotte. Go approx. 1.8 miles and bear to the right on 85
Business. Go ipprox. three miles and take Kivett Road exit towards High Point. Go approx.
one mule and turn right on Scientific Road (SR 1332). Go approx one mile to the site located
just before the railroad tucks. If approaching from Winston Salem, take 1-40 cast towards
Greensboro and exit on NC 68 (Exit 210) towards High Point. Go approx three milers and
tuns left on Penny Road, Go approx three miles and turn left on W. Main Street. Go approx
'/2 mile and turn right on Scientific Street. Go approx one mile to the site just past the
railroad tracks.
5. Site coordituites, if available (UTM or Irat/Long) ,Sec the attached USC;S rna
(Note - If project is linear, such as a road or utility line, attach a sheet that separately lists the
coordinates for each crm ion; of a distinct waterbody.)
6. Property size (acres):__r1u,t fl plicabl?
Puge 2 of 8
VOCZ
_ji1Fj 11=il1 i_I17:=JlJFRJ Le J_+`?r ?bTb:1Dl Tt- :TT OEM t-DO-2- -aUW
7. Nearest body ofwator (sU•L::itu/river/sound/ocean/lake): IJT to Deep River
It. River Basin: C e1jt , L(:jtr
(Note - this must tr- one of North Carolina's seventeen designated major river basins. The
River Basin m:tp is availahle at lttt1 //ltZo.ettr.st?tt?,nc.?i,/admin/tna?s/.)
9. Describe the existing; conditions on the site and general land use in the vicinity of the project
at the time ofthis application: Urhin residential
10. Describe the: overall project in detail, including; the type of equipment to be used: The
project will iny_clve rcy_t_cingafaii_cd_20 ft wing w;tll used to deflect stream currents Tom-an
hridt,c.,ird s1?nm:u.he?f with a 40.5 wittgw_ttll yApipment used will be star 1rdl road
existing
constmotion muiortivni (tr_ac.khoe,_grrdcribacly ire , rid bulldozer
_
11. Explain the nurrio>:e of the proposed work: To maintain trade safety.
:'""% Prior Project History
if jurisdictional dctermin,tions 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 USACF Action ID Numb: r, DWQ Project Ntnnber, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or ether usefid information. Describe previously approved wetland, stream and
buffer impacts, along*, with a:,sociated mitigation (where applicable). If this is a NCDOT project,
list and describe ncm its issued for prior seg mcnts of the same T.I.P. project, along with
constriction seliedi les.
Nott Appliczjile
Future Project Plans
Are any future permit requests anticipated for this project? If so, describe the anticipated work,
nd provide justification for the exclusion of this work from the current application.
Not ApPA ci- hI _
1. Proposed Impacts to Waters Orthe Unitcd States/Waters of the State
It is the applicant's (or arcrtt's) responsibility to determine, delineate and map all impacts to
we:thinds, 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, >ntist 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 brats 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 descritx- the impact in Section VIII below. If additional space is needed for
Iisting or description, please ?W.,,ch a separate sheet.
Page 3 of 8
_? : ?.T h?=n=, -??=,-,CHI J
I +-I!_!ti (!hh7 ??11k4! ?6'-":4---7 6TG:-131 Tt-:TT +:731.1 t,F102- ;?H11
1. Provide a writtuu description of tilt: proposed impacts: Pcrrztanent Stream impacts will _
result Jirnrr?rlr?rin twee _tiit wing wall with a 40.5 foot wind wall. -Ter poxary stream
ifil sets will result from Placement pt=coi erdams and siltserecns. .
2, Individually list wetland impacts be=low:
:VC°t!;,nd impact
Silt.! Number
u!i;;:+te on ma ^-- T-^-- -
Type of Itnpact*
- --- Area of
Impact
-nacres Located within
100-year Floodplain**
(yes/no) Distance to
Nearest Stream
linear feet -
Type of Wetland"**

(c
to: mechanized clearing, gradmp, hll,
R. ;.t c--.tch impact ;.eparalcly and i+ictdify tcr;ulxrtrsy irnp: cts. tmpitds include, but arc not limited
:rt:+vcuiort flcxxiing ditcitin}"Iciminapt:, etc. For cL•uri9, 5eparalely list impacts due to both structure and flooding.
it) t-Ycrr floodplains are identified thrwt ji the Federal Emcrgcacy ?vLUiatcmcnt Agency's (FEMA) Flood Insurance Rate Maps
or FEMA-apptotcd !caul tloodplain artily;. Maps are available through the MIA Map Service Center at 1-800-358-9616, or
t '%t a wetland t)pe du:rt b cst dcscril?vj wctland to be impacted (e.F, fie-.,hivata/saltw'atcr marsh, forested wetland, beaver pond,
( xR (dina Bay, hoc„ etc.) htdicrtc if vsctl u,.d is isolated (detenuirurtion of isolation to be made by USACF only).
List the total acreage (estimated) of all existing; wetlands on the property: Not Applicable _
Total area of wethuid impact proposed: N(,)t Anyilicable

(ist•
L;a
:u:la impact SCparately Gaud idr ruifj' tc:nlairmy impacts.. hnp=m include, but are not l'unitrd to: culverts and associated rip rap,
V:,ns (wparartr.ty list irnpacls due to txlth ,truc:turc and floeding), relocation (include linear feet before and after, and nct los!;fgain).
-. 'lizution activilim, (cement wull, rip-rap, crib wall, Sabions, ctc.), excavation, ditching/straigjitcning, c'tc. If stream relocation is
I''''Rvr,al plans and protilc"c str;+wing the linear footprint for both the original and relocated streams must be included.
;n? names can be lbutci on USGS to;-K)W,;phic rigor If a stream tress no namr, list as LIT (unnamed tributary) to the nearest
?_ft wmlru:nn unmed stream into which it flows. USGS maps arc available throu1jt the USGS at 1-800-358-9616, or online at
v. w liss M? . Scva:rl intcmcx site; cd,AN allow din:ct download and printing of USGS maps (e.j;, v«vtv.tOW7onc.com,
.e.?_u rn:rlxlucl i+)rll, etc.).
*Cumulative impacts (litlcar distance in feet) to :ill streams on site: Project should involve
increase of 20.5 linear acct inipacts.
tep-wr;iry(trnp) sandh,v5 and ripe}i tp •n strearrLS---a m oxim-ttcly50 lf,
3. Individually list all intermittent and pt.`rennial stream impacts below:
trs m Impact Ungth of Average Width perennial or
;it,- Number Type of Itup act' Impact Streatit Name** of Str= Intermittent?
ficAte on map) (linear feet) Before Impact (please specify)
-?
+tlI Street -
\VinFvval) 20.5- t} -
(tmp)50 It
UT to Deep River Approx. four to
i
eight feet
Perennial
re.pla;cment
-l- - ---- Sec below*

Page 4 of 8
^T t-00_-'mot=t-1?iHIJ
-,Ilrill. ?-CI'7 ?t1`_i!1 ?6=9271r=TC. l =t- :TT r7]11 br=?r=?- -;?HIJ
?31 X45
4. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.) below:
i ?,`+iter Impact
itt7 ivumber
ic,ttc on ma } ------u
Type of Inlpan* Area of
Impact
acres
) Name of Watcrbody

(if applicable Type of Waterbody
(lake, pond, estuary, sound,

bay, ocean, etc.
N/A

t.i, t a:,.h itupttet separately mid idudify tcmpor-q impacts. hnp ds include, but are not limitcd to: till, excavation, mupnr,
01,-diiup. dnunate, buikhv;i&, etc.
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 (chcck all tluit apply): Q uplands [] stream wetlands
Describe the method of construction (e.g., dam/entbankment, excavation, installation of
draw-down valve or spilh;-ay, etc.): Not Applicable
Proposed ttse or purpose of pond (e.g;., livestock watering, irrigation, aesthetic, trout pond,
local stortmv:tter rcq+nirement, etc.): Npt Applicable
Size of watershed draining,, to pond:.`NL?1_ Expected pond surface area:- N/A
" '. Impact Justification (Avoidance and Minimization)
Specifically describe me,,L:ures 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. "fhe applicant miry attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were tninimized ranee the desired site phut was developed. If applicable, discuss construction
techniques to tm lolkowed during construction to reduce impacts.
VJingnv_:tll rgpljucmctit activities ark-11--e .?r to maintain tra.Efnc s:lfety. impacts will be
Ininilnized b strict enfi)r m-nient_of Rest Mttrtrl?ement Practice f r the rotection of wetland and
;?irliice writer, restricti?ns? }?ain:,t the stouing"-ok cntli ment in or ad'acent to miters of the LTS
:end coordination (including :! prel nnstructiotLneetin with he Division Environmental
q. 9)
Officer. J _
14. Mitigation
DWQ - In accord:nnce 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 wcttinds or greater duet or equal to 150 linear feet of total impacts to peretutia.l
!treanis.
Page 5 of 8
22- T rOOE-27 0-": HUH
-131 "JiP-1L i'I-Ci`i!] ?ll!tiJ X68' J6T6: cb TT 031-1 bt-ttt?- a!!lJ
USA.CE -- 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
nt,cessary to ensure that adverw etli;cts to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
itquatic resource will be comidered in determining acceptability of appropriate and practicable
mitigation as propowd. Examples of mitigation that may be appropriate and practicable include,
bw arc not limited to: reducing the size: of the project; establishing and maintaining wetland
:u1d/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
ihlwitie resource tbnctions and values by creating, restoring, enhancing, or preserving; similar
functions and value f',, pref-rable in the same watershed.
If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USAGE or DWQ to consider the application complete for processing. Arty application
hacking a required mitigation pl<ui or NCWRP concurrence shalt be placed on hold as
incomplete. An applicant may also choose to review the current guidelines for stream restoration
in DWQ's Drag Technical Guide for Stream Work in North Carolina; available at
,ittln://h2rn,enr t?te_nc_uslncti?_ctl nris/strmgide.litnit.
1. Provide a brief description of the proposed mitigation plan. The description should provide
as much information its possible, including, but not limited to: site location (attach directions
and/or nLip, if'offsite), affected strcarn and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation ltnechanism (e.g., deed restrictions, conservation casement, 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 findittgLof in:istn_ificant_imt?act is anticipatcd; therefore a mitip t,,n inn plan is not vr0 ided.
C=umulative iiii lets tire_ 14 ?t than_150 feet. The maximum amotm of impact to a single
stre.lJi1?1S ?t)r7roYtnl<ztely_ 20.5 linear feet. No Outstanding Resource Waters, federally
protected spr_cic or their habitats, cur essential fishe habitats occur in the Mqo ect area. The
Drro'co,? .rt is not locatqd1jii ,-_i
?_. Mitigation may al:x1 be madr, by payment into the North Carolina Wetlands Restoration
Program (N(.WRP). Please note it is the applicant's responsibility to contact the NCWRP at
[phone] to deterntine availability and to request written approval of mitigation prior
to submittal of a PCN. For additional information regarding the application process for the
NCWR.P. chic?: the NCWIZP website at httE-//h2o.cnr.st5 e.ne.us/wrln/index htm. If use of
tllc NCWRI' is proposed, please check the appropriate box on page three and provide the
following; Wbrmation:
Amount ot'stream mitigation requested (linear feet): Not Applicable
Amount of'bulTer mitigation requested (square feet): Not Applicable
Amount of Riparian wed.ind mitigation requested (acres): Not Applicable
Amount of Non-riparian wetland mitigation requested (acres): Not Applicable
Amount of Coastal wetland mitigation requested (acres): Not Applicnblc
Page 6 of 8
: ,= T t-0 t -2 t=t-:?1 HIII
,Clt!!-{"1L=! I-ilhh.l li lr;q ! ter. ?' ! 6Tb :lDi 2t-: T T 031.1 t-00-3- ?1H1-1
a. Environmental Documentation (required by DWQ)
Does the project involve an expenditure of public (federal/state) funds or the use of public
( fcdera]/st.ate) laid?
Yes E/,] No
If yes, does the project require preparation of an environmental document pursuant to the
requirements of the i`latirnal or North Carolina Environmental Policy Act (NEPA/SEPA)?
'Mote: If you are not dare whether a NEPA/SEPA document is required, call the SEPA
coordinator at [phone] to review current thresholds for environmental documentation.
Yes Ll No [\1
if yes, has the document review been fin aUed by the State Clearinghouse? If so, please attach a
copy of the NEPA or SEPA final approval letter.
Yes ? No X
3 Mposed Impact; pin Itiptwiatn and Wnterrhed Buffers (required by DWQ)
It is the applicitrit's (or agent's) responsibility to determine, delineate and map all impacts to
required state acid local buOers associated with the project. The applicaant must also provide
ptistification for theso impact:, in Section VII, above. All proposed impacts must be listed herein,
:uld must be clearly identiC_tble on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts am proposed to the buffers. Correspondence from the DWQ
Uegional Office in ty lrz included as appropriate. Photographs may also be included at the
:.pplicant's discretion.
Will the project impact protected riparian buffers identified within 15A NCAC 213 .0233
(Neuse), 15A NCAC 213 .11259 (Tarr-Pamlico), 5A NC'AC 213 :(2: (Randlerrlan Rules and
Writer Supply Bu(Tt.Tr Requirements), or other (please Writ anc eman Buffer
Yes X ?? No if you answered "yes", provide the following information:
Identify the square feet and acreage of impact to each zone of the riparian buffers. If buffer
mitigation is required calculatt- the required amount of mitigation by applying the buffer
inultipliers.
7nne" lmr:ect
(? aq itrL feet) Multiplier Required
Mitigation
i N/A 3
-? 2 N/A 1.5
Total -- - N/A
* ZANIC 1 extends c„ t 30 ,L-et p:TpcndicuL^x t'rom near bank of ciumnel; Zonc 2 cxto- an
Adit.iomil 20 tet.?t from the edFc orloae t,
Pe.ge 7 of 8
r'I- T VC107-- -2 r-HUH
':, if. -11 ? 1-C'i 17:1l ItRJ ?rJ_I'Dr'?! h_Tr :131 1t-: T T (33H t-00?-`-d1jW
1Cbuifcr nutigation is required pleas- discuss what type of mitigation is proposed (Le., Donation
oFl1ropedy, Conservation rczv=nt, 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 __-__--
`itorinwuter (requir-A by DAVQ)
Describe impervious nereage (both existinig and proposed) versus total acreage on the site.
Discuss stormwater controls proposed in order to protect surface waters and wetlands
downstream from the property.
"ivot_ApPlicablc
:: tt. Sewage Di9posal (required by DWQ)
Clearly detail the ultim :te treatment methods and disposition (non-discharge or discharge) of
wtistewater generated troin tree proposed project, or available capacity of the subject facility.
vioLrtions (rcrtui, ed by D,
I:; this site in violation of DWQ Wetland Rules (15A NCAC 211.0500) or any Buffer Rules?
Yes No X
is this an alter-the-fact permit application?
Yes No X
i . Other Circumstances (Optional):
It is the applicant's re,Tonsibiiity to submit the application sut>ficiently 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 draw-doom schedules for W.-cs, dates associated with Endangered and
I lireatencd Species, acccssibility problems, or oilier issues outside of the applicant's control).
Appliont/Agent's Si,gnatum bate
(. Ak esit's signature is Valid only if an authorisation letter from the applicant is provided.)
Page 8 of 8
r- ^ T t =u=, ?=,-?Hl l
- Hl l
S Tim 131 ?t TT 031.1 t-002
N.C.DOT BRIDGE MAINTENANCE
CONSTRUCTION SEQUENCE AND
ERC:)SION CONTROL SEQUENCE
(.?IUILFORD CCU y1TY
':RIDGE NU. 5? SR. 1332
?'ROJECT NO. 713.3041.10
nFSCRIPTION : REPAIRS TO WASHOUT ON NORTHWEST
k-ORNER OF BRIDGE.
I .PLACF A SANDBAG COFFER DAM TO DIVERT WATER
AROLJNrD WASI-IOU'I' AREA.
2. EXCAVA'I'I AI F-'A FOR CONCRETE FOOTING.
>. PUMP W'A'I ER ( JT OF EXCAVATION AREA INTO SILT
E)'AG IF NE(-'P:SSA.RY.
-I. FORM AND POUT` FOOTING WITH ALUMINUM
lNIh1GWALL ENCASED IN FOOTING.
BACK FILL I3I1I-IrND WINGWALL WITH STONE AND
SEED I\ND MULCH iUSEAS NECESSARY.
I7RFPARED BYf? r"` DATE ?3 --/--??1
t??f? :il;1L V1adR
k['PROV F1 L 13 ?. DATE
.? lltt'ltilO:; ?RIllGl; ?L?"1'. E:?GIL
C- 0
f,1HR-07-,-2004 121: 34
n
F. 1.4: '3

r?
?a4
O

MAR-3-8004 WED 11:43 TEL:[phone]
HHHE: PWO- I-JET LOHO'D' '
I

2C ST'd
S It IH117J11 X11°111: 7ldHP I
.l
I? R

SENT

' ,'_11 It 111 11'1-Flf-!1-1 : -11 11 +I I

3
i
2609 M-6T6:131 b.:TT 03H t
f
1 I
t i S? : C.. T

G
t
[[ I
t
i
t
r
E
1 171JN 1 L7I1 ;?Plr.l .?LdEil l 2 b89??LET6 _l31 f+ T T (33N 11700 -2 -dOW
-dim
r r
?-... ? '•--./" ??- _ \ ' 1? ,tea I f

1 1
•4 r / / 1 ,u

,5S
Y i I
it ? 1 Im w ii
le

L. I IM

f 1 ¦ ?

/ry '?L'7 yam.. t
t -. ?
!.?!

C..
? 1
331
.
. JIM
r
IAN ^`
IY

I
1
e
I

_ I
a
r?ln
I
t ?I I I I . w
r ?.
I OI - I I 1-• ?T3!

J
11 I,z : ,1 12". I

1?1 1.
••
? ? _
•'a? _ I I
? ? I e
t .?. • ?Vl I I

\ / • ?frrr

pp S ? J I I

j irwF
I
JAI / ti y- ? /' 1 I

!im

-jig

1
I ? ?
I I??
t I 1 I? I
t 1..-4 .IKw,J: t
t I I
I I
1 ??!?
YI
`
, I
yr•?` ?I I 1- .
!f
I I
I ?
IL im
t

I ? 47CC
/ r I I? 1 11 p
I
r ? N ?? tl]I
?
,
xx
i

-
------------ --

{ i711t_11J 3hl "11'11-I AWHI J C6892c-, GTi= :131 t+: T T 1:331 t 002-2-dOW
1
?i 1 ??I I - ? I y I - ..
4t--
1??!? V \ In TMn'?MNnel Gu
40
?' .' I ? 1Yl 1 ? .,l ? ', Imo' , ?,•z ( Y +
3 ?i Tr`y' .. ? I j • ? I r ? ' i
.;Y;,\p,?.,;,^? ... • - .. ?? t' I`ll.-..:?•` r'I " - r; • • ? ?-•r? j ? -
;?1p,??,,y 1 t ?? `- ,rr-+ /,• ?!7 "'^'-' ?"'"? .\ II,,--•?? ±; ?) ?1?; ?y 11 ? ?'1Y'`...-"
.,,? I \ ?l / h - ?_ , .c /L , '. I I ?'• ti r' L r?'»•+?' ' y r.r---•? ± r.•
U)l
+ e s R A N
l
SE : C T b[1OZ-20-dow
ri11C1 : 31IHI I
Ptlll?' 1
,
i

X
S.
Name HlGsf I POINT EAST
[7AW- Mr2004
Scale. 1 inch equals 2000 feet
TI.

'7 1 -T6 :131 -b : T T 173°
` ti 1--,f • • y • C.N • fl `?
17 4,-

Lij

,i

?J U'Stt
L,
M.- -.
fJb. -

xxtion: 035° 5W 28.5" N 079° 56 57.3" W
aptian• Bridge 52 on Sdm*fio Street (SR 1332) High POIM
Guilford County
61Q;Wch, im.
92 : cT t700F-? J-dH-14
0 l SONH-113M-OMC :3WOH 26992216%:-131 9b : T T a3M V002-£-dUkl

601 dH?1311- 01,1(3: A4-JUN
268922L6T6:131 Lb : T T '73M b882-2-dUW

Lz! 'T(-,d
u
82:7_T t.,007-1=0-dHlxl
aauGllp'lln, L7uwa ---_ - -
7 J
-101 IHIAM-1JMf] :31,10H 26992216T6 : X31 Ztb : T T 03M b002-2-dHIJ
d sewer

S2 : ;!.T VOW- -dHlld
line

SaNd-l13M-OMO c 3WHN 26892216%:131 8t7 : Z Z c33M t7002-2-6HW
11

color
Ayer s
a
4®1 ISSUED
STATE OF NORTH CAROLINA
FILE COPY
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY
GOVERNOR
March 3, 2004
Ms. Beth Barnes
Wetlands/401 Unit
NC DENR Division of Water Quality
1650 Mail Service Center
Raleigh, NC 27699
(Seven Copies)
Mr. John Thomas
US Army Corps of Engineers
6508 Falls of the Neuse Suite 120
Raleigh, NC 27615-6814
(Two Copies)
LYNDO TIPPETT
.SECRETARY
WETLANDS / 401 GROUP
MAC' ? ZU04
WATER Q(,,qj 1 Y 0ECTION
Q?Q3le,
Subject: Guilford County, Bridge repair on Scientific Road (SR 1322))
Project Number # 7B.304110
To Whom It May Concern:
The North Carolina Department of Transportation (NCDOT) proposes to replace a severely
damaged wingwall that is being used to protect a bridge and it's approaches by deflecting stream
currents away from the bridge and road in order to maintain traffic safety. The failed wingwall has
resulted in increased erosion of the northside approach to the bridge resulting in a damaged
roadway and a potential collapse of the bridge. In an effort to obtain the necessary permits for the
subject wingwall and bridge repair we are providing a pre-construction notification application with
supporting documentation. The work is necessary immediately because of the great potential for
collapse of the existing approach to the bridge. We believe this project can be permitted under the
Nationwide Permit numbers 3 and 33.
The following information is being provided to satisfy conditions of General Water Quality
Certification.
P. O. Box 14996 Greensboro, NC 27415-4996 Telephone No. [phone] Fax No. [phone]
PROJECT INFORMATION
Road Name SR Number Project Length
miles Classification
Scientific Drive SR 1332 N/A Urban
River Basin: DWQ
ID Water Quality
Designation % Impervious
Surface
Cape Fear 17-(3.3) WS-IV;* N/A
Buffer Rulesa Buffer Rule Conditions where applicable)
No N/A
Protected Species
Presentb Mapped Historic
Properties' CAMA
AEC Essential Fishery
Habitat
No No No No
a Separate documentation attached as needed:
Species Review Sheet for further information:
Historic Review Letter for further information
b See the attached Endangered
When Applicable - See the attached
BRIDGE REPAIR INFORMATION
Site N/A Stream Type Perennial
Station
Existing 20 feet Proposed 40.5 feet
Win wall Win wall
Construction Pump around with offsite detour Dewatering Sandbags & rock silt dam
Method Device*
Burial Depth One foot E/C Plan
Date
Construction As soon as practicable Duration One week
Date
Impacts ft. 20 .5 linear feet; 50 linear feet -temporary sandbags and rock silt dam
Special
Conditions
Restoration Within 15 working days of the pipe replacement the natural stream contours
Plan will 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; t/u = trosion
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 S. Lane Hall at [phone] or Jerry Parker at [phone]. Your time and effort are
appreciated.
Sincerely,
r?
M . J. Mills, P.E.
Di ' i n Engineer, Division 7
Enclosures
CC: Jerry A. Parker, NCDOT
Dennis Johnson, Bridge Maintenance NCDOT
Barry Harrington, NCDOT
S. Lane Hall, NCDOT
P. O. Box 14996 Greensboro, NC 27415-4996 Telephone No. [phone] Fax No. [phone]
Office Use Only' 040340 Form Version May 2002
USACE Action ID No. DWQ No.
(If any particular item is not applicable to mis project, please enter Not wppucaoie or NSA .)
1. Processing
1. 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
X 401 Water Quality Certification
2. Nationwide, Regional or General Permit Number(s) Requested: NWP 3 and 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
1. Owner/Applicant Information
Name: Mr. J M Mills P E Division Engineer - Division 7
Mailing Address: P.O. Box 14996
Greensboro NC 27415-4996
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: mmills&dot state nc us
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 Parker
Company Affiliation: Division Environmental Officer
Mailing Address: P.O. Box 14996
Greensboro NC 27415-4996
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: jparker e dot state nc.us
Pagel o178
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: Scirntific Strret (SRI 332) Bridge Repair of Failing Wingwall
2. T.I.P. Project Number or State Project Number (NCDOT Only): 713.304110
3. Property Identification Number (Tax PIN): Not Applicable
4. Location
County: Guilford Nearest Town: High Point
Subdivision name (include phase/lot number): Not Applicable
Directions to site (include road numbers, landmarks, etc.):
The project is in High Point near Business 85. If approaching from Raleigh on I-85/40, take
the outer loop around Greensboro near Mt. Hope Church Road toward Charlotte. Exit the
loop on I-85 west towards Charlotte. Go approx. 1.8 miles and bear to the right on 85
Business. Go approx. three miles and take Kivett Road exit towards High Point. Go approx.
one mile and turn right on Scientific Road (SR 1332). Go approx one mile to the site located
just before the railroad tracks. If approaching from Winston Salem, take I-40 east towards
Greensboro and exit on NC 68 (Exit 210) towards High Point. Go approx three milers and
turn left on Penny Road. Go approx three miles and turn left on W. Main Street. Go approx
'/z mile and turn right on Scientific Street. Go approx one mile to the site just past the
railroad tracks.
5. Site coordinates, if available (UTM or Lat/Long): See the attached USGS Mo.
(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
Page 2 of 8
7. Nearest body of water (stream/river/sound/ocean/lake): UT to Deep River
8. River Basin: Cape Fear
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at hup.//h2o.enr.state.nc.us/admin/m4ps/.)
9. Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this application: Urban residential
10. Describe the overall project in detail, including the type of equipment to be used: The
project will involve replacing a failed 20 ft wing wall used to deflect stream currents from an
existing bridge and approaches with a 40.5 wing -wall Equipment used will be standard road
construction equipment (trackhoe grader, backhoe and bulldozer).
11. Explain the purpose of the proposed work: To maintain traffic safety.
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 Applicable
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
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 3 of 8
1. Provide a written description of the proposed impacts: Permanent stream impacts will
result from replacing a twenty foot wing wall with a 40.5 foot wing wall. Temporary stream
impacts will result from placement of cofferdams and siltscreens. .
2. Individually list wetland impacts below:
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 httjr//www.fema.gov.
*** List a wetland type that best describes wetland to be impacted (e.g., freshwater/saltwater marsh, forested wetland, beaver pond,
Carolina Bay, bog, etc.) 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
3. Individually list all intermittent and perennial stream impacts below:
Stream Impact
Site Number
(indicate on map)
Type of Impact* Length of
Impact
(linear feet)
Stream Name** Average Width
of Stream
Before Impact Perennial or
Intermittent?
(please specify)

Scientific Street Wingwall
replacement 20.5 ft
(tmp)50 ft
UT to Deep River Approx. four to
eight feet
Perennial
See below*

* 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 he found on USGS topographic maps. If a stream has no name, list as UT (unnamed tributary) to the nearest
downstream named stream into which it flows. USGS maps are available through the USGS at 1-800-358-9616, or online at
www.usgs.gov. Several internet sites also allow direct download and printing of USGS maps (e.g., Aww.to)ozone.coin,
www niiq) est.com, etc.).
*Cumulative impacts (linear distance in feet) to all streams on site: Project should involve
increase of 20.5 linear feet impacts.
temporary Qmp) sandbags and riprap in streams---approximately 501f If,
Page 4 of 8
4. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.) below:
Open Water Impact
Site Number
indicate on ma
Type of Impact* Area of
Impact
acres Name of Waterbody
(if applicable) Type of Waterbody
(lake, pond, estuary, sound,
bay, ocean, etc.
N/A

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: nu, excavation, dredging,
flooding, drainage, bulkheads, etc.
5. 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.
Winewall replacement activities are necessary to maintain traffic 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
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.
Page 5 of 8
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on March 9, 2000, mitigation will be required when
necessary to ensure that adverse effects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed. Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USACE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCWRP concurrence shall be placed on hold as
incomplete. An applicant may also choose to review the current guidelines for stream restoration
in DWQ's Draft Technical Guide for Stream Work in North Carolina, available at
http://h2o.enr.state.nc.us/ncwetIands/strmmide. 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 sinsle
stream is approximately 20.5 linear feet No Outstanding; Resource Waters, federally
protected species or their habitats or essential fishery habitats occur in the project area. The
project is not located in a High Quality Water.
2. Mitigation may also be made by payment into the North Carolina Wetlands Restoration
Program (NCWRP). 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
Page 6 of 8
IX. Environmental Documentation (required by DWQ)
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
(Meuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 213 .0250 (Randleman Rules and
Water Supply Buffer Requirements), or other (please identify) Randleman Buffer
Yes X No If you answered "yes", provide the following information:
Identify the square feet and acreage of impact to each zone of the riparian buffers. If buffer
mitigation is required calculate the required amount of mitigation by applying the buffer
multipliers.
Zone* Impact
(square feet Multiplier Required
Mitigation
1 N/A 3
2 N/A 1.5
Total N/A
• Zone 1 extends out 3U teet perpenaicuiar from near oanK or cnannei; /.one z extents an
additional 20 feet from the edge of Zone 1.
Page 7 of 8
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 213 .0242 or .0260.
Not Applicable
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).
3 - 4- d
Apgli nt/Agent's Signature Date
(Agent's si ture is valid only if an authorization letter from the applicant is provided.)
Page 8 of 8
N.C.DOT BRIDGE MAINTENANCE
CONSTRUCTION SEQUENCE AND
EROSION CONTROL SEQUENCE
GUILFORD COUNTY
BRIDGE NO. 52 SR 1332
PROJECT NO._713.304110
DESCRIPTION: REPAIRS TO WASHOUT ON NORTHWEST
CORNER OF BRIDGE.
LPLACE A SANDBAG COFFER DAM TO DIVERT WATER
AROUND WASHOUT AREA.
2. EXCAVATE AREA FOR CONCRETE FOOTING.
3. PUMP WATER OUT OF EXCAVATION AREA INTO SILT
BAG IF NECESSARY.
4. FORM AND POUR FOOTING WITH ALUMINUM
WINGWALL ENCASED IN FOOTING.
5. BACKFILL BEHIND WINGWALL WITH STONE AND
SEED AND MULCH AREAS NECESSARY.
PREPARED BY Z ? ??' DATE - / - D zz
NUDGE SUPE OR '
APPROVAL BY ).4nnmn DATE 2-I - D y
- X.
DB ISION BRIDGE IAIN7. ENGR.

m ?
? eo
? o
Pill?
0
a
f
a
121
N
O
o a?
o O'
U2

c?
Q
COC
ei-

C

? li I I
? cv
O
O
171
s

0
Kwo.
1 I _ . • 7 / ^ ?? i a - I h
• 36-W
a
36-W
rbor
Amo
I - ?-? I `/-.FADE
I I
I
I ill I _,
70?? ?? f I i - / I
11
?..
68
\/ \\'' I •? \ /•
---
\ ------ r -- - ---/
"' _ _ - _ ?? r ? urn \. LJ ?
•.? Mdmanf , ?d
I I". gal l ??. GRED
I Q A,rporl / ra
I ?.
I
01
I ' I 1 ? I 1 / I I I- \
11 ffis,
II I I
1.2
31*0 01
\ I ZI r 1"' I 1,
HIGH POINT
s
1 ra 73 326 T
.I ' I ?u+••
/ ? r 61m / I ? ;' •.
IJ.
1,2 •-• -.-.
dry, 1 - . ._? - R' -• A_._N
a
n
.T,#, .IT

t ..... ?LL_ -
?,?,dta+y1 -,ern"
Scientific Street (Slt 1332) Upstream side cif bridge showing damaged wing wall

??ywrr.? reYMYI
Scientific Street (SR I
ll'

a2mrep proi Butmous

ogpuolos
i
a
p ?!
A
t

3UH
lamas p
Il
?j

Scientific Street (SR 1332) Upstream side of bridge showing damaged wing wall