20210940 Ver 1_B-5621_Sampson Bridge 248_Courtesy Application_signed_20210511

STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
ROY COOPER J. ERIC BOYETTE
GOVERNOR SECRETARY

Mailing Address:
NC DEPARTMENT OF TRANSPORTATION
DIVISION OF HIGHWAYS
5501 BARBADOS BOULEVARD
CASTLE HAYNE, NC 28429-5647
Telephone: [phone]
Fax: [phone]
Customer Service: 1-877-368-4968

Website: ncdot.gov
Location:
5501 BARBADOS BOULEVARD
CASTLE HAYNE, NC 28429-5647

May 11, 2021

Brad Shaver, NCDOT Coordinator Robert Patterson
Wilmington Regulatory Field Office NC Department of Environmental Quality
US Army Corps of Engineers Division of Water Resources
69 Darlington Avenue 217 West Jones Street
Wilmington, NC 28403 Raleigh, NC 27603

Subject: Courtesy Notification for Section 404 Nationwide Permits 3 and Section 401 General
Certifications 4132 for proposed replacement of Bridge No. 248 over Six Runs Creek on SR 1904
(Pine Ridge Road) in Sampson County; Federal Aid No. BRZ-1904(001); WBS No. 45576.1.1;
TIP B-5621.

Dear Mr. Shaver and Mr. Patterson:

The North Carolina Department of Transportation (NCDOT) is proposing to replace Bridge No.
248 over Six Runs Creek on SR 1904 (Pine Ridge Rd.) in Sampson County. The existing 10 span
- 146 ft. bridge will be replaced with three span - 165 ft. bridge.

A preliminary jurisdictional determination (PJD) was acquired on this project on April 27, 2016
and the project was assigned Action Id No. SAW-2016-00624. An onsite preapplication meeting
was held on April 14, 2021. Impacts associated with the bridge include 0.035 acres of fill and
0.048 acres of mechanized clearing for approach fill and erosion control. There is also 0.006
acres of excavation (beneficial excavation) for tying the excavated causeway to the natural
adjacent wetland elevation. Coffer dams around the interior bents is also proposed which results
in 0.03 acres of temporary surface water impacts. Traffic will use an offsite detour during the
construction of this project. The attached permit drawings provide more details on the proposed
impacts.

Utilities

There are no impacts for utility relocations on this project. Four County EMC is leaning their
power poles to get the clearance needed to construct the bridge, Spectrum is only adjusting their
HH to miss the guardrail and Star is abandoning their lines. There is a water line in the project
footprint but there is no conflict. The attached utility plans provide more details on the proposed
impacts.

Regulatory Approvals

Section 404 Permit: NCDOT is proposing to construct this project under the conditions of
Nationwide 3. Based on the current design and impacts, notification requirements are not
applicable for this project and written approval from the USACE is not required. NCDOT will
abide by all conditions listed in NW 3, and will include a copy of the certifications in the permit
package and/or contract.

Section 401 Permit: The associated 401 General Certification 4132 will also apply to this project.
Notification thresholds or circumstances for these certifications are not applicable to this project
therefore written concurrence from the Division of Water Resources (DWR) is not required.
NCDOT will abide by all conditions listed in GC 4132, and will include a copy of the
certifications in the permit package and/or contract.

If you have any questions or need additional information, please feel free to contact me.

Sincerely,

Mason Herndon
NCDOT Division 3
Environmental Program Supervisor

ec: Kristi Lynn Carpenter, Division of Water Resources

Enclosures

Be
averRd Wade
D
a
u
g
hteryR
d
MoltonvilleRdB r e w erRdFaisonHW Y
AuctioneerRd
Turkey HW Y LakeAr
t
esi
aRdH u d s o n RdP
a
n
h
andleRdPineRidgeRdK
e
e
n
e
r
RdMatthisRdBeulahC hu rchR d
King Rd
I40
HWYJuniousLucasRdThompsonAveDaveBrightRdVicinity Map
Sampson 248
Sampson County, North Carolina
B-5621
Path: P:\GeoGra\Projects\2018\063\03\GIS\Vicinity.mxd Date: 3/5/2019 2:22:54 PM
E
ER18063.03
$SU 2019
EF/KT
1Figure:
Project:
Date:
Drwn/Chkd:
010.5
Miles
Project Study Area
Disclaimer: The information depicted on this figure is for
informational purposes only and was not prepared for, and
is not suitable for legal or engineering purposes.
Source: ESRI World Street Map base layer;
Project Study Area approximated by ESI.
*Location and extent is approximate.
Cape Fear River Basin
DaveBrightRdBeaver Rd
SixRunsChurchRdPope RdLakeAr
t
esi
aRdGard
eniaLnPine
Ri
d
ge
R
d
Beu la h Church R dProject Study Area Map
Sampson 248
Sampson County, North Carolina
B-5621
Path: P:\GeoGra\Projects\2018\063\03\GIS\Topo.mxd Date: 3/5/2019 2:18:57 PM
E
ER18063.03
$SU2019
EF/KT
2Figure:
Project:
Date:
Drwn/Chkd:
0 2,0001,000
Feet
Project Study Area
Disclaimer: The information depicted on this figure is for
informational purposes only and was not prepared for, and
is not suitable for legal or engineering purposes.
Source: ESRI US Topo Maps Baselayer; 2011
National Geographic Society/ESRI, i-cubed
seamless USGS quadrangles (Faison, NC);
Project Study Area approximated by ESI.
*Location and extent is approximate.
Cape Fear River Basin
Pine Rid
g
e
R
d
UVWA
UVWA
UVWA
UVWA
Six Runs Creek
NC Center for Geographic Information & Analysis
Jurisdictional Features Map
Sampson 248
Sampson County, North Carolina
B-5621
Path: P:\GeoGra\Projects\2018\063\03\GIS\JD_Features.mxd Date: 3/5/2019 2:26:19 PM
E
ER18063.03
$SU 2019
EF/KT
3Figure:
Project:
Date:
Drwn/Chkd:
010050
Feet
Project Study Area
Delineated Wetland
Delineated Stream
Disclaimer: The information depicted on this figure is for
informational purposes only and was not prepared for, and
is not suitable for legal or engineering purposes.
Source: Latest High-Resolution NC Statewide
Orthoimagery, NC OneMap Server; Project Study
Area approximated by ESI.
*Location and extent is approximate.
Cape Fear River Basin

(Version 2.08; Released April 2018)45576.1.1TIP No.:B-5621County(ies):Sampson Page 1 of 1TIP Number:Date:Phone:Phone:Email:Email:County(ies):CAMA County?YesDesign/Future:Year:2025Existing:Year:Aquatic T&E Species?NoComments:YesN/ANoWetlands within Project Limits?Swamp Waters (Sw) NoneSupplemental Classification: Swamp with rural residential and agriculture outside of swamp limitsSix Runs Creek18-62-2-(.3)b0.40.13Project DescriptionProposed ProjectCape FearRiver Basin(s): City/Town:0.8Typical Cross Section Description: Surrounding Land Use: General Project Narrative:(Description of Minimization of Water Quality Impacts)[e-mail]:2/24/2021SampsonClintonMason HerndonCastle Hayne, NC 28429WBS Element:Bridge ReplacementWBS Element:HNTB North Carolina, P.C. / James A. Byrd, PENCDOT Contact:910-341-2036Suite 200Raleigh, NC 27609Contractor / Designer:919-424-0437343 E. Six Forks RoadNorth Carolina Department of TransportationHighway Stormwater Program STORMWATER MANAGEMENT PLAN FOR NCDOT PROJECTSProject Type:5501 Barbados BlvdAddress:General Project InformationB-562145576.1.1Impairments:Other Stream Classification: Primary Classification: Project Built-Upon Area (ac.)State project B-5621 involves the replacement of Sampson County Bridge # 810248 on SR 1904 (Pine Ridge Rd.) over Six Runs Creek. The existing bridge consists of a mutlispan arrangement of 1 @ 18' - 6", 1 @ 18' - 2", 1 @ 18' - 3", 1 @ 18' -1", 2 @ 18' -2", 1 @ 18' -4". 2 @18'3", 1 @18'6" with a reinforced concrete deck on timber piles with steel and timber crutch bents. The existing bridge is to be replaced with a four span 24" cored slab with 1 @ 50' - 0", 1 @ 60'-0", 2 @55'-0" span arrangement at the same location. The proposed bridge does not contain deck drains, all storm water from the bridge and approaches will be collected by a storm drainage systems and discharged into a Class "B" rip-rap pad at outlets in each of the four quadrants. There are no proposed ditches on this project. Furthermore, fill slopes have been minimized with rock plating to the east of the structure to avoid fill in the wetlands to the maximum extent practical. N/ABuffer Rules in Effect:None11002 - 11' asphalt paved lanes with 2' paved shoulders, 6' grass shoulders. Roadway in .025 normal crown over length of project. Waterbody Information2013NCDWR Stream Index No.:NRTR Stream ID:Annual Avg Daily Traffic (veh/hr/day):Existing SiteProject Length (lin. miles or feet): ac.Surface Water Body (1): Class CNCDWR Surface Water Classification for Water Bodyac.2 - 11' asphalt paved lanes with varying grass shoulders. Wetlands are present along all four quadrents of the [e-mail] Includes Bridge Spanning Water Body? Deck Drains Discharge Over Buffer? Dissipator Pads Provided in Buffer?N/ADeck Drains Discharge Over Water Body?(If yes, provide justification in the General Project Narrative) (If yes, describe in the General Project Narrative; if no, justify in the General Project Narrative)(If yes, provide justification in the General Project Narrative)
WETLAND AND SURFACE WATER IMPACTS PERMIT

SHEET 1 OF 5
PERMIT DRAWING

D
T
V
=
=
=
=
=
=
%
%
MPH
ADT
ADT
% *

FUNC CLASS =
DOCUMENT NOT CONSIDERED FINAL
UNLESS ALL SIGNATURES COMPLETED
K
0
0
0
PROFILE (HORIZONTAL)

PROJECT LENGTH
RIGHT OF WAY DATE:
LETTING DATE:
STATE STATE PROJECT REFERENCE NO.
STATE PROJ. NO.F. A. PROJ. NO.DESCRIPTION
NO.
TOTAL
SHEETS
N.C.
SHEET
1
DESIGN DATA
SIGNATURE:
SIGNATURE:
P.E.
P.E.
2018 STANDARD SPECIFICATIONS
PROJECT ENGINEER
GRAPHIC SCALES PLANS
PROFILE (VERTICAL)
HYDRAULICS ENGINEER
ENGINEER
ROADWAY DESIGN
LOCATION:
TYPE OF WORK:09/08/99DIVISION OF HIGHWAYS
STATE OF NORTH CAROLINA
0
00
4/30/2021...\B-5621_HYD_PRM_TSH.dgnHNTBCONTRACT:TIP PROJECT:ARTMEN
N ASO
H
DEPT
O
F TRA SPORTTIONTATEOFNRTCAR
O
LI
NASee Sheet 1A For Index of Sheets
OFFSITE DETOURVICINITY MAP
NCDOT CONTACT
PREPARED IN THE OFFICE OF:
NC License No: C-1554
Raleigh, North Carolina 27609
343 E. Six Forks Road, Suite 200
HNTB NORTH CAROLINA, P.C.
FOR NCDOT DIVISION 3
4
ON SR 1904
GRADING, DRAINAGE, PAVING AND STRUCTURE
B-5621 B-5621 50 25 50 100
50 25 50 100
10 5 10 20
2013 1100
2025 2200
-L- POT STA. 21+50.00
BEGIN BRIDGE
-L- POT STA. 25+44.31
END BRIDGE
-L- POT STA. 28+50.00
BEGIN PROJECT B-5621
END PROJECT B-5621
60
10
60
6
* TTST =2%DUAL 4%
ROY H. TELLIER, PE
SUB-REGIONAL TIER
45576.1.1 PE
TOTAL LENGTH OF PROJECT B-5621
LENGTH OF STRUCTURE PROJECT B-5621
LENGTH OF ROADWAY PROJECT B-5621
=
=
=
SAMPSON COUNTY
REPLACE BRIDGE NO. 248 OVER SIX RUNS CREEK
MINOR COLLECTOR
-L- POT STA. 23+21.69
TO SR-1916 POPE RD.TO SR-1740 LAKE ARTESIA RD.
0.133 MILES
0.042 MILES
0.091 MILES
LIMITS
PROJECT
OCTOBER 14, 2021
DEREK PIELECH, PE
BRZ-1904(001)
-L-
BRZ-1904(001) 45576.2.1 R/W & UTIL
APRIL 30, 2021APPROVED ROW PLANSMoltonville
1920
1922
1919
1919
1919
1919
1970
1903
1904
1904
1904
1752
1916
1916
1917
1918
1918
1912
1914
1913
1913
1964
1906
1952
1952
1952
1909
1909
1740
1740
SixRunsChurchRd.Cu
rtis
I
ve
yRd.
Springvale
Rd.Molt
onv
ille
Beaver
Rd.Po
pe
Rd.Rd.SummerhillRd.Cabin
Mus
e
u
mCa
bin
Mu
s
e
u
mRd.Beul
ahChurc
h
Rd.Rd.Artesi
aPine
Pine
Ridge
Rd.MatthisRd.Warsaw
Rd.
Old Warsaw
Rd.
24Turkey HWY
403
403
Turkey
pop. 271
24
1919
22' BST
SR-1904 PINE RIDGE RD.SIX RUNS CREEK20 -L-25 -L-NAD 83 NA 2011NC GRID
SR-1904 PINE RIDGE RD.
22' BST22' BST CCONC
CONC2 3EXISTING R/W
EXISTING R/W
EXISTING R/W
EXISTING R/W
JEFF HAIRR AND B. SCOTT KING
VICKY LUCAS, JAMES TIMOTHY HAIRR,
LILLIE BARBER CHAPMAN, ET AL
JAMES EDWARD STARLING, JR.
CAROL CARTRETTE BORDEAUX &
PELMON JART HUDSON, JR.
WILBERT EARL JACKSON, JR.GIS PROPERY LINEGIS PROPERTY LINETO SR-1916 POPE RD.TO SR-1740 LAKE ARTESIA RD.SR-1904 PINE RIDGE RD.S 05°13'00" W766.27'4 ", SAMPSON CO. PUBLIC WORKS T4 ", SAMPSON CO. PUBLIC WORKS TSIX RUNS CREEKH
H
H
H
SIX RUNS CREEKSHEET NO.PROJECT REFERENCE NO.
HYDRAULICSROADWAY DESIGN
ENGINEER ENGINEER
4
R/W SHEET NO.8/17/995/3/2021...\B-5621_HYD_PRM_PSH4.dgnHNTB80'
90'
18+00 19+00 20+00 21+00 22+00 23+00 24+00 25+00 26+00 27+00 28+00 29+00 30+00
B-5621
RELATION TO PAVEMENT
SKETCH OF BRIDGE IN
100'
120'
110'
70'
80'
90'
100'
120'
110'
70'SIX RUNS CREEKELEV. = 98.14'
RR SPIKE IN 14" OAK
-L- STA 23+38.63, 67.18' RT
BM#1
ELEV. = 96.57'
RR SPIKE IN 18" CYPRESS
-L- STA 25+67.35, 93.73' RT
BM#2
DESIGN DISCHARGE
DESIGN FREQUENCY
BASE DISCHARGE
CFS
YRS
YRS
BASE FREQUENCY
OVERTOPPING ELEVATION
OVERTOPPING FREQUENCY
OVERTOPPING DISCHARGE CFS
CFS
YRS
FT
FT
FT
DESIGN HW ELEVATION
BASE HW ELEVATION
BRIDGE HYDRAULIC DATA
DATE OF SURVEY
W.S. ELEVATION
AT DATE OF SURVEY FT
= 2800
= 25
= 98.8
= 4599
= 100
= 100.5
>5800 (+)
>500 (+)
= 102.77
= 04-15-2019
= 95.5
NC License No: C-1554
Raleigh, North Carolina 27609
343 E. Six Forks Road, Suite 200
HNTB NORTH CAROLINA, P.C.NAD 83/ NA 2011MATERIAL TO BE REMOVED30 -L-20 -L-25 -L--L--L-
-L- POT STA 21+50.00
BEGIN PROJECT B-5621
-L- POT STA 28+50.00
END PROJECT B-5621
F
F
F
F
F
F
F
F F
F
F
F
F
F
F
F
BL-5
BL-4
BM-1
BM-2
BL-6
3
4
1
2
ELEV. = 103.03-L- STA 21+50.00BEGIN GRADE -L-ELEV. = 103.68-L- STA 28+50.00END GRADE -L--L- STA 23+23+/-BEGIN BRIDGE-L- STA 25+43+/-END BRIDGEPI = 24+50.00
EL = 104.53'
(+)0.5000%(-)0.4442%
VC = 180'
K = 191
PI = 27+25.00
EL = 103.30'
(-)0.4442%(+)0.3000%
VC = 180'
K = 242
SURVEY 04-15-19
WS EL.= 95.5'
W1
W2
W4
W3
WETLAND & STREAM IMPACTS
E E IN WETLAND
DENOTES EXCAVATION
WETLAND
DENOTES FILL INFF
LEGEND
SHEET 2 OF 5
PERMIT DRAWING
**
*
*
***
**
*
*CLEARING
DENOTES MECHANIZED
MECHANIZED CLEARING IN WETLANDS = <0.01 Ac / 380 SF
FILL IN WETLANDS = <0.01 Ac / 26 SF
MECHANIZED CLEARING IN WETLANDS = 0.01 Ac / 431 SF
FILL IN WETLANDS = <0.01 Ac / 33 SF
EXCAVATION IN WETLANDS = <0.01 Ac / 117 SF
MECHANIZED CLEARING IN WETLANDS = 0.01 Ac / 416 SF
FILL IN WETLANDS = <0.01 Ac / 25 SF
EXCAVATION IN WETLANDS = <0.01 Ac / 157 SF
TS TS
IMPACTS IN SURFACE WATER
DENOTES TEMPORARY
TEMPORARY IMPACTS IN SURFACE WATER = 43 LF
MECHANIZED CLEARING IN WETLANDS = 0.02 Ac / 845 SF
FILL IN WETLANDS = 0.03 Ac / 1425 SF
WATER BY IMPERVIOUS DIKES
TEMP. IMPACTS IN SURFACE
LIMIT (TYP.)
EXCAVATION
LIMIT (TYP.)
EXCAVATION
8081
8283848585858687878888888989898990909090909090919191 9191929292929292929393
93
9393939393 9393939393939494
94
9494
949494949494949494949
4
94
949495 959595 95959595959595
95
95
959595
95
95
95
95
959595959595959595959595
9
5
95959595
9595959595
9595 959595959595959596969696969
6
96
969696 9696969696969
6
96
96
969696
96
96
96
9696969696969696969696
96
9696 96969696969696969696969696
969797
979797 9797979797979797979797
97
97 9797
97
979
797979797
9797
97
979798989898 9898989898989898
9898
9
898989898
9898989898989
9
99999999999999 9
9
9999999999
99999
9999999
99999
9
9999999999100100100100
1
00
100
100
100100100100100100 100100100100100100100100100100100100
100
100100
100
100
100 100100 1001
0
0100100 10
0
100100101101
101
101101101 101101101101101101101101
101101 10110
1
101101
101101102102102102
102102102 102102102102
102
102 102102
102102102102
102102 102103103103103
103
103
103 103
103
104104
104 105
SR-1904 PINE RIDGE RD.
22' BST22' BST CCONC
CONC2 3EXISTING R/W
EXISTING R/W
EXISTING R/W
EXISTING R/W
JEFF HAIRR AND B. SCOTT KING
VICKY LUCAS, JAMES TIMOTHY HAIRR,
LILLIE BARBER CHAPMAN, ET AL
JAMES EDWARD STARLING, JR.
CAROL CARTRETTE BORDEAUX &
PELMON JART HUDSON, JR.
WILBERT EARL JACKSON, JR.GIS PROPERY LINEGIS PROPERTY LINETO SR-1916 POPE RD.TO SR-1740 LAKE ARTESIA RD.SR-1904 PINE RIDGE RD.S 05°13'00" W766.27'4 ", SAMPSON CO. PUBLIC WORKS T4 ", SAMPSON CO. PUBLIC WORKS TSIX RUNS CREEKH
H
H
H
SIX RUNS CREEKSHEET NO.PROJECT REFERENCE NO.
HYDRAULICSROADWAY DESIGN
ENGINEER ENGINEER
4
R/W SHEET NO.8/17/995/3/2021...\B-5621_HYD_PRM_PSH4.dgnHNTB80'
90'
18+00 19+00 20+00 21+00 22+00 23+00 24+00 25+00 26+00 27+00 28+00 29+00 30+00
B-5621
RELATION TO PAVEMENT
SKETCH OF BRIDGE IN
100'
120'
110'
70'
80'
90'
100'
120'
110'
70'SIX RUNS CREEKELEV. = 98.14'
RR SPIKE IN 14" OAK
-L- STA 23+38.63, 67.18' RT
BM#1
ELEV. = 96.57'
RR SPIKE IN 18" CYPRESS
-L- STA 25+67.35, 93.73' RT
BM#2
DESIGN DISCHARGE
DESIGN FREQUENCY
BASE DISCHARGE
CFS
YRS
YRS
BASE FREQUENCY
OVERTOPPING ELEVATION
OVERTOPPING FREQUENCY
OVERTOPPING DISCHARGE CFS
CFS
YRS
FT
FT
FT
DESIGN HW ELEVATION
BASE HW ELEVATION
BRIDGE HYDRAULIC DATA
DATE OF SURVEY
W.S. ELEVATION
AT DATE OF SURVEY FT
= 2800
= 25
= 98.8
= 4599
= 100
= 100.5
>5800 (+)
>500 (+)
= 102.77
= 04-15-2019
= 95.5
NC License No: C-1554
Raleigh, North Carolina 27609
343 E. Six Forks Road, Suite 200
HNTB NORTH CAROLINA, P.C.NAD 83/ NA 2011MATERIAL TO BE REMOVED30 -L-20 -L-25 -L--L--L-
-L- POT STA 21+50.00
BEGIN PROJECT B-5621
-L- POT STA 28+50.00
END PROJECT B-5621
F
F
F
F
F
F
F
F F
F
F
F
F
F
F
F
BL-5
BL-4
BM-1
BM-2
BL-6
3
4
1
2
ELEV. = 103.03-L- STA 21+50.00BEGIN GRADE -L-ELEV. = 103.68-L- STA 28+50.00END GRADE -L--L- STA 23+23+/-BEGIN BRIDGE-L- STA 25+43+/-END BRIDGEPI = 24+50.00
EL = 104.53'
(+)0.5000%(-)0.4442%
VC = 180'
K = 191
PI = 27+25.00
EL = 103.30'
(-)0.4442%(+)0.3000%
VC = 180'
K = 242
SURVEY 04-15-19
WS EL.= 95.5'
W1
W2
W4
W3
WETLAND & STREAM IMPACTS
E E IN WETLAND
DENOTES EXCAVATION
WETLAND
DENOTES FILL INFF
LEGEND
SHEET 3 OF 5
PERMIT DRAWING
**
*
*
***
**
*
*CLEARING
DENOTES MECHANIZED
MECHANIZED CLEARING IN WETLANDS = <0.01 Ac / 380 SF
FILL IN WETLANDS = <0.01 Ac / 26 SF
MECHANIZED CLEARING IN WETLANDS = 0.01 Ac / 431 SF
FILL IN WETLANDS = <0.01 Ac / 33 SF
EXCAVATION IN WETLANDS = <0.01 Ac / 117 SF
MECHANIZED CLEARING IN WETLANDS = 0.01 Ac / 416 SF
FILL IN WETLANDS = <0.01 Ac / 25 SF
EXCAVATION IN WETLANDS = <0.01 Ac / 157 SF
TS TS
IMPACTS IN SURFACE WATER
DENOTES TEMPORARY
TEMPORARY IMPACTS IN SURFACE WATER = 43 LF
MECHANIZED CLEARING IN WETLANDS = 0.02 Ac / 845 SF
FILL IN WETLANDS = 0.03 Ac / 1425 SF
WATER BY IMPERVIOUS DIKES
TEMP. IMPACTS IN SURFACE
LIMIT (TYP.)
EXCAVATION
LIMIT (TYP.)
EXCAVATION
00
00
1010
1010
2020
2020
3030
3030
4040
4040
5050
5050
6060
6060
7070
7070
8080
8080
9090
9090
100100
100100
110110
110110
120120
120120
130
130130
140140
140140
150150
150150
PROJ. REFERENCE NO.SHEET NO.
SCALE
5 10
WETLAND CROSS SECTIONS
1"=20' HORIZONTAL
1"=20' VERTICAL
-L- STA. 23+00
-L- STA. 25+503/29/202190
90
90
95
100
95
100
95
100
SHEET 4 OF 5
PERMIT DRAWING
-L- STA. 27+00
B-5621
102.91
EX R/WEX R/WWLB WLB
0.0250.025 103.36103.36103.78
VAR.VAR.
102.67
EX R/WEX R/WJSWLB WLB
2:12:1
0.0250.025
104.08
103.03EX R/WEX R/WWLB
WLB
3:1
0.0250.025
103.50
VAR.
ELEV = 97.0
ROCK EMBANKMENT TO
Hand Existing Existing Permanent Temp. Excavation Mechanized Clearing Permanent Temp. Channel Channel Natural Site Station Structure Fill In Fill In in Clearing in SW SW Impacts Impacts StreamNo. (From/To) Size / Type Wetlands Wetlands Wetlands in Wetlands Wetlands impacts impacts Permanent Temp. Design (ac) (ac) (ac) (ac) (ac) (ac) (ac) (ft) (ft) (ft)1 L Sta. 22+90 to Sta. 28+26 24" Cored Slab Bridge 0.035 0.006 0.048 0.030 43 TOTALS*:0.035 0.006 0.048 0.030 0 43 0*Rounded totals are sum of actual impactsNOTES: Permanent Fill in Wetlands: 1509 SF Excavation in Wetlands: 274 SF Mechanized Clearing in Wetlands: 2072 SF Temporary impacts in surface water: 1290 SFRevised 2018 Feb SHEET 5OF 5 WETLAND AND SURFACE WATER IMPACTS SUMMARYWETLAND IMPACTSSURFACE WATER IMPACTSSampsonB-562145576.1.1NC DEPARTMENT OF TRANSPORTATIONDIVISION OF HIGHWAYS4/30/2021
B-5621 UO-2
DO NOT USE FOR CONSTRUCTION
PRELIMINARY PLANS
INCOMPLETE PLANS
DO NOT USE FOR R/W ACQUISITION
5/7/2021\\wse03.local\WSE\Projects\NC\_CaryOldServer\Engineer\JOBS\0696\026\13800 B-5621 Sampson BR-248\Utilities\Coordination\UbO\B5621_UBO_PSH2.dgn10:05:00 AM5/14/99SHEET NO.PROJECT REFERENCE NO.
UTILITIES BY OTHERS
THIS SHEET.
FOR PROPOSED UTILITY WORK SHOWN ON
PAYMENT WILL BE MADE TO THE CONTRACTOR
SHEET WILL BE DONE BY OTHERS. NO
ALL PROPOSED UTILITY WORK SHOWN ON THIS
THIS SHEET CORRESPONDS TO RDY-04
30 -L-20 -L-25 -L--L--L-
-L- POT STA 21+50.00
BEGIN PROJECT B-5621
-L- POT STA 28+50.00
END PROJECT B-56213
4
1
2
F
F
F
F
F
F
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F F
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SR-1904 PINE RIDGE RD.
22’ BST22’ BST
C
CONC
CONC
123460.00’60.00’EXISTING R/W
EXISTING R/W
EXISTING R/W
EXISTING R/W
JEFF HAIRR AND B. SCOTT KING
VICKY LUCAS, JAMES TIMOTHY HAIRR,
DB 1887 PG 473
DB 1712 PG 946
DB 1385 PG 737
DB 1756 PG 461
DB 1772 PG 440
LILLIE BARBER CHAPMAN, ET AL
JAMES EDWARD STARLING, JR.
CAROL CARTRETTE BORDEAUX &
PELMON JART HUDSON, JR.
WILBERT EARL JACKSON, JR.GIS PROPERY LINEGI
S PROPERTY LI
NETO SR-1916 POPE RD.TO SR-1740 LAKE ARTESIA RD.SR-1904 PINE RIDGE RD.S 0513’00" W766.27’4 ", SAMPSON CO. PUBLIC WORKS
Time Warner Cable
Time Warner Cable
TSTAR TELEPHONE(2)
STAR TELEPHONE(2)
4 ", SAMPSON CO. PUBLIC WORKS
Time Warner Cable
Time Warner Cable
2" BLOW OFF ASSEMBLY TSTAR TELEPHONE(2)
STAR TELEPHONE(2)SIX RUNS CREEKH
H
H
H
EST. 5 SYGF
EST. 1 TONS
CLASS ’B’ RIP-RAP
EST. 5 SYGF
EST. 1 TONS
CLASS ’B’ RIP-RAP
EST. 5 SYGF
EST. 1 TONS
CLASS ’B’ RIP-RAP
EST. 5 SYGF
EST. 1 TONS
CLASS ’B’ RIP-RAP
TB2GI
TB2GI
TB2GI
TB2GI
401
402
406
405 407
404
403
(STRUCTURES PAY ITEM)
CLASS ’II’ RIP-RAP
(STRUCTURES PAY ITEM)
CLASS ’II’ RIP-RAP
LIMIT (TYP.)
EXCAVATION
LIMIT (TYP.)
EXCAVATION
15" w/ ELBOWS
15" w/ ELBOWS
15" w/ ELBOWS
408
ELBOWS
15" w/
FOUR COUNTY EMC AERIAL

OF THE ROAD.
34’ OF CLEARANCE FROM THE CENTERLINE
TO INCREASE SEPARATION TO APPROXIMATELY
EMC CONTRACTOR PRIOR TO CONSTRUCTION
NOTE: POLES WILL BE "LEANED" BY FOUR COUNTY
AERIAL LINE ABANDONED
STARVISION POLES AND
ABANDONED
STARVISION COAX
HAND HOLE
EXISTING SPECTRUM
HAND HOLE
EXISTING SPECTRUM
AS NEEDED
HAND HOLE
NEW SPECTRUM NAD 83/ 2011