20071267 Ver 1_Application_20070724

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DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY LYNDO TIPPETT
GOVERNOR SECRETARY
July 20, 2007
NCDENR-DWQ
Transportation Permitting Unit
2321 Crabtree Boulevard, Suite 250
Raleigh, NC 27604 ~ ~ n
Attention: Mr. Rob Ridings
NCDOT Division 5 Coordinator
Subject: Proposed replacement of existing structures on SR 1556 (Goodwin Road)
conveying Donaldson Creek in Person County. WBS Element No.
SB.2073
The North Carolina Department of Transportation (NCDOT) proposes to replace the
existing structures on SR 1556 (Goodwin Road) conveying Donaldson Creek in Person
County (Figure 1). The existing structures are 2 @ 72 inch corrugated metal pipes that
are 42 feet long. The pipes are rusted out and must be replaced. Additionally, a blow
hole has formed at the outlet of the structures where both pipes are significantly perched
above the ordinary high water mark (Photograph 1). Surficial stream bedrock is also
evident immediately upstream and downstream of the existing structures.
The proposed replacement structures are 2 @ 128 inch x 83 inch corrugated metal pipe
arches (CMPAs) that are 60 feet long. Please note that the outlet of the proposed
structures will be located inside the limits of the blowhole making it imprap ctical to bury „
the replacement pipe one foo_ t in the stream bed that now exists at the bottom of the
blowhole. 'T e NCDOT will attempt to set the invert of the pipe one foot below the ~
"theoretical" streambed elevation taken from projection of the streambed grade from
further down stream back into the blowhole. NCDOT hydraulics unit has indicated that
the increase in diameter of the proposed structure will reduce the water velocity and
cause sediment to accumulate in the blowhole and eventually fill up over time to match
the surrounding stream bed. The presence of the bedrock may also affect burial of the
replacement structures.
Impacts to Waters of the United States
The removal of the existing structures and subsequent installation of the CMPAs will
result in impacts to Donaldson Creek (NCDENR-DWQ Index No. 22-58-15-1, Best
Usage Classification C, HiJC 03010104) in the Roanoke River Basin.
Division 5, 2612 N. Duke Street, Durham, NC 27704
Phone: [phone] Fax: [phone]

a
Permanent Impacts
Installation of the replacement structures will result in impacts to Donaldson Creek. This
impact is summarized below:
• 18 linear feet of impact (fill in SW).
Bank stabilization activities using rip rap will result in impacts to Donaldson Creek. These
impacts are summarized below:
• 10 linear feet of bank impact at inlet of the replacement structure and 10 linear feet of
bank impact at outlet of structure.
Temporar~mpacts
The NCDOT proposes to temporarily dewater the work zone during construction for
approximately four weeks. This will involve the temporary placement of sand bags or
sheet piling at the site (see Figure 3), resulting in 38 linear feet of concurrent stream
impacts and 25 linear feet of non-concurrent stream impacts. To maintain water flow
during construction, water upstream of the sand bags or sheet piling will be temporarily
pumped out by a hose and conveyed downstream of the construction activity where it will
be allowed to filter through vegetation before flowing into the stream. The effluent from
the work area will be pumped into a prefabricated silt bag allowing water to slowly filter
out of the bag in a dispersed manner and the sediment to be captured in the bag. The
temporary sand bags or sheet piling will be removed after construction.
Waters of the U.S. Mitigation
Avoidance:
Permanent impacts to the Donaldson Creek cannot be avoided. The existing pipe
structures are rusted. The NCDOT hydraulics unit has determined that the proposed
CMPAs are a suitable replacement for the existing structures.
Minimization:
The proposed rip rap at the inlet and outlet of the structure has been minimized as much
as possible while providing the required long-term stability.
Compensatory Miti ag tion:
Compensatory mitigation will be provided at the request of the regulatory agencies.
Protected Species
Plants and animals with federal classifications of Endangered, Threatened, Proposed
Endangered and Proposed Threatened are protected under provisions of Section 7 and
Section 9 of the ESA. As of July 20, 2007, the dwarf wedgemussel (Alasmidonta
heterodon) is listed as a federally protected species in Person County. The project is
located in the Roanoke River Basin. Dwarf wedgemussel has not been documented in
this basin.
Summary
The NCDOT proposes to replace the existing structures on SR 1556 (Goodwin Road).
The existing structures are 2 @ 72 inch concrete pipes that are 42 feet long. The
proposed structures are 2 @ 128 inch x 83 inch CMPAs that are 60 feet long.

3
Application is hereby made for a NCDENR-DWQ Section 401 Water Quality
Certification (WQC) No. 3627 and 3634. An automated payment procedure has been
implemented between the NCDOT and NCDENR-DWQ. This procedure will enable the
Division to apply for the 401 WQC without submitting a check for this permit
application. This procedure will provide payment to the NCDWQ by charging the permit
application fee directly to the appropriate NCDOT WBS Element No. SB.2073. A pre-
construction notification, photograph and permit drawing are attached with this request.
If you have any questions or need additional information, please contact Mr. Chris
Murray at [phone].
Sincerely, -f
E ~
=6~_z
c~' ~ J. W. Bowman, P.E.
Division Engineer
cc: Donald Pearson, NCDOT
Dallie Bagwell, NCDOT
Tony Cooke, NCDOT

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Photograph 1. View of perched pipes at outlet of structures.

Office Use Only: - Form Version March 0~
2 0 0 7 1 2 6 7
USACE Action ID No. DWQ No.
(If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A".)
I. Processing
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
® 401 Water Quality Certification ^ Express 401 Water Quality Certification
2. Nationwide, Regional or General Permit Number(s) Requested: ~ w P ~ y' 3 3
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 Ecosystem Enhancement Program (NCEEP) is proposed
for mitigation of impacts, attach the acceptance letter from NCEEP, 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:NCDOT Division 5, J. W. Bowman, P.E. (Division Encr.
Mailing Address: 2612 N. Duke St. Durham NC 27704
Telephone Number: [phone] Fax Number:~919) 560-3371
E-mail Address: wbowman(a~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:
Company Affiliation:
Mailing Address:
Telephone Number:
E-mail Address:
Fax Number:
Page I of 9

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: Proposed replacement of existing structures on SR 1556 (Goodwin Road)
conveying Donaldson Creek in Person County.
2. T.I.P. Project Number or State Project Number (NCDOT Only):
NCDOT WBS Element No. SB.2073
3. Property Identification Number (Tax PIN): N/A
4. Location
County: Person Nearest Town: Roxboro
Subdivision name (include phase/lot number): N/A
Directions to site (include road numbers/names, landmarks, etc.): From Roxboro, travel
northeast on NC 49, turn right and travel east on SR 1556 to project site.
5. Site coordinates (For linear projects, such as a road or utility line, attach a sheet that
separately lists the coordinates for each crossing of a distinct waterbody.)
Decimal Degrees (6 digits minimum):
Site 1 36.4449 °N 78.8529 °W
6. Property size (acres): approximately 0.2 acres
7. Name of nearest receiving body of water: Donaldson Creek
8. River Basin: Roanoke
(Note -this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://h2o.enr.state.nc.us/admin/maps/.)
9. Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this application: Existing land uses along SR 1556 are primarily rural and
forested.
Page 2 of 9

10. Describe the overall project in detail, including the type of equipment to be used: The ..
NCDOT proposes to replace the existing 2 (a~ 72 inch concrete pipes that are 42 feet long
conve~g Donaldson Creek. The replacement structures are 2 (cry, 128 inch x 83 inch
corrugated metal pipe arches (CMPAs) that are 60 feet long. Equipment may include
excavator, backhoe, bulldozer, grader, and crane.
11. Explain the purpose of the proposed work: The purpose of the proiect is to replace the
structurally deficient pipes.
IV. Prior Project History
V. 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. None available.
VI. 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.
VII. 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. Each impact must be
listed separately in the tables below (e.g., culvert installation should be listed separately from
riprap dissipater pads). Be sure to indicate if an impact is temporary. All proposed impacts,
permanent and temporary, must be listed, and must be labeled and clearly identifiable on an
accompanying site plan. All wetlands and waters, and all streams (intermittent and perennial)
should 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.
Provide a written description of the proposed impacts: Construction of the project will result in
the following impacts:
Permanent Impacts
Installation of the replacement structures will result in impacts to Donaldson Creek. This impact
is summarized below:
Page 3 of 9

• 181inear feet of impact (fill in SW).
Bank stabilization activities usin rip rap will result in impacts to Donaldson Creek. These
impacts are summarized below:
• 10 linear feet of bank impact at in1_et of the replacement structure and 10 linear feet of bank
impact at outlet of structure.
Temporary Impacts
• Dewatering activities will result in 38 liner feet of concurrent stream impacts and 251inear
feet ofnon-concurrent stream impacts.
1. Individually list wetland impacts. Types of impacts include, but are not limited to
mechanized clearing, grading, fill, excavation, flooding, ditching/drainage, etc. For dams,
separately list im acts due to both structure and flooding.
Wetland Impact Type of Wetland Located within Distance to Area of
Site Number Type of Impact (e.g., forested, marsh, 100-year
Floodplain Nearest
Stream Impact
(acres)
(indicate on map) herbaceous, bog, etc.) ( es/no) (linear feet)

Total Wetland Impact (acres)
2. List the total acreage (estimated) of all existing wetlands on the property: 0.0 ac
3. Individually list all intermittent and perennial stream impacts. Be sure to identify temporary
impacts. Stream impacts include, but are not limited to placement of fill or culverts, dam
construction, flooding, relocation, stabilization activities (e.g., cement walls, rip-rap, crib
walls, 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. To calculate acreage, multiply length X width, then divide by 43,560.
Stream
Perennial Average
Impact
or Stream Width
Impact Length Area of
Number Stream Name Type of Impact
Intermittent Before
(linear feet) Impact
(indicate Impact (acres)
on ma) '

Site 1 Donaldson Fill in SW from pipe
Perennial ~ 16 feet
18 ft
<0
01 ac
Creek installation .

Site 1 Donaldson
Bank stabilization (inlet)
Perennial 16 feet
10 ft
<0.01 ac
Creek

Site 1 Donaldson
Bank stabilization (outlet)
Perennial • 16 feet
10 ft
<0.01 ac
Creek
Site 1 Donaldson Temp. dewatering perennial 16 feet 38 ft O.Olc~c
Creek (concurrent)
Site 1 Donaldson Temp. dewatering (non- perennial 16 feet 25 ft 0.01 ac
Creek concurrent)
38 feet permanent impact, 38
feet temporary (concurrent)
Total Stream Impact (by length and acreage) impact for dewatering, and 25 0.02
feet temporary (non-concurrent)
impact for dewatering
Page 4 of 9

4. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.). Open water impacts include, but are not limited to
fill, excavation, dredgin , floodin , draina e, bulkheads, etc.
Open Water Impact
Name of Waterbody Type of Waterbody Area of
Site Number
(if applicable) T e of Im act
~ p lake and estua
( ~ P ry, sound, bay,
Impact
(indicate on ma) ocean, etc.) (acres)

Total Open Water Impact (acres)
5. List the cumulative impact to all Waters of the U.S. resulting from the project:
Stream Impact (acres): 0.02 ac
Wetland Impact (acres): 0.0
Open Water Impact (acres): NONE
Total Impact to Waters of the U.S. (acres) 0.02 ac
Total Stream Impact (linear feet): 38 feet permanent impact, 38 feet
temporary (concurrent) impact for
dewatering, and 25 feet temporary (non-
concurrent) im act for dewaterin
6. Isolated Waters
Do any isolated waters exist on the property? ^ Yes ®No
Describe all impacts to isolated waters, and include the type of water (wetland or stream) and
the size of the proposed impact (acres or linear feet). Please note that this section only
applies to waters that have specifically been determined to be isolated by the USACE.
N/A
7. 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.): N/A
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.): N/A
Current land use in the vicinity of the pond: N/A
Size of watershed draining to pond: N/A Expected pond surface area: N/A
VIII. 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.
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Avoidance• •.
Construction of the project cannot avoid impacts to waters of the United States. The NCDOT
hydraulics unit has determined that the CMPAs are a suitable replacement for the existing
ctn irti rrec
Minimization•
The proposed rip rap at the inlet and outlet of the structures has been minimized as much as
possible while providing the required long-term stability. NCDOT will implement best
mana eg ment practices for the protection of surface waters in accordance with the most recent
version of the "North Carolina Sediment and Erosion Control Planning and Design Manual"
during design and construction phases of the project.
IX. Mitigation
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on January 15, 2002, 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 NCEEP 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/ncwetlands/strmgide.html.
1. Provide a brief description of the proposed mitigation plan. The description should provide as
much information as possible, including, but not limited to: site location (attach directions and/or
map, if offsite), affected stream and river basin, type and amount (acreage/linear feet) of
mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a description
of the current site conditions and proposed method of construction. Please attach a separate
sheet if more space is needed.
Mitigation for the project will be provided if requested by the re ulator~ encies.
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1. Mitigation may also be made by payment into the North Carolina Ecosystem Enhancement
Program (NCEEP). Please note it is the applicant's responsibility to contact the NCEEP at
[phone] to determine availability, and written approval from the NCEEP indicating
that they are will to accept payment for the mitigation must be attached to this form. For
additional information regarding the application process for the NCEEP, check the NCEEP
website at http://h2o.enr.state.nc.us/wrp/index.htm. If use of the NCEEP is proposed, please
check the appropriate box on page five and provide the following information:
Amount of stream mitigation requested (linear feet): N/A
Amount of buffer mitigation requested (square feet): N/A
Amount of Riparian wetland mitigation requested (acres): N/A
Amount ofNon-riparian wetland mitigation requested (acres): N/A
Amount of Coastal wetland mitigation requested (acres): N/A
X. Environmental Documentation (required by DWQ)
Does the project involve an expenditure of public (federal/state/local) funds or the use of
public (federal/state) land? Yes ® No ^
2. 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
3. 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 ^
XI. 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.
1. Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Meuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 02B .0243 (Catawba) 15A NCAC
2B .0250 (Randleman Rules and Water Supply Buffer Requirements), or other (please
identify )? Yes ^ No
2. If "yes", 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.
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Site 1
Zone* Impact
(s uare feet Multiplier Required
Miti ation
1 3 (2 for Catawba)
2 1.5
Total
* Zone 1 extends out 30 feet perpendicular from the top of the near bank of channel; Zone 2 extends an
additiona120 feet from the edge of Zone 1.
3. If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e.,
Donation of Property, Riparian Buffer Restoration /Enhancement, or Payment into the
Riparian Buffer Restoration Fund). Please attach all appropriate information as identified
within 15A NCAC 2B .0242 or .0244, or .0260. N/A
XII. Stormwater (required by DWQ)
Describe impervious acreage (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. If percent impervious surface exceeds 20%, please provide calculations
demonstrating total proposed impervious level. There is approximately <0.1 acre existing
imUerv_ous surface within the 0.2 acres proiect site. No additional impervious surface is
roposed with this project.
XIII. 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.
This project will not generate wastewater.
XIV. Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H .0500) or any Buffer Rules?
Yes ^ No
Is this anafter-the-fact permit application? Yes ^ No
XV. Cumulative Impacts (required by DWQ)
Will this project (based on past and reasonably anticipated future impacts) result in additional
development, which could impact nearby downstream water quality? Yes ^ No
If yes, please submit a qualitative or quantitative cumulative impact analysis in accordance with
the most recent North Carolina Division of Water Quality policy posted on our website at
http://li2o.enr.state.nc.us/ncwetlands. If no, please provide a short narrative description:
This bridge maintenance project will not result in additional development.
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XVI. 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).
~ ~.
~~~~ y ~ ~~ 7~~,~~
Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
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