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HomeMy WebLinkAbout20140339 Ver 1_Application_20140404M sTnrE ��� ����.. . ������ . �,� � �r�a�� ��, �T.a�rE o� h1oRT�-� CaRO[�QN,� D�PARTM�NT OF TRAl`1SPC?RTATIDN P11TRICK L. MC�R()RY Cic�Vi:a..�l()R �i�7T'lt �, �.{� 1'� N.C. Divi�ian c�f� Water Resources Ta•�ns�ortation Perr��itting Unit 1650 �vISC-Archdale Buildin� RaCei�h, NC 27699-16�Q Attention: Mr. R�b Ridin�, NC,D[)T I'roject Coordinatc�r AN rE it��v�� .f. Tt� rA Sr_cRer,�aY Subjeet: Prc�posed roadway canstrtrction and replaeement of� a structure convey�ng an unnamed tributary Deep Creek c�r7 SR � SfiQ {Johr1 Mf�01'C Rc�ad) in Persan County. WI3S No. tiC.i17306� The North Carc�lina I)�parl�nent of Transportiatic�n (NCDOT) pro�oses t� construct SR i���1 (JoY�l Moore Rc��td) in Persoil Cot�nty. This roadway itnproven�ent pra�ect will include �,rade, drain, bas�, �ave, and erosiorz cantr�l for t11e proj�ct leil�kf� of 0.71 mile. T�7is prc�jec� will irtvolve pertatatlent stt•eam iinpacts includin� suriace �uater fi1C associated witl� a pipe replacen�ent and rip ra� armorin� for ba�lk stabilil�ii�n as r��e�l as tern�rc�rary strcai�� itlz}�acts fc�r dew�tering. This prc�ject is within tlte Neuse River �asin �ilc{ dc�es involve �errnanent butfer imp�cts. �1�plication is l�erebv nlade for NCDENR- DVJk� S�c;ti�n 401 Water Qu�li�y Certificntian (WQC') tor Road Ir���rovements. A p�°e- construction notifieatior�, eoustructic�n plan skelch, pro,ject tnapping, and �I�otographs are atiaelaed with this re.quest. I3y copy of thfs I�tter we are nc�tifyin� the iJSACE ot�the intent to work undcr a non-reporting NVVP 14. If yc�u have any questic�ns or need additic�nal information, p9ease cc�ntact Mrs. �[eather Mo�itague at {252)�92-U 11 l or h��mc�nt�� aue(ci?nc�c�d�t. r_av. Sincerely, �� � � � � f�r J.w. B�wman, P.E. Divisibn Cri�ineer cc: Mr. ���ic Alst�zeyer, NCI7QT Coordinatdr, U.S. Army Cor�s of �ngineers Mr. Mark Craig, District 2 En,�ineer Mr. fl,rltllony "(�alle�r, NCI)OT Person Caunty Maintenatice Er�gincer Mrs. 17awn Phipps, F,E. CPES�C; NCDOT RFL� Fielci Qperations Staff' Engineer Divisic�n Fivc — 2612 Nc�rth Qukc 5trect, Durham. Nc�rtft Carolina 277[34 '!'cicphone: �19-220-dbt)fl Fa�. G)19-5C�0-3371 ;,. � � --` .�t' .. 1. _ �•� f�., 5 {�'� . �� ����s�� `, r�t ..4, ,r Y'y,^+ � . �' 'Y���31 4� y � _ '�`� T -' '`'i;P _ R4 _ '�� �, � r ", � �� � �, „�$ . � ��, � , � ��� � � � ; , ,3 P ? .� .� ;.5; ` . .� , � � �� _� �. . ,��. p, ; �, �' '.� � -;,: r � ���� ��� :'_:1'. ..'t F � r . .�.s.. � � - ,.. _� . . . 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'.. � ,-� : , ��� , . � : �. ri*� �' � G"t�C�, �.. •._ 'y'"`-- s , z ,,r " �,. " G �, -B G"�Q � . "` , GeB � TaC1 y ��� . �eB rf� ( 1� Lg& lir5 �ap � �t W% �` '"�=;•�.� L G F3��,' ~��.�� t . - I G� �'s"�` - -. . J� �'" ,:: Or� � ,� ,� . � � r �, � {' C, t � � „" � Ci ,;,.: , .; ? ` firB �. �. �f �irB Ca: _ v� �i r � O r f3 � �� 1 '���' � ' �� - %� C '�":�' `� �� k � ' �, �� �, . / c�s_ . �G� _ j' r��c �: ' $ � �' �. �,, � ����. �,\' �" ���.0 ���� � NrB � � ' , - � � H�f3 GeB ����`, I E I] Orf3 y� ' l � rg _ r\ � � r � .. . ` � � c/�� //J //'/'"��/J (/�//� /' /! / {j 1 P�� e -'`1 L�.i. �t� �� /!� f✓U'� 1 /�ii W/e � J � � �i,i � � �` I( �. ,} - �� 5 �. �` �e -�LPa . GeC 1 1".. _ P.�r �l �G(J/�� :'( � -� �e� � /(�l�'S- %%%,� 1` Ztf,4(.Y.,� �t��. . ��� ' .� ' Kg � ~` �r S-lrB � �G'�� r' `r �jv� !'r �{i�� � 3 ,�.�._. � . �.�..�.r. i��3 __.. , � v� � � + � �� � � � � �- C,� C�1 � � � � � , �� I � � � � � �� � � � � � � c� —,� � C � ! � �.� � �; � �. � � � � � '� � � - �� � f� � r� � .. � � � � � � � --ti � � � 1 % Zc��c��� � -� ��►�'�tc�,�� � � �;�� ` . w��;;,��.=,.,� �' � r J � g-�.,. 1. je. ' "". [ ffGY]P ��-o�-oal� HIST(7►131C ARCHITE�TUIi� AN�} L��1N1�5�A1'�S NO SURV�Y RCQYIIRED FORM This farm only pet`tains ta �-iistQric Architeetui•e and Lands�apes for this �roject. [t is nat valic� fcar Archaeological Resources. You mltst consult separ�Cely with the tlrchaAology Cro�:p. PR�I.iT+'!'T iNF[IRi�ATifiI�I ProjectNo: Cori�rty: P�i'SOn �'BS IVo. : 5C.073064 .l)actiaa:e�rt Tj� e: T�rl. Airl N�: Tunrti�rg; X 5tate '�] Federal Ferlera! X 4'es 1Na Pernirt NWP 1�4 Pc.�rnrit s : 1'`y e(s}: Pra'ect Descri tio,r: Clear right-a'�-way, impr�ve roadway grade, adti erosion control to an� drain, base, ar�d pave SFt 1569 (John Moore Raad) (no ofF-site detaur planned}. SU1I�MAR1' OF H�STORIC AEZ€.:Hl"1�Lt:�1�UktN: APVll L�+►.N 1���.p►rL� it.i:v��vv III'SCRlPT1oNOrRE1�7E1��ACTIYITIGS RF.S�ILTS �IN,�CDNCLL1SIUN,s: HP�Web reviewed on 7 February 2014 and yieldec� one SS and no GJR, SL, LD, aE prope�ies in the Rrea of Potenkial Effec�s (APE), Person �County curr�nt GI5 mapping, aerial photagraphy, and tax infarmation indicated an APE of cult�vated faelds, woadland, and s�veral resources datin� to the first half of khe twentieth century ir� the APE (viewed 7 February 2014), Tl�e surveyed site, the Duncan Hos�se (PR0026}, is lacated 'on that section of SR 15b9 (John Mao�e Road) exempted from cor�structton, T'�ree properti�s surround the Federaf per�it area; two conkain unexceptional resaurces dating to the mid-1960s and the third a circa-190(� dwelling house located appraxi�na[ely 700 feet narthwest �f the permit area, screened from it ay woodland, and well beyond possible project impact. �Google Maps "Street View" confirmed the presence s�f pre-1965 resavrc�s, as well as their unlike9y impact by the proposed project (viewed 7 February 2Ui4}. Similarly, there are no criiical landscapes ir� the APE, As the project is sfa�e-funded, only G5 121-12(�) applies to th�: entire APE, whiie the Fed�r�l p�rmit area is additiQnally subject to Section �05. No arehitectural survey fs required #ar the �roj�ct as currently d�fined. �Y'!-1 f" THE tf f/AlL,>I Ifl.l; I.N! UlPhlri TION I'RD F�If3I;S .4 REI l.A11LL' I3r1 SIS FDI� RE.4,SC)N.�t UG i' 1'REDICTlt1'`G TH.A7' TfIFRF. ,�1RE' NQ UNIDENTIFfED SIGNIFfC'ANT Hl5'7"C?.�AC�ACI{IT'FCTLIRAI. OR L,4NI7,�C�IPF 1t,CS�1�h'CES IN 7'1f,��ttn.lrc7'f�ltr.�: APE exter�d� 100 �eet to eiti�er enci of th2 proposed 0.71-mile project lengt� (N-5) and 100 feet ta either side of �he SR 1569 (John Moore Road) centeriine (E-W) to encom�ass propnsed canstrutkion acti�ities. Whi1e GI5/kax materials artd other visuals illustrate the presence of pre-19b5 resources, no Nat�onal Register-ifsted properties are locat�d within the AP� or the Fecieral permet area, and the perrr�it area con�ains no NR-efigible or afFected histnric properties, Shoufd tC�e design, fundin�, or permit requirements af the project change, please notify NCDtIT FEistaric Archit�eture as additior�al review may he nec�5sary. X M�p(�) Hisfoi-ic �,rcl�i SUPPC7R"T DC)CUM�N"I'A'I'IOl'� ❑Pi•eviol�s Survey Inft�. ❑Photos �Coi-�•es��ualclence �"INDTNIG I3Y NCDOT AIt�'�-TI�C'I�CTUR:AL HIS'1'�ItIAN nds�zp�s -- NO SUIZVE4° I2�Qi�IRED NCDOT �rch�tecttiral Histc���i�n I��te ❑I7esi�n �'i�ns �� N+17o+'ic': krclrGerrtrr'n mril L�u+eLcerq�r. e h'fJ .1'f!kl�7i 1' I11:C1f1I121:DJi+•�ri Jrn� A-1ui��r 7�rul�.cpin'lulimr I'1'ulrt'1.+' rr.v Ouuli/ira7 hi Flie ?f?fJ.' yr'iy;rar+ru++r+li�e .a±;rrei�rr��l. , �,wa-,... , • : , � ' u u= C 1' :} a � £y � , . � . � , a �.tii', . i ,N. Uirry�ctS+`�� r�� � 1i�'•�� �� . , i � � � R^p �� . � • Rdacbtirn ;'' F, �.�r.`�� �°� �"' e �� 4` ti , I; � ;' i , . ; � t .. - � � `,� ,,l � yyF �I �'r ' , i � _ , �1 � ^ , � � �j ' I � . ,����UIIJVi��iu�U� �.` . � �. . ' f � ��lfxlifll�lill 4:1� . . . � 1 . . . �� " , ' . , , ! .' ,f�� V�,y r , � , '"�r .. �.. S La��. (inr�ny^.:",lnlaR�A . .� � . , . " CncS;r Grnve Gln��rG ,�3, . � ' � .._ . . � ,��r f I �r Ij , � ���1.� '-1 ' �.1 G' , pd +. '� y , i • ' I �3'oy � ��„ � q'� ._ �. � r . � . /SISun- 1 ; -- ; . � i . ° '{i1�l��/'Uft�ialVrllul�'af . � . �� . . .�:...� . � . � . . . i� , ' {,� ;� -- ' ..�� . � �4,, i�n��� , ,,. y�, - I— — •;i.�.� _ >. �>utn„„ . . . . - _.a w , . .+1- t-� • I' ` �p `•ti '�. , \ -ts � >>'`� - Ox �� _ � . ,f _ �. i � �- I _ �. �l���i'��� � . . � - I � P ro� e c� A �� il � 4�. , ' tI;B� � i �1'�, i . � � u� � . - . ` � ' .�ti�9xleyd'rilel�.i ilid� • , 61 I ' .-I ..I . I . ; , . I ��°�' �' �c�,I" I,;; P�R54�N �, °n � � $R 1569 (lahn Moore Road) ,' • - �� +,- �' . . kf "`� ; I ' � " ,, i` '�4�. � , E �cY. - ,l ? � � . � c1 rt � , y`�, �, '! , � . I . ;.r � . ._ .�.�.�f9g� qol �„ ' .. i . ' E r ` i � .,�' , � _ f. �.��F� I � � ,-� ,l � � j � 1 . 0 y . .. ' .. �� y �� �d c7 ' _ �. �� , . _ _ � _ �. 4" � � � , • . , _,_. _ . , _�� � `T r� ,�ry i , � q . ri , ` � _.� '-. , , � �>• r ��. > .; - _ ,c�ltcs' ' 3i . I ' 1���5 ' I _ . ." � � .. .,�� �I ' }P.1 . . � i ' . — -- , . .. . 'f . . . � 1 ,� ' � of,� . � � � . . . . . , o i . ,9� � S . . � � , A1�U i S It�f 'S�z V` . SR i5f9 (John Moore Roady WBS No. 5C.073(l64 Person Cv�unty Ba�� map: HP(]Web, nts NCDOT -- Historic Architecture Tracking No. 14-��.-0011 February 2014 Pr'njec� '17�acd�in� ;V'n 1'-F—�1—Vlll l N�O NATIOI`�1�.L REGISTER. �QF HIST�RiC PLACES 1a`�fi�,, ELIGIBLE OR LISTED AI2CH.�,��LQGICAL SITES .r`'�'<�`�, � ' PRESE�vTi ��+ A�"FECTED FOH�1 :: � � �-:�, ; �� !,.; �e: '4° �� , ?�+` T'his tarm only pertains t� ,�RC'HAE[�Lf)GICAL RF,SC)L�RCES ior llzis prc,jec�. [� is nnt � Fa '�� `� �:'�°���� vaLid fnr His[oric Arehiiecture and Lanciscapes. You miisl consult se}�ar�ately svith the �� ��`=�� Hi�u�ric f,rchilecturL and Lan�lsca�es Circ�uP. PR(?JECT INFOI211-1AT��1� f'r�cjecr 11���: SR 1569 (Johu A'�oo�'e R�i} C'n�c��tt��: l'ersoix f��I3S N�: 5C.{�73464 Dcrc�rrnerzt: MCDC F..9. ,�rc�: NIA Furaeling: � STate � I'edcral F�caeral Per•n�ir �'�qrrir�ed? � Yes ❑ IVo Per�a�i� Tti��e: NV4'1' 14 Prajeet DeseriPtiran: NCDOT's Division � praposes to bein� 5R l i69 (Joktn i�+[c�c�re Rc�ad) up to NCf�O'I� pawed r�ad sta�ndards by geadin�?, 3ayi�lg «�:��� base materia[, a��d pavsng SR 9 569 (Johru Moore Kaad) frbm NC 158 to Sit 4�67 (Pixley-Pritchard Road) r�n e,r•istic�g ali�i�»ec�t �tifitl� minor ti��idenin�. Imprc�ved drai�lage, erosio�� control, and ROV+� clearing rnay E�e includeti as ��vell. Pruject I�ngth measur�s about 0.7] inile (3,749feet); however, construction will enclude abaut 724 feet of roadway �lang the limits cai the parcel owneu by the Druci� E. D�incan Estate. Praject will �ie built out tc� a proposed 60-ft R�W; curce�at �i�aintenanc�e limits mc;asure appraxin�ately 34 feet. The Area of Pat�iatial Effects (/1I'�,) �.�ill ntieas��re approximat�l_y ? 19,3b� square fcet or abo�at �,(�4 acr�s, inclusi��e of the ex�sting road�tiay. SU11�'IM.ARY OF ARCHAEOLQG�CAL FINDIN�S 7'Jre North Caroli�arr Deperrlme�rt c f Transprrrtcrtir�n {NCDOT) Arc�lraec�lo; d� Groatp revie�ti�ed tftc suhject prr�j�ct uirc! rleterr►rirrerl: � There arc; no Natic�nal R��ister listed ARCHAF�L,C)GICAL 5I"GES within tf1�, pt-oject's area �f poter�tial effects. � �o subsurface arclaaeolagical investigatioe�s were required t�7r this prajeet. � Subsurface investi�atior�s c�icR not reveal the presenc� of any archaeplo�icaE ras,urces. � Sub�urface investigations did not reveal the presence c�f'any arehaeola�ica! res�urces cansidered eli�i�[e for tlle i�iatic�nal Register. � All itientitied ar�haeo➢ogical sites Ioc�ted «ithin tl�e AI'E Ilave been c.onsidered �rzd aIC coinpliarice fc�r arclla�olo�ical reso��rce� tivith S�;cti�on 106 �ftl�e Ilatie�i7al Historic Pr•esei'vation Act arld GS 121-1?'(a) h�s L�cen campleted fc�r t�iis pr�?ject. � There are nv Naiic�nal Register E�i�ila3e_ or �.istec� ARC'HAEC3L�7G1�'AL SIT�S }�rese«t ��r aifectcd ksy this project. (.9rtach rnav �a,�tes ur� c�'ne7rlr�ca��1s us �recdecl} Brief rfes�criPtinn ��f review rrcli4�ities, restrlts of revie►v, rl�erl cc»tcCr�sira►:.c: A�nap review and site tile se�r�h w�t conduc:ted at t%e Oftic� af 5tate nrchaec�lo�y (C)SA} a�� I�I�nday. Febr�aary 3, f� 14. A co�n�rehensive archaec�le�gical surve_y alan� th�s paa•ticuIar roadryay P�as never heee� �co��ducted, a3}d »o archaeolc��'sc�l sites l�ave heecl recc,rded �i�itfliiz onc-l�alf(l/2} mile �ft91c �raposed pr�?ject. Di�ital eo��ies af F1P0"s ��iaps (Mori�h Qriadra�lglc) as �ve[f as ti1� �-IF'i.1W�R G[S Service ...M1'tJ .A?�17'1l1:Vrl L 1th.Gl.S I�Eff k'I.iQIRI,F: LJk 1,l.V77a'J.7 .�!)1C'y.�lL't71.�7t �lC.al. .SI!'EX P'7i1iSlih'?� Uli .�1 f� 1=ECTff1 jnrm f7r �4faranr T+•n+is�nrlul+nn 7"rn/ec'LZ a.v �7uafifie�! in ll�e ?CIU" }'rogrumtaacr�rc rfy+�e���niem. I UC6 r �, �„t-� � r', �,� �„7�� ,��« . 1�-�}1-��1� {�I�ttp:Il�is.i�ccicr.�ovlhpo�vebll we��e last reviewed c�n Manda}�, F�t�rziarv 10, k014. There is or�e (1) Icnn�v�� historic �rchstectural resc�urce (F'R002b — Duncarj lic,usej incaccd aiong the ��•oposed praject corriclor; IZOtvever, i«taci arcl�aeola�ical de�7osits ���rtllin tile ic�otE3rint c�fti�e pr��c�s�d pr�ject are zlat a��tic:�atvd. :;z ad�itic,l, t�po�rapl:ie m�ps. ;iistu;�ic a::aps (i`."�,'V!aP s�,���Z�sitcj, !JSDa soi! su;�,��}� �i.a,�s, and historic �rt�iopll�ta�arapl7y� r�,�ere titilized and ir�s�ected to <�ac��e environmental tactc�rs that may ��aue ccarltri�ute�f to historic or prellistarie settPeaneni ���it��in tlle: project lin�its, aeld ta assess t�le lev�l of modern, slope, a�ricuetural, hwdre�lo�ical, 1nd otl7er erc�sive-iv�c dist��rbanc�s ���ithin and surrounding the arcliaeolc�gical l�PE, .4s stated in t��e Survey F�eguired Forni f�r this proj�ct, ""I'I�as is � State-fiincied prc�ject that rr-il� r��uire a Fec�era� �,ermit; however, te�l�p�rary actd/cjr pes-ma�aent canstructioa� easements ���ill r7ot be require.d. NCDOT cl�rrent[y maantai»s a 34-finot crQSS-section For SR 1�69 (1c�17n 1�1c,�re Raaci), and has �rc�poseci tu acy��ire the standarc� E�(?-f�ot wide ROyJJ as part of tllis praject. 3'herefore, there inay l�� impacts u� to 13 f��t �eyonci what is currentty n�ais�tained �ay the NCD�T. Frorn an cmFia-oilmental �� a�spective, the F�PE cc��7sists of'tlze gently u��e�ulatin� tea-rain cl�aracteristic af the Nortl� C�u-�liiza Piedmont, and is e�mpased of vari.�us soii tvpes: Geos�eville laam, ?-6% slo�es (Gc�3), Li�nu�r� ]�a�l, 2-6°fo slopes (L�,$), Her�idosl loasm_ "�-6% siopes (HrBy, a�ld C�r�nge �ra��e[ly loam, 2-7% sl��es (OrB) [Clran�e gr��velly loai��, ?-7% slc�pes (OrB) �1rts b�en relab�le� as Ire�lell gravelly ]oa�n, 2-f°io �lo�,es (IrB}]. A sliver �fTat�u�� loa�n, 1{l- 15°,rd s1oE�es {`TaD) is also present near the snt�tl�ern temiit�us of the project corridc�r [Tatum loatn has E�een rei�amec� Ta�•rus loam]. Aside fr�it� the restricti�•e qualities of the ,sectio��s t�f T�tunalTarnss lo�ti�7 and. OrangelIreciel� �ea��e�fy loan� E�ear tEle sc�uthea-n tern�inus af tEle �roject corridar, the wel�-drained and m�desat�lv �vell-dr3ir�ed soils w�iil�in the relatively lev�i agrmcultural �elds tElat mail:e uF �nost of tl�e AP� 17ave tfYe �oteiltial Eo cc�r�tain intact 3rrchaeologi�a� deposits, reff�:ciive of tl�e typical pattern of upla��d occupatian withir7 the north-central Piedmont. Hor.vcver, the ,�P� can be narro��Ped do���rl eti�en further. T}�e Drucie E. �uncan Parcel is nat included in the prQ�osec� praject, anci the stretch of road e�tendin� y�c�rth from that parcel to its intersection w�itl� 5R 1 ti67 {Pi�[ey-Pritchard itoad) was �reviously revi�wed ��� ti�e Office ot State Archaeoln�y (OSA) fa�- the iiistallati�n af and improve�nents to efectric facilities. N� arehaealo�;ica] survey tivas rerc�nlFncnded at tl��t ti�slc (HR �9-816�j. Despite suhtle roar� reali�n���ents (pc�st-l928 and �osi-1 y�5), current soil cc,nditians and n�rrow mai�ltci�a�lce limits su��.�est t11at tl�e lar�e Thomas I'arcel should be tEle fac��s c�f an_y f`ormal archaeolo�pieal i���esti�atio�7s. Based on il�� i:lforri�atic�i7 pravided, an �rchaeologiea] survey is, therefaee, recommende� fc�r the propased praject. A visual inspection of the entire Area of Poterltial Cffects (AAE} sl��uld be �c�nducted iirst, f�llowe� then �,y systematic archacolagical e�cavatio�zs ���ithin areas of mc�dei°ate trs high archaeola�ical prababitity within tl�e Thoe7�as Parcc[. Shauld ilie description �f t��is praject cElang� or c�esi�a� pl�ns be m�de �va'slable. prior� to coc3structicm, �dc�itional consultation re�;arding archaeoCo�� �-e�ill be required." Field in��esti�atioiis alc�n� SR 1569 (Jolln Mc�ar�e Road) ���ithin tl�e Thornas F'arce! occ��i�ed Qn March 1 I and h�[arc(1 2�, ?{1i4, and ivere cc�m�rised o1'pedesib•ian survey� a��d systeiiyatic sl�ovel testing to lacate ai7d assecs pc�tzntiaJly s�gnificant archaeological r�mains tllat could he dama�ed e�r destro_ye� by the proposed }�rc,ject as descril�ed above. The entire e:rte:lt of the p�-ojcct's AI'E �vas v'ssually icls�aected in c�rd�r to detca•tnie�e the need for excavacions. A u�tal uf �� sl7csvel tests ���as e�cavated, ir7ciu�ii�lvjua�m�;nta] or rac�'sal 5l�ovel tests. One ( l} shovel test proved ta l3e ��siti�-c f�r arciia��lo��ical matc;rial. 1'l�ase refer to tl�e Sllavel Test D'mscussi��7 for detaile� desci•iptions (so�] str-ata, c€�lrar, a��d text�re) of eacli shc�vel test. Based �n tl�e exiealt of the prop�sed APE ;��ci c�cl�er e��uironzne��ta] factars, shove[ testing occurred �rithin the reiatively l�vel Co ge�ttly undulating upla��ds on either si�e of St2 1�69 {J�l�n Mo�re Roatl). Most of th'rs pro}�erty consistr.cl of apen �gricultur�� fielcis u��th a small n�i� crf sparsely wpr�dec] terr�zn. "Che surroundin�; la��d wa_s o:�ce part c�f ihe Mn�re Plantatian. Jcahn L��nsfard N4aor� (] 897-19b9}, for v��l�om tl�e road is na�»cd, acc��3ired ilie farm fra�� his t'3t1�er ae��°itt �'iintcan Mc�c�re (1860-�929) in 14?3 l�ased on i�}forrnation prav��cled by Betty Anne dvtoore �]"o«�nser�d ( I 946-��resent), Jok�n's dau�luer. Th� 192� 5oil Map for Person County� �epicts the ��tain 1'an�thc�use in its cl�rrent l�cation wit13 t��e rctad �n�;ling from the: northeast �o tl'ie south�vest d�rectl�� to its f�ar�t de�ar. a�1d tl�en ctiaivin� aroti�nd to the �rest �nd. --N!) N.�CTI�),V.�I.. fi7_� l" lSTFifi' C.'!.3<ilF1Jf r7R Ll,S7i�S1) .-0JiI'I�1.-IF.�11.�7�i1�'A1..C1T'F'C f l�1�'.ti1i.'V'7 t 1R AFFf;t�7�O f��rm /ur 6?uiur Y'r�1e�.rF�orrtrn�rr 1'r�/ecis as <IuuGfred rrr +Jre�'(107 Yrc�grcrmnxnlrc i�-reavxeiN. 2 uC6 Pru�c�t'J Trri� klirg ,1'v . 14-01-�011 sc�utl� wh��re it c����i fo iz�tersect �ti•itl� NC 15�. Sketch rnaps �f the Qld far�n a��u� a!I a#`its associatcd structures as�d nutbr��ildings ���ere also rer�-ie«�ed at tl�e time af sur��er�, s1�o+��ir1� rso str�ctlires adjacent t� 5R l�69 (John Moor� Road). Many of tl�ese f�-ir� structur�s were evielent i�l �ei�ials of t��e �rapzrty fram i 9�� +.1311� �%7�; : C\'iG`V� Ot iZZE'SC.' ��-iS.7�.i .`Si5`J SaiOiL'L'u i7� SiiLlCti:1'�.S P.4j�:YC:'.S]i �6 �i� i�vti �.i�7ilil ��ibi�ii, R�ad�. Bei�veen the end �t thc: C:iuil War nrui the tirst quartcr c�f°the twentieth centu��,�, frc�zri the lBGOs Ca tlae i92C7s, rural liFe e�:�aerienced' several important tea�lsitions. Thes� significa�7t trer3ds tWere related to changcs i« settle�liei�t pattems, the emai�cipatio» of slaves ita the Soi�ti�, and the e?�pa�lsian of t�a�an� farming, all nf �� hich were present t��itlain the �reater Mc�ore P]antaCiot� settin�. �lowe��r, ir�vestigaii�n� did nat revea2 the presence of a»y arehae�[U�ical mat�riais associatzr� �vith the Moore E'l�ntaticrn despite the �cicc�unter ot c�n� ( l} fragn�ent of ���hiies��ac�e in STP �6. T�sy�o (?) radia[ shovel tests w�re e�cavated witl�c�ut a�ly addition�l material hei«� recc�vcred. Tl�crcfore, o«e (l) historic isolated find (Site 311�R133**) lias been recorde� as a res��lt of thesc i»ve�ti�ations. Site � 1 F'Rl �3**, as docurne��ted durin� the course of tllis survey, is re�ams�lei�ded as not eliti.:ible f�r listing in tl�e Nati�»al Register of I�istt�ric Places (NRHP) }�er Criteri� A, B, C, or D. Site 31 PR133** Iacls sui�icient eontext for asly fon�� of interpr�taticm. A ti�iding of'`no liistor'sc prc�perties" is cosas�dered aE��ra�ariate in assc�ciation with this road impravement project. Should tlie descri�ticin af iflis projeet ar de�ign plans chan�e prior t� construction, then additit�rial co�l�ult�tion renarding arc9�aeolc�gy u111 be required. If archaeo[ogacal mateeials �re us�covereJ �urin�,� �raject activities, tl�en such reso�zrces will �e dcalt ���itl1 accordiri� to the proccduE•es set io�1h far "`unanticipated dise�veri�s," ta incluc�e notification of ivCDOT''s Archaeolog}� Grou�. S�ovel Test Discussion (see maps far spatial rcferencc}: :'Vest Si�i� of SR I�G9 (John Moore Road) STF 1: 0-9ctnbs, I OYR 3f3, Clay Lo�sn; 9-2?c�t�i�s, ?YR �/6, Clay; ��o cuitura] inateria[ STP 2: 0-$crnbs, 1 OYki 3/3, Clay Loar�i; �-24cn7bs, SYR �/6, Clay; no cultur� material STP 3: 6,13cer�L�s, I�YR 3/3, Clay i.aan3; 13-20c���bs, 51`R 416, Clav; ��o cu�tur�l naaieri�C STP �: 0-17cmbs, lOYR aI3, Clay Loam; 17-?4cmbs, �YR �/G, Clavw n� cu&tural n�aterial STP �: 0-9c�i�bs, 1(JYR 3/3, Clay Loam; 9-20�mbs, �YR 416, Clay; no cultural n�aterial STt� G: 0-]8crnbs, lOYR 3/3, Clay L,oarn; 1$-3Ocnzbs, 7.�YR 4/4, Clay Loa�n; no cu[tural materi�l STT' 7: 0- �C�cmL�s, lOYR 3/3, Clay Loa�n; nca cultural i��aterial; u�Giter at bottoc�l, sm�ll drain to Clte south S`1"i' S: 0-3�ernl�s, lOYR 313, Clay Loam: s�o cultur�l m�terial; hard and co2ii�act, ald rqadbed'? STP R: 0-3?cmL��. I OYR 313, Cla_y Loaa�l inio Clay; s�a cultura[ �t��lterial S'7'P lb: 0-�cmbs, 1QYR 3/�, Clay I,oam; 8-25c.�i�bs, �'YR 4/6, Cla}^; iic� cultural �naterial S'iF 1 l; {1-16c.n�bs, lOYR 3/3, Clay Loam into Clay; no cultural ��iaterial S'TP 12. 0-�"Oc.mbs, 1�`r'R 3/3, Cl�y Lcr�m into Clay; na cultura[ materia] STP 13: �-2{�cn�bs. I(�YR �13, Cla� Loa�n. ?0-27c2nbs. 5YR 4f6, Cla�); nc� cultuezl material. STP 14: fi-1$crnbs, 1 ilYR 313, Clay L�a»�; na cullur�l material; wet STP 15: NOT E3CCAVATED, located in tl7e mi�dfc of tlae u�rivew�y S�'P 16: 0-2lcmbs. 1CiYR 3/3, Cl3y Loa�n; ?]-3C)c�ttbs, �YR �/6, Clav'; ��o cultural material STP l7: 0-6cmL�s, lOYR �/_i, Clay I.�c�arn; f-]Gcr7ibs, �YR 4/6. C1ay; nc+ c�ilt��ral matenal STP 1 S: �-?2cmbs, lOYR 3I3, Clav Loam: 2`'-�Sc�nbs, al'F� 4/6, Cl���: no cultural rn3teri�.l STP 19: U-7cn�bs, I OYR 3/3, Cl�y Loan�, 7-2?c�t�E�s, tiYF� �/b, !C[�iy; no c�ltt�ral cnaierial STP ?0: 0-2?cmt�s, lOYR 313, G�y Loa�n; 22-25cmbs, SYR �f6, Cla_v; na culturai r�iateri�l �TP?1: 0-l��mbs, lOYR 3/�. Clay Lc�am; 19-23cmbs, �YR �/6, Clay; ���� cultural 3naterial Wc:t draiila�e ar�a «;�as skipped, the lac�itior�s of S�"P 2?-?� were shifted ta the south STP ?�: �-�c�nbs, lOYR ?ll , Loam: 9-13ci�ii�s. 1 OYR 31�, Clay Loa�ti; l�-23cmbs, 5'�'R 41C, �lay; �ac� cultura[ rnater-ial; �ve�oded area STP 23: �3-l?cmhs, 1{3YR �'.Jl, Loam; 1?-1Fcmbs, IOYR 313 a3�d �YK 4JG, CI�V Loar�i into Cla��; no cultural material; woodecl area ST3' 2�: R.c�c�t Mat/C7uffwas ttFmed over to revea] 5YR 4/b, Clay imsnediatel}' beloti�; nc� culnural materia�; wocrded arce� h'c3 �N.�I17U.�:d1. 1tt'r:'1.k7E'H fsLl� �IHlh' Ufi IJ.1Ili!).4N('H.;F:U! R�l �!C',41, A!7'!'.1' I'1df:.ti1�T'Y ilFl �fd�7,F.(.7.1�.f } Jarrri fnr,t4inaw Trrv+uporrannn f'rnrectr �is {7rrnlifrrc! in O�c _'Or1? 1'r�r�ranvnafir: igrermenr. 3 c�f 6 Pr<�/ecr Trc,ck�ng,ti'n.. f �#-01-0011 E�st S�de of SR 1SG9 (John Moore RoacI} S"I��''_'S: 0-6crt�bs, tiYR 416, Clay Laatt�; b-i�ctnh,s, 2.�YR �16, Cla1'; no cultural m�iterial S7�P 26: f1-�Ocmiis, SYR �16, Clay I�aam; 2{l-?_cm�rs, 2.SYR �!�, Cla��; i7� cultural rnarerial STp ?7. n_;��,;�*e, ;��R 4fF, C'?ay L�.�w�n; �-? 6c:rbs, `'.4YR �,f5. C!uy; ..� ct;,t�:.a! ;i,u;e, �:! S'3'E' ?�; 0-28�cml�s. �YR �416. Cl�y I.aa���; 31�-3(lci�3bs, �.'..SYA 4d6. Clay; i7c� tuftural �7�aterial STP 29: 0-7cn�bs, 5YR 4/6, Cfay' LQ�31; 7-? }czzl�s, 2.7YR 4I6, Cla} ; i�o cultural �1�ai�ria3 S'rP ��: �-16cmbs, �YR �}l6, elay Loam; 1G-�Oc�nbs, 2.SY}'� 4/6. �lay; nca cultural material STP 3l: 0-2�cmbs, �YR �/6, Clay Loam; ?�-3 l cm�as, 2.SYR 4f6, Clay; no cultur�l material STP 32: 0-24cmbs, �YR 4/6, CZay L�am; ?=1-3�cmbs, 2.SY�t 4/b, Cla�; n� ct�ltural m�teeial STP 33: D-? l c»�bs, �YFi �l6, Ciay Loam; ? l-?6c�tibs, 2.�Yf� �16, Clay; no cultural m�teria] STP 34: IvOT EXC AVATEL7, Iocate�i in the middle of tfze felci draina�e 5TP _35: 0-29cmL�s. >YR =�/6, Clay LoaGn; 29-3?cmbs, 2.�Y`Ct 4J6, C lay; n� cultieral m�teri�� STP 36: 0-17c�l�bs, >YR 4/6, Clay L�am; 17-?7cmbs. 2.�YR �/f. �'Iav; no culi�r�l materia[; moislure cc�r}tent is high 5TP 37: D-22cmbs, aYR 4/6, Clay Lo�m; ?2-?8�mbs, 2.SYR 4fb, Clay; no cu]tural material; moist�re cant'e�7t is hi�l� STP 38: 0-I?cm�s. �YR 4/6, Clay Loam; �?-?Ocmbs, 2.3YR �/6, Cla}; no cultura� materi�l; m�isture conte3�t is hi��i�; ed�e of �rc�ve o� trees STP �9: 0-[6c����s, SYR 4-6, Clay Loa:n; 16-26cs�lbs, 2.SYR 4/6, Clzy; rso cultural �naterial; rnaisture conterlt is Iligh; grave of trees STP 4U: D-1 lcmbs, SYR 4-C�, Clay L�am; I�°?5C6T1i75, 2.SYR 4/6, Cla}�; no culTural materiai; �3�oisture content is high; grov� of trees STP =� 1: U-7c.Ent�s, 5YR �3-6, Clay Loau�; 7-?3cinbs, ?.SYR �/6, Clay; nU cuitural material; moisture content is 17igh; sot��hr:rr� �dge of graWe c�f trees STP �2: 0-?�crnbs. �YR �/4, Clay L�a►n; ?�-27cmbs, 2.SY}� 6/6, C�ay; no cultur�l materiaf House [at �va� skipped; locations of STP �€3 and 44 were shifted to the soutl� 5Tf' 4�; 0-6cmbs. D��ff; 6-?�c��lbs, ] 05'R 413, Clav Loam: 2�#-31 cmbs, ] I�YR 6/4, �lay; nQ cultural nlaterial; kvoc�ded area, mr�isture coiltent is hi�h SiP 4�1: Was irlitially startec�, but prcaved to l�e too wet to co€�tinuL, evci}�thir7g is drairling off tl�e lai�dic?rtn intc, tf�e small iribtitary STP 4�: 0-1(?c�n�s, Duff; ]fl-20c�r��5, 1 fJYR �13, Cla�r Laa�7�; r�o cultural �naterial; �voe�ded area, v��ater is tizepin�: int� ltte uszit 5TI' 4(i: 0-13cn�bs, Duff; 13-23cmbs, 1[ll�'R �4/3, Cfay Loam; PQiSITIVE -���hit€�vare fra�mer�t 5TP 4(a: U-bcrnbs, Duff; b-] aembs, Z OYR <�1;, Clay Loam; 13-2(�crnbs, I �Y� 6/4, Clay; no cu�tura] mat�rial: wnc�dec� area STF' 46t�: {)-14c��ibs, ]OYTt �/3, Clay Loam; 14-2be�nbs, lOYR 61�� Clay; na cultural material; ���ooded area SUPPQRT DOC[7MENTATION S�e attached: � Map(s) ❑ Previous Survey Info Si�t�ed: - ,� � I '�1.e. �TCDQT .�RCHAE;4L'OGdST � i'l��tos ❑Ca�-respondence April 3, 2U 14 llate NLi �V,•1'!'ltJ�V: i1 !iL'G;1.S1Ii1i ELIGlNl.F r)h 1.1.17'EI_i ..�lt['li:4F.'r i�!)t ;li :��l. S!'P'ES I'7tL .Cl;Iv'7 /1R .d 1� f� 1iE'7'l� 1) fiirnr,j�oa .h�lux�r Trnr�.r�,nrur�rc,rr 1'rr I�^�� Fs os {)�inl+frcd rrr PJre .?I?U71'ro,�rnnr++rn�rc,-I,C;rccmwi! �4of5 I°ralrc�r Fra�A�m� ���,_ ��-Q1-0411 - , - � _ �_ ' l '�. ,:- 1 t � _ � t •' v . , . , _„ a -- �; - � �' � I . �,�', ' � `1 t y` "'�" - : ,: �-�- __ � � _ �.; : � _ ,..�, ;;�,� � _ , ;._�,.--��,�, � _ � :-� , :� , ,�5'�^"'� . -_� � f r ," � .. , � •_.r:3 �Y.J I . • , .. � \,�' �; ��,,, —'�' � -r,..j` i' ,� . �{{ ! x =- � 5i , ( i, J �,� , _� � Jl ,' . �� Je� � l �-.` � %i�_� ..l°y"�`# .,4�'�t� � ���'�� 1� ' 1 �I� 1 :l .�\e r� � � ..� ..� . 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' �"' � ;� f�_ � x , � ' y:Y'°..,5 ��� . i?L��.�rs �: , . ;����� i.�; a zo <o �a ,:o ,�� Mec; �� • �X "� �.�.� � � i� fi� 1 3 y ���� � �� }�. :'"7 � :' h' s .� �, �� ��� L'��� �G;���'� r�' " ?;.�€, t �.� '��t{.l's � �: "" � ��;,, k}V' ��. �l S � s'°�' 1�'�., '� .. �-.���'.y"pM . . ti,.� � � I � � ��1� S � #�, � � .. r. G4 Y �. � �� � i �: {C '� ( ', �?I .c' y ,�! � ',� u r ar _7 4��iti� !' ��r� r : ��i F�� �4���.n* . � !t{ d. �' it .i t? 1 Y .H' � C , . � �ia �d.� � � � �'{� `, � i, � � �� } � , }��, � �zL k .�'� , . y� .e� w�, � �. ,�a . T �.w.::.: s. � �r ;�,+ r ��Ftx ��� r� . �� d� � �'* n� y � , �i �1-'►_< ��t tir,, �3� � , t ,�� _ p��.c.: ; � � !-. t,� ; � * c� ) �'�. 4�"u`�r + � ^` � ; � � � � 'd� tK,'`` " � � � ti ` �� � ti a `��" ,� ' tT, ;� � t# �x c, _j� t � .� X , ,� ,�,� � �. � c . �;;�5� ��` ° �i�'� �?'�' j '�'� ' ,:y s- ' u°�� s. �C '�r �� - bi .; � � '`,�'�; '�4: �'{ s' �� t � 1 � �. . �� � � � � /� `3. �'�j �� L . . ` , _. ,, � `� /�: � ��.' �...Y��� r���. � .� ���". / T,4 / 1� ; , i� �,� �`�_� � �� �'�,:�. � ��G'�`-�`.:?4( � � � '_ � a -� �ffice Use Only: Corps action ID no. DWQ project no. Fo�m Version 1.3 Qec 10 20�8 F're-Construe#ion Notification pCN Form A. A lreant Infc�rmat'ron 1. Processing 1 a. Type(s) of approval sought from th� Corps: noR-reporting � Seciior� 4D4 Permit � Section 1� Permit 1 b. Specify Natiorrwide Permit (NVIIP) number: ntrn-reporting hIWP 14 or Gen�ral Permit (GP) number: 1 c. �las th� hJWP or GP number be�r� verified by the Corps? ❑ Yes ��Io 1 d. Type(s) of appro�al sought irom the �WQ (ch�eck all that apply): � 40� Water Q�ality Certifica#ion — Regular ❑ Non-4Q4 .turisdictional General Permit ❑ 401 Water Quality Certification — Express � Riparian Buffer Aufhorization � e. Is this notificatian solely fpr the record For the record on�y for DWQ 401 For the record onfy far Corps Permit: becaus� written approVal is not requir�d? Certifi�ation: ❑ Yes � 9Vo � Yes ❑ No 1f. Is payment into a mitigation bank or in-lieu fee pragram proposed for mitigation '❑�,�s ��� of impacts? If so, attaeh the acceptance I�tter f�am mitigatian bank or in-lieu fee program. 1 g. Is the projsct located in any of iVC's twenty c�aastal counties. 1f yes, answer 1 h ❑�es � REo below. 1h. Is the projsct Ipcated within a NC RCM Area af En�ironmental Concern (AEG)? ❑ Yes � No 2. Project Informaxion 2a. Name of project: �'roposed upgrading and paving SR 1569 (John Moore Road) 2b. County: Person 2c. Nearest municipality ! town: between Roxbocc� and Berea 2d. Subdivision name: N/A 2e. NCDQT only, T.I.P or state �g5 No. 5C.(}7'3064 proj�ct no: 3. Owner Information 3a. Narne�s) on Recarded �eed: NCDOT Division 5 3ta. Deed Book and Page No. N/A 3c. Responsible Party (far LLC if ��� applicable): 3d. Street address: 2612 N. Duke Street 3e. City, s#ate, zip: D�rham, NC 27704 3f. Telephone no.: (919)220-4600 3g. Fax no.: (919)5�0-3371 3h. Errta�il address: wbawrr�an(a)ncdot.qov - 4. Applicant Information (if different from owner) NIA 5. AgenUConsultant Information (if applicabfe} N/A Page i of 8 PCN Form — Version 1.3 C�ecember 14, 2008 Versior� �. Project Infc�rTna#�on and Prior F'roject History 1. ProPerty Identification 1a. Prop�rty iderrtification rrca. (tax PIfV or parce! I�)� NIA 1b. Coordirtates {in decimal degrees}: Site: LatitucEe:36.3412 Longilude: -78.8478 {D�.D�Q�3pb} {-DD.qDDDDD) 1 c. Property size: 5.2 acre p.71 mi lon ( g project w�th 60ft �pW) 2. Surfac�e 1Maters 2a. N�rrte of nearest body Qf water {str�am, river, etc.) to t�T to Deep Creek pr�posed project: 2b. Water Quality Classification of nearest receiving wat�r: WS-III NSW 2c. River basin: Neuse 3. Project Description 3a. Describe the existing concli#ions on the 56te and the general land use in the vicinity of khe project at the time o# this a�plication: The existing pipe needs t� be replaced to support road irnprovements. Site is surrounded by woocled land agricuftural land. 3b. List the total estimat�d acreage of all existing wetiands on the property: NONE 3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property: fi0ft 3d. Explain the purpose of the proposed project: Tl�e pip@ replacement will facilitate rc�ad irnprovements through this crossing. 3e. Describe fhe raverall project in detail, including the type of equipment tfl be used: The exis#ir�g 40ft long concrete pipe will be replaced with a 50ft iong prpe. Rip rap w�ll be installed s�nderlined with geatextile for long term stability surrounddng the mouth of tJ�e new pipe ends. The NCDQT wilC also dewater the wprk zone as needed durin construction. � ui ment ma inelude an excauator, a backhoe, a bulldazer, and rader. 4. Jurisdictiona� Determinations 4a. Haue jurisdictional w�tland or stream determinaCions by the Corps or State bee� requested or abtain�d for ihis praperty 1 ro ect inc€udin all nor hases in the ast? ❑ Yes � No ❑ Unknown p 1 {� 9 P� P )� p Gomments: N/A �lb. If the Corps made the jurisdicQional determination, what type of determination was made? ❑ Preliminary ❑ Final 4c. ff yes, wY�o delineated the jurisdictianal areas? Agency/Cansultant Co�npany: NIA Name (if knawn): NIA Other: N/A 4d. If yes, list the d�tes of the Corps jurisdictiona! determinetions or S#ate determinations and attach dacurrientatio�a. NIA 5. Praject History 5a. Ha�e perrr'eits or certifications been requestetE or obtained for � Yes � No ❑ Unknown this prflject {includi�ng afP priar phases} in the past? 5b. If yes, explain in detail according ta "help file'° instructior�s, f�fA Page 2 of 8 F'CN Form — Version 1.3 Decemt�er 1Q, 2008 Ver�inn 6. Future Project Plans 6a. Is this a phas�d project? ❑ Yes � No 6b. If yes, explain. N/A C. PropQSed Impac�s Inverrtory 1. Impacts 5ummary 1 a. V1lhich sectior�s were comple#ed below for your proj�:ct {check all that apply): 0 Wetlands � Streams - tributaries � BufFers ❑ Open Waters ❑ Pand Construction 2. Wetland Impacts If tY�ere are wetland impacts propased on the site, ti�en compleEe this questinn for each wetland area impacted. 2a. 2b. 2c. 2d. 2e. 2f. Wetland impact Type bf jurisdiction number - Typ� of im�act Type of we�land Forested (Corps - 404, 1 Q Area af Empact Perrnanent (P) or (if known) bWQ - nan-4C14, o�her) (acres) Tem ora T W1 ❑ P❑ T IV/A N!A ❑ Yes ❑ Corps �/� ❑ �io ❑ DWQ 2g. Total Vlfetland Impacts: NONE 2h. Gomments: N/A 3. Siream Im�aac�s If there are perennial or intermittent stream impacts (including #er�°fporary impaets) proposed on the site, then complete this c�uestPOn for all stream sites fmpact�d. 3a. 3b. 3c. 3d. 3e. 3f. 3g. 5#ream impact Type pf impact S#r�am name Perennial Type flf jurisdiction Avera�e lmpact numb�er - {PER) pr (Cc�rps - 404, 1 � strear� ler�gth Rermanent {P) or intermittent DWQ - non-4ff4, width (linear T�:m�aarary (Tj (INT)? other) (feek) fe�t) Site 1� P Q T pip� ��� UT to [J PER � Corps � � Q Stream 1 Qeep Grk � INT � DWQ Site 1� P❑ T UT to ❑ PER � Corps Stream 1 r�p rap Q�ep Grk � fNT � DtNQ � 1� Site 9❑ P� T ��,NaterPng UT to ❑ PER � Carps � 20 Stream 1 Deep Crk � IN�' � DWQ ccsncurren# 3h. Total stream and tributary impa�cks 2C1 3i. Commertts: Rip rap will be placed on banks only for stabilizatian. 4. Open Water lmpacts If there ar� proposed impscts to lakes, ponds, esfuaries, #rib�taries, sounds, the Atlantic Qcean, or any other open water of the U.S. then individually list al'F open water imAacts below. 4a. 4b. 4c. 4d. 4e. Open water Na+ro�e of impact n�mber- waterbody 7ype of impact Waterbody type Area of impact (acres) Permanent (P} or (if applicable) Tern ara T 01 ❑ P[] T N1A NIA N/A AIIA 4f. Total open water impacts NONE 4g. CornmertEs: N/A Page 3 of 8 PCN Farm -Uersion 1.3 �ecember 1Q, 2008 Version 5. Pond or Lake Cor�struction If ond or lake construction ro c�sEd, then corn lete the chart below. 5a. 5b. 5c. 5d. 5e. Vil�tland Impacts (acres) Siream Impacts (feet) Up�and Pflnd ID Proposed use or purpose of (acres� number ��nd Flooded FifFed Excavated Flooded Filled Excavated Floaded P1 I�J,A NIA f�/A N!A NIA NIA NlA NIA P2 5f. Total NONE CdONE F�ONE NONE �IO�NE Nt]NE NONE 5g. Corrtrnents: N/A 5h. Is a dam high hazard perrrtid required? ❑ Yes � No If y�s, permi# fD no: NIA 5i. Expected poncf surface area (acres}: CVlA 5j. Size of porrd watershec! (acres): I�/A 5k. Method c�# construction: NJA 6. Buffer Irnpacts (for QWQ) If project wiQ! impaci a pratected riparian buffer, then eomplete the char# below. 1f yes, then inc�aviduaily list all buffer impacts below. ff an im acts re u�re miti ation, then ou MUST fifl out �ectian D of this form. 6a. � Neuse ❑ Tar-Pamlico � Other: Project is in which pratected basin? � Catawba ❑ Randleman 6b. 6c. �d. 6�. ff. 6g. Buffer impact number — Reason for Buffer Zone 1 impact Zone 2 impact Permanent (�} or impact Stream name mitigation (square feet) (square feet} Tem ora T re uired? Pipe 5ite � P � T replacerrtent UT to �le�p Crk � Yes 1,200 8Q0 8uff�r Impact 1 for road � No improvements 6h. Total bufier impaets 1,200 $00 6i. Comments: Necessary improvements o� expanding this roadway frorn 40ft maintenance limits to 60ft RQW will inVOlue impacts to buffers. Q, Impact Justification and Mitigation 1. Avoidance and Mfnirraization 1a. Specificafly describ� measures taken ta avoid or minimize ths proposed impacts in designing pro�ec#. Rip rap armoring around the pipe ends and tie-in poin#s to the �xisting stream laack will be limitec� only to th� ampuRt necessary ta ensure long term stability. 1 b. Specifiealfy describ� measures taken to avcaid or minimize the proposec! impacts through construction techniques. S�ediment and erosian control Best Management Practi�es for protection of surface waters will be enforc�d during project canstruction. Page 4 of 8 PCN Farm — Version 'f .3 pecemb�r 1 fl, 20�8 Version 2. Compensatery Mitigation for �mpacts to Wakers of xhe U.S. or Waters of tf�e State 2a. Does th� project require Compensatory Mit�gation for ❑' Yes � No impaets tfl Waters pf the 11I.S. or Waters of the State? 21�. If yes, mizig�tion is reyuired b}' {cEizck all titat apply}: ❑ DWQ ❑ CorpS ❑ Mitigation bank 2c. If yes, which mitigation option will be used far this projeet? ❑ Payrrtent ta in-Eieu fee program � Permittee Responsibl� Mit�gation 3. Complete i# Using a Mitigation Bank 3a. �lame of Mitiga#ion Bank: NIA 3b. Credits Purch�sed (attaeh recerpt and letter) 1"ype (VIA 4e�antity NIA 3c. Comments: NIA 4. Complete if Making a�ayment to In-lieu Fee Program 4a. Approwal ietter from in-lieu fee program is attached. ❑ Yes 4b. Stream mitiga#ion requ�sted: I�/A linear feet 4c. If using stream mitigation, sfream temperatur�: ❑ warm ❑�ool ❑cold 4d. Buffier mitigation requested (t7WQ only): N/A square feet 4e. Riparian wetfand mitigatian requested: N/A acres 4f. Nan-riparian wetland �itigation requested: N/�1 acres 4g. CoaStal (tidal) wetland rnr3igation requested: N/A acres 4h. Com�raents: N!A 5. Compfete if Using a Permittee Responsible Mitigation Plan 5a. If using a p�ermittee responsib�e mitigatian plan, provide a description af the praposed rnitigation plan. NfA 6. Buffer Mifigation (State Regulated Riparian Bvffer Rules) — required t�y I�WQ fia. U11ill the prQject result in an impact within a protected riparian buffer that requires ❑ Yes � No bufFer mitigation? �ab. If yes, then �dentify the square feet of impact ta eaeh zone of the riparian buffer that requires mitigation. Galcufate the amount of mifigation required. 6c. 6d. 6e. Zon� ReasQn for impact Total impact PVlultiplier Required mitigatic�n (square feet) {square feet) �one 1 N/A N1A 3(2 for Catawba) N/A 2one 2 NIA NIA 1.5 �y/A 6f, Total buffer mitigation required. NONE 6g. If buffer mitigation is require�l, discuss what type of mitigation is prflpased (e.g., payment to private mitigation bank, p�rmsttee responsEble riparian buffer restoration, payment ir�to an approved in-lieu fee fund). NIA 6h. Comments: NfA Page 5 of 8 PCN Form — Versresn 1.3 Qecember 10, 2048 'Versaon E. Stormwater Managemen# and Diffuse Flow F'9an (reqwired by DVIIQ) 1. Diffuse Ffaw Plan 1 a. Does the prcajec# inelude or is it adjacent to prokected riparian buff�rs identified � Yes ❑ N❑ within one of the NC Riparian Buffer Protectian Ru�es? 1 b. If yes, then is a di�Fuse flow plan included? If nc�, explain why. Comments: this pipe replacemant will not a�ter storm water runpff at this site, no new � Yes � hio ditc#�es will be cut thro�gh the buffers 2. Stt�rmwater Mana ement Pian 2a. INhat is the overall percent impervic�usness of ihis proje�ci? <2Q °fo 2b. Does this project require a Stormw�ter Management Plan? � Yes � No 2c. If this praject 170ES NOT require a Sto�mwater Management Plan, explarn why: no n�w ditches will be cu� through bufFers 2d. ff this profect D�ES require a Storrnwater Managernent Plan, then provide a brief, n�rrative description of the plan: NIA ❑ CertifiEd Local Gavernrnent 2e. Vllho will be responsible fcrr the revi�w of the 5tormwater Manag�rnent Plan? ❑ dWQ Stormwater Progra� ❑ DINQ 4�i Unit 3. Certi�ed Local Government Starmwater Review 3a. In which iocal go�emmenYs jurisdiction is this project? NfA ❑ Phase !I 3f�. Which oi the following locally-impl�mented stormwater manag�m�nt programs ���W a;�ply (ci�eck all that apply): � �5��' � Water Supp�y Waiershed ❑ +�ther: 3e. Has the appro�ed Stormwater Managernent Plan with proof of eppraval been ❑ Yes ❑ No attached? NIA 4. aWQ Stormwaier Pro rarr� Review ❑ Caasta! counties ❑ HQW 4a. Which of the following state-implemented starmwater management programs ap�ly � p�y� (check all that apply): NIA 0 Session Law 2Q�6-246 ;0 f)ther: 4b. Has the approved Stormwater Management Plan with praof of approval been attached? N/A ❑ Yes ❑ No 5. DWQ 401 Unit Stormwater Review 5a. Daes the Stcarmwater IIAar�agement Pfan meet the appropriate requirerr►ents? NIA ��r�s ❑ No 5b. Have a!P of the 401 Unit submittal ret{uir�ments been met? N/A ❑ Yes ❑ No F'age6of8 PCN Form — Version i.3 December 10, 20Q8 Uersi�on F. Supplementary Inforn^�a#ian 7. En�iranmental €]pcumentation (DWQ Requirementj 1a. �oes the project involu�e an ex��nditure of public (federaUstat�/local) funds or the � yes ❑ No use Qf public (federallstate) land? 1b. If you answered "yes" #o the abnve, does the projec# require preparati�n of an envircanmental document pursuant to the requireme�its of the National or State ❑ Y�s � No (North Carolina) �nvironrr►ental Policy Act (NEPP,IS�PA)? 1 c. ff yau answered "yes°' to the abo�e, has #he document reuiew been finalized by the State Clearing House? (If so, attach a copy of the NEPA or S�PA final appro�al leiter.) �] Yes � No Gomments: N/A 2. Violations (DW� Requirement) Za. Es the sit� in +rioEation of aWQ Wetland Rul�s (15A NCAC 2H .050Q), Isolated Wet�and �R�les (15A NCAC 2H .13�0}, D1NQ SurFace Water car Wetland 5tandards, I� Yes � No or Riparian Buffer Rules (15A NCAC 28 .020fl)? 2b. Is this an after-tfhe-fact permit application"� � Yes � Na 2c. If you as�swered "y�es" to one or both of the afao�e q�estions, provide an explanation Qf the �iolation{s): NIA 3. CurnulatiVe ImPacts (DWQ Requirement) 3a. Will this project (based on past and reasanabfy anticipated fukure impacts} result in � Yes � No additional de�elo{�ment, which could impact nearby dawnstr�am water quality? 3b. If you answ€red "yes" to khe abave, submit a qualitative or quankitative cumulative rmpact anafysis in accardance wikh the most recent DINQ policy. If you answered '°no," provide a shc�rt narra#ive description. f�lA 4. Sewage Disposal (DWQ Requir+ementj 4a. Clear3y det�ail the ultimate treatment methods and disposition (nrn-discharge or discharge) of waatewater generated frorri the proposed project, or a�ailable capacity of t#�e subj�ct facility. NIA Page 7 af 8 PCN Farm — Uersion 1.3 December 14, 2008 Version 5. �ndangered Species and [�esigr�ated Grit�eal Habitat (Corps Requirement) 5a. Will this project occur in car near an area with f�deraHy protected spec'res ar Q�,�5 ��o habitat? 5b. �laue y� checked witi� the USFWS conce�ning Endangered Spece�s Act ��,e� ��� impac#s . ❑ Raleigh 5c. If ye5, indicate the USFWS Field Office you have contacted. ❑ Asheville 5d. What c�ata sources did you use to deterrr�ine wMether your site would impact Endang�red Species or Designated �rifica9 F�abifat? htt :llwww.finrs. avlrrto-esles/count fr.html and NC fVatural Heritage Program Database, Element Occurrerrces 6. Esseniial Fish Habitat (Carps Requirement) 6a. Wii� this project occur in or near an area designatetl as essential fish ��Q habitat'? � Y�� 6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat? http:llocean.floridamarcne.orq/efh corall�m�lviewer htrro 7. �listoric or Prehistoric Cu[tural Resources (Corps Reyuirement) 7a. Will this project occur in or near an area that the state, federal or tribal governrnents ha�e designated as having historie or culEural preservation � Y�� � No status (e.g., Nationa! Historic Trust designation or properkies s�gr�ificant in North Carolir�a history and archaeo�ogy�? 7b. What data sources did yau use to determine whether your site would impact histaric or archealogical resources? HPO's historic fayer using GIS ArcView database, SHPO's webpage htt :II is.nccicr. ov/h owelal, and F�EA �EU review 8. Flood Zone Designatic�n (Corps Requirernent) $a. Wifl this prpject occur in a FEMA-cle5ignated 100-year floodpiain? ❑ Yes � No 8b. If y�s, explain how project meets FEMA requirem�nts: N/A 8c. What source(s) did yau use to make the floodp�ain det�rminat�Qn? http:llwww.ncfloodma�s.caml �r,r J. W. F3owtnan, �'.E. Q �i`U � �� 04104114 ApplicanUAgent's Signatur � Date ApplicantlAgent's Printed Name (Agent's signatura is valfd qnfy If an aulhorizatlon fet frqm the applicank Is providad.) . Pag� $ of 8 PCN Foem — Versioe� i.3 Decembe� 1 Q, 20fl8 Version