20141140 Ver 1_Riparian Buffer Authorization_20141030

8000 Regency Parkway, Suite 600
Cary, North Carolina 27518
(919) 463 -5488, FAX [phone]
October 27, 2014
Karen Higgins
NCDWR — 401 & Buffer Permitting Unit
1650 Mail Service Center
Raleigh, NC 27699 -1650
Re: Preliminary JD Application and Riparian Buffer Authorization Form for Capital Blvd Sidewalk
project in Raleigh, NC
Hello Karen,
Enclosed you should find a copy of the Preliminary JD application and Riparian Buffer Authorization
Form for the Capital Blvd Sidewalk project located in Raleigh for your review. I have also sent these
forms to the Raleigh regional office of the US Army Corps of Engineers. It's a pretty straightforward
project — the City of Raleigh is adding a sidewalk along a long section of Capital Blvd as part of general
improvement efforts along that corridor. Please feel free to contact me if you have any specific
questions about the site. Thank you for your time on this matter.
Sincerely,
Scott King
Scott. King @mbakercorp.com
(919) 481 -5731
Oaker

Corps Submittal Cover Sheet
Please provide the following info:
1. Project Name Capital Blvd Sidewalk proiect
2. Name of Property Owner /Applicant: City of Raleigh
3. Name of Consultant/Agent: Michael Baker Engineering, Inc. / Scott King / 919 - 481 -5731
'Agent authonzation needs to be,attached
4. Related/Previous Action ID number(s): N/A
5'. Site Address: Capital Blvd (between Old Wake Forest Rd and.'Spring Forest Rd); Raleigh, NC 27616
6. Subdivision Name: N/A
7. City: Raleigh
8. County: Wake
r'0
LaV 35.8615640 Long: 78.5818360
10. Quadrangle Name: Raleigh East, NC
11. Waterway: UT to Perry Creek
12. Watershed: Neuse 01
13. Requested Action:
❑ Nationwide Permit #
❑ General Permit #
® Jurisdictional Determination Request
❑ Pre - Application Request
(Decimal Degrees.Please
Attachments:
Preliminary Jurisdictional Determination Form;
Property Owner Certification and Agent Authorization;
DWR.Stream Origin /Buffer Applicability Determination form;
DWR Riparian Buffer Authorization form;
DWR Stream Identification Forms;
Stream Quality Assessment Worksheets;
Corps Wetland Determination Data Form;
Project maps (including Aerials, USGS Topo,,NRCS Soils;
FEMA, NWI, HUC watershed, and Property Parcels);
Project Photographs;
Preliminary Project Design Plans.
The following information will be completed by Corps office:
AID:
Prepare File Folder
Authorization:
Assign number in ORM
Section 10
Project Description/ Nature of Activity/ Project Purpose:
Site /Waters Name:
Keywords:
Section 404
Begin Date

ATTACHMENT {A,
PRELi (NARY. JURISDICTIONAL ,DETERMINATION4,FOR -M.
BACKGROUND - INFORMATION
A. REPORT COMPLEfbII4,DATE'F6R` PRELIMINARY'JURISDICYIONAL
DETERMINATION,,,(JD):,
B. NAM_ E AND'ADDRESS OF PERSON REQUESTINGtPRELIMINARY JD:
Scott King,( 919` 481- 57311,orScott'ifing(dmbakercorp com); Michael Baker Engmeenng
8661egency Parkway - 'Suite 660=Cary; NC,2 8
d. ,DISTRICT OF.FICE,�_ ILE'NAME; AND NUMBER:
d:. 'PROJECTIOCATION(S)�AND BACKGROUNV,INFORMATION:
A sidewalk- c`onstrucUon protect locato_ (Mdng CapdaP8lvd between Spnng Foiest,RB and'Old Wake Fores6Rd m Raleigh
,(USE,'THE ATTACHED TABLE TO D_OCUMENT_MULTIPLE W_ ATERBO_DIES 4fV0,FERENT'
SITES)
State: NC Count y /parish/6orough: wake , �Clty. Raleigh
�Center,coordihates of',site '(lat/long in,0egree decirnal,lormat):
Lat, 35 661564 °N, LOng 78 581836'
Universal Transverse Mercator: 71s3aa,1'Eastmg, 597;2§4 3,Northing�(zone i7) _
`Name of nearest waterbody; _uT_to,Perry,,c ,reekt
IdentKfy"(estimate) amount:of waters in the review =area:
Non'= we_tla_ nd> waters:
X200 _ linedt fdet ,15 width,(ftj° and /or, acres.
,Cowardin,CIaSS: RlJenne
Stream Flow Inteimittent'm these, upper reache% peienmal fuAh&'downsGeam ftw,iate unlmowri)_
`Wetlands: WA _ acres.
Cowardln Class- N/A
Name of any water'bodies on ;the site'that have been identified asF866on 10
waters.
Tidal- 'wA
Non -Tidal ryia

E: REVIEWPERFORMED FOR;- SITE,EVALUATION (CHECK ALL THAT
APPLY):
❑
Offce(Desk) Determination. Dater
❑ Field,;Determination. ,Daite(s):
SUPPORTlNG,DA,TA. 'Data reviewed!fbr. preliminary-JD;
(checks,all that apply = checked items should be included in case file and,
wheie cFieckedrand requested, appropriately "'reference sou�ces°.tielow):
Maps; plans, plots orIplafsubmitted.by,oron beha(f of the
applicantYconsultant _
0� D_ ata steels prepared %subrnittetl,by oron beh_ atf of,th_e
app nt/,consultant.
OrffMe concurs with data sheets /,delineation, report.
Office does not�cbncur with d ita,_"sheets /delineation' feC)602.
Datarsheets prepared byzthe Corps: _ y
❑ Corps:rfavigollp :waters'study
❑ U,'& GeolodicalrSurvey Hydrologic Atlas:
❑ USGS NHD data,
❑✓ USGS'8aand '12 didit "HUC maps
❑✓ IJ:S. Ggologiibal;<Surypy map(§):. Cite scaI64 quad name.tRaleigh Easl,11.2a
❑✓ USDA Natural Resources Conservation,Service Sgil,rSurvey.
Citation :wake'96trn ;;,970:
✓❑ National wetlands inventory map(s). ' Cite name:�l7sFwS ontine,mapping tool
❑ 'State %Local wetland inventory map(s):; _
FEMA%FIRM maps: FIRM Panels _ iO,17Y7o0J aM 3720i726bbi
❑ 100 -year Fldbdplain Elevatibri is:
(National Geodectic Vertical+Datum of 1929)
❑✓ Photographs, Aerial (Name Daiej: Nc- OneMlap 2013'and 1993, or
❑ Other (Name &.'Date]
❑ Previous determinatibri(s) File no and date of response letter:
❑ Other information (piease specify`,)-
�2

1. The- Corps'of'Engineers bdlieves.,that thereYmay,' be jurisdictional waters ;of the'
United States on the subjectisite; and -the applicant or, other-affected party
who requested this, prelimina y --JD is hereby.advi"sed „of, his or her option to
'(equest;and dbtain ,an approved�jurisdictional :determination (JD),for that site_,
Neveithe1ess,, the pemiit' applicant #oi other `persoriwiiho requested this;
�.
prelimrnary` JD has dclined ,to:exercise the'option to"obtain anapproved JD in
this,instance-,and at this time.,
2; In ;any circumstance; where >a, permit applicant'obtaiits an individual permit, .or
a'N;atioriwide General Perrriit;(NVNPj or other `genera l” pemiit'Vedfication requiring,
"pre- construction notifcation" (PCN), orrequests rifcation for,'a'rion- reporting
N1/VF1"or,other *general permit; =and the permit - applicant has pot requested an,
`approved JD forthe activity ; "tlie.perriiitlapplicant "is „'hereby, made aware ofahe
.following: (1) the permit applicant has;elected 't'o,• seek 14 permit authorization
based on a preliminary.JD, which d'oe5 not- make,ah, 06ial;determination:of'
jurisdictional waters ;;(2j;that,the,iapplicant,has the- opfion,to request,ah'approved
JD before accepting the,ferms:and conditions _of,thelperrnit;authorization,, and
Ah'at bAsiiig a'peimit aiithotiiation on an approved JD could possibly result in less,
,compensatory mitigationbeingsrequiredor ,different ,special conditions; (3) that
the applicant hasjhe'rigfit ti 4equest an individual "pemiitrathei than accepting
the terms and conditions of'the NWP "or otherrgeneral:permit authociiation;, (4)
that the applicant can 4accept ,a`.permit?authorization�and `thereby agree to-comply, -11
withaall the temis�and conditions:of that;peimit;'ihi ludingwhatever mitigation
requirerrienfs,the ,Corps has determined` to b_,e„necessary; '(5), that undertaking
°any,,activity in.reliance.upon'the subject- peri'h'itauthorisation without,Fdquesting,
-- - �;. -
an approved,JD ;,constitutes the�applicant'sfacceptance of the use of'the:
pretlminary JD; but that either`form�gf JD will', processed as soon, as is
practicable; (6) accepting a peirmit'authorization,'(e g.,'signing,a- 'proffered
individual perrriit); qr undertaking •any, ,;,activity +in rehance.on- any,form,of Corps
permit 66thorization,,basedon a`pfeliminary'JDIcohstitutes agreementAhat all
wetland's and "other water`tiodies on'the site affected in any�w,ay.by that.actMiy
are �urisdictional,waters of the,Onited States, and precludes any challenge to
such, jurisdiction in any administrative of, judicial compliancd,`& enfo-rcemen`t,
,action, ,or, in ;any admihigfraNeoappeal or in an,y Federal'court; and ,(1) +whether
the. applicant .elect's,to�use,�eitti& an appr'o�ed,JD or-a pr`ehmmary.JDAhat, JD
will tie,processed aMsoon;as is practicable. Further, an approved.JD,,a proffered
'individual permit'(and,all terms and conditions contained therein), ;or individual
permit_denial can be. administratively appealed pursuant to 33 6-.,F-.R Part 331,,
.and Ghat in any administrative,appeali, jurisdictional issues can be raised (see 33
C 'F 'R 331 5(a)(2)). If, dining that adMini'sVative appeal,, it becomes necessary
to make an official determination whether CWA iurisdiction,exists over a site, or
to provide an of gial delineation of jurisdictional waters on the site, the Corps will
provide an approved JD to accomplish that result, as soon ,as is practicable.
3

This preliminary JD Ws that there "inay,be" waters of the United States on'the
subject project site, ,and identifies all aquatic features on the .site that could be
affected by the proposed activity, based on the following information.
IMPORTANT NOTE: The, information recorded on this, form has not
Signature and date of
'Regulatory Project Manager
( REQUJRED)
4
. 10 6 i'
Y
Signature ,and date f
person ,requesting preliminary" JD
'(REQUIRED,, unless obtaining
the signature is impracticable)

Jurisdictional Determination Request
D. PROPERTY OWNER CERTIFICATION
I, the undersigned, a duly authorized owner of record of the property /pi operties identified' herein,
do authorize representatives of the Wilmington District; U.S. Army-Corps,of Engineers,(Corps)
to enter upon .the pi operty herein described `for the purpose of conducting on- site,investigations
and issuing a deterinination associated with Waters of the U.S. subject,to Federal jurisdiction
under Section 404 of the Clean Water Act and /or Section 10 of the Rivers and Harbors Act of
1899.
Propel bwnei (please pr ' t)
Property ner Signature
E. JURISDICTIONAL DETERMINATION TYPE
Select One:
9 -30 -14
Date
0 I am requesting that the Corps provide a preliminary JD for the property identified herein.
This request does include a delineation.
F] I am requesting that the Corps provide a preliminary JD for the property identified herein.
This request does NOT include,a delineation.
I am requesting that the Corps investigate the property/project area for'the presence or
absence of WOUS5 and provide an a roved JD for the property identified herein. Tliis
request. does NOT inclu&a request for a verified delineation.
I am requesting that the Corps delineate the boundaries of all WoUS on a property/,pi oject
area and provide,an approved JD (this may or Wray not include a survey plat).
I am requesting'that the Corps evaluate and approve a delineation of WoUS (conducted
by others) on a property /project area and provide an approved JD (may or may not
include a survey plat).
4 For NCDOT requests following the current NCDOT /USACE protocols,skip to Part E.
s Waters of the United States
Version: December 2013 Page 4

AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO. PLAN NO. PARCEL ID:
STREET ADDRESS: Capital Boulevard between ,Spring Forest Road
and Old Wake Forest Road
Please print: Ci,ty of Raleigh
Property Owner:
Property'Owner:
The undersigned, registered property owner(s),of the above noted property,, do hereby authorize
Richard Darling & Scott King of Michael Baker Engineering. Inc.
(Contractor / Agent) (Name of consulting firm)
to act on my behalf and take,all actions necessary for the processing, issuance and acceptance of
this permit or certification and any and all standard and special conditions attached.
Property Owner's Address (if different than property above):
222 West Hargett Street, Raleigh, NC 27602 -059,0
Telephone:
919 - 996 -4112
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
Authorized Anature Authorized Signature
9 -30 -14
Date: Date:

QW, R
2 0 1 4 1 1 4 0
State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources Division of Water Resources
15A NCAC 02B .0233 (8)(b), .0243 (8)(b), .0250 (11)(b), .0259 (8)(b), .0267 (11)(c), .0607 (e)(2) - Buffer Authorization
FORM: BA 10 -2013
Riparian Buffer Authorization Form
A.
Applicant Information
1.
Project Information
1 a.
Name of project:
Capital Blvd Sidewalk
1 b.
County:
Wake
1c.
Nearest municipality:
Raleigh
1d.
Subdivision name:
N/A
1e.
Is the project located in any of North Carolina's
twenty coastal counties. If yes, answer 1f below.
❑ Yes ® No
1f.
Is the project located within a NC Division of Coastal
Management Area of Environmental Concern (AEC)?
❑ Yes ® No
2.
Owner Information
2a.
Name on Recorded Deed:
City of Raleigh
2b.
Deed Book and Page No.
N/A
2c. Map Book and Page No.
(include a copy of the recorded
map that indicates when the lot
was created:
N/A
2d.
Responsible Party
(for Corporations):
Chris Johnson, Raleigh Public Works Design /Construction Manager
2e.
Street address:
222 West Hargett St - Suite 400
2f.
City, state, zip:
Raleigh, NC 27601
2g.
Telephone no.:
919 - 996 -4112
2h.
Fax no.:
2i.
Email address:
chris.johnson @raleighnc.gov
3.
Applicant Information (if different from owner)
3a.
Applicant is:
® Agent ❑ Other, specify:
3b.
Name:
3c.
Business name
(if applicable):
3d.
Street address:
3e.
City, state, zip:
3f.
Telephone no.:
3g.
Fax no.:
3h.
Email address:
4.
AgentlConsultant Information
(if applicable)
1�
4a.
Name:
Scott King
( .
4b.
Business name
(if applicable):
Michael Baker Engineering, Inc.
j�R SM`t� "'
4c.
Street address:
8000 Regency Parkway - Suite OOE
ggu
4d.
City, state, zip:
Cary, NC 27518
4e.
Telephone no.:
919 - 481 -5731
4f.
Fax no.:
4g.
Email address:
Scott. King @mbakercorp.com
FORM: BA 10 -2013 Page 1 of 4

Mi _
`CDENR
North Carolina Department of Environment and Natural Resources
Division of Water Resources
Pat McCrory Thomas A. Reeder John E. Skvarla, III
Governor Director Secretary
Date Received
®WQ Use Only Project #
Stream Origin /Buffer Applicability Determination
Required Information
1 Owner Information (corporation/individual who is legally responsible for the property'and its compliance)
1a_ Name(s) on Recorded Deed
City of�Raleigh, NC
1b Responsible Party (for LLC)
Chris Johnson, Raleigh Public Works Design /Construction Manager
Address
'222 West Hargett St — Suite ,400, Raleigh, NC 27601
—1c-Mailing
1d Telephone Number
919-996-4112
1e Email Address
I chns johnson@raleighnc gov
2 Location of Project Site - please include the county, nearest named town and highway number
Along Capital Blvd between'Spnng Forest Rd,and,Old Wake Forest Rd in Raleigh, NC 27616
3 Has anyone from DWQ visited the sites
I No
I Staff Name
I
I Date of Visit?
Neuse
Additional Requested Information
4 Agent/Consultant Information (if applicable)
4a _Name, Company -
Scott King, Michael Baker Engineering
4b, Mailing address
8000 Regency Parkway — Suite 600, Cary, NC 27518
4c Telephone no
919 -481 -5731
4d Email address
Scott King (a)mbakercorg com
5 Project and Site Information
5a Name of protect
Capital Blvd Sidewalk protect
5b County
Wake
5c Nearest Named Stream
UT to Perry Creek
5d River Basin
Neuse
5e,, Provide�a brief description of this protect (attach site plan if available)
Project;involves extensive sidewalk construction along Capital Blvd between Spring Forest Rd and Old Wake Forest Rd
Pleas_ a attach•a map of'the site indicating project boundaries on'the USGS 1:24,000 T,opo and /or, NRCS.Soil Survey:
If you are unable to locate either of these maps, please contact the -Re• Tonal Office for assistance.
Please return form to: Sara Knies
1628 Mad Service Center Note Submittals, on Fnday °after 12 00,pm'wdl be
Raleigh,,NC 27699 -1628 stamped as received on the next business
Fax [phone] day
Email ,sara knees @ncdenr gov
Please contact the Raleigh Regional Office at (919) 791 -4200 if you have any questions
For DWR Staff Email following,documents to applicant
0 Riparian Buffer Authorization & Help Document 0 PCN & PCN Checklist
= Session Law 2012 -200 0 Minor/Major Variance

C. Proposed Impacts Inventory
Impact Justification and Mitigation'
1.
Avoidance and Minimization
1. Buffer Impacts
Specifically describe measures taken to avoid or, minimize the proposed Impacts in designing project
lb
Specifically describe measures taken to avoid or minimize the proposed Impacts through construction techniques
1a Pro)ect,'is in which protected basin?
® Neuse ❑ Tar - Pamlico ❑ Catawba
❑ Randleman ❑ Jordan ❑ Goose Creek
lb- Individually list all buffer impacts below If any impacts require mitigation, then you MUST fill out Section D of this
form
Buffer impact
number —
Permanent (P)
or Temporary
Reason for
Impact
Type of Impact
(exempt,, allowable,
allowable w/ mitigation)
Stream name
Buff_&
mitigation
required?
Zone 1
Impact
(sq ft)
Zone,2
Impact
(sq ft)
81 ® P ❑ T
sidewalk
allowable
UT to Perry Crk
❑ Yes ® No
250
735
B2 ❑ P ® T
grading
allowable
UT to Perry Crk
❑ Yes ® No
520
1,125
B3 ❑'P ❑ T
required:
2c,
❑ Yes [_1, No
❑`Yes El 'No
2d
B4 ❑ P ❑ T
2e
If no, then discuss what type,of mitigation Is proposed
2f
❑ Yes ❑ No
B5 ❑ P ❑ T
❑ Yes ❑ No
56 ❑ P, ❑'T
❑ Yes; ❑ No
Total b_ u_ffer impacts
770
1,860
1c Comments Area to,be graded will be reve etated with grass
D.
Impact Justification and Mitigation'
1.
Avoidance and Minimization
1'a
Specifically describe measures taken to avoid or, minimize the proposed Impacts in designing project
lb
Specifically describe measures taken to avoid or minimize the proposed Impacts through construction techniques
2.
Buffer Mitigation
2a
Will the,project result in an Impact within a protected riparian buffer that requires buffer
mitigation?
❑ Yes ® No
2b
If,yes, then Identify the square feet of Impact.to'each zone of the riparian buffer- that,requires mitigation and
calculate the amount of mitigation required in the table below
Zone
Reason for Impact
Total Impact
(square feet
Multiplier
Required mitigation
s uare feet
Zone 1
3 (2 for Catawba)
Zone 2
15
Total buffer mitigation
required:
2c,
If buffer mitigation Is required, Is payment to a
mitigation bank or NC EEP proposed?
❑`Yes El 'No
2d
If yes, attachAhe acceptance letter from the,,mitigation bank or NC EEP-
2e
If no, then discuss what type,of mitigation Is proposed
2f
Comments
FORM BA 10 -2013 Page13 of,4

B.
Project Information and Prior Project History
1.
Property Identification
1a
Property identification no (tax PIN or parcel ID)
N/A
1b
Site, coordinates (in decirTial,degrees)
Latitude 35 861564
Longitude '78 581836
1c
Property size
N/A, (project will be conducted along 5,300 ft of road)
2.
Surface Waters
2&
Name of nearest body of water to proposed project
UT to Perry Creek
2b
Water Quality Classification of nearest receiving water
C, NSW
2c
River basin
Neuse.
3.
Project Description
3a
Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this
application
Site is in the general nght -of -way along both sides,of Capital Blvd The area is generally grassy,, interspersed with
road entrances to adjacent businesses
3b
Attach an 8' /2�x 11 excerpt from the most recent version of the USGS'topographic map Indicating the location,of
the site (see attached)
3c
Attach an 8'/z x 11 excerpt from the most recent version of the published County NRCS Sod Survey Map
depicting the project site (see attached)
3d
List,the total estimated linear feet of all existing streams (intermittent and perennial),on the property
Therefare no streams - located on the property itself, but a piped stream does cross under Capital Blvd at the Area
of Interest (see attached project plan sheet) that has associated buffer zones affecting construction
3e
Explain the purpose of the proposed project
The City of Raleigh us'instalpng sidewalks along both sides of this section of Capital Blvd as part of an
improvement project for the thoroughfare
3f
Describe the overall project in detail, including the type of equipment to be used
Project will involve some grading in the grassy'nght -of -way (as needed), installation of a concrete sidewalk, and
re- vegetation intb�grass for all disturbed areas The work,wdl likely involve a,,backhoe, a tamper,,and a concrete
mixer Only the tamper should actually be placed in the right -of -way itself, the other equipment will be operated
from Capital Blvd
A.
Jurisdictional Determinations
4a
Have junsdictional'wetland or stream determinations by the
❑ Yes ® No ❑ Unknown
Corps,or State.been requested or obtained for this property/
Comments Not disputing stream or buffer
project (including all prior phases) in the pasty
existence
4b'
If yes, who delineated the jurisdictional areas
Agency/ Consultant Company •
Name,(if known)
Other-
4c
If yes, list the dates of the Corps jurisdictional .determinations or State determinations and attach documentation,
No determinations,have been issued at',this time The request for a Corps JD is,concurrent,with this document
5.
Project History
56
Have permits or certifications been requested or obtained for this
❑ Yes E,No ❑ Unknown
project (including all prior phases) in the past
5b
If yes, explain and detail according to "help file" instructions
6.
Future Project Plans
6a
Is this a phased project?
❑Yes ® No
6b
If yes, explain
FORM BA 10 -2013 � Page 2,of 4

E. Diffuse Flow Plan
All buffer impacts and high ground Impacts require diffuse flow or other form of
® Diffuse flow
stormwater treatment Include a plan that fully documents how diffuse flow will be
-a
❑ Other BMP
maintained (See attached plan sheets)ilf Level Spreader isproposed, attach,a Level
la
Spreader Supplement Form
® Yes ❑ No
If due to site constraints, a BMP other than a level,spreader is proposed, please provide a
public (federal /state) land*7
plan for sormwater treatmentlas outlined in Chapter 8 of the NC Stormwater BMP
lb
Manual and attach,a BMP Supplement Form
® Yes ❑ No
F.
Supplementary Information
1.
Environmental Documentation
la
Does the project involve an expenditure of- public (federal stateAocal) funds or the use of
® Yes ❑ No
public (federal /state) land*7
lb
If you answered "yes" to the above,,does'the project require preparation -of an
® Yes ❑ No
environmental document pursuant -to the requirements of the National or State (North
Carolina) Environmental Policy Act,(NEPA/SEPA)?
1c
If you answered "yes° to the above, has the document been finalized by the State
❑ Yes ® No
Clearing House? (If so, attach a copy of the NEPA or SEPA final approval letter)
Comments The City of Raleigh Is preparing and submitting a Programmatic Categorical
Exclusion (PCE) for this project to satisfy NEPA/SEPA
2.
Violations
2a
Is the site in violation of DWR Wetland Rules (15A NCAC 02H 0500), Isolated Wetland
❑ Yes ® No
Rules (15A 'NCAC'02H 1300), DWR Surface Water or Wetland Standards, or Riparian
Buffer Rules (15A NCAC WB 0200)?
2b
Is this an ,after-the-fact permit application?
El Yes ® No
2c
If you answered "yes" to one,or both of the above questions, provide an explanation of the violation(s)
Appllcant/Ageas Pri _ Name Appllcant/Agent's Sigoiture Date
(Agent's signature is valid 'only d an authonzetion letter from the applfcaM is provided )
Send this completed form and accompanying +documents to the following
For government transportation projects send
by First Class Mail via the US Postal Service
NC DWR, Transportation Permitting Unit
1650 Mall Service Center
Raleigh, NC 27699 - 1650
For all other projects send by First, Class Mail
via the US Postal Service
Karen Higgins
NCDWR — 401 & Buffer Permitting Unit
1650 Mail Service Center
Raleigh, NC 27699 - 1650
Foi government transportation projects send
by delivery service (UPS, FedEx, etc)
OR NC DWR, Transportation Permitting Unit
512 N Salisbury Street
Raleigh, NC 27604
For all other, projects send by delivery service
(UPS, FedEx, etc)
OR Karen Higgins
NCDWR — 401 & Buffer Permitting Unit
512 N Salisbury Street
Raleigh, NC 27604
FORM BA 10 -2013 Page 4 of 4

I 5-5fc4
Ne- D-W.-O Str4EiAtfi,ldeiftifi4iationvForm Version X4:11
Pate:
Project/She
Latitude: 2
Evaluator:
County:
Longitude:
Total'Points-
Stream Cri (ciNfi one)_
Ephemeral QkLeffnittenOPerehniii
p
OYA-1 �
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if a49,biperennial ifa 30!
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A. Geomorpho166y (Subtotal `
AO—sifit
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Modekati
Scr6fid
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'0=
1
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3.
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2'
s -
3 Kchannel'strudure' e)- riffle-,p661,, step -pool,•
rioole-pbolls'eiiquehnce
6�
2l',A,quihc.Mdllusks
3
4 df',stWaM.t-u6str'6i6 s,
0
1,
2,
22 -,Fish
,5 Active/relict fioodpiain
No =.'O
2
3
'6, Depositional'bars or benches,
051
Z
3,
T RecentWluVial,ftposits'
24 lAr Ohibijrij
21
3,
,8 H6abduW
0
1
2'
0 5,
9 Grade control �A - 4, (1,,
10
�0,6
264Wetland plants in streambe&
15
j-u-,­Natur6lvallley,-
'16-- "
6-3-5
*p6rdnnial,stiekr§;6ak,ali6lbe'idettiCd using otqer*W-di Sii D 35 of manual
-15
11 Second or6ne ater-or kdr channel
.(,No r 0;
g
-ai. m- ciai cn- cnes - are ,no- uI ate— a,,see . aiscussionsm manual
't '-- --
B. Hvdr6loqV '(5ubfotal,,= -
12 Presence of Basefi6w
0-
1
n2
3�
13 :Iron izing
px�d bd-ctini
'0
.02
3,
lk"Le6flifter
A.5,
OD
T5
0
15 4 imerit,6n-plantbs or debris
0
2l',A,quihc.Mdllusks
16,Organic debris,'Iines orples
10
-f2
-
3
22 -,Fish
.17, q1l;bEikqq evidencelof high water table'?'
No =.'O
'G,Bioloav (Subtotal--, .25, )'
18- Fibrous,roots in it(eafnbed
12
1
0
'19,Ro6tea CioLgnd-oj6htg',iri-itrL-iirhtid
2
1
0
20,Microbe-6tti6s'(note,divers!-ty_4rwd,abundance)
0
1
2
2l',A,quihc.Mdllusks
1
-f2
-
3
22 -,Fish
05
1
1'5
23 'Crayfish,
051
1
15
24 lAr Ohibijrij
77577,
1
-,16
25 ,Algae
0-
0 5,
Cl 5�
264Wetland plants in streambe&
'FAM- 0 75, QRL'="1'5'
Q ttie
*p6rdnnial,stiekr§;6ak,ali6lbe'idettiCd using otqer*W-di Sii D 35 of manual
Notes iqt
Sketch ' os

USAGE 9ID #1 - DWQ; #; Srte # j_ ('indicate onraitacfied'map),
STRE- OUA- LITY`,AS9E,99 ViEN - *.'ORK'-SHEET
F,rovide,the fo8010ng iofor((oration "fo"r�ttie.stream'reach'_u`nde_ r "assessment: (I
1.,Applicant's name: uL. En i!lh�c,tn 2. Evaluator,'s name.���o /, _/�h��
3..Date of evaluatlon- S,�;Ss' ��� 4. Tune of,e- valua[ion.
S..Name,ofstream U ( -� ftror4 6. Mver'basin: Not>Z-
7.- Approximate•dralnage,area• as �+�+ 2 orr 5724uns, 8.,Stream order-. -
''''(
V. Length of reach-,evaluated!, �5 IOJCounty_
l'1. Siie,,coordinates,(if,known) 'preferaln declinal,degrees 12..SubdMsion name,(tf any). -
Litltude(ex;348'12i12): 3 g'_��_ZJ' _ LongifUde,(ex -r,) 5566rL):
Method.locetion determined (dlicle)• PPS 'Topo,SlfCi rttio'(Aerliil Ptioto /G Other CIS (Other
_S. Location of react -under "evaluation ( note 'riearbyt'roadsFaridElandmarks arid, attacli-t p idenflfj !mg1stream(s)''location)
f�r Irr r
IC-, JIA tAI „C^ •E4`a•t” io�,vi_m Co:,oii�.r a'(u QrDi�`. lSo �'/M/i�:ri; ,ilz Im 50'XIla..
l J,
14. I'ropos d�channel wo&(if an ; -
I5.•Recent�weatiierconditions; SiPubn° /M} /NnD� �att� =� 51J�jo1�W3 L -
'16.,Site conditions,attitime;of vis "it = 'Onyi � / <N � �t�+i 3af• w
17: Identlfyany, speciiltwaterway -classificatlons,known _Section 10, _Tidal Waters Essential.`Ftsfieries l abtf6t
=Trout Waters = 0ulstandmg.Resource WatersNuirient,Sensitive Waiersr _Water Supply Watershed
18. B lFiefel,06fid or like-located upstream of,the•evaldition point? YES NO, If yes; estimate the water surface aiea, J,2-t
19. Dbes c6arinel ;appea%on,USGS_quad4fia NO' 20-D68 chiririel,appear, -on USDA" Soil Surveyr2-'� NO
21. Est matedswatei shed land;use. _% Item erltial
SD Forested
22: Barikfiill width':. `3I
24.,Channel slppq,down center.of sggam FlaV to�2 %`
25:'Channel sinuosity. Straight. _Occasional bends,
SO %'Comrnercial = %'dlndust�lal -0 Agricultural-
_ %(leared i Logged
23� Bank hetgfit;(froin tiedrtii top of liaak)° (s
_Gentle (2ito 4 %)' _Modeiate "' 0 10 1) _ Steep ( >,l0%)
_Frequent mearfd& _Very,sinuous _Braided channel.
Instructions, for., completion"of'worksheet' (located.on;pagv,2): Begin byrdetermiriutgFthe most,appropriater:ecoregion based on
-
ii, terrain, .vegeiation ;,stream c'lissificaiion,,etc Ever ,6haracieristic; must bekscored "using:fhe�same,ecoregion. 'Assignrpoirity
to each .characteristic within, iher range shown .for the; ecoregion Page 3; provides a, brief °description of ','how, to review -the
charactefisiics :identified�m•ifie, worksheet Scores should - reflect, an overall�assessmeniNof the stream ,, reach under evaluation., If -a
characteristic cannot „be evaluated due to; site ?brf weather conditions, enterr0 ,mj�ilie scoffing box and provide, an explanation i6_the
comment;section Where there ar6,boibus,ch4nges� iii the character of a� stream4nair.ii- l w (e g ,the stream flows” froinla pasture`
into a forest); the'stieain'may be,dM&d into 'smallerreaches that &playjnofe con'tinulty,,- d;a sap- ' -forin -`used to evaluateeach
reach_ The total score, assigned tb4,stTeam ieach`mu "st range'lii wean 0 and 100; with.ii score of 1,00 repre`se Riiig a,,stre'am,of the
ihighdst quality (�
Total Score ,(f/ iq �evefse); 2 ` eomm_ents: — 'JWA-m 03 dt t'�ig44, Aggt�f' , itCi _(.i/
G)Z-J- tI/ hsR%+n � e 1�4i .
Evaldetot's Signiture - Dates
This channel evaluation forth is intended tie use "d,orily,a9 a'guide to assist landowners and eoviebnmentaili)fdfessionals in
gathering'the data required by'ttie United States Afmy Co -rps of Engineers to tnake(i preliinirta'ry assessment of streanf
quality; The total scofe, resulting jr`om• th6? 6mpletion of this, orni is 'sitbject 'to 'USACE approval and, does,,�ootAmply a
particuiar'mitigation. ratio or fegt&*q ent. Form sub�ect',to cfiangel vers`lon�06%03 To,Comment;,plea "se call 9�f 9 -876 -8441 k 26_

STREAM QUALITY ASSESSMENT WORKSHEET
i nese characteristics are not assessed in coastal streams.
#
CHARACTERISTICS
ECOREGION POINT
RANGE
5C0
Coastal
iedmont
Mountain
Presence of flow / persistent pools in stream
I
(no flow or saturation = 0; strong flow = max points)
0 - 5
0 - 4
0 - 5
3
2
Evidence of past human alteration
(extensive alteration = 0; no alteration = max points)
0 - 6
0 - 5
0-5
0
3
Riparian zone
0- 6
0- 4
0- 5
no buffer = 0; contiguous, wide buffer = max points)
2
4
Evidence of nutrient or chemical discharges
0-5
0 - 4
0-4
(extensive discharges = 0; no discharges = max points)
5
Groundwater discharge
discharge =
0-3
0-4
0-4
U
(no 0; springs, seeps, wetlands, etc. = max points)
6
Presence of adjacent floodplain
(no floodplain = 0; extensive floodplain = max Points)
0-4
0 - 4
0-2
Q
Z}
Q'
Entrenchment / floodplain access
0- 5
0- 4
0- 2
Q
(deeply entrenched = 0• frequent flooding = max points)
8
Presence of adjacent wetlands
(no wetlands = 0; large adjacent wetlands = max ints
0-6
0-4
0-2
0
9
Channel sinuosity
0-5
0-4
0-3
(extensive channelization = 0; natural meander = max points)
10
Sediment input
0-5
0-4
0-4
(extensive deposition= 0; little or no sediment = max points)
2
Size & diversity of channel bed substrate
11
(fine, homogenous = 0; large, diverse sizes = max points)
NA'
0-4
0 - 5
12
Evidence of channel incision or widening
(deeply incised = 0; stable bed & banks = max points)
0-5
0 - 4
0- 5�`
13
Presence of major bank failures
a
(severe erosion = 0; no erosion, stable banks = max points)
0-5
0 - 5
0-5
_
14
Root depth and density on banks
E.,
{no visible roots = 0 dense roots throughout = max points)
0-3
0 - 4
0-5
15
Impact by agriculture, livestock, or timber production
(substantial impact =0; no evidence =max rots)
0 -5
0 -4
0 -5
16
Presence of riffle- pooitripple -pool complexes
F
no riffles/ripples or pools = 0 well-developed = max points)
0-3
0 - 5
0-6
4
17
Habitat complexity
0-6
0 - 6
0-6
(little or no habitat = 0; frequent, varied habitats = max points)
I
18
Canopy coverage over streambed
0-5
0 - 5
0-5
(no shading vegetation = 0; continuous canopy = max points)
19
Substrate embeddedness
NA*
0-4
0-4
3
(deeply embedded = 0. loose structure = max)
20
Presence of stream invertebrates (see page 4)
0-4
0 - 5
0-5
O
no evidence = 0• common numerous types = max points)
21
Presence of amphibians
0-4
0-4
0-4
0
(no evidence = 0, common, numerous types = max points)
0
22
Presence of fish
0-4
0-4
0- 4
(no evidence = 0, common, numerous types = max points)
iJ
23
Evidence of wildlife use
0-6
0 - 5
0- 5
(no evidence = 0, abundant evidence = max points)
Total Points Possible
100
100
l00
TOTAL SCORE (also enter on first page)
i nese characteristics are not assessed in coastal streams.

TIP: U- 5 5 f q
Wetland: W�_
/ WETLAND DETERMINATION DATA FORM — Eastern Moun `,i / (r, ns and Piedmont
ProjecUSite: (` "WiJ e(L'S Sr r, ((i City /County: I�w� 1 F Sampling Date: '5/5 6
f
Applicant/Owner: I t v State: NC. Sampling Point:_
Investigator(s): Section, Township, Range: _
Landform (hiltslope, terrace, etc.): Local relief (concave, convex, none): I'LlyY- -t Slope I%):
Subregion (LRR or M ): Piedmont Lat t Long: 9.591 ?8& Datum: NA D �3
Soll Map Unit Name: o t � G - lo° NWI classification: A r,_k_
Are climatic / hydrologic conditions on the oft typical & this time of year? Yes _(_ No (If no, explain in Remarks.)
Are Vegetation Soll _�, or Hydrology significantly disturbed? Are Tlorrnal Circumstances" present? Yes _,<_ No
Are Vegetation Sol or Hydrology naturally problematic? (If needed, explain any answers In Remarks.)
SUMMARY OF FINDINGS — Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes No Is the Sampled Area
Hydric Soil Present? Yes No �_ Within a Wetland? Yes No
Wetland Hydrology Present? 1 Yes No _
Roma L,T: P,,,4 �o� r� w, �,� s �olpt 4v 46 Nj k o� 4, b c, (A _1
-i4 -F r in l3 j1r (,t!jRy� l �j S[7 A inn O` e*,Vj h /I
HYDROLOGY
Wetland Hydrology Indicators:
Secondary
indicators (minimum of two required)
Primary Indicators (minimum of one
is required: check all that apply)
_ Surface Soil Cracks (136)
_ Surface Water (Al)
_ True Aquatic Plants (B14)
_ Sparsely Vegetated Concave Surface (B8)
_ High Water Table (A2)
_ Hydrogen Sulfide Odor (Cl)
_ Drainage Patterns (1310)
_ Saturation (A3)
— Oxidized RMzospheres on Living Roots (C3)
_ Moss Trim Lines (816)
_ Water Marks (Bt)
_ Presence of Reduced Iron (C4)
_ Dry- Season Water Table (C2)
_ Sediment Deposits (132)
_ Recent Iron Reduction In Tilted Soils (C6)
_ Crayfish Burrows (C8)
_ Drift Deposits (133)
_ Thin Muck Surface (C7)
_ Saturation Visible on Aerial Imagery (C9)
_ Algal Mat or Crust (B4)
_ Other (Explain in Remarks)
_ Stunted or Stressed Plants (D1)
_ Iron Deposits (85)
_ Geomorphic Position (D2)
_ Inundation Visible on Aerial Imagery (137)
_ Shallow Aquitard (133)
_ Water- Stained Leaves (B9)
_ Microtopographic Relief (134)
_ Aquatic Fauna (B13)
_ FAC- Neutral Test (D5)
Field Observations:
Surface Water Present? Yes
No X Depth (inches):
Water Table Present? Yes
No X Depth (inches):
Saturation Present? Yes
No : Depth (inches):
Wetland Hydrology Present? Yes No
includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous Inspections), if avallable:
Remarks:
� r
US Army Corps of Engineers Eastern Mountains and Piedmont - Interim Vol,

VEGETATION (Four Strata) - Use sclentiflc names of plants.
Absolute Dominant Indicator
Tres Stratum (Plot eke: 3r) ) .% Cover Species? Status
z t 3° FAc
3. 1
OBL species
4. Cl ry O
FACW species
� >` fA )U
FAC species
x 3 -
7. AMUJ a in
8.
X5-
U (Plot size: 3 D J
1. t nrtW4
- Total Cover
)
os _Y %-v
EC
L
FAC
4.
U
5.
7.
S,
9.
10.
2V
Herb Stratum (Plot size: )
1. A,rt Atha..i
Nr
Total Cover
2.
�-AIc�
`0 �_FAC-
3. F (.:
4. n^^
-- _ FAL
5.
6.
7.
8.
9.
10.
11.
12.
Woody Vine Stratum Plot site: � )
1. S'," VbL�Z'rl'
=Total Cover
- 2 '_ FAC-
2.
�0
(,�_ _Y C
3. r,
FA
� 0 N FA c.
4.
FA(
5.
6.
=Total Cover
Remarks: (include photo numbers here or on a separate sheet.)
TIP: U- S S I L{
Wetland: W i
Sampling Point: Wf
Dominance Test worksheet:
Number of Dominant Species
That Are OBL, FACW, or FAC: 69 (A)
Total Number of Dominant
Species Across All Strata: (B)
Percent of Dominant Species
That Are OBI, FACK or FAC: �? (AJB)
Total % Cover of:
Multiply bv:
OBL species
x 1 -
FACW species
x 2 =
FAC species
x 3 -
FACU species
x 4 -
UPL species
X5-
Column Totals:
(A) (B)
Prevalence Index = BIA =
_ 1 - Rapid Test for Hydrophytic Vegetation
_ 2 - Dominance Test is X50%
_ 3 - Prevalence Index is 53.0'
_ 4 - Morphological Adaptations' (Provide supporting
data in Remarks or on a separate sheet)
Problematic Hydrophytic Vegetation' (Explain)
'Indfcalole of hydric soil and wetland hydrology must
be present, unless disturbed or problematic
Definitions of Four Vegetation Strate:
Tree - Woody plants, excluding vines, 3 in. (7.6 cm) or
more In diameter at breast height (DBH), regardless of
h*d.
aaplingtShrub - Woody plants, excluding vines, less
than 3 in DBH and greater than 3.28 ft (1 m) tall.
Herb - All herbaceous (non - woody) plants, regardless
of size, and woody plants less than 3.28 ft tall.
Woody vine - All woody vines greater than 3.28 ft in
height.
Hydrophytic
Vegetation
Present? Yes No
14��c Vel�Jt'V1, � irljzl�
US Army Corps of Engineers
Eastern Mountains and Piedmont - Interim Ver�

SOIL
TIP:
W tland: W f
o„ Fo aJ('
Sampling Point:
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of Indicators.)
Depth Matrix Redox Features
(Inches) 7�k� Aq� ° Color (moist) °6 Tvoe , l oc� Texture E"rks
D IJug -ml v.,, Q. . Le
RM =Re
Hydric Soil Indicators:
Indicators for Problematic Hydric Soils':
_ Hlstosol (A1)
_ Dark Surface (S7)
— 2 cm Muck (A10) (MLRA 147)
_ Histic Epipedon (A2)
_ Polyvalue Below Surface (SS) (MLRA 147, 148)
_ Coast Prairie Redox (A16)
_ Black Histic (A3)
_ Thin Dark Surface (S9) (MLRA 147, 148)
(MLRA 147, 148)
_ Hydrogen Sulfide (A4)
_ Loamy Gleyed Matrix (F2)
_ Piedmont Floodplein Soils (F19)
_ Stratified Layers (A5)
_ Depleted Matra (F3)
(MLRA 136, 147)
_ 2 cm Muck (A10) (LRR N)
_ Redox Dark Surface (F6)
_ Red Parent Material (72)
_ Depleted Below Dark Surface (A11)
_ Depleted Dark Surface (F7)
_ Very Shallow Dark Surface (TF12)
_ Thick Dark Surface (Al2)
_ Redox Depressions (F8)
_ Other (Explain in Remarks)
_ Sandy Mucky Mineral (S1) (LRR N,
_ Iron - Manganese Masses (F12) (LRR N,
MLRA 147, 148)
MLRA 136)
_ Sandy Gleyed Matrix (S4)
_ Umbric Surface (F13) (MLRA 136, 122)
'Indicators of hydrophytic vegetation and
_ Sandy Redox (S5)
_ Piedmont Floodplain Soils (F19) (MLRA 148)
wetland hydrology must be present,
_ Stripped Matrix (56)
unless disturbed or problematic.
Type:
Depth (inches):
N-,� fl (V%j �i"" rMS
�p )
Vt! ✓j I,,c�(' Ic ✓, V��V
Hydric Sol] Present? Yes No
US Army Corps of Engineers Eastern Mountains and Piedmont – Interim Verrio�

TIP_*.+,W5544
,Strearn's
NC','DW,Q- StIrdain.1dentificati6h Fbrifi NErMofi4. I I
Date:
- -- � -Capital Blvd Sidewalk
ProjecVSite
-_ 06 2"�
Latitude: :�'S. 0
Evaluator. SGT
i;ounty,-. Wake
Longitude: SS,
0-
11
_,2
Total PbInts:
sft, 6 leat-Iiist I dtpfit
Sti*#�.Qe!e i &616,ohe)
I fitermitte Oreinnial,
Other
e g Quad Name: Ralemh'East
1,
2-
3
A Qedmbfph'dibjy (Subtotal - =,
Anse_ ht,
''Weak,
Mod_ dkaiti
- Strong
'I 8' Co6hj
nuify, Of, channel becf,,,and-bank
0-
11
_,2
3
2 ISi6uosi1yVichanriel along1thalweg,
'01
1,
2-
3
S-An-chinndl stfLidturb *x, nft__lJool,,step-p_ool,
hpoWp6bl sequence
-
0'51,
2 -
3
*RarticleisiZdy& s#eafhlsObftrate
0
1
1
3
'5,A6bv6/relicffi6odOia,h,
_,01
11
'2
'S
'6 10
eposit nal bars�or benches
CO)
0,5
-2
�3
7%.Reoent,alluvial.-deposits
24- Amphibians
1
-2
4
'18 'H6ifd6dig-
V
25 Algae
12
3
G!,GrAdecontrol' f*
1-5
A VVeftlandv*fs`ih,streamNed
10 _Nafura(vafley
0'5
*p 7-al,itream! "fTigV'also be idintifedusi6 6tWmethods_ Seep -.356fin5nual
11, Second i or, greater iorder.channel
M-79 ,
a `arfificial ditches -iir4 66vfated' s6", isjdiAssi __ -1
_Rp�IInmanual'
B IN Of6`169- Y (Subtofal S A
12'Pfes66ce.;of BascifioW
0
'1
Q
3
,13 IF6Kbzidti6§,bad6n6
0-
11
10'
3
14 Leaf 166F
6_0
1,
0,5
6
1_6 Sediment on plants-or debris
'0
0'51,
1
--- 1,5
16, Organic del5nsAihesi'or, piles
0
015
3
22 Fish
17 S&I-based evidence qfhigl ,y�*er table?
65
11
C- 136166V, (Subtotal =
18 Fibrous roots, in, streambed
2
1,
0
,19 Rooted upland plant "sari "streamtied
2
1,
'0
20 Ma6(obe6th6g,(n6te,diversm! And abundance)_
1
13
21 Aquatic Mollusks,
14P
1
2
3
22 Fish
65
11
115" 1
23 Cray iti
0,5
1
15
24- Amphibians
0'5
-11
1`5-
25 Algae
;0,
0'S_
1-5
A VVeftlandv*fs`ih,streamNed
FACW='O'75, Ok— V5 br e_O_�)
*p 7-al,itream! "fTigV'also be idintifedusi6 6tWmethods_ Seep -.356fin5nual
Notes- S4jeAm
aq i.,
Ik g
Sketch
I-so'
A
Chan nel'SUbstrat- e: day / silt / sand /,graveQ Lo b _ bI 0 bedroc k (cir I -11 apply) r,4�,
WaterVelocityi, fast / o er /«slow
Water Clarity:
(cg l/-slightly turbid j turbi'd
Water Depth: inches,

USACE AIN DWq S6 Q 'Lt (ihdi6&e,&fi4 ftacfieOA4O?
9TREAMQUAL ITY ASSESSMENT,_ WbRICSif EWT
Provide,the,follow ng., f, ation forfhe-4ream, reach, under -assessment:,
f.,-Applicatit!s�name:, 1.1 Eydluator,s,name:
'.,Date 6feVituation: - i5f5 ho 4.jitfieof3eyiluation.
5_.,NaniesoA stream: JiT J. P�g, cu ,lc_ 6. Ptjverlb,asih.� "tusi-
Q
7.;AOOfiSximate drai __ I age q cgel. S,
9,Le0gtji0 Teach ,Waliatid: ANO !,
10. County' UL
11: Site coordinates (if known)., phiferah,diciinal &sfrees 12. SUbdiAMbb
bititude , (ex,34,872312y 'Lonjitu& (ix .77,7
Nfelfiod,locatioW,detennineat(cirele)- 6P§l topAhcet , f1hoi(Aeria 'PKotdIG Other dlS b&r
lj,.,Locatibniot,reach,unae'revaluitl'onl(note,nearbyroa&-,and"land m -arkstand,,atf;i6fi,,mapi'deniifyin gtrearn(s)Ilociio
J'A'. Pro06-s6d-t6hihii6l Woik,(ifaiiy):
'fs.� SCAKrAci-, &M
15: Ke'cifit-,weiither,`c6d-ditidF
IL& SijW jtjoiii,kt;tiiiii,of *,isit- no;rMO, (±j 4,F A`to tj
10,
174aer tiiyjfi � �P�tiil W a�. cli§gifidatidns,kr rh: Seen 10 Waters; _E§serti h i4rjie t B
abitit
TrbdtMkt6t9 -i� _YNAti Water S'qppV-KatgqhSd
_QMt�!*4:ifig�,_g�9oufdMite �ifit SEnsitivd *atefs�
k 6- lba oil, &W b &b 16-- - estimate-&eVviit-er sjui�face-atedl.l IQ, 600
I ir-iAhere,ipbp4lof lik4A6Catdj ijpttfeaM`b6 eJ vi ho ��O
Yss,
O.boes cIfgirfiiei gpearon 1AGS4u;idrm 6 Cq�F*'t NO 20; Does channel ap- USDA OSO�jqfi 6 SdilSuMdy?
'il.,Esilmated',watersfied:landluse:- OWRes-ijeniiif 5LOP _tommer6i'al 6/.fnaustrial 'O/wAgriculturif
lao/oToresied '6/cXleared /,Logged PA,Otfier C
22',Barikfu0 width g 273 Bank ,fiei ot,(from,bedtoitop-.
of bank):—.
24. Channel ,slope down•cenier of 'siream.. Flat�(q,to,•2% ) i3entle)(2�lto,^) Moderite,(kto I - 6016) �Sieep)OOP/01)
25.,Channel sifiuosity. - X. ,Strai Occasionallbends� _Frequent meander Very:sihuous, Briiided channel
Iristiuctions4or compliti6n oFwoikshi4t (Iocated,�on page 2): B-e in-'by, determinihg• the most appropriate-,&ofti6fi -basid An,
9
l6Catjon,'te'jr`ra-i fi, stfiarfi 61iisiridiii&h, etc, EV&y ffii��ieterig& "-gs-t: bi�kdriid,6sifiithe�sameLtecoT�egi-o-iI _Msijn.06i6&
yeg
to -each, Aifm6i- & risii6 'within thi 't iiige sh6Wn ftr the e6i4d. P- ir
ge, 3 `provides, ja, lifi- ff d6cnoti6�fi
,ff "Now ,to ,review
the,
thardete gtias ide iti e In- the fes, s assessment of 'ffe,st­Vg m pac t ufiderjFal(i ti & If a
charactenstic ;cannot ^be evaluated T pe toEsite oVw6Athe- qL qnsj 'gt6i"O"in thO666rd g lioz and provide` an explanation in "the
-t ererde -4he sti-eidd flows ftorrila'
comment section Where h e`obViou§,chaAkes in' chaFmcter of a'streamo�po(re:yie* (e1g.,
used io,eval uate7, each
into,a forest),the stream may be divided into, smal leir'rea61�e's that display more c9ritinaity landra -Imparhte, us
reach ffie46tal'sco-re assignedytoa stream rea6fi.muit range' between16 and 166,­wlih,a score-,,od 106,represeiiiing a-,stream A,ihe,
highesitqualiiy.
//1 1.
Evahiatoits Signature /,"W Date
This chann-eLevaiusilon form4s intended t6wbe used,oniy. as"a�guiai to assiWiandowners-and environmenta-l'profess;lonil�s in
gathering the data required by the United States -Army Cor ps 'of
, -Engineers to make �a preliminary assessment7of stream,
quality. 'The,foiai'score,resufting frowilie, completion of this- form is subject to UgAtit approval and ;does not'imply a,
pariiiular mitigation ratio or requiremenE. Form,subject to change — version, 0663 'To tommeni,,please-call 910 -4 161444 1 x,26.

STREAM QUALITY ASSESSMENT WORKSHEET
' These characteristics are not assessed in coastal streams.
ECOREGION POINT
RANGE
#
CHARACTERISTICS
SCORE
Coastal
on
Mountain
I
Presence of flow / persistent pools in stream
5
(no flow or saturation = 0• strong flow = max points)
0
0 4
0 5
�-
2
Evidence of past human alteration
0-6
0-5
0-5
Q
(extensive alteration = 0; no alteration = max points)
3
Riparian zone
0-6
0 - 4
0-5
Z
no buffer = 0; contiguous, wide buffer = max points)
4
Evidence of nutrient or chemical discharges
0-5
0 - 4
0- 4
(extensive dischar es = 0; no discharges = max points)
5
Groundwater discharge
0-3
0-4
0-4
Z
(no discharge = 0• springs, sees wetlands. etc. = max points)
6
Presence of adjacent floodplain
0-4
0-4
0-2
(no floodplain = 0; extensive floodplain = max points)
Entrenchment / floodplain access
0-5
0 - A
0-2
(deeply entrenched = 0; frequent flooding = max points)
8
Presence of adjacent wetlands
0- 6
0- 4
0- 2
D
(no wetlands = 0; large adjacent wetlands = max points)
9
Channel sinuosity
0-5
0-4
0-3
0
extensive channelization = 0; natural meander = max points)
t0
Sediment input
0-5
0-4
0-4
3
extensive deposition= 0; little or no sediment = max oints)
I 1
Size & diversity of channel bed substrate
NA'
0-4
0 - 5
2
(fine, homogenous = 0; large, diverse sizes = max points)
12
Evidence of channel incision or widening
0-5
0 - 4
0-5
�.
(deeply incised = 0• stable bed & banks = max points)
13
Presence of major bank failures
0 -5
0 -5
0 -5
�
r.
(severe erosion = 0; no erosion, stable banks = max points)
e
14
Root depth and density on banks
0-3
0 - 4
0-5
2
F
(no visible roots = 0; dense roots throw out = max ints)
r/
15
Impact by agriculture, livestock, or timber production
0 -5
0 -4
0 -5
(substantial impact =0; no evidence = max points)
16
Presence of riffle- pool/ripple -pool complexes
0-3
0-5
0-6
Q
no ffies/ripples or pools = 0; well-developed = max points)
Q
1
Habitat complexity
0-6
0 - 6
0-6
D
little or no habitat = 0• frequent, varied habitats = max points)
18
Canopy coverage over streambed
0-5
0-5
0-5
(no shading vegetation = 0; continuous canopy = max points)
19
Substrate embeddedness
NA*
0-4
0-4
3
(deeply embedded = 0; loose structure = max)
20
Presence of stream invertebrates (see page 4)
0-4
0 - 5
0-5
Q
no evidence = 0; common numerous types = max points)
21
Presence of amphibians
0-4
0 - 4
0-4
(�
(no evidence = 0- common, numerous types = max points)
22
Presence of fish
0-4
0 - 4
0-4
no evidence = 0• common numerous types = max points)
23
Evidence of wildlife use
0-6
0 - 5
0 - 5
(no evidence = 0; abundant evidence = max poin ts
Total Points Possible
100
100
100
TOTAL SCORE (also enter on first page)
2
' These characteristics are not assessed in coastal streams.

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Capital Blvd Sidewalk
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Miles

lwi6Project Located in
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Interest ,•' `
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Project Locations
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- 9000 Re9ercy Parkway
Suit 000
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P— 919407.5199
Far' 919 163 5190
0 250 500 1,000
Feet
Property Map
Capital Blvd Sidewalk

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Capital Blvd Sidewalk Project — Site Photos 5 May 2014
Area of Interest: West side of Capital Blvd, facing east along rip -rap drainage to culvert.
Area of Interest: West side of Capital Blvd, facing west along rip -rap drainage to culvert under parking
lot of adjacent auto dealership.

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VICINITY SKETCH
BEGIN PROJECT U -5514
-LW- POT St. 10+0000
BEGIN CONSTRUCTION
s
0
Z
To 1-440
-sW
4
401
THE CITY OF RALEIGH
PUBLIC WORKS DEPARTMENT
CAPITAL BOULEVARD
PEDESTRIAN IMPROVEMENTS
RUFM
CITY r
CAPITAL BOULEVARD
0
N
Michael Baker,Englneering; Inc
GRAPHIC SCALES o 8000 Regency Parkway, Sude 600,
Cary, NC 27518
40' 20' 0 40' 80' ® Professional Corporation License Number
F -1084
PLANS
TODD H. BUCKNER. PE
40' 20' 0 40' 80' PROJECT ENGRWER
PROFILE (HORIZONTAL) SCOTT W. BROOKHART, PE
HMRAVZ= RNGIIVEBR
10' 5' 0 40' 80'
CHRIS JOHNSON, PE
PROFILE (VERTICAL) CITY OF RALEIGH PROJECT EIYGD0ER
NCDOT TIP: U -5514
5
NW
K
0
LE- POT Sim 10 +00 00
BEGIN CONSTRUCTION
7
—m
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CY McFAR ANF
MAYOR
LE- POT Ste 32 +84 91
EAD CONSTRUCTION
C4PlTgL BpV�� p °
NAD 83
•
CITY OF RALEIGH
All Construction must be In a=rdance with all Local,
State, and Federal Rules and Regulations
Transppoortation
Field Crvfcas -
Public Utilities _
Stoflmwater-
Planning
Fire
Urban Forestry
-LW- POT Stm 64 +30.23
END CONSTRUCTION
o \
PRELIMINARY PLANS
00 NOT USE MR CONSTRUC110N
INCOMPLETE PLANS
Do NOT USE FOR R/M ACQUISITION'
Tp
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A - IZ 44 073' (RT) A - 60° 02' 37! (RT) A = 3658' 337° (LT ) A - 2r /9.492' (LT)
/
�. AgOUYPRON
PRELIMIN
m r1vT Ui
D - 57/7 44e D - 57Z 57' 287' D - 57Z 57' 2817
D - 190° 59'09.4-
Transppooriatlon
Field Services
PI Sto 14+0724
I
L - 6.45'
L - 1117
PI Sto 21 +86.75
PROJECT REFERENCE NO.
N
T 11.16' T - 578'
/
T - 5.65'
A - 45°14239(RT)
A - 43'09 31.4(LT)
D = 2948'185'(RT)
R - IO DO' R - 1000'
R - 10,00'
R = 30DD
D = 286 28 44Z
LEITH LINCOLN
D = 38r 58' 187
D = 38r 58' !8B'
U-5514
DESIGN
01.
Z. EXISTING
O
Stomtwatar
L = 1237'
L = 13.Or
L = 1184
PRC Sto. 27 +3751
-LW _
L
I
Planning
N/F
PC Sto. 27 +01.67
PT
ENGINEER
6 40 CONSERVATION BUF
-
R = 15.0'
R = 10,00'
TAPER TO TIE
N rE
BM 1992 PG 885
eY 993 x 1501
P1 Sta 27 +1978
A = 20' Jr 58Z (RT)
PI Sto 27 +4416
A = l8° 52.227
PI Sto 29+09.68
(LT ) A - 2Z /5' 33.4 (RT)
PI Sto 29 +34.63 PI Sto 29 +5988
A = 34'08'52-r(LT) A - IZ 20' 297° (RT)
PI Sto 31 +4256
A - 2Z 47' 19Z (LT)
P/ Sto 31 +8592 P/ Sto 32 +66_37
A - 264Z 42°3' (RT1 A = 26" 17' 09B' (RT)
P1 Sto 32 +76J5
P1 SIC 33 +4457
P/ Sla 33 +5858
D = 57.17' 448'
D = 143'1343.4- '
D = 114 35'299
D = 114'35'29E
D - 5717' 44B°
D - 52'17'44B'
D - 57 J7 44B'
D - 28628' 441'
A - 29-32'06r(LT)
D - 286.28.44."
A - 4T 13' 393 (LT)
D = 286 28' 4417
A - 34'49' 18.4 (RT 1
D - 28628' 440•
/
L = 35B4
L = 13J8'
L (9.42'
T = 9B4
L - 29BO'
T - 1536'
L = 2154
T = 108r
L = 3977'
T - 20.15'
L = 46.62'
T - 2374
L - 9J6'
L = 103r
L = 16.49'
L = 12J6
T = 187E
R = 10000'
T 6.65'
R = 40D0'
R - 50.00'
R = 5000'
R - 10000'
R 10000'
R = !0000'
T - 4.67'
R =2000
T 527
R _
- 2000'
T = 874
R = 20DO'
T - 627
R 20,00'
-1/
BIN 992 PG 885
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NAD
C7
Pl 510 33 +9105
PI Sto 36 +17.47
PI Sto 36 +2552 PI Sto
36 +4033
83
SHEET NO.
6
HYDRAULICS
ENGINEER
INCOMPLE
A - IZ 44 073' (RT) A - 60° 02' 37! (RT) A = 3658' 337° (LT ) A - 2r /9.492' (LT)
m LN•r Mxs ININ
�. AgOUYPRON
PRELIMIN
m r1vT Ui
D - 57/7 44e D - 57Z 57' 287' D - 57Z 57' 2817
D - 190° 59'09.4-
Transppooriatlon
Field Services
PI Sto 14+0724
L = 2223' L = 10.48'
L - 6.45'
L - 1117
PI Sto 21 +86.75
Pl Sto 22 +30.43
T 11.16' T - 578'
T - 334
T - 5.65'
A - 45°14239(RT)
A - 43'09 31.4(LT)
D = 2948'185'(RT)
R - IO DO' R - 1000'
R - 10,00'
R = 30DD
D = 286 28 44Z
LEITH LINCOLN
D = 38r 58' 187
D = 38r 58' !8B'
D = 57Z 57'28.r
D = 5717' 44e
O
Stomtwatar
L = 1237'
L = 13.Or
L = 1184
PRC Sto. 27 +3751
L 36Y
L
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Planning
N/F
PC Sto. 27 +01.67
PT
27 +50.68
7/r OM Ev
R - 2000'
WC AUTOMOTIVE LLC
� 1974 � 44341
BN 982 PC 000
R = 15.0'
R = 10,00'
TAPER TO TIE
N rE
SHEET NO.
6
HYDRAULICS
ENGINEER
INCOMPLE
E PLANS
m LN•r Mxs ININ
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PRELIMIN
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NxeeJrlxucrwN
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PLAT EXISTING
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25' CAMS ACCESS EASEMENT ' CROSS ACCESS
2013 PG P7 EASEIEN7
1 BN i017 PG PA
EXISTING
PC Slo. 33 +3582 IP STOIC
ro Exlsr. LEITH LINCOLN RATER ACCESS
APPROXIMATE EA ACCESS
EASEMENT
f'T Ste. 32 +81/9 SCALED R PT 5la. 33 +64,47 BN 2009 PG 89
w
xLLED FROM
PI S /o. 30 +5579 �TEPi4OOEEfTV 9
SUMMIT PREOWNED I PC Ste 32+6170 CAP N 8990 PG Y N/F CAP 1
I PC SIDI. 28 +9984
UT to Perry v. ME0 wrOM PG 2 LLC J
RETAIN 1 DR 8488 PG 263
nrNMr-1r11r+r BY 201 PG 9
RETAIN DI 8. -� RET Iv CHs ✓IPE
TOE PROTECTION W. /PSRM Z
O PRC Sta. *1927 LW- STA.32 -D0 TO STA.32 -50 LT 1 20'EXRTMO STORM WATER CONTROL SI 36 +3468 M
N O I Q1 SEE DETAIN 2, 25 SY � _. N F .32" 096° w ACCESS EASEMENT OVERLAPS 20'
7 PC Sto. 31 +224/ ACCESS CROSS ACCESS EASEMENT P Sto. 6 +2863 N
I N/T IIw I I I I PC Sta. 33 +7990 =
RDY RIEP LLC g LA AA ED `REET N HW RETAIN C3 m
3 DB Lin PG ° 3 tII I I I ` PRC S1o. 31+62.18 RWA' JB P7 Sta. 34 +0273
s+ 917 PG eo7 7 P Sta. 6 +22J7 I
PRC Sta. 29+49.07 �p
fWYE APPROXIMATE LOC T '� POPLAR
/ I I I I ,' , + SCALED FROM T 6' APPROXIMATE LOCAT04 PC Sit . 36 +I1 9 m V
RETAIN D16 E%DO RIG NCDOT
RETAIN DI I . SII'�1� CON C. FLUME 1 DO 8990 Pc ` R SCALED FROM PLAT ANDSC D ; I
EXISTING NCpOT POE ■ ARE cr
W d 8' WINE WALL RETAIN CB Z \ I I I I N 0' 52' 515' w E111 GRQI1[I LNi1T121
M' MAPLE A g B DO TIM PG 213" NOTBOX
p�F L 1
- J1 - ,•LAAE iO� I R oA AO 3 LANDSCAPED ARE I RETAIN JB ((,�` 1 O - J O O
RIP RAP R/ - -� :p• Y R - w `' �T - -T RANT O %IST RA `- `- _ • I •_ _ _ _ L' f� _ -� -- �- _ W_ T L.
Z- - - \:- F�� O C - C- - - 4 - LUIC A( - w -
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V c�C N 4 ,T 19.4 W ® -' - - - ®�R< --ate _ _�� - _ / +
N� RCP -- �`- ADJUST 18 `� - - C - ' co - - - - - - P RETAIN DI ~ IIETMN G O
5'09OOTW 10• eTAIN Ca 407'487 i t 33 +5231 N /7'05+' E PT 510.36+4585 O
- -G- -10' - - - PT SJO.32+08B0 O
PT Sto. 23+7061 - - - - - - CBGND N 523' 48B W
- - - - - PRC Sta.32 +70B8 - - - - - - END C &G
CIRC A GRASS ISLAND \ -= �- -LW- +71 CB
J GIN C&G � ANC ED
COO: 8 GRASS MAfa
-LW- + 02
FES 060 PI Sto. 21+16Z3
�- _ PRC Sto.
79' RCP - - - - - -i
�. -
ADJUST EMOVE CONUETE
- VALVE BOX RETAIN 18 4
�. N 4�.�Cl.H N /S47'173`E 1-
N 6/259.4w � _ _ _ - -- ii -- SETUN Di _- m
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N 6/9' 168'W TART I T L LANDSCAPED LAIDx APED n O-4
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LU 26 ON 1999 PG T >. PT Sta. +5061
LEITH JEEP O MT 10 P[1R1 CIL
NLC WI=Tr*l LLC PT Sta J4 +2650 PT Sto. 15 +7792 REMOVE PIPE MNTERMW11EN1
0 0481 PO 479
u7 w o" Po •yI N 6 50' 235° w O r O PT to. 2/+ 55 Sto. 22 +0935
w \, PRC SJa.14 +13 P5 S 24 23 p 22
HW \ RLC AJTOIDTIVE LLC t; p "� PS NC BLi FTO PTNRP p weES. Dose N JL NO
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A M IlB1 P'G 4>3 em 9H PG 1009 IN! 984 PG 1001 I4/P 11111119 LL ,� ` BY 911 PO 457 l= Baits 917 Pr TT86 N BROUGHTON
Z �`g LEITH JEEP I BALE7 wxrERTEs
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_ \ �bf4�+�e �� I PC Sto.15 +5418 P! Slo. t7 +1578 Lu cOM ON DRIVEWAY
- BM" PG FOR -LE- PROFILE SEE SHEET 13
\ ✓ IIl EASEMENT
"\ FLOW MINI PUBLIC STORAGE BCENTERED ARY L� CENTRE
I I CITY OF RALEIGH
WAYSIDE FURNITURE oe "A PG 519 All Construction must be in accordance with all Local,
1984 �' 1009 State, and Federal Rules and Regulations.
-LE-
Transppooriatlon
Field Services
PI Sto 14+0724
PI Sto 14 +2023
PI SIC 15 +6103
P1 Sle 15 +7255
PI Sto 21 +86.75
Pl Sto 22 +30.43
A - 3709'06_5'(LT)
A - 37'15'233°(RT)
A - 45°14239(RT)
A - 43'09 31.4(LT)
D = 2948'185'(RT)
D - 23'48 375"(LT)
Public Utilities
D = 286 28 44Z
D - 28628'44.r
D = 38r 58' 187
D = 38r 58' !8B'
D = 57Z 57'28.r
D = 5717' 44e
Stomtwatar
L = 1237'
L = 13.Or
L = 1184
L = II°30'
L 36Y
L - 4156'
Planning
Fire
T - 672' T - 674 T 625' T 533' T = 1B4 T = 21.08'
R = 20DO'
R - 2000'
R = 15.00'
R = 15.0'
R = 10,00'
R = 100,X)'
N rE
Urban Forestry