20141205 Ver 1_Application_20141120

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STATE OF NORTH CAROLINA
DEPAR'1`MENT OF TRANSPORTATION
PATRICK L. MCCRORY
GOVERIVOR
November 20, 2014
USACE
Raleigh Regulatory Field Office
3331 Heritage Trade Drive
Suite 105
Wake Forest, NC 27587
Attention: Eric Alsmeyer
NCDOT Coordinator
ANTHONY 7. TATA
SECRG7ARY
Subject: Project Number (aka WBS number): 17BP.S.R.46
Structure No. 310118 over Clover Hill Pond (UT To Mountain Creek) on US 501 in
Durham County
Dear Sir:
The North Carolina Department of Trausportation (NCDOT) proposes to replace this culvert. This
project is similar in nature to projecTs processed under the Low Impact Bridge Replacement Program
(LIBRP). Accordingly, the LIBRP format has been utilized in the permitting of this project. A site visiT
was conducted by USACE on July 17, 2012. The following are attached to this cover letter:
Low/Minima] Impact Bridge Data Sheet
Historic Architecture and Landscapes Assessment of Effects Form
Attachment L: NCDENR-DWQ Nationwide 3/WQC #3883 Da[a Slieet
Stormwater Mana�ement Plan
Jurisdictional Resources Summary 5heets
Permit Drawings
If you have any questions or need additional information, please contact Mr. Chris Murray at (919) 220-
4633.
Sincerely,
l�vl. `��
�'�� Joey Hopkins, P.E.
'-'�- Division Engineer
c: Division 5 file, NCDOT
Rob Ridings, NCDENR-DWQ
Division Five-2612 North Duke Stree[, Durham, North Carolina 27704
Telephone: [phone] Fax: [phone]

Low/Minimal Impact Bridge Project Data Sheet
WBS 17BP.5.R.46
Coun Durham
Bridge Number Bridge 310118
Description Bridge No. 118 over Clover Tree Pond (UT to Mountan
Creek) on US 501
Basin Neuse River Basin
Classification WS-II; HQW; NSW
Stream SIN 2Y2-21-4- 1
Type Im ounded erennial stream
Size N/A
Type RCDG Wdened Both Sides w/ Sin le 9'x9' RCBC
Bridge: 16.5' L x 17.6' W
Existing Structure Size Culvert: 111' L x 9' W x 9' H
Suff. Ratin 28.5
Proposed StrucWre TyPe RCBC
Size 720.5'Lx9'Wx10'H
Pond USACE Im acts ac 0.07 ac ermanent
Stream USACE Impacts (LF) 0 R
Non 4041m acts LF 0 ft
USACE Impac[s (AC) 0.0 ac
Wetlands Non 4041mpacts (AC) 0.0 acre
CAMA Im acts AC Not A licable
NC DWQ Buffers Im acts SF 0 sf BZ1; 0 sf BZZ
BufferA lication Re uired >40 ft Y/N No
NC DWQ StormWater Permit Re uired Y/N No
baltl eagle: No
HabiWt (y/n) moom �o�mo..,: Ho
jMirhauz'ssu eNo
baltl eagle: No
T&E Species Present •m���=��=n�we=�a
Mltliaux's sumac: No
baltl eagle: No EHecl
B io COnClUSion moom �o�enawe,�. rvo enee
fMMaux's sumac: No EHect
Moratorium Type NotA licable
Dates NotA licable
Native/Hatche NotA licable
Trout Waters Trout S ecies Present Not A licable
TroutConditions Y/N NotA licable
WRC Reviewer Not A licable
CAMA AECs Not A licable
Essential Fish Habitat /n No
Nav.O enin NotA licable
USCG Permit NotA lica6le
Historic Pro erties Yes
Archaeolo ical Resources No
Tribal Lands No
4 f Resources No
6 LWCF Resources No
Wild and Scenic River No
Forest Service Lands No
TVA Area No
FEMA Bu out No
FEMA Flood Study No
USTs Haz Mats No
Relocatees No
Location LAT 36.166835 deg.
LONG 78.904275 de .
Projed Comments
Completed by: v � ��
Lead Engineer
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11/17/2014

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Project No:
WBS No.:
Fe�l Aid No:
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12-06-0098
HISTORIC ARCHICTECTURE AND LANDSCAPES
ASSESSMF.NT OF EFF�CTS FORM
This form only pertains to Historic Architecture and Landscapes for this project. It
is not valid for Archaeological Resources. You must consult separately with the
Archaeology Group.
Str.# 310118
17BP.5.R.46
�C Yes � No
Replace Bridge No. 118 over pond on US 50.
County: Durt
Document YCE
Funding:
Permit
State I I Federal
NWP 3 or 14
OF HISTORIC ARCHICTECTURE AND LANDSCAPES REVIEW
On July 13, 2012 a seazch ofNC HPOWEB GIS Service map indicated an identified historic
site—the Isaac Terry Farm (DH1871) within the APE of project. Tl�e farm was found to be
eligible for National Register listing in a survey report completed in July 2013. A letter dated
August 29, 2013 from the Historic Preservation Office concuired with that finding. The National
Rcgister bomidary for the farm surrounds Bridge No. 118, the bridge itself if not eligible and
does not contxibute to the eli¢ibilitv of the farm.
Property Name: Isaac Te
Survey Site No.: DH1871
Effects
❑ No Effect
Farm
PIN:
[�f No Adverse Effect
S�atus: I DE
❑ Adverse Effect
Exnlnnatiort oFE1'feets Determination:
�i /y�.R�.n.-t'v�c.a...� i� �=�r.a�, j iti0 'v�ICN'�- NY'�� ��VJ
HuimSC Ardrimnw�r nuALnudre�Pes 1]'FEC'/S ASSIiSS,I/L'A'1'lorni Jnr Alniar ]rin�.rporiadnn l9xjear�u �u�vfilied in dmr?00] Nro��'an�mm�o dgreemenr.
Page 1 of 2

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SUPPORT DOCUMENTATION
�Map(s) ❑Previous Survey Info. ❑Photos ❑Correspondence �Design Plans
FINDING BY NCDOT AND STATE HISTORIC PRESERVATION OFFICE
Historic Architecture and Landscapes — ASSESSMENT OF EFFECTS
NCDOT Architectwal Historian ' Date
, � I �� 1,
State Historic Preservation Office
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H�aforlc A��chlrecnn�e nnd 1.midecnpesGl�l�127S AS'.VfSS`.Nl:A'Zynnnlnr,YlLrm-]'rnnrponnum� Pro�ecr�� m' Oun/ Jied in Bie 200� l§�ugrmnmonc.igmemm�i.
Page 2 of 2

e�n
NCDENR
North Cayc'ia C�partment of Environr�:ent and �:aturzl RESOUrc�s
C��IS..�"�.::arQa -,
Pe�.`�,i L:' ;Crory Cc�c..r. i`. �.�i.�irs Jo`n E. £-r. =fs. I
G�.e:r � � D�rer,tor �
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Attachment L: Low Impact Bridge Replacement Process
Project Number (aka WBS number): 17BP.5.R.46
Bridge No. 310118 over Clover Hill Pond (UT to Mountain Creek) on US 501 in
Durham County
This project can be characterized as meeting the parameters associated with the Low
Impact Bridge Process as agreed to on October 6, 2009. Accordingly, this project
meets the documentation requirements and approval procedures under NEPA, as
defined by FHWA, for Low Impact Bridge Replacements. This project meets the
standards of NCDOT Minimum Criteria Rules.
Date: November 20. 2014
Applicant Name: Joey Hopkins, P.E.
Applicant Address: 2612 N. Duke Street
Durham, NC 27704
Primary Contact for Project: Chris Murray, PWS
Phone Number: [phone]
Is this an after-the-fact application: Yes X No
River Basin: Neuse River
Stream Classification: WS-III; HQW: NSW with DWQ Index Number of 27-2-21-4-(1)
Regulatory Authorization Options for this Activity
Federal: USACE Nationwide General Permit 3
State: General Water Quality Certification #3883
Local: None
Project Description: See attached spread sheet for project-specific information.
Permanent Impacts: See attached permit drawings and summary sheets. Note pond
impacts.
Stormwater Information: See attached stormwater management plan.
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Signature: ��U" ��
Print Name: ChristopherA. Murray, PWS
Title: Division 5 Environmental Supervisor
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DO NOT USE FOR CONSTRUCTION
PRELIMINARY PLANS
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PROFILE (HORIZONTAL)
PROJECT LENGTH
RIGHT OF WAY DATE:
LETTING DATE:
DESIGN DATA
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SIGNATURE:
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PLANS
PROFILE (VERTICAL)
HYDRAULICS ENGINEER
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8
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9
9
DIVISION OF HIGHWAYS
STATE OF NORTH CAROLINA
0
00
$
$
$
$
$
$
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$
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C
2
0
3
2
7
3
=
=
DHV
D
T
=
=
=
=
CLASS =
MUNICIPAL BOUNDARIES
THIS PROJECT IS NOT WITHIN ANY
4
PROJECT ENGINEER
PROJECT DESIGN ENGINEER
JONATHAN HEFNER, PE
NCDOT CONTACT
V
*
*
2012 STANDARD SPECIFICATIONS
N/A
N/A
N/A
A
R
T
MEN
N
A
S
O
H
D
E
P
T
O
F TRA SPORT
T
IO
N
T
A TEOFN RT
CAR
O
LI
N
A
303015
30 15 30
6 3 6 12
= 0.137 mi.
= 0.137 mi.
LOCATION:
TYPE OF WORK:
55 MPH
ADT
ADT FY
ROADWAY DESIGN ENGINEER

STATE STATE PROJECT REFERENCE NO.
STATE PROJ. NO.F. A. PROJ. NO.DESCRIPTION
NO.
TOTAL
SHEETS
N.C.
SHEET
1

P
R
O
J
E
C
T
:
17BP.5.R.46
17BP.5.R.46
17BP.5.R.46 N.A.
N.A.
N.A.
R/W & UTILITIES
PE
CONSTRUCTION
INCOMPLETE PLANS
DO NOT USE FOR R/W ACQUISITION
DURHAM COUNTY
APRIL 15, 2013
APRIL 15, 2013
8%
(TTST 4% + DUAL 4%)
60
60
NCDOT TPMU
K. ZAK HAMIDI, PE
-L- STA. 18+20.00
BEGIN PROJECT DB5 - 310118
-L- STA. 25+43.00
END PROJECT DB5 - 310118
TO THE LIMITS ESTABLISHED BY METHOD III
CLEARING ON THIS PROJECT SHALL BE PERFORMED
DB5 - 310118
EXPRESS DESIGN BUILD: DIVISION 5A - YEAR 2
Prepared for Fred Smith Company in the Office of:
EDWARD G. WETHERILL, PE
17
B
P
.
5
.
R
.
4
6
ENGINEERING
ETHERILLW
See Sheet 1-B For Conventional Symbols
CLOVER HILL POND
CLOVER HILL POND
-L-
US 501 SB
US 501 NB
TO ROXBORO
TO
DURHAM
GRADING, PAVING, DRAINAGE, AND CULVERT
REGIONAL TIER
14000
ARTERIAL
MINOR
URBAN
NSRS 2007
NAD 83/
LENGTH ROADWAY PROJECT DB5-310118
TOTAL LENGTH PROJECT DB5-310118
Fax: [phone]
Bus: 919 851 8077
Liscense No. F-0377
Raleigh, N.C. 27606
SUITE 164
559 JONES FRANKLIN ROAD
PROPOSED 9’x10’ RCBC
ON US 501
STRUCTURE NO. 118 OVER CLOVER HILL POND
PERMIT DRAWINGS
WETLAND AND SURFACE WATER IMPACTS PERMIT
SHEET 1 OF 6
PERMIT DRAWING
LOCATION
PROJECT
M
o
u
ntain
C
r
e
e
k
North
Carolina
State
University
Forest
Bahama
501
501
VICINITY MAP
Southern Railway
1616
1464
18" RCP
DIVISION OF HIGHWAYS
SHEET 2 OF 6
DURHAM COUNTY
PROJECT: 17BP.5.R.46 (DB5- 310118)
ON US 501
OVER CLOVER HILL POND
BRIDGE 188
07/15/14
NCDOT
(LT TO RT LOOKING DOWNSTREAM)
INLET TYPICAL
NOT TO SCALE
2:12:
1
+/- 9’
WIDTH
CHANNEL
1.
5’
CHANNEL
OUTLET
CULVERT
EXISTING
1.5
’
NOT TO SCALE
(LT TO RT LOOKING DOWNSTREAM)
OUTLET TYPICAL
1.5’ (TYP.)
KEY IN
EXCAVATE
1.5
’
2:1
1.5’
W/ GEOTEXTILE (TYP.)
CLASS I RIP RAP
+/- 9’
WIDTH
CHANNEL
1.5’ (TYP.)
KEY IN
EXCAVATE
CHANNEL
OUTLET
CULVERT
EXISTING
2:1
DDE = 45 CY
EST GEOTEXTILE = 37 SY
EST TON CLASS I RIP RAP = 26 TONS
DDE = 16 CY
EST GEOTEXTILE = 23 SY
EST TON CLASS I RIP RAP = 15 TONS
W/ GEOTEXTILE (TYP.)
CLASS I RIP RAP
DETAIL A
DETAIL B
-L- STA. 22+20 RT. +/-
-L- STA. 21+80 LT. +/-
CHANNEL IMPROVEMENTS
50 100LC(-)50(-)100
L
0
OF PROPOSED CULVERT
LINE ALONG CENTERLINE
EXISTING GROUND
OF PROPOSED CULVERT
SECTION ALONG CENTERLINE
PROPOSED ROADWAY
E
LE
V
.

=

4
3
8
.
0
1
S
T
A
.

2
1
+
9
1
.
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1
-
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LE
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T
A
.

2
2
+
1
0
.
5
9
-
L-

N
B

G
P
L
0.94%
424.10
C ELEV. =
PROPOSED
CENTERLINE OF PROPOSED CULVERT
EXISTING CULVERT OVERLAYED ON
CULVERT
EXISTING
REMOVE
PROPOSED CULVERT
CENTERLINE OF
POND BED ALONG
EXISTING STREAM /
PROPOSED CULVERT
CENTERLINE OF
POND BED ALONG
EXISTING STREAM /
EXISTING CULVERT
CENTERLINE OF
POND BED ALONG
EXISTING STREAM /
EXISTING CULVERT
CENTERLINE OF
POND BED ALONG
EXISTING STREAM /
2.1:1 ALONG SKEW
2:1 NORMAL
2.1:1 ALONG SKEW
2:1 NORMAL
BED (SLOPE = 0.00%)
PROPOSED STREAM BED (SLOPE = 0.00%)
PROPOSED STREAM
IN SIDEWALL
PROP 15"IN SIDEWALL
PROP 18"
1 @ 9’ X 10’ RCBC
C ELEV. = 435.82
SKEW = 72
STA. 22+01.00 -L-
450
440
430
430.5
NWS ELEV. =
450
440
430
420
PROFILE ALONG CULVERT
DIVISION OF HIGHWAYS
SHEET 5 OF 6
DURHAM COUNTY
PROJECT: 17BP.5.R.46 (DB5- 310118)
ON US 501
OVER CLOVER HILL POND
BRIDGE 188
07/15/14
NCDOT
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SURFACE WATER IMPACTS DURHAM COUNTY BRIDGE 118 ON US 501 OVER CLOVER HILL POND

NC DEPARTMENT OF TRANSPORTATION DIVISION OF HIGHWAYS 2014 10 29

DO NOT USE FOR CONSTRUCTION
PRELIMINARY PLANS
0
0
0
PROFILE (HORIZONTAL)
PROJECT LENGTH
RIGHT OF WAY DATE:
LETTING DATE:
DESIGN DATA
SIGNATURE:
SIGNATURE:
P.E.
P.E.
GRAPHIC SCALES
PLANS
PROFILE (VERTICAL)
HYDRAULICS ENGINEER
0
9
/
0
8
/
9
9
DIVISION OF HIGHWAYS
STATE OF NORTH CAROLINA
0
00
$
$
$
$
$
$
S
Y
S
T
IM
E
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
D
G
N
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
U
S
E
R
N
A
M
E
$
$
$
$
C
O
N
T
R
A
C
T
:

C
2
0
3
2
7
3
=
=
DHV
D
T
=
=
=
=
CLASS =
MUNICIPAL BOUNDARIES
THIS PROJECT IS NOT WITHIN ANY
4
PROJECT ENGINEER
PROJECT DESIGN ENGINEER
JONATHAN HEFNER, PE
NCDOT CONTACT
V
*
*
2012 STANDARD SPECIFICATIONS
N/A
N/A
N/A
A
R
T
MEN
N
A
S
O
H
D
E
P
T
O
F TRA SPORT
T
IO
N
T
A TEOFN RT
CAR
O
LI
N
A
303015
30 15 30
6 3 6 12
= 0.137 mi.
= 0.137 mi.
LOCATION:
TYPE OF WORK:
55 MPH
ADT
ADT FY
ROADWAY DESIGN ENGINEER

STATE STATE PROJECT REFERENCE NO.
STATE PROJ. NO.F. A. PROJ. NO.DESCRIPTION
NO.
TOTAL
SHEETS
N.C.
SHEET
1

P
R
O
J
E
C
T
:
17BP.5.R.46
17BP.5.R.46
17BP.5.R.46 N.A.
N.A.
N.A.
R/W & UTILITIES
PE
CONSTRUCTION
INCOMPLETE PLANS
DO NOT USE FOR R/W ACQUISITION
DURHAM COUNTY
APRIL 15, 2013
APRIL 15, 2013
8%
(TTST 4% + DUAL 4%)
60
60
NCDOT TPMU
K. ZAK HAMIDI, PE
-L- STA. 18+20.00
BEGIN PROJECT DB5 - 310118
-L- STA. 25+43.00
END PROJECT DB5 - 310118
TO THE LIMITS ESTABLISHED BY METHOD III
CLEARING ON THIS PROJECT SHALL BE PERFORMED
DB5 - 310118
EXPRESS DESIGN BUILD: DIVISION 5A - YEAR 2
Prepared for Fred Smith Company in the Office of:
EDWARD G. WETHERILL, PE
17
B
P
.
5
.
R
.
4
6
ENGINEERING
ETHERILLW
See Sheet 1-B For Conventional Symbols
CLOVER HILL POND
CLOVER HILL POND
-L-
US 501 SB
US 501 NB
TO ROXBORO
TO
DURHAM
GRADING, PAVING, DRAINAGE, AND CULVERT
REGIONAL TIER
14000
ARTERIAL
MINOR
URBAN
NSRS 2007
NAD 83/
LENGTH ROADWAY PROJECT DB5-310118
TOTAL LENGTH PROJECT DB5-310118
Fax: [phone]
Bus: 919 851 8077
Liscense No. F-0377
Raleigh, N.C. 27606
SUITE 164
559 JONES FRANKLIN ROAD
PROPOSED 9’x10’ RCBC
ON US 501
STRUCTURE NO. 118 OVER CLOVER HILL POND
PERMIT DRAWINGS
BUFFER IMPACTS PERMIT
SHEET 1 OF 5
BUFFER DRAWING
LOCATION
PROJECT
M
o
u
ntain
C
r
e
e
k
North
Carolina
State
University
Forest
Bahama
501
501
VICINITY MAP
Southern Railway
1616
1464
18" RCP
DIVISION OF HIGHWAYS
SHEET 2 OF 5
DURHAM COUNTY
PROJECT: 17BP.5.R.46 (DB5- 310118)
ON US 501
OVER CLOVER HILL POND
BRIDGE 188
07/15/14
NCDOT
(LT TO RT LOOKING DOWNSTREAM)
INLET TYPICAL
NOT TO SCALE
2:12:
1
+/- 9’
WIDTH
CHANNEL
1.
5’
CHANNEL
OUTLET
CULVERT
EXISTING
1.5
’
NOT TO SCALE
(LT TO RT LOOKING DOWNSTREAM)
OUTLET TYPICAL
1.5’ (TYP.)
KEY IN
EXCAVATE
1.5
’
2:1
1.5’
W/ GEOTEXTILE (TYP.)
CLASS I RIP RAP
+/- 9’
WIDTH
CHANNEL
1.5’ (TYP.)
KEY IN
EXCAVATE
CHANNEL
OUTLET
CULVERT
EXISTING
2:1
DDE = 45 CY
EST GEOTEXTILE = 37 SY
EST TON CLASS I RIP RAP = 26 TONS
DDE = 16 CY
EST GEOTEXTILE = 23 SY
EST TON CLASS I RIP RAP = 15 TONS
W/ GEOTEXTILE (TYP.)
CLASS I RIP RAP
DETAIL A
DETAIL B
-L- STA. 22+20 RT. +/-
-L- STA. 21+80 LT. +/-
CHANNEL IMPROVEMENTS
50 100LC(-)50(-)100
L
0
OF PROPOSED CULVERT
LINE ALONG CENTERLINE
EXISTING GROUND
OF PROPOSED CULVERT
SECTION ALONG CENTERLINE
PROPOSED ROADWAY
E
LE
V
.

=

4
3
8
.
0
1
S
T
A
.

2
1
+
9
1
.
4
1
-
L-

S
B

G
P
E
LE
V
.

=

4
3
8
.
2
0
S
T
A
.

2
2
+
1
0
.
5
9
-
L-

N
B

G
P
L
0.94%
424.10
C ELEV. =
PROPOSED
CENTERLINE OF PROPOSED CULVERT
EXISTING CULVERT OVERLAYED ON
CULVERT
EXISTING
REMOVE
PROPOSED CULVERT
CENTERLINE OF
POND BED ALONG
EXISTING STREAM /
PROPOSED CULVERT
CENTERLINE OF
POND BED ALONG
EXISTING STREAM /
EXISTING CULVERT
CENTERLINE OF
POND BED ALONG
EXISTING STREAM /
EXISTING CULVERT
CENTERLINE OF
POND BED ALONG
EXISTING STREAM /
2.1:1 ALONG SKEW
2:1 NORMAL
2.1:1 ALONG SKEW
2:1 NORMAL
BED (SLOPE = 0.00%)
PROPOSED STREAM BED (SLOPE = 0.00%)
PROPOSED STREAM
IN SIDEWALL
PROP 15"IN SIDEWALL
PROP 18"
1 @ 9’ X 10’ RCBC
C ELEV. = 435.82
SKEW = 72
STA. 22+01.00 -L-
450
440
430
430.5
NWS ELEV. =
450
440
430
420
PROFILE ALONG CULVERT
DIVISION OF HIGHWAYS
SHEET 4 OF 5
DURHAM COUNTY
PROJECT: 17BP.5.R.46 (DB5- 310118)
ON US 501
OVER CLOVER HILL POND
BRIDGE 188
07/15/14
NCDOT
RO
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SHEET 5 OF 5PROJECT: 17BP.5.R.46 (DB5-310118)BRIDGE #118 OVER CLOVER HILL POND ON US 501 7/15/2014N.C. DEPT. OF TRANSPORTATION DIVISION OF HIGHWAYS DURHAM COUNTY
IM
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BUFFER REPLACEMENT Rev. May 2006