20141323 Ver 1_I-0914BA_BB Application_20141223

Office Use Only:
Corps action ID no. _____________
DWQ project no. _______________
Form Version 1.4 January 2009
Pre-Construction Notification (PCN) Form
A. Applicant Information
1.Processing
1a.Type(s) of approval sought from the
Section 404 Permit Section 10 Permit
Corps:
1b. Specify Nationwide Permit (NWP) number: 132333 or General Permit (GP) number:
1c.Has the NWP or GP number been verified by the Corps?YesNo
1d.Type(s) of approval sought from the DWQ (check all that apply):
401 Water Quality Certification –RegularNon-404 Jurisdictional General Permit
401 Water Quality Certification –ExpressRiparian Buffer Authorization
For the record only for Corps Permit:
1e.Is this notification solely for the record For the record only for DWQ 401
because written approval is not required?Certification:
Yes No

Yes No
1f.Is payment into a mitigation bank or in-lieu fee program proposed for mitigation
YesNo
of impacts? If so, attach the acceptance letter from mitigation bank or in-lieu
fee program.
YesNo
1g.Is the project located in any of NC’s twenty coastal counties. If yes, answer 1h
below.
YesNo
1h. Is the project located within a NC DCM Area of Environmental Concern (AEC)?
2.Project Information
2a.Name of project:I-85 Pavement Rehabilitation from north of SR 1162 to the VA state line
2b.County:Vance and Warren
2c.Nearest municipality / town:Henderson
not applicable
2d.Subdivision name:
2e.NCDOT only, T.I.P. or state
I-0914B
project no:
3.Owner Information
3a.Name(s) on Recorded Deed:North Carolina Department of Transportation
not applicable
3b. Deed Book and Page No.
3c.Responsible Party (for LLC if
not applicable
applicable):
3d.Street address:1598 Mail Service Center
3e.City, state, zip:Raleigh, NC27699-1598
3f.Telephone no.:[phone]
3g.Fax no.:[phone]
3h.Email address:[e-mail]
1

4.Applicant Information (if different from owner)
4a.Applicant is:AgentOther, specify:
not applicable
4b.Name:
4c.Business name
(if applicable):
4d.Street address:
4e.City, state, zip:
4f.Telephone no.:
4g.Fax no.:
4h.Email address:
5.Agent/Consultant Information (if applicable)
not applicable
5a.Name:
5b.Business name
(if applicable):
5c.Street address:
5d.City, state, zip:
5e.Telephone no.:
5f.Fax no.:
5g.Email address:
2

B. Project Information and Prior Project History
1.Property Identification
not applicable
1a.Property identification no. (tax PIN or parcel ID):
Latitude: 36.422320Longitude: -78.306641

1b.Site coordinates (in decimal degrees):
(DD.DDDDDD) (-DD.DDDDDD)
1c.Property size:256acres
2.Surface Waters
Nutbush Creek, Indian Creek, Anderson Swamp Creek,
2a.Name of nearest body of water (stream, river, etc.) to
Mill Creek, Smith Creek, Cabin Branch Creek, Terrapin
proposed project:
Creek, Blue Mud Creek
C (Nutbush, Indian, Smith, Cabin Branch, Terrapin & Blue
2b.Water Quality Classification of nearest receiving water:
Mud Creeks); WS-III, B (Anderson Swamp Creek); B (Mill
Creek)
2c.River basin:Roanoke
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:
I-85 is classified as Interstate based on the North Carolina Functional Classification System. The project area consists of
maintained NCDOT right-of-way along I-85and is primarily composed of maintained fill slopes, paved shoulders and
interchanges, and forested edges adjacent to the roadway. Land use within the project vicinity ranges from more commercial,
industrial, and residential development at the southern end of the project to more agricultural and forest land uses towards the
northern end of the project.
3b.List the total estimated acreage of all existing wetlands on the property:
2.25 acres
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
10,800 linear ft.
3d.Explain the purpose of the proposed project:
The purpose of this project is to address the deteriorating pavementconditions (infrastructure maintenance), improve operations
however, a secondary
and safety, andbridge rehabilitation and/or replacement on I-85 in Vance and WarrenCounties.;
purpose is the replacement or improvement ofdrainage features and structures where needed along the project corridor.
3e.Describe the overall project in detail, including the type of equipment to be used:
Construction activities associated with this project include pavement rehabilitation, rehabilitation and/or replacement of
project drainage system, sediment and debris removal from culverts and streams, temporary stream dewatering, and
stream bank stabilization, replace/upgrade guardrail and signing upgrades. All practical alternatives will be utilized to
minimizetheproject footprint associated with thepavement reconstruction project. Standard road building equipment
such as trucks, dozers, backhoes, and cranes will be used.
4.Jurisdictional Determinations
4a.Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
project (including all prior phases) in the past?
Yes NoUnknown
Comments: Sent all updated information for a preliminary JD
to Eric Alsmeyer on 11/10/2014.
4b. If the Corps made the jurisdictional determination, what type
PreliminaryFinal
of determination was made?
4c. If yes, who delineated the jurisdictional areas?Agency/Consultant Company: NCDOT
Name (if known): Erica McLamb and Amy JamesOther:
4d.If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
3

5.Project History
5a.Have permits or certifications been requested or obtained for
Yes NoUnknown
this project (including all prior phases) in the past?
5b.If yes, explain in detail according to “help file” instructions.
6.Future Project Plans
6a.Is this a phased project?Yes No
6b.If yes, explain.
4

C. Proposed Impacts Inventory
1.Impacts Summary
1a.Which sections were completed below for your project (check all that apply):
Wetlands Streams -tributariesBuffers
Open Waters Pond Construction
2.Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
2a. 2b. 2c. 2d. 2e. 2f.
Wetland impact number –
Permanent (P) or Type of Type of wetlandForestedType of jurisdictionArea of impact
Temporary (T)impact(if known)(acres)
YesCorps
Site 1 PT
NoDWQ
YesCorps
Site 2 PTChoose One
NoDWQ
YesCorps
Site 3 PTChoose One
NoDWQ
YesCorps
Site 4 PTChoose One
NoDWQ
YesCorps
Site 5 PTChoose One
NoDWQ
YesCorps
Site 6 PTChoose One
NoDWQ
0.03Permanent
. Total wetland impacts
2g
0.07Temporary
2h. Comments: See the attached wetlandimpact table for site-by-site impacts.
3.Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this
question for all stream sites impacted.
3g.
3a.3b.3c.3d.3e.3f.
Impact length
Stream impact number -Type of Stream namePerennial Type of Average
(linear feet)
Permanent (P) or impact(PER) or jurisdictionstream
Temporary (T)intermittent width
(Corps -
(INT)?
404, 10(feet)
DWQ –
non-404,
other)
PER Corps
Site 1 PT
INTDWQ
PER Corps
Site 2 PT
INTDWQ
PER Corps
Site 3 PT
INTDWQ
PER Corps
Site 4 PT
INTDWQ
PER Corps
Site 5 PT
INTDWQ
PER Corps
Site 6 PT
INTDWQ
892Perm
Total stream and tributary impacts
3h.
427Temp
3i. Comments: See the attachedstreamimpact table for site-by-site impacts.
5

4.Open Water Impacts
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of
the U.S. then individually list all open water impacts below.
4a.4b.4c.4d.4e.
Open water impact number Name of
Waterbody
–Permanent (P) or waterbody Type of impactArea of impact (acres)
Temporary (T)(if applicable)type
Site 25 (BA) PTPond 1Temporary FillPond0.02
Site 25 (BA) PTPond 1Permanent FillPond<0.01
O3 PT
O4 PT
<0.01Permanent
4f. Total open water impacts
0.02Temporary
4g. Comments:
5.Pond or Lake Construction
If pond orlake construction proposed, then complete the chart below.
5b.
5a.
5c.5d.5e.
Wetland Impacts (acres)Stream Impacts (feet)Upland
Pond ID
Proposed use or purpose of
(acres)
number
pond
Fl
Floodoo
FilledExcavatedFlooded
Filled Excavated
edde
d
P1
P2
5f. Total
5g. Comments:
5h. Is a dam high hazard permit required?
Yes No If yes, permit ID no:
5i.Expected pond surface area (acres):
5j.Size of pond watershed (acres):
5k.Method of construction:
6

6. Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer, then complete the chart below.If yes, then individually list all buffer
MUST
impacts below. If any impacts require mitigation, then you fill out Section D of this form.
.
6a
NeuseTar-Pamlico Other:
CatawbaRandleman
Project is in which protected basin?
6b.6c.6d.6e.6f.6g.
Buffer impact
number –Reason for impactBuffer Zone 1 impact Zone 2 impact
Permanent (P) or Stream namemitigation (square feet)(square feet)
Temporary (T)required?
Yes
B1 PT
No
Yes
B2 PT
No
Yes
B3 PT
No
Total buffer impacts
6h.
6i. Comments:
7

D. Impact Justification and Mitigation
1.Avoidance and Minimization
1a.Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
Permanent jurisdictional impacts to wetlands have been minimized to less than 0.10 acre; permanent jurisdictional stream
impacts have been minimized to those associated with the maintenance and protection of existing drainage structures
and to areas requiring bank stabilization; sediment removal within the culverts and streams has been limited only to the
areas required to achieve positive drainage; and any new outlets of stormwater have been located away from
jurisdictional resources to the maximum extent practical and will discharge into appropriately sized rip rap pads.For
additional minimization measures see Stormwater Management Plans. Impacts are less than were anticipated in the
PCE.
1b.Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
NCDOT's Best Management Practices (BMP) for Construction and Maintenance Activities and BMPs for the Protection of
Surface Waters will be used to reduce stormwater impacts to receiving waters and minimize erosion and runoff from the
construction sites. Where feasible, all equipmentand material staging areas willbe located outside of wetlands and
streams and will be located within uplands.
2.Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a.Does the project require Compensatory Mitigation for Yes No
impacts to Waters of the U.S. or Waters of the State?
If no, explain:
2b.If yes, mitigation is required by (check all that apply):DWQCorps
Mitigation bank
2c.If yes, which mitigation option will be used for this
Payment to in-lieu fee program
project?
Permittee Responsible Mitigation
3.Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank: not applicable
3b. Credits Purchased (attach receipt and letter)Type Quantity
3c. Comments:
4.Complete if Making a Payment to In-lieu Fee Program
4a. Approval letter from in-lieu fee program is attached. Yes
4b.Stream mitigation requested:272linear feetsee comments below for ratios
4c.If using stream mitigation, stream temperature:warm cool cold
4d.Buffer mitigation requested (DWQ only):square feet
4e.Riparian wetland mitigation requested:acres
4f.Non-riparian wetland mitigation requested:acres
4g.Coastal (tidal) wetland mitigation requested:acres
8

4h. Comments: NCDOT proposes mitigation on all permanent fill to perennial streams. No mitigation is proposed for impacts
due to bank stabilizationor temporary stream impacts. The proposed mitigation ratio is 2:1 for those streams scoring 42 and
above on the USACE stream quality form and 1:1 for those scoring less than a 42(stream quality forms were sent to the
USACE on 11/10/2014). Therefore, NCDOT proposes 2:1 mitigation on 151lf of stream impacts and 1:1 mitigation on 109lf
of stream impacts.There are no stream formsor SAQ and SAG (Sites 4 and 7B on SectionBB) but we are proposing 2:1
mitigation. Because impacts to each site are less than 150 feet no mitigationis required by NCDWR.
No mitigationis proposed for wetlands due to impacts being <0.1
5.Complete if Using a Permittee Responsible Mitigation Plan
5a.If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
6.Buffer Mitigation (State Regulated Riparian Buffer Rules) –required by DWQ
6a. Will the project result in an impact within a protected riparian buffer that requires Yes No
buffer mitigation?
6b.If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation. Calculate the
amount of mitigation required.
6c.6d.6e.
Reason for impactTotal impact MultiplierRequired mitigation
Zone
(square feet)(square feet)
Zone 13 (2 for Catawba)
Zone 21.5
Total buffer mitigation required:
6f.
6g.If buffer mitigation is required, discuss what type ofmitigation is proposed (e.g., payment to private mitigation bank,
permittee responsible riparian buffer restoration, payment into an approved in-lieu fee fund).
6h. Comments:
9

E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1.Diffuse Flow Plan
Yes No
1a.Does the projectinclude or is it adjacent to protected riparian buffers identified
within one of the NC Riparian Buffer Protection Rules?
1b.If yes, then is a diffuse flow plan included? If not, explain why.
Yes No
Comments:
2.Stormwater Management Plan
2a.What is the overall percent imperviousness of this project?N/A
2b. Does this project require a Stormwater Management Plan? Yes No
2c. If this project DOES NOT require a Stormwater Management Plan, explain why:
2d. If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
See attached permit drawings.
Certified Local Government
2e. Who will be responsible for the review of the Stormwater Management Plan?DWQ Stormwater Program
DWQ 401 Unit
3.Certified Local Government Stormwater Review
3a. In which local government’s jurisdiction is this project?not applicable
Phase II
NSW
3b.Which of the following locally-implemented stormwater management programs
USMP
apply (check all that apply):
Water Supply Watershed
Other:
3c. Has the approved Stormwater Management Plan with proof of approval been Yes No
attached?
4. DWQ Stormwater Program Review
Coastal counties
4a. Which of the following state-implemented stormwater management programs apply HQW
ORW
(check all that apply):
Session Law 2006-246
Other:
4b. Has the approved Stormwater Management Plan with proof of approval been
Yes Non/a
attached?
5. DWQ 401 Unit Stormwater Review
5a.Does the Stormwater Management Plan meet the appropriate requirements?
Yes No
5b. Have all of the 401 Unit submittal requirementsbeen met?
Yes No
10

F. Supplementary Information
1.Environmental Documentation (DWQ Requirement)
1a.Does the project involve an expenditure of public (federal/state/local) funds or the
Yes No
use of public (federal/state) land?
1b.If you answered “yes” to the above, does the project require preparation of an
environmental document pursuant to the requirements of the National or State Yes No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1c.If you answered “yes” to the above, has the document review been finalized by the
State Clearing House? (If so, attach a copy of the NEPA or SEPA final approval
Yes No
letter.)
Comments:
2.Violations (DWQ Requirement)
2a.Is the site in violation of DWQ Wetland Rules (15A NCAC 2H .0500), Isolated
Yes No
Wetland Rules (15A NCAC 2H .1300), DWQ Surface Water or Wetland Standards,
or Riparian Buffer Rules (15A NCAC 2B .0200)?
2b.Is this an after-the-fact permit application?Yes No
2c. If you answered “yes” to one or both of the above questions, provide an explanation of the violation(s):
3.Cumulative Impacts (DWQ Requirement)
Yes
3a.Will this project (based on past and reasonably anticipated future impacts) result in
additional development, which could impact nearby downstream water quality?
No
3b.If you answered “yes” to the above, submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWQ policy. If you answered “no,” provide a short narrative description.
Due to the minimal transportation impact resulting from this pavement rehabilitation project, itwill neither influence nearby
land uses nor stimulate growth. Therefore, a detailed indirect or cumulative effects study will not be necessary.
4.Sewage Disposal (DWQ Requirement)
4a. Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of wastewater generated from
the proposed project, or available capacity of the subject facility.
not applicable
11

Stream Impact Table
3a. 3b.3c.3d.3e.3f.3g.
Site TIP #Stream Impact Type of ImpactStream NamePerennial Type of jurisdiction Average Impact USACE
Proposed
NumberPermanent (P) or (PER) or (Corps-404, 10 Stream Length Mitigation
USACE
Temporary (T)Intermittent DWQ-non-404, Width (linear Required
mitigation
(INT)?other(feet)feet)
ratios
HUC 03010102
1I-0914BATTemporary FillNutbush CreekPERCorps - 4046170
1I-0914BAPBank StabilizationNutbush CreekPERCorps - 404670
2I-0914BATTemporary FillUT Nutbush CreekINTCorps - 404350
2I-0914BAPPermanent FillUT Nutbush CreekINTCorps - 4043100
3I-0914BATTemporary FillNutbush CreekPERCorps - 40410100
3I-0914BAPPermanent FillNutbush CreekPERCorps - 4041012122:1
3I-0914BAPBank StabilizationNutbush CreekPERCorps - 40410120
4I-0914BATTemporary FillUT Nutbush CreekINTCorps - 404450
4I-0914BAPPermanent FillUT Nutbush CreekINTCorps - 404480
5I-0914BATTemporary FillUT Nutbush CreekINTCorps - 404650
5I-0914BAPPermanent FillUT Nutbush CreekINTCorps - 4046130
6I-0914BATTemporary FillUT Nutbush CreekINTCorps - 404350
6I-0914BAPPermanent FillUT Nutbush CreekINTCorps - 4043120
7I-0914BAPStream RelocationUT Nutbush CreekINTCorps - 4043390
8I-0914BATTemporary FillUT Nutbush CreekPERCorps - 40410210
8I-0914BAPPermanent FillUT Nutbush CreekPERCorps - 4041045452:1
9I-0914BAPStream RelocationUT Nutbush CreekINTCorps - 4043770
10I-0914BATTemporary FillUT Nutbush CreekPERCorps - 404650
Page 1 of 5

3a. 3b.3c.3d.3e.3f.3g.
Site TIP #Stream Impact Type of ImpactStream NamePerennial Type of jurisdiction Average Impact USACE
Proposed
NumberPermanent (P) or (PER) or (Corps-404, 10 Stream Length Mitigation
USACE
Temporary (T)Intermittent DWQ-non-404, Width (linear Required
mitigation
(INT)?other(feet)feet)
ratios
10I-0914BAPBank StabilizationUT Nutbush CreekPERCorps - 4046130
11I-0914BATTemporary FillUT Nutbush CreekINTCorps - 404650
11I-0914BAPBank StabilizationUT Nutbush CreekINTCorps - 4046150
12I-0914BATTemporary FillUT Nutbush CreekPERCorps - 4048100
12I-0914BAPBank StabilizationUT Nutbush CreekPERCorps - 4048100
Dewatering/
13I-0914BATUT Nutbush CreekPERCorps - 4043100
Temporary Fill
13I-0914BAPBank StabilizationUT Nutbush CreekPERCorps - 4043100
Dewatering/
14I-0914BATUT Indian CreekPERCorps - 4045100
Temporary Fill
14I-0914BAPBank StabilizationUT Indian CreekPERCorps - 4045200
15I-0914BATTemporary FillUT Indian CreekPERCorps - 4044140
15I-0914BAPBank StabilizationUT Indian CreekPERCorps - 4044400
15AI-0914BATTemporary FillUT Indian CreekINTCorps - 4043100
15AI-0914BAPBank StabilizationUT Indian CreekINTCorps - 404390
16I-0914BATDewateringUT Indian CreekPERCorps - 4045100
16I-0914BAPBank StabilizationUT Indian CreekPERCorps - 404550
UT Anderson Swamp
17I-0914BATTemporary FillINTCorps - 404550
Creek
UT Anderson Swamp
17I-0914BAPPermanent FillINTCorps - 404550
Creek
UT Anderson Swamp
18I-0914BAPPermanent FillPERCorps - 404361611:1
Creek
UT Anderson Swamp
19I-0914BATTemporary FillPERCorps - 4048190
Creek
Page 2 of 5

3a. 3b.3c.3d.3e.3f.3g.
Site TIP #Stream Impact Type of ImpactStream NamePerennial Type of jurisdiction Average Impact USACE
Proposed
NumberPermanent (P) or (PER) or (Corps-404, 10 Stream Length Mitigation
USACE
Temporary (T)Intermittent DWQ-non-404, Width (linear Required
mitigation
(INT)?other(feet)feet)
ratios
UT Anderson Swamp
19I-0914BAPPermanent FillPERCorps - 404828281:1
Creek
UT Anderson Swamp
19I-0914BAPBank StabilizationPERCorps - 4048360
Creek
UT Anderson Swamp
20I-0914BATTemporary FillINTCorps - 404250
Creek
UT Anderson Swamp
20I-0914BAPPermanent FillINTCorps - 4042220
Creek
UT Anderson Swamp
21I-0914BATTemporary FillINTCorps - 4042100
Creek
UT Anderson Swamp
21I-0914BAPBank StabilizationINTCorps - 4042100
Creek
UT Anderson Swamp
23I-0914BATTemporary FillPERCorps - 4043100
Creek
UT Anderson Swamp
23I-0914BAPPermanent FillPERCorps - 404326261:1
Creek
UT Anderson Swamp
24I-0914BATTemporary FillPERCorps - 4043100
Creek
UT Anderson Swamp
24I-0914BAPBank StabilizationPERCorps - 4043120
Creek
UT Anderson Swamp
26I-0914BATDewateringINTCorps - 404340
Creek
UT Anderson Swamp
27I-0914BATTemporary FillINTCorps - 4045100
Creek
UT Anderson Swamp
27I-0914BAPPermanent FillINTCorps - 4045110
Creek
UT Anderson Swamp
27I-0914BAPBank StabilizationINTCorps - 4045100
Creek
UT Anderson Swamp
28I-0914BATTemporary FillPERCorps - 4044200
Creek
UT Anderson Swamp
28I-0914BAPBank StabilizationPERCorps - 4044390
Creek
Page 3 of 5

3a. 3b.3c.3d.3e.3f.3g.
Site TIP #Stream Impact Type of ImpactStream NamePerennial Type of jurisdiction Average Impact USACE
Proposed
NumberPermanent (P) or (PER) or (Corps-404, 10 Stream Length Mitigation
USACE
Temporary (T)Intermittent DWQ-non-404, Width (linear Required
mitigation
(INT)?other(feet)feet)
ratios
29I-0914BATTemporary FillUT Mill CreekPERCorps - 4047100
29I-0914BAPPermanent FillUT Mill CreekPERCorps - 404710102:1
29I-0914BAPBank StabilizationUT Mill CreekPERCorps - 4047120
Dewatering/
31I-0914BATUT Mill CreekPERCorps - 4043100
Temporary Fill
31I-0914BAPBank StabilizationUT Mill CreekPERCorps - 4043110
33I-0914BATTemporary FillUT Mill CreekPERCorps - 40410320
33I-0914BAPBank StabilizationUT Mill CreekPERCorps - 40410570
35I-0914BATTemporary FillUT Mill CreekPERCorps - 40410370
35I-0914BAPPermanent FillUT Mill CreekPERCorps - 4041021212:1
36I-0914BATTemporary FillUT Mill CreekPERCorps - 404350
36I-0914BAPPermanent FillUT Mill CreekPERCorps - 4043661:1
37I-0914BATTemporary FillUT Mill CreekPERCorps - 404450
37I-0914BAPPermanent FillUT Mill CreekPERCorps - 404421212:1
1I-0914BBTTemporary FillUT Mill CreekINTCorps - 4043180
1I-0914BBPPermanent FillUT Mill CreekINTCorps - 4043170
2:1= 109
Total Mitigation HUC 03010102
230
1:1= 121
HUC 03010106
2I-0914BBTTemporary FillUT Smith CreekPERCorps - 4043100
2I-0914BBPBank StabilizationUT Smith CreekPERCorps - 4043190
Page 4 of 5

3a. 3b.3c.3d.3e.3f.3g.
Site TIP #Stream Impact Type of ImpactStream NamePerennial Type of jurisdiction Average Impact USACE
Proposed
NumberPermanent (P) or (PER) or (Corps-404, 10 Stream Length Mitigation
USACE
Temporary (T)Intermittent DWQ-non-404, Width (linear Required
mitigation
(INT)?other(feet)feet)
ratios
3I-0914BBTTemporary FillUT Cabin BranchPERCorps - 4043110
3I-0914BBPBank StabilizationUT Cabin BranchPERCorps - 4043160
4I-0914BBPPermanent FillUT Terrapin CreekPERCorps - 4048992:1
5I-0914BBTTemporary FillUT Terrapin CreekPERCorps - 4043150
5I-0914BBPBank StabilizationUT Terrapin CreekPERCorps - 4043170
6I-0914BBTTemporary FillUT Blue Mud CreekPERCorps - 4041110
6I-0914BBPBank StabilizationUT Blue Mud CreekPERCorps - 4041150
7AI-0914BBTTemporary FillUT Blue Mud CreekPERCorps - 4044110
7AI-0914BBPBank StabilizationUT Blue Mud CreekPERCorps - 4044110
7BI-0914BBTTemporary FillUT Blue Mud CreekPERCorps - 4044110
7BI-0914BBPPermanent FillUT Blue Mud CreekPERCorps - 404415152:1
8I-0914BBTTemporary FillUT Blue Mud CreekPERCorps - 404460
8I-0914BBPPermanent FillUT Blue Mud CreekPERCorps - 404418182:1
Total Mitigation HUC 03010106
422:1= 42
Temp:4272:1 = 151
3h. Total Stream and Tributary Impacts
Perm:892
1:1 = 121
Page 5 of 5

Wetland Impact Table
2a. 2b.2c.2d.2e.2f.
Site TIP #Wetland Impact Type of ImpactType of WetlandForested Type of Area of
NumberPermanent (P) or (Yes or jurisdiction (Corps Impact
Temporary (T)No)or DWR) (acres)
Headwater
13I-0914BAPPermanent FillYCorps<0.01
Wetland
Mechanized Headwater
13I-0914BAPYCorps<0.01
ClearingWetland
Headwater
13I-0914BAPExcavationYCorps<0.01
Wetland
Bottomland
22I-0914BAPPermanent Fill YCorps<0.01
Hardwood Forest
Mechanized Bottomland
22I-0914BAPYCorps0.01
ClearingHardwood Forest
Bottomland
30I-0914BATTemporary FillYCorps<0.01
Hardwood Forest
Bottomland
32I-0914BATTemporary FillYCorps0.06
Hardwood Forest
Bottomland
33I-0914BAPPermanent FillYCorps<0.01
Hardwood Forest
Mechanized Bottomland
33I-0914BAPYCorps<0.01
ClearingHardwood Forest
Mechanized Bottomland
34I-0914BAPYCorps<0.01
ClearingHardwood Forest
Mechanized Headwater
1I-0914BBPYCorps0.01
ClearingWetland
Temp.
0.07
Perm.
2g: Total Wetland Impacts0.03

North Carolina Department of Transportation
Highway Stormwater Program
STORMWATER MANAGEMENT PLAN
(Version 1.2; Released September 2011)FOR LINEAR ROADWAY PROJECTS
Project/TIP No.:I-0914BACounty(ies):Vance Warren Page 1of 5
General Project Information
Project No.:I-0914BAProject Type:Date:10/13/2014
Roadway Rehabilitation
NCDOT Contact:Contractor / Designer:
Bill ZermanHDR Engineering - James Rice, PE
Address:Address:
1591 Mail Service Center3733 National Dr
Raleigh, NC 27699Suite 207
obabRaleigh, NC 27612
Phone:[phone]Phone:[phone]
Email:[e-mail]:[e-mail]
City/Town:HendersonCounty(ies):VanceWarren
River Basin(s): RoanokeCAMA County?NoNo
Primary Receiving Water: NCDWQ Stream Index No.:
Nutbush Creek23-8-(1)
Primary: Class C
NCDWQ Surface Water Classification for Primary Receiving Water
Supplemental:
Other Stream Classification: None
303(d) Impairments:
biological impairment
Buffer Rules in EffectN/A
Project Description
Urban/ Business
Project Length (lin. Miles or feet): 11.232 milesSurrounding Land Use:
Proposed ProjectExisting Site
Project Built-Upon Area (ac.)133.78ac.120.32
ac.
Proposed roadway - 4 lane divided highway with 12' lanes and 10' paved outside Existing roadway - 4 lane divided highway with 11.5' lanes and 10' paved outside
Typical Cross Section Description:
shoulders and 4' median paved shoulders. Grass median varies from 28' to 38'.shoulders and 4' paved inside shoulders. Grass median varies from 36' to 46'.
Average Daily Traffic (veh/hr/day):
Design/Future:57,900 (2035)Existing:37,800 (2014)
Project I-0914BA rehabilitates I-85 from North of SR 1162 in Vance County to North of SR 1237 in Warren County to include roadway, hydraulics, structures, signing and traffic
General Project Narrative:
control.
References

North Carolina Department of Transportation
Highway Stormwater Program
STORMWATER MANAGEMENT PLAN
(Version 1.2; Released September 2011)FOR LINEAR ROADWAY PROJECTS
Project/TIP No.:I-0914BACounty(ies):Vance Warren Page 2of 5
Project Environmental Summary
Surface Water Impacts
Sheet Proposed
StationFeature Water / Wetland / Receiving Surface NRTR Map NCDWQ Stream NCDWQ Surface 303(d) Type of Existing
No.(From / To) ImpactedBuffer TypeWater NameIDIndexWater ClassificationImpairmentsImpactSCMSCM
biological
63+06 -NBL-
StreamCStabilizationN/A
5PerennialNutbush CreekS123-8-(1)N/A
impairment
63+15 -NBL-
biological
66+20 -NBL-
5StreamC
IntermittentTrib to Nutbush CreekS223-8-(1)StabilizationN/AN/A
impairment
66+30 -NBL-
biological
100+50 -SBL-Nutbush
7StreamPerennialStabilization
Nutbush Creek23-8-(1)CN/AN/A
impairment
Creek
100+87 -SBL-
biological
111+31 -NBL-
8Stabilization
StreamIntermittentTrib to Nutbush CreekS323-8-(1)CN/AN/A
impairment
111+45 -NBL-
117+86 -NBL-biological
FillN/A
9AStreamIntermittentTrib to Nutbush CreekSC23-8-(1)CN/A
impairment
118+04 -NBL-
biological
142+44 -SBL-
StreamIntermittent23-8-(1)
9BTrib to Nutbush CreekS9CFillN/AN/A
impairment
142+60 -SBL-
biological
142+93 -NBL-
Stream
9CIntermittentTrib to Nutbush CreekSE23-8-(1)CRelocationN/AN/A
impairment
143+31 -NBL-
biological
143+31 -NBL-
StreamPerennial23-8-(1)
9CTrib to Nutbush CreekSDCFillN/AN/A
impairment
143+35 -NBL-
biological
143+35 -NBL-
9CStreamIntermittent23-8-(1)Trib to Nutbush CreekRelocation
SFCN/AN/A
impairment
144+10 -NBL-
biological
153+29 -NBL-
10StreamPerennial23-8-(1)C
Trib to Nutbush CreekSGStabilizationN/AN/A
impairment
153+42 -NBL-
biological
183+18 -NBL-
12IntermittentStream23-8-(1)CN/AN/A
Trib to Nutbush CreekSJStabilization
impairment
183+29 -NBL-
biological
203+30 -NBL-
14StreamPerennialTrib to Nutbush Creek23-8-(1)CStabilization
SLN/AN/A
impairment
203+51 -NBL-
biological
215+09 -NBL-
15StreamIntermittentStabilizationN/A
Trib to Nutbush CreekSM23-8-(1)CN/A
impairment
215+18 -NBL-
biological
215+09 -NBL-
15Wetland23-8-(1)ExcavationN/A
Headwater WetlandTrib to Nutbush CreekWBCN/A
impairment
215+18 -NBL-
biological
229+71 -NBL-
16StreamPerennialTrib to Nutbush CreekSN23-8-(1)C
StabilizationN/AN/A
impairment
229+87 -NBL-
241+07 -NBL-
None
StreamPerennial23-8-4-(1)CStabilizationN/A
16Trib to Indian CreekSON/A
241+90 -NBL-
241+17 -NBL-
None
16StreamCN/AN/A
IntermittentTrib to Indian CreekSR23-8-4-(1)Stabilization
241+35 -NBL-
* List all stream and surface water impact locations regardless of jurisdiction or size.
Equalizer Pipes to be noted as a minimization of impacts.
All proposed SCMs listed must also be listed under Swales, Preformed Sour Holes and other Energy Dissipators, or Other Stormwater Control Measures.
Description of Minimization of Impacts or Mitigation
-Used sides slopes of 2:1 or steeper to avoid/minimize impacts to jursidictional features.
References

North Carolina Department of Transportation
Highway Stormwater Program
STORMWATER MANAGEMENT PLAN
(Version 1.2; Released September 2011)FOR LINEAR ROADWAY PROJECTS
Project/TIP No.:I-0914BACounty(ies):Vance Warren Page 3of 5
Project Environmental Summary
Surface Water Impacts
Proposed
Sheet StationFeature Water / Wetland / Receiving Surface NRTR Map NCDWQ Stream NCDWQ Surface 303(d) Type of Existing
No.(From / To) ImpactedBuffer TypeWater NameIDIndexWater ClassificationImpairmentsImpactSCMSCM
249+06 -NBL-
None
17StreamPerennialTrib to Indian CreekSS23-8-4-(1)CExcavationN/AN/A
249+10 -NBL-
275+45 -NBL-Trib to Anderson
None
19StreamIntermittentSU23-8-6-(1)WS-III, BFillN/AN/A
Swamp Creek
275+55 -NBL-
275+42 -SBL-Trib to Anderson
None
19StreamPerennialSBH23-8-6-(1)WS-III, BRelocationN/AN/A
Swamp Creek
276+04 -SBL-
277+01 -NBL-Trib to Anderson
None
19StreamPerennialST23-8-6-(1)WS-III, BFillN/AN/A
Swamp Creek
277+87 -NBL-
28+68 -Y5SBL-
Trib to Anderson
None
21AStreamIntermittentSX23-8-6-(1)WS-III, BFillN/AN/A
Swamp Creek
28+75 -Y5SBL-
306+93 -NBL-Trib to Anderson
None
21AStreamIntermittentSX23-8-6-(1)WS-III, BStabilizationN/AN/A
Swamp Creek
307+07 -NBL-
307+96 -SBL-Trib to Anderson
Bottomland
None
21BWetlandWW / WV23-8-6-(1)WS-III, BFillN/AN/A
HardwoodSwamp Creek
309+43 -SBL-
327+85 -SBL-Trib to Anderson
None
22StreamPerennialSBG23-8-6-(1)WS-III, BFillN/AN/A
Swamp Creek
328+05 -SBL-
None
24355+26 -SBL-StreamPerennialSBF23-8-6-(1)WS-Trib to Anderson III, BStabilizationN/AN/A
Swamp Creek
355+32 -SBL-
None
28A434+67 -SBL-Open WaterPondPond 123-8-6-(1)WS-Trib to Anderson III, BExcavationN/AN/A
Swamp Creek
435+62 -SBL-
None
436+18 -NBL-Trib to Anderson
28BStreamIntermittentSEE23-8-6-(1)WS-III, BExcavationN/AN/A
Swamp Creek
436+21 -NBL-
None
451+95 -NBL-Trib to Anderson
29 / 30StreamIntermittentSGG23-8-6-(1)WS-III, BStabilizationN/AN/A
Swamp Creek
452+13 -NBL-
None
463+81 -NBL-Trib to Anderson
30StreamPerennialSHH23-8-6-(1)WS-III, BStabilizationN/AN/A
Swamp Creek
464+08 -NBL-
None
502+21 -SBL-Trib to Anderson
33StreamPerennialSII23-8-6-(1)WS-III, BExcavationN/AN/A
Swamp Creek
506+22 -NBL-
None
519+74 -NBL-
34StreamPerennialTrib to Mill CreekSKK23-8-6-3BFillN/AN/A
519+85 -NBL-
Bottomland None
520+19 -NBL-
34WetlandTrib to Mill CreekWF23-8-6-3BClearingN/AN/A
Hardwood
520+56 -NBL-
None
520+86 -NBL-
34StreamPerennialTrib to Mill CreekSKK23-8-6-3BStabilizationN/AN/A
520+97 -NBL-
* List all stream and surface water impact locations regardless of jurisdiction or size.
Equalizer Pipes to be noted as a minimization of impacts.
All proposed SCMs listed must also be listed under Swales, Preformed Sour Holes and other Energy Dissipators, or Other Stormwater Control Measures.
Description of Minimization of Impacts or Mitigation
-Used sides slopes of 2:1 or steeper to avoid/minimize impacts to jursidictional features.
References

North Carolina Department of Transportation
Highway Stormwater Program
STORMWATER MANAGEMENT PLAN
(Version 1.2; Released September 2011)FOR LINEAR ROADWAY PROJECTS
Project/TIP No.:I-0914BACounty(ies):Vance Warren Page 4of 5
Project Environmental Summary
Surface Water Impacts
Proposed
Sheet StationFeature Water / Wetland / Receiving Surface NRTR Map NCDWQ Stream NCDWQ Surface 303(d) Type of Existing
No.(From / To) ImpactedBuffer TypeWater NameIDIndexWater ClassificationImpairmentsImpactSCMSCM
Bottomland
521+44 -NBL-
None
WG23-8-6-3BClearingN/AN/A
34 / 35WetlandTrib to Mill Creek
Hardwood
523+58 -NBL-
523+88 -NBL-
Bottomland
None
35WetlandTrib to Mill CreekWH23-8-6-3BClearingN/AN/A
Hardwood
525+59 -NBL-
523+76 -NBL-
None
35StreamPerennial23-8-6-3Trib to Mill CreekSJJBClearingN/AN/A
525+07 -NBL-
544+93 -NBL-
None
36StreamPerennialTrib to Mill CreekSNN23-8-6-3BFillN/AN/A
546+05 -NBL-
595+75 -SBL-
None
40StreamPerennial23-8-6-3Trib to Mill CreekSAZBFillN/AN/A
595+78 -SBL-
599+39 -SBL-
None
40Stream23-8-6-3PerennialTrib to Mill CreekBFillN/ASBAN/A
599+64 -SBL-
* List all stream and surface water impact locations regardless of jurisdiction or size.
Equalizer Pipes to be noted as a minimization of impacts.
All proposed SCMs listed must also be listed under Swales, Preformed Sour Holes and other Energy Dissipators, or Other Stormwater Control Measures.
Description of Minimization of Impacts or Mitigation
-Used sides slopes of 2:1 or steeper to avoid/minimize impacts to jursidictional features.
References

North Carolina Department of Transportation
Highway Stormwater Program
STORMWATER MANAGEMENT PLAN
(Version 1.2; Released September 2011)FOR LINEAR ROADWAY PROJECTS
Project/TIP No.:County(ies):Page 5of5
I-0914BAVance Warren
Preformed Scour Holes and Energy Dissipators
Pipe/Structure
Sheet Energy Dissipator Drainage AreaDimensionsQ10V10
No.StationTypeRiprap Type(ac)Conveyance Structure(in)(cfs)(fps)
Riprap Energy Dissipator
31472+50 -NBL- LTClass II10.96Pipe246.01.4
Basin
Have minimum design criteria, as presented in the NCDOT Best Management Practices Toolbox (2008), NCDOT Standard Details, or FHWA
YESNO
HEC-14 (July 2006), been met and verified, as applicable? If No, provide further explanantion of why design criteria was not met.
Additional Comments
* Refer to the NCDOT Best Management Practices Toolbox, Version 1 (March 2008), NCDOT Standard Details, the Federal Highway Administration (FHWA) Hydraulic Engineering Circular No. 14
(HEC-14),
Third Edition, Hydraulic Design of Energy Dissipators for Culverts and Channels (July 2006), as applicable, for design guidance and criteria.