20140806 Ver 2_Application_20150205

d.�,c S�ATE,y�
� � '� � �'.
������;
'��;AM'����
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
PAT L. MCCRORY
GOVERNOR
February 5, 2015
U.S. Army Corps of Engineers
Wilmington District Office
69 Darlington Avenue
Wilmington, NC 28403
ATTN: Ms. Liz Hair
NCDOT Division 8 Project Coordinator
ANTHONY J. TATA
SECRETARY
SUBJECT: Application for Section 404 Nationwide Permit No. 12 for the replacement of
Bridge No. 22 over Richland Creek on SR 1111 (Lilly's Bridge Road),
Montgomery County, North Carolina. Federal Aid Project No. BRZ-1111(8), TIP
No. B-4780.
REFERENCES: N.C. Division of Water Resources (NCDWR), Approval of 401 Water Quality
Certification with Additional Conditions, NCDWR Project No. 20140806v.1,
issued August 25, 2014.
U.S. Army Corps of Engineers (USACE), Nationwide Permit Nos. 13, 23, and 33,
Action ID SAW-2009-01696, issued September 10, 2014.
This permit is requested in addition to the previously received Nationwide Permit Nos. 13, 23, and
33 issued by USACE on September 10, 2014 and the corresponding General Water Quality
Certification Nos. 3885, 3891, and 3893 issued by NCDWR on August 25, 2014. A Programmatic
Categorical Exclusion (PCE) was completed for this project in October 2013. Please find enclosed
the Pre-Construction Notification (PCN) and utility permit drawings associated with this permit
application.
The proposed let date for this project is July 21, 2015, with a let review date of June 2, 2015.
MAILING ADDRESS:
NC DEPARTMGNT OF TRANSPORTATION
PROJECT DEVELOPMBNT AND ENVIRONMENTAL ANALYSIS
NATURAI, ENVIRONMF.N"I' SF.C"I'fON
IS9g MAIL SGRVICE CENTER
Rn�e�cH NC 27699-1598
T�LePHON�;: 919-707-6100
FAX: 9L9-212-5785
ur�sc9rr��surss��aa��vern
PHYSiCAL ADDRESS:
Century Center - Building B
1020 Birch Ridge Dr
Raleigh, NC 27610-4328

A copy of this permit application will be posted on the NCDOT Website at
https://connect.ncdot.gov/resources/Environmental/Pages/default as,px, under Qacick Links > Permit
Applications. A copy of the PCE is also available at the above website address under Qzcick Liraks >
Environmental Docaiments. Thank you for your assistance with this project. If you have any
questions or need additional infoimation, please contact Jim Mason at either [e-mail] or
[phone].
Sincerely,
. ---._____
- - - _ ..-- ----�------- _
�f Richard W. Hancock, P.E., Manager
Project Development and Environmental Analysis Unit
cc: NCDOT Permit Application Standard Distribution List
B-4780 NWP 12 Permit Application Cover Letter
2

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

B. Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID): not applicable
1 b. Site coordinates (in decimal degrees): Latitude: 35.2540 Longitude: - 80.0717
(DD.DDDDDD) (-DD.DDDDDD)
1 c. Property size: 1.5 acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to Richland Creek
proposed project:
2b. Water Quality Classification of nearest receiving water: WS-IV&B CA
2c. River basin: Yadkin-Pee Dee
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:
SR 1111 (Lilly's Bridge Rd) is classified as a Rural Local Route in the Statewide Functional Classification System and is
not a National Highway System Route. Land use within the vicinity includes Forested Land, Low- to Mid-Density
Residential, Silviculture, and Recreation.
3b. List the total estimated acreage of all existing wetlands on the property:
0 acres
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
210 linear feet
3d. Explain the purpose of the proposed project:
To replace a structurally deficient and functionally obsolete bridge.
3e. Describe the overall project in detail, including the type of equipment to be used:
This portion of the project consists of relocating and installing a 12-inch water line downstream of the proposed 12-foot by
9-foot Reinforced Concrete Box Culvert (RCBC) and relocating and installing an 8-inch force main sewer line upstream of
the proposed RCBC. Both lines with be installed across Richland Creek using open-cut trenching techniques. When the
lines are installed and the temporarily sidecast earthen material is replaced, both lines will be approximately 4 feet below
the streambed. Standard equipment for installing underground utility lines and performing open-cut trenching will be
employed.
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 ❑ No ❑ Unknown
Comments: Action ID No. SAW-2009-01696
4b. If the Corps made the jurisdictional determination, what type
of determination was made? � Preliminary ❑ Final
4c. If yes, who delineated the jurisdictional areas? Agency/Consultant Company: NCDOT
Name (if known): Principal Investigator: Lindsey Riddick Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
September 15, 2009; JD provided with 7/28/14 application for NWPs 13, 23, and 33.
5. Project History
5a. Have permits or certifications been requested or obtained for � Yes ❑ No ❑ Unknown
this project (including all prior phases) in the past?
5b. If yes, explain in detail according to "help file" instructions.
NWPs 13, 23, 33, issued by USACE 09/10/14 (Action ID SAW-2009-01696);WQCs 3885, 3891, 3893, issued by NCDWR
08/25/14 (NCDWR Project No. 20140806v.1).

6. Future Project Plans
6a. Is this a phased project? ❑ Yes � No
6b. If yes, explain.
C. Proposed Impacts Inventory
1. Impacts Summary
1 a. Which sections were completed below for your project (check all that apply):
❑ Wetlands � Streams - tributaries ❑ Buffers
❑ 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 Type of jurisdiction
number — Type of impact Type of wetland Forested (Corps - 404, 10 Area of impact
Permanent (P) or (if known) DWQ — non-404, other) (acres)
Temporar T
Site ❑ P❑ T ❑ Yes ❑ Corps
❑ No ❑ DWQ
Site ❑ P � T ❑ Yes ❑ Corps
❑ No ❑ DWQ
Site ❑ P❑ T ❑ Yes ❑ Corps
❑ No ❑ DWQ
2g. Total wetland impacts 0 ac Perm.
0 ac Temp.
2h. Comments:
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.
3a. 3b. 3c. 3d. 3e. 3f. 3g.
Stream impact Type of impact Stream name Perennial Type of Average Impact length
number - (PER) or jurisdiction stream (linear feet)
Permanent (P) or intermittent (Corps - 404, 10 width
Temporary (T) (INT)? DWQ — non-404, (feet)
other)
Site 1❑ P� T Temp. Richland Creek � PER � Corps 15-20 <0.01 ac.
Trenching ❑ INT ❑ DWQ
Site 1❑ P � T ❑ PER ❑ Corps
❑ INT ❑ DWQ
Site 1❑ P❑ T ❑ PER ❑ Corps
❑ INT ❑ DWQ
Site ❑ P❑ T ❑ PER ❑ Corps
❑ INT ❑ DWQ
0 Perm.
3h. Total stream and tributary impacts <0.01 ac.
Temp.
3i. Comments: Per test hole data, heavy groundwater was encountered in areas where bore pits would be located if a
trenchless method was employed to relocate and install the 12-inch water line downstream of the bridge and the 8-inch force
main sewer line upstream of the bridge. This groundwater would make the pits unsafe due to the potential for sloughing off
and major dewatering procedures would need to be utilized. Additionally, per the test hole data, there was evidence of large
rocks/boulders in these areas, which would make trenchless methods difficult, especiall dependin on what t pe of rock.

Therefore, it was determined that open-cut trenching across Richland Creek in these two locations would be most practical to
install the pipes. Impacts resulting from this trenching would be temporary stream impacts to Richland Creek. The combined
linear footage impact along Richland Creek would be approximately 8-10 ft and the total area impact is 0.0024 acres. These
impacts occur in areas already designated for permanent bank stabilization impacts in the original permit(s), but the trenching
extends across the entire creek into areas where the bank stabilization would not. That is why we are requesting the NWP 12.
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 individuall list all open water impacts below.
4a. 4b. 4c. 4d. 4e.
Open water Name of
impact number — waterbody Type of impact Waterbody type Area of impact (acres)
Permanent (P) or (if applicable)
Tem orar T
01 ❑P❑T
02 ❑P❑T
4f. Total open water impacts 0 Permanent
0 Temporary
4g. Comments:
5. Pond or Lake Construction
If ond or lake construction ro osed, then com lete the chart below.
5a. 5b. 5c. 5d. 5e.
Wetland Impacts (acres) Stream Impacts (feet) Upland
Pond ID Proposed use or (acres)
number purpose of pond Excavat
Flooded Filled ed Flooded Filled Excavated Flooded
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. Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer, then complete the chart below. If yes, then individually list all buffer
im acts below. If an im acts re uire miti ation, then ou MUST fill out Section D of this form.
6a.
❑ Neuse ❑ Tar-Pamlico ❑ Other:
Project is in which protected basin? ❑ Catawba ❑ Randleman
6b. 6c. 6d. 6e. 6f. 6g.
Buffer impact
number — Reason for impact Buffer Zone 1 impact Zone 2 impact
Permanent (P) or Stream name mitigation (square feet) (square feet)
Tem ora T re uired?
B1 ❑P❑T ❑Yes
❑ No
B2 ❑P❑T ❑Yes
❑ No
B3 ❑P❑T ❑Yes
❑ No
6h. Total buffer impacts 0 0
6i. Comments:

D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
Rip rap bank stabilization has already been permitted (as part of the previously received NWP 13) at the proposed utility
line crossings of Richland Creek. This stabilization will be employed as part of the restoration and bank stabilization that
will be required due to the open-cut trenching operation.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
NCDOT Best Management Practices for Construction and Maintenance Activities and Best Management Practices for the
Protection of Surface Waters will be employed. Also, the proposed utility construction shall meet the applicable
requirements of NCDOT's Standard Specifications for Roads and Structures, dated January 2012.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
❑ Yes � No
2a. Does the project require Compensatory Mitigation for If no, explain: The impacts associated with this NWP 12 are
impacts to Waters of the U.S. or Waters of the State? temporary. Mitigation is required for the project, but it is for
impacts associated with our original NWP 13, 23, 33 permit
impacts. The EEP letter for those impacts was provided with
the Jul 28, 2014 ermit a lication.
2b. If yes, mitigation is required by (check all that apply): ❑ DWQ ❑ Corps
❑ Mitigation bank
2c. If yes, which mitigation option will be used for this
project? ❑ Payment to in-lieu fee program
❑ 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: 0 linear feet
4c. If using stream mitigation, stream temperature: ❑ warm ❑ cool ❑cold
4d. Buffer mitigation requested (DWQ only): 0 square feet
4e. Riparian wetland mitigation requested: 0 acres
4f. Non-riparian wetland mitigation requested: 0 acres
4g. Coastal (tidal) wetland mitigation requested: 0 acres
4h. Comments:
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.
Zone Reason for impact Total impact Multiplier Required mitigation
(square feet) (square feet)
Zone 1 3(2 for Catawba)
Zone 2 1.5
6f. Total buffer mitigation required: 0
6g. If buffer mitigation is required, discuss what type of mitigation is proposed (e.g., payment to private mitigation bank,
permittee responsible riparian buffer restoration, payment into an approved in-lieu fee fund).
6h. Comments:

E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Plan
1 a. Does the project include or is it adjacent to protected riparian buffers identified ❑ Yes � No
within one of the NC Riparian Buffer Protection Rules?
1 b. If yes, then is a diffuse flow plan included? If not, explain why.
❑ Yes ❑ No
Comments:
2. Stormwater Mana ement 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:
The Stormwater Management Plan for this propject was provided with the July 28, 2014 permit application for NWPs 13,
23, and 33 .
❑ 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
3b. Which of the following locally-implemented stormwater management programs ❑ NSW
apply (check all that apply): ❑ USMP
❑ Water Supply Watershed
❑ Other:
3c. Has the approved Stormwater Management Plan with proof of approval been ❑ Yes ❑ No
attached?
4. DWQ Stormwater Pro ram Review
❑ Coastal counties
❑ HQW
❑ ORW
❑ Session Law 2006-246
4a. Which of the following state-implemented stormwater management programs apply � Other: CA; The project is
(check all that apply): within the Critical Area for a
hazardous spill basin. Due to
the location of this project
being parallel to NC 73,truck
traffic would be low; therefore,
no basins are anticipated.
4b. Has the approved Stormwater Management Plan with proof of approval been
attached? ❑ Yes ❑ No N/A
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 requirements been met? �� Yes ❑ No
F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
1 a. Does the project involve an expenditure of public (federal/state/local) funds or the � Yes ❑ No
use of public (federal/state) land?
1 b. 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)?
1 c. 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
letter.) � Yes ❑ No
Comments:
2. Violations (DWQ Requirement)
2a. Is the site in violation of DWQ Wetland Rules (15A NCAC 2H .0500), Isolated
Wetland Rules (15A NCAC 2H .1300), DWQ SurFace Water or Wetland Standards, ❑ Yes � No
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)
3a. Will this project (based on past and reasonably anticipated future impacts) result in ❑ Yes
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 bridge replacement, this project will 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
10

5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or � Yes ❑ No
habitat?
5b. Have you checked with the USFWS concerning Endangered Species Act � Yes ❑ No
impacts?
� Raleigh
5c. If yes, ind icate the USFWS Field Office you have contacted.
❑ Asheville
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
NC Natural Heritage Program data, USFWS website, NCDOT field surveys
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat? ❑ Yes � No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
NMFS County Index
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
7a. Will this project occur in or near an area that the state, federal or tribal
governments have designated as having historic or cultural preservation � Yes � No
status (e.g., National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?
NEPA Documentation
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain? � Yes ❑ No
8b. If yes, explain how project meets FEMA requirements: NCDOT Hydraulics Unit coordination with FEMA
8c. What source(s) did you use to make the floodplain determination? FEMA Maps
� � ---
_ Z - S` Zol,S'
Richard W. Hancock, P.E. -----�---
Applicant/AgenYs Printed Name Applicant/AgenYs Signature Date
(AgenYs signature is valid only if an authorization letter from the applicant
is rovided.)
11

��F,,,j�,T��Q Office Use Only:
� � Q � Corps action ID no.
i�., i � �, DWQ project no.
o Y Form Version 1.3 Dec 10 2008
Pre-Construction Notification (PCN) Form
A. Applicant Information
1. Processing
1 a. Type(s) of approval sought from the
Corps: � Section 404 Permit ❑ Section 10 Permit
1 b. Specify Nationwide Permit (NWP) number: 12 or General Permit (GP) number:
1 c. Has the NWP or GP number been verified by the Corps? ❑ Yes � No
1d. Type(s) of approval sought from the DWQ (check all that apply):
� 401 Water Quality Certification — Regular ❑ Non-404 Jurisdictional General Permit
❑ 401 Water Quality Certification — Express ❑ Riparian Buffer Authorization
1 e. Is this notification solely for the record For the record only for DWQ 401 For the record only for Corps Permit:
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 � Yes � No
of impacts? If so, attach the acceptance letter from mitigation bank or in-lieu
fee program.
1g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h ❑ Yes � No
below.
1 h. Is the project located within a NC DCM Area of Environmental Concern (AEC)? ❑ Yes � No
2. Project Information
2a. Name of project: Replacement of Bridge No. 22 over Richland Creek on SR 1111 (Lilly's Bridge Road)
2b. County: Montgomery
2c. Nearest municipality / town: Mount Gilead
2d. Subdivision name: not applicable
2e. NCDOT only, T.I.P. or state g_4780
project no:
3. Owner Information
3a. Name(s) on Recorded Deed: North Carolina Department of Transportation
3b. Deed Book and Page No. not applicable
3c. Responsible Party (for LLC if not applicable
applicable):
3d. Street address: 1598 Mail Service Center
3e. City, state, zip: Raleigh, NC 27699-1598
3f. Telephone no.: [phone]
3g. Fax no.: [phone]
3h. Email address: [e-mail]

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

B. Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID): not applicable
1 b. Site coordinates (in decimal degrees): Latitude: 35.2540 Longitude: - 80.0717
(DD.DDDDDD) (-DD.DDDDDD)
1 c. Property size: 1.5 acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to Richland Creek
proposed project:
2b. Water Quality Classification of nearest receiving water: WS-IV&B CA
2c. River basin: Yadkin-Pee Dee
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:
SR 1111 (Lilly's Bridge Rd) is classified as a Rural Local Route in the Statewide Functional Classification System and is
not a National Highway System Route. Land use within the vicinity includes Forested Land, Low- to Mid-Density
Residential, Silviculture, and Recreation.
3b. List the total estimated acreage of all existing wetlands on the property:
0 acres
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
210 linear feet
3d. Explain the purpose of the proposed project:
To replace a structurally deficient and functionally obsolete bridge.
3e. Describe the overall project in detail, including the type of equipment to be used:
This portion of the project consists of relocating and installing a 12-inch water line downstream of the proposed 12-foot by
9-foot Reinforced Concrete Box Culvert (RCBC) and relocating and installing an 8-inch force main sewer line upstream of
the proposed RCBC. Both lines with be installed across Richland Creek using open-cut trenching techniques. When the
lines are installed and the temporarily sidecast earthen material is replaced, both lines will be approximately 4 feet below
the streambed. Standard equipment for installing underground utility lines and performing open-cut trenching will be
employed.
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 ❑ No ❑ Unknown
Comments: Action ID No. SAW-2009-01696
4b. If the Corps made the jurisdictional determination, what type
of determination was made? � Preliminary ❑ Final
4c. If yes, who delineated the jurisdictional areas? Agency/Consultant Company: NCDOT
Name (if known): Principal Investigator: Lindsey Riddick Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
September 15, 2009; JD provided with 7/28/14 application for NWPs 13, 23, and 33.
5. Project History
5a. Have permits or certifications been requested or obtained for � Yes ❑ No ❑ Unknown
this project (including all prior phases) in the past?
5b. If yes, explain in detail according to "help file" instructions.
NWPs 13, 23, 33, issued by USACE 09/10/14 (Action ID SAW-2009-01696);WQCs 3885, 3891, 3893, issued by NCDWR
08/25/14 (NCDWR Project No. 20140806v.1).

6. Future Project Plans
6a. Is this a phased project? ❑ Yes � No
6b. If yes, explain.
C. Proposed Impacts Inventory
1. Impacts Summary
1 a. Which sections were completed below for your project (check all that apply):
❑ Wetlands � Streams - tributaries ❑ Buffers
❑ 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 Type of jurisdiction
number — Type of impact Type of wetland Forested (Corps - 404, 10 Area of impact
Permanent (P) or (if known) DWQ — non-404, other) (acres)
Temporar T
Site ❑ P❑ T ❑ Yes ❑ Corps
❑ No ❑ DWQ
Site ❑ P � T ❑ Yes ❑ Corps
❑ No ❑ DWQ
Site ❑ P❑ T ❑ Yes ❑ Corps
❑ No ❑ DWQ
2g. Total wetland impacts 0 ac Perm.
0 ac Temp.
2h. Comments:
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.
3a. 3b. 3c. 3d. 3e. 3f. 3g.
Stream impact Type of impact Stream name Perennial Type of Average Impact length
number - (PER) or jurisdiction stream (linear feet)
Permanent (P) or intermittent (Corps - 404, 10 width
Temporary (T) (INT)? DWQ — non-404, (feet)
other)
Site 1❑ P� T Temp. Richland Creek � PER � Corps 15-20 <0.01 ac.
Trenching ❑ INT ❑ DWQ
Site 1❑ P � T ❑ PER ❑ Corps
❑ INT ❑ DWQ
Site 1❑ P❑ T ❑ PER ❑ Corps
❑ INT ❑ DWQ
Site ❑ P❑ T ❑ PER ❑ Corps
❑ INT ❑ DWQ
0 Perm.
3h. Total stream and tributary impacts <0.01 ac.
Temp.
3i. Comments: Per test hole data, heavy groundwater was encountered in areas where bore pits would be located if a
trenchless method was employed to relocate and install the 12-inch water line downstream of the bridge and the 8-inch force
main sewer line upstream of the bridge. This groundwater would make the pits unsafe due to the potential for sloughing off
and major dewatering procedures would need to be utilized. Additionally, per the test hole data, there was evidence of large
rocks/boulders in these areas, which would make trenchless methods difficult, especiall dependin on what t pe of rock.

Therefore, it was determined that open-cut trenching across Richland Creek in these two locations would be most practical to
install the pipes. Impacts resulting from this trenching would be temporary stream impacts to Richland Creek. The combined
linear footage impact along Richland Creek would be approximately 8-10 ft and the total area impact is 0.0024 acres. These
impacts occur in areas already designated for permanent bank stabilization impacts in the original permit(s), but the trenching
extends across the entire creek into areas where the bank stabilization would not. That is why we are requesting the NWP 12.
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 individuall list all open water impacts below.
4a. 4b. 4c. 4d. 4e.
Open water Name of
impact number — waterbody Type of impact Waterbody type Area of impact (acres)
Permanent (P) or (if applicable)
Tem orar T
01 ❑P❑T
02 ❑P❑T
4f. Total open water impacts 0 Permanent
0 Temporary
4g. Comments:
5. Pond or Lake Construction
If ond or lake construction ro osed, then com lete the chart below.
5a. 5b. 5c. 5d. 5e.
Wetland Impacts (acres) Stream Impacts (feet) Upland
Pond ID Proposed use or (acres)
number purpose of pond Excavat
Flooded Filled ed Flooded Filled Excavated Flooded
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. Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer, then complete the chart below. If yes, then individually list all buffer
im acts below. If an im acts re uire miti ation, then ou MUST fill out Section D of this form.
6a.
❑ Neuse ❑ Tar-Pamlico ❑ Other:
Project is in which protected basin? ❑ Catawba ❑ Randleman
6b. 6c. 6d. 6e. 6f. 6g.
Buffer impact
number — Reason for impact Buffer Zone 1 impact Zone 2 impact
Permanent (P) or Stream name mitigation (square feet) (square feet)
Tem ora T re uired?
B1 ❑P❑T ❑Yes
❑ No
B2 ❑P❑T ❑Yes
❑ No
B3 ❑P❑T ❑Yes
❑ No
6h. Total buffer impacts 0 0
6i. Comments:

D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
Rip rap bank stabilization has already been permitted (as part of the previously received NWP 13) at the proposed utility
line crossings of Richland Creek. This stabilization will be employed as part of the restoration and bank stabilization that
will be required due to the open-cut trenching operation.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
NCDOT Best Management Practices for Construction and Maintenance Activities and Best Management Practices for the
Protection of Surface Waters will be employed. Also, the proposed utility construction shall meet the applicable
requirements of NCDOT's Standard Specifications for Roads and Structures, dated January 2012.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
❑ Yes � No
2a. Does the project require Compensatory Mitigation for If no, explain: The impacts associated with this NWP 12 are
impacts to Waters of the U.S. or Waters of the State? temporary. Mitigation is required for the project, but it is for
impacts associated with our original NWP 13, 23, 33 permit
impacts. The EEP letter for those impacts was provided with
the Jul 28, 2014 ermit a lication.
2b. If yes, mitigation is required by (check all that apply): ❑ DWQ ❑ Corps
❑ Mitigation bank
2c. If yes, which mitigation option will be used for this
project? ❑ Payment to in-lieu fee program
❑ 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: 0 linear feet
4c. If using stream mitigation, stream temperature: ❑ warm ❑ cool ❑cold
4d. Buffer mitigation requested (DWQ only): 0 square feet
4e. Riparian wetland mitigation requested: 0 acres
4f. Non-riparian wetland mitigation requested: 0 acres
4g. Coastal (tidal) wetland mitigation requested: 0 acres
4h. Comments:
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.
Zone Reason for impact Total impact Multiplier Required mitigation
(square feet) (square feet)
Zone 1 3(2 for Catawba)
Zone 2 1.5
6f. Total buffer mitigation required: 0
6g. If buffer mitigation is required, discuss what type of mitigation is proposed (e.g., payment to private mitigation bank,
permittee responsible riparian buffer restoration, payment into an approved in-lieu fee fund).
6h. Comments:

E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Plan
1 a. Does the project include or is it adjacent to protected riparian buffers identified ❑ Yes � No
within one of the NC Riparian Buffer Protection Rules?
1 b. If yes, then is a diffuse flow plan included? If not, explain why.
❑ Yes ❑ No
Comments:
2. Stormwater Mana ement 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:
The Stormwater Management Plan for this propject was provided with the July 28, 2014 permit application for NWPs 13,
23, and 33 .
❑ 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
3b. Which of the following locally-implemented stormwater management programs ❑ NSW
apply (check all that apply): ❑ USMP
❑ Water Supply Watershed
❑ Other:
3c. Has the approved Stormwater Management Plan with proof of approval been ❑ Yes ❑ No
attached?
4. DWQ Stormwater Pro ram Review
❑ Coastal counties
❑ HQW
❑ ORW
❑ Session Law 2006-246
4a. Which of the following state-implemented stormwater management programs apply � Other: CA; The project is
(check all that apply): within the Critical Area for a
hazardous spill basin. Due to
the location of this project
being parallel to NC 73,truck
traffic would be low; therefore,
no basins are anticipated.
4b. Has the approved Stormwater Management Plan with proof of approval been
attached? ❑ Yes ❑ No N/A
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 requirements been met? �� Yes ❑ No
F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
1 a. Does the project involve an expenditure of public (federal/state/local) funds or the � Yes ❑ No
use of public (federal/state) land?
1 b. 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)?
1 c. 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
letter.) � Yes ❑ No
Comments:
2. Violations (DWQ Requirement)
2a. Is the site in violation of DWQ Wetland Rules (15A NCAC 2H .0500), Isolated
Wetland Rules (15A NCAC 2H .1300), DWQ SurFace Water or Wetland Standards, ❑ Yes � No
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)
3a. Will this project (based on past and reasonably anticipated future impacts) result in ❑ Yes
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 bridge replacement, this project will 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
10

5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or � Yes ❑ No
habitat?
5b. Have you checked with the USFWS concerning Endangered Species Act � Yes ❑ No
impacts?
� Raleigh
5c. If yes, ind icate the USFWS Field Office you have contacted.
❑ Asheville
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
NC Natural Heritage Program data, USFWS website, NCDOT field surveys
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat? ❑ Yes � No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
NMFS County Index
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
7a. Will this project occur in or near an area that the state, federal or tribal
governments have designated as having historic or cultural preservation � Yes � No
status (e.g., National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?
NEPA Documentation
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain? � Yes ❑ No
8b. If yes, explain how project meets FEMA requirements: NCDOT Hydraulics Unit coordination with FEMA
8c. What source(s) did you use to make the floodplain determination? FEMA Maps
� � ---
_ Z - S` Zol,S'
Richard W. Hancock, P.E. -----�---
Applicant/AgenYs Printed Name Applicant/AgenYs Signature Date
(AgenYs signature is valid only if an authorization letter from the applicant
is rovided.)
11

,
.,
,
.�
.,
�
V
W
O
�
�
�
�
T� • OFFSITE DETOUR
GRAPHIC SCALES
50 25 0 50 100
PLANS
50 25 0 50 100
PROFILE (HORIZONTAL)
10 5 0 10 20
PROFILE (VERTICAL) �
SHEET NO.
UGl
UC-2
UG3
UG4
UC—S
����� �� ����� ��������
�� �Y ����� � i JS ���!.l J!L V��.�. =1 �
UTILITY C01�STR UCTI011t PLA1�S
M01�TGOMER Y CO U1�TY
I11 tDEX OF SHEETS
DESCRIPTION
LOCATION: BRIDGE 1110.22 011t SR 1111 (LILLY'S BRIDGE ROAD)
OVER RICHLAIVD CREEK
TYPE OF WORK UTILITY C011ISTR UCTI0111
IA
10+50 /1+00 /1+50 /2+00
O��,z w� �s
\ �
PROPOSED 12"
WATER LI1VE
°Jf'.I.FD. iT�. SHBET NQS.
B-4780 UC-1
�q0\.
c�R
� \
14+50 /5+00
z� �5'`�`O
wc /6�
/Oipp 0
10+50 e fss //+00 /1+50 /2+00 g Fss /2+5� \�xg� e Fss 14+00 /4+50 /5+00 8 F55 /5+5�
+0p
PROPOSED 8" FORCE MAI11r
SEWER LI11tE
TITLE SHEET
SYMBOLOGY SHEET
GENERAL NOTES SHEET
UTILITY PLAN SHEET
PROFILE SHEET
WATER A111D SEWER
OW11tERS O1V PROJECT
(1) WATER — MONTGOMERY COUNTY PUBLIC
UTILITIES DEPARTMENT
(2) SEWER — TOWN OF MT. GILEAD PUBLIC WORKS
DEPARTMENT
SEAL:
DIVISION OF HIGHWAYS
,`pRjH.'�ARO��.,, PROJECT SERVICES
; a.�oFess,o...y�"= UTILITY SECTION
�RELIML�{Py�Y P ANS 1591 MAIL SBRVICES CENTER
DO N0.T SE ONS RUCTION y RALElGH NC 27699-1591
�• � PHONE (9/9) 250�/28
'�•,'FF� N� � N� �0�;.; ` �� OF TPPN�'�O FAX [phone]
N 5. H
� H I N D E Roger Worihtngton, P.E. UTILITIES SECTION ENGINEER
Steve Mckee, P.E. UTIL/TIES SQUAD LEADER PROJECT ENGINEER
E N G I N E E R I N G Don Proper UTILITIES PROJECT DESIGNER
�icense Na. o2s3s Kevin S. Hinde, P.E. HINDE ENGINEERING PRO ECT ENGINEER
7520 E. Independence Blvd., Suite 230 Charlotte, NC 28227 .�

•n
= Z" UO' 00.0" U=/' i5' 00.0„
= 82.44' L = 22/25'
= 4/.22' T = ll1.35'
= 2,8E4,79' R = 790.25
270 LF 12„
WATER LINE
PVC,C900
45°BI
45°BEND W/
WALL BLOCKING
8" PLASTIC
11.25°BEND W/�
WALL BLOCKING
11.25°BEND
269 LF 8" FORCE
MAIN SEWER
PVC,C900
ABANDON 608 LF
8" UTILITY PIPE
�i���� � � � �;���
_�Fr �a A � ���€ow�, FE�M,
- -- �� ��
�
MPROVE�tIt
JV�� tl
I = �. T�1���.
— �-- � � _,-+i_
� �. o�w�.,uEaM
, �::� �1 ��
PfiNACIC[ ��� I f I-°FEV u� ,
M(�F{OVE�MEI(Nl V_EFIJ�
0�4l� 5
F'�T T�'i:� f�/�c_
rPROP. 6-CONCRETE
I ANTI-SEEPAGE COLLARS
I@ 20' SPACING (TYPICAL)
SEE -W1- PROFILE
-W1-STA 11+g0 TO
-W1-STA 12+80
11.25°BEND
11.25°BEND
54 LF 12"
WATER LINE
DI RESTRAINED
JOINT PIPE,
PC 350
W1-STA 12+7p TO
-W1-STA 13+24
45°BI
45°
1-�s.00 -�
so �n� �r+r �
�
�\
�
\
�
,
N,q�
8�
�RS 9
6
ABANDON 582 LF
12" UTILITY PIPE
277 LF 12„
WATER LINE
PVC,C900
11.25°BEND l
1
11.25°BEND W/
�WALL BLOCKING
� � ��
�4 ND � „o Eq
��.�, Ha, �o �E�P« S 1
•45°BEND
90 LF 8" FORCE
MAIN SEWER
DI RESTRAINED
JOINT PIPE,
PC 350
-S1-STA 12+69 TO
-S1-STA 13+59
- h��,� — —
MAIN SE'
PVC,C900
�11.25°BEND W
�
WALL BLOCKING
1.25°BEND
UTILITY CONSTRUCTION
S;^Al F.
0 5� l00
: � i}s=
�, `� ,
� o ���,
�� � � �
L �
Xv
N
�o
�
Q
i
v

PVC,C900
� - —, "�
�W1
���
�� f
►2
PROP. 6-CONCRETE
ANTI-SEEPAGE COLLARS
@ 20' SPACING (TYPICAL)
SEE -W1- PROFILE
-W1 -STA 11+80 TO
-W1-STA 12+80
CTOBER Ig ���.� .
- - - �, ; -, n,�
,�
PVC,C900
ABANDON 608 LF
8" UTILITY PIPE
Utility Permit Drawing
Sheet 1 of 1
11.25°BEND
12„ �2f50
WC .�
W�—
�
�
�
GPR
4' DEEP P FS
FSS
�r.
�i�E Noa
&
45°BEND
45°BEND
11.25°BEND
�� �
.�
R�
°�
l3 �00
�t
GPR
5' DEEP
�
I
c� n r1
�
�i�
.�
�
54 LF �� II /� ENGINEERING DES[GHED BY: dHA ,,,,,,
t�,aePe�ae�`�e'�� s° .: ne,N�zyz�, DR BY: J A ;:o�c�r+ caRO�,,,
WAT E R L I N E CHECKED BYt K� :�:-oF�ESS,o..:2.,.
APPRO D BYi ?RELIMS�P�Y P ANS
DI RESTRAINED REyISED: ... . ;
OR OL I ' FNG I NE�e'�.;'
JOINT PIPE, �� ���� ��
P�RT NT '%F;iN 5 H;`;�'
TRA SP TATIO
��9p unurtes t t sEC.
P C 3 5 0 8`� FA%NE919 260�415190 UTILIPL�f��YCTI01r
-W1-STA 12+70 TO ORS96 UTILITY CONSTRUCTION
- W1 - STA 13+24 sca�:
0 25 50
ABANDON 582 LF
12" UTILITY PIPE
�
:� �.
�0
��
\ �
T
�N
/.:
�
�
�
$ rr-
GPR
4' DEEP
45°BEND
45°BEND
14-�00
12" WL�
14+00
DI RESTRAINED
JOINT PIPE,
PC 350
- S 1- STA 12+69 TO
-S1-STA 13+59
� DENOTES TEMPORARY IMPACTS IN SURFACE WATER
104 SQ.FT.=0.0024 ACRES OF TEMPORARY IMPACTS IN SURFACE WATEF
\
���� p��L
�� �
,. -
TH-2
5' DEEP
'�}— F S S
' PVC,C900
l4 �50
GPR
\ � \
e \
\
S1 ��� �.
ENCOUNTERED LARGE
ROCKS COULD
NOT GO DEEPER
� ENCOUNTERED HEAVY
GROUND WATER
COULD NOT GO DEEPER
PVC,C900

�����'� H I N D E PROJECTB 4780 NCE N0. SHUCT5N0.
` ENGINEERING DESIGNED ar: �Nn
3ZO , _ ' . � �. e��e �.. �,�ez �a,one, �z_, DRAy1N BY: JNA `,o�tH.cqRO-'•,,
� � . . �. �. iI �. �� � . i i CHECKED BY: KSH r �.�oFESSio. Zs
. . . . . . . . . . . .� . . . . .. . . . ' . . . : • ¢ ry'• "9 i
i APPROVED BY: aR�,'LIMFNtrc�Y P ANS
� � - �. � D N �SE �dH9IXi0NS7RliCT ON
END W L CONSTRUCTION ar .
/
BEGIN W/L CONSTRUCTION REVISED:
310 � TIE TO EXIST. 12"PVC WATER LINE TIE TO EXIST. 12"PVC WATER LINE i I i NORTH CAROLINA `•F �e:' -
--- 45°BEND W/ WALL BLOCKING 11.25°BEND W/ WALL BLOCKING ', DEPARTMENT OF ,�':�F;N�SNN��O�:�`
-W1-STA 16+00.29 i TRANSPORTATION „ ,,,,
�i -W1-STA 10+00.00 � -L-STA 18+00.00 18.26 LT
�i -L-STA 12+1g.75 (17.40 LT) PROP.GRADEc i ) � UTILIIIES ENGINEERING SEC.
! � � � � � � �� � -� wATER LINE i- PHONE:[phone] UT[LITY CON57RUCTION
�i . . . FAX:[phone] PLANS ONLY
300 I
- i --��, - - - � , ---_�_
I �
3'M/N.COVER (7YPJ ix _-------' ' � `. ,_•-- � A�FF
iW � CYST./2"/'VC . . .
i� "'FR L�NE
V OX)
290 exisr.re°PVC _' EXIST.GRADE� �o -- - � --- � -- --- --- _ 290
warFR ume�, �\ WATER UNE ,P;]� .% ----� - � I
(APPROX) � j= . �. �. . �. �. �. �. .
.
\\ U . I
'i...... �� I� ,,, �
- � ' --'
' " 280
� �
280 ��--- ,-- ----_ ; ,-.
---- — `
--- ----------- --� \`
I _. ---� � � --' 11 .25°BEND
I'I 4'COVER 277 LF 12"
270 - I- 45°BEND WATER LINE _ 270
PVC,C900
� 11.25°BEND
�
� 54 LF 12"
I PROP. 6-CONCRETE WATER LINE 260
260 li 270 LF 12" ANTI-SEEPAGE COLLARS DI RESTRAINED
' i WATER LINE @ 20' SPACING (TYPICAL) 11.25°BEND JOINT PIPE, �
� PVC,C900 -W1-STA 11+g0 TO PC 350
� -W1-STA 12+80 -W1-STA 12+70 TO
I -W1-STA 13+24 -
250 - II - -- - - --- -+ --- i ---� -- --- . 250
I � I
, �
240 240
i � i i i i � �I I I I I I I i � � � i i i i .
10+00 11+00 12+00 13+00 14+00 15+00 16+00 17+00
320 i I I I I I I I I I I � I 320
BEGIN S/L CONSTRUCTION I
TIE TO EXIST. S"PVC FM SEWER LINE I
-� 11.25°BEND W/ WALL BLOCKING � 'i �
310 -L�STAA12�0004��(19.32 RT) i TIE� TOLEX�ISTTR8CPVCNFM SEWER LINE II 310
' � 11.25°BEND W/ WALL BLOCKING �
S1-STA 16+�6.16
' PROP.GRADEC -L-STA 18+03.16 (18.07 RT)
' SEWER UNE
300 � 3'tiiIN.COVER (n'PJ EXIST.GR,4pE� � I 300
_�_�. � _
� -_� SEl'YER LINE - ---,-�__,
Y
FM sE�wER uNE PROP.GRADEL ;� I
raF��ox.i� SE�'YER [JNE I� ---- ------------- -
' uNC �i
,,, � r.�n.e�FM -_ '�,
xi� . ,
�FM SEWER
�L9O srvErsurrE ��Eri-r_r�vNONX � � \ � lAPPkOXJ I �L9O
`���� r]o B£ AdM'OONEO� �o G6tc ��— � _ I
...�...... �� �_ /
............ � _ I lAPPfiOXI ��
4'COVER '� �� .t...
�'-------- i� �F�.isi..c�e�a�ex .......... . . .
I ----- ' _ _ .. . . . . � ..
� '� �ex-cA�uxE
"'-----------'� t�----"�� �� no r,� �i,aNC�Nrn, j
/
280 I f'" ti°" � � � 280
ii 11.25°BEND `-� ,� - - -
.J 11.25°BEND
' 258 LF 8" FORCE
270 I ,I= 45°BEND MAIN SEWER 270
- ° 269 LF 8' FORCE °
MAIN SEWER 45°BEND PVC,C900
PVC,C900 45°BEND 45°BEND
260 'i 260
i 90 LF 8° FORCE
i I MAIN SEWER
— -
i i DI RESTRAINED i
250 JOINT PIPE, i i i 250
PC 350
i i i i i -S1-STA 12+69 TO I i I i i i
i i i � -S1-STA 13+59 ! i i
� �
I i i i
240 i i i 240
! � ! 0 � ! � � I � � I ! '
, s�- � , , � � , �� , � � �
10+00 11+00 12+00 13+00 14+00 15+00 16+00 17+00