20071845 Ver 1_Application_20071031

A „a STAl~ o
~'~-
~ ,~
'~a„M~•
STATE OF NORTH CAROLINA
,~~;
~. ~ -~
~,a.
.,, ,;,~ -
~,~ ~~
.;~,~ fit,,
~..
.ti, r
. ~1~
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY
GOVERNOR
October 30, 2007
N.C. Division of Water Quality
LYNDO TIPPETT
SECRETARY
Transportation Permitting Unit O ~]' ~ 8
2321 Crabtree Blvd./Suite 250 I
Raleigh, NC 27604-2260
Attention: Mr. Rob Riding, NCDOT Project Coordinator
Subject: Proposed replacement of a pipe conveying an unnamed tributary to Upper
Barton Creek on Claybank Place off of SR 3298 (Crestmont Drive) in
Wake County. WBS element SC.092014.
The North Carolina Department of Transportation (NCDOT) proposes take over
Claybank Place subdivision roadway in Wake County (Figures 1-3). This existing_ avel
road will be channeled out and Waved as is with no right-of=wav clearing necessarv for
this protect. There is however a pipe conveying an unnamed tributary to Upper Barton
Creek that needs to be replaced. Information concerning this activity is provided below:
Impacts to Waters of the United States
The project crosses an intermittent stream, UT to Upper Barton Creek, [NCDENR-DWQ
Index No. 27-15-(I), Best Usage Classification WS-.LV, NSW; HUC 03020201] in the
Neuse River Basin. The existing structure that conveys the creek is a 30-inch corrugated
metal pipe that is 60 ft long (see Photographs 1-2). This existing structure is undersized
and is perched resulting in a large blow hole at the outlet. NCDOT proposes to replace
the existing pipe with a 48-inch corrugated metal pipe that is 60 ft long. Rip rap
armoring will be added to stabilize the stream banks and shoulder sections above the pipe
ends. Additionally 15 linear feet of stone will be placed in the stream channel to repair
the blow hole so that the new pipe will not be perched. This stone will be pressed down
so that it will not interfere with aquatic life passage. If necessary, the NCDOT will also
dewater the work zone during construction. Any saterials used for dewatering will be
removed after construction. Permanent impacts at the site associated with the replacement
of the structure will not exceed 15 feet of surface water fill concurrent with 15 ft of rip
rap at the outlet. No surface water fill and 15 ft of rip rap will be used on the inlet of the
new pipe. Temporary concurrent impacts will include the dewatering of 25 feet of stream,
if necessary.
Division 5, 2612 N. Duke Street, Durham, NC 27704
Phone: [phone] Fax: [phone]

2
Riparian Buffer
The pipe replacement work at Site 1 involves a road crossing of a stream that is subject to
the Neuse River Buffer Rules. This intermittent unnamed tributary to Upper Barton
Creek is depicted on the most recent version of the Bayleaf (USGS 1967/1987)
topographic quadrangle (Figure 1) and the Soil Survey of Wake County (USDA-SCS,
1970) (Figure 2). Construction impacts at this site total 1,482 ft2 in Zone 1 and 998 ft' in
Zone 2 (totaling 25 Ift of riparian buffer impacts).
Waters of the U.S. Mitigation
Avoidance: All wetlands and surface waters not affected by the project will be
protected from unnecessary ,encroachment. No staging of construction equipment or
storage of construction supplies will be allowed in wetlands or near surface waters.
Minimization: The side slopes have been steepened to the extent possible at .
jurisdictional sites. Strict enforcement of sedimentation and erosion control Best
Management Practices for the protection of wetlands and surface waters will be enforced
during project construction. Continued coordination will occur with maintenance forces
and the Environmental Officer during construction to minimize impacts to these sites.
Compensatory Miti ate All compensatory mitigation requirements will be left
to the discretion of the regulatory review agencies.
Protected Species
Plants and animals with federal classifications of Endangered, Threatened, Proposed
Endangered, and Proposed Threatened are protected under provisions of Section 7 and
Section 9 of the ESA. As of October 2007, there are three federally protected species
listed for Wake County. They include red-cockaded woodpecker (Picoides borealis),
dwarf wedgemussel (Alasmidonta heterdon), and Michaux's sumac (Rhus michauxii).
Please note that the bald eagle (Haliaeetus leucocephalus) was recently delisted.
Claybank Place is not adjacent to open water suitable to provide foraging habitat for the
bald eagle. The dense mixed hardwood stands surrounding these sites do not offer
suitable forging or nesting habitat for red-cockaded woodpecker. The UT to Upper
Barton Creek is a small stream and does not provide suitable habitat for mussel fauna.
The roadway shoulders along Claybank Place are heavily maintained, eliminating the
possibility for Michaux's sumac to exist in this area. Additionally, a review of the Natural
Heritage Program database (last updated Fall 2007) revealed no occurrences of protected
species within the project area. Therefore, based on lack of suitable habitat observed
during the 10/25/07 site visit and the NHP database review, biological conclusions of No
Effect have been rendered for each species.
Summary
Application is hereby made for a NCDENR-DWQ Section 401 Water Quality
Certification (WQC) No. 3627 and riparian buffer authorization for above-described
activities. An automated payment procedure has been implemented between the 1~TCDOT
and NCDWQ. This procedure will enable the Division to apply for the 401 WQC without
submitting a check for this permit application. This procedure will provide payment to
the NCDWQ by charging the permit application fee of $200.00 directly to the appropriate

3
NCDOT WBS element SC.092014. Apre-construction notification is attached with this
request. ,.
Per General Condition 27 [Notification provision], the USACE is not copied on this
permit request. The proposed activities meet the conditions of the Department of the
Army Section 404 Nationwide Permir(NWP) 14 and the proposed impacts do not exceed
the 1/10 acre of loss of Waters of the United States. Additionally this project does not
involve impacts to a special aquatic site. Therefore we intend to comply with all
applicable NWP conditions during construction of this project, working under NWP 14
with no notification required to the USACE.
If you have any questions or need additional information, please contact Ms. Heather
Montague at [phone].
Sincerely,
J.W. Bowman, P.E.
Division Engineer
cc: Mr. Reid Elmore, NCDOT District 1 Engineer
Mr. Ashley Pilkington, NCDOT Wake County Assistant Maintenance Engineer
Mr. Tim Robbins, NCDOT Roadside Environmental Field Ops Tech

Claybank Place off of SR 3298 (Crestmont Drive)
- Wake County
Photograph 1. View of looking upstream of inlet.
Photograph 2. View of outlet, from downstream facing toward roadway.

-' ~ ~ ~ 1
1T ,J ^~ 7~ l
;~ Ss.~.. ` _„ ~I~'. ~, \ ~, \,~,/~ / ~ ~/i ~-lr \ ~~ ~ /.J~\ \le ,\ \~;t~ ,4 ~ r~it lF~ -- t~~ ~. ;'.
~ ~
\ ~ l )~ /~
,'
,~ ~ -
~t) /
- v , , , , ~ /. ~~ tryA-. I . ~ ._..- -~ h ~ /~ "_~ J '~i~ ~ r/e \.. r ,,,,1, /
.: `T
,~I . ! e -' R x91UU~ ~ d \~'a~~~ I e v i) ! o ~ ~`~'~y~- ~l r' /~ ,Y+~~ { (`v ~ r e ~ `~~~r~G
~ i // r e l ' ,}90C .i _.,' `~~ ~ ~ fir-. ~ / - ~ r '4+.~ e ~. i( ;!~
• ~ l> f ~d
„ ~ ~ ~,,... /' r
f -j ~ /
~ fit: ,~ ~ i 'vJO ! ( f' -- +
: S 1 f 1
,:
r- .-,~.:.>~_ _ ~ -r , _:Y... i l5 '- ' ; y~ \. l ~- `. ~~~ ~ ~~. t~ \ y ~~ ~ t T(, ~ j +
..
~~~ ~ ~SAMl;'!Gogvti~i 19ySit a J /' .•"^~ ~ '~ e\i~ ~~t•\~i'A l~i .-./ 't' ~~ ~ ~ ~v ` ~u ~ `q ,! ~r ,_'i~!
~`(`~~ Gem ~ .~,~ ~ri,~ ~~ ~ /,~y~",~ ~~ i~ / r ~ ' ~~~ t ~ ~ I ' 4 ~ + 1 ~ ~ ~ y '"'"`•-~~.~~-1``a
__.
_ , e~'~ ~ ,r , ~ ~ / _. ~~i 3 -~ ~ ~.... ~/f ~ e i\v ~ '~' -.,`,~~ y ~ j i ~~~ cif ~'J.,'rtiC
_.
( ~ }
~ ~~'1~... 1 i~ ' ~ ~ ti
A _ ~., >1/+ L..:~ t ~"",\' f' 1 XSS fir.-....~ ~~j ~\ i( ;~} ''{ j Y '/ *1`~
. +~ ,~ +ii i<~ i ~~ 5.,1 ~ It ..++ ;~ ~~~1 (~~ .J r ~ i(~l t{ +~ r ~~ y ,~ ~ 1 ty
` ~ ,,,~'- 1y - _ \~~ ~ll' a~.~= r e"/~ ~ l!{{ I `y~,`~--...~/ '~ ,~iil ! ~ •` ~~~~. 11(t f~ ~ 1-~li, r \ 9~ If ~~~ ~, ~', ~ e ~` `~`~~.
iTOSSLy~~~S,hO ~ ~45i3 /'' /_~ J -.~ __ ~~..~\-'~~ \ ~~.~ ~y ~ ~7ITE 1: `f'' \ V7 .r~rrr .. \ ! i i ti,~.l . )~~+a`~ ~.
t,
.J y
q~
{~.,~ v 'r k"° ..r ~.~ ';TOwerS~„\ -.. -" ~ + i~ 't ,`, ~ ~ r ay ~``-' ~
f` tt ;
w.
~. w yA
j}
y~ j '~ !1 'R { r ~,/ _~" ~'...1 r`'\,...'~ ~~ I ' ~~:~fa~t~( ~ ~ ..»\ ,..-.., i t~~ ;' t' ri a ~\.
,;
l
~.~ .: 7 ~ 1 ~; i i ;l --. ..,. _ J --) j • _ /~, e. it y X ' ~ e t ~~\-. i ~'-`~ + .:
'~. ~i'
._
{~ .. 14 4 _~ ~""~ ^, r,- '~ ~ ~ e~~,.. ~~-''~ .I t" Lam. ~-,~.\' ~, c"' Y) _~,rr1 t ,~'l
. ' \--. • ,
/ I
~~ ~ ,v ) ~ t ~' ~ -"' ~ e y x
`~ .
l ~' J ~ -" 1 /'~;
• ~ . ,
, //..c t~~•Y l e
r ~ t } I r ~
,,. ~ ,
i '0
' I J , Jy ! / r'
' !
~`! ~~ / ' ~ - z / l ~ t ~ `` ~e j~r,.,l , ~ 1f!f l /~~//'f~/ . \\i-~r F ~ eF"`.~`. J I I .r' 1/
\
~~~ ti ` r l ~ ~ _t .~ Je'
{ ! ='•. ~ _~"""~-~ l ~s f i \~ ~~~ . ~ ''~ ~~ /1 I ~~~- 7( ~''f'z~ ~ !.. k \ \ 'y r .,rt' G` W ( y (,--~
r at (t c F E ~ ( rte-' r .~ i ~~~ l ~J ~ ~ '~~ / `~ ~ \ ~ } 1 ~~J ,-r :~ ~ r yJ ~~ ~
, 1 ,
''~"'" ~`. \ x ~`~ 1 '~ \` ~`'~ ,i r\.•J; t l ~- y~,, ! ' `/ ~ ' ' ~.... ~~+r,~..: ~ ~~ ~~ t - ta6'~{i6 ~ tD~, r' J~r'~~\ a,_ ~ ". ~...,.,
- ~ .; _
_, .j,~~}ct'~~~ ~..~ ~4 ~ _._ 1 till/tf'I ... ~~~` ~. c ~~j-i~-'~rf• 1' ~r
I , ~ , ~ i ~, %(((~~ f;,'t~' sue. ' -'s, ~ '`t ~ ~~-ry ! a t ~ 1 ~ ? }~'%~-. f ~. ,^ '.~ ~ ~.,.,, y ~ l~ ,~ ~ ~ ~~,. •.C
Y~~ ~ `` l~f ~ t~` f a(.''w.j., ~',n. ry \.l 1~~ ~~~ ~ f J `\ L ~ ~.-~ ~~? \~p/ ( i~ :! I~ ~/'~ :iC:-^-'^-
y -` !- '~"~'~G`,-~ ~1 l~~`~~ ' i ~ ~'~J ~~///'~ ~ ~"~.--./--..` j' , n ,--- `';\)+f / ,4. ,''61s,'y ~ f ~"'~.; `~' .: ...~ . i.J '~
~ ._
>~
_~
~~gf1k ~ • , 1,~. \\ q~t as ~ -- fI !' ^• (~ j,^~~ ! i
taC~ )}f 'Sit;- ( ~~_ ~"'_ .~•, t ~ ~ ,~ ~.
~ - .. ! 1 ~_..-..
+
~~. ~~ \ ({2~ i ~,~",~" ",~.''~ `ice`---, `11 ~.
~r s r ~ n,~f
~1,. r .' ~ E~.~~#t,a. t `ell. e\ \
Copyright (C) 1998, Maptech, IncY
Project Study Area
Claybank Place
off of SR 3298 (Crestmont Drive)
Wake County '~,
Bayleaf
USGS Topo Map (1967/1987)
Figure 1 1:24,000

CAROLINA - SHEET NUMBER 18
(Joins ir•set, sheet 17?
- - -- - - --
_ ~ ~--- - -
- - ---_
".'- ._ W ~. GeC v %l oN ~ r AgC _
' f' f, C ~ :~~ :GeC2 I .r•.y i / C q, W i` \ APD g P
' , ~ / ~, ~\a~ •Ge8 ~ ~ C n \ '.
~.
' ,,,, '. \ HrC Ge o ~ ro ` E. CHC2 CeD nY '•.
~ M • Gti CI83 ;. ~~ v Ge6 v''
_ G6 :,Cg82 ~ ~ 'rD
o
~, ~ •Ag8 ~ GeC ~ GeB2 ,\HrC2 ~ APD ~ 'CQB `
r, .. ~ A8C ~..
o -
.. .~pC2 `:` ,
HrC eG CHC2 WmE ~ ,
CHBZ ,\ AgB ,\ V _T~ e ~~ Cg82 /CeF ~ ~"' Cep.
~/ A5C AH62 ''c..
- ~ ~° e6 C B2 i MdE2
' ~ Me ~% ~/ H ~ CIE3
p82 ~~ , As62 `, ~~ q • ~ /
'tR ;GOB ~ Oc Me // --~~C „\ - •. \ CgC i gC y o~ r
Gti ° AsC ~ y~ ' \, CgCZ Cgs j ~c 1 ~,, ee • .
' ~, P _ ,' ~~ ~. ~ ' ~ ..
.~"~ 8 Ase2 %`Cg82 A¢BZ %• CIE3 LdD i Cm r GeD2
~ " °~ .~ °~ ; A .`Ag. •I1 u~\ dC2 , P ~. App I
~~`~,• ~.- \ .. AsC2 / °° gg ~ eC 'I Cn ~ ~ \ . _ ~ Ww ~ a
' :q Va8 ~. Cn ~ qpp ',C ~ `+ I' '~. ~'-.'• GeC2 / e C.eD .
^; ~~_. n ~•"' ~.~" - • .~ 9 ~ Ge62' eC .._' CdD2 /. WW~ ,~ LdC2 CI63~ / G~ '
ADB : O PQ` ~~ ~F S ~ WmE
ITE 1 ' ~ ~ '-
r G~ ~ ~ A¢B2 ~ AgC ii ' LdC2 r G ...~F ~ EnD2 ~ Gu _ AP~;
A B .~- Z -c /
~ . ,°° ~ ~ g AgC is or o e - i~..,'' ~ EnC2 ~ ',. _ ~ N +"~e
CrB`'-•. CrC . 'q~c ,1 \ ~ h : 'm .. ' ' -C'... ~ / - I LdB2 ~ O~ A¢C2 j ~ '
CrC2 t'' ~SC.. ~~' CSC' - GQ•• .GeC2` • r''ioc / Ag62
_ ~r~2...• Mg62 ~ / En62 , v r .`GeC f Gp,01, CBCA, •
q ~ ~ ~ CeD ~ f~~
K .. . e
~','~* •CrC2 4~ ,s.A~C2.. ~r ~ ~ ~~ Ge62 - ~•+~x
o - --~ .--- _.---~ ' Mgg\ s EnC2 ~`~` ~ ~qQp 9~n l ~` CH62
°
„~ ¢C2
•/;. GeC2 ABC ; Cn 't' ~ ~~ Cg82 ~c2 Cn ~~
. ,GeC2 ~. ~ . _a ,, !i .
~' _ ___ .GeB2 ,' . ~ ~ AH82: ` • .. ~, , ~ C¢C2 °~ -~
--_ _ g8 ~ <:. gC I .r~ Cn •___. ~ Gu CeD o•
.Cr62 '--- z_ _- ~~ ',A¢62 ~ Ge~2. `~' •.' }N ~ Cg62 i~ _ CeD ``
.. ~,.~ WkE
:." ; '... GeC2 ._ GeB2 ~f, G ~(dCZ c ryYY f. ; ~ \ ~~ • n WY' CPD ' . '~ ~
'Cr 2
m ~ CeF •GeD2 ~ ¢ ~ Ld82 ~ v~ ~ ~'~ CeD • z f.: ti O ~Ce
/ a % Q -
YIf82 ~Q \. - \- -
GeC . . qAp
' c AgC
~'` ,Ge8 No~1 C B ~ DuB A.g82
MfC~`- GeC .: .r
f8 ~ DuC~~ Cn i
-. ~ GeC `~C;B~
~~ j 3
,~- CeF 1 -9 .
`'CeF ~ ~F ~^r ~
- ~ ~ ~ ~
~::
~ Aog O
• Cg6~ ¢ ~
oifB ° Cka~
e
~ G~ : " u c
~~/ / `
Ge6 eB2 ~.\ !~ CgC c
' °°~, CgB ';~/
\ ~ ~' CeF '~ ~^ V
GeC2 O
~~ ~ Cg62 i APB ~. ~
'~, ' ' \fa ,~. , 3BZ
~ Cg62 1~~e ' ` l _-
Cg82 \~ _
V ° i
- __ ce ~'
Hr62 , ~ _
uu~ ~ V i '
b /^ \ / C o
,~ :~ •..V i Cg62 a•. S ~
. ~ \ ~ _ ~ ', f Cg62• a
. s I ~ ~, ,
'~S8? .:Q Ap .x~.: I CgC2 AgBZ app ~ v Ag _ ~' ~• CgB
,~ ` Ar;, a GeC a e ag ~~;,. e x
AgC ~ / AH82 I ~ ~ CIC3 f , ' CIC C¢62 ~ Cg62•'.•
! c~ GeB ~ i` 2•r Me O
r
Ge62 C ~ a is v
e A
C2 ~~ti `~O "; ~ ~o GeC2 ~~\~ .~~• aB2 ~~ AgC .R.,
AgC - . ~ - r c Icy ~~ ~ AgC ~I \ ,~ CeD ;
v .N .
' ~ v°p CH~Z ~ GeDZ - CHB2 r ~ ~ :Ce ~' ~~•'•
Cn i ~ ~ ~ Wy
4
!
., .
pD
C eD 1 ;
~Y~ k
\CC
,OHO
~ G v4
1
~
' i
e, ~ i
CeD
Co: ~. Aog ;,, -Agcy '~i
~
,
~
j CgB ~
Cco. ~
'.
-, GeC2 ~'•. ~O -~
_ X882
~
f
y j CHC2 '. ~
LdBZ T ~• AgB2 ~Y~ .
~ '
A ~ _ j,,ICm \.' ii\t „~~~ CeD.~G
t+ P 8 Crt ~ a C
`~ ~~~ GeD2 e
.GeC CeD` ~' dC'1~ i A~ ,,t
/ ;~ • ^
% ~
~~; : ;~ GeB
'1
~-
GeD2 ~ ~'~
_ ,I
;eB2 2 4 CgC „ :.
R
\` GeB2. ~ ~T
GeC2 _ •._- i~ i
U~ ~/
)~\ Ag6:
j~/~eCT~ a `~/'• ~'•
Project Study Area
Claybank Place
off of SR 3298 (Crestmont Drive)
Wake County
USDA-SCS (1970)
Figure 2 1 ~ 15,80
Agf
A0~
Lr
r~
fie'
pE
Ce
W
Nm
M
c
a
t

i

Note:
,.~~~~~;:~ Proposed Rip Rap
~~~~~ Proposed Stone in Channel
- E T F Existing Transporation Facility
ETF
ETF
Site I - Construction Plan
Claybank Place off of SR 3298
(Crestmont Drive)
Wake County
Figure 3 I"=30'
10/30/07
W Placement of sandbags
for dewatering

Office USe Only: .. Form Version March OS
USACE Action ID No. DWQ No. 2 0 0 7 1 8 4 5
(If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A".)
I. Processing
1. Check all of the approval(s) requested for this project:
^ Section 404 Permit ® Riparian or Watershed Buffer Rules
^ Section 10 Permit ^ Isolated Wetland Permit from DWQ
® 401 Water Quality Certification ^ Express 401 Water Quality Certification
2. Nationwide, Regional or General Permit Number(s) Requested: non-re~ortin;; NWP 14
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: ^
4. If payment into the North Carolina Ecosystem Enhancement Program (NCEEP) is proposed
for mitigation of impacts, attach the acceptance letter from NCEEP, complete section VIII,
and check here: ^
5. If your project is located in any of North Carolina's twenty coastal counties (listed on page
4), and the project is within a North Carolina Division of Coastal Management Area of
Environmental Concern (see the top of page 2 for further details), check here: ^
II. Applicant Information
1. Owner/Applicant Information
Name: NCDOT Division 5 J.W. Bowman
Mailing Address: 2612 N. Duke St. Durham NC 27704
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: wbowman(a~dot.state.nc.us
2. Agent/Consultant Information (A signed and dated copy of the Agent Authorization letter
must be attached if the Agent has signatory authority for the owner/applicant.)
Name:
Company Affiliation:
Mailing Address:
Telephone Number:
E-mail Address:
Fax Number:
Page 1 of 8

III. Project Information
"a ':~
;,, .
Attach a vicinity map clearly showing the location of the property with respect to local
landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property
boundaries and development plans in relation to surrounding properties. Both the vicinity map
and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities must be included. If possible, the maps and plans should
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USAGE requires information to be submitted on sheets no larger than 11 by 17-inch format;
however, DWQ may accept paperwork of any size. DWQ prefers full-size construction
drawings rather than a sequential sheet version of the full-size plans. If full-size plans are
reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps are provided.
1. Name of project: Proposed replacement of a structure conveying-an unnamed tributary to
Upper Barton Creek on Claybank Place off of SR 3298 (Crestmont Drive) in Wake Count
2. T.I.P. Project Number or State Project Number (NCDOT Only): WBS 5C.092014
3. Property Identification Number (Tax PIN): N/A
4. Location
County: Wake Nearest Town: Raleigh
Subdivision name (include phase/lot number): N/A
Directions to site (include road numbers, landmarks, etc.): From I-540 NW of Raleigh, take
Leesville Road to -the North for approximately 0 9 miles Make a right onto SR 3298
(Crestmont Drive). Travel on Crestmont Drive for approximately 300ft then take the first
left into Claybank Place and travel approximately 0 2 mile to the protect site
5. Site coordinates (For linear projects, such as a road or utility line, attach a sheet that
separately lists the coordinates for each crossing of a distinct waterbody.)
Decimal Degrees (6 digits minimum): 35.9212 °N 78.7392 °W
6. Property size (acres): 0.2 acre
7. Name of nearest receiving body of water: Ut to Upper Barton Creek
8. River Basin: Neuse
(Note -this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http:!/h2o.enr.state.nc.us/admirv'rnaps/.)
9. Describe the existing conditions on the site and general land use in the vicinity of the project.
at the time of this application: The general land us is residential and wooded.
Page 2 of 8

10. Describe the overall project in detail, including the type of equipment to be used: This
sub-division road will be channeled out and paved and taken over as a roadway under State
maintenance. No right-of--way clearing will be necessary for this project however the
undersized perched ape at Site 1 will be replaced. Rip rap armoring will be added to
stabilize the stream banks and shoulder sections above the pipe ends Additionally some
stone will be placed in the stream channel to repair the blow hole so that the new ape will
not be perched. If necessary the NCDOT will also dewater the work zone during
construction. Equipment may include excavator backhoe bulldozer grader and crane
11. Explain the purpose of the proposed work: The existing_pipe is undersized and perched. A
lar e size pipe, of the same length, will be installed.
IV. Prior Project History
If jurisdictional determinations and/or permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action ID Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with.
construction schedules. N/A
V. Future Project Plans
Are any future permit requests anticipated for this project? If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application.
N/A
VI. Proposed Impacts to Waters of the United States/Waters of the State
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. Each impact must be
listed separately in the tables below (e.g., culvert installation should be listed separately from
riprap dissipater pads). Be sure to indicate if an impact is temporary. All proposed impacts,
permanent and temporary, must be listed, and must be labeled and clearly identifiable on an
accompanying site plan. All wetlands and waters, and all streams (intermittent and perennial)
should be shown on a delineation map, whether or not impacts are proposed to these systems.
Wetland and stream evaluation and delineation forms should be included as appropriate.
Photographs may be included at the applicant's discretion. If this proposed impact is strictly for
wetland or stream mitigation, list and describe the impact in Section VIII below. If additional
space is needed for listing or description, please attach a separate sheet.
Provide a written description of the proposed impacts: The undersized perched pipe at Site 1 will
be replaced. Rip rap armoring will be added to stabilize the stream banks and shoulder sections
above the pipe ends. Additionally some stone will be placed in the stream channel to repair the
Page 3 of 8

blow hole so..that the new pipe will not be perched. If necessary the NCDOT will also dewater
the work zone during construction.
Individually list wetland impacts. Types of impacts include, but are not limited to mechanized
clearing, grading, fill, excavation, flooding, ditching/drainage, etc. For dams, separately list
impacts due to both structure and flooding.
Wetland Impact Type of Wetland Located within Distance to Area of
Site Number Type of Impact (e.g., forested, marsh 100-year Nearest Impact ,
(indicate on map) ,
herbaceous, bog, etc.)
Floodplain
Stream
(acres)
(yes/no) (linear feet)
N/A N/A N/A N/A N/A N/A

Total Wetland Impact (acres) N/A
1. List the total acreage (estimated) of all existing wetlands on the property: N/A
2. Individually list all intermittent and perennial stream impacts. Be sure to identify temporary
impacts. Stream impacts include, but are not limited to placement of fill or culverts, dam
construction, flooding, relocation, stabilization activities (e.g., cement walls, rip-rap, crib
walls, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is proposed,
plans and profiles showing the linear footprint for both the original and relocated streams
must be included. To calculate acreage, multiply length X width, then divide by 43,560.
Stream Impact
Perennial or Average
Impact Length Area of
Number Stream Name Type of Impact
Intermittent? Stream Width
(linear feet) Impact
(indicate on map) Before Impact (acres)
Site 1 UT Fill for stability Intermittent 2'0 I S 0.0007
Upper Barton Crk (stone in channel)
Rip rap armoring 25' concurrent 0.001 I ~
alon stream bank (I S' overlapping) concurrent
Temporary 25 0.0011
dewatering concurrent ccncurrent
Tctal Stream Impact (by length and acreage) 25 0.0011
3. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.). Open water impacts include, but are not limited to
fill, excavation, dredging, flooding, drainage, bulkheads, etc.
Open Water Impact
Name of Waterbody Type of Waterbody Area of
Site Number
(if applicable) Type of Impact (lake, pond, estuary, sound, bay, Impact
(indicate on map) ocean, etc.) (acres)
N/A

Total Open Water Impact (acres) N/A
Page 4 of 8

4. List the cumulative impact to all Waters of the U.S. resulting from the project:
Stream Impact (acres): 0.0011
Wetland Impact (acres): NONE
Open Water Impact (acres): NONE
Total Impact to Waters of the U.S. (acres) 0.0011
Total Stream Impact (linear feet): 25
5. Isolated Waters
Do any isolated waters exist on the property? ^ Yes ®No
Describe all impacts to isolated waters, and include the type of water (wetland or stream) and
the size of the proposed impact (acres or linear feet). Please note that this section only
applies to waters that have specifically been determined to be isolated by the USACE.
N/A
6. Pond Creation
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ^ uplands ^ stream ^ wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.): N/A
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.): N/A
Current land use in the vicinity of the pond: N/A
Size of watershed draining to pond: N/A Expected pond surface area: N/A
VII. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It maybe useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts. All wetlands and surface
waters not affected by construction will be protected from unnecessary encroachment during
construction. Strict enforcement of Best Management Practices for the protection of wetlands
and surface waters will be enforced during construction. Only the smallest amount of tilt
necessary to complete the project will be placed in waters of the United States.
VIII. Mitigation
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
Page 5 of 8

freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial..
streams.
USAGE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on January 15, 2002, mitigation will be required when
necessary to ensure that adverse effects to the aquatic environment are .minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed. Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USAGE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCEEP concurrence shall be placed on hold as incomplete.
An applicant may also choose to review the current guidelines for stream restoration in DWQ's
Draft Technical Guide for Stream Work in North Carolina, available at
http:/ih2o.enr.state.nc.us/ncwetlands/strm~;ide.html.
1. Provide a brief description of the proposed mitigation plan. The description should provide
as much information as possible, including, but not limited to: site location (attach directions
and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed method of construction. Please attach
a separate sheet if more space is needed.
None proposed. None antici ap ted•
2. Mitigation may also be made by payment into the North Carolina Ecosystem Enhancement
Program (NCEEP). Please note it is the applicant's responsibility to contact the NCEEP at
[phone] to determine availability, and written approval from the NCEEP indicating
that they are will to accept payment for the mitigation must be attached to this form. For
additional information regarding the application process for the NCEEP, check the NCEEP
website at http://h2o.enr.state.nc.us/wrp/index.htm. If use of the NCEEP is proposed, please
check the appropriate box on page five and provide the following information:
Amount of stream mitigation requested (linear feet): N/A
Amount of buffer mitigation requested (square feet): N/A
Amount of Riparian wetland mitigation requested (acres): N/A
Amount ofNon-riparian wetland mitigation requested (acres): N/A
Amount of Coastal wetland mitigation requested (acres): N/A
Page 6 of 8

IX. Environmental Documentation (required by DWQ)
1. Does the project involve an expenditure of public (federal/state/local) funds or the use of
public (federal/state) land? Yes ® No ^
2. If yes, does the project require preparation of an environmental document pursuant to the
requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)?
Note: If you are not sure whether aNEPA/SEPA document is required, call the SEPA
coordinator at [phone] to review current thresholds for environmental documentation.
Yes ^ No
3. If yes, has the document review been finalized by the State Clearinghouse? If so, please
attach a copy of the NEPA or SEPA final approval letter. Yes ^ No ^
X. Proposed Impacts on Riparian and Watershed Buffers (required by DWQ)
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required state and local buffers associated with the project. The applicant must also provide
justification for these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
1. Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Neuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 02B .0243 (Catawba) 15A NCAC
2B .0250 (Randleman Rules and Water Supply Buffer Requirements), or other (please
identify )? Yes ® No ^
2. If "yes", identify the square feet and acreage of impact to each zone of the riparian buffers.
If buffer mitigation is required calculate the required amount of mitigation by applying the
buffer multipliers.
Site 1
Zone* Impact
(square feet) Multiplier Required
Mitigation
1 1,482 3 (2 for Catawba) N/A
2 998 1.5 N/A
Total 2,480 N/A
* Zone 1 extends out 30 feet perpendicular from the top of the near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.
3. If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e.,
Donation of Property, Riparian Buffer Restoration % Enhancerrient, or Payment into the
Riparian Buffer Restoration Fund). Please attach all appropriate information as identified
within 15A NCAC ZB .0242 or .0244, or .0260. N/A_
Page 7 of 8

XI. Stormwater (required by DWQ)
Describe impervious acreage (existing and proposed) versus total acreage on the site. Discuss
stonnwater controls proposed in order to protect surface waters and wetlands downstream from
the property. If percent impervious surface exceeds 20%, please provide calculations
demonstrating total proposed impervious level. The existing 20ft wide gravel roadway will be
channeled out and paved with a 20ft width of asphalt No additional impervious surface is
ro osed with this protect Erosion and sediment control devices at this site are coin rised of
temporary dewatenn and rip rap armoring of new structure
XII. Sewage Disposal (required by DWQ)
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.
This protect will not generate wastewater
XIII. Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H .0500) or any Buffer Rules?
Yes ^ No
Is this an after-the-fact permit application? Yes ^ No
XIV. Cumulative Impacts (required by DWQ)
Will this project (based on past and reasonably anticipated future impacts) result in additional
development, which could impact nearby downstream water quality? Yes ^ No
If yes, please submit a qualitative or quantitative cumulative impact analysis in accordance with
the most recent North Carolina Division of Water Quality policy posted on our website at
http://h2o.enr.state nc us/ncwetlands. If no, please provide a short narrative description:
This protect will not result in additional development to this previously built out subdivision
roadway.
XV. Other Circumstances (Optional):
It is the applicant's responsibility to submit the application sufficiently in advance of desired
construction dates to allow processing time for these permits. However, an applicant may
choose to list constraints associated with construction or sequencing that may impose limits on
work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and
Threatened Species, accessibility problems, or other issues outside of the applicant's control).
~. ~- ~~.
!O-3D-07
~ Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 8 of 8