20072024 Ver 1_Application_20071205

~~
~e ~~~o~
$,~ ate,
MICHAEL F. EASLEY
GOVERNOR
Ms. Sonia Gregory
NCDWQ
401 Wetlands Unit
1650 Mail Service Center
Raleigh, NC 27699-1650
December 4, 2007
FC to ~ ~ o
~v~;,.~,..~ .
,,~,~rr~
LYNDO TIPPETT
SECRETARY
®7
.~
Subject: Nationwide Permit #14
SR-1996B Richmond County
Project # 8C.077054 (DWQ Permit Fee $200)
Ms. Gregory:
The North Carolina Department of Transportation, Highway Division 8 is requesting Nationwide
Permit Number 14 and the DWQ certification for project # 8C.077054 on SR 19968 (Fairly Hayes Rd.) in
Richmond County.
The proposed project will replace an existing deficient crossing pipe as follows:
Site i-Replace existing 24"x 44'RCP with a 30"x 60' RCP.
This pipe is being replaced in anticipation of a scheduled grading and paving project. The amount of pipe length
increase (16ft.) is needed to accommodate the widening of the roadbed. The total percentage of impervious surface
within the project area will remain at less than 20%. All erosion control devices used on the project will be
appropriate to the location and in compliance with the current version of the NCDOT Best Management Practices
manual. The crossing is located on an Unnamed Tributary of Marks Creek a class C streams within the Yadkin-
PeeDee River basin. If dewatering required at this site will be done with the use of moveable structures (pre-cast
concrete barriers or sheet metal piles). Construction will be done under dry conditions whenever possible.
There were no threatened or endangered species observed within the project area during the required minimum
criteria check. The detour for this project will be located off site using existing state roads.
If you require any additional information, please contact me.
cc: Tim Johnson, PE
Kevin Hedrick, PE
Barry Harrington
STATE OF N ORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
DIVISION OF HIGHWAYS
Sincerely,
C;~~~
Art C. King
Division Environmental Officer
Highway Division 8
P.O. BOX 1067, ABERDEEN NORTH CAROLINA 28315
PHONE [phone] FAX [phone]

Office Use Only: Form Version October 2001
USACE Action ID No. DWQ No.
If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A" rather than
leaving the space blank.
I. Processing
Check all of the approval(s) requested for this project:
® Section 404 Permit
^ Section 10 Permit
® 401 Water Quality Certification
^ Riparian or Watershed Buffer Rules
2. Nationwide, Regional or General Permit Number(s) Requested: 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 Wetlands Restoration Program (NCWRP) is proposed for
mitigation of impacts (see section VIII -Mitigation), check here: ^
II. Applicant Information
Owner/Applicant Information
Name: Timothy Johnson, PE, Division Engineer
NCDOT Highway Division 8
Mailing Address: PO Box 1067
Aberdeen NC 28315
Telephone Number: 910-944-2344 Fax Number: 910-944-5623
E-mail Address: tjohnson(a,dot.state.nc.us
2. Agent 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: North Carolina Department of Transportation
Company Affiliation:
Mailing Address: Kevin R. Hedrick, P.E.. District Engineer
North Carolina Department of Transportation, Division 8
219 Clemmer Road
Rockingham, NC 28379
Telephone Number: 910-582-7075 Fax Number: 910-582-7065
E-mail Address: krhedrick(a,dot.state.nc.us
Page 5 of 12

III. Project Information
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
USACE 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: SR 1996 (B) Pipe Replacement
2. T.LP. Project Number or State Project Number (NCDOT Only): 8C.077054
3. Property Identification Number (Tax PIN): N/A
4. Location
County: Richmond Nearest Town: Hamlet
Subdivision name (include phase/lot number): N/A
Directions to site (include road numbers, landmarks, etc.): From Hamlet travel South on NC
177 to SR 1104. Travel Northwest along; SR 1104 +/-2.9 miles to SR 1996.
5. Site coordinates, if available (UTM or Lat/Long}: ~ N 34°49.8' W 79°49.0'
(Note - If project is linear, such as a road or utility line, attach a sheet that separately lists the
coordinates for each crossing of a distinct waterbody.)
6. Describe the existing land use or condition of the site at the time of this application:
Forestry, rural
7. Property size (acres): N/A
8. Nearest body of water (stream/river/sound/ocean/lake): Marks Creek
9. River Basin: Yadkin River Basin
(Note -this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://h?o.enr.state.nc.u~~adn~in maps/.)
Page 6 of 12

10. Describe the purpose of the proposed work: Replace one crossing for anticipated
improvement to SR 1996 ase grade and~ave)
11. List the type of equipment to be used to construct the project: Track-hoe. Back-hoe
and Vibratory Roller
12. Describe the land use in the vicinity of this project: Forestry rural
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.
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:
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. The applicant must also
provide justification for these impacts in Section VII below. All proposed impacts, permanent
and temporary, must be listed herein, and must be clearly identifiable on an accompanying site
plan. All wetlands and waters, and all streams (intermittent and perennial) must 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.
Page 7 of 12

1. Wetland Impacts
Wetland Impact
Site Number
indicate on ma
Type of Impact* Area of
Impact
acres Located within
100-year Floodplain**
es/no Distance to
Nearest Stream
linear feet
Type of Wetland***
None

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: mechanized clearing, grading, fill,
excavation, flooding, ditchingf drainage, etc. For dams, separately list impacts due to both structure and flooding.
** 100-Year floodplains are identified through the Federal Emergency Management Agency's (FEMA) Flood Insurance Rate Maps
(FIRM), or FEMA-approved local floodplain maps. Maps are available through the FEMA Map Service Center at 1-800-358-9616, or
online at htt~ //~~ ~~~~ . fema. ~sa~ .
*** List a wetland type that best describes wetland to be impacted (e.g., freshwater/saltwater mazsh, forested wetland, beaver pond,
Carolina Bay, bog, etc.)
List the total acreage (estimated) of existing wetlands on the property:
Total area of wetland impact proposed:
2. Stream Impacts, including all intermittent and perennial streams
Stream Impact
Site Number
indicate on ma
Type of Impact* Length of
Impact
linear feet
Stream Name** Average Width
of Stream
Before Im act Perennial or
Intermittent?
leases eci
1 Perm. Pipe 16' UT of Marks Creek 2'-4' I
Temp.
(dewaterin ) 20'

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: culverts and associated rip-rap,
dams (separately list impacts due to both structure and flooding), relocation (include linear feet before and after, and net loss/gain},
stabilisation activities (cement wall, rip-rap, crib wall, 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
** Stream names can be found on USGS topographic maps. If a stream has no name, list as UT (unnamed tributary) to the nearest
downstream named stream into which it flows. USGS maps are available through the USGS at 1-800-358-9616, or online at
«~~« us~~. _~~,~. Several Internet sites also allow direct download and printing of USGS maps (e.g., ~~~~~~ t~~~~nR~~n~ c~~m,
~~~~~~~ nuilniue~trnm, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: perm=l6' temp=20'
Page 8 of 12

3. Open Water Impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any
other Water of the U.S.
Open Water Impact
Site Number
indicate on ma
Type of [mpact* Area of
Impact
acres
Name of Waterbody
(if applicable) Type of Waterbody
(lake, pond, estuary, sound,
ba ,ocean, etc.
NA

' List each impact separately and identify temporary impacts. Impacts include, but are not limited to: fill, excavation, dredging,
flooding, drainage, bulkheads, etc.
4. 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.): NA
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.):
Size of watershed draining to pond: Expected pond surface area:
VII. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It may be 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.
Piye installation is limited to the minimum len~th_rcquired to acconunodate the site and
provide a safe crossing.
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
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
Page 9 of 12

USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on March 9, 2000, 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 similaz
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 USACE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCWRP 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://h?a.enr state.nc.us/ncwetl~nds,'strm~ide.htm(.
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.
NA
2. Mitigation may also be made by payment into the North Carolina Wetlands Restoration
Program (NCWRP) with the NCWRP's written agreement. Check the box indicating that
you would like to pay into the NCWRP. Please note that payment into the NCWRP must be
reviewed and approved before it can be used to satisfy mitigation requirements. Applicants
will be notified early in the review process by the 401/Wetlands Unit if payment into the
NCWRP is available as an option. For additional information regarding the application
process for the NCWRP, check the NCWRP website at ~~rrp:%Ih2o.cnr.state.nc.us~«rpiiude~.tum. If
use of the NCWRP is proposed, please check the appropriate box on page three and provide
the following information:
Amount of stream mitigation requested (linear feet):
Amount of buffer mitigation requested (square feet):
Amount of Riparian wetland mitigation requested (acres):
Amount of Non-ripazian wetland mitigation requested (acres):
Amount of Coastal wetland mitigation requested (acres):
Page 10 of 12

IX. Environmental Documentation (DWQ Only)
Does the project involve an expenditure of public funds or the use of public (federaUstate/local)
land?
Yes ® No ^
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 a NEPA/SEPA document is required, call the SEPA
coordinator at [phone] to review current thresholds for environmental documentation.
Yes ^ No ^
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 (DWQ Only)
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 cleazly 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.
Will the project impact protected ripazian buffers identified within 15A NCAC 2B .0233
(Meuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and
Water Supply Buffer Requirements), or other (please identify )?
Yes ^ No ® If you answered "yes", provide the following information:
Identify the square feet and acreage of impact to each zone of the ripazian buffers. If buffer
mitigation is required calculate the required amount of mitigation by applying the buffer
multipliers.
Zone* Impact
s uare feet) Multiplier Required
Miti ation
I 3
2 I.5
Total
{ Gone t extends out 3U Teet perpendicular from near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.
Page 11 of 12

If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation
of Property, Conservation Easement, Riparian Buffer Restoration !Enhancement, Preservation or
Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as
identified within 1 SA NCAC 2B .0242 or .0260.
XI. Stormwater (DWQ Only)
Describe impervious acreage (both existing and proposed) versus total acreage on the site.
Discuss stormwater controls proposed in order to protect surface waters and wetlands
downstream from the property.
Neither the current impervious cover nor the new proposed impervious cover (gravel road bed or
asphalt pavement~,will exceed 30% of the total site area Erosion control devices appropriate to
the site will be utilized on this pro,~ect which may include silt fences. check dams and storm
water retention basins.
XII. Sewage Disposal (DWQ Only)
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.
XIII. Violations (DWQ Only)
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. Other Circumstances (Optional):
It is the applicant's responsibility to submit the application sufr"iciently 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).
N/A
Applicant/Agent's Signatur ate
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 12 of 12

RICHMOND COUNTY
LOCATI0111: SR 1996 -WOLF PIT TW11tSP.
TYPE OF WORK: PROPOSED PIPE REPLACEME11lT
Pre~red By tle
DMSION OF N1GNW.AYS ROCfOlYGf/AM DISTRICT OFFICE
PL4,VS DATE
6-21001
SURVEYED EY:
ROCKINGHAM DIS1RICi OFFCE
DRAWN BY:
AC. COCHIUN
RIGET! OF WAY PINS DATE K K HEDRICK RICHMOAID CO[INTI' - SR 1496
~s~ POCSta. 29+47
CONSTRUCTION PIA,1iS DATE ee
DRAINAGE DESIGN
AREA \' ~~~'%~
~~ ~..
`~ _ i
.1 r ~..

28~ 1~,
CoNC2Er~ 8aQQ1E2 _
O~S~~ SHEET l~IUnIG
~P.AI~G6E.D ~D~ b~ 3oM RCP
- P~~~c~ ~1~ -
ExysTn7G 44 of 24~ ~
PQ.DPc6Eb RJvf
P
~ILT
c~a~ ~Ar~e~~z -
U2 S1EEL. SHEETpIUNG
Norms:
1.~ INS`7~1t.L_ TE/~PaRAR'~ BERMS, I~IYE,I~T' S`I7~EAlY1 ~i-D-^I
~~ PvmP~NC~ Nlpr~R A~2ouND vJoP,1c Ate.
Z~ Pul'~P CoNTA1NEp AREA 7~ SILT BACK AND ~l~VE
Ex~sr-NG qPE•
3• 1~7S7ALL. PIPE ~1NA ~A~t_c...
4. REI~oYE TEm ~A~~l D~ vEesicvU ~~v1C.~s.
D

RPE LFN(,,~_ (~p~
---F~GTH oF'F,ciST PtiPE=~}~.~
,Ner Trn ~T'
N75
24-" 2~n~o,e~0 Ca~lC~r~ P~~ ,~~a~m~Jr
srrE IJo. l
f~CNl1'1oNL~ ~ouNT~-~'2 1490
pc~5-{~. Z`7t47
of
~r~
.~
-P~.~(S .DAB ~ ~o -2.1~ - Zc7a7 ---D.S'
.5~ev~r BY: RcrxWGr-gym .D~sr~e~cT ~c~ ~P P.~
DeA-~N BY : ~ . C . Goct~2AN (Nor ~ gE P~-~aCF~D ST~Ar- 8ED
-N s,-r~m ~rAti-~~)
P

~'
O
T
~.~..
U
O
T
U
O

~,_.
~~.`_
,.
' ~ ~ ' r r' ~ ~ ,. ~ .....~„~
. ~ ~.
. '~
,
',` yy`~w -- '•.i ;6~`\ - '.11t. ti 5 .. i ,i r ~ 4 _ ~ L; ~ev/ti 11, 1~ +f '~i
...-.~ ,
~ _
. ~ ,-
'JI l
~.
t - `+ ti ` f ~ ~ N
. e t ~ .- i
~> f+~~,~ ~'" ~~
... 4. ,' y
. ,
7 } v 1 ~ ~ f ~'y
.,
.` ~.
r \`\\ 7 1
... .rte frl ~~~r, h1~1 *_k' ` '~~\ ',` ~ \ ..
r \ \\l
~ t ,+~
~. 1 ~ ~
._ ~ ..
_ _ _~ _ _ -.
. L `~
_ ..- f .'
1 ~7 ~~
"SS" ~~ Y' ~,`
j ~t ' ~ ~ ~'. 1~
- ~ --~ L4
1 ..~ ~ ,
. ~.,
i it `,• ~ ~
ty ~~ ,\-~y~
{ ~ ~~.__
J \t, ~ '~ ~ y~`' I, ,~ sf
w ~_~...-~ " ... ~ . f.
:~, '
. ,.e_.
_. ,
~ ~W
r
~~....f
~~ ; ..
' ' _
~ ~ ~ ,
-- -' - 1 r!
ti ~ __ .. . a ~.~
,~ ~ ,tea
sy ~ '
~.. ,-
.. , , / ~ ;~
Pl
., .: ~ ~ /'
F„
i ~Y.
•++. ' ~:
y \ ~ ~
~,~, '~,
1
}',t
. i
` .~~ ~ -
•
~ im ugl ~ gg Saala t :12,800 TM
~' ~. ~ ~ ®V i ~ ~ •• ~ '1070 R
© 2002 DeLorme. 3-D TopoQuads ®. Data copyright of content owner. ~~~ goo-_~_~i~_. _ _- ~° ~ ~_ ~ y
www.dalorme.com ° i0° 200 300 i°0 50°

_ :,`
l~~ t ~ ,tint / ~ '~` a - ~ ~ ~ t ~
•ti t ~ e.. ~ "\ ~t ~ ~ . -'ti , . (I i1 / ~ ~1 ~ J ~ -? ~ .. ~, ~ i~ ~ 1 '.iw~ t
~l\.` .~J
4 i
~' _ 1~~, _
^ ~.~ i i
~,` •.
It
~' ,~~1olR~1 ~~u1~ 'I. =t070n
©2002 DaLOrme. 3-D TopoQuads ®. Data copyright oT content owner. ~ o~xoo .oo _~ coo ~~ ax
~ - M
www.tlelorme.com o ioo - xao wo 10o soo '" I r.s-w