20072056 Ver 1_Application_20071210

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DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY LYNDO T[PPETT
GOVERNOR SECRETARY
December 7, 2007
N.C. Division of Water Quality
Transportation Permitting Unit ® f~ ~-w~ ; , ~
2321 Crabtree Blvd./Suite 250
Raleigh, NC 27604-2260
Attention: Mr. Rob Riding, NCDOT Project Coordinator
Subject: Secondary road improvements to SR 1601 (Rock Brook Road) from
SR 1600 (Antioch Road) to end of state maintenance in Granville County.
WBS element 5C.039032
The North Carolina Department of Transportation (NCDOT) proposes to upgrade and pave
SR 1601 (Rock Brook Road) from SR 1600 (Antioch Road) to end of state maintenance in
Granville County (Figures 1-3). Total project length is 1.1 miles. Transportation and highway
laws of North Carolina (G.S. 136-44.6, 136-44.7, 136-44.7A, 136-44.8, and 136-44.9) require
the NCDOT to develop annual work programs for construction and maintenance of
secondary roads. These general statutes specifically set forth requirements for annual
construction and paving of existing unpaved roads. Paving of these roads is perfornied in
priority order as established by the NCDOT for each unpaved road within a given county.
This number is based on characteristics of each road, including number of homes, schools,
churches, businesses, industries, recreational facilities, traffic counts, presence of school bus
routes, and value as a thoroughfare. SR 1601 is scheduled to be paved as part of the
Secondary Roads Construction Program.
Impacts to Waters of the United States
Construction at Site 1 will impact an unnamed intermittent tributary to Tabbs Creek
[NCDENR-DWQ Index No. 28-17-(0.5), Best Usage Classification C NSW; HUC
03020101 ] (Figure 3) in the Tar Pamlico River Basin. The existing structure conveying
the creek is a 24-inch reinforced concrete pipe that is 36 feet long (see Photograph 1 and
2). This pipe will be replaced with a pipe that is 24 ft longer. Permanent impacts at the
site associated with the pipe replacement total 24 linear feet of fill in surface water in
addition to a total of 20 feet of rip rap along the stream banks. The work zone at this site
will be temporarily dewatered for approximately 1 day, if necessary. This will involve the
temporary placement of sandbags upstream and downstream of construction. Once the
stream has been dewatered, the new pipe will be set. Temporary concurrent impacts to
the stream from this activity wiil result in dewatering 44 linear feet of stream. The
materials used for dewatering will be removed after construction.
Division ~, 2612 N. Duke Street, Durham, NC 27704
Phone: [phone] Fax: (S 19)560-3371

2
Riparian Buffer
The pipe replacement work at Site 1 involves a road crossing of a stream that is subject to
the Tar Pamlico River Buffer Rules. This intermittent unnamed tributary to Tabbs Creek
is depicted on the most recent version of the Oxford (USGS 1981/1984) topographic
quadrangle (Figure 1) and the Soil Survey of Granville County (USDA-SCS, 1992)
(Figure 2). Construction impacts at this site total 1,653 ft` in Zone 1 and 1,208 ft' in Zone
2 (totaling 441ft of riparian buffer impacts).
Please note: Two additional drainageway features have been identified that could be
subject to protection under the Tar Pamlico River Riparian Buffer Rules (see Appendix
One for photographs, mapping, and NCDWQ-Stream Identification Forms). These two
features appear on the Soil Survey for Granville County, but are absent from the USGS
Oxford NC Quad map (see attached mapping for these features labeled A and B).
NCDOT requests your assistance in providing a buffer call on these two features.
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 atg ion: Due to the minimal impacts proposed, no mitigation
requirements are expected. Therefore, NCDOT proposes no compensatory mitigation.
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 December 2007, the dwarf wedgemussel (Alasmidonta
heterodon), smooth coneflower (Echinacea laevigata), and harperella (Ptilimnium
nodosum) are listed as federally protected species in Granville County. The bald eagle
(Haliaeetus leucocephalus) was recently delisted. The UT to the Tabbs Creek is very
small, within the headwaters of its drainage system and does not provide suitable habitat
for mussel fauna, nor does it provide suitable habitat for harperella. Rock Brook Road is
not adjacent to nor is it surrounded by open water suitable of supporting foraging habitat
for the bald eagle. The roadway shoulders along Rock Brook Road are regularly
maintained from the gravel to the woods line, eliminating the possibility for smooth
coneflower to exist in this area. Additionally, a review of the Natural Heritage Program
database (last updated Fa11 2007) revealed no occurrences of protected species within the
project area. Therefore, based on lack of suitable habitat observed during the 12/O~/07
site visit and the NHP database review, biological conclusions of No Effect have been
rendered for each of ±hese species.
I-fistorical Compliance
This project has been screened by all pertinent parties to ensure historic compliance.

3
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 NCDOT
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
NCDOT WBS element SC.039032. 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 Permit (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: Ms. Tasha Johnson, NCDOT District 2 Engineer
Mr. Mike Harris, NCDOT Granville County Maintenance Engineer
Mr. Tim Robbins, NCDOT Roadside Environmental Field Ops Tech

c~ 1 ~v 1 (Rock Brook load) ~*an~ill~ County
Photograph 1. Looking upstream of inlet.
Photograph 2. Looking downstream of outlet.

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Project Study Area
SR 1601 Rock Brook Road
Granville County
USDA-SCS (1992)
Figure 2 1:24,000
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Note:
;,r,.a;,l Proposed rip rap
Placement of Impervious dike -ETF Existing Transporotion Facility
for dewatertng \ ® Proposed Surface Water Fiil
~~lo ft
~~,
,~~,i rip rap
i
t,,'~--------------- -----------------------------------------------
15ft fill N
~'~ 1i ) m m
ETF ~
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
20fit gravel 20fit paved proposed
SR 1601 Rock Brook Rd
roadway width roadway width 60ft ROw
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
ETF - i
~ ~ 9ft fill ~~~ B~2
___ ____________________
__________________________N -
__________________________ Y 1 10 ft _________ _______________
1 \ `..~.'..L , rip rap
Placement of impervious dike
for dewatering

Office Use Only: Fo„» vc,-s~on March ~
USACE Action ID No. DWQ No. 2 ~ ~ 7 2 0 5 6
~,~ any parucuiar item is nog appucanie to tnis 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: NWP 14 (non-reporting)
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:__(919) 560-6851 Fax Number: [phone]
E-mail Address: wbowman cr,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
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 maybe 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: Proposed replacement of a structure conveying unnamed tributary to
Tabbs Creek in association with up ading and paving on SR 1601 (Rock Brook Road, in
Granville County.
2. T.I.P. Project Number or State Project Number (NCDOT Only):
N/A
3. Property Identification Number (Tax PIN): N/A
4. Location
County: Granville Nearest Town: Oxford
Subdivision name (include phase/lot number): N/A
Directions to site (include road numbers/names, landmarks, etc.): From I-85 NB in Oxford
take Exit 206 (the Hwy 158 Exit). Make a right and travel East approximately 1 000 ft Then
make a right onto SR 1600 (Antioch Road) and travel South approximately 1 9 miles and
turn left onto SR 1601 (Rock Brook Rd)
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):
Site 1: 36.2881 °N 78.5429 °W
6. Property size (acres):. 8.0 acre (Project is 1.1 mi long)
7. Name of nearest receiving body of water: UT to Tabbs Creek
8. River Basin: Tar Pamlico
(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/admin/mapsi.)
Page 2 of 8

9. Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this application: Sites are surrounded by wooded areas and agricultural land
10. Describe the overall project in detail, including the type of equipment to be used: Grade,
drain, pave, and erosion control at SR 1601 (Rock Brook Road) The NCDOT will also
dewater the work site during construction as necessary Equipment may include excavator
backhoe, bulldozer, Qrader, and crane.
11. Explain the purpose of the proposed work: The project is part of the secondary road paving
program. The existing_gravel roadway will be paved with asphalt
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
V I. 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 maybe included at the applicant's discretion. If this proposed impact is strictly for
wetland or stream mitigation, list and describo the impact in Section VIII below. If additional
space is needed for listing or description, please attach a separate sheet.
Page 3 of 8

1. Provide a written description of the proposed impacts: Existing pipe (at Site 1) will be
replaced with loner len tgth pie in association with this secondar r~project The NCDOT
will also dewater the work site during construction as necessary.
2. 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
Total Wetland Impact (acres) N/A
3. List the total acreage (estimated) of all existing wetlands on the property: N/A
4. 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 Area of
Number Stream Name Type of Impact
Intermittent? Stream Width Length Impact
(indicate on ma) Before Im act (linear feet) (acres)
Site l UT to 7abbs Crk Fill (piped length) Intermittent 2'0 24 0.0011
Rip rap armoring

Along stream bank 20 0.0009
Temporary 44 0.0020
dewatering concurrent concurrent
Total Stream Impact (by length and acreage) 44 0.0020
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

6. List the cumulative impact to all Waters of the U.S. resulting from the protect:
Stream Impact (acres): 0.0020
Wetland Impact (acres): NONE
Open Water Impact (acres): NONE
Total Im act to Waters of the U.S. (acres) 0.0020
Total Stream Im act (linear feet): 44
7. 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.
8. 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 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. 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. Oniy the smallest amount of fill
necessary to complete the project will be placed in waters of the United States or riparian
buffers.
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.
USACE - 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 maybe 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 USACE 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://h2o.enr.state.nc.us/ncwetlands/strmgide.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.
Due to the minimal impacts posed no mitigation requirements are expected Therefore
NCDOT proposes no compensato miti ation.
2. Mitigation may also be made by payment into the North Carolina Ecosystem Enhancement
Frogram (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 of Non-riparian wetland mitigation requested (acres): N/A
Amount of Coastal wetland mitigation requested (acres): :~'; A
Imo. Environmental Documentation (required by DWQ)
Page 6 of 8

1. Does the project involve an expenditure p~ 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.
Zone* Impact
(square feet) Multiplier Required
Mitigation
1 1,653 3 (2 for Catawba) N/A
2 1,208 1.5 N/A
Total 2,861 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 /Enhancement, or Payment into the
Riparian Buffer Restoration Fund). Please attach all appropriate information as identified
within 15A NCAC 2B .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 stormwater
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. There is 2.67 acre existing impervious surface (avg 20 foot wide
gravel road, 1.1 mile protect) of the 8.0 acre project size The proposed impervious surface is the
same as the original with a 20 foot wide paved roadway Therefore no new impervious surface is
proposed with this protect. Erosion and sediment control devices along the project are comprised
of temporary rock silt checks temporary silt basins and temporary silt fence The temporary
structures will be removed once the vegetation has been established and these areas will be
reseeded.
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:
Up~radin~ SR 1601 will not result in additional development
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).
f Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 8 of 8

Appendix One
NCDVVQ Stream Identification Forms along with
Photographs and Mapping for Features A and B

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Project Study Area
SR 1601 Rock Brook Raad
GranvflIe County
Oxford USGS Topo Map
(1981./198~~
Figure 1 1:24,000
Copyright (C)1998, Maptach, Mc.

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rno~ograpn or reature 13, looking downhill of outlet.

North Carolina Division of Water Quality -Stream Identification Form; Version 3.1
Date: I Z/y1O7 Project: SR /(CO/ ~~ ~E,es) Latitude: ,~~ Z8$I595
Evaluator: ~T2a~yfe/ /,/ohT~ ~ Site: ~ Longitude: 7g $~/g~/g'
Total Points: Other
Stream is at least intermittent County: /~ /
if ? 19 or erennial if >_ 30 O-'Rr'I /~ lI a e.g. Quad Name: OI(-~v,~!{
A. Geomor holo (Subtotal = li Absent Weak Moderate Strong
1a. Continuous bed and bank 1 2 3
2. Sinuosity 1 2 3
3. In-channel structure: riffle-pool sequence 1 2 3
4. Soil texture or stream substrate sorting 0 1 2 3
5. Active/relic floodplain 0 1 2 3
6. Depositional bars or benches 1 2 3
7. Braided channel 1 2 3
8. Recent alluvial deposits 1 2 3
9 a Natural levees 1 2 3
10. Headcuts 1 2 3
11. Grade controls 0.5 1 1.5
12. Natural valley or drainageway 0 0.5 1 1.5
13. Second or greater order channel on existin
USGS or NRCS map or other documented
evidence.
No = 0
Yes = 3
- Man-made ditches are not rated: see discussions in manual !! /~ _~
B. Hvdroloav (Subtotal = ~~ ~ ~'S isnj/ ~ ~ ~v~/ C~ ~~ a~ S~t~+J'~+~ ~i ~'~
14. Groundwater flow/discharge 0 1 2 3
15. Water in channel and > 48 hrs since rain, or
Water in channel - d or rowin season 0 1 2 3
16. Leaflitter 1.5 1 0.5 0
17. Sediment on plants or debris 0 0.5 1 1.5
18. Organic debris lines or piles (Wrack lines) 0.5 1 1.5
19. Hydric soils (redoximorphic features) present? o = 0 Yes = 1.5
C. BioloQV (Subtotal = ~~ )77us r3h~-~ fPa~u c~fX~ ~s'~/~n'"'9' ~`~ 6~D~d9`7
20 . Fibrous roots in channel 3 2 1 0
21 . Rooted plants in channel 3 2 1 0
22. Crayfish 0 0.5 1 1.5
23. Bivalves 0 1 2 3
24. Fish 0 0.5 1 1.5
25. Amphibians 0 0.5 1 1.5
26. Macrobenthos (note diversity and abundance) 0 0.5 1 1.5
27. Filamentous algae; periphyton 0 1 2 3
28. Iron oxidizing bacteria/fungus. 0 0.5 1 1.5
29 . Wetland plants in streambed FAC = 0.5; FACW = 0.75; OBL = t.5 SAV = 2.0; er = 0
- Items 20 and 21 focus on the presence of upland plants, Item 29 focuses on the presence of aquatic or wetland plants.
Notes: (use back side of this form for additional notes.)
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North Carolina Division of Water Quality -Stream Identification Form; Version 3.1
Date: I ~ 5'a7 Project: s/L~GO~ /~L~ L~rm,E ,Q~ Latitude:
( ~ 310.2ggo sG3
Evaluator: ~~~ /~~t/#~ Site: ~ Longitude: -~SSt{72~7~
Total Points: Other
Stream is at least intermittent County:
if ? 19 or erennial if ? 30 rQ h ~~ ~'G e.g. Quad Name: QK~ rd
A. Geomor holo Subtotal =
1a. Continuous bed and bank Absent
0 Weak
1 Moderate
2 Strong
3
2. Sinuosity 0 2 3
3. In-channel structure: riffle-pool sequence ~ 1 2 3
4. Soil texture or stream substrate sorting 0 1 3
5. Active/relic floodplain 1 2 3
6. Depositional bars or benches 1 2 3
7. Braided channel 1 2 3
8. Recent alluvial deposits 0 1 2 3
9 a Natural levees 0 - 1 2 3
10. Headcuts 1 2 3
11. Grade controls 0 0.5 1 1.5
12. Natural valley or drainageway 0 0.5 1 1.5
13. Second or greater order channel on existing
USGS or NRCS map or other documented
evidence.
No = 0
Yes = 3
rviai ~-mauc uuuies are not rated; see aiscuSSions in manual !
B. H dr010 Subtotal = O ~i ~~~ I~w'f' °` -~Y.a~ L`.~'G.61° o~ S"P~'°',~'v~ S~.c`2ti~'r- ~~'~° "~
14. Groundwater flow/discharge 0 1 2 3
15. Water in channel and > 48 hrs since rain, or
Water in channel - d or rowin season 0 1 2 3

16. Leaflitter
1.5
1
0.5 _
0
17. Sediment on plants or debris 0.5 1 1.5
18. Organic debris lines or piles (Wrack lines) 0.5 1 1.5
19. Hydric soils (redoximorphic features) present? o = 0 Yes = 1.5
/~WT
V
C. Biologv (Subtotal = t~ ~- ) "H'~'s ~s~~- ~ ~ca~ c~6~e of S~'~"~~ S-~-y~ prvt Ea~o (oo/y
20 . Fibrous roots in channel 3 2 1 0
21 . Rooted plants in channel 3 2 1 0
22. Crayfish 0 0.5 1 1.5
23. Bivalves 0 1 2 3
24. Fish 0 0.5 1 1.5
25. Amphibians 0 0.5 1 1.5
26. Macrobenthos (note diversity and abundance) 0 0.5 1 1.5
27. Filamentous algae; periphyton 0 1 2 3
28. Iron oxidizing bacteria/fungus. 0 0.5 1 1.5
29 . Wetland plants in streambe ,~ w; ," = 0. FACW = 0.75; OBL = 1.5 SAV = 2.0; Other = 0
~~,~~`~
~no~~.i"
0~` V
•~~•••....~ a,,.. ~ ~ ~.,..~~ ~~ ~ uic Ni cacrwc vi up~aou pianos, i~em ca rocuseS on me presence or aquaac or wetland plants.
Notes: (use back side of this form for additional notes.)
_ ~,~n~,-...}' C~.rR/h~aft~~r2~ a"~ ~'~G/IL ~/tA~ ~./ '7i1.~%l~~cGv~~~ L
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Sketch:
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oo~~