20071961 Ver 2_Application_20071126

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STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY
GOVERNOR
US Army Corps of Engineers
Raleigh Field Office
6508 Falls of Neuse Road, Suite 120
Raleigh, NC 27615-6814
ATTENTION: Eric Alsmeyer
NCDOT Coordinator
Dear Sir:
March 31, 2008
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LYNDO TIPPETT
SECRETARY

Subject: Updated application for Section 404 Nationwide Permits 23 and 33 and Permit Modification
Request for Section 401 Water Quality Certification and Tar-Pamlico Riparian Buffer
Authorization for the replacement of Bridge No. 42 over Shocco Creek on SR 1613 (Shocco Springs
Road), Warren County. Federal Aid Project Number BRZ-1613(2), WBS No. 33649.1.1, State
Project No. 8.2411001, Division 5, T.I.P No. B-4312.
Reference: Permit application dated November 14, 2007 and 401 Water Quality Certification and Buffer
Authorization (DWQ Project No. 20071961) issued November 26, 2007.
The North Carolina Department of Transportation (NCDOT) proposes to replace the 54-foot, Bridge No. 42
over Shocco Creek. The project involves replacing the current bridge in its existing location; while using an
off-site detour to maintain traffic during construction. The existing bridge is currently in poor condition and in
need of replacement. The new bridge is intended to provide a safer bridge structure consistent with federal
and state bridge standards.
The proposed structure will be a single span 39-inch box beam bridge approximately 100-feet in length. The
proposed bridge has 33-feet of clear roadway and will provide two travel lanes. The travel lanes will be 11-
feet wide with a 3-foot offset left and 8-foot offset right. The existing approach roadway will be widened to a
22-foot pavement width to provide two 11-foot lanes. 6-foot shoulders will be provided on each side. The
proposed bridge will span Shocco Creek; no bents will be located within the channel. NCDOT submitted the
Nationwide 23 and 33 permit application for the proposed project on November 14, 2007.
This letter serves to update the above referenced Section 404 Nationwide 23 and 33 permit application and to
request a permit modification to the Section 401 Water Quality Certification and Tar-Pamlico Riparian Buffer
Authorization. Revised or new inforTnation is indicated in bold. The federally protected dwarf wedgemussel
was observed within the project area during preconstruction surveys conducted in March 2008. Therefore,
additional conservation measures requested by the US Fish and Wildlife Service (USFWS), and additional
impacts to the unnamed tributary (UT) to Shocco Creek are proposed in order to provide additional long term
stability and erosion control. Please see the attached revised pre-construction notification, revised permit
MAILING ADDRESS: LOCATION:
NC DEPARTMENT OF TRANSPORTATION TELEPHONE: [phone] Of 2728 CAPITAL BLVD. SUITE 240
PROJECT DEVELOPMENT AND ENVIRONMENTAL ANALYSIS 919-715-1335 RALEIGH NC 27604
NATURAL ENVIRONMENT UNIT
1598 MAIL SERVICE CENTER FAX: [phone]
RALEIGH NC 27699-1598
WEBSITE: WWW.NCDOT.ORG

drawings, and revised roadway plan sheet 4 for the subject project. A Categorical Exclusion (CE) was
completed for this project in May 2007 and distributed shortly thereafter. Additional copies are available
upon request.
IMPACTS TO WATERS OF THE UNITED STATES
Permanent Impacts
There will be no change in the wetland impacts resulting from changes to the proposed project. As stated in
the original permit application, there will be 0.04 acre of permanent riverine wetland impacts resulting from
mechanized clearing in the wetlands located southwest (Site 1) and northwest (Site 2) of the existing bridge.
Mechanized clearing is necessary to provide access for equipment, installation of erosion control devices and
for construction of the bridge and the new fill slopes.
There will be 0.01 acre of permanent fill in riverine wetlands (Site 2) resulting from the construction of a rip
rap abutment and fill slopes.
There will be an increase in permanent stream impacts from the original permit application. There will
be 25 linear feet (an increase of 10 linear feet) of permanent impacts to the UTl resulting from the
placement of fill on the c annel bank for bank stabilization (Site 3). The additional fill is necessary to
provide long term stability to the channel following the removal o)~th~ existing wing wall.
Temporary Impacts
There will be 351inear feet of new tem orary im acts to UTl due to tem orary fill and dewatering.
The c el will be i led an ewatered uti izmg sandbags and exi a plastic pipe. The intent o lh~
dewatering is to allow removal of the existing timber abutment and subsequent stabilization of the streambank
in the area with rip rap in the dry. The outlet of the flexible pipe will be allowed to discharge directly into
Shocco Creek. This is necessary to ensure that fill material will not erode into the creek.
Utility Impacts
There will be no new impacts to wetlands or streams resulting from the removal or relocation of utilities (refer
to November 14, 2007 application).
Bridge Demolition
The existing Bridge No. 42 was built in 1953 and is 54-feet in length. It is a three span structure that consists
of timber floor on timber joists with an asphalt wearing surface. The end bents and interior bents consist of
timber caps on timber piles. There are two bents located in the water.
During the removal of the old bridge, the Contractor will be required to pull out the existing timber piles. In
the event that the piles break off in this process, the contractor will cut off the piles flush with natural ground
or natural stream bed level.
There is a small potential for components of Bridges No. 42 to be dropped into Waters of the United States
during bridge removal. The maximum potential temporary fill is 25 cubic yards that will be immediately
removed. Best Management Practices for Bridge Demolition and Removal and Protection of Surface Waters
will be followed.
B-4312 Permit Application
Page 2 of 5

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IMPACTS TO TAR-PAMLICO RIPARIAN BUFFER
There are no new buffer impacts associated with the increase in impacts to UT1.
MITIGATION OPTIONS
Avoidance and Minimization and Compensatory Mitigation
The NCDOT is committed to incorporating all reasonable and practicable design features to avoid and
minimize jurisdictional impacts, and to provide full compensatory mitigation of all remaining, unavoidable
jurisdictional impacts. Avoidance measures were taken during the planning and NEPA compliance stages;
minimization measures were incorporated as part of the project design.
According to the Clean Water Act (CWA) §404(b)(1) guidelines, NCDOT must avoid, minimize, and
mitigate, in sequential order, impacts to waters of the US. The following is a list of the project's wetland,
jurisdictional stream, and Neuse Buffer avoidance/minimization activities proposed or completed by NCDOT
(new measures are indicated in bold print):
Avoidance/Minimization
• Temporary construction impacts due to erosion and sedimentation will be minimized through
implementation of stringent erosion control methods and use of Best Management Practices (BMPs).
• Design Standards in Sensitive Watersheds will be implemented.
• Preformed scour holes located southeast and northeast of the proposed bridge will be utilized to reduce
stormwater impacts.
• The proposed bridge will span Shocco Creek with no bents located in the channel.
• The proposed bridge will be 46-feet longer increasing the floodplain under the bridge.
• The bridge will be replaced in its existing location minimizing impacts to wetlands and buffers.
• Traffic will be detoured offsite during construction.
• All non-maintained riparian buffers impacted by the placement of temporary fill or clearing activities shall
be restored to the pre-construction contours and revegetated with native woody species.
U.S Fish and Wildlife Service have also requested the following measures be taken to minimize the affect of
the proposed project on the federally protected dwarf wedgemussel (Alasmidonta heterodon).
• "Environmentally Sensitive Areas", defined as a 50-foot buffer zone on both sides of the stream measured
from top of the stream bank, will be identified on the Sedimentation and Erosion Control Plans for this
project.
• In areas identified as Environmentally Sensitive Areas, the Contractor may perform clearing operations,
but not grubbing operations until immediately prior to beginning grading operations.
• Once grading operations begin in identified Environmentally Sensitive Areas, work shall progress in a
continuous manner until complete.
• In areas identified as Environmentally Sensitive Areas, erosion control devices shall be installed
immediately following the clearing operation.
• In areas identified as Environmentally Sensitive Areas, "Seeding and Mulching" shall be performed on the
areas disturbed by construction immediately following final grade establishment.
• In areas identified as Environmentally Sensitive Areas, seeding and mulching shall be done in stages on
cut and fill slopes that are greater than 20 feet in height measured along the slope, or greater than 2 acres
in area, whichever is less.
B-4312 Permit Application
Page 3 of 5

• All sedimentation and erosion control measures, throughout the project limits, must be cleaned out when
'h full with sediment, to ensure proper function of the measures.
• Removal of the existing bents will take place when water flow level is at a minimum point allowable
within the project schedule and will be done in such a manner to minimize disturbance to the
stream bed.
• Install special sediment control fence along the top of the steam bank. Install silt fence along the toe
of slope parallel to the stream. Once the disturbed areas of the project draining to the special
sediment control fence have been stabilized, the special sediment control fence and all built up
sediment adjacent to the fence will be removed to natural ground and stabilized with a native grass
mix.
• Install rip rap slope protection simultaneously with the embankment construction.
• Embankment construction and grading shall be managed in such a manner to prevent surface
runoff/drainage from discharging directly into the riparian buffer. Instead all interim surfaces will
be graded to drain to temporary erosion control devices. Temporary berms, ditches, etc. will be
incorporated as necessary to prevent temporary runoff from discharging into the riparian buffer
(As specified in NCDOT BMP Manual).
• UTl will be dewatered during slope establishment to ensure that fill material will not erode into the
creek
Compensatory Miti ag t
The total impacts to jurisdictional resources are minimal with less than 0.1 acre of impacts to jurisdictional
wetlands and less than 1501inear feet of impacts to the UT of Shocco Creek, therefore, n~ mitigation is
proposed.
FEDERALLY PROTECTED SPECIES
Plants and animals with federal classifications of Endangered (E), Threatened (T), Proposed Endangered (PE),
and Proposed Threatened (PT) are protected under provisions of Section 7 and Section 9 of the Endangered
Species Act of 1973, as amended. The United States Fish and Wildlife Service (USFWS) website (updated
May 10, 2007) lists three species for Warren County. Table 2 lists the species and their federal status.
Table 2. Federall Protected S ecies in Warren Coun NC
Common Name Scientific Name Federal Status* Biological Conclusion Habitat
Present
Bald eagle Haliaeetus Delisted Not required No
leucoce halus
Elliptio May affect, not likely to
Tar spinymussel steinstansana E adversely affect Yes
Dwarf Alasmidonta E May affect, likely to

wed emussel
heterodon
adversel affect** yes
*1r= endangered; **Biological conclusion listed in November 14, 2007 permit application was "May affect, not likely to
adversely effect."
The biological conclusions for the Tar spinymussle and bald eagle have not changed since the original
application submitted on November 14, 2008.
Surveys for the Tar spinymussel and the dwarf wedgemussel were conducted in November 2004 and March
2008. During the March 2008 preconstruction survey, five DWM individuals were found downstream of the
existing structure. Therefore, the biological conclusion was changed to "May affect, likely to adversely affect"
has been issued for the dwarf wedgemussel. NCDOT biologist Jason Mays has informed USFWS biologist,
Gary Jordan, of the results of the preconstruction survey on March 5, 2008. A formal consultation has been
B-4312 Permit Application
Page 4 of 5

initiated. NCDOT is preparing the Biological Assessment (BA) at this time and anticipates that the Biological
Opinion (BO) will be submitted prior to construction. Copies of the BA and BO will be provided to USACE
and NCDWQ .upon completion.
SCHEDULE
The project calls for a letting of July 17, 2008 (review date of May 27, 2008) with a date of availability of
August 28, 2008. It is expected that the contractor will choose to start construction in August.
REGULATORY APPROVALS
Section 404 Permit: The project has been processed by the Federal Highway Administration as a "Categorical
Exclusion" in accordance with 23 CFR 771.115(b). The NCDOT requests that these activities be authorized
by a Nationwide Permit 23 and 33 (72 FR 11092-11198; March 12, 2007).
Section 401 Permit: A modification of the previously issued 401 General Certification numbers 3701 and
3688 is required. This project will impact Tar-Pamlico Riparian Buffers and written concurrence will be
required. In accordance with 1 SA NCAC 2H, Section .0500(a) and 15A NCAC 2B.0200 we are providing
five copies of this application to the North Carolina Department of Environment and Natural Resources,
Division of Water Quality, for their review.
Buffer Certification: This project has been designed to comply with the Tar-Pamlico Riparian Buffer
Regulations (15A NCAC 2B.0259). NCDOT requests a modification of the November 26, 2007 Tar-Pamlico
Riparian Buffer Authorization from the Division of Water Quality. This project has been reviewed for
jurisdiction under the Federal Clean Water Act (CWA).
A copy of this permit application will be posted on the NCDOT website at:
http://www.ncdot.org/doh/preconstruct/pe/. If you have any questions or need additional information, please
call Erica McLamb at 715-1521.
Sincerel ,
Gregory .Thorpe, Ph.D.
~~" Environmental Management Director, PDEA
w/attachment
Mr. Brian Wrenn, NCDWQ (5 Copies)
Mr. Travis Wilson, NCWRC
Mr. Gary Jordan, USFWS
w/o attachment (see website for attachments)
Dr. David Chang, P.E., Hydraulics
Mr. Mark Staley, Roadside Environmental
Mr. Greg Perfetti, P.E., Structure Design
Mr. Victor Barbour, P.E., Project Services Unit
Mr. J. Wally Bowman, PE., Division Engineer
Mr. Chris Murray, DEO
Mr. Jay Bennett, P.E., Roadway Design
Mr. Majed Alghandour, P. E., Programming and TIP
Mr. Art McMillan, P.E., Highway Design
Mr. Scott McLendon, USACE, Wilmington
Mr. Tracy Walter, PDEA
B-4312 Permit Application
Page 5 of 5

Office Use Only: Form Version March OS
USACE Action ID No. DW No. ~~ / ~ ~ / ~*
Q
(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: NW23 and 33
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: Gregory J. Thorpe, Ph.D., Environmental Management Director
Mailing Address: 1598 Mail Service Center
Raleigh, NC 27699-1548
Telephone Number: [phone] Fax Number: [phone]
E-mail Address:
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: Fax Number:
E-mail Address:
Updated 11/1/2005
Page 1 of 9

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: Replacement of Brid;;e No 42 on SR 1613 over Shocco Creek
2. T.I.P. Project Number or State Project Number (NCDOT Only): B-4312
3. Property Identification Number (Tax PIN):
4. Location
County: Warren Nearest Town: Warrenton
Subdivision name (include phase/lot number):
Directions to site (include road numbers/names, landmarks, etc.): US 401 to Pritchard left
onto Shocco Springs Road.
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): 36.2939 °N 78.2178°W
6. Property size (acres):
7. Name of nearest receiving body of water: Shocco 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/maps/.)
9. Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this application: This project is located in a rural area that consists mainly of
forested land with some asriculutre and residential development
10. Describe the overall project in detail, including the type of equipment to be used:
Updated 11/]/2005
Page 2 of 9

Bridge No. 42 will be replaced on existing location with a offsite detour Heavy duty
excavation equipment will be used such as trucks dozers cranes and other various
equipment necessary for roadway construction
11. Explain the purpose of the proposed work:- To replace a detiorating bridge.
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.
1. Provide a written description of the proposed impacts: Please refer to the attached
cover letter
Updated 11/1/2005
Page 3 of 9

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,
s arately list impacts due to both structure and floodin
g•
Wetland Impact
Site Number
(indicate on map)

Si
Type of Impact Type of Wetland
(e.g., forested, marsh,
herbaceous, bog, etc.) Located within
100-year
Floodplain
(yes/no) Distance to
Nearest
Stream
(linear feet) Area of
Impact
(acres)
te 1 Mechanized clearing Riverine Yes 50 0.01
Site 2 Mechanized clearing Riverine Yes 50 0.03
Site 2 Roadway fill Riverine Yes 50 0.01

Total Wetland Impact (acres) 0.05
3. List the total acreage (estimated) of all existing wetlands on the property: 0.9 acre
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 acrea a multi 1 len h X width th d' 'd b 4

Stream Impact en i vi e y 3,5 60.

Number
Stream Name
T e of Im act
~ p
Perennial or
I Average

Stream Width Impact

Length Area of

Impact
(indicate on ma) ntermittent? Before Impact (linear feet) (acres)
Site 3 UT to Shocco
Creek Bank Stabilization Perennial 8 feet
25
0.01
Site 3 UT to Shocco Temporary fill and 8 feet
Creek dewatering Perennial 35 0.01

Total Stream Impact (by length and acreage) 60 0.02
Updated 11/1/2005
Page 4 of 9

5. 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, floodin ,drainage, bulkheads, etc.
Open Water Impact

Site Number
(indicate on ma
p)
Name of Waterbody

(if applicable)

Type of Impact Type of Waterbody

(lake, pond, estuary, sound, bay,

ocean, etc,) Area of

Impact

(acres)

Total Open Water Impact (acres)
6. List the cumulative impact to all Waters of the U.S. resulting from the project:
Stream Impact (acres): 0.02
Wetland Impact (acres): 0.05
Open Water Impact (acres): 0
Total Impact to Waters of the U.S. (acres) 0.07
Total Stream Impact (linear feet): 60
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.):
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.):
Current land use in the vicinity of the pond:
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 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
Updated I 1 / I /2005
Page 5 of 9

techniques to be followed during construction to reduce impacts. Please refer to the attached
cover letter
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.
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 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 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 (see DWQ website for most current
version.).
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.
Mitigation is not proposed for this project
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
Updated l l/1/2005
Page 6 of 9

website at http://www.nceep.net/pages/inlieureplace.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): 0
Amount of buffer mitigation requested (square feet): 0
Amount of Riparian wetland mitigation requested (acres): 0
Amount ofNon-riparian wetland mitigation requested (acres): 0
Amount of Coastal wetland mitigation requested (acres): 0
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 a NEPA/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
(Meuse), 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 ^
Updated 11 / 1 /2005
Page 7 of 9

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
s uare feet
( )
Multiplier Re
quired
Mitigation
1 5103 3 (2 for Catawba) 0
2 2043 1.5 0
Total 7146 0
* 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. NA
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. NA
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.
NA
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 anafter-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
Updated 11/1/2005
Page 8 of 9

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:
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).
None.
F.
-'~sU 8
Applic~ant,~Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Updated 11/l/2005
Page 9 of 9

USGS QUAD MAP
SCALE: 1" = 2000'
Revised 3/31/05

1'~operty Owner Contact Repot ''~ ~~~ ~. ~~~

u -~~N938P:'E'S~ .. ,i
~,. ,g,
,. ,_ iL;'3"a`~ ,..'?ii°~,,:i:'s:3u'~.`,'"xwS^%'::i1FtCx:~~.~5~.`».e.~"..&'<«E \~~'rr, ,H~e°i/
y .__... - -~....Y.l.'dy1Kt
TIP # B-4312
-- -
----
ivner Lrrst _ _
1'Jame/
Business Owner
First Name
Address
Clty/Town
State Contact/
Zip Code Home Contact
Relationship Phone Contacted By Date How Contacted Comments

3~ .Baker Roni,`e 214 Lily Street - Paterson NJ 07522 --------
Apt. No. 1 C. King 7/18/2005 Letter
Baker Wardell 966 Madison Paterson NJ 07501
Avenue C. King 7!18/2005 Letter
Baker Wardell 966 Madison Paterson NJ 07501
Avenue C. King 7/18/2005 Letter
Rasden Tyrone 5413 Walton Hill Knightdale NC 27545
C. King 7/18/2005 Letter
Boyd Jenr,~• 792 Shocco Warrenton NC 27589
Springs Road C. King 7/18/2005 Letter
Moody Betty 814 Shocco Warrenton NC 27589
Springs Road [phone] C. King 7/18/2005 Letter
New
Millenium 102 Court Street Oxford NC 27565
C. King
7/18/2005
Letter
Land
Company
New
Millennium 102 Court Street Oxford NC 27565
C. King
7/18/2005
Letter
Land
.Company
2~ O'Neal William P.O. Box 461 Louisburg NC 27549

Pena
M
l C. King 7/18/2005 Letter
anue 156 Liberty Lane Clayton NC 27520
C. King 7/18/2005 Letter
~.'Valden ~' ~nie 767 Shocco Warrenton NC 27589
Springs Road C. King 7/18/2005 Letter
Williams S:~san 745 Shocco Warrenton NC 27589
Springs Road
Williams Susan 745 Shocco Warrenton NC 27589
Springs Road
Frirtny, September 16, 2005
C. King
C. King
7/18/2005 Letter~~~tYl. ~ ~yyj~
Sneet :..~,,,, of ..,
7/18/2D05 Letter
_. _
. ~_s_~:.

WETLAND PERMIT IMPACT SUMMARY
WETLAND IMPACTS SURFACE WATER IMPACTS

Site
No.

Station
(From/To)

Structure
Size /Type
Permanent
Fillln
Wetlands
(ac)
Temp.
Fillln
Wetlands
(ac)
Excavation
in
Wetlands
(ac)
Mechanized
Clearing
in Wetlands
(ac) Hand
Clearing
in
Wetlands
(ac)
Permanent
SW
impacts
(ac)
Temp.
SW
impacts
(ac) Existing
Channel
Impacts
Permanent
(ft) Existing
Channel
Impacts
Temp.
(ft)
Natural
Stream
Design
(ft)
1 19+35 to 19+80 Lt. Bride 0.01

2 20+60 to 21+60 Lt. Bride 0.01 0.03

3 20+10 to 20+65 Bride 0.01 0.01 25 35

TOTALS: 0.01 0.04 0.01 0.01 25 35
Revisetl 3/31/05

rr~
C•V
0

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c
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NP
M~
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~~
~~N
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~ L
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00
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NOL
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~-OL U
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din
See Sheet 1 t! Far Index of Sheen
See Sheet 1 E fvr Conventional SymboG
~-' _,~ ~
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~, ~~ ~--,~,ROo
1131` 1025
1178
' ~ 1~. w l?ND ROJBC
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118, ~'~
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-1 ~ ~`9~~~'~, pp~'rY ~~µ uaniae
VICINITY MAP
OFF-SITB DBTOUR ~--~---~--~
U' ll 1~1 ~JLj ®ll j~'®Il~~llJL `~111~®~~~lll rt•n 'rn worecr muexaw
~~~~~~®~T ®IF ~[~~IH[~A1~Y~ .C. 8-4311 1
rt•n ,aw.w ,.•.nOtxn meammv
33649.1,1 BRZ-1613 2 P.E.
33649.2.1 BRZ-1613 RNJ UTIL
WA~a~~ coU,~~
LOCATION BRIDGE 1110.42 OVER SHOCCO CREEK AND
APPROACHES ON SR 1613 (SHOCCO SPRINGS ROAD) ~~ ~"Drawi '-
TYPE OF WORh.~ GRADING, PAVING, DRAINAGE, AND STRUCTURE

i i~~ " ~p1
1
~%~ 54
,% ~4
Y
CLEARING ON THIS PROJECT SXALL BE PERFORMED TO THE LIMITS ESTABLISHED BY METHOD IIl:
THIS PROJECT IS NOT WITHIN ANY MUMCD'AL BOUNDARIES.
** DESIGN EXCEPITONS FOR HORTLONTAL ALTGNMRNT,HORTlONTAL STOPPING SIGHT DISTANCE,
VERTICAL ALIGNMENT,AND VERTICAL STOPPING SIGHT DISTANCE ARE REQUIRED.
GRAPHIC SCALES DESIGN DATA
50 25 0 50 10o ADr 2ooe = aoo
ADT 2030 = 700
PLANS DHV = 14 'Yo
50 25 50 1 0 D = 60 %
PROFILE HORIZONTAL) * T = 3 %
* * V = 60 MPH
10 5 0 10 20 * ~ 1 %+DUAL 2 %)

oonouen,eot~ru: FUNC.CLASS.=RURAL LOCAL
PROJECT LENGTH
LENGTH ROADWAY TIP PROJECT B-4312 = OJ95 MILE
LENGTH STRUCTURE TIP PROJECT B~?12 = O.AI9 MILE
TOTAL LENGTH TIP PROJECT B-4312 = p ~I4 MILE
WETLAND PERMIT
Prepored in f1e Ofl1ce of: HYDRAULICS EIYGIIVtBSR
DIVISION OF HIGHWAYS
1000 Bireb Ridp DT., del.i~k NC, 27010
2005 $.LIDARD SPdCIPIC177M'S
RIGHT OF WAY DATE: GLENN W, MUMFORD P,E y
~~, ~~ ROADWAY DESIGN BNGI7111EER
June 27, 2007
LETTLVG DATEr JBFFRBY LTEAGU$P.E
July rs, 2ooe ~~' 1~
PS

STA,
'~ t 1~ ` ' 4
~3 ~ l
4 `~ _
~~.
\ 1 \
.~ ~~
~~
~~
~~
~1 ~ ~ ~ ~~
-L- STA.15+50.00 BEGIN TIP PRO CT 8-4312 ~ ~ ~ / ~ STA. 26+80,00 END TIP PROJECT 8-4312 \ ~ ~~
~~
1~1
~~
r- ~~~
i \4\
., ~ ~~~ , I
..
a _ _ To_Airrox_---_
SR 1613 (SHOCCO SPRINGS ROAD) ~ `q~
p
I 1 1 V
PRELIMINARY PLANS
00 NOT UBE POA CON9TAUCIigJ
DIVIS70N OF HIGHWAYS
STATE OF NORTH CAROLINA
p ORJR
4 0
t~ e°
OR ~,p9R

Note: Not to Scale ^'°~ ~~ "°~ ~~

*S.U.E. = Sabrurface Utility E,rgireering
~'~A\~CIE
®~' ~®~~~ ~A,~®~~~f~ _
~~~~~~®I`~ ®lF ]H~~~][~A~Y~
~fm~1- a wing
CON E TI
V N ~ NAL PLAN SHEET SYMB~ ~t ~ of
LS
WATER;
BOUNDARIES AND PROPERTY Water Manhole p
State Line ----..-_ RAILROADS,' Water Meter o
County Line -__ Standard Gouge ~ Water Valve
Township line -_-_- RR Signal Milepost ~~ 15 EXISTING STRUCTURES"' Water Hydrorrt ~

City Line
--- Switch ~] MAJOR; Recorded ltd Water Line
"
Reservation line - . - . - RR Abandoned -~- ~- -»- ~- Bridge, Tunnel or Box Culvert ~a~c Designated lVG Water Line (S.U.E."}--- - - - -~- - - -
Property Line RR Dismantled ---- Bridge Wing Wall, Head Woll and End Wall - ~ ~~+~ -~ ~ Above Ground Water Line nio water

Existing Iron Pin
RIGHT OF WAY.' MINOR:

Property Comer
-"
Baseline Control Poirt Head and End Wall ~~ ~ TY:

Properly Monument
~
iodating Right of Way Marker
~ Pipe Culvert N Satellite Dish ~(

Parcel/Sequence Number
3
®

Existing Right of Way Line

--- Footbridge ~---~ N Pedestal p

Fxiating Fence Line -
x-X-X- Drainage Bax: Cakh Basin, DI or JB ^~B N Tower

Proposed Woven ire Fence ~ Proposed Right of Way Une --~-
Paved Ditch GuNer -----
lYG N Cable Hand Hole

Proposed Chain Unk Fence

-~- Proposed Right of Way Une with

Iron Pin and Cap Marker
Storm Sewer Manhole
Os
Recorded lYG N Cable

"
Proposed Barbed Wire Fence - --~- Proposed Right of Way line with horn' S°"'er Designated l4G N Cable (S.U.E.'j - - - -n- - - -

Existing Wetland Boundary -
---"'---- Conereie or Granite Marker ~ Recorded lVG Fiber Optic Cable ^ ro-

Proposed Wetland Boundary
~ Existing Control ofAcceaa
-~~
l/T7LIT7ES.'
Designated U-G Fiber Optic Cable (S.U.E.•}-
----~~---
Proposed Control of Access -~- POWER:
Existing Endangered Animal Boundary `"-

Existing Endangered PIaM Boundary

-°°- ExiaNng Easement Une --E--
Existing Power Pole
~
GAS;
pro oaed Tern oro Construction Easement-
p P ry e
Proposed Power Pale
~
Gas Valve 0
BUILDINGS AND OTHER CULTURE.' Proposed Temporary Droinage Easement- -~E- Existing Joint Use Pole ~ Gas Meter
Gas Pump Vent or U-G Tank Cap o Proposed Permanent Drainage Easement - =aye- Proposed Joint Use Pole -~ Recorded lYG Gas Line
Sign ~ Proposed Permanent Utility Easement -sue- Power Manhole © Designated lbG Gas Une (S.U.E.•) ----~----
Well °

Small Mine
x
ROADS AND REIATBD AEATZIRJ~'S.' Power Line Tower ® Above Ground Gas Line "" `°s
Foundation 0 Existing Edge of Pavement _--__ Power Tronsformer B
Area Outline 0 Existing Curb _____ ~ Power Cable Hand Hole ® SANRARY SEWER;
Cemetery ~ Proposed Slope Stakes Cut _ _ _ S. _ _ _ H-Frome Pole --~ Sanitary Sewer Manhole

Building
~
Proposed Slope Stakes Fill _-_ F _
-- Recorded LbG Power Line ~ Sanitary Sewer Cleanout ~

School
U! Pro os
p ed Wheel Chair Ramp Designated l4G Power Line (S,U.E.") ----~---- U-G Santary Sewer Line

Church
Curb Cut for Future Wheel Chair Ramp -
cF. Above Ground Sanitary Sewer ~rG Sanlfary Serer
Dam Existing Metal Guardrail TELEPHONE: Recorded SS Forced Main Une ~5
Proposed Guardrail _T T T Existing Telephone Pole + Designated SS Forced Main Une (S.U.E.•} - ----~----
HYDROLOGY
Existing Cable Guideroil e ~ Proposed Telephone Pole ~
Stream or Body of Water - --- proposed Cable Guideroil ~ ~ ~ ~ Telephone Manhole 0 MISCELLANEOUS:
Hydro, Pool or Rsaenoir _r _-_-_= J
Equality Symbol
~ Telephone Booth D Utility Pole ~
Jurisdictional Stroam - ~ . _
Pavement Removal ® Telephone Pedestal ^r Utility Pole with Base p
Buffer Zone 1 -~ Telephone Cell Tower ,i„ Utility Located Object a
Buffer Zone 2 -a ~- IPEGETATlON.' l6G Telephone Cable Hand Hole ® Utility Traffic Signal Box
Flow Arrow <- --- Single Tree ~ Recorded USG Telephone Cable ~ Utility Unknown lYG Line Na
Disappearing Stream >-- - ~-- Single Shrub Designated LVG Telephone Cable (S,U,E.•)- ----~---- lYG Tank; Water, Gas, Oil
Spring ~ ~ ^ Hedge "~~y~~r'"•""Y Recorded USG Telephone Conduit _= AEG Tank; Water, Gas, Oil
Swamp Marsh ~ Woods Line 1''L~"~'"'-`''""~ Designated USG Telephone Conduit(S.U.E,'}- ----R---- lVt; Test Hole (S.U.E.') ~
Proposed lateral, Tail, Head Ditch $~
~ e> Orchard €~ Q 4~ 4 Recorded LVG Fiber Optics Cable ~ ro- Abandoned Aaording to Utility Records - AA~R
False Sump
m
Vineyard ~~~eyaa
~-~
Designated LVG Fiber Optics Cable (S.U.E."~-
----_~---
End oflnformation
E.0.1.

REVLS1oNs
1 7 RIGHT OF WAY REVISION: PROPERLY OWNER NAME HAS BEEN CHANGED ON PARCEL 1. RCB
11-d6-0 RIGHT OF WAY REVISIONS: TFA{PORARY CONSTRUCLION FASEMBlffS HAVE BEEN DELET® BETWEEN STA 19+00 AND 19+50 RT. OF -lr ON PARCEL 2 AND BETWffN
17-MAR-2008 08:50 5TA21+ AND 22+30 Rf.OF -1.- ON PARCEL 4. PERMANENT 1J11LffY EASEMENTS HAVE BEEN ADDED TO PARCELS 2 AND 4. PARCEL NUMBERS 2 AND 4 HAVE BEEN CHANGED
r\hy dr auhcs\p ermrts\64312_h~yd_pr m_Net.dgn TO 2Z LZ. KVN
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REV~IONs
1 7 RIGHT OF WAY REVISION: PROPERTY OWNER NAME HAS BEEN CHANGED ON PARCEL 1. RCB
11-06-0 RIGHT OF WAY REVISIONS: TEMPORARY CONSTRUCf1ON F.I~SF.h1ENfTS HAVE BEEN DELETED BETWEEN STA. 19+00 AND 19+50 RT. OF -Tt ON PARCEL Z AND BETWEEN
d_pr m_we t.d STA 21+ AND 22+30 Ri. OF ~ ON PARCH 4. PERMANENT IJTIL1iY EASEMENTS HAVE BEEN ADDED TO PARCELS Z AND 4. PARCEL NUMBBLS Z AND 4 HAVE BEEN CHANGED
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SPECIAL cln pTCx B NOTES;
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