20050849 Ver 2_Application_20061117

14
STATE OF NORTH CAROLINA cq
DEPARTMENT OF TRANSPORTATION
MICHAEL F EASLEY LYNDO TIPPETT
GOVERNOR SECRETARY
October 13, 2006
U S Army Corps of Engineers
Raleigh Regulatory Field Office -ELI 9 2
6508 Falls of the Neuse Road, Suite 120 5 1 v'
Raleigh, NC 27609
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Attention Mr Eric Alsmeyer, NCDOT Coordinator
Subject Action ID 200520907, 200520908, dated 06/15/05
DWQ Project No 050849, dated 05/23/05
NCDOT SR 2508 application, dated 05/12/05 [WBS element 5C.092065]
The secondary road improvements to SR 2508 (Bissette Road) in Wake County are
currently underway This paving project involves one permit site with a pipe replacement
at STA 73+22 Please note that the referenced application indicated we would be
replacing the existing pipe with a longer pipe We did not have a size recommendation
from the NCDOT Hydraulics Unit at that time, so we anticipated a larger single line of
pipe However Hydraulics has recommended 2@ 95" x 67" corrugated pipe arches The
installation of two lines of pipes would require a slightly larger work area and would
involve additional surface impacts and buffer impacts In addition there would be impacts
to wetlands that were not were anticipated originally The information provided below
details our proposal to use two lines of pipes and serves to completely replace the original
application by requesting modifications to the referenced permits
The North Carolina Department of Transportation (NCDOT) proposes to upgrade and
pave SR 2508 (Bissette Road) from SR 2233 (Smithfield Road) to Johnston County line
in Wake County (Figures 1-3) Total project length is 1 43 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 performed in priority order as established by the NCDOT for each unpaved
road within a given county This number 4s 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 2508 is scheduled to be paved as part of the Secondary Roads Construction Program
Division 5, 2612 N Duke Street, Durham, NC 27704
Phone [phone] Fax [phone]

2
Impacts to Waters of the United States
Site 1 (STA 73 + 22) - Waters of US
Construction at this site will impact an unnamed perennial tributary to Marks Creek
[NCDENR-DWQ Index No 27-38, Best Usage Classification C NSW, HUC 030202011
(Figure 3) in the Neuse River Basin The existing structure conveying the creek is 48"
corrugated metal pipe that is 39 feet long (see Photographs 1 and 2) This pipe will be
replaced with 2 @ 95"x 67" corrugated metal pipe arches that are 60 feet long
Permanent impacts at the site associated with construction include a total of 46 ft (21 Ift
of fill in surface water in addition to 25 Ift of rip rap armoring) The work zone will be
temporarily dewatered for approximately 5 days This will involve the temporary
placement of impervious dikes upstream and downstream of construction The
'impervious)dikes, will bV either sandbags or sheet piling depending upon availability of
materials and flow conditions'during construction Once the stream has been dewatered,
the replacement pipes will be installed Please note that one pipe will be installed to
convey the main line stream flow The other pipe will be placed to the east on the same
elevation, but will serve as an overflow pipe A rip rap covered soil berm will be installed
at the inlet to prevent ordinary flow from entering this pipe During stone events both
lines of pipe will carry water To maintain water flow during construction, any water
upstream of construction will be temporarily pumped out and conveyed around
downstream of the construction Temporary concurrent impacts to the stream from this
activity will result in dewatenng 46 linear feet of stream The impervious dike materials
used for dewatering will be removed after construction Fill in wetlands is also anticipated
at this site The access for construction and the rip rap needed to armor the mainline and
overflow pipe will result in 950 ft` (0 022 ac) of fill in a fringe wetland along this unnamed
tributary (See Appendix One for USACE Wetland Delineation forms/DWQ rating sheets)
STA 56+65 - Waters of US
Please note that surface waters at the Maiks Creek bridge crossing will not be impacted by
construction of this project
Riparian Buffer Impacts
Site 1 (STA 73 + 22) - Buffers
The construction at this site involves a road crossing of a stream that is subject to the
Neuse Riparian Buffer Rule The unnamed perennial tributary to Marks Creek at Site I is
depicted on the most recent version of the Clayton (1964/1988) topographic quadrangle
(Figure 1) as well as on the Soil Survey of Wake County (USDA-SCS 1970) (Figure 2)
Erosion and sediment control devices along the project are comprised of temporary rock
silt checks, temporary silt basins, and temporary silt fence The NCDOT proposes to
install temporary erosion and sediment control devices in Zone 1 and Zone 2 of the
riparian buffer The temporary structures will be removed once the vegetation has been
established Please note that the placement of these structures are within the 60 right-of-
way width and their associated impacts are included within the site total of 2,513 ft' in
Zone 1 and 1,201 ft' in Zone 2 (totaling 46 linear feet of riparian buffer impacts) Based on
the impacts to the riparian buffer at this site, this crossing is ALLOWABLE
J
It
3
STA 56+65 - Buffers
Please note that the riparian buffers at the Marks Creek bridge crossing will not be impacted
by construction of this project
Waters of the U.S./Riparian Buffer 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 Mitigation All compensatory mitigation requirements will be left to the
discretion of the regulatoiy review agencies
Protected Species
Plants and animals with federal classifications of Endangered, Threatened, Proposed
Endangered, and Proposed Threatened are protected under provisions of Section 7 and
Section 9 of the ESA As of October 2006, there are four federally protected species
listed for Wake County They include bald eagle (Haliaeetus leucocephalus),
red-cockaded woodpecker (Picoides borealis), dwarf wedgemussel (Alasnudonta
heterdon), and Michaux's sumac (Rhus michauxii) Bissette Road is not adjacent to open
water suitable to provide foraging habitat for the bald eagle The dense mixed hardwood
stands surrounding these sites do not offer suitable forging or nesting habitat for red-
cockaded woodpecker The UT to Marks Creek at Site 1 is a small stream and does not
provide suitable habitat for mussel fauna The roadway shoulders along Bissette Road are
heavily maintained, eliminating the possibility for Michaux's sumac to exist in this area
Additionally, a review of the Natural Heritage Program database (last updated September
2006) revealed no occurrences of protected species within the project area Therefore,
based on lack of suitable habitat observed during the 02/07/05 and 10/05/06 site visit and the
NHP database review, biological conclusions of No Effect have been rendered for each
species
Historical Compliance
This project has been screened by all pertinent parties to ensure historic compliance
Summary
Pen-nit modifications are hereby requested for the referenced Department of the Army
Section 404 Nationwide Permit (NWP) 14, NWP 33, and NCDENR-DWQ Section 401
Water Quality Certification (WQC) No 3404, WQC No 3366, and buffer authorization
11\
4
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
this modification without submitting a check This procedure will provide payment to the
NCDWQ by charging the permit application fee of $200 00 directly to the appropriate
NCDOT WBS element 5C 092065 A revised pre-construction notification is attached
with this request If you have any questions or need additional information, please contact
Ms Heather Montague at [phone]
Sincerely,
1 tam--?? ?b
on G Nance, P E
Division Engineer
cc Mr Rob Ridings, NCDWQ Transportation Permitting Unit
Mr Brandon Jones, P E, NCDOT District 1 Engineer
Mr Jason Holmes, NCDOT Wake County Maintenance
Ms Katie Simmons, NCDOT Roadside Environmental Field Ops Technician

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ALI
Photograph 1.
View of inlet.

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Office Use Only: Form Vcx,,wn Marsh 05
USACE Action ID No. DWQ No.
kii any parm war 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 NWP 14 and NWP 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
Owner/Applicant Information
Name NCDOT Division 5, Jon G Nance
Mailing Address 2612 N Duke St, Durham, NC 27704
Telephone Number [phone] Fax Number [phone]
E-mail Address JNance a,dot state nc us
2 Agent/Consultant Information (A signed and dated copy of the Agent Authorization letter
must be attached if the Agent has signatory authority for the owner/applicant )
Name
Company Affiliation
Mailing Address
Telephone Number
E-mail Address
Fax Number
Page 1 of 8

III. Project Information
Attach a vicinity map clearly showing the location of the property with respect to local
landmarks such as towns, rivers, and roads Also provide a detailed site plan showing property
boundaries and development plans in relation to surrounding properties Both the vicinity map
and site plan must include a scale and north arrow The specific footprints of all buildings,
impervious surfaces, or other facilities must be included If possible, the maps and plans should
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined For administrative and distribution purposes, the
USAGE requires information to be submitted on sheets no larger than 11 by 17-inch format,
however, DWQ may accept paperwork of any size DWQ prefers full-size construction
drawings rather than a sequential sheet version of the full-size plans If full-size plans are
reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps are provided
1 Name of project Proposed replacement of a structure conveying an unnamed tributary to
Marks Creek in association with upgrading and paving on SR 2508 (Bissette Road) in Wake
County
2 T 1 P Project Number or State Project Number (NCDOT Only) WBS 5C 092065
3 Property Identification Number (Tax PIN) N/A
4 Location
County Wake
Nearest Town Knightdale
Subdivision name (include phase/lot number) N/A
Directions to site (include road numbers/names, landmarks, etc ) From Knightdale take SR
2233 (Smithfield Road) South for approximately 5 0 miles and make a left onto SR 2508
(Bissette 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)
Site 1 35 7298 ON
78 4178 °W
6 Property size (acres) 10 5 acre (Project is 1 43 mi long)
7 Name of nearest receiving body of water UT to Marks Creek
8 River Basin Neuse
(Note - this must be one of North Carolina's seventeen designated mayor 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 Site is surrounded by wooded areas and agriculture land
Page 2 of 8
I
10 Describe the overall project in detail, including the type of equipment to be used Grade,
drain pave and erosion control at SR 2508 (Bissette Road) The NCDOT will also dewater
the work site during construction if necessary Equipment may include excavator, backhoe,
bulldozer, grader, 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 pennits,
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 project9 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 Existing pipe at Site I will be
replaced with a double line of pipes 21 ft longer in association with this secondary road
protect The NCDOT will also dewater the work site during _construction, if necessary
Page 3 of 8
r1
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 Impart
(indicate on map) herbaceous, bog, etc) Floodplain Stream (acres)
( es/no) (linear feet)
Site 1 Fill (access and rip rap) Herbaceous yes None (add) 0 022
Total Wetland Impact (acres) 0 022
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 ' Stream Width Length Impact
(indi(,ate on ma) Intermittent Before Impact (linear feet) (a(,res)
Site 1 UT to Marks Creek Fill (piped length) Perennial 35 21 0 002
Rip rap armoring 25 0 002
along stream bank
Temporary 46 0 004
dewatermg concurrent concurrent
Total Stream Impact (by length and acreage) 46 0 004
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, 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 ma) ocean, etc) (acres)
N/A
Total Open Water Impact (acres) N/A
6 List the cumulative impact to all Waters of the U S resulting from the nroiect
Stream Impact (acres) 0 004
Wetland Impact (acres) 0 022
Open Water Impact (acres) NONE
Total Impact to Waters of the U.S. (acres) 0.024
Total Stream Impact (linear feet): 46
Page 4 of 8
1}
7 Isolated Waters
Do any isolated waters exist on the property9 ? 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
intonnation related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible Also discuss how impacts
were minimized once the desired site plan was developed If applicable, discuss construction
techniques to be followed during construction to reduce impacts All wetlands and surface
waters not affected by construction will be protected from unnecessary encroachment during
construction Strict enforcement of Best Management Practices for the protection of wetlands
and surface waters will be enforced during construction Only the smallest amount of till
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
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
Page 5 of 8
n
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, available at
http //h2o enr state nc us/ncwetlands/strmgide html
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
All compensatory mitigation requirements will be left to the discretion of the regulatory
review agencies
2 Mitigation may also be made by payment into the North Carolina Ecosystem Enhancement
Program (NCEEP) Please note it is the applicant's responsibility to contact the NCEEP at
[phone] to determine availability, and written approval from the NCEEP indicating
that they are will to accept payment for the mitigation must be attached to this form For
additional information regarding the application process for the NCEEP, check the NCEEP
website at http //h2o enr state nc us/wrp/index htm If use of the NCEEP is proposed, please
check the appropriate box on page five and provide the following information
Amount of stream nutigation requested (linear feet)
Amount of buffer mitigation requested (square feet) N/A
Amount of Riparian wetland mitigation requested (acres)
Amount of Non-riparian wetland mitigation requested (acres) N/A
Amount of Coastal wetland mitigation requested (acres) N/A
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
Page 6 of 8
3 If yes, has the document review been finalized by the State Clearinghouse9 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
inap, 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 213 0233
(Neuse), 15A NCAC 2B 0259 (Tar-Pamlico), 15A NCAC 02B 0243 (Catawba) 15A NCAC
2B 0250 (Randleman Rules and Water Supply Buffer Requirements), or other (please
identify )'? Yes ® No ?
2 If "yes", identify the square feet and acreage of impact to each zone of the riparian buffers
If buffer mitigation is required calculate the required amount of mitigation by applying the
buffer multipliers
Site I
Zone* Impact
(square feet) Multiplier Required
Mitigation
1 2,513 3 (2 for Catawba) N/A
2 1,201 1 5 N/A
Total 3,714 N/A
* Zone, I extLndti out 30 tcet pexpendiLular trom the top of the near bank of Lhannel, Zone 2 extends an
additional 20 teu trom the edge of Zone I
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
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 Existing: 4 7 acre impervious surface (avg 27 foot wide gravel road)
of 10 5acre total project size Proposed: 3 5 acre impervious surface (proposed 20 foot wide
asphalt paved road) of 10 5 acre total project size Erosion and sediment control devices along
the project are comprised of temporary rock silt checks temporary silt basins and temporary silt
fence The NCDOT proposes to install temporary erosion and sediment control devices in Zone 1
and Zone 2 of the riparian buffer The temporary structures will be removed once the ve etation
Page 7 of 8
r?
has been established Please note that the placement of these structures are within the 60
right-of-way width and their associated impacts are included within the site totals listed
above
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 project 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 application9 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 ,rg ading SR 2508 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)
)°)13106
U 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
(USAGE Wetland Delineation forms/
DWQ rating sheets)
I
DATA FORM
VJ
ROUTINE WETLAND DETERMINATION S
(1987 COE Wetlahds Determination Manual)
Project / Site: ";5-R ZSOg (&SSf4" tZb, Date:
Applicant / Owner: c yiJcOoT 'DI U S T• n " G , AALO County: Wake
Investigator: State: (C-
Do normal circumstances exist on the site? Yes No Community ID•
Is the site significantly disturbed (Atypical situation)? Yes No ? Transect ID:
Is the area a potential problem area? Yes No L/ Plot ID:
(explain on reverse if needed)
VEGETATION
Dominant Plant species Stratum Indicator Dominant Plant Species Stratum Indicator
1. oGro S4 : wv'- 14 rAC 9.
2. SO % 14- PAC 10.
3. $a hx n' qr#- Stir 06L 11.
4. 41r?u 5 sc.r r t LA:t&- 12.
5. fACt-i 13.
6. 15 061, 14.

7. VG. s, sp
FAGbJ E
15.
8. 16.
Percent of Dominant Species that are OBL, FACW, or FAC excluding FAC-).
Remarks:- Wetland Vegetation Present Based Upon Greater than 50% of the Plant Species arelare not
Classified as FAC-OBL in the National List Species that Occur in Wetlands Sample plot was taken .
of
Plant
?
/
HYDROLOGY
_ Recorded Data (Describe In Remarks): Wetland Hydrology Indicators
_ Stream, Lake, or Tide Gauge
_ Aerial Photographs Primary Indicators,
_ Other ?Inundated
Saturated in Upper 12"
No Recorded Data Available _ Water Marks
_ Drift Lines
Field Observations: Sediment Deposits
ainage Patterns in Wetlands
Depth of Surface Water: (in.) Secondary Indicators,
Oxidized Roots Channels in Upper 12"
Depth to Free Water in Pit' r (in.
© ) Water-Stained Leaves
_
Local Soil Survey Data
Depth to Saturated Soil: ! (in.) ?AC-Neutral Test
_ Other (Explain in Remarks)
Remarks:

n
SOILS
Map Unit Name
(S
d P
weld kAe
eries an
hase) Drainage Class.
Taxonomy (Subgroup):' Confirm Mapped Type? Yes_ No
Profile Description -
Depth Matrix Colors
oist)
inches Horizon (Munsellll M Mottle Colors Mottle Texture, Concretions,
(Munsell Moist) Abundance/Contrast Structure, etc
/??
?-? ?O/"???Z
R

Z?Z f 2, 5 R 6/2, K.
Z. 5 yR S G
?

a ,, u?.?. s ?o• rr`i
,
Hydric Soil Indicators.
_ Histosol _ Concretions
- Histic Epipedon _ High Organic Content in Surface Layer In Sandy Soils
- Sulfidic Odor _Qrganic Streaking in Sandy Soils
_ Aquic Moisture Regime V Listed On Local Hydric Soils List
_ Reducing Conditions Listed on National Hydric Soils List
kAleyed or Low-Chroma C
l
Oth
E
l
_
o
or er (
xp
s -
ain in Remarks)
Remarks-
/

WETLAND DETERMINATION
Hydrophytic Vegetation Present? Yes v' No _Is the Sampling Point
Wetland Hydrology Present? Yes ? No Within a Wetland? Yes w-"?No_
Hydric Soils Present? Yes No
Remarks Location (describe) is/is not classified as a wetland based upon the criteria set forth in the 1987
Army Corps of Engineers Wetlands Delineation Manual
4 a(/vQ0 f5 a

}
DATA FORM
-ROUTINE WETLAND DETERMINATION
(1987 COE Wetlands Determination Manual)
s,
Project 1 Site: SA 25 a$ , _ Date:
Applicant LOwner: - /IC XVr' d S oN 4C rt4- County:_ " - .cam..
Investigator state: tic
Do normal circumstances exist on the site? Yes ? No Community ID: rt
Is the site significantly disturbed (Atypical situation)? Yes No Transect ID:
Is the area a potential problem area? Yes No Plot ID:
(explain on reverse if needed)
VEGETATION
Dominant Plant Species Stratum Indicator Dominant Plant Species Stratum Indicator
1. Rn uS fa e'L_ 9.- -
2. Gla?? or. a? s r?u' elm 10.
3. 11.
4. 12.
5. 13.
6. 14
7. 15.
8. 16.
Percent of Dominant Species that are OBL, FACW, or FAC excluding FAC-). /06Z -
Remarks: Wetland Vegetation Present Based Upon Greater than 50% of the Plant Species arelare not
Classified as FAC-OOBL in the National List of Plant Species that Occur in Wetlands Sample plot was taken

A[_)_o .
,
1 (4A
HYDROLOGY
ti
_ Recorded Data (Describe In Remarks). Wetland Hydrology Indicators
- Stream, Lake, or Tide Gauge
_ Aerial Photographs Primary Indicators:
_ Other _ Inundated -
_Saturated in Upper 12"
No Recorded Data Available Water Marks
_ Drift Lines
Field Observations: _ Sediment Deposits
_ Drainage Patterns in Wetlands
Depth of Surface Water: (in.) Secondary Indicators:
Oxidized Roots Channels in Upper 12"
Depth to Free Water in Pit: (in. Water-Stained Leaves
- Local Soil Survey Data
Depth to Saturated Soil: (in.) _ FAC-Neutral Test
_ Other (Explain in Remarks)
Remarks:
IAJo 5 4S ?? G
SOILS
Map Unit-Name - ,
(Series and Phase)- Drainage Class.
Taxonomy (Subgroup)- Confirm Mapped Type? Yes_ No
Profile Description
Depth Matrix Colors Mottle Colors Mottle Texture, Concretions,
inches Horizon Munsell Moist (Munsell Moist) Abundance/Contrast Structure, etc
O-iZf /off .SG
Hydric Soil Indicators.
_ Histosoi r Concretions
Histic Epipedon _ High Organic Content in Surface Layer in Sandy Soils
- Suifidic Odor Organic Streaking in Sandy Soils
- Aquic Moisture Regime Listed On Local Hydric Soils List
-Reducing Conditions Listed on National Hydric Soils List
_ Gleyed or Low-Chroma Colors _ Other (Explain in Remarks)
Remarks- r

yA.z Jd1 1
4
ores

WETLAND DETERMINATION
Hydrophytic Vegetation Present? Yes No Is the Sampling Point
Wetland Hydrology Present? Yes No I Within a Wetland? Yes_ No
Hydric Soils Present? Yes No
Remarks Location (describe) is/is not classified as a wetland based upon the cntena set forth in the 1987
Army Corps of Engineers Wetlands Delmeation Manual

i
`.?????}<.a.n=rt?.µt?a,=#??••?(e?=3}ir?.Ayt.;??c ?.R=. \.?as •??A??+?<?l}.:.'?}%??<;:??: by>t:y?p?a<'::
Pro SR 2208 t?, 55? e Qd? Nearest Road 25 0%
ject Name ?-°
County b?a *_e Wetland Area QO22 ac;es Wetland Width gs feet
Name of evaluator lea ? Date o / V a
Wetland Location
on pond or lake
_AZon perennial stream
on intermittent stream
within interstream divide
other
Soil series (,t/el?ac`fcee ?i??
predominantly organic - humus, muck,
or peat
predominantly mineral - non-sandy
?predominantly sandy
Hydraulic factors
steep topography
ditched or channelized
total wetland width t 100 feet
Adjacent land use
(within 1/2 mile upstream, ups-lope, or radius)
forested/natural vegetation 7 5 %
agriculture, urban/suburban 20 %
? impervious surface S %
Dominant vegetation
Sa1,k
() ('4lnvS "Yyv_ ? o-
i ?a+ra-r- s •SC
() Polti4on•+r'? s?
VAA b-e ?•?na- ?o
Flooding and wetness
semipermanently to permanently
flooded or inundated
seasonally flooded or inundated
?intermittanly flooded or temporary
surface water
no evidence of floodine or surface water
Wetland type (select one)*
Bottomland hardwood forest Pine savanna
Headwater forest Freshwater marsh
Swamp forest Bog/fen
Wet flat Ephemeral wetland
Pocosin Carolina Bay
Bog forest - ?Other
*the rating sxstem cannot be applied to salt or brackish marshes or strecharnels_______________
R
A
T
I
N
G
Water storage
Bank/Shoreline stabilization
weight
y x 4.00 =
x 400=
Pollutant removal * x 5.00 =
Wildlife habitat x 200=
Aquatic life value x 400=
Recreation/Education x 1.00 =
?S
F. ?s
+
Wetland
Rating

*Add 1 point if in sensitive watershed and >10% nonpoint disturbance within 1/2 mile upstream,
y o?ei or radius_ -- -------------------------- ----------- -_
---------------- -----------------------------