20090570 Ver 1_Application_20090519

V/
61
STATE OF NORTH CAROLINA
BEVERLY EAVEsPERDUE
GOVERNOR
May 14, 2009
DEPARTMENT OF TRANSPORTATION
DIVISION OF HIGHWAYS EUGENE A. CoNT[, JR.
SECRETARY
North Carolina Division of Water Quality
401 Wetlands Certification Unit
Attn: Mr. Brian Wrenn
2321 Crabtree Boulevard
Raleigh, NC 27604-2260
® 9 ® 5 r7 ® MAY i c 2009
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Subject: Secondary Road Improvements to SR 1429 (Cameron Briley Road),
Anson.County. WBS Element Number 10C.004043
(DWQ Minor Permit Fee $240.00).
Dear Mr. Wrenn:
The North Carolina Department of Transportation (NCDOT) proposes to upgrade SR
1429 (Cameron Briley Road) in Stanly County from an unpaved roadway to a paved
roadway. The total project length is 1.0 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 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.
Cameron Briley Road is scheduled for paving in the 2009-2010 Secondary Roads
Construction Program.
Protected Species
NCDOT biologists have reviewed the project limits for the presence of federally listed
threatened and endangered species. There will be no impact to listed species as a result of
this project being constructed.
Impacts to Waters of the United States
This project cannot be completed without impacts to water; of the United States. This
project is located within the Yadkin River Basin (Hydrologic Unit # 03040105) and
716 West Main Street, Albemarle, NC 28001 • [phone] • Fax [phone]
I
stream impacts to an unnamed tributary to an unnamed tributary of Cranes Branch will be
incurred as a result of this project being constructed.
Avoidance/Minimization
The proposed impacts to the jurisdictional areas on this project have been minimized as
much as practical. NCDOT's best management practices for the protection of wetlands
and surface waters will be applied during all phases of project construction in an effort to
eliminate any further impacts.
Summary
The purpose of this letter is to request authorization to construct the proposed project
under Section 401 Water Quality Certificate (WQC) No. GC3704.
If you have any questions or need any additional information concerning this project,
please feel free to contact Mr. Larry Thompson, Division Environmental Supervisor, at
[phone].
Sincerely,

Barry S. Moose, PE
Division Engineer
BSM/LBT
cc: Polly Lespinasse, NDWQ
Troy Wilson, USFWS
Marla Chambers, NCWRC
John Andrews, District H
Area. Field Operations Unit
File
0AW ATF?9o6
o T
Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.0 November 2008
Pre-Construction Notification (PCN) Form
A. Applicant Information
1. Processing
I a. Type(s) of approval sought from the
Corps:
®Section 404 Permit El Section 10 Permit
1b. Specify Nationwide Permit (NWP) number: or General Permit (GP) number. 14
1c. Has the NWP or GP number been verified by the Corps? ® Yes ? No
1d. Type(s) of approval sought from the DWQ (check all that apply):
® 401 Water Quality Certification - Regular ® Non-404 Jurisdictional General Permit
? 401 Water Quality Certification - Express ? Riparian Buffer Authorization
Is. Is this notification solely for the record
because written approval is not required? For the record only for DWQ 401

fication:
Certi
? Yes ® No For the record only for Corps Permit:

? Yes ® No
If. Is payment into a mitigation bank or in-lieu fee program proposed for mitigation
of impacts? If so, attach the acceptance letter from mitigation bank or in-lieu
fee program. ? Yes ® No
I g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1 In
below. ? Yes ® No
1 h. Is the project located within a INC DCM Area of Environmental Concern (AEC)? ? Yes ® No
2. Project Information
2a. Name of project: SR 1429 (Cameron Briley Road)
2b. County: Anson
2c. Nearest municipality / town: Wadesboro
2d. Subdivision name: N/A
2e. NCDOT only, T.I.P. or state
project no: 10C.004043
3. Owner Information
3a. Name on Recorded Deed:
3b. Deed Book and Page No.
3c. Responsible Party (for LLC if
applicable):
3d. Street address:
3e. City, state, zip:
3f. Telephone no.:
3g. Fax no.:
3h. Email address:
Page 1 of 12
PCN Form - Version 1.0 November 2008 Version
Section A. Applicant Information, continued
4. Applicant Information (if different from owner)
4a. Applicant is: ® Agent ? Other, specify:
4b. Name: Barry S. Moose, PE
4c. Business name
(if applicable):
NC Department of Transportation
4d. Street address: 716 W. Main Street
4e. City, state, zip: Albemarle, NC 28001
4f. Telephone no.: 704-982-0101
4g. Fax no.: 704-982-3146
4h. Email address: [e-mail]
6. Agent/Consuttant Information (if applicable)
5a. Name:
5b. Business name
(if applicable):
5c. Street address:
5d. City, state, zip:
5e. Telephone no.:
5f. Fax no.:
5g. Email address:
Page 2 of 12
PCN Form - November 2008 Version

B. Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID):
1b. Site coordinates (in decimal degrees): 35.032319'N -80.157761'W
1c. Property size: 7.27 (right-of-way width x project length) acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to Cranes Branch
proposed project:
2b. Water Quality Classification of nearest receiving water. C
2c. River basin: Yadkin
3. Project Description
3a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this
application:
SR 1429 (Cameron Briley Road) is an unpaved secondary road in Anson County (1.0 mile long). The majority of the
project area is undeveloped and used for agricultural purposes. There are single family homes located along the south
end of the project.
3b. List the total estimated acreage of all existing wetlands on the property:
0
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
60-feet (60-feet is used due to our ROW being 60-feet)
3d. Explain the purpose of the proposed project: ,
The purpose of this project is to improve the safety and service level of SR 1429 (Cameron Briley Road) by paving the
existing gravel road.
3e. Describe the overall project in detail, including the type of equipment to be used:
Prior to beginning road construction, sediment and erosion control measures will be installed according to an approved
plan. Once the erosion control requirements have been met, an 18-inch x 24-foot RCP that is located on an intermittent
stream will be replaced with a new 24-inch x 40-foot RCP. The work area around the pipe will be dewatered, as needed
and the existing pipe will be removed and replaced. The roadway will then be graded, a new stone base will be added
and the roadway will then be paved. Typical construction equipment will be used: Trackhoe, dump trucks, motor grader,
vibratory roller and paving equipment.
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property / ® Yes ? No ? Unknown
project (including all prior phases) in the past?
4b. If the Corps made the jurisdictional determination, what type ? Preliminary ® Final
of determination was made?
4c. If yes, who delineated the jurisdictional areas? Agency/Consultant Company: NCDWQ
Name (if known): Polly Lespinasse Other.
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
4/30/2009
6. Project History
Sa. Have permits or certifications been requested or obtained for ? Yes ® No ? Unknown
this project (including all prior phases) in the past?
5b. If yes, explain in detail according to "help file' instructions.
Page 3 of 12
PCN Form - Version 1.0 November 2008 Version
B. Project information and Prior Project History
6. Future Project Plans
6a. Is this a phased project? ? Yes ® No
6b. If yes, explain.
Page 4 of 12
PCN Form -November 2008 Version
C. Proposed Impacts Inventory
1. Impacts Summary
1a. Which sections were completed below for your project (check all that apply):
? Wetlands ® Streams - tributaries ? Buffers
? Open Waters ? Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
2a. 2b. 2c. 2d. 2e. 2f.
Wetland impact Type of jurisdiction
number - Type of Type of wetland Forested (Corps - 404, Area of impact (acres)
Permanent (P) or impact (if known) DWQ - non-404, other)
Temporary (T)
W1 ? P ? T ? Yes ? No ? Corps
? DWQ
W2 ? P ? T ? Yes ? No ? Corps
? DWQ
W3 ? P ? T ? Yes ? No ? Corps
? DWQ
W4 ? P-? T ? Yes ? No ? Corps
? DWQ
W5 ? P ? T ? Yes ? No ? Corps
? DWQ
W6 ? P ? T ? Yes ? No ? Corps
? DWQ
2g. Total wetland Impacts
2h. Comments: N/A
3. Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this
question for all stream sites impacted.
3a. 3b. 3c. 3d. 3e. 3f.
Stream impact Type of Stream name Perennial (PER) or Average stream width (feet) Impact
number- impact intermittent(INT)? length
Permanent (P) or (linear feet)
Temporary (T)
Replace
existing
(18-inch
S1 ®P ? T x 24-foot) NA ? PER ® INT 2.5-Feet 16-Feet
RCP with
(24-inch
x 40-
foot)RCP
S2 ?P?T ?PER ?INT
S3 ? P ? T ? PER ? INT
S4 ? P ? T ? PER ? INT
S5 ? PEI T ? PER ? INT
S6 ? P ? T ? PER ? INT
3g. Total stream and tributary Impacts 16-Feet
3h. Comments: This in an unnamed Intermittent stream
Page 5 of 12
PCN Form - Version 1.0 November 2008 Version
C. Proposed Impacts Inventory, continued
4. Open Water Impacts
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of
the U.S. then individual) list all open water impacts below.
4a. 4b. 4c. 4d. 4e.
Open water Name of
impact number waterbody Type of impact Waterbody type Area of impact (acres)
- Permanent (if
(P) or applicable)
Temporary
01 ?P?T
02 ?P?T
03 ?P?T
04 ?P?T
4f. Total open water Impacts
4g. Comments: N/A
Page 6 of 12
PCN Form - November 2008 Version
D. Impact Justification and Mitigation
1. Avoidance and Minimization
ta. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
The proposed impacts for this project have been limited to those necessary for the pipe replacement and establishing a
stable shoulder slope. Measures will be taken to prevent additional impacts to the stream by adhereing to NCDOTs
Best Management Practices for the Protection of Surface Waters.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Elevations for the current installation have been recorded and recommendations for proper burial have been made in the
attached pipe profile. The stream will be dewatered as needed and erosion control measures will be maintained through
the fife of the project.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for
impacts to Waters of the U.S. or Waters of the State? ? Yes ®No
2b. If yes, mitigation is required by (check all that apply): ? DWQ ? Corps

2c.
If yes, which mitigation option will be used for this
project? ? Mitigation bank

? Payment to in-lieu fee program
? Permittee Responsible Mitigation
3. Complete If Using a Mitigation Bank
3a. Name of Mitigation Bank:
3b. Credits Purchased (attach receipt and letter) Type Quantity
3c. Comments:
4. Complete If Making a Payment to In4leu Fee Program
4a. Approval letter from in-lieu fee program is attached. ? Yes
4b. Stream mitigation requested: linear feet
4c. If using stream mitigation, stream temperature: warm, cool, cold
4d. Buffer mitigation requested (DWQ only): square feet
4e. Riparian wetland mitigation requested: acres
4f. Non-riparian wetland mitigation requested: acres
4g. Coastal (tidal) wetland mitigation requested: acres
4h.. Comments:
6. Complete If Using a Permittee Responsible Mitigation Plan
5a. If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
Page 8 of 12
PCN Form - Version 1.0 November 2008 Version
D. Impact Justification and Mitigation, continued
6. Buffer Mitigation (State Regulated Riparian Buffer Rules) - required by DWQ
6a. Will the project result in an impact within a protected riparian buffer that requires
buffer mitigation? ? Yes ® No
6b. If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation. Calculate the
amount of mitigation required.
Zone Reason for impact Total impact
(square feet) Multiplier Required mitigation
(square feet)
Zone 1 3 (2 for Catawba)
Zone 2 1.5
Total buffer mitigation required:
6c. If buffer mitigation is required, discuss what type of mitigation is proposed (e.g., payment to private mitigation bank,
permittee responsible riparian buffer restoration, payment into an approved in-lieu fee fund).
6d. Comments: WA
Page 9 of 12
PCN Form - November 2008 Version
F. Supplementary Information, continued
5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or ? Yes ® No
habitat?
5b. Have you checked with the USFWS concerning Endangered Species Act ? Yes ® No
impacts?,

Raleigh
?
5c. If yes, indicate the USFWS Field Office you have contacted. ? Asheville
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
Natural Heritage Program GIS database and field review for suitable habitat.
8. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat? ? Yes ® No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
South Atlantic Fishery Management Council
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
7a. Will this project occur in or near an area that the state, federal or tribal
governments have designated as having historic or cultural preservation ? Yes ® No
status (e.g., National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?
NCDOT GIS database/NCDOT Historic Architecture Group and National Register of Historic Places
8. Flood Zone Designation (Corps Requirement)
Be. Will this project occur in a FEMA-designated 100-year floodplain? ? Yes ® No
8b. If yes, explain how project meets FEMA requirements:
8c. What source(s) did you use to make the floodplain determination? Anson County GIS data layer (Anson County Flood
Zones)
Barry S. Moose, PE rte
?-
, 05/14/09
Applicant/Agent's Printed Name Applicant/Agent's Signature
(Agent's signature is valid only x an author¢ation letter from the applicant Date
is provided)
Page 12 of 12
PCN Form - November 2008 Version
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Name:POLKTON
Date: 5/6/2009
Scale: 1 inch equals 1143 feet
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Location: 035'01'53.54" N 080'09'11.33" W
Caption: SR 1429 (Cameron Briley Road), Anson County
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