20100126 Ver 1_Application_20100216

a
STATE OF NORTH CAROLINA
BEVERLY EAVES PERDUE
GOVERNOR
February 8, 2010
NCDENR-DWQ
Transportation Permitting Unit
2321 Crabtree Boulevard, Suite 250
Raleigh, NC 27604
Attention: Rob Ridings
NCDOT Coordinator
EUGENE A. CONTI, JR.
SECRETARY
10012
Subject: Replacement of Bridge No. 93 over Tar River on SR 1536 (Depot Street) in Person
County. TIP No. B-5220; WBS Element No. 42817.1.1
*Note: $240.00 Debit to WBS Element No. 42817.1.1
Dear Sir:
The North Carolina Department of Transportation (NCDOT) proposes to replace Bridge No. 93 over Tar
River on SR 1536 (Depot Street) in Person County. The existing one-span bridge contains the Tar River
within the timber vertical abutment. This structure will be replaced with a much longer three-span bridge
that significantly increases the spill through under the bridge deck.
There will be 85 linear feet of permanent stream impact associated with rip rap streambank stabilization.
Additionally, there will be 0.01 acre permanent fill in wetlands and 0.03 acre temporary fill in wetlands.
These wetland impacts are associated with slight widening of the fill slope near the end bent and for
installation of temporary erosion control devices. The Tar River at the project site is subject to the Tar-
Pam Riparian Buffer Rule. Buffer impacts here include 94are feet in Zone 1 and 898 square feet in
Zone 2. Written authorization from the USACE is not required per NWP 3 and 13 guidelines.
A pre-construction notification (PCN) form is attached to this letter. A minimum criteria determination
checklist will be completed for this project. If you have any questions or need additional information,
please contact Mr. Chris Murray at [phone].
Sincerely,
C/(x- G . f) a
J. W. Bowman, P.E.
Division Engineer
c: Division 5 file, NCDOT
Eric Alsmeyer, USACE

Fg ! u?
DEPARTMENT OF TRANSPORTATION
Division Five- 2612 Nonh Duke Street, Durham, North Carolina 27704
Telephone: [phone] Fax: [phone]
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Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.3 Dec 10 2008
Pre-Construction Notification (PCN) Form
A. Applicant Information
1. Processing
la. Type(s) of approval sought from the

Corps:
®Section 404 Permit El Section 10 Permit
1 b. Specify Nationwide Permit (NW P) number: 3 and 13 or General Permit (GP) number:
1c. Has the NW P or GP number been verified by the Corps? ® Yes ? No
1d. Type(s) of approval sought from the DWQ (check all that apply):
N 401 Water Quality Certification - Regular ? Non-404 Jurisdictional General Permit
? 401 Water Quality Certification - Express ? Riparian Buffer Authorization
1e. Is this notification solely for the record
because written approval is not required? For the record only for DWQ 401
Certification:
? Yes ® No For the record only for Corps Permit:

® Yes ? No
1f. 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
1g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1h
below. ? Yes ® No
1h. Is the project located within a NC DCM Area of Environmental Concern (AEC)? ? Yes ® No
2. Project Information
2a. Name of project: B-5220 Replacement of Bridge No. 93 over Tar River on SR 1536 (Depot Street)
2b. County: Person
2c. Nearest municipality / town: Denny Store
2d. Subdivision name:
2e. NCDOT only, T.I.P. or slate
project no: B-5220
3. Owner Information
3a. Name(s) on Recorded Deed: NCDOT
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 11
PCN Form - Version 1.3 December 10, 2008 Version
'4. Applicant Information (if different from owner)
4a. Applicant is: ? Agent ? Other, specify:
4b. Name:
4c. Business name
(if applicable):
4d. Street address:
4e. City, state, zip:
4f. Telephone no.:
4g. Fax no.:
4h. Email address:
5. Agent/Consultant 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 11
PCN Form - Version 1.3 December 10, 2008 Version
B. Project Information and Prior Project History
1. Property Identification
la. Property identification no. (tax PIN or parcel ID): N/A
Latitude: 36.388698 Longitude: -
1 b. Site coordinates (in decimal degrees): 78.844924
(DD.DDDDDD) (-DD.DDDDDD)
1 c. Property size: 0.6 acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to Tar River
proposed project:
2b. Water Quality Classification of nearest receiving water: WS-IV NSW
2c. River basin: Tar-Pam
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:
Existing bridge is structurally deficient and must be replaced. Land use in vicinity of project is comprised of wooded land.
3b. List the total estimated acreage of all existing wetlands on the property:
0.04 ac
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
85 ft
3d. Explain the purpose of the proposed project:
Replacement of structurally deficient bridge.
3e. Describe the overall project in detail, including the type of equipment to be used:
Repalacement of existing bridge with a new bridge. Equipment will include excavator, back hoe, crane, etc.
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
project (including all prior phases) in the past?
®Yes ? No ? Unknown
Comments: NCDOT Div. 5 Environmental Officer C. Murray
delineated the wetlands on 1/21/10. Wetland data forms,
pictures, plan sheet were provided to USACE on 1/25/10.
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:
Name (if known): Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
5. Project History
5a. 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 11
PCN Form - Version 1.3 December 10, 2008 Version
'6. Future Project Plans
6a. Is this a phased project? ? Yes ® No
6b. If yes, explain.
Page 4 of 11
PCN Form - Version 1.3 December 10, 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. Welland 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 impact Type of wetland Forested (Corps - 404, 10 Area of impact
Permanent (P) or (if known) DWQ - non-404, other) (acres)
Temporary T

W1 ®P ? T
Fill Bottomland HW ® Yes ® Corps
0.01
Forest ? No ® DWQ

W2 ? P ®T
Temp. Fill Bottomland HW ® Yes ® Corps
0.03
Forest ? No ® DWQ
W3 ? P ? T ? Yes ? Corps
? No ? DWQ
W4 ? P ? T ? Yes ? Corps
? No ? DWQ
W5 ? P ? T ? Yes ? Corps
? No ? DWQ
W6 ? P ? T ? Yes ? Corps
? No ? DWQ
2g. Total wetland impacts. 0.04
2h. Comments: Wetland impacts are necessary for widening of fill slope at end bent and installation of erosion control devices.
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. 3g.
Stream impact Type of impact Stream name Perennial Type of jurisdiction Average Impact
number - (PER) or (Corps - 404, 10 stream length
Permanent (P) or intermittent DWQ - non-404, width (linear
Temporary (T) (INT)? other) (feet) feet)
S1 ® P ? T Rip rap bank Tar River ® PER ® Corps 30 ft 85 ft
stabization ? INT ® DWQ
S2 ? P ? T ? PER ? Corps
? INT ? DWQ
S3 ? P ? T ? PER ? Corps
? INT ? DWQ
S4 ? P ? T ? PER ? Corps
? INT ? DWQ
S5 ? P ? T ? PER ? Corps
? INT ? DWQ
S6 ? P ? T ? PER ? Corps
? INT ? DWQ
3h. Total stream and tributary impacts - 85 ft
3i. Comments: The existing bridge is comprised of timber vertical end bents on concrete sills. The Department has
determined to keep the existing concrete sills and remove the timber vertical end bents. Rip rap will be placed along the
concrete sill. Additionally, the Department will increase the spill through on the bridge by removing a portion of the existing fill
adjacent to the Tar River. The stream bank in this area will require permanent stabilization with rip rap.
Page 5 of 11
PCN Form - Version 1.3 December 10, 2008 Version
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 individually list all open water impacts below.
4a. 4b. 4c. 4d. 4e.
Open water Name of waterbody
impact number- (if applicable) Type of impact Waterbody type Area of impact (acres)
Permanent (P) or
Temporary T
01 ?P?T
02 ?P?T
03 ?P?T
04 ?P?T
4f. Total open water impacts 0.0
4g. Comments:
5. Pond or Lake Construction
If and or lake construction proposed, then complete the chart below.
5a. 5b. 5c. 5d. 5e.
Wetland Impacts (acres) Stream Impacts (feet) Upland
Pond ID Proposed use or purpose (acres)
number of pond .
Flooded
Filled
Excavated
Flooded
Filled
Excavated
Flooded
P1
P2
5f. Total
5g. Comments:
5h. Is a dam high hazard permit required?
? Yes ? No If yes, permit ID no:
5i. Expected pond surface area (acres):
5j. Size of pond watershed (acres):
5k. Method of construction:
6. Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer, then complete the chart below. If yes, then individually list all buffer impacts
below. If an impacts require mitigation, then you MUST fill out Section D of this form.
6a.
? Neuse _ ®Tar-Pamlico ? Other:
Project is in which protected basin? ? Catawba ? Randleman
61b. 6c. 6d. 6e. 6f. 6g.
Buffer impact
number- Reason Buffer Zone 1 impact Zone 2 impact
Permanent (P) or for Stream name mitigation (square feet) (square feet)
Temporary T impact required?
131 ®P ? T sFill Tar River ® Nos 947 898
?Yes
B2 ?P?T ? No
?Yes
B3 ?P?T ? No
6h. Total buffer impacts 947 898
6i. Comments: Project includes "wetlands in buffers" impacts (see Permit Drawing 2 of 3).
Page 6 of 11
PCN Form - Version 1.3 December 10, 2008 Version
D. Impact Justification and Mitigation
1. Avoidance and Minimization
I a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
The Department proposes to replace the existing bridge with a longer, three-span bridge. The fill slope will be slightly widened
near the end bent which will result in minor permanent impacts to wetlands. Rip rap will be installed on bank for permanent
stability. Only the smallest amount of rip rap necessary to provide long-term stability will be installed during construction.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
The contractor will review site conditions to determine how much of the temporary fill in wetland impacts are necessary to
install necessary erosion control devices. All efforts will be made during construction to minimize impacts.
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 N 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 In-lieu 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:
5. 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 7 of 11
PCN Form - Version 1.3 December 10, 2008 Version
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
61b. 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 6c.
Reason for impact 6d.
Total impact
(square feet)
Multiplier 6e.
Required mitigation
(square feet)
Zone 1 3 (2 for Catawba)
Zone 2 1.5
6f. Total buffer mitigation required:
6g. 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).
6h. Comments:
Page 8 of 11
PCN Form - Version 1.3 December 10, 2008 Version

E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Plan
1a. Does the project include or is it adjacent to protected riparian buffers identified ® Yes ? No
within one of the NC Riparian Buffer Protection Rules?
11b. If yes, then is a diffuse flow plan included? If no, explain why.
Comments: Stormwater runoff will be conveyed to a pre-formed scour hole located ® Yes ? No
at 16+56 Rt. See Buffer Permit Drawing 3 of 3.
2. Stormwater Management Plan
2a. What is the overall percent imperviousness of this project? 28%
2b. Does this project require a Stormwater Management Plan? ® Yes ? No
2c. If this project DOES NOT require a Stormwater Management Plan, explain why:
2d. If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
Stormwater runoff will be conveyed to a pre-formed scour hole located at 16+56 Rt.
? Certified Local Government
2e. Who will be responsible for the review of the Stormwater Management Plan? ® DWQ Stormwater Program
? DWQ 401 Unit
3. Certified Local Government Stormwater Review
3a. In which local government's jurisdiction is this project? N/A
? Phase II
3b. Which of the following locally-implemented stormwater management programs ? NSW
? USMP
apply (check all that apply): ? Water Supply Watershed
? Other:
3c. Has the approved Stormwater Management Plan with proof of approval been ? Yes ? No
attached?
4. DWQ Stormwater Program Review
? Coastal counties
? HOW
4a . Which of the following state-implemented stormwater management programs apply ? ORW
(check all that apply): ? Session Law 2006-246
? Other:
4b . Has the approved Stormwater Management Plan with proof of approval been
attached? ? Yes ? No
5. DWQ 401 Unit Stormwater Review
5a . Does the Stormwater Management Plan meet the appropriate requirements? ? Yes ? No
5b . Have all of the 401 Unit submittal requirements been met? ? Yes ? No
Page 9 of 11
PCN Form -Version 1.3 December 10, 2008 Version
F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
la . Does the project involve an expenditure of public (federal/state/local) funds or the ®Yes ? No
use of public (federal/state) land?
1 b. If you answered "yes" to the above, does the project require preparation of an
environmental document pursuant to the requirements of the National or State ? Yes ® No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1 c. If you answered "yes" to the above, has the document review been finalized by the
State Clearing House? (If so, attach a copy of the NEPA or SEPA final approval
letter.) ? Yes ? No
Comments:
2. Violations (DWQ Requirement)
2a. Is the site in violation of DWQ Wetland Rules (15A NCAC 2H .0500), Isolated
Wetland Rules (15A NCAC 2H.1300), DWQ Surface Water or Wetland Standards, ? Yes ® No
or Riparian Buffer Rules (15A NCAC 2B .0200)?
21b. Is this an after-the-fact permit application? ? Yes ® No
2c. If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s):
3. Cumulative Impacts (DWQ Requirement)
3a. Will this project (based on past and reasonably anticipated future impacts) result in ? Yes ®No
additional development, which could impact nearby downstream water quality?
3b. If you answered 'yes' to the above, submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWQ policy. If you answered "no," provide a short narrative description.
4. Sewage Disposal (DWQ Requirement)
4a. 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.
Project will not generate sewage disposal.
Page 10 of 11
PCN Form - Version 1.3 December 10, 2008 Version
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. ? A
h
ill
ev
s
e
5d . What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
Consultation with PDEA-NEU mussel biologists and USFWS.
6. 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?
Available mapping.
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)?
71p . What data sources did you use to determine whether your site would impact historic or archeological resources?
Consultation with NCDOT Cultural Resources Expert.
8. Flood Zone Designation (Corps Requirement)
8a . 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? Avaiable mapping.
CyllS(?P?rr/* M?rru? ?- 2?gka
Applicant/Agent's Printed Name Applican4en's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant
is provided.)
Page 11 of 11
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