20100375 Ver 1_Application_20100518

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STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
BEVERLY EAVES PERDUE
GOVERNOR
May 12, 2010
Ms. Amy Euliss
NC DENR Division of Water Quality
585 Waughtown Street
Winston-Salem, NC 27107
Mr. Andrew Williams
US Army Corps of Engineers
6508 Falls of the Neuse Suite 120
Raleigh, NC 27615-6814
(Two Copies)
1®®375
Subject: Guilford County, Farragut Street (SR 9901) Off Randleman Rd near 1-40
Project Number # 7B.204111
To Whom It May Concern:
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Anvq? )BY,o??
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EUGENE A. CONTI, JR.
SECRETARY
The North Carolina Department of Transportation (NCDOT) proposes to place riprap around the bents of a
bridge on Farragut Street (SR 9901) in Guilford County. The riprap is necessary in order to stop scouring
around the base of the bents and therefore maintain the structural integrity of the bridge. This activity will
result in permanent impacts to South Buffalo Creek. The NCDOT anticipates that the activity will be
authorized under Nationwide Permit (NWP) 3 . This application is intended as a request for written
authorization from the US Army Corps of Engineers for the Nationwide 3 as described under General
Condition #27. This package is also being forwarded to the NC Division of Water Quality as a courtesy
notification and for review of applicability of a request for an exemption of the Jordan Lake Buffer Rules.
The following information is being provided to satisfy conditions of the Nationwide Permit and General
Water Quality Certification.
P.O. Box 14996 Greensboro, NC 27415-4996 Telephone No. [phone] Fax No. [phone]
PROJECT INFORMATION
Road Name SR Number Project Length
miles Classification
Farra ut Street SR 9901 N/A Subdivision
River Basin: DWQ
ID Water Quality
Desi nation % Impervious Surface
Cape Fear 16-11-14-2 WS-V; NSW N/A
Buffer Rules' Buffer Rule Conditions (where applicable)
Yes Jordan Lake Buffer
b
Protected Species Present Mapped Historic

Properties CAMA
AEC Essential Fishery Habitat
No No No No
' Separate documentation attached as needed: ' See the attached Endangered Species Review Sheet for further information
Applicable - See the attached Historic Review Letter for further information
RIPRAP PLACEMENT
Site Station N/A Stream Type Perennial
Existing Stream 45 feet Proposed 45 feet
Width Stream Width
Construction Place Class II riprap in stream at base of Dewatering N/A
Method bents utilizing a mini-escavator with "thumb". Device'
A turbidity curtain will be utilized to minimize
turbidity. No equipment is proposed to be in
the stream.
Burial Depth N/A E/C Plan N/A
Date
Construction As soon as practicable Duration One week
Date
Impacts ft. A roximatel 60 total linear feet of permanent stream impacts.
Special
Conditions
Restoration Plan Within 15 working days of the project completion any disturbed area adjacent to the stream will be
L I restored and seeded.
When
RCP = reinforced concrete pipe; CMP = Corrugated metal pipe; CMPA = Corrugated metal pipe arch; E/C = Erosion control. 'A less intrusive
dewatering device may be used in lieu of the one proposed.
MINIMIZATION INFORMATION .
Impacts will be minimized, by strict enforcement of Best Management. Practices for the protection. of
surface waters and wetlands, restrictions against the staging. of equipment in or adjacent to waters of.
the US, and coordination (including a pre-construction meeting) with the Division Environmental
Officer.
MITIGATION INFORMATION
Stream mitigation is not anticipated, as the impacts to any individual stream do not exceed 150 feet
Wetland mitigation is not anticipated, as wetland impacts do not exceed 0.10 acres and do not occur
in a unique natural wetland.
APPLICATION INFORMATION
Enclosed please find the Pre-construction Notification Form and supporting documentation for the
above referenced project. If you have any questions or need any additional information, please
contact Jerry Parker at [phone]. Your time and effort are appreciated.
Sincerely,
&r.- J.M. Mills, P.E.
Division Engineer, Division 7
Enclosures
CC: Tim Powers, Bridge Maintenance NCDOT
Barry Harrington, NCDOT
S. Lane Hall, NCDOT
o?or, WATFROG
y
o ?
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
1a. Type(s) of approval, sought from the

Corps:

Permit El Section 10 Permit
®Section 404
tb. Specify Nationwide Permit (NWP) number: 3 or General Permit (GP) number:
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
le. 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
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
1g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1h
below. ? Yes ® No
1 h. Is the project located within a NC DCM Area of Environmental Concern (AEC)? ? Yes ® No
2. Project Information
2a. Name of project: Farragut Street SR 9901
2b. County: Guilford
2c. Nearest municipality / town: Greensboro
2d. Subdivision name: N/A
2e. NCDOT only, T-I.P. or state
project no: WBS # 7B.204111
3. Owner Information
3a. Name(s) 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 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: J. M. Mills
4c. Business name
(if applicable):
Division Engineer NCDOT Division Seven
4d. Street address: P.O. Box 14996
4e. City, state, zip: Greensboro, NC 27415
4f. Telephone no.: 336 `334-3297
4g. Fax no..
4h. Email address:
5. Agent/Consultant Information (if applicable)
5a. Name: Jerry Parker
5b. Business name
(if applicable):
Division Environmental Supervisor
5c. Street address: P.O. Box 14996
5d. City, state, zip: Greensboro, NC 27415
5e. Telephone no.: 336 256-2063
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
1 a. Property identification no. (tax PIN or parcel ID): N/A
Latitude: 36.0332107 N Longitude: -
.1b. Site coordinates (in decimal degrees): 79.8130460 W
(DD.DDDDDD) (-DD.DDDDDD)
1c. Property size::... N/A acres .
2.. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to UT to South BuffaloCreek
proposed project:
2b. Water Quality Classification of nearest receiving water: WS-V; NSW.
2c. River basin: Cape Fear
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:
Commercial and Business Area
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
3d. Explain the purpose of the proposed project:
Secure support pilings of bridge. Scouring has occurred at base of pilings and is jepardrzing the structural integrity of
interior bents # 1 and # 2.
3e. Describe the overall project in detail, including the type of equipment to be used:
The bents will receive Class II riprap placed around the lower area of the bents. A turbidity curtain will be used to limit
onsle turbidly. Riprap will be brought in by mini-escavator with a "thumb" and placed around bents.No equipment is
proposed to be in the stream.
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?
Comments:
4b. If the Corps made the jurisdictional determination, what type

Preliminary ? Final
E]
of determination was made?
4c. If yes, who delineated the jurisdictional areas? Agency/Consultant Company:
Name (f 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
Ia. 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 impact Type of wetland Forested (Corps - 404, 10 Area of impact
Permanent (P) or (if known) DWQ - non-404, other) (acres)
Temporary
W1 ? P ? T ? Yes ? Corps
? No ? DWQ
W2 ? P ? T ? Yes ? Corps
? No ? DWQ
W3 ? P ? T ? Yes ? Corps
? No ? DWQ
W4 ? P ? T ? Yes ? Corps
? No ? DWQ
W5 ? P ? T ? Yes ? Corps
? No ? DWQ
? Yes ? Corps
W6 ? P ? T ® No ? DWQ
2g. Total wetland impacts
2h. Comments:
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 - non404, width (linear
Temporary (T) (INT)? other) (feet) feet)
S1 ®P ? T Riprap in stream South Buffalo
Creek ® PER
[I INT ® Corps
® DWQ 45 ft 60 feet
S2 ? P ? T ? PER ? Corps
? INT ? DWQ
S3 ? P ? T ? PER ? Corps
? INT ? DWQ
? PER ? Corps
S4 ? P ? T ? INT ? DWQ
? PER ? Corps
S5 ? P ? T ? INT ? DWQ
? PER ? Corps
S6 ? P ? T ? INT ? DWQ
3h. Total stream and tributary impacts 60 feet
3i. Comments:
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.
Open water
impact number -
Permanent (P)
or Temporary
T 4b.
Name of waterbody
(if applicable) 4c.

Type of impact 4d.

Waterbody type 4e.

Area of impact (acres)
Ot ?P?T
02 ?P?T
03 ?P?T
04 ?P?T
4f. Total open water impacts
4g. Comments:
5. Pond or Lake Construction
If pond or lake construction proposed, then complete the chart below.
5a.

Pond ID 51b.

Proposed use or purpose of 5c.
Wetland Impacts (acres) 5d.
Stream Impacts (feet) 5e.
Upland
(acres)
number pond
Flooded
Filled
Excavated
Flooded
Filled
Excavated
Flooded
P1
P2
5L 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:
Page 6 of 11
PCN Form - Version 1.3 December 10, 2008 Version
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: Jordan
Project is in which protected basin? ? Catawba ? Randleman
6b. 6c. 6d. 6e. 6f. 6g.
Buffer impact
number - Reason Buffer Zone 1 impact Zone 2 impact
Permanent (P) for impact Stream name mitigation (square feet) (square feet)
or Temporary required?
M
B1 ? PEE] T Temporary
road South Buffalo Creek ? Yes
®No 300 sf of temp.
impacts
200 sf of temp. impacts
B2 ?P?T ?Yes
? No
B3 ?P?T ?Yes
? No
6h. Total buffer impacts 300 sf of temp.
impacts 200 sf of temp. impacts
6i. Comments: Total impact of the temporary road will be less than 2500 sf. NCDOT is requesting an exemption from the
Jordan buffer rules as stated in Table of Uses in 15A NCAC 02B.0267(9). Temporary road will not exceed 10 ft in width and
will be restored by reseeding, mulching and/or coir fiber matting as needed.
D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
Best Management Practices will be utilized during construction. Temporary roads were designed to minimize impact in buffer
area.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
.Impacts will be minimized by utilization of Best Management Practices and by utilizing a turbidity curtain. Also, see 6i. Pre-
construction meeting with Environmental Superevisor will take place prior to commencing construction. Utilization of a mini-
escavator with a "thumb" will eliminate the need for any equipment in the stream.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for ? Yes ®No
impacts to Waters of the U.S. or Waters of the State?
2b. If yes, mitigation is required by (check all that apply): ? DWQ ? Corps
? Mitigation bank
2c. If yes, which mitigation option will be used for this project? ? 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
Page 7 of 11
PCN Form - Version 1.3 December 10, 2008 Version
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. H 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.
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 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
1 a. Does the project include or is it adjacent to protected riparian buffers identified ® Yes ? No
within one of the NC Riparian Buffer Protection Rules?
1b. If yes, then is a diffuse flow plan included? If no, explain why.
Comments: Impacts in the buffer will be temporary and qualify for an exemption as ? Yes ® No
described in 15 NCAC 0213.0267 (9)
2. Stonmwater Management Plan
2a. What is the overall percent imperviousness of this project? N/A %
2b. Does this project require a Stonmwater Management Plan? ? Yes ®No
2c. If this project DOES NOT require a Stormwater Management Plan, explain why: No i ncreased permanent impervious
coverage is anticipated. Therefore, stormwater flow will not increase.
2d. If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
? Certified Local Government
2e. Who will be responsible for the review of the Stormwater Management Plan? ® DWQ Stonmwater 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
El USMP
apply (check all that apply): ? Water Supply Watershed
? Other:
3c. Has the approved Stonmwater Management Plan with proof of approval been
T ?

Yes ®No
attached?
4. DWQ Stonmwater Program Review
? Coastal counties
? HQW
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 Stonmwater 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 (federaVstate/local).funds or the ® Yes ? No
use of public (federal/state) land?
11b. If you answered "yes" to the above, does the project require preparation of ari
'
environmental document pursuant to the requirements of the National or State ? Yes ®No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1c. 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
? Yes
? No
letter.)
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)?
2b. 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.
NA
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.
? Asheville
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
US Fish and Wildlife Web Site
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?
N/A
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?
National Historic Register Web Site
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? NC Floodplain Mapping Information System
J.M. Mills
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(Agent's signature is valid only if an authorization letter from the applicant
is provided.)
Page 11 of 11
PCN Form -Version 1.3 December 10, 2008 Version
Guilford County
Bridge #328
SR 9901
Farragut Street
Location 1.74 mile East of Jct SR 4121 (Randleman Rd)
A Bridge Scour Assessment preformed on November 30, 2009 has reviled that Countermeasures are
required at Interior Bents #1 and #2. Report species that Class It Rip-Rap be placed around Interior
Bents #1 and #2.
Prepared By: 1 U b?
Bridge MaintenanceTQ44-
Approved By:
Division Bridge Engineer
Stream Banks
Date 3-// Zo/ d
Date 3-11-2a/(J
page 1 of 5
Guilford County
Bridge #328
SR 9901
Farragut Street
Location 1.74 mile East of Jct SR 4121 (Randleman Rd)
Construction Sequence for West end of bridge.
1 Place turbidity curtain in stream around work area.
2 Remove 20 foot section of guardrail in the north west quadrant of bridge.
3 Dump Class II Rip Rap behind guardrail at opening.
4 Use backhoe to push Rip Rap down the slope.
5 Use mini excavator to construct access road and place rip rap around H-Piles.
road turbidity curtain
Stream Banks
page 2 of 5
Guilford County
Bridge #328
SR 9901
Farragut Street
Location 1.74 mile East of Jct SR 4121 (Randleman Rd)
Construction Sequence for west end of bridge.
6 Grade distrubed areas.
7 Seed, mulch and place coir fiber mat as needed.
8 Replace guardrail.
9 Remove turbidity curtin.
Stream Banks
page 3 of 5
Guilford County
Bridge #328
SR 9901
Farragut Street
Location 1.74 mile East of Jct SR 4121 (Randleman Rd)
Construction Sequence for East end of bridge.
1 Place turbidity curtain in stream around work area.
2 Remove chain link fence access road.
Dump Class 11 Rip Rap for placement around interior bent.
Use equipment to push Rip Rap close to bridge.
Use mini excavator to construct access road and place rip rap around H-Piles.
page 4 of 5 . .
Guilford County
Bridge #328
SR 9901 .
Farragut Street
Location 1.74 mile East of Jct SR 4121 (Randleman Rd)
Construction Sequence for East end of bridge.
6 Grade distrubed areas.
7 Seed, mulch and place coir fiber mat as needed.
8 .,Repair chain link fence.
9 Remove turbidity curtin.
turbidity curtain
wSUUUeu deeds
page 5 of 5
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Farragut Street-Interior bents on east side
Farragut Street- West side interior bent showing the effects of scouring