20100429 Ver 1_Application_20100604

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STATE OF NORTH CAROLINA
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DEPARTMENT OF TRANSPORTATION
Beverly E. Purdue Gene Conti
GOVERNOR SECRETARY
May 28, 2010
U.S. Army Corps of Engineers
Regulatory Field Office
Post Office Box 1000
Washington, N.C. 27889-1000
Attention: Bill Biddlecome
100429
Subject: Request for a NW 3 Permit and DWQ 401 for the replacement of Bridge # 2 (B-4548) over
Liverman Creek on SR 1308 in Hertford County.
The North Carolina Department of Transportation is requesting the issuance of a NW 3 permit
and corresponding DWQ certification for the replacement of Bridge # 2 in Hertford County. The bridge is
located on SR 1308 (Ebo Rd.) approximately 5 miles northeast of Murfreesboro. The bridge spans
Liverman Creek, which is a tributary that flows to the Meherrin River approximately 2.0 miles
downstream. The Division of Water Quality classifies Liverman Creek as Class "C", "NSW" waters.
Bridge # 2 is currently a wooden structure that is 60 ft. long by 20 ft. wide. This structure will be removed
using NCDOT's guidelines for bridge removal. The proposed bridge will be replaced on its existing
alignment. The new bridge structure will be 80 ft, in length by 30 ft. wide and built with precast cored slab
concrete deck, support piles and bents. The bridge roadway approaches will have to be reconstructed. This
will result in some minor widening of the approaches. Wetland impacts associated with this project will
result from 500 sq. ft of mechanized clearing for work clearance and 300 sq. ft of fill for rip-rap dissipater
pad placement. These impacts will be off set by removal of 400 sq, ft. of old bridge approach fill, which
will be graded to adjacent wetland elevation. An off-site detour will be utilized to detour traffic around the
project area.
Included with this letter are the location map, permit drawings, and PCN. If you have questions
please call me at [phone].
Sincerely,
Jerry Jennings
Acting Division One Engineer
Clay Willis
Division One El ronmental Officer
Cc: Garcy Ward, DWQ
Sonia Gregory, DWQ
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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. A heant Information
1. Processing
la. Type(s) of approval sought from the
Corps:

Section 404 Permit [:1 Section 10 Permit
I
1 b. Specify Nationwide Permit (NW P) number: NW 3 or General Permit (GP) number:
1c. Has the NW P or GP number been verified by the Corps? ® Yes ? No
1 d. 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
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 1 h
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: Bridge # 2 replacement B-4548
2b. County: Hertford
2c. Nearest municipality / town: Como
2d. Subdivision name: n/a
2e. NCDOT only, T.I.P. or state
project no: B_4548 33761.1.1
3. Owner Information
3a. Name(s) on Recorded Deed:
3b. Deed Book and Page No.
3c. Responsible Party (for LLC if
applicable): NCDOT Division One
3d. Street address: 113 Airport Drive
3e. City, state, zip: Edenton, 27932
3f. Telephone no.: 252-482-7977
3g. Fax no., 252-482-8722
3h. Email address: [e-mail]
Page I 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
1 a. Property identification no. (tax PIN or parcel ID): n/a
Latitude: 36.47012291
1 b. Site coordinates (in decimal degrees): Longitude: - 76.996425
(DD.DDDDDD) (-DD.DDDDDD)
1c. Property size: 1 acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to Liverman Creek
proposed project:
21b. Water Quality Classification of nearest receiving water: class C, NSW
2c. River basin: Chowan
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:
The existing bridge is a 60' X 20' wooden bridge with 1 interior bents supported by timber cap and piles. The existing
roadway is an 18 ft. asphalt surface with 4-8 ft. grassed shoulders. This bridge crosses Liverman Creek and the
associated riverine hardwood swamp. Liverman Creek is classified as a Class "C, NSW" water by the Division of Water
Quality. Downstream a distance of approximately 2 miles Liverman Creek confluences with the Meherrin River, which is
anadromous fish spawning waters. Land use within the project area is dominated by forestry and row crop agriculture.
31b. List the total estimated acreage of all existing wetlands on the property:
1 acre
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
50
3d. Explain the purpose of the proposed project:
Replace a bridge that has been scheduled for replacement due to structural concerns and a deteriorating
substructure
3e. Describe the overall project in detail, including the type of equipment to be used:
The existing wooden bridge deck and piles will be removed in accordance with NCDOT guidelines for bridge demolition
and removal. The new bridge will be placed on the same alignment and will be 80 feet in length by 30 feet wide. The new
bridge will be a two span cored slab concrete structure supported by concrete piles. The old fill approaches will be
removed and graded to the adjacent wetland elevation. The new roadway approaches will be widened to accommodate
the bridge structure. Equipment used during this project will include crane, excavator, grading equipment, and dump
trucks.
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:
41b. If the Corps made the jurisdictional determination, what type
Final
® Preliminary El
of determination was made?
4c. If yes, who delineated the jurisdictional areas? Agency/Consultant Company:
Name (if known): Clay Willis Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
Page 3 of 11
PCN Form -Version 1.3 December 10, 2008 Version
5. Project History
5a. Have permits or certifications been requested or obtained for
this project (including all prior phases) in the past? ? Yes ®No ? Unknown
5b. If yes, explain in detail according to "help file" instructions.
6. Future Project Plans
6a. Is this a phased project? ? Yes ® No
61b. If yes, explain.
Page 4 of 11
PCN Form - Version 1.3 December 10, 2008 Version
C. Proposed Impacts Inventory
1. Impacts Summary
la. 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) DWO - non-404, other) (acres)
Temporary T
W1 ® P ? T Fill Riverine ® Yes
? No ® Corps
? DWQ 0.007

W2 ®P ? T mechanized
Riverine ® Yes ® Corps
0.011
clearing ? No ?DWQ
W3 ? P ? T ? Yes ? Corps
? No ? DWQ
W4 ? PEI T ? Yes ? Corps
? No ? DWQ
W5 ? P ? T ? Yes ? Corps
? No ? DWQ
W6 ? P ? T ? Yes ? Corps
? No ? DWQ
2g. Total wetland impacts 0.018
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-non-404, width (linear
Temporary (T) (INT)? other) (feet) feet)
S1 ? P ? T ? PER ? Corps
? INT ? DWQ
S2 ? PEI 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. 'rotal stream and tributary impacts
3i. Comments: None
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
4g. Comments: None
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: None
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 DWO)
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
6b. 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?
B1 ?P?T ?Yes
? No
B2 ?P?T ?Yes
? No
B3 ?P?T ?Yes
? No
6h. Total buffer impacts
6i. Comments: None
Page 6 of 11
PCN Form -Version 1.3 December 10, 2008 Version
D. Impact Justification and Mitigation
1. Avoidance and Minimization
1 a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
Impacts to wetlands have been minimized through the reduction in the roadway footprint. The bridge approach shoulders are
set at a width that allows for safety concerns to be met. The new bridge will be 20 ft. longer, which will enhance the ability of
the floodplain to function. This will also allow us to restore 0.009 acres of wetlands, by removing the old approach fill and
grading it to adjacent wetland elevation. The road will be closed during the building process, which avoids the need for an on-
site detour that would impact wetlands. The 0.018 acres of impact results from mechanized clearing for construction clearance
and the placement of outlet dissipater pads.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Bridge will be replaced using top down construction techniques, off-site detour is being utilized
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

El 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 Z 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?
1 b. If yes, then is a diffuse flow plan included? If no, explain why.
? Yes ? No
Comments:
2. Stormwater Management Plan
2a. What is the overall percent imperviousness of this project? 30%
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:
NCDOT state stormwater permit for highway system is applicable. NCDOT will follow guidelines for Erosion and
Sediment Control. Stormwater will not be directly discharged to the stream channel.
? 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?
? Phase II
E] NSW
3b. Which of the following locally-implemented stormwater management programs ? 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
i
L
2006-246
? S
(check all that apply): on
aw
ess
® Other: NCDOT Stormwater
permit
4b. Has the approved Stormwater Management Plan with proof of approval been
? Yes ® No
attached?
5. DWQ 401 Unit Stormwater Review
5a. Does the Stormwater Management Plan meet the appropriate requirements? ? Yes ? No
51b. 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)
1 a. 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)?
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 (DWO 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 N 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 (DWO 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.
No wastewater will be created from this project
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 El 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 database
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat? ? Yes ® No
61b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
Marine Fisheries
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?
Natural Register of Historic Places
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: project will not have an effect on 100 yr floodplain elevations
8c. What source(s) did you use to make the floodplain determination? FEMA map

Clay Willis
Ila,- at?

5/28/10
Applicant/Agent's Printed Name A plic Agent's Signature Date
_ (Agent's signature is valid ly if an authorization letter from the applicant
is provided.)
Page 11 of 11
PCN Form - Version 1.3 December 10, 2008 Version
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