20110772 Ver 1_Application_20110818

O~O~ W A7E9OG
Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.4 January 2009
Pre-Construction Notification (PCN) Form
A. Applicant Information
1. Processing
1a. Type(s) of approval sought from the Corps: Q Section 404 Permit ^ Section 10 Permit
1 b. Specify Nationwide Permit (NWP) number: 3 or General Permit (GP) number:
1c. Has the NWP or GP number been verified by the Corps? ^Yes Q No
1d. Type(s) of approval sought from the DWO (check all that apply):
Q 401 Water Quality Certification -Regular ^ Non-404 Jurisdictional General Permit
^ 401 Water Quality Certification -Express Q Riparian Buffer Authorization
1e. Is this notification solely for the record
because written approval is not required? For the record only for DWO
401 Certification:
^ Yes Q 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 Q No
2. Project Information
2a. Name of project: Bridge NB-21.7 & NB-21.9 - Arkin, NC
2b. County: Craven
2c. Nearest municipality /town: Arkin U
2d. Subdivision name: N/A
2e. NCDOT only, T.I.P. or state project no: N/A
3. Owner Information ~~
Sa. Name(s) on Recorded Deed: North Carolina Railroad Company ~7lAlypgAMO T~Ot1AllTy
Sb. Deed Book and Page No.
Sc. Responsible Party (for LLC if
applicable): Norfolk Southern Corp. Jonathan Hocker, PE
Sd. Street address: 1200 Peachtree Street, NE Bldg, Box 142
Se. City, state, zip: Atlanta, GA 30309
Sf. Telephone no.: [phone]
Sg. Fax no.: [phone]
Sh. Email address: [e-mail]
Page 1 of 10
PCN Form -Version 1.4 January 2009

4. Applicant Information (if different from owner)
4a. Applicanl is: ^ Agent X^ Other, specify:
4b. Name: Jonathan Hocker, PE
4c. Business name
(if applicable): Norfolk Southern Corp
4d. Street address: 1200 Peachtree Street, NE Bldg, Box 142
4e. City, state, zip: Atlanta, GA 30309
4f. Telephone no.: [phone]
4g. Fax no.: [phone]
4h. Email address: [e-mail]
5. AgenUConsultant Information (if applicable)
5a. Name: James A. Byrd, PE
5b. Business name
(if applicable): HNTB Corporation
Sc. Street address: 343 E. Six Forks Road, Suite 200
5d. City, state, zip: Raleigh, NC 27609
5e. Telephone no.: [phone]
5f. Fax no.: [phone]
Sg. Email address: [e-mail]
Page 2 of 10

B. Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID): N/A
1 b. Site coordinates (in decimal degrees): Latitude: 35.234666 & 35.232779 Longitude: -77071938
1c. Property size: acres
2. Surface Waters
2a. Name of nearest body of water to proposed project: Fisher Swamp
2b. Water Quality Classification of nearest receiving water: C; SW, NSW
2c. River basin: Neuse
3. Project Description
3a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the lime of this
application:
See Appendix 1
3b. List the total estimated acreage of all existing wetlands on the property:
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
3d. Explain the purpose of the proposed project:
The purpose of the project is to replace a serviceable Railroad Bridge at the same location.
3e. Describe the overall project in detail, including the type of equipment to be used:
See Appendix 4.
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
ro'ect includin all rior hales in the alt? ^ Yes X^ No ^ Unknown

Comments:
4b. If the Corps made the jurisdictional determination, what type
of determination was made?
^ Preliminary ^ Final
4c. If yes, who delineated the jurisdictional areas?
Name (if known): Agency/Consultant Company:
Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
5. Project History
Sa. Have permits or certifications been requested or obtained for
this project (including all prior phases) in the past? ^ Yes ^X No
^ Unknown
5b. If yes, explain in detail according to "help fle" instructions.
6. Future Project Plans
6a. Is this a phased project? ^ Yes ^X No
6b. If yes, explain.
Page 3 of 10
PCN Form -Version 1.4 January 2009

C. Proposed Impacts Inventory
1. Impacts Summary
1a. Which sections were completed below for your project (check all that apply):
^ Wetlands ^ Streams -tributaries ^X 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.
Wetland impact
number
Permanent (P) or
Tem ora T 2b.
Type of impact 2c.
Type of wetland 2d.
Forested 2e.
Type of jurisdiction
Corps (404,10) or
DWQ (401, other) 2f.
Area of
impact
(acres)
W1 - Choose one Choose one Yes/No
W2 - Choose one Choose one Yes/No
W3 - Choose one Choose one YeslNo
W4 - Choose one Choose one YeslNo -
W5 - Choose one Choose one Yes/No
W6 - Choose one Choose one Yes/No -
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.
Stream impact
number
Permanent (P) or
Temporary (T) 3b.
Type of impact 3c.
Stream name 3d.
Perennial (PER) or
intermittent (INT)? 3e.
Type of
jurisdiction 3f.
Average
stream
width
(feet) 39~
Impact
length
(linear
feet)
S1 - choose one -
S2 - Choose one - -
S3 - Choose one - -
S4 - Choose one
S5 - Choose one -
S6 - Choose one - -
3h. Total stream and tributary impacts
3i. Comments:
Page 4 of 10
PCN Form -Version 1.4 January 2009

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 individuall list all o en water im acts below.
4a.
Open water
impact number
Permanent(P)or
Tem ora T 4b.
Name of waterbody
(if applicable) 4c.

Type of impact 4d.

Waterbody
type 4e.

Area of impact (acres)
01 - Choose one Choose
02 - Choose one Choose
03 - Choose one Choose
04 - Choose one Choose
4f. Total open water impacts
4g. Comments:
5. Pond or Lake Construction
If and or lake construction ro osed, then com lete the chart below.
Sa.
Pond ID number Sb.
Proposed use or
purpose of pond 5c.
Wetland Impacts (acres) Sd.
Stream Impacts (feet) 5e.
Upland
(acres)
Flooded Filled Excavated Flooded Filled Excavated
P1 Choose one
P2 Choose one
5f. Total:
5g. Comments:
5h. Is a dam high hazard permit required? ^ Yes ^ No If yes, permit ID no:
Si. Expected pond surface area (acres):
Sj. 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 im acts re uire miti anon, then ou MUST fll out Section D of this form.
6a. Project is in which protected basin? ^X Neuse ^Tar-Pamlico ^ Catawba ^ Randleman ^ Other:
6b.
Buffer Impact
number-
Permanent (P) or
Tem ora T 6c.
Reason for impact 6d.
Stream name 6e.
Buffer
mitigation
required? 6f.
Zone 1
impact
(square
feet 6g.
Zone 2
impact
(square
feet
g1 T Bridge Replacement Fisher Swamp No
62 T Bridge Replacement Fisher Swamp No
B3 - Yes/No
84 - Yes/No
B5 - YeslNo
B6 - Yes/No
6h. Total Buffer Impacts:
6i. Comments:
Page 5 of 10

D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
The majority of demolition and construction work will be performed from the existing track by equipment mounted to a modified lowmofive.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Working from the track surface will minimize the proposed impacts.
2. Com ensato Miti ation for Im acts 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 ^X 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. Com lete if Usin a Miti ation Bank
3a. Name of Mitigation Bank:

3b.
Credits Purchased (attach receipt and letter) Type: Choose one
Type: Choose one
Type: Choose one Quantity:
Quantity:
Quantity:
3c. Comments:
4. Com lete if Makin a Pa ment to In-lieu Fee Pro ram
4a. Approval letter from in-lieu fee program is attached. ^ Yes
4b. Stream mitigation requested: linear feet
4c. If using stream mitigation, stream temperature: Choose one
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 6 of 10
PCN Form -Version 1.4 January 2009

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 ~ yes ~ No
buffer mitigation?
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.
6c. 6d. 6e.
Zone Reason for impact Total impact Multiplier Required mitigation
(square feet) (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 7 of 10

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 ^X Yes ^ No
within one of the NC Ri avian Buffer Protection Rules?
1 b . If yes, then is a diffuse flow plan included? If no, explain why.
The Project does not capture any Stormwater. ^Yes ^X No
2. Stormwater Mana ement Plan
2a . What is the overall percent imperviousness of this project? 0%
2b . Does this ro'ect re uire a Stormwater Mana ement Plan? ^Yes ^X No
2c . If this project DOES NOT require a Stormwater Management Plan, explain why:
Th e project does not capture any Stormwater.
2d . It this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
2e . Who will be responsible for the review of the Stormwater Management Plan? NIA
3. Certified Local Government Stormwater Review
3a. In which local overnment's urisdiction is this ro'ect?
^ Phase II
^ 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 Pro ram 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 ^Yes ^ No
attached?
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 8 of 10
PCN Form -Version 1.4 January 2009

F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
1a. Does the project involve an expenditure of public (federal/state/local) funds or the ^Yes ^X 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 f nalized 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 28 .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.
Page 9 of 10
PCN Form -Version 1.4 January 2009

5. Endangered Species and Designated Critical Habitat (Corps Requirement)
Sa. Will this project occur in or near an area with federally protected species or ^ Yes ^x No
habitat?
Sb. Have you checked with the USFWS concerning Endangered Species Act ^ yes ^X No
impacts?
Sc. If yes, indicate the USFWS Field Offce you have contacted. -
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat? ^x Yes ^ No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
David R. Cox, Technical Guidance Supervisor, NC Wildlife Resources Commission
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 ^X 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?
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in aFEMA-designated 100-year floodplain? ^x Yes ^ No
Sb. If yes, explain how project meets FEMA requirements:
The proposed bridge provides equal or greater conveyance.
8c. What source(s) did you use to make the floodplain determination?
NC Floodplain Mapping Program Web Site http://www.ncFloodmaps.coml
Julr g, ZOI~
Jonathan Hocker
ApplicanUAgent's Printed Name ApplicanUAgent's Signature Date
(A nt's signature is valid only if an authorization
letter from the a licant is rovided.
Page 10 of 10

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