20081256 Ver 1_Application_20080814

II. Project Information 08125 6

Attach a vicinity map clearly showing the location of the property with respect to local
landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property
boundaries and development plans in relation to surrounding properties. Both the vicinity map
and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities must be included. If possible, the maps and plans should
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USACE requires information to be submitted on sheets no larger than 11 by 17-inch format;
however, DWQ may accept paperwork of any size. DWQ prefers full-size construction
drawings rather than a sequential sheet version of the full-size plans. If full-size plans are
reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps are provided.

1. Name of project: Pitt 11.8 B-4235

2. T.I.P. Project Number or State Project Number (NCDOT Only): 33578.1.1

3. Property Identification Number (Tax PIN):

4. Location
County: Pitt Nearest Town: Greenville
Subdivision name (include phase/lot number):
Directions to site (include road numbers/names, landmarks, etc.):
From Greenville take US 264 East 3.5 Miles Thence North onto To SR
1537 0.6 Miles to JCT SR 1538, Thence North 1.6 Miles to Pitt 118.

5. Site coordinates (For linear projects, such as a road or utility line, attach a sheet that
separately lists the coordinates for each crossing of a distinct waterbody.)
Decimal Degrees (6 digits minimum): 35.656638 °N 77,268339 oW

6. Property size (acres): N/A

7. Name of nearest receiving body of water: Grindle Creek

8. River Basin: Tar-Pamlico Lower Tar 03020103
(Note - this must be one of North Carolina's seventeen designated major river basins. The
:River Basin map is available at http://h2o.enr,state.ne.us/admiii/maps/.)

9. Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this application: Woodlands, Residential, and ALAcultural

Updated t 1lI12005
Page 6 of 13

Y -iUA,La;
Rift

10. Describe the overall project in detail, including the type of equipment to be used:
Bridge Replacement of Pitt 118 Bridge to Bridge Typical Bridge and Roadway
Construction Equipment

11. Explain the purpose of the proposed work: Bridge Replacement

IIL Prior Project History

If jurisdictional determinations and/or permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action ID Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules. None

IV. Future Project Plans

Are any future permit requests anticipated for this project? If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application.
No Additional Permit Requests are Anticipated in the Near Future

V. Proposed Impacts to Waters of the United States/Waters of the State

It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. Each impact must be
listed separately in the tables below (e.g., culvert installation should be listed separately from
riprap dissipater pads). Be sure to indicate if an impact is temporary. All proposed impacts,
permanent and temporary, must be listed, and must be labeled and clearly identifiable on an
accompanying site plan. All wetlands and waters, and all streams (intermittent and perennial)
should be shown on a delineation map, whether or not impacts are proposed to these systems.
Wetland and stream evaluation and delineation forms should be included as appropriate.
Photographs may be included at the applicant's discretion. If this proposed impact is strictly for
wetland or stream mitigation, list and describe the impact in Section VIII below. If additional
space is needed for listing or description, please attach a separate sheet.

1. Provide a written description of the proposed impacts:

Updated 11/1/2005
Page 7 or 13

2. Individually list wetland impacts. Types of impacts include, but are not limited to
mechanized clearing, grading, fill, excavation, flooding, ditching/drainage, etc. For dams,
se arately list impacts due to both structure and flooding.
Wetland Impact Type of Wetland Located within Distance to Area, of
Site Number Type of Impact (e.g., forested, marsh, 100-year Nearest Impact
(indicate on map) herbaceous, bog, etc.) Floodplain Stream (acres)
(yes/no) (linear feet)
Area 1 0 Acres
Area 2 0 Acres
Area 3 0 Acres
Area 4 0 Acres

Total Wetland Impact (acres) 0 Acres

3. List the total acreage (estimated) of all existing wetlands on the property: N/A

4. Individually list all intermittent and perennial stream impacts. Be sure to identify temporary
impacts. Stream impacts include, but are not limited to placement of fill or culverts, dam
construction, flooding, relocation, stabilization activities (e.g., cement walls, rip-rap, crib
walls, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is proposed,
plans and profiles showing the linear footprint for both the original and relocated streams
must be included. To calculate acreage, multiply length X width, then divide by 43,560.
Stream Impact Average Impact Area of
Number Stream Name Type of Impact Perennial Intermittent? Stream Width Length Impact
(indicate on map) Before Impact (linear feet) (acres)

Total Stream Impact (by length and acreage) 0 Q

5. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.). Open water impacts include, but are not limited to
fill, excavation, dredging, flooding, drainage, bulkheads, etc.
Open Water Impact Name of Watcrbod Type of Waterbody
Site Number y Type of Impact (lake, pond, estuary, Area of Impact
(indicate on imp) {if applicable) ocean, etc.) sound bay, (acres)
O SF

Total Open Water Impact (acres) 0.00 Ae

Updated IV1/2005
Page 8 of 13

6. List the cumulative impact to all Waters of the U.S. resulting from the project:
Stream Impact (acres): 0
Wetland Impact (acres): 0
Open Water Impact (acres): 0
Total Impact to Waters of the U. S. (acres) 0
Total Stream Impact (linear feet): 0

7. Isolated Waters
Do any isolated waters exist on the property? ? Yes No
Describe all impacts to isolated waters, and include the type of water (wetland or stream) and
the size of the proposed impact (acres or linear feet). Please note that this section only
applies to waters that have specifically been determined to be isolated by the USACE.
None

8. Pond Creation None
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ? uplands ? stream ? wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.):
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.):
Current land use in the vicinity of the pond:
Size of watershed draining to pond: Expected pond surface area:

VI. Impact Justification (Avoidance and Minimization)

Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts.
No 404 Wetlands are Filled Slopes will be Vegetated instead of Rip Ran for Slope
Stabilization in the Stream Buffer Zone except where noted on Plans at Station 10+00 and
Station 11+25.

VII. Mitigation None

DWQ In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to

Updated 11/1/2005
Page 9 of 13

freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.

USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on January 15, 2002, mitigation will be required when
necessary to ensure that adverse effects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed. Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.

If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USACE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCEEP concurrence shall be placed on hold as incomplete.
An applicant may also choose to review the current guidelines for stream restoration in DWQ's
Draft Technical Guide for Stream Work in North Carolina (see DWQ website for most current
version.).

1. Provide a brief description of the proposed mitigation plan. The description should provide
as much information as possible, including, but not limited to: site location (attach directions
and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed method of construction. Please attach
a separate sheet if more space is needed.

2. Mitigation may also be made by payment into the North Carolina Ecosystem Enhancement
Program (NCEEP). Please note it is the applicant's responsibility to contact the NCEEP at
(919) 715-0476 to determine availability, and written approval from the NCEEP indicating
that they are will to accept payment for the mitigation must be attached to this form. For
additional information regarding the application process for the NCEEP, check the NCEEP
website at littp://www.ticeep.tiet/papes/J*iiIieurep]ace.htm. If use of the NCEEP is proposed,
please check the appropriate box on page five and provide the following information:

Amount of stream mitigation requested (linear feet):
Amount of buffer mitigation requested (square feet):
Amount of Riparian wetland mitigation requested (acres):
Amount of Non-riparian wetland mitigation requested (acres):
Amount of Coastal wetland mitigation requested (acres):

Updated 11/1/2005
Page 10 of 13

VIII. Environmental Documentation (required by DWQ)

1. Does the project involve an expenditure of public (federal/state/local) funds or the use of
public (federal/state) land? Yes E No ?

2. If yes, does the project require preparation of an environmental document pursuant to the
requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)?
Note: If you are not sure whether a NEPA/SEPA document is required, call the SEPA
coordinator at [phone] to review current thresholds for environmental documentation.
Yes ? No r;J

3. if yes, has the document review been finalized by the State Clearinghouse? If so, please
attach a copy of the NEPA or SEPA final approval letter. Yes ? No

IX. Proposed Impacts on Riparian and Watershed Buffers (required by DWQ)
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required state and local buffers associated with the project. The applicant must also provide
justification for these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a

map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.

1. Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Neuse), 15A NCAC 2B.0259 (Tar-Pamlico), 15A NCAC 02B .0243 (Catawba) 15A NCAC
2B .0250 (Randleman Rules and Water Supply Buffer Requirements), or other (please
identify V Yes E No ?

2. If "yes", identify the square feet and acreage of impact to each zone of the riparian buffers.
If buffer mitigation is required calculate the required amount of mitigation by applying the
buffer multipliers.
1111 pact Zone (squat feet) Multiplier MRe-quired
itigation
1 8950 SF 3 (2 for Catawba) N/A
2 6215 SF 1.5 N/A
Total 15165 SF N/A
* Zone I extends out 30 feet perpendicular from the top of the near bank of channel; "Zone 2 extends an
additional 20 feet from the edge of Zone 1.
128 SF Fill Removal in Buffer Zone 1
3. If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e.,
Donation of Property, Riparian Buffer Restoration / Enhancement, or Payment into the
Riparian Buffer Restoration Fund). Please attach all appropriate information as identified
within 15A NCAC 2B .0242 or .0244, or .0260 Bridge to Bridge Replacement
Impacts are under the 40 Linear Foot Threshhold
Updated 111/2005
Page l l of 13

X. Stormwater (required by DWQ)

Describe impervious acreage (existing and proposed) versus total acreage on the site. Discuss
stormwater controls proposed in order to protect surface waters and wetlands downstream from
the property. If percent impervious surface exceeds 20%, please provide calculations
demonstrating total proposed impervious level. On the South Side of the Proposed Bridge;
Storm Water will be Routed to Two Proposed Traffic Bearing Drop Inlets located at
Station 9+57, then the water will be treated by flowing through Class B Rip Rap and Filter
Fabric Before Entering into Zone 2 of the Riparian Buffer. On the North End of the
Proposed Bridge, the Existing Pipe at Sta 11+40,23' Lt will be removed The proposed
Pipes will be installed at Sta. 12+30, 29' Lt and 23' Rt under the Proposed Soil Roads that
the Drainage District Uses For Maintainence Operations These Proposed Pipes Will
Convey Water Under the Soil Roads, Through the Riparian Buffer, and Into Grindle
Creek

XL Sewage Disposal (required by DWQ)

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.
N/A

XII. Violations (required by DWQ)

Is this site in violation of DWQ Wetland Rules (15A NCAC 2H.0500) or any Buffer Rules?
Yes ? No

Is this an after-the-fact permit application? Yes ? No

XM. Cumulative Impacts (required by DWQ)

Will this project (based on past and reasonably anticipated future impacts) result in additional
development, which could impact nearby downstream water quality? Yes ? No
If yes, please submit a qualitative or quantitative cumulative impact analysis in accordance with
the most recent North Carolina Division of Water Quality policy posted on our website at
http://h2o.enr.st,tte.nc.us/ncwetlands. If no, please provide a short narrative description:

XIV. Other Circumstances (Optional):

It is the applicant's responsibility to submit the application sufficiently in advance of desired
construction dates to allow processing time for these permits. However, an applicant may

Updated 1 Ul/2005
Page 12 of 13

choose to list constraints associated with construction or sequencing that may impose limits on
work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and
Threatened Species, accessibility problems, or other issues outside of the applicant's control).

August 6 ,2008
Applic /A nt' ignature Date
(Agent's signs e is ali only if an authorization letter from the applicant is provided.)

Undated 11/1/2005
Page 13 of 13

ORANGE ORANGE ORANGE ORANGE
SAFETY FENCE SAFETY FENCE SAFETY FENCE SAFETY FENCE SaFETE
' 1 FENCE
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SAFETY FENCE BUFFER ZONE E ?15 S0. FT. STA. 11+31.42'RT, 0,
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1. THE CVANTITY ?O 'n
INCORPORATEC INOFTO RIP THE fiAP TO BE COMPLETEC PAID AND FOR WILL ACCEPTED BE WORK, THE THE aCiUdl C1 STA. 11 +41. 9'RT.
5. THE ALLOWABLE BEARING CAPACITY FOR PILES AT ENO BENT No,l AND P/ Std 12+48.40

PLATFORM NUMBER OF SCALES OF EACH CLASS OF RID RAP WHICH HAS BEEN RIP END BENT No.2 IS 45 -ON'S PER PILE. = 1P25~ 34.3~(RTI
WABLE BEAMING CAPACITY FOR PILES AT SENT No.l AND BENT -r
P WILL BE MEASURED BEING WEIGHED IN TRACKS ON CERTIFIED 6. THE ALLO a PI StO 14+30.03 0
ALES OR OTHHE ER GEHtIFlEU WEIGHING DEVICES. THE No.2 ZS 7D TONS PER PILE D B'OO' /8A" =
UANTITY CF RIP RAP WILL BE PAID 'Cl AT TF. CONTRACT UNIT 7, DRIVE PULES AT BENT No.l TO A TIP ELEVATION ND HTGNFR THAN 448'. 35 1G/2.0' IRTJ
PRICE PER TON: S. DRIVE PILES AT BENT Na.2 TO A TIP ELEVATION NO HIGHER THAN 441', T l71k a D ° 6' 59' 009' \6
PLAIN RIP RAP CLASS II 12'- 0-THICKI WITH =ILTER FABRIC 9. MIEN DRIVING PILES. THE MAXIMUM BLOW COUNT SHALL NOT BE EXCEEDED. R n 715.75' L - 213W f\~
ENO BENT NC.: 50 TONS lO. THE HE SCOUR 17nAL ELEVAON NI AND AT 2 IS 175'.
SCOUR CRITICAL ELE ATIONSAAREOP SE I TO MONITORY POSSIBLE SCOUR T ° 110.49' P~~ 1
ENO BENT NO.2 50 TONS PROBLEMS DURING THE LIFE OF THE STRUCTURE. R c 337.36'
2. THIS STRUCTJRE HAS BEEN pESIGNEG IN ACf.ORO4NCF. WI-4 HEC !8 11. PIPE PILE PLATES ARE NOT REQUIRED AT BENT No.( AND BENT No. 2. PROJECT NO. 33578
EVALUATING SCOUR AT BRIOGES',MA .2001. 12. PIPE'IIE$ SHALL BF DRIVE': 'OPEN-ENDED-. COUNTY PITT
3. DRIVE PLLES AT ENO BENT No.: AND END BENT No.2 TO A RED' IRED 13. ADi 440 FOR YEAR 2002.
BEARING CAPACITY OF 90 TONS PER PILE. THE REQUIRED BEARING 14, NO EMBANKMENT CONSTRUCTION RELATED WAITING PERIODS ARE REGUIRED. ~ STATION' 10+60
CAPACITY IS EQUAL TO IRE AL'-OWASLE BEd RING CAPACITY WITH A Z5. THE STIEL PILES SHALL BE GALVANIZED IN ACCORDANCE WITH SECTION DRIVEWAY TYPICAL REPLACES BRIDGE NO. 118
MINIMUM FACTOR OF SAFETY OF TWO. 1076 OF THE STANDARD SPECIFCATIONS.
4, DRIVE PILES AT BENT N..1 AND BENT No.2 TO A REQUIRED BEARING 16. REMOVAL DEER THE -x ISIING BRIDGE SHALL BE PERFORMED SO AS NOT TO '-0"tBRIVEi ~YAFR OF WORTH CAROLINA
CAPACITY OF 155 TONS PER PILE. THE REQUIRED BEAP.ING CAPACITY 15 ALLQW DEE"S TO FALL INTO THE WATER AND IN ACCORDANCE WITH I6
EQUAL TC THE ALLOWABLE 8E4R INC CAPACITY WITH A MINIMUM ARTICLE 902-2 OF THE STANDARD SPECIE ICAi IONS, 8'-0' 8'-O• ®LPAWTMENT OF TRANDPORTATIOM
FACTOR OF SAFETY OF TWO PLUS ANY ADDITIONAL CAPACITY TO ACCOUNT e CEO TECF BORE HOLES LOCATION - aAL>4aN
FOR DRAG OR NEGATIVE SKIN FRICTION AND SCOUR. I 6'COMP. A.ILC.
I f BRIDGE °118 ON SR 1538
OVER GRINCLE CREEK
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