20191453 Ver 1_PCN Form Submission_20191021

DWR
IDIOM n of Water Resources
Pre -Construction Notification (PCN) Form
September 29, 2018 Ver 3
21nitial Review
Has this project met the requirements for acceptance in to the review process?*
r Yes
r No
Is this project a public transportation project?*
G Yes r No
Change only if needed.
BIMS # Assigned
20191453
Is a payment required for this project?*
r No payment required
r Fee received
r Fee needed - send electronic notification
Select Project Reviewer*
Garcy Ward:eads\gpward
Information for Initial Review
1a. Name of project:
17BP.2.R.95
1a. Who is the Primary Contact?*
Michael Aman
1b. Primary Contact Email:*
[e-mail]
Date Submitted
10/21 /2019
Nearest Body of Water
Branch of Durham Creek
Basin
Tar -Pamlico
Water Classification
Q NSW
Site Coordinates
Version# *
1
Reviewing Office*
Washington Regional Office - [phone]
1c. Primary Contact Phone:*
[phone]
Latitude: Longitude:
35.36308-76.86976
FA. Processing Information U
County (or Counties) where the project is located:
Beaufort
Is this project a public transportation project?*
r Yes r' No
Is this a NCDOT Project?*
r Yes r' No
(NCDOT only) T.I.P. or state project number:
17BP.2.R.95
WBS # (?)
17BP.2.R.95
1a. Type(s) of approval sought from the Corps:

W Section 404 Permit (wetlands, streams and waters, Clean Water Act)
r Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)
1b. What types) of permit(s) do you wish to seek authorization?
W Nationwide Permit (NWP)
r' Regional General Permit (RGP)
r' Standard (IP)
1c. Has the NWP or GP number been verified by the Corps?
t' Yes r No
Nationwide Permit (NWP) Number: 03 - Maintenance
NWP Numbers (for multiple NWPS):
1d. Type(s) of approval sought from the DWR:
rJ 401 Water Quality Certification - Regular
F Non-404 Jurisdictional General Permit
F Individual Permit
le. Is this notification solelyfor the record because written approval is not required?
For the record only for DWR 401 Certification:
For the record only for Corps Permit:
F 401 Water Quality Certification - Express
W Riparian Buffer Authorization
1f. Is this an after -the -fact permit application?*
r Yes r No
1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
r Yes r No
1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
r Yes t No
Acceptance Letter Attachment
1h. Is the project located in any of NC's twenty coastal counties?
r Yes r No
1i. Is the project located within a NC DCM Area of Environmental Concern (AEC)?
r Yes r No r Unknown
1j. Is the project located in a designated trout watershed?
C Yes r No
B. Applicant Information
1d. Who is applying for the permit?
rJ Owner W Applicant (other than owner)
le. Is there an Agent/Consultant for this project?*
r Yes r No
2. Owner Information
2a. Name(s) on recorded deed:
NCDOT Division 2
2b. Deed book and page no.:
2c. Responsible party:
Michael Amen
2d. Address
Street Address
1037 W.H. Smith Blvd.
Address Line 2
City
State / Rwince / Region
Greenville
NC
Rostal / Zip Code
Country
27834
United States of America
*
r Yes r No
r Yes r No

2e. Telephone Number: 2f. Fax Number:
[phone] [phone]
2g. Email Address:*
[e-mail]
3. Applicant Information (if different from owner)
3a. Name:
Michael Aman
3b. Business Name:
NC Department of Transportation
3c.Address
Street Address
1037 W.H. Smith Blvd.
Address Line 2
City
State / Province / Region
Greenville
NC
Postal / Zip (ode
(buntry
27834
United States of America
3d. Telephone Number: 3e. Fax Number:
[phone] [phone]
3f. Email Address:*
[e-mail]
4. Agent/Consultant (if applicable)
4a. Name:
Ben Henegar
4b. Business Name:
TGS Engineers
4c.Address
Street Address
706 Hillsborough St.
Address Line 2
Suite 200
C7ty
State / Province / Region
Raleigh
NC
Postal / Zip Code
Country
27603
United States of America
4d. Telephone Number: 4e. Fax Number:
[phone] [phone]
4f. Email Address:*
[e-mail]
Agent Authorization Letter*
17BP.2.R.05-USAGE Agent Auth Final.pdf 255.13KB
C. Project Information and Prior Project History
1. Project Information
1b. Subdivision name:
(d appropriate)
1c. Nearest municipality / town:
Edward, NC
2. Project Identification
2a. Property Identification Number: 2b. Property size:
multiple parcels 10.4
2c. Project Address

Street Address
SR 1971 (Durham Creek Rd)
Address Line 2
CKY
Postal / Zip Cede
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
Branch of Durham Creek
3b. Water Resources Classification of nearest receiving water:*
C:NSW
3c. What river basin(s) is your project located in?*
Tar -Pamlico
3d. Please provide the 12-digit HUC in which the project is located.
030201040203
4. Project Description and History
State / Rovince / Fiagion
Ceuntry
4a. 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 project is an wasting two-lane road and bridge. The vicinity is rural landscape with forested areas in all four quadrants. This project was formerly NCDOT STIP Project No. B-4709.
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?*
r Yes r No r Unknown
4d. Attach an 8 1/2 X 11 excerpt from the most recent version of the USGS topographic map indicating the location of the project site. (for DWR)
17BP.2.R.95_USGS_Topo.pdf 1.34MB
4e. Attach an 8 1/2 X 11 excerpt from the most recent version of the published County NRCS Soil Survey map depicting the project site. (for DWR)
17BP.2.R.95_NRCS_Soils.pdf 1.33MB
4f. List the total estimated acreage of all existing wetlands on the property:
0.82
4g. List the total estimated linear feet of all existing streams on the property:
282
4h. Explain the purpose of the proposed project:*
The purpose of the project is to address a fifty -three -year -old bridge with a deteriorating timber substructure and low posted weight limit.
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
Replacement of Bridge No. 060014 on SR 1971 (Durham Creek Rd) over Branch of Durham Creek in Beaufort County, NC. The proposed 90' long by 30' wide two -span bridge would
replace the eAsting 61' long by 30' wide two -span bridge. The proposed grade will be about 1.5' above eAsting grade at the crossing.
Bridge No. 060014 is within the Tar -Pamlico River Basin and shall adhere to the Tar -Pamlico Buffer Rules. The proposed bridge will have no direct discharge into Tan Swamp.
Stormwater runoff from the south approach of the proposed bridge flows to two traffic bearing grated inlets on both sides of the roadway where it will be diffused with a rip -rap pad at the
outlet of the proposed pipe. The proposed deck runoff will outlet outside of buffers, treated by a grass swale before discharging into the stream as diffuse flow.
Equipment to be used includes cranes, excavators, dump trucks, and paving equipment.
4j. Please upload project drawings for the proposed project.
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the propertyor proposed impact areas?*
r Yes r No O Unknown
Comments:
5b. If the Corps made a jurisdictional determination, what type of determination was made?*
r Preliminary r Approved r Not Verified r Unknown r WA
Corps AID Number:
5c. If Sa is yes, who delineated the jurisdictional areas?
Name (if known):
Agency/Consultant Company: Carolina Ecosystems, Inc. (CEI)
Other: Preliminary JD submitted April 2015
5d1. Jurisdictional determination upload

6. Future Project Plans
6a. Is this a phased project?*
C Yes G No
Are any other NWP(s), regional general permit(s), or individual permits(s) used, or intended to be used, to authorize any part of the proposed project or related activity?
No
D. Proposed Impacts Inventory
1. Impacts Summary
la. Where are the impacts associated with your project? (check all that apply):
W Wetlands r Streams -tributaries W Buffers
r Open Waters r Pond Construction
2. Wetland Impacts
2a1 Reason M 2b. Impact type * M 2c. Type of W. 2d. W. name * 2e. Forested* 2f. Type of _112g. Impact
Jurisdicition * M area*
_11
HC for Utilities T Riverine Swamp Forest WC Yes Corps 0.005
(acres)
HC for utilities
�::
L
Riverine Swamp Forest
ff
Yes
Corps
FIcIr5:F77]
2g. Total Temporary Wetland Impact 2g. Total Permanent Wetland Impact
0.020 0.000
2g. Total Wetland Impact
0.020
2h. Comments:
No permanent wetland impacts for the project. Temporary wetland impacts are hand clearing for utilities, total temporary impacts = 0.02 Ac. Wetland
impact drawings and impact table included in permit drawings.
6. Buffer Impacts (for DWR)
6a. Project is in which protect basin(s)?
Clr ck all that apply.
r Neuse P Tar -Pamlico
r Catawba r Randleman
r Goose Creek r Jordan Lake
r Other
6b. Impact Type 6c. Per or Temp 6d. Stream name 6e. Buffer mitigation required? 6f. Zone 1 impact 6g. Zone 2 impact
L- 16+32 - 16+48 LT, Allowable
P
Tan Swamp
No
15
5
-L- 15+45 - 16+52 RT, Allowable
P
Tan Swamp
No
1,410
770
L- 17+04 - 17+64 RT, Allowable
P
Tan Swamp
No
880
530
6h. Total buffer impacts:
Zone 1 Zone 2
Total Temporary impacts: 0.00 0.00
Zone 1 Zone 2
Total Permanent impacts: 2,305.00 1,305.00
Zone 1 Zone 2
Total combined buffer impacts: 2,305.00 1,305.00
6i. Comments:
Total Buffer Impacts = 0.08 Ac, buffer impact drawings and impact table included in permit drawings.
Supporting Documentation

17BP.2.R.95_Permit_Drawings_2019-10-21.pdf
17BP.2.R.95_Hyd_P1.pdf
2.17MB
364.14KB
E. Impact Justification and Mitigation
1. Avoidance and Minimization
la. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
Bridge No. 060014 will be replaced on the existing alignment, minimizing proposed wetland and buffer impacts. Also, an offsite detour will be utilized,
avoiding the impacts from a temporary onsite crossing. Proposed bridge runoff will be discharged outside the riparian buffer zone and at non -erosive
velocities.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Top down construction of the proposed bridge will minimize impacts to the stream by eliminating the need of a temporary bridge or work pad. Standard
demolition practices will allow the removal of the ebsting bridge with no resulting debris in the water. Construction activities inside environmentally
sensitive areas have been limited to the maxtmum extent practicable and will be contained inside safety / silt fencing. Erosion control plans are
attached under miscellaneous attachments.
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?
r Yes
r No
2b. If this project DOES NOT require Compensatory Mitigation, explain why:
Proposed hand clearing in the wetlands will not result in the placement of dredge or fill material in the wetland. Proposed riparian buffer impacts are allowable under the Table of Uses.
F. Stormwater Management and Diffuse Flow Plan (required by DWR)
1. Diffuse Flow Plan
1a. Does the project include or is it adjacent to protected riparian buffers identified within one of the NC Riparian Buffer Protection Rules?
r Yes r No
What type of SCM are you providing?
r Level Spreader
r Vegetated Conveyance (lower SHWT)
r Wetland Swale (higher SHWT)
r Other SCM that removes minimum 30 % nitrogen
* Proposed project will not create concentrated stormwater flow through the buffer
Diffuse Flow Documentation
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?*
r Yes r No
Comments:
Stormwater Management Plan is included in the permit drawings.
G. Supplementary Information
1. Environmental Documentation
1a. Does the project involve an expenditure of public (federal/state/local) funds or the use of public (federal/state) land?*
r Yes
r No
1b. 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 (North Carolina)
Environmental Policy Act (NEPA/SEPA)? *
r Yes r No
1c. If you answered "yes" to the above, has the document review been finalized by the State Clearing House?*
r Yes r No
NEPA or SEPA Final Approval Letter
B-4709 Signed Type I CE 6-21-17.pdf 10.5MB
2. Violations (DWR Requirement)
2a. Is the site in violation of DWR Water Quality Certification Rules (15A NCAC 2H .0500), Isolated Wetland Rules (15A NCAC 2H .1300), or DWR Surface Water or Wetland Standards or
Riparian Buffer Rules (15A NCAC 2B .0200)?*
r Yes r No

3. Cumulative Impacts (DWR Requirement)
3a. Will this project result in additional development, which could impact nearby downstream water quality?*
r Yes r No
3b. If you answered "no," provide a short narrative description.
Per the "Cumulative Impacts and the 401 Water Quality Certification and Isolated Wetland Permit Programs (April 10, 2004, Version 2.1)" document,
this proposed bridge replacement project does not meet any of the "growth stimulating" or "downstream impacts" criteria.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
r Yes r No r N/A
5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or habitat?*
r Yes r No
5b. Have you checked with the USFWS concerning Endangered Species Act impacts?*
r Yes r No
5c. If yes, indicate the USFWS Field Office you have contacted.
Raleigh
5d. Is another Federal agency involved?*
r Yes r No r Unknown
5e. Is this a DOT project located within Division's 1-8?
r Yes r No
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
1. US Fish & Wildlife Endangered Species, Threatened Species, Federal Species of Concern, and Candidate Species for Beaufort County, North
Carolina (Updated: 10-10-2018)
2. NOAA National Marine Fisheries Service
3. Threatened and endangered species survey performed by Carolina Ecosystems
Consultation Documentation Upload
Fish-WildlifeComments.pdf 1.71 MB
NCDCM Scoping B-4414 B-4433 B-4709.pdf 42.21 KB
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as an Essential Fish Habitat?*
r Yes r No
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat?*
NOAA Essential Fish Habitat Mapper
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 status?*
r Yes r No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?*
1. NC State Historic Preservation Office data (http://gis.ncdcr.gov/hpoweb/)
2. Scoping comments from NC State Historic Preservation Office and NCDOT Archaeology
7c. Historic or Prehistoric Information Upload
B-4709 Historic WSurveyReq.pdf 3.04MB
AR15-02-0006nosurvey.pdf 2.56MB
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain?*
r Yes
r No
8c. What source(s) did you use to make the floodplain determination?*
DFIRM Panel 6528.
F
Miscellaneous
u
Comments

Miscellaneous attachments not previously requested.
17BP.2.R.95 PCN Cover Letter.pdf
B-4709_Rdy_psh_04_81N_Water _ Line _Relocation_191021. pdf
17BP.2.R.95_Erosion Control Plans_ Final-10-21.pdf
Signature
m By checking the box and signing below, I certify that:
110.01 KB
356.9KB
1.88MB
• I have given true, accurate, and complete information on this form;
• I agree that submission of this PCN form is a 'transaction" subject to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act");
• I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act");
• I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written signature; AND
• I intend to electronically sign and submit the PCN form.
Full Name:
Benjamin J. Henegar
Signature
jrrirrlr 017�wr�yr-E
Date
10/21/2019