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Corps action ID no
DWQ project no
Form Version 1 3 Dec 10 2008
Page 1 of 10
PCN Form — Version 1 3 December 10, 2008 Version
Pre - Construction Notification (PCN ) Form
A Applicant Information
1
Processing
1a
Type(s) of approval sought from the
Corps
®Section 404 Permit El Section 10 Permit
1b Specify Nationwide Permit (NWP) number 14 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 N No
For the record only for Corps Permit
❑ Yes N 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
N Yes
❑ No
1h Is the project located within a NC DCM Area of Environmental Concern (AEC)?
N Yes
❑ No
2
Project Information
2a
Name of project
17BP 2 R 12 Beaufort 35
2b
County
Beaufort
2c
Nearest municipality / town
Aurora
2d
Subdivision name
N/A
2e
NCDOT only, T I P or state
project no
17BP 2 R 12
3
Owner Information
3a
Name(s) on Recorded Deed
North Carolina Department of Transportation
3b
Deed Book and Page No
N/A
3c
Responsible Party (for LLC if
applicable)
N/A
3d
Street address
105 Pactolus Highway NC 33 P O Box 1587
3e
City, state, zip
Greenville, NC 27835
3f
Telephone no
252 - 439 -2800
3g
Fax no
252 - 830 -3341
3h
Email address
jb)ohnson @ncdot gov
Page 1 of 10
PCN Form — Version 1 3 December 10, 2008 Version

4
Applicant Information (if different from owner)
4a
Applicant is
❑ Agent ® Other, specify Division 2 Environmental Officer
4b
Name
Jay B Johnson
4c
Business name
(if applicable)
North Carolina Department of Transportation
4d
Street address
P O Box 1587
4e
City, state, zip
Greenville, NC 27835
4f
Telephone no
252 -439 -2800
4g
Fax no
252- 830 -3341
4h
Email address
jbjohnson @ncdot gov
5
Agent/Consultant Information (if applicable)
5a
Name
N/A
5b
Business name
(if applicable)
5c
Street address
5d
City, state, zip
5e
Telephone no
5f
Fax no
5g
Email address
Page 2 of 10
PCN Form — Version 1 3 December 10, 2008 Version

B Project Information and Prior Project History
1 Property Identification
la Property identification no (tax PIN or parcel ID)
17BP 2 R 12 Beaufort 35 Bridge to Pipe Replacement SR
1002 Bay City Road over Dublin Creek
1b Site coordinates (in decimal degrees)
Latitude 35 291256 Longitude -
76 770380
(DD DDDDDD) (DD DDDDDD)
1c Property size
N/A acres
2 Surface Waters
2a Name of nearest body of water (stream, river, etc) to
proposed project
Dublin Creek, Tributary of South Creek
2b Water Quality Classification of nearest receiving water
C, Sw, NSW
2c River basin
Tar - Pamlico
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
SR 1002, Bay City Road is a paved Secondary State Highway Tidal marsh and woodlands dominate the landscape
3b List the total estimated acreage of all existing wetlands on the property
569 Sq Ft (0 01 Acres) of 404 Wetland Impacts for the bridge to pipe replacement
3c List the total estimated linear feet of all existing streams (intermittent and perennial) on the property
60' This site is part of a longer adjacent stream system
3d Explain the purpose of the proposed project
Bridge to pipe replacement, the existing bridge has deteriorated and needs replacing
3e Describe the overall project in detail, including the type of equipment to be used
The existing 35' -7" long timber bridge on timber pilings will be replaced with proposed 2 @ 19' -9" x 5-8" aluminum box
culverts
4 Jurisdictional Determinations
4a Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
project (including all prior phases) in the past?
Comments
❑ Yes ® No ❑ Unknown
4b If the Corps made the jurisdictional determination, what type
of determination was made?
❑ preliminary El Final
ry
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
5a Have permits or certifications been requested or obtained for
this project (including all prior phases) in the past
El Yes ®No El Unknown
5b If yes, explain in detail according to "help file' instructions
6 Future Project Plans
6a Is this a phased project?
❑ Yes ® No
6b If yes, explain
Page 3 of 10
PCN Form — Version 1 3 December 10, 2008 Version

Proposed Impacts Inventory
1 impacts Summary
1 a 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 12f
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 T i
W1 ®P ❑ T
Fill
® Yes
® Corps
❑ No
❑ DWQ COACTil L 3
W2 ®P ❑ T
Fill
® Yes
® Corps
013
[:1 No
❑ DWQ C OAS-r L . S
W3 ®P ❑ T
Fill
® Yes
® Corps
0017
E] No
El DWQ C0.4ST t ! 7
W4 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W5 ❑ P ❑ T
❑ Yes
❑ Corps I -�
❑ No
❑Yes u
_❑ DWQ
i ❑ Corps
W6 ❑ P ❑ T
❑ No
❑ DWQ
2!! Total wetland impacts
0068
_d
2h Comments 297 Sq Ft (0 0068 Acres) of 404 wetland impacts 304 Sq Ft (0 007 Acres) of Coastal Wetland Impacts
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
Pipe
Dublin Creek
® PER
E:1-INT
❑ Corps
_ ®_DWQ
❑ Corps
JZ DWQ
30'
20'
49 5'
93
S2 ®P ❑ T
Rip Rap Fill
Dublin Creek
® PER -
❑ INT
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 Iota] stream and tributary impacts
1425
31 Comments 142 5 linear feet of stream impacts
Page 4 of 10
PCN Form - Version 1 3 December 10, 2008 Version
}Sr4L

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
02 ❑P
03 ❑P
04 ❑P ❑T
4f Total open water impacts
none
4g Comments No open water impacts
5 Pond or Lake Construction
If pond or lake construction proposed, the 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
none
5g Comments none
5h Is a dam high hazard permit required?
❑ Yes ❑ No If yes, permit ID no
51 Expected pond surface area (acres)
51 Size of pond watershed (acres)
5k Method of construction
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 any impacts require mitigation, then you MUST fill out Section D of this form
6a
❑ Neuse ®Tai- Pamlico El 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?
61 ® P ❑ T
Fill
Dublin Creek
®Nos
130
0
B2 ®P ❑ T
Fill
Dublin Creek
® Nos
43
0
B3 ® P ❑ T
Fill
Dublin Creek
® Nos
17
0
6h Total buffer impacts
190
0
61 Comments 0 0044 Acres of Buffer Zone 1 Impacts and 0 00 Acres of Buffer Zone 2 Impacts
Page 5 of 10
PCN Form — Version 1 3 December 10, 2008 Version

D Impact Justification and Mitigation
1 Avoidance and Minimization
1a Specifically describe measures taken to avoid or minimize the proposed impacts in designing project
There are 297 Sqare Feet of 404 Wetland Impacts and 304 Square Feet of Coastal Wetland Impacts along with 190 Square
Feet of Buffer Zone 1 Impacts and no Buffer Zone 2 Impacts due to the installation of 2 @ 49' -6" x 19' -9" x 5' -8" Aluminum Box
Culverts The utility relocation will have no 404 or Coastal Wetland Impacts nor Buffer Impacts
1 b Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques
Use of existing roadway to operate construction equipment, no equipment will enter wetlands
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
❑ 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 6 of 10
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
❑ 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)
NIA
6h Comments
Page 7 of 10
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 Stormwater will diffuse flow through vegetated uplands before entering
® Yes ❑ No
stream
2
Stormwater Management Plan
2a
What is the overall percent imperviousness of this project?
N/A Roadway /Bndge Project %
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
Stormwater will diffuse flow through vegetated uplands before entering stream
❑ 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?
N/A
❑ Phase II
3b
Which of the following locally - implemented stormwater management programs
❑ NSW
❑ USMP
apply (check all that apply)
❑ Water Supply Watershed
❑ Other N/A
3c Has the approved Stormwater Management Plan with proof of approval been
❑ Yes ® No
attached?
4
DWQ Stormwater 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 NPDES Permit
4b
Has the approved Stormwater 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 8 of 10
PCN Form — Version 1 3 December 10, 2008 Version

F
Supplementary Information
1
Environmental Documentation (DWQ Requirement)
1a
Does the project involve an expenditure of public (federal /state /local) funds or the
® Yes
❑ No
use of public (federal /state) land?
lb
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 (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
N/A
Page 9 of 10
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, ind icate 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?
Onsite field investigation by Jay Johnson "No Effect"
6 Essential Fish Habitat (Corps Requirement)
6a Will this project occur in or near an area designated as essential fish habitats
® Yes ❑ No
6b What data sources did you use to determine whether your site would impact Essential Fish Habitat?
Mr Travis Wilson, NCWRC - See Attached Letter
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?
NCDOT HEU Historic Architecture and Archaeology - See Attached Letter
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 Designed to no -rise standards
8c What source(s) did you use to make the floodplain determination? FEMA FIRM Maps
Jay R Johnson
!�
Ja2013 4,
Applicant/Agent's Printed Name
Date
App anp/ ge Z s Signature
(Agents signature is v V onl an thorization letter from the applicant
,% i pr ided )
Page 10 of 10
PCN Form — Version 1 3 December 10 2008 Version

Brame, Bill Jr
From Wilson, Travis W
Sent Monday, November 07, 2011 3 10 PM
To Sutton, Michael W
Cc Rogerson, Maria A, Johnson, Jay B
Subject RE Beaufort 35
This portion of South Creek is designated as an AFSA, WRC request an in water work moratorium of Feb 15 to June 15
Travis W Wilson
Eastern Region Highway Project Coordinator Habitat Conservation Program NC Wildlife Resources Commission
1142 1 -85 Service Rd
Creedmoor, NC 27522
Phone 919 - 528 -9886 ext 6
Fax [phone]
Travis Wilson @ncwildlife org
- - - -- Original Message---- -
From Sutton, Michael W
Sent Friday, November 04, 20116 05 PM
To Wilson, Travis W
Cc Rogerson, Maria A, Johnson, Jay B
Subject Beaufort 35
Hey Mr Travis We would like to know if a moratorium exists for Beaufort 35, SR 1002,Bay City Road over U/T South
Creek Thank You mike
Email correspondence to and from this sender is subject to the N C Public Records Law and may be disclosed to third
parties

Project Tracking No (Internal Use)
11 -11 -0062
NO PREHISTORIC OR HISTORIC PROPERTIES
PRESENUAFFECTED FORM
PROJECT INFORMATION
Project No Structure 060035
WBS No 17BP 2 R 12
FA No N/A
Federal (USACE) Permit Required?
County Beaufort
Document Minimum Criteria Sheet
Funding ® State ❑ Federal
® Yes ❑ No Permit Type RGP 31 and CAMA
Project Description Bridge No 35, a timber bridge measuring 36' long by 28' wide, on SR 1002 (Bay
City Road) over an Unnamed Tributary of South Creek, is to be replaced by a proposed pipe and/or
aluminum box culvert Bridge No 35 was originally built in 1968 Per the submitted form, the Area of
Potential Effects (APE) measures approximately 500' from either end of the bridge, and extends 30' out
from the centerline of the road, staying entirely within the existing ROW for SR 1002
SUMMARY OF FINDINGS
The North Carolina Department of Transportation (NCDOT) reviewed the subject project and determined
Historic Architecture /Landscapes
❑ There are no National Register - listed or Study Listed properties within the project's area of potential
effects
❑ There are no properties less than fifty years old which are considered to meet Criteria Consideration G
within the project's area of potential effects
❑ There are no properties within the project's area of potential effects
❑ There are properties over fifty years old within the area of potential effects, but they do not meet the
criteria for listing on the National Register
❑ All properties greater than 50 years of age located in the APE have been considered and all compliance
for historic architecture with Section 106 of the National Historic Preservation Act and GS 121 -12(a) has
been completed for this project
❑ There are no historic properties present or affected by this project (Attach any notes or documents as
needed)
Archaeology
® There are no National Register - listed or Study Listed properties within the project's area of potential
effects
® No subsurface archaeological investigations are required for this project
❑ Subsurface investigations did not reveal the presence of any archaeological resources
❑ Subsurface investigations did not reveal the presence of any archaeological resources considered eligible
for the National Register
❑ All identified Archaeological sites located within the APE have been considered and all compliance for
archaeological resources with Section 106 of the National Historic Preservation Act and GS 121 -12(a)
has been completed for this project
® There are no historic properties present or affected by this project (Attach any notes or documents as
needed)
T
No Historic Properties Present form for Minor Transportation Projects as Qualified in the 2007 Programmatic Agreement
NCDOT Archaeology & Historic Architecture Groups

SUMMARY OF CULTURAL RESOURCES REVIEW
Brief description of review activities, results of review, and conclusions
A map review and site file search was conducted at the Office of State Archaeology (OSA) on Thursday, December
1, 2011 A comprehensive archaeological survey at this bridge location has never been conducted No
archaeological sites have been recorded within one -half mile of the proposed project Digital copies of HPO's maps
(Aurora Quadrangle) as well as the HPOWEB GIS Service (http //gis ncdcr gov /hpoweb /) were reviewed on Friday,
December 2, 2011 There are no known historic architectural resources located within the project area that may have
intact archaeological deposits within the footprint of the proposed project In addition, topographic maps, historic
maps (NCMaps website), USDA soil survey maps, and aerial photographs were utilized and inspected to gauge
environmental factors that may have contributed to historic or prehistoric settlement within the project limits, and to
assess the level of modern, slope, agricultural, hydrological, and other erosive -type disturbances within and
surrounding the archaeological APE
As stated in the Survey Required Form for this project, "A review of USGS maps, Web Soil Survey
(http //websoilsurvey nres usda gov/aM), and Beaufort County GIS reveals a project area (i e APE) composed of
nearly level terrain consisting almost entirely of frequently flooded soils In fact, the entire APE is considered to be
within a flood hazard zone Soils immediately adjacent to the bridge crossing consist of Curntuck muck (Cu) and
Muckalee loam (Me) Although no design for this project has been made available, all proposed project activities
are to take place within the NCDOT's existing 60' ROW for SR 1002 (Bay City Road) However, an archaeological
survey is recommended for this project based on the presence of a small cemetery, located in the Northeast Quadrant
of the proposed project, in order to determine the project's potential for impacting any graves A visual inspection of
the entire corridor should be conducted first, followed then by the recordation and delineation of the nearby
cemetery, archaeological excavations are not anticipated Should the description of this project change or design
plans made available prior to construction, additional consultation regarding archaeology may be required "
A reconnaissance of the project corridor was conducted on Thursday, December 15, 2011 with a member of
NCDOT's Historic Architecture group The immediate area surrounding Bridge No 35 was confirmed as wetlands
The Dublin Grove Free Will Baptist Church Cemetery is located about 250' North of Bridge No 35 along both sides
of SR 1002 (Bay City Road) The western "half' of the cemetery consists of at least 40 burials, whereas the eastern
"half' consists of almost 150 burials, totaling almost 200 burials for the whole cemetery Based on our observations,
the earliest burial within the cemetery dates to 1883, and is located in the western "half" The most recent burial
dates to 2009, is located in the eastern "half' in the far southeast corner of the cemetery, and shows that the church
cemetery is still active and routinely maintained The Free Will Baptist denomination was established in the
settlement of Royal in 1875 After two years of meeting in a school building, the members decided to build a
church Unfortunately, the flood waters and wind associated with Hurricane Irene severely damaged the 133 -year
old church structure in August 2011 The original building had to be demolished for the cost to fix the building far
exceeded the price of a new sanctuary, the pile of rubble seen in the photos is what remains of the original structure
An inspection of the cemetery suggests that it withstood the forces of Hurricane Irene, no signs of damage could be
detected Based on burial and deed dates, the cemetery was established on the west side of the road, next to the
original church structure In February 1918, the Dublin Grove FWB Church acquired a 0 9 -acre parcel across the
road, presumably in order to expand their cemetery In June 2010, the church acquired an additional 16 acres
surrounding the cemetery expansion According to the cemetery limits (taken in the field with a handeheld GPS unit
[Trimble GeoXT]), both sides of the cemetery extend into the NCDOT's existing 60' ROW for SR 1002 Markers
for burials on the east side of the road are about 10' from the existing edge of pavement Markers for burials on the
west side of the road are about 15' from the existing edge of pavement Thus, numerous interments are located
within the existing 60' ROW The Dublin Grove Free Will Baptist Church Cemetery has been recorded with the
Office of State Archaeology as Site 31 BF423 ** Very brief burial listings for this cemetery have been found at
http / /www findagrave com/c ig btn/fg cgi9page= gsr &GScid= 2336109 (9 burials listed) and in the WPA compilation
(1988 180 [based on 1940 data]) for Beaufort County Cemetery Records (17 burials listed) It is quite obvious that
both listings do not reflect the entirety of the cemetery As depicted, the cemetery limits are about 250' North of
Bridge No 35 No proposed activities (including staging areas) are to take place within the vicinity of the cemetery
Since there should be no impact to the cemetery, an evaluation regarding its eligibility for the NRHP was not made
Therefore, no further work is recommended unless design plans change or are made available prior to construction
No Historic Properties Present form for Minor Transportation Projects as Qualified in the 2007 Programmatic Agreement
NCDOT Archaeology & Historic Architecture Groups

SUPPORT DOCUMENTATION
See attached Figures, Photos (additional photos on file)
Signed
Cultural Resources Specialist,
December 20, 2011
Date
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Figure 1 Aurora, N C (USGS 1950 [Rev] 993])
No Historic Properties Present form for Minor Transportation Projects as Qualified to the 2007 Programmatic Agreement
NCDOT Archaeology & Historic Architecture Groups

Photo 1 Dublin Grove FWB Church and Cemetery, showing proximity of graves along the east side of SR 1002 (looking
North)
Photo 2 Dublin Grove FWB Church and Cemetery, showing proximity of graves along the west side of SR 1002 (looking
North)
No Historic Propernee Present form for Minor Transportation Projic cis as Qualified to the 1007 Programmatic Agreement
NCDOT Archaeology & Historic Architecture Groups

"N I } te
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Project Tracking No (Internal Use)
(HA)11 -11 -0062
NO PREHISTORIC OR HISTORIC PROPERTIES
PRESS UAFFECTED FORM
PROJECT INFORMATION
Project No
WBS No 17BP 2 R.12
FA No
Federal (JSACE) Permit Required?
County Beaufort
Document
Funding X State Federal
X Yes No Permit Type RGP 31 and CAMA
Project Description Replace Bridge No. 35 on SR 1002 (Bay City Road) over unnamed
tributary of South Creek (no off -site detour planned)
SUMMARY OF FINDINGS
The North Carolina Department of Transportation (NCDOT) reviewed the subject project and determined
Historic Arch itecture/Landscapes
There are no National Register- listed or Study Listed properties within the project's area of potential
effects
There are no properties less than fifty years old which are considered to meet Criteria Consideration G
within the project's area of potential effects
❑ There are no properties within the project's area of potential effects
❑ There are properties over fifty years old within the area of potential effects, but they do not meet the
criteria for listing on the National Register
❑ All properties greater than 50 years of age located in the APE have been considered and all compliance
for historic architecture with Section 106 of the National Historic Preservation Act and GS 121 -12(a) has
been completed for this project
X There are no historic properties present or affected by this project (Attach any notes or documents as
needed)
Archaeology
❑ There are no National Register - listed or Study Listed properties within the project's area of potential
effects
❑ No subsurface archaeological investigations are required for this project
❑ Subsurface investigations did not reveal the presence of any archaeological resources
❑ Subsurface investigations did not reveal the presence of any archaeological resources considered eligible
for the National Register
❑ All identified Archaeological sites located within the APE have been considered and all compliance for
archaeological resources with Section 106 of the National Historic Preservation Act and GS 121 -12(a)
has been completed for this project
There are no historic properties present or affected by this project (Attach any notes or documents as
needed)
No Historic Properties Present fat in for Minor Ti ansporrauon Projects as Qualified in the 2007 Programmatic Agreement
NCD07 Archaeology & Historic Architecture Groups

SUMMARY OF CULTURAL RESOURCES REVIEW
Brief description of review activities, results of review, and conclusions HPOWeb reviewed on 5
December 2011 and yielded no NR, SS, SL, DE, or LD properties in the project area Beaufort County
current GIS mapping, aerial photography, and tax information (viewed 5 December 2011) suggested the
presence of properties containing pre -1962 resources in the Area of Potential Effects (APE), and a field
survey accordingly was conducted on 15 December 2011 (see attached map and photographs) The APE
extends 600 feet from either end of the existing bridge (N -S) and 100 feet to either side of the existing
SR 1002 (Bay City Road) centerline (E -W) to encompass all proposed construction activities as currently
defined Constructed in 1968, Bridge No 35 is not eligible for the National Register of Historic Places
according to the NCDOT Historic Bridge Survey as it is not historically, architecturally, or technologically
significant Until late November 2011 the Dublin Grove Free Will Baptist Church, built around 1878, stood
approximately 400 feet north of the existing bridge (Beaufort County PIN 14030493, 1875 on attached
survey map) (see https //sites google com /site /dublmgrove /historybooks) The church membership
reluctantly demolished the building, severely damaged by Hurricane Irene in August 2011 (The Pamlico
News, 7 December 2011, page 5A) The circa 1980 fellowship hall remains, as does the surrounding
cemetery located on both sides of SR 1002 (Bay City Road) While the cemetery is not National Register -
eligible, it should be noted that the southern boundary of its western side is about 250 feet north of the
bridge and of the eastern side about 110 feet and many graves are situated very close to the edge of
pavement (Beaufort County PINs 14030493, 15007322, and 15026671, 1875, 5792, and 3655 on attached
survey map) The APE, including the permit area, does not contain properties listed in the National
Register of Historic Places A finding of "no historic properties affected" will satisfy both GS 121 -12(a)
and Section 106 compliance requirements for historic architecture
Should any aspect, including an off -site detour and related improvements, of the project
change, please notify NCDOT Historic Architecture as additional review may be necessary.
SUPPORT DOCUMENTATION
See attached Location map; survey map; photographs (additional images on file NCDOT —
Historic Architecture)
Signed
Cultural Resources Specialist, NCDOT
aoi,
Date
No Historic Properties Present fonn jot Minor Transportation Projects as Qualified to the 7007 Programmatic Agreement
NCDO7 AtchaeoioV& Historic Architecture Gtoups

: BEAUFORT 35 BRIDGE TO PIPE REPLACEMENT
SR 1002 BAYCITYROAD OVER U/T SOUTH CREEK
REPLAZY EXISTING 36'LONG BY28.8' (OUT TO OUT) TIMBER BRIDGE
WITHA PIPE/BOX CULVERT
AURORA VSGS QUAD MAPAND PAMLICO 03020104
SHEET NUMBER 18 OF THE SOIL FIRM PANEL 6566 J
SURVEY OFBEAUFORT COUNTY MAP NUMBER 3720656600 J
SOUTH CREEK C;Sw;NSW NOVEMBER 4, 2011
WBS ELEMENT NUMBER 17BP.2.R.12 TAR- PAMLICO BASIN
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Historic Architectural Resources Bridge No. 35 Beaufort County
WBS No. 17BP.2.R.12 Base map: Beaufort County GIS (2011)
Tracking No. 11 -11 -0062
NCDOT — Historic Architecture
January 2012
(2.16A)
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Historic Architectural Resources Bridge No. 35 Beaufort County
WBS No. 17BP.2.R.12 Base map: Beaufort County GIS (2011)
Tracking No. 11 -11 -0062
NCDOT — Historic Architecture
January 2012

Dublin Grove Free Will Baptist Church (ruins) and
cemetery, looking north (above) and looking south
towards Bridge 35 along SR 1002 (Bay City Road)
Tracking No. 11 -11 -0062
NCDOT — Historic Architecture
January 2012

BEA UFORT 35 BRIDGE TO PIPE REPLACEMENT
q ' SR 1002, BAYCITYROAD OVER U/T SOUTH CREEK
REPLACE EXISTING 36' LONG BY28.8'(0 UT TO OUT) TIMBER BRIDGE
WITHA PIPEIBOX CULVERT
AURORA VSGS QUAD MAPAND PAMLICO 03020104
s. SHEET NUMBER 18 OF THE SOIL FIRM PANEL 6566 J
SURVEY OFBEAUFORT COUNTY MAP NUMBER 3720656600 J
SOUTH CREEK C;Sw;NSW NOVEMBER 4, 2011
WBS ELEMENT NUMBER 17BP.2.R.12 TAR— PAMLICO BASIN
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1 inch = 2,000 feet
1_0Q21 0 800 1,600 3,200 4,800 6,400
Feet

BEAUFORT 35 BRIDGE TO PIPE REPLACEMENT
SR 1002, BAY CITYROAD OVER U/T SOUTH CREEK
REPLACE EXISTING 36' LONG BY28.8' (OUT TO OUT) TIMBER BRIDGE
WITHA PIPEIBOX CULVERT
AURORA USGS QUAD MAPAND PAMLICO 03020104
SHEET NUMBER 18 OF THE SOIL FIRM PANEL 6566 J
SURVEY OFBEAUFORT COUNTY MAP NUMBER 3720656600 J
SOUTH CREEK C; Sw; NSW NOVEMBER 4, 2011
WBS ELEMENT NUMBER 17BP.2.R.12 TAR- PAMLICO BASIN
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