20130752 Ver 1_Application_20130722

d =_
Dya $V17PP d
ILE
JUL 2 2 2013
``4 0 : ✓' ENR - WATER GUALi )
WETLAND Y
AND STORMWATER BRk -NCH
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
Patrick Lloyd McCrory Anthony J. Tata
GOVERNOR SECRETARY
July 17, 2013
U.S. Army Corps of Engineers
Regulatory Field Office
Post Office Box 1000
Washington, N.C. 27889 -1000
Attention: Tom Steffins
a 0 1 3 0 7 5 2
Subject: Request for a NW 3 Permit and DWQ 401 for the replacement of Bridge #081 over Jacob Branch
on SR 1200 (Stantonsburg Road) in Pitt County. WBS # 17BP.2.R.47
The North Carolina Department of Transportation is requesting the issuance of a NW 3 permit
and corresponding DWQ certification for the replacement of Low Impact Bridge #081 in Pitt County. The
bridge is located on SR 1200 approximately 0.50 miles East of the intersection of US 258 and spans Jacob
Branch. The stream is in the Neuse River basin and is classified by DWQ as class C; Sw, NSW waters.
Bridge #081 is currently a reinforced concrete floor on timber joists, 51.9' long. This structure will be
removed using NCDOT's guidelines for bridge removal. The proposed bridge will be placed on its existing
alignment. The new bridge structure will be a 24" cored slab single span bridge, 70' long by 30' wide.
Jurisdictional wetland impacts have been minimized, resulting in 0.10 acres of permanent wetland impact.
Bank stabilization results in 43 linear feet of permanent stream impacts. An off -site detour will be utilized
during construction. This bridge is following the Low Impact Bridge Process established by FHWA,
NCDOT, and Regulatory Agencies.
Included with this letter are the location map, permit drawings, and Low Impact Data Sheet. If you
have questions please call me at (252) 439 -2800
Sincerely,
Jay B. Johnson
Division Two Environmental Officer
Cc: Garcy Ward, DWQ
Sonia Carrillo, DWQ

Attachment G: Low /Minimal Impact
Bridge Project Data Sheet
Completed by:
TIP NO
SF- 730081
WBS
178P.2.R.47
County
PITT
Bridge Number
081
Description
ON SR 1200 OVER JACOB'S BRANCH; BRIDGE IS 52
LONG, 28 FT WIDE AND HAS REINFORCED CONCRETE
FLOOR ON TIMBER JOISTS AND PILES.
Stream
Basin
NEUSE BASIN - 8 -DIGIT HUC 03020203
Classification
C,SW,NSW
SIN
DWQ INDEX# 27- 86- 26 -2 -2; JACOB BRANCH
Type
WARMIINLAND
Size
VARIES IN WIDTH FROM 15-25 FEET AND DEPTH 4.5
FEET
Existing Structure
Type
REINFORCED CONCRETE FLOOR ON TIMBER JOISTS
Size
52 FEET X 28.0 FEET IN WIDTH
Suff. Rating
BRIDGE HAS A SUFFICIENCY RATING OF 31.2
Proposed Structure
Type
24° CORED SLAB
Size
70' LONG x 30'
Stream
USACE Impacts (LF)
50'
Non 404 Impacts (LF)
NIA
Wetlands
USACE Impacts (AC)
0.02
Non 404 Impacts (AC)
N/A
CAMA Impacts (AC)
N/A
NC DWQ Buffers
Impacts (SF)
2445
Buffer Application Required (>40 ft) (YIN)
NIA
NC DWQ StormWater Permit Required (Y /N)
Permit Required (YIN)
NO
T&E
Habitat (yin)
NO
Species Present
NO HABITAT PRESENT
Bio Conclusion
NO EFFECT
Moratorium
Type
N/A
Dates
N/A
Trout Waters
Native/Hatch"
N/A
Trout Species Present
WA
Trout Conditions (YIN)
NIA
WRC Reviewer
N/A
CAMA
AECs
NO CAMA PERMIT REQUIRED
Essential Fish
Habitat (y/n)
NO
Nay.
Opening
17 FEET WIDE X 4 FEET HIGH
USCG
Permit
NONE
Historic
Properties
NO FURTHER SURVEY REQUIRED
Archaeological
Resources
NO FURTHER SURVEY REQUIRED
Tribal
Lands
NONE
4(f)
Resources
NONE
6(f) [LWCF]
Resources
NONE
Wild and
Scenic River
NONE
Forest Service
Lands
NONE
TVA
Area
NONE
FEMA
Buyout
NIA
FEMA
Flood Study
LIMITED
USTs
Haz Mats
NONE
Relocatees
NONE
Location
LAT
35.6269
LONG
77.6048
Project Comments
Completed by:

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Patrick Lloyd McCrory Chuck Wakild John E. Skvarla, III
Governor Director Secretary
Attachment L: Low Impact Bridge Replacement Process
Low Impact Bridge Project No.: SF- 730081County PITT
Bridge No. 081 over JACOB BRANCH WBS Element Number 17BP.2.R.47
This project is subject to the Low Impact Bridge Process as agreed to on October 6,
2009. This project meets the documentation requirements and approval procedures
under NEPA, as defined by FHWA, for Low Impact Bridge Replacements. This project
meets the standards of NCDOT's Minimum Criteria Rules.
Date: 7/17/13
Applicant Name: DEPARTMENT OF TRANSPORTATION
Applicant Address: 105 PACTOLUS HWY (NC 33
PO BOX 1587
GREENVILLE, NC 27835
Primary Contact for Project: JAY B. JOHNSON
Phone No.: (252) 439 -2800
Is this an after - the -fact application: Yes x No
River Basin: NEUSE RIVER
Stream Classification: C. SW, NSW
Regulatory Authorization Options for this Activity
Federal: USACE Nationwide General Permit 3 — Maintenance
State: General Water Quality Certification #3687 and /or Buffer Authorization
Local: None
Project Description — This section shall include a description of the existing and proposed bridges,
any stormwater management BMPs utilized to meet diffuse flow or treatment prior to discharge, existing
and proposed stream /wetland /open water impacts, buffer impacts by impact type (road fill, bridging, etc.),
drawings of the proposed project and impacts. Additional pages may be attached.
Signature:
Print Name:
Title: DIVSION 2 ENVIRONMENTAL OFFICER
Transportation Permitting Unit
1650 Mail Service Center, Raleigh, North Carolina 27699 -1650
Location: 2321 Crabtree Blvd, Raleigh, North Carolina 27604
Phone: 919 - 733 -17861 FAX: 919 - 733 -6893
Internet http:/ /h2o.enr.state.nc.us /ncweUands/
An Equal Opportunity \ Affirmative Action Employer
One
NorthCarohna
Xawrall#

PROPERTY OWNERS
NAIS AND ADDRESSES
PARCEL NO. NAMES
12
ADDRESSES
NANNIE MAY BYNUM HEIRS 18349 GROVER COCKEY RD..MONTPEUER,VA 231921
13 AILEEN KILPATRICK BYNUM 4,346 WEST CHURCH ST,FARMVILLE,NC 27828
14
15
ERNEST GLENN SMITH 95% ACRE VIEW RD.. FOUNTAIN, NC 27829
WILUAM WEAVER JEFFERSON PA. BOX 146, FOUNTAIN, NC 27829

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PROPERTY OWNERS
NAMES AND ADDRESSES
PARCEL NO. NAMES
I NANNIE MAY BYNUM HEIRS
2 AILEEN KILPATRICK BYNUM
ADDRESSES
18349 GROVER COCKEY RD.,MONTPELIER,VA 23192
4346 WEST CHURCH ST., FARMVILLE, NC 27828
3 ERNEST
GLENN
SMITH
9506 ACRE VIEW RD., FOUNTAIN, NC 27829
4 WILLIAM
WEAVER
JEFFERSON
P.O. BOX 146, FOUNTAIN, NC 27829

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1/23/2013
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