20221612 Ver 1_ePCN Application_20221115

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Pre -Construction Notification (PCN) Form
For Nationwide Permits and Regional General Permits
(along with corresponding Water Quality Certifications)
April 13, 2022 Ver 4.3
Initial Review
Has this project met the requirements for acceptance in to the review process?*
Yes
No
Is this project a public transportation project?"
Yes No
Change only if needed.
Pre -Filing Meeting Date Request was submitted on:
7/12/2021
BIMS # Assigned"
20221612
Is a payment required for this project?
No payment required
Fee received
Fee needed - send electronic notification
Select Project Reviewer"
Garcy Ward:eads\gpward
Information for Initial Review
1a. Name of project:
Bridge 14 Replacement
1a. Who is the Primary Contact?"
Michael Amen
1b. Primary Contact Email:"
[e-mail]
Date Submitted
11/15/2022
Nearest Body of Water
Beard Creek
Basin
Neuse
Water Classification
SC;Sw,NSW
Site Coordinates
Latitude:
35.038
A. Processing Information
County (or Counties) where the project is located:
Pamlico
Is this a NCDMS Project
Yes No
Is this project a public transportation project?*
Yes No
Longitude:
-76.868
Version#"
1
Reviewing Office"
Washington Regional Office - [phone]
1c. Primary Contact Phone:*
[phone]
Is this a NCDOT Project?"
Yes No

(NCDOT only) T.I.P. or state project number:
17BP.2.PE.94
WBS # (1)
17BP.2.PE.94
1a. Type(s) of approval sought from the Corps:
Section 404 Permit (wetlands, streams and waters, Clean Water Act)
Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)
Has this PCN previously been submitted?"
Yes
No
1 b. What type(s) of permit(s) do you wish to seek authorization?
Nationwide Permit (N W P)
Regional General Permit (RGP)
Standard (IP)
1c. Has the NWP or GP number been verified by the Corps?
Yes No
Regional General Permit (RGP) Number:
RGP Numbers (for multiple RGPS):
1d. Type(s) of approval sought from the DWR:
401 Water Quality Certification - Regular
Non-404 Jurisdictional General Permit
Individual 401 Water Quality Certification
198200031 - NCDOT Bridges, Widening Projects 2015
le. Is this notification solely for the record because written approval is not required?
For the record only for DWR 401 Certification:
For the record only for Corps Permit:
401 Water Quality Certification - Express
Riparian Buffer Authorization
1f. Is this an after -the -fact permit application?*
Yes No
1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
Yes No
1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
Yes No
1 h. Is the project located in any of NC's twenty coastal counties?
Yes No
1 i. Is the project located within a NC DCM Area of Environmental Concern (AEC)?
Yes No Unknown
1j. Is the project located in a designated trout watershed?
Yes No
B. Applicant Information
1d. Who is applying for the permit?
Owner Applicant (other than owner)
le. Is there an Agent/Consultant for this project?
Yes No
2. Owner Information
2a. Name(s) on recorded deed:
North Carolina Department of Transportation
2b. Deed book and page no.:
2c. Contact Person:
Michael Aman, NCDOT
r
Yes No
Yes No

2d.Address
Street Address
1037 W.H. SMITH BLVD
Address Line 2
City
Greenville
Postal / Zip Code
27835
2e. Telephone Number:
[phone]
2g. Email Address:*
mcaman@ncdotgov
3. Applicant Information (if different from owner)
3a. Name:
Michael Aman
3b. Business Name:
NCDOT
3c.Address
Street Address
PO Box 1587
Address Line 2
City
Greenville
Postal / Zip Code
27835-1587
3d. Telephone Number:
[phone]
3f. Email Address:*
[e-mail]
4. Agent/Consultant (if applicable)
4a. Name:
Anna Reusche
4b. Business Name:
Sepi, Inc.
4c.Address
Street Address
One Glenwood, Suite 600
Address Line 2
City
Raleigh
Postal / Zip Code
27603'
4d. Telephone Number:
[phone]
411'. Email Address:
[e-mail]
C. Project Information and Prior Project History
1. Proiect Information
1 b. Subdivision name:
(if appropriate)
1c. Nearest municipality / town:
Arapahoe
2. Project Identification
State / Province / Region
NC
Country
USA
2f. Fax Number:
State / Province / Region
NC
Country
USA
3e. Fax Number:
State / Province / Region
North Carolina
Country
United States
4e. Fax Number:
U

2a. Property Identification Number:
2b. Property size:
2c. Project Address
Street Address
Neuse Road (SR 1005) over Beard Creek
Address Line 2
City
Grantsbom
Postal / Zip Code
28529
3. Surface Waters
3a. Name of the nearest body of water to proposed project:
Beard Creek
3b. Water Resources Classification of nearest receiving water:"
SC;Sw,NSW
3c. What river basin(s) is your project located in?*
Neuse
3d. Please provide the 12-digit HUC in which the project is located.
030202040503
4. Project Description and History
State / Province / Region
NC
Country
USA
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 North Carolina Department of Transportation (NCDOT) proposes the replacement of the
existing bridge over Beard Creek. The proposed project is located at Neuse Road (SR 1005).
The project area is predominantly rural and includes large, wooded areas interspersed with
agricultural fields and the wetlands associated with Beards' Creek and Cedar Gut.
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?"
Yes No Unknown
4f. List the total estimated acreage of all existing wetlands on the property:
1.00
4g. List the total estimated linear feet of all existing streams on the property:
208
4h. Explain the purpose of the proposed project: *
The existing bridge has been determined to be functionally deficient. The proposed project includes the replacement of the existing bridge. The existing structure is three spans, 90-feet in
length. It has concrete deck girders. The bridge deck is 26-feet wide and is currently posted at 26 tons for single axle and 29 tons for semi -trailers.
41. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:"
Removal and replacement of bridge over Beard Creek. Equipment typical for road construction and grading will be used to construct the proposed project such as track hoes, bulldozers,
dump trucks, etc.
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
Yes No Unknown
Comments:
See below
5b. If the Corps made a jurisdictional determination, what type of determination was made?
Preliminary Approved Not Verified Unknown N/A
Corps AID Number:
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known): Chris Sheats
Agency/Consultant Company: Sepi Inc
Other:
5d. List the dates of the Corp jurisdiction determination or State determination if a determination was made by the Corps or DWR
The wetland condition and boundaries were assessed on June 3, 2021. No changes to the previous delineation were identified. An updated Preliminary Jurisdictional Determination
Package was sent to USACE on February 28, 2022.
6. Future Project Plans

6a. Is this a phased project?*
Yes 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?
D. Proposed Impacts Inventory
1. Impacts Summary
1a. Where are the impacts associated with your project? (check all that apply):
Wetlands Streams -tributaries Buffers
Open Waters Pond Construction
2. Wetland Impacts
2a1 Reason (?)
2b. Impact type*(?)
2c. Type of W.
2d. W. name
2e. Forested*
2f. Type of Jurisdicition*
2g. Impact
area"
Roadway Fill/Rock
P
SalttBrackish Marsh
WA
Yes
Both
0.020
Plating
(acres)
Bridge Construction
P
Salt/Brackish Marsh
WA
Yes
Both
0.010
Roadway Fill
P
Salt/Brackish Marsh
WA
Yes
Both
(acres)
0.020
(acres)
Bridge Construction
P
SalttBrackish Marsh it
—
Yes
Both
0.010
(acres)
2g. Total Temporary Wetland Impact
0.000
2g. Total Wetland Impact
0.060
21. Comments:
3. Stream Impacts
2g. Total Permanent Wetland Impact
0.060
3a. Reason for impact (?)
3b.lmpact type'
3c. Type of impact*
3d. S. name*
Stream Type*
3f. Type of
39. S. width
3h. Impact
��3e.
(?)
Jurisdiction*
length"
S1
Rip rap bank stabilization
Permanent
Rip Rap Fill
Beard Creek
Perennial
Both
55
71
(Site 3)
Average (feet)
(linear feet)
S2
Stream Access/Turbidity
Temporary
Other
Beard Creek
Perennial
Both
55
11
Curtain
Average (feet)
pinear feet)
S3
Stream Access/Turbidity
Temporary
Other
Beard Creek
Perennial
Both
55
21
Curtain
Average (feet)
Qinear feet)
S4
Removal of ExistingBent
Tem ora
P rY
Other
Beard Creek
Perennial
Both
55
33
Average (feet)
Qinear feet)
S5
Removla of Existing Bent
Temporary
Other
Beard Creek
Perennial
Both
55
Average (feet)
Qinear feet)
S6
Stream Access for
Temporary
Stabilization
Beard Creek
Perennial
Both
55
13
Stabilization
Average (feet)
Qinear feet)
S7
Stream Access for
Temporary
Stabilization
Beard Creek
Perennial
Both
55
Stabilization
Average (feet)
(linear feet)
31. Total jurisdictional ditch impact in square feet:
0
31. Total permanent stream impacts:
71
31. Total stream and ditch impacts:
159
3j. Comments:
3i. Total temporary stream impacts:
88
6. Buffer Impacts (for DWR)

6a. Project is in which protect basin(s)?
Check all that apply.
Nauss
Catawba
Goose Creek
Other
Tar -Pamlico
Randleman
Jordan Lake
6b. Impact Type
6c. Per or Temp
6d. Stream name
6e. Buffer mitigation required?
6f. Zone 1 impact
6g. Zone 2 impact
Roadway Fill/Rock Plating
P
Beard Creek
No
0
598
Bridge Construction
P 11
Beard Creek
No
809
0
Roadway Fill/Rock Plating
P
Beard Creek
No
0
463
Bridge Construction
P
Beard Creek
No
651
0
Bridge Construction/Roadside Ditch
P
Beard Creek
No
903
0
Roadside Ditch
P
Beard Creek
No
0
607
Bridge Construction/Roadside Ditch
P
Beard Creek
No
787
0
Roadside Ditch
P
Beard Creek
No
0
553
6h. Total buffer impacts:
Zone 1
Zone 2
Total Temporary impacts: 0.00
0.00
Zone 1
Zone 2
Total Permanent impacts: 3,150.00
2,221.00
Zone 1 Zone 2
Total combined buffer impacts: 3,150.00 2,221.00
61. Comments:
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:
The old bridge will be removed and the new bridge will be installed in the same location. Bank stabilization will be implemented in areas where needed.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Silt fences will be installed and wetland mats used in crossing or working in 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 this project DOES NOT require Compensatory Mitigation, explain why:
Wetland stream impacts are minor and are related to the existing bridge removal. All buffer impacts are allowable.
F. Stormwater Management and Diffuse Flow Plan (required by DWR)
1. Diffuse Flow Plan
la. Does the project include or is it adjacent to protected riparian buffers identified within one of the NC Riparian Buffer Protection Rules?
Yes No
What type of SCM are you providing?
Level Spreader
Vegetated Conveyance (lower SHWT)
Wetland Swale (higher SHWT)
Other SCM that removes minimum 30 % nitrogen
Proposed project will not create concentrated stormwater flow through the buffer

2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?"
Yes No
Comments:
G. Supplementary Information
1. Environmental Documentation
1a. Does the project involve an expenditure of public (federallstate/local) funds or the use of public (federal/state) land?*
Yes No
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 (North Carolina)
Environmental Policy Act (NEPA/SEPA)?*
Yes No
Comments: *
A Type 1 Categorical Exclusion has been completed for the project. The CE was signed 12/10/2021. A copy of the CE is attached.
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)?"
Yes No
3. Cumulative Impacts (DWR Requirement)
3a. Will this project result in additional development, which could impact nearby downstream water quality?"
Yes No
3b. If you answered "no," provide a short narrative description.
This project will be replacing the existing bridge.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?"
Yes No 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?*
Yes No
5b. Have you checked with the USFWS concerning Endangered Species Act impacts?*
Yes No
5d. Is another Federal agency involved?*
Yes No Unknown
What Federal Agency is involved?
US Coast Guard
5e. Is this a DOT project located within Division's 1-8?
Yes No
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
IPac, NHP
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as an Essential Fish Habitat?*
Yes No
Are there submerged aquatic vegetation (SAV) around the project vicinity?*
Yes No Unknown
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat?"
NOAA
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?*
Yes No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?*
An archaeological review was completed for the project in 2021. No archaeological features were identified and the project was determined to be in
compliance with Section 106. A Historic Architectural Review Form was completed by NCDOT Documentation is included in the attachments.
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:
This project was approved as an SFC, State Floodplain Compliance (formerly known as MOA), Type 1 through NCDOT and NCEM. The SFC was
approved on 7/7/22.
8c. What source(s) did you use to make the floodplain determination?`
Panel 3720642600K, effective on 06/19/2020
Miscellaneous
Please use the space below to attach all required documentation or any additional information you feel is helpful for application review. Documents should be combined into one file when
possible, with a Cover Letter, Table of Contents, and a Cover Sheet for each Section preferred.
Click the upload button or drag and drop files here to attach document
DOT Cover Letter B14_USACE_Support Doc Executed 11-15-2022.pdf 23.22MB
File must be PDF or KMZ
Comments
Signature
By checking the box and signing below, I certify that:
The project proponent hereby certifies that all information contained herein is true, accurate, and complete to the best of my knowledge and belief'; and
• The project proponent hereby requests that the certifying authority review and take action on this CWA 401 certification request within the applicable reasonable period of time.
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:
Anna Reusche
Signature
01-140--t1f6
Date
11/15/2022