20071825 Ver 1_Application_20071030

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STATE OF NORTH CAROLINA rr'-~Nr,;; .
DEPARTMENT OF TRANSPORTATION -
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MICHAEL F. EASLEY LYNDO TIPPETT
GOVERNOR SECRETARY
October 16, 2007
US Army Corps of Engineers
Raleigh Regulatory Field Office ---
6508 Falls of the Neuse Road, Suite 120 ' 1~ ~l -~
Raleigh, North Carolina 27615 ~J ~.
ATTENTION: Mr. Eric Alsmeyer
NCDOT Regulatory Project Manager
Dear Sir:
Subject: Application for NWPs 13,14, and 33, and Section 401 Water Quality
Certificate 3495, 3404, and 3366 for the replacement of Bridge No. 86 on SR
1322 over Ghent Creek, Person County. WBS Element No: 40547.1.1, T.I.P.
No. R-4906
Please find attached the Pre-Construction Notification (PCN) Application Form for the
referenced project. The North Carolina Department of Transportation (NCDOT) proposes to
replace Bridge No. 86 over Ghent Creek in Person County. A formal Notification of
Jurisdictional Determination (Action ID: SAW-2006-32463-273) dated June 15, 2006 is
attached. During construction, traffic will be detoured off-site using existing secondary roads.
The existing structure is a three span bridge built in 1971. The bridge has a sufficiency rating of
93; however, it can not currently handle the load carrying capacity for heavy truck traffic and
needs to be upgraded. The existing structure is 75 feet long and has a clear roadway width of 24
feet. The superstructure is a plank floor on steel beams. End bents and interior bents are steel
caps on steel piles.
The recommended replacement structure is a two span bridge approximately 125 feet long and 38
feet wide. The approach roadway will hold the existing horizontal alignment and will be at
approximately the same elevation as the existing roadway. Deck and roadway drainage will be
maintained by utilizing a minimum grade of 0.3 percent and a minimum cross-slope of 2.0
percent for the proposed structure and roadway approaches. Drainage from the bridge will flow
to a preformed scour hole near one of the bridge abutments.
MAILING ADDRESS: TELEPHONE: [phone] LOCATION:
2612 NORTH DUKE STREET FAX: [phone] NORTH DUKE STREET
DURHAM, NC 27704 DURHAM, NC 27704
WEBSITE: WWW.DOH.DOT.STATE.NC.US

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IMPACTS TO WATERS OF THE UNITED STATES
Ghent Creek is located within the Roanoke River drainage, subbasin 03-02-05, and hydrologic
unit 03010104062. The North Carolina Division of Water Quality (NCDWQ) has designated a
best usage classification for Ghent Creek of "C" from its source to the Roanoke River. The
unnamed tributary (UT) to Ghent Creek, located at Sta. No. 15+00 through 15+70, has no
separate best usage classification and, therefore, shares the "C" classification of its receiving
water. There are currently no 303(d) listed streams, high quality waters (HQW),
outstanding resource waters (ORW), or drinking water supply waters (WS-I and WS-II)
within a one mile radius of the project study area. There are no NCWRC moratoria for in-
stream work in the study area. There are currently no state or local buffer rules or ordinances on
waters within the project study area.
Temporary Impacts
Temporary impacts are anticipated from construction of a temporary causeway within the Ghent
Creek channel (NWP 33). The temporary causeway will be required to support a crane and other
construction equipment necessary to construct the drilled shafts which will support the bridge
superstructure. The estimated temporary impacts anticipated from construction of the temporary
causeway are 60 linear feet (0.03 acre). It should be noted that during construction attempts will
be made to perform the construction from the existing bridge once middle sections are removed;
however, this is expected to be impossible due to the reach of the equipment to where the drilled
shafts must be located. The temporary causeway will be constructed of Class II rip-rap underlain
with geotextile fabric. All fill material and geofabric will be removed and the pre-existing
stream contours and bed and bank elevations will be restored.
Permanent Impacts
Due to the necessary roadway widening to accompany the wider bridge required to meet modern
standards, the fill slope will need to be widened accordingly and thereby impacting jurisdictional
wetlands. This activity will result in 0.01 acre of permanent fill in jurisdictional wetlands.
Wetland impacts associated with mechanized clearing 10 feet beyond the proposed toe of slope
or to the proposed right-of--way will result in 0.04 acre of permanent wetland impacts (NWP 14).
Additionally, 20 linear feet (0.01 acre) of permanent stream impacts are anticipated to Ghent
Creek from the placement of rip-rap along the confluence of the UT to Ghent Creek and Ghent
Creek to ensure bank stabilization (NWP 13). This will need to be performed due to the exposed
banks that will be left after removal of the existing bridge and its substructure. There will also be
0.01 acre of permanent stream impacts to Ghent Creek from the construction of pilings
associated with the in-stream bent.
Utility Impacts
No impacts to utilities are anticipated from this proposed project.
Bridge Demolition
The existing three span bridge built in 1971 is 75 feet Long and has a clear roadway width of 24
feet. The superstructure is a plank floor on steel beams. End bents and interior bents are steel
caps on steel piles. The existing bridge will be removed in accordance with the NCDOT Best

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Management Practices for Bridge Demolition and Removal (BMP-BDR). There is the potential
for 10 cubic yards (0.01 acre) to be temporarily placed into Waters of the United States.
Restoration Plan
Removal and Disposal Plan: The contractor will be required to submit a reclamation plan for the
removal and disposal of all material off-site at an upland location. The contractor will use
excavation equipment for removal of any earthen material. Heavy-duty trucks, dozers, cranes,
and various other pieces of mechanical equipment necessary for construction roadways and
bridges will be used on site. The contractor will have the option of reusing any of the materials
that the engineer deems suitable in the construction of the project. After the erosion control
devices are no longer needed, all temporary materials will become property of the contractor.
Following construction of the bridge, all temporary fills will be completely removed from
wetlands and streams. Restoring natural hydrology and native vegetation will restore wetlands.
Stream contours and vegetation will be reestablished upon the removal of the temporary
workpads.
Schedule: At this time the project is scheduled to let December 2007. It is expected that the
contractor will choose to start construction in January 2008.
MITIGATION OPTIONS
Avoidance, Minimization and Compensatory Miti ation• The NCDOT is committed to
incorporating all reasonable and practicable design features to avoid and minimize jurisdictional
impacts, and to provide full compensatory mitigation of all remaining, unavoidable jurisdictional
impacts. Avoidance measures were taken during the planning and NEPA compliance stages;
minimization measures were incorporated as part of the project design.
According to the Clean Water Act (CWA) §404(b)(1) guidelines, NCDOT must avoid, minimize,
and mitigate, in sequential order, impacts to waters of the U.S. The following is a list of the
project's jurisdictional stream avoidance/minimization activities proposed or completed by
NCDOT:
• Bridge No. 86 will be replaced in place, providing for the least amount of impacts of
other bridge replacement designs.
• Traffic will be maintained off-site.
• Where possible, steeper fill slopes were used to reduce the footprint of the project
reducing impacts to wetlands.
• The roadway grade was maintained close to the existing, minimizing the placement of
roadway fill into wetlands and riparian buffers.
• A preformed scour hole will be installed to reduce sedimentation and scouring impacts
from stormwater on Ghent Creek.
• Temporary construction impacts due to erosior. and sedimentation will be minimized
through implementation. of a stringent erosion control schedule and use of Best
Management practices (BMPs).

.j
Compensatory Miti atg_ion: NCDOT has avoided and minimized impacts to jurisdictional
resources to the greatest extent possible as described in the previous section. Due to the minimal
permanent impacts to Waters of the U.S. associated with the construction of this project,
compensatory mitigation is not proposed for this project.
FEDERALLY-PROTECTED SPECIES
Plants and animals with federal classifications of Endangered, Threatened, Proposed Endangered,
and Proposed Threatened are protected under provisions of Section 7 and Section 9 of the
Endangered Species Act of 1973, as amended. As of May 10, 2007, the United States Fish and
Wildlife Service (USFWS) has identified one endangered (E) species (dwarf-wedge mussel)
known to occur in Person County. Suitable habitat is not available in the study area for this
species; therefore project construction will have No Effect on this species.
SUMMARY
We are requesting the issuance of a Nationwide Permit No. 13, 14, and 33 authorizing
construction activities associated with the replacement of Bridge No. 86. We anticipate that 401
General Water Quality Certification Nos. 3495, 3404, and 3366, respectively, will be authorized
by the NCDWQ. The NCDOT will comply with all conditions of the 401 Water Quality
Certification.
If you have any questions or comments concerning the project, please contact Chris Murray at
[phone]. Thank you for your assistance.
Sincere
~v-r J.W. Bowman, PE
Division Engineer
Attachments
PCN Application Form
Permit Drawings
Figure 1 Project Vicinity
Figure 2 Streams and Wetlands
Figure 3 Person County Soil Survey
USACE Jurisdictional Determination
cc: Mr. Rob Ridings, NC Division of Water Quality
1VIr. Mike Summers, PE, NCDOT -Bridge Maintenance
Mr. Donald Pearson, NCDOT
Nir. Kevin Austin, PE, Mulkey

Office Use Only: Form Version March 2005
USACE Action ID No. DWQ No.
(If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A".)
I. Processing
Check all of the approval(s) requested for this project:
® Section 404 Permit ^ Riparian or Watershed Buffer Rules
^ Section 10 Permit ^ Isolated Wetland Permit from DWQ
® 401 Water Quality Certification
2. Nationwide, Regional or General Permit Number(s) Requested: NWP Nos. 13, 14, and 33
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: ^
4. If payment into the North Carolina Ecosystem Enhancement Program (NCEEP) is proposed
for mitigation of impacts (verify availability with NCEEP prior to submittal of PCN),
complete section VIII and check here: ^
5. If your project is located in any of North Carolina's twenty coastal counties (listed on page
4), and the project is within a North Carolina Division of Coastal Management Area of
Environmental Concern (see the top of page 2 for further details), check here: ^
II. Applicant Information
Owner/Applicant Information
Name: NCDOT - J.W. Bowman, PE, Division Engineer
Mailing Address: 2612 North Duke Street
Durham NC 27704
Telephone Number:_(919? 220-4600 Fax Number:_(9191560-3371
E-mail Address:
2. Agent/Consultant Information (A signed and dated copy of the Agent Authorization letter
must be attached if the Agent has signatory authority for the owner/applicant.)
Name:
Company Affiliation:
Mailing Address:
Telephone Number:
E-mail Address:
Fax Number:
Page 1 of 10

III. Project Information \~
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: Replace Bridge #86 over Ghent Creek
2. T.I.P. Project Number or State Project Number (NCDOT Only): #R-4906
3. Property Identification Number (Tax PIN): Property owner information included in page 3
of permit drawin p~ ackage.
4. Location
County: Person Nearest Town: Woodsdale
Subdivision name (include phase/lot number): n/a
Directions to site (include road numbers, landmarks, etc.): From Raleigh: US 70 west to
US 501 North in Durham. Continue through Roxboro and turn left onto Shiloh Church Road
toward Woodsdale. Continue straight through Woodsdale; note the road name chan eg s in
Woodsdale to Edwin Robertson Road. Bridge site is approximately 4.25 miles west of
Woodsdale along Edwin Robertson Road..
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): +36.503028 °N -79.012422 °W
6. Property size (acres): Study corridor is ap~roximate1~5.3 acres
7. Nearest body of water (stream/river/sound/ocean/lake): Ghent Creek / UT to Ghent Creek
8. River Basin: Roanoke 03-02-OS HUC03010104
(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.nc.us/admin,~maps/.)
Page 2 of 10

•~ 9. Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this application:__ The proiect area consists np 'marily of undeveloped forest
land. The surrounding area consisted of lame areas of forestland and agricultural land with
scattered residences along the maior roads
10. Describe the overall project in detail, including the type of equipment to be used: The
existing structure is a 3-span 75-foot lop brid e composed of a steedlank floor on steel
beams. The substructure consists of steel piles with steel cans Existing bents and piles will
be removed, and new endbents and Hiles will be poured on site The new bride will be a 2
span, 125 feet long and 3 8 feet wide structure composed of reinforced concrete with concrete
end bents and mtenor bents. Standard roadway and bride construction equipment will be
used, mcludmg cranes excavators and dump trucks The new bride will be constructed at
the existmg bridge location
11. Explain the purpose of the proposed work:_ The purpose of this proposed project is to
replace the existing bridge (built in 19711 in place in order to increase the load carrying
capacity for heavy truck traffic Re lacing the bridge with a new structure will result in a
safer structure that conforms to the latest safety standards
IV. 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.
V. 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.
1T/
Page 3 of 10

VI. 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:
Temporary Impacts
Temporary impacts are anticipated from construction of a temporary causeway within the Ghent
Creek channel (NWP 33). The temporary causeway will be required to support a crane and other
construction eauipment necessary to construct the drilled shafts which will support the bridge
superstructure. The estimated temporary. impacts anticipated from construction of the temporary
causeway are 60 linear feet (0.03 acrel. It should be noted that during construction attempts will
be made to perform the construction from the existin bride once middle sections are removed•
however this is expected to be impossible due to the reach of the equipment to where the drilled
shafts must be located The temporary causeway will be constructed of Class II rip rap underlain
with ~eotextile fabric. All fill material and ~eofabric will be removed and the pre-existing
stream contours and bed and bank elevations will be restored Bridge removal may result in 10
cubic yards (0.01 acre) of temporary fill in surface waters
Permanent Impacts
Due to the necessary roadway widening to accompany the wider bridge required to meet modern
standards, the fill slope will need to be widened accordingly and thereby impacting_jurisdictional
wetlands. This activity will result in 0.01 acre of permanent fill in jurisdictional wetlands
Wetland impacts associated with mechanized clearing 10 feet beyond the proposed toe of slope
or to the proposed right-of--way will result in 0.04 acre of permanent wetland impacts (NWP 14)
Additionally, 20 linear feet (0.01 acre permanent stream impacts are anticipated to Ghent
Creek from the placement of rip-rap along the confluence of the UT to Ghent Creek and Ghent
Creek to ensure bank stabilization (NWP 13) This will need to be performed due to the exposed
banks that will be left after removal of the existing bridge and its substructure There will also
be 0.01 acre of permanent stream impacts to Ghent Creek from the construction of pilings
associated with the in-stream bent.
Page 4 of 10

` 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, separately list
impacts due to both structure and flooding.
Wetland Impact
Site Number

(indicate on map)
T e of Im act
yp p Type of Wetland

(e.g., forested, marsh,
herbaceous, bog, etc.) Located within
100-year
Floodplain
es/no Distance to
Nearest
Stream
linear feet Area of
Impact
(acres)
3 Permanent Fill Bottomland Hardwood Yes 0 to 200 0.01
3 Mechanized Clearing Bottomland Hardwood Yes 0 to 200 0.04

Total Wetland Impact (acres) 0.05
3. List the total acreage (estimated) of all existing wetlands on the property: 1.13 acres within
the study corridor
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 Perennial or Average Impact Area of
Number Stream Name Type of Impact Intermittent? Stream Width Length Impact
indicate on ma) Before Im act (linear feet acres

1
Ghent Creek Permanent Fill for
Perennial
30 feet
0
01
pilings .
1 Ghent Creek Temporary Fill
for Causeway perennial 30 feet 60 0.03
2 Ghent Creek Permanent Fill for perennial 30 feet 20 0
01
bank stabilization .
Bridge
Demolition Ghent Creek Temporary Fill Perennial 30 feet - 0.01

20 ft 0.02 acre
Total Stream Impact (by length and acreage) permanent perm.
60 ft 0.04 acre
temporary temp.
Cumulative impacts (linear distance in feet) to all streams on site: 20 ft permanent and 60 ft temporary.
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 Iimited to fill,
excavation, dredging, flooding, drainage, bulkheads, etc.
Page 5 of 10

Open Water Impact
Name of Waterbody Type of Waterbody Area of
Site Number (if applicable) Type of Impact (lake, pond, estuary, sound, bay, Impact
(indicate on ma ocean, etc. acres)

Total Open Water Impact (acres)
6. List the cumulative impact to all Waters of the U.S. resulting from the project:
Stream Im act (acres): 0.06
Wetland Im act (acres): 0.05
Open Water Impact (acres): --
Total Impact to Waters of the U.S. (acres) 0.11
Total Stream Im act (linear feet): 20 ft erm., 60 ft tem .
.~
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.
8. Pond Creation
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:
VII. 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.
Attemnts have been made to avoid impacts in as much as practicable by reblacin~ the bride in
place having an off-site detour, diverting stormwater into funnel drains (no deck drains over
open water, and no equipment will be in wetlands. The new brie will be approxirnatel~23
feet longer than the old bridge, thus end bents will be moved farther away from the waters edge,
increasing the floodplain area under the bridge. Use of NCDOT's Best Management Practices
for Protection of Surface Waters (BMP-PSW~will minimize temporary impacts to water quality.
Page 6 of 10

VIII. Mitigation
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
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 March 9, 2000, 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, available at
http://h2o.enr.state.nc.us/ncwetlands/strmgide html.
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.
Comnensatorv mitigation is not proposed due to minimal construction impacts
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
[phone] 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 http://h2o.enr.state.nc.us/wrp/index.htm. If use of the NCEEP is proposed, please
check the appropriate box on page five and provide the following information:
Page 7 of 10

Amount of stream mitigation requested (linear feet): none `'
Amount of buffer mitigation requested (square feet): none
Amount of Riparian wetland mitigation requested (acres): none
Amount ofNon-riparian wetland mitigation requested (acres): none
Amount of Coastal wetland mitigation requested (acres): none
IX.
Environmental Documentation (required by DWQ)
Does the project involve an expenditure of public (federal/state) funds or the use of
public (federal/state) land?
Yes ® No ^
X.
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 ^
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
A Minimum Criteria Checklist is currentl being produced for this project
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.
Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Meuse), 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 )?
Yes ^ No ® If you answered "yes", provide the following information:
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.
Page 8 of 10

."
Zone* Impact
s ware feet Multiplier Required
Miti ation
1 3 (2 for Catawba)
2 1.5
Total
* Zone 1 extends out 30 feet perpendicular from the top of the near bank of channel; Zone 2 extends an
additiona120 feet from the edge of 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. N/A
XI. 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.
from the widening of the roadwa~(approximately 2 feet on each side of the road for 850 feet as
it approaches the proposed wider bridge Stormwater controls include a preformed scour hole
(Class B rip rap) at the funnel drain outlet pip~no deck drains over open water
XII. 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.
XIII. 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 anafter-the-fact permit application?
Yes ^ No ~
XIV. Cumulative Impacts (required by DWQ)
Will this project (based ors past and reasonably anticipated future impacts) result in additional
development, which could impact nearby downstream water quality? Yes ^ No ~
Page 9 of 10

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.state.nc.us/ncwetlands. If no, please provide a short narrative description:
This proposed bridge replacement project on existing location is not anticipated to s~
significant development throughout this region of the state. This project will not involve the
creation of additional roadway access to undeveloped areas and will not involve the widening of
the roadway to handle a significant traffic increase.
XV. 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
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).
There are no high duality waters (HQW), outstanding resource waters (ORW), or drinking water
supply waters (WS-I and WS-II) within one mile of the project study area. There are currently
no 303(d) listed streams within a one mile radius. A review of map data available for
anadromous fish spawning areas indicates the project site is not located within protected waters
for these species. The USFWS identified dwarf-wedge mussel as the onl~pecies listed as
federally Threatened or Endangered in Person County. No suitable habitat for this species was
observed during field investigations in the study area. There are no moratoria for in-stream work
in the study area.
~° Zc. o~
Applicant/Agent's Signature Date
s signature is valid only if an authorization letter from the applicant is provided.)
Page 10 of 10

,-
f~ORTH CARO f~A
D
d
®~
_~ d
~~
Pro'ect R-4906
d ~ (Bridge-86)
McGehees Mill ,
/ r
i
i
n
> I
S l
1426 c°~'R1336 ~ m `~ , /
~ ~
n
f
1322
(NOT TO SGLEJ ~T
A ~ ~~~~
DIVISION OF HIGHWAYS
~ y ~ ~ ~ ~` ~ ~ ~ ~ PERSON COUNTY
~/ \~ PROJECT: R-•4906 (BRIDGE R86)
BRIDGE N0.86 OVER
}~ /~(~ ~ ~ GHENT CREEK
~~J~ ON SR 1322
(M~GEHEES MILL ROAD>
SHEET ~ OF ~ Z 08 ®02 ®2007

~L g ~q5
3
~P~ \
SR 1322 McGehees M!ll Road
//
/ ~ /
/ ~ /
~~~t /~~ /
~~
~ _ ~
SITE1 ~ _-- __
~ ~ ~/
;' ~- ~~~
-L-
To WOODSDALE
~- To McGEHEES MILL _ _ _ -H,M ~ ~ ~ ~
J ~
-' ~~4 ~ / ~
- ~ ~~~~P SITE ~~ ~ ~,~
i , ~ ~~ ~
/ ~* / ~ ( ~ ~ * SITE 3 ~ \ _
/ / ~ -----------was-~
~ ~ /
~~~~ ~~~

DIVISION OF HIGHWr1YS
PERSON COUNTY
PROJECT: R-Q906 (BRIDGE tt86)
BRIDGE N0.86 OVER
GHENT CREEK
ON SR 1322
(M~GEHEES MILL RO.~D>
SHEET Z OF I L 08 ~ 02,0 2007

A NAMES AND ADDRESSES
NAMES
ADDRESSES
1
2
3
Roy S. Cnrver, dr. ~ Jani C1ayEon
Roy S. Carver, Jr. ~ Jnni C1ayEon
ErnesE A. goury, .l•r
Mldred H. Cnrver
P.O. Box 759 Roxboro, NC 27573
P.O. Box 759 Roxboro, NC 27573
P.O. Box 850 BurlingEon, NC 27216
P.O. Box 759 Roxboro, NC 27573

~~.

.
~ avr. - ~ .~ -_.

.:_. ..._ _ _.. ..-_ 441
>.. ~.
._.
_ ~
_. {
X'
`
1
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~
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J
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~

:~
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.
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1

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r \

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-
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• 1~~~® 1~
I
II
DIVISI®N ®F HIGHWAYS
FERS®N C®UNTY
/~ j~n
`" i
~ ~~~~ ~ ~8~)
~R~3J
R
~
R
~il~f ®V R
N©.B~
g GE
1B
~ GHENT CItEE~
SCALE: 1" : 1b00' ®N S]E~ 1322
(1~I~GEHEES A~IILL R®A,v)
SHEET 1 ®F ~~ 08 ~ 02 /' 2007

a
WETLAND PERMIT IMPACT SUMMARY
WETLAND IMPACTS SURFACE WATER IMPACTS

Site
No.

Station
(From/To)

Structure
Size /Type
Permanent
Fillln
Wetlands
ac
Temp.
Fillln
Wetlands
ac
Excavation
in
Wetlands
ac
Mechanized
Clearing
in Wetlands
ac Hand
Clearing
in
Wetlands
ac
Permanent
SW
impacts
ac
Temp.
SW
impacts
ac Existing
Channel
Impacts
Permanent
ft Existing
Channel
Impacts
Temp.
ft
Natural
Stream
Design
(ft
1 14+91 CL 0.01 0.03 60.00

2 15+15 RT 0.01 20.00

3 15+31 To 18+20 0.01 0.04

Brid e Demolition 0.01

TOTALS: 0.01 0.04 0.02 0.04 20.00 60.00
Revised

a
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finch equals 2,000 feel Figure No.
Prepared For: PROJECT VICINITY
R~906 o t,oog z,aoo a,oog 6,OOD B OFeel
»t. 1
'~ ~ ~ ~ ~~ ~ ~ (• •) Bridge No. 86 over Ghent Creek
a - ` , ~ ~ ,, ,/ Source: MapTech Teuein Navigator Pro
„ , Person County, North Carolina 7.5 Minute Topographic Quadrangles: Alton, Cluster Springs, Olive Nill, S Roxboro

/ %C~ Pa=2 1'!e ~ ~~ ~ l1 E- /1
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//~~N°-Br .\ Wkr. ~~~ _o 1~.:.:.._ ~ _ ....
PERSON COUNTY S09L SU~~'EY -
B-4906 ~py~p~~ ~"®.
Bridge No. 86 over Ghent Creek
c r~ a; ~; ~ t R~ a c~ rv s u ~~-r,a iu ~ s Person County, North Carolina
Prepared For: ~ ,:2a,ooo
;~ ~~ I Feet
=V•y;~ , • ~ 0 750 1,500 3,000 w,500 6,000
s .::yam-" ~ I
-__.__ PERSON COUNTY NRCS SOIL SURVEY, '1995

i
~.~ ~'~yi
U.S. ARMY CORPS OF ENGINEERS
WII,MINGTON DISTRICT
Action ID. SAW-2006-32463-273 County: Person U.S.G.S. Quad: AIton & Otive Hill
NOTIFICATION OF JURISDICTIONAL DETERMINATION
Pr-opety Owner: NCDOT -Division of Highways
-" Attn: Gregory J. Thorpe, Ph.D., Dir., PDEA
Mailing .Address: 1548 Mail-Ser--vise-Center
Raleigh, NC 27699
Telephone No.: [phone], ext. 237 (Bill Goodwin)
Authorized Agent: Mulkey Engineers & Consultants
Attn: Wendee Smith
Mailing Address: PO Box 33127
Raleigh, NC 27636
Telephone No.: [phone]
Property description:
Size (acres) N/A Nearest Town Woodsdale
Nearest Waterway Storvs and Ghent Creeks River Basin Dan
USGS HUC 03010104 Coordinates BR 59: N 36.484° W 79.0017 °
BR 86: N 36.5032° W 79.0123 °
Location description Study areas for the replacement of Bridge Nos. 59 and 86 (TIP R-4906), as shown on the
drawings submitted on 6/8/2006.
Indicate Which of the Follovvin~ Apply:
~.
A. Preliminary Determination
_ Based on preliminary information, there may be waters of the U.S. including wetlands on the above described property.
We strongly suggest you have this property inspected to determine the extent of Department of the Army (DA)
jurisdiction. To be considered final, a jurisdictional determination_must be verified by the Corps. This preliminary
determination is not an appealable action under the Regulatory Program Administrative Appeal Process (Reference 33
CFR Part 331).
B. Approved Determination
_ There are Navigable W aters of the United States within the above described property subject to the permit requirements of
Section 10 of the Rivers and Harbors Act and Section 404 of the Clean Water Act. Unless there is a change in the law or
our published regulations, this determination maybe relied upon for a period not to exceed five years from the date of this .
notification.
X There are waters of the U.S. including wetlands on the above described project area subject to the permit requirements of
Section 404 ofthe Clean Water Act (CWA)(33 USC § 1344). Unless there is a change in the law or our published
regulations, this determination maybe relied upon for a period not to exceed five years from the date of this notification.
_ We strongly suggest you have the waters of the U.S. including wetlands on your property delineated. Due to the size of
your property and/or our present workload, the Corps may not be able to accomplish this wetland delineation in a timely
manner. For a more timely delineation, you may wish to obtain a consultant. To be considered fmal, any delineation must
be verified by the Corps.
X The waters of the U.S. including wetlands on your project area have been`delineated and the delineation has been
verified b the Co ~. We strop 1 sug est ou have this delineation surveyed. U on com lefion this curve should be
Y .. IP" g Y g Y P P ~ Y
reviewed and verified by the Corps. Once verified, this survey-will provide'ari accurate depiction of all areas subject to
CWA jurisdiction on yosr property which, provided there is no change in the law or our published regulations, maybe
relied upon for a period not to exceed five years. ~

NOTIFICATION OF ADMIlINISTRATIVE APPEAL OPTIONS AND PROCESS AND

;. ~ ,.,
i ;: ; RE RSA ~ x -
PPEAL .__..,~, .......:,
_ ,TJE
... _ ... .Q_ S~~FO - - -
~.pplicant: NCDOT -Division of Highways/ File Number: SAW-2006-32463- Date: 6/15/2006
TIP R-4906 273
Attached is: See Section below
INITIAL PROFFERED PERMIT (Standard Pernut or Letter of ermission) A
- PROFFERED PERMIT (Standard Permit or Letter of ennission) B
PERMIT DENIAL C
APPROVED JURISDICTIONAL DETERMINATION D
PRELIMINARY JURISDICTIONAL DETERMINATION E
SECTION I -The following identifies your rights and options regarding an administrative appeal of the: above
decision. Additional information maybe found at http•//www.usace.army.mil%inet/functions/cw/cecwo/reg or
Co s re lations at 33 CFR Part 331.
A: IlVITIAL PROFFERED PERMIT: You may accept or object to the permit.
• ACCEPT: If you received a Standard Permit, you may sign the permit document and return it to the district engineer for final
authorization. If you received a Letter of Permission (LOP), you may accept the LOP and your work is authorized. Your signature
on the Standard Permit or acceptance of the LOP means that you accept the permit in its entirety, and waive all rights to appeal the
permit, including its terms and conditions, and approved jurisdictional determinations associated with the permit.
• OBJECT: If you object to the permit (Standard or LOP) because of certain terms and conditions therein, you
may request that the permit be modified accordingly. You must complete Section II of this form and return
the form to the district engineer. Your objections must be received by the district engineer within 60 days of
the date of this notice, or you will forfeit your right to appeal the permit in the future. Upon receipt of your
letter, the district engineer will evaluate your objections and may: (a) modify the permit to address all of your
~~ concerns, (b) modify the permit to address some of your objections, or (c) not modify the permit having
`~ determined that the permit should be issued as previously written. After evaluating your objections, the
district en 'neer will send ou a roffered ermit for our reconsideration, as indicated in Section B below.
B: PROFFERED PERMIT: You may accept or appeal the permit
• ACCEPT: If you received a Standard Permit, you may sign the permit document and return it to the district engineer for final
authorization. If you received a Letter of Permission (LOP), you may accept the LOP and your work is authorized. Your signature
on the Standard Permit or acceptance of the LOP means that you accept the permit in its entirety, and waive all rights to appeal the
permit, including its terms and conditions, and approved jurisdictional determinations associated with the permit.
• APPEAL: If you choose to decline the proffered permit (Standard or LOP) because of certain terms and
conditions therein, you may appeal the declined permit under the Corps of Engineers Administrative Appeal
Process by completing Section II of this form and sending the form to the division engineer. This form must
be received b the division en ' eer within 60 da s of the date of this notice.
C: PERMIT DENIAL: You may appeal the denial of a permit under the Corps of Engineers Administrative
Appeal Process by completing Section II of this form and sending the form to the division engineer. This form
must be received b the division en ineer within 60 da s of the date of this notice.
D: APPROVED JURISDICTIONAL DETERMINATION: You may accept or appeal the approved JD or
provide new information.
• ACCEPT: You do not need to notify the Corps to accept an approved JD. Failure to notify the Corps within 60 days of the date of
this notice, means that you accept the approved JD in its entirety, and waive all rights to appeal the approved JD.
• APPEAL: If you disagree with the approved JD, you may appeal the approved JD under the Corps of Engineers Administrative
Appeal Process by completing Section II of this form and sending the form to the division engineer. This form must be received by
the division en ineer within 60 da s of the date of this notice.
E: PRELIMINARY JURISDICTIONAL DETERMINATION: You do not need to respond to the Corps
r ~rding the preliminary JD. The Preliminary JD is not appealable.Ifyou wish, you may request an approved
`~, (which maybe appealed), by contacting the Corps district for further instruction. Also you may provide new
information for further consideration by the Corps to reevaluate the JD.

•• •• • • • DENOTES MECHANIZ D,
• • CLEARING qn~ ~nSia1`a
® DENOTES FILL IN
SURFACE WATER
® DENOTES FILL IN
WETLAND
® DENOTES TEMPORARY
IMPACTS IN SURFACE WATER
S
0
eon o~ ~~ ~eu~ceS•
~p)0,A
~,~
PARCEL °I
,~ CNSS B AIP AAP
~~~~ EST. 5 TONS
EST. 1I SY FP IS' PRESTRESSED GNtE
ISPAN5:1®50',1@ES' I
HAUL ROAD
.. .. CLASS II RIP RM n
^E '.. -•. c `' . " : , VNF0.TER FABRIC (f1'P.1\ ~
~-- TO McGEHEES A11LL
+ D.0 E
~ /i
.. re + ~ °~~~/l
- w~ ai/°~ re
ke _ _ _ _ .,.'jam/ ~ t+~/ `WE
/(I
' ... REMOVE EXISTMG BRIDGE)
d
- ~ , SITE ~
PARCEL °2
xTEMPORARY CAUSEWAY W/LL BE CONSTRUCTED USING
CLASS 111 RIP RAP UNDERLAIN WlTN GEOTEXTfLE FABRlC
~~~N ~Y ~~ V'~Y
SCALE: 1" = 100'
D TAIL FOR SITE
I A A M A M N
I RRe ro xa•I
Gran lD
ERO Rw-
RIR 0
awwl eEo
11RR R} LRUr• eRip'RlQ
ENGLISH
USE METHOD 3
FOR CLEARING
AND GRUBBING
°o
O
N
PREFORA~O SCOUR HOLE
TAI
STA 15+91.50
nw rc"
~. a R.~ .~ _,,.._.
R~.,
a: s ir.
ti ~^ M 0• lil.
R~Ifr.
y fi,
sEt d e-e
M1
1 _ .e~xy
ee ~ Tia
am
N~~®~
DIVISION OF HIGHWAYS
PERSON COUNTY
PROJECT: R-~906 fBRIDGE #86)
BRIDGE NO.86 OVER
GHENT CREEK
ON SR 1322
(MGGEHEES MILL ROAD)
SHEET 6 OF Z 08 9 02 /2007
0
O
ti
PARCEL °3
PREFOPMED SCWR HOIE,- ~ ,
SEE DETAR. B
i~
~--TS• cv ,
YW7 ELBOWS ,
END SHIRR _.b5. ~=.-:;
TERM GUfLER
STA 15+975 ":` - -
Q p0 ,. .aw
_ w
GRATES
\ ~.,~(g~, . ~,
w
-
•
-
i ~ s RC:n ....
...

...X - - ~
RAT GRATES
`:: ~ k
, ne: E E--
+7.00

+

~

~ n ,+.<
4
a1D
sInDR ,,.y ~CEL °4
LfPTO
~ BERM GUTTER ~ ~
GHENT CHEER STA IS+975 ,, ~ \
CL195 II Pd RAP
- 96'FRTER fPBUC (ttP.l _ !
s ~~
.. _ _ ....._ -. _.Re- - _. ' ._ _.._. . .. _ _.. ~I
I
.. _ .. _ _. ' ' ...... ne - _... _.....
SITE 2 _ .
SITE 3

SfllFup„
•,~,•,• DENOTES MECHANIZED
F ~ w CLEARING
® DENOTES FILL IN
SURFACE WATER
® DENOTES FILL [N
WETLAND
® DENOTES TEMPORARY
IMPACTS IN SURFACE WATER
°o
0
PARCEL 'I
~~,~
~,~
^dFTI_-fJ
i
i
~.:;.,.~ CIASS B RIP RAP
~' S TONS IS' PAESTRESSEO GIRDER
E5T 11 SY FF ~SPAN5. 1Q60', 1®65'1
//- ~ F ~ HALR. ROID,..
/
• ~ 0 / ~ '-
0 ~ _i ~. pa55 RRIP RAP ~ .+
.!,~~ , . E'er-.~.y._;}E~~ WFlLTER FA9NC (IYP ..I+
d
• i / ~ E ~
,,..c /~ -
_ _..:
- -- ~ ~._ _
'r-- TO McGENEES MILL '' , ~ ,, "'
F.... ... ~ _. .
.~ F-rE_~__E~E k_~-- s- ,.
~ ; ,~ .-^ i
P.
i fi ,
,!
0

'TEMPORARY CAUSEWAY W?LL BE CONSTRUCTED USING
CLASS ll! R!P RAP UNGERLAfN WITH GEOTEXTILE FABRlC
~~~T~T ~~~~~
SCALE: 1" = 100'
o°
\"1
E,~~`/Jy
;, I ~~F
~,
Y
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