20151129 Ver 1_Application_20151029

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STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
PAT L. MCCRORY
GOVERNOR
U.S. Army Corps of Engineers
Regulatory Field Office
2407 West 5t" Street
Washington, NC 27889
ATTN
Ms. Tracey Wheeler
NCDOT Coordinator
October 9, 2015
NICHOLASJ.TENNYSON
SECRETARY
Subject: Application for Section 404 Nationwide Permit 6 for Field Investigations for a Proposed
Wavebreak Structure and Subsequent Study to Serve as Mitigation to Offset Potential
Loss of SAV Habitat During Construction of the Replacement of Bridge No 11 over
Oregon Inlet on NC 12 in Dare County. TIP No. B-2500 Phase I, WBS Element 32635.1.3
References: 404 Permit Action ID: SAW-1993-03077 dated August 14, 2012
401 Certification No 003939, dated September 7, 2012 & October 15, 2012
Dear Madam:
The North Carolina Department of Transportation (NCDOT) is planning a limited subsurface
investigation to gather information for the foundation design of the above-referenced structure. A
private engineering firm will conduct the investigation with up to 3 Standard Penetration Test (SPT)
borings in the locations shown on the attached figure
The borings will be advanced from a shallow-draft floating barge at high tide in order to reduce the
potential for impact to the substrate, and will consist of turning or driving 3-inch to 8-inch diameter
steel casing into the sound bottom creating minimal disturbance. Other drilling tools will be used to
sample the sediments and advance the hole within the steel casing. The steel casing will be removed
upon completing the boring. Any disturbance from the borings should be limited to within a 2-foot
radius of the boring location.
All borings will be made between the dates of October 19, 2015 and January 1, 2016.
MAILING ADDRESS:
NC DEPARTMENT OF TRANSPORTATION
PROJECT DEVELOPMENT AND ENVIRONMENTAL ANALYSIS
1598 MAIL SERVICE CENTER
Rn�Ei�H NC 27699-1598
T e � e P H o N E: 919-7 0 7-610 0
FAX: [phone]
WEBSITE: WWW.NCDOT.ORG
LOCATION:
'IOZO BIRCH RIDGE DRIVE
Rn�eicH NC 27610-4328

Regulatory Approvals:
We are hereby requesting a Nationwide Permit No. 6 for borings occurring in the sound for the above
mentioned activities.
If you have any questions or would like additional information, please contact Michael Turchy at
[e-mail] or [phone]. A copy of this request will be posted at:
https://connect.ncdot.gov/resources/Environmental/Pages
Sincerely,
�. ,.�%�►„
�..j��Richard W. Hancock, P.E., Manager
� Project Development and Environmental Analysis Unit
cc:
John L. Pilipchuk, LG, PE, NCDOT-Geotechnical Engineering Unit
Greg Daisey, NCDCM-Elizabeth City
Garcy Ward, NCDWR-Washington
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Pre-Construction Notification PCN Form
A. Applicant Information
1. Processing
1 a. Type(s) of approval sought from the
Corps: � Section 404 Permit ❑ Section 10 Permit
1 b. Specify Nationwide Permit (NWP) number: 6 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
1 e. Is this notification solely for the record For the record only for DWQ 401 For the record only for Corps Permit:
because written approval is not required? Certification:
� Yes ❑ No ❑ Yes � No
1f. Is payment into a mitigation bank or in-lieu fee program proposed for mitigation � Yes � No
of impacts? If so, attach the acceptance letter from mitigation bank or in-lieu
fee program.
1g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h � Yes ❑ No
below.
1 h. Is the project located within a NC DCM Area of Environmental Concern (AEC)? � Yes ❑ No
2. Project Information
Geotechnical Investigations for a Wavebreak Structure for the Mitigation of
2a. Name of project: Submerged Aquatic Vegetation (SAV) for B-2500, the Replacement of Bridge No.
11 in Dare County, on NC 12.
2b. County: Dare
2c. Nearest municipality / town: Rodanthe
2d. Subdivision name: n/a
2e. NCDOT only, T.I.P. or state B_2500
project no:
3. Owner Information
3a. Name(s) on Recorded Deed: North Carolina Department of Transportation
3b. Deed Book and Page No.
3c. Responsible Party (for LLC if
applicable):
3d. Street address: 1598 Mail Service Center
3e. City, state, zip: Raleigh, NC 27699-1598
3f. Telephone no.: 919-707-6157
3g. Fax no.: 919-212-5785
3h. Email address: [e-mail]
Page 1 ofi 10

4. Applicant Information (if different from owner)
4a. Applicant is: ❑ Agent ❑ Other, specify:
4b. Name:
4c. Business name
(if applicable):
4d. Street address:
4e. City, state, zip:
4f. Telephone no.:
4g. Fax no.:
4h. Email address:
5. Agent/Consultant Information (if applicable)
5a. Name:
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

B. Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID):
1 b. Site coordinates (in decimal degrees): Latitude: 35.75084041 Longitude: - 75.58649065
(DD.DDDDDD) (-DD.DDDDDD)
1 c. Property size: Approximately 57 acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to pamlico Sound
proposed project:
2b. Water Quality Classification of nearest receiving water: SA HQW
2c. River basin: Pasquotank
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:
The project area is in Pamlico Sound. It is adjacent to a natural barrier island and estuarine system, with
recreation in Pea Island National Wildlife Refuge and Cape Hatteras National Seashore.
3b. List the total estimated acreage of all existing wetlands on the property:
This area is located in open water. No wetlands are located in the study area.
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
n/a
3d. Explain the purpose of the proposed project:
To compensate for potential losses of SAV which may occur with the replacement of Bridge 11, a unique,
engineered 750-foot long wavebreak structure has been proposed to attenuate wave energies and provide a
suitable wave climate to promote SAV coverage. This geotechnical investigation is to assist in the design of the
pile foundation.
3e. Describe the overall project in detail, including the type of equipment to be used:
All current permit conditions for B-2500 will be adhered to. This investigation will be conducted off of a barge. A
3-8" diamater bore will be used to determine substrate composition.
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: A JD has been obtained for the B-2500 ❑ Yes ❑ No ❑ Unknown
property, but not specifically for this area.
This area is located in open water.
4b. If the Corps made the jurisdictional determination, what type
of determination was made? ❑ Preliminary � Final
4c. If yes, who delineated the jurisdictional areas? Agency/Consultant Company: CZR Inc.
Name (if known): Sam Cooper Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
May 4, 2012, Action ID SAW-2012-00715. The Division of Coastal Management concurred with CAMA mapping on
May 30, 2012
5. Project History
5a. Have permits or certifications been requested or obtained for � Yes ❑ No ❑ Unknown
this project (including all prior phases) in the past?
5b. If yes, explain in detail according to "help file" instructions.
Individual Permit Action ID: SAW-1993-03077 was issued on 8/14/2013.
Page 3 of 10

6. Future Project Plans
6a. Is this a phased project? ❑ Yes ❑ No See Attached Cover Letter
6b. If yes, explain.
C. 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. 2f.
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)
Tem orar T
W 1 ❑ P❑ T ❑ Yes ❑ Corps
❑ No ❑ DWQ
W2 ❑ P❑ T ❑ Yes ❑ Corps
❑ No ❑ DWQ
W3 ❑ P❑ T ❑ Yes ❑ Corps
❑ No ❑ DWQ
2g. Total wetland impacts
2h. Comments:
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 ofjurisdiction 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 ❑ PER ❑ Corps
❑ INT ❑ DWQ
S2 ❑ P❑ T ❑ PER ❑ Corps
❑ INT ❑ DWQ
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. Total stream and tributary impacts
3i. Comments:
Page 4 of 10

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 Tem orar T
01 � P❑ T Pamlico Sound Fill (boring insertion into the Open Water <0.01 acre
water bottom).
02 ❑POT
03 ❑POT
04 ❑POT
4f. Total open water impacts <0.01 acre
4g. Comments:
5. Pond or Lake Construction
If ond or lake construction pro osed, then 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
Sf. Total
5g. Comments:
5h. Is a dam high hazard permit required?
❑ Yes ❑ No If yes, permit ID no:
5i. Expected pond surface area (acres):
5j. 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 ❑ Tar-Pamlico ❑ 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) for Stream name mitigation (square feet) (square feet)
or Temporar T im act re uired?
B1 ❑P❑T ❑Yes
❑ No
B2 ❑P❑T ❑Yes
❑ No
B3 ❑P❑T ❑Yes
❑ No
6h. Total buffer impacts
6i. Comments:
Page 5 of 10

D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
Borings will occur from a barge. No structure or equipment will drag on the water bottom..
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
NCDOT will implement "Guidelines for Avoiding Impacts to the West Indian Manatee, Precautionary Measures
for Construction Activities in North Carolina Waters," during work for this project. Additionally, All borings
will be made between the dates of October 19, 2015 and January 1, 2016.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for ❑ Yes � No
impacts to Waters of the U.S. or Waters of the State?
2b. If yes, mitigation is required by (check all that apply): ❑ DWQ ❑ COrps
❑ Mitigation bank
2c. If yes, which mitigation option will be used for this
project? ❑ 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

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).
6h. Comments:
Page 7 of 10

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?
1 b. If yes, then is a diffuse flow plan included? If no, explain why.
❑ Yes ❑ No
Comments:
2. Stormwater Management Plan
2a. What is the overall percent imperviousness of this project? n/a %
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:
n/a
❑ 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 governmenYs jurisdiction is this project? n/a
❑ Phase II
3b. Which of the following locally-implemented stormwater management programs ❑ NSW
apply (check all that apply): ❑ USMP
❑ Water Supply Watershed
❑ Other:
3c. Has the approved Stormwater Management Plan with proof of approval been ❑ Yes ❑ No
attached?
4. DWQ Stormwater Pro ram 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: N/A
4b. Has the approved Stormwater Management Plan with proof of approval been
attached? ❑ Yes ❑ No n/a
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
Page8of10

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?
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 � Yes ❑ No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1 c. 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
letter.) � Yes ❑ No
Comments: NEPA FEIS/EA/ROD for TIP B-2500
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.
Not applicable.
Page 9 of 10

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, indicate 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?
USFWS website and agency consultation; FEIS/ROD
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat? � Yes ❑ No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
NMFS county index; FEIS/ROD
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?
NEPA documentation; FEIS/ROD
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 activity will not result in changes in permanent flood
elevations.
8c. What source(s) did you use to make the floodplain determination? approved NEPA documents
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��� Richard W. Hancock, P.E. "�L..����/�'�"^--'-- %(� -' �f�� ��
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Applicant/AgenYs Printed Name Applicant/Agent's Signature Date
(AgenYs signature is valid only if an authorization letter from the applicant
is rovided.)
Page 10 of 10

This Exhibit is for planning purposes only and shown herein does not meet NC 47-30 1 inch - 5,000 feet
Requirements and therefore is not for design, construction, or recording or transfer of Boring Locations �
title. The Exhibit was compiled from available information obtained from the sources S E P I
�isted be�ow. GRAPHIC SCALE
STIP B-2500 BONNER BRIDGE
Sources: 0 2,500 5,000 10,000 � E N G I N E E R I N G a
ESRI Base Mapping, October 2015 SAV MITIGATION PLAN C 0 N 5 T R U C T I 0 N
Feet