20090471 Ver 1_Application_20090427

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DWQ project no.
'Form Version 1.3 Dec 10 2008
Pre-Construction Notification PCN Form
A. Applicant Information
1. Processing
1a. Type(s) of approval sought from the
Corps: ® Section 404 Permit ? 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 ® No For the record only for Corps Permit:

? Yes ®No
If. 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 iri-lieu
fee program.
El Yes ®No
1g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1h
below. ® Yes ? No
1h. Is the project located within a NC DCM Area of Environmental Concern (AEC)? ® Yes ? No
2. Project Information
2a. Name of project: Replace Bridge No. 31 on NC304 over Vandemere Creek
2b. County: Pamlico
2c. Nearest municipality / town: Bayboro
2d. Subdivision name: n/a
2e. NCDOT only, T.. P. or state
project no, B -5129B
3. Owner Information
3a. Name(s) on Recorded Deed: State of 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 (NC33)
3e. City, state, zip: Greenville, NC 27835
3f. Telephone no.: [phone]
3g. Fax no.: [phone]
3h. Email address:
Page 1 of 11
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):
NC Department of Transportation
4d. Street address: 105 Pactolus Highway (NC33)
4e. City, state, zip: Greenville, NC 27835
4f. Telephone no.: [phone]
4g. Fax no.: [phone]
4h. Email address: [e-mail]
5. Agent/Consultant Information (if applicable)
5a. Name: Cindy Carr
5b. Business name
(if applicable): Mulkey, Inc.
5c. Street address: 6750 Tryon Road
5d. City, state, zip: Cary, NC 27518
5e. Telephone no.: [phone]
5f. Fax no.: [phone]
5g. Email address: [e-mail]
Page 2 of 11
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): n/a
Latitude: 35.20050457'N
1 b . Site coordinates (in decimal degrees): Longitude: - 76.6791466'W
(DD. DD DDDD) (-DD. DDDD DD )
1c. Property size: n/a acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to

proposed project: Vandemere Creek
2b. Water Quality Classification of nearest receiving water: SC Sw - NSW
2c. River basin: Neuse
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:
NC304 is a two-lane state highway. Land surrounding Bridge No. 31 is primarily rural residences and undeveloped land
comprised of tidal freshwater marsh bordered by pine (planted timber) flatwoods.
The existing bridge is a 5 span, 87 foot long reinforced concrete floor structure on timber joists with bents that are timber
caps on timber piles. Relic wood piles are located in the water at the bridge and have been cut to water surface level.
Land use in the vicinity includes timber production, agriculture, and rural residential.
3b. List the total estimated acreage of all existing wetlands on the property:
0.41 acre. Site is part of a larger adjacent wetland system.
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
100. Site is part of a longer adjacent stream system.
3d. Explain the purpose of the proposed project:
Replace a deficient bridge structure with a new safer facility that meets new design standards.
3e. Describe the overall project in detail, including the type of equipment to be used:
The project will remove all components of Bridge No. 31 without dropping any pieces in the water and will remove relic
wood piles in the water by pulling them straight out using cable tied to the timber. Sediment curtains will be used around
piles to reduce sediment in the water.
The new bridge will have 3 concrete cored slabs, concrete and steel substructure on concrete piles, and will be
approximately 120 feet long with a clear roadway width of 33 feet. Bridge replacement and roadway approach
construction will use typical equipment such as track hoes, excavators, dump trucks, paving machines, and rollers.
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
N .Yes ? No ? Unknown
project (including all prior phases) in the past?
Comments:
4b. If the Corps made the jurisdictional determination, what type
N Preliminary ? Final
of determination was made?
4c. If yes, who delineated the jurisdictional areas? Agency/Consultant Company: NCDOT Div. 2
Name (if known): Jay Johnson Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
February 2006, September 2008
Page 3 of 11
PCN Form - Version 1.3 December 10, 2008 Version
5. Project History
5a. Have permits or certifications been requested or obtained for
this project (including all prior phases) in the past? ®yes ? No ? Unknown
5b. If yes, explain in detail according to "help file" instructions.
NCDCM issued CAMA General Permit No. 44252 on Februrary 13, 2006 for a proposed replacement of Bridge No. 31
under the NCDOT Moving Ahead
ro
ram
Th
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id
p
g
.
e
r
ge replacement was delayed and a new CAMA permit application is
required for the current project.
6. Future Project Plans
6a. Is this a phased project? ? Yes ® No
6b. If yes, explain.
Page 4 of 11
PCN Form - Version 1.3 December 10, 2008 Version
C. Proposed Impacts Inventory
1. Impacts Summary
1 a. Which sections were completed below for your project (check all that apply):
N Wetlands ® Streams - tributaries N Buffers
N 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)
. Temporary T
W1 N P ? T Roadway fill, riprap Tidal Freshwater ? Yes ® Corps 0.007 acre
Marsh N No ? DWQ (302 sq.ft.)
W2 N P ? T Roadway fill, riprap Tidal Freshwater ? Yes N Corps 0.001 acre
Marsh N No ? DWQ (18 sq.ft.)
W3 N P ? T Roadway fill, riprap Tidal Freshwater ? Yes N Corps 0.001 acre
Marsh N No ? DWQ (62 sq.ft.)
W4 ? P ? T ? Yes ? Corps
? No ? DWQ
W5 ? P ? T ? Yes ? Corps
? No ? DWQ
W6 ? P ? T ? Yes ? Corps
? No ? DWQ
2g. Total wetland impacts 0.009 acre
(382 sq. ft.)
2h. Comments: W1 impacts include 154 sq. feet of CAMA wetlands. Impacts are for fill placement at new bridge end bent
locations and are necessary for guard rail installation.
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 Roadway fill, riprap Vandemere Creek ® PER
? INT N'Corps
N DWQ 35 66
S2 [OP ? T Roadway fill, riprap Vandemere Creek N PER
? INT N Corps
N DWQ

35

1
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 67
1. Comments: Impact occurs along man-made channel (UT to Vandemere Creek) located along toe of existing roadway fill
slope Fill placement is for new bridge end bent and allows installation of guard rail. Fill represents 67 sq.feet.
Page 5 of 11
PCN Form - Version 1.3 December 10, 2008 Version
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 N P ? T Vandemere Creek Fill (bridge interior piers) Perennial Stream 0.002 acre
(108 sq. feet)

02 N P ? T Vandemere Creek Fill (bridge interior piers) Perennial Stream 0.002 acre
(108 sq. feet).
03 ?P?T
04 ?P?T
4f. Total open water impacts 0.005 acre
(216 sq. feet)
4g. Comments:
5. Pond or Lake Construction
If and or lake construction proposed, then complete the chart below.
Sa. 5b. 5c. 5d. 5e.

Pond ID
Proposed use or purpose of Wetland Impacts (acres) Stream Impacts (feet) Upland

number (acres)
pond
Flooded Filled Excavated Flooded Filled Excavated Flooded
P1
P2
5f. Total None
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:
Page 6 of 11
PCN Form -Version 1.3 December 10, 2008 Version
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 an impacts require mitigation, then you MUST fill out Section D
of this form.
6a. -
N Neuse ? Tar-Pamlico ? Other:
Project is in which protected basin? ? Catawba ? Randleman
6b. 6c. 6d. 6e. 6f. 6g.
Buffer impact.
number -
Permanent (P) Reason
for
Stream name Buffer
mitigation Zone 1 impact
(square feet) Zone 2 impact
(square feet)
or Tern ora T im act re uired?
61 ®P ? T Roadway
Fill,riprap Vandemere Creek ? Yes
N No 355 73
B2 ® P [_1 T Roadway
Fill,rprap Vandemere Creek ? Yes
N No 265 141
B3 N P ? T Roadway
Fill,riprap Vandemere Creek ? Yes
N No
319
226
6h. Total buffer impacts 7 1'272 ' 611
(0.029 acre) (0.014 acre)
6i. Comments: Add additional buffer impact B4 as follows:
B4 X P Roadway Fill Vandemere Creek X No Zone 1: 333 sf Zone 2: 171 sf
D. Impact Justification and Mitigation
1. Avoidance and Minimization
la. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
Avoidance Measures: Existing roadway and bridge alignment will be maintained during staged construction and an on-site
detour will avoid need for a temporary detour bridge by using a portion of the existing bridge to maintain traffic flow. The new
structure will be constructed using pre-cast concrete components which avoids potential impacts from live concrete. During
demolition, components of the existing bridge will not be dropped in the water. Sediment curtains will be used around relic
pylons to prevent sediment from entering the water column.
Minimization Measures: Wetland impacts have been minimized to the extent feasible, with impacts occurring only where new
location of bridge bents and piers are required to support the structure and installation of safety guard rails. Existing roadway
and bridge alignment have been maintained to minimize impacts.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techni
ues
q
.
Use of the existing roadway to maintain traffic on-site during construction of the new bridge. Use of existing roadway to
operate construction equipment; no equipment will enter wetlands or waters. Use of pre-cast concrete bridge components
avoid use of live concrete.
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 N 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
Page 7 of 11
,PCN Form -Version 1.3 December 10, 2008 Version
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.
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
buffer mitigation? ? Yes ® No
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.

Zone 6c.
Reason for impact 6d.
Total impact
(square feet)
Multiplier 6e.
Required mitigation
(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: Buffer impacts for transportation facilities is within amount allowed without mitigation.
Page 8 of 11
PCN Form - Version 1.3 December 10, 2008 Version
E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Plan
1a. Does the project include or is it adjacent to protected riparian buffers identified
within one of the NC Riparian Buffer Protection Rules?
®Yes ? No
1b. If yes, then is a diffuse flow plan included? If no, explain why.
Comments: Bridge replacement project covered by NCDOT Statewide NPDES
permit
? Yes ®No
2. Stormwater Management Plan
2a. What is the overall percent imperviousness of this project? n/a (roadway/bridge project) %
21b. Does this project require a Stormwater Management Plan? ? Yes ®No
2c. If this project DOES NOT require a Stormwater Management Plan, explain why: Covered by NCDOT Statewide NPDES
Permit
2d. If this project DOES require a Slormwater Management Plan, then provide a brief, narrative description of the plan:
2e. Who will be responsible for the review of the Stormwater Management Plan?
3.
® Certified Local Government
? DWQ Stormwater Program
? DWQ 401 Unit
3a. In which local government's jurisdiction is this project? I Pamlico
3b. Which of the following locally-implemented stormwater management programs
apply (check all that apply):
3c. Has the approved Stormwater Management Plan with proof of approval been
attached?
4.
4a. Which of the following state-implemented stormwater management programs apply
(check all that apply):
4b. Has the approved Stormwater Management Plan with proof of approval been
attached?
? Phase II
® NSW
? USMP
? Water Supply Watershed
? Other:
? Yes ®No
® Coastal counties
? HOW
? ORW
? Session Law 2006-246
? Other:
? Yes ® No
1 5. DWQ 401 Unit Stormwater Review
5a. Does the Stormwater Management Plan meet the appropriate requirements?
I El Yes ? No
5b. Have all of the 401 Unit submittal requirements been met?
El Yes ? No
Page 9 of 11
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
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 ? 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
letter.) ? Yes ? No
Comments: A Minimum Criteria Checklist (MCC) was completed for this project
2. Violations (DWQ Requirement).
2a. Is the site in violation of DWQ Wetland Rules (15A NCAC 2H .0500), Isolated
Wetand 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
additional development, which could impact nearby downstream water quality? ? Yes ®No
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 10 of 11
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
habitat? ®Yes ? No
5b. Have you checked with the USFWS concerning Endangered Species Act
impacts? ®Yes E:1 No
5c. If yes, indicate the USFWS Field Office you have contacted. ® Raleigh
? Asheville
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
NCNHP GIS element occurrence maps (including NCNHP Virtual Workroom); on-site habitat investigation by qualified
biologist; scoping letter comments
6. Essential Fish Habitat (Corps Requirement)
occur in or near an area designated as essential fish habitat? ® Yes ? No
ff
es did you use to determine whether your site would impact Essential Fish Habitat?
naged species occurring in the area; comparison of area measu rements of existing and proposed
piers); scoping letter comments.
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 (e.g., National Historic Trust designation or properties significant in
? Yes ®No
North Carolina history and archaeology)?
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?
Scoping letter comments from NCSHPO.
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: Bridge designed to no-rise standards.
8c. What source(s) did you use to make the floodplain determination? FEMA Firm maps.
Jay B. Johnson
1
4 March 6, 2009
Applicant/Agent's Printed Name nature
' . Date
(Agent
,
y
s tion letter from the applicant

Page 1'l of 11
PCN Form - Version 1.3 December 10, 2008 Version
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DIVISION 'OF HIGHN.4Y_ S
PAMLICO. COUNTY
PROJECT: B•5129B
IYBS NUMBERA2287.1.1
REPLACE BRIDGE 931
ON, ANC 304 OVER
VANDEMERE CREEK
SHEET 1 OF 8 1B19B09
NORTH CAROLINA.
LEGEND
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DIVISION. OF HIGHWAYS
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REPLACE. BRIDGE U31
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Figure 1
Project Vicinity
B-5129 B through E, B-4594
Bridge Replacement Projects on NC 304
Pamlico County, North Carolina
B-51298 Bridge No. 31 over Vandemere Creek
B-5129C Bridge No. 35 over Little Vandemere Creek
B-5129D Bridge No. 40 over Bear Creek
B-5129E Bridge No. 42 over Gale Creek
B4594 Bridge No. 44 over UT to Jones Bay
North Carolina
.y Department of Transportation
IX
Legend
Study Corridor
PROJECT VICINITY
Prepared For. B-51298 Figure
Replace Bridge No. 31 on NC 304 over Vandemere Creek
:' Pamlico County, North Carolina
a W-1d4 0 0.25' 0.5 1 Miles
,''a.1w..+^'`. I' I + 1 I 1 I I? 1:24,000
. USGS].S Mmule Topogaphk VaMemm aM Jo Bay(Conlwr Inler a 5FW)