20191579 Ver 1_PCN Form Submission (2)_20191118

DWR
mrlslon of Water Resources
Pre -Construction Notification (PCN) Form
September 29, 2018 Ver 3
Initial Review
Has this project met the requirements for acceptance in to the review process?*
r Yes
r No
Is this project a public transportation project?*
G Yes r No
Change only if needed.
BIMS # Assigned
20191579
Is a payment required for this project?*
r No payment required
r Fee received
r Fee needed - send electronic notification
Select Project Reviewer*
Rob Ridings:eads\rgridings
Information for Initial Review
1a. Name of project:
Bridge 320054 replacement in Edgecombe County
1a. Who is the Primary Contact?*
Chad Coggins
1b. Primary Contact Email:*
[e-mail]
Date Submitted
11/18/2019
Nearest Body of Water
Tar River
Basin
Tar -Pamlico
Water Classification
C NSW
Site Coordinates
Latitude:
35.97301
A. Processing Information
County (or Counties) where the project is located:
Edgecombe
Is this project a public transportation project?*
IT Yes r No
Is this a NCDOT Project?*
r Yes r No
(NCDOT only) T.I.P. or state project number:
B-320054
WBS#M
17BP.4.R.101
1a. Type (a) of approval sought from the Corps:
Longitude:
-77.71557
Version#*
1
Reviewing Office*
Central Office - [phone]
1c. Primary Contact Phone:*
[phone]
V

W Section 404 Permit (wetlands, streams and waters, Clean Water Act)
r Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)
1b. What type(s) of permit(s) do you wish to seek authorization?
W Nationwide Permit (NWP)
r Regional General Permit (RGP)
r Standard (IP)
1c. Has the NWP or GP number been verified by the Corps?
r Yes r No
Nationwide Permit (NWP) Number: 03 - Maintenance
NWP Numbers (for multiple NWPS):
1d. Type(s) of approval sought from the DWR:
W 401 Water Quality Certification - Regular
r Non-404 Jurisdictional General Permit
r Individual Permit
le. Is this notification solely for the record because written approval is not required?
For the record only for DWR401 Certification:
For the record only for Corps Permit:
r 401 Water Quality Certification - Express
P Riparian Buffer Authorization
1f. Is this an after -the -fact permit application?*
r Yes r No
1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
r Yes r No
1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
r Yes r No
Acceptance Letter Attachment
1h. Is the project located in any of NC's twenty coastal counties?
r Yes r No
1j. Is the project located in a designated trout watershed?
r Yes r No
B. Applicant Information
1d. Who is applying for the permit?
r Owner W Applicant (other than owner)
le. Is there an Agent/Consultant for this project?*
r Yes r No
2. Owner Information
2a. Name(s) on recorded deed:
State of North Carolina (NCDOT)
2b. Deed book and page no.:
2c. Responsible party:
2d.Address
Street Address
PO Box3165
Address Line 2
City
State / Rovince / Rion
Wilson
NC
Rostal / Zip Code
Country
27893
USA
2e. Telephone Number:
2f. Fax Number:
[phone]
2g. Email Address:*
r Yes r No
r Yes r No

[e-mail]
3. Applicant Information (if different from owner)
3a. Name:
Chad Coggins
3b. Business Name:
NCDOT
3c.Address
Street Address
PO Box3165
Address Line 2
city
Wilson
Postal / Zip Code
27893
3d. Telephone Number:
[phone]
3f. Email Address:*
[e-mail]
State / Rovince / Region
NC
Country
USA
3e. Fax Number:
C. Project Information and Prior Project History O
[Project Information
1b. Subdivision name:
(d appropriate)
1c. Nearest municipality/ town:
Rocky Mount
2. Project Identification
2a. Property Identification Number:
2c. Project Address
Street Address
Address Line 2
city
Postal / Zip Code
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
Tar River
3b. Water Resources Classification of nearest receiving water:*
C NSW
3c. What river basin(s) is your project located in?*
Tar -Pamlico
3d. Please provide the 12-digit HUC in which the project is located.
030201010903
4. Project Description and History
2b. Property size:
State / Province / Region
Country
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:*
Forestry and Agriculture are the predominant land uses
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?*
r Yes r No r Unknown
4d. Attach an 8 1/2 X 11 excerpt from the most recent version of the USGS topographic map indicating the location of the project site. (for DWR)
Edge 54 Topo Map.pdf 1.94MB
4e. Attach an 8 1/2 X 11 excerpt from the most recent version of the published County NRCS Soil Survey map depicting the project site. (for DWR)
Edge 54 Soils Map.pdf 1.48MB

4f. List the total estimated acreage of all existing wetlands on the property:
0
4g. List the total estimated linear feet of all existing streams on the property:
200
4h. Explain the purpose of the proposed project:*
Replace Bridge 320054 which is structurally deficient per current NCDOT standards with a new bridge meeting these standards.
41. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
Replace Bridge 320054 which is structurally deficient per current NCDOT standards with a new bridge meeting these standards. There will perm. stream impacts related to the
construction of 2 interior bents and stream bank stabilization and some temp impacts related to work bridges and old bridge bent removal. Heavy road and bridge building equipment will
be used.
4j. Please upload project drawings for the proposed project
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
r Yes r No
Comments:
5b. If the Corps made a jurisdictional determination, what type of determination was made?*
r Preliminary r Approved r Not Verified r Unknown r N/A
Corps AID Number:
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known): Chad Coggins
Agency/Consultant Company: NCDOT DEO
Other:
5d1. Jurisdictional determination upload
6. Future Project Plans
r Unknown
6a. Is this a phased project?*
r Yes r 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
la. Where are the impacts associated with your project? (check all that apply):
r Wetlands W Streams -tributaries W Buffers
r Open Waters r Pond Construction
3. Stream Impacts
F
3a. Reason for impact (?)
3b.lmpact type *
3c. Type of impact*
3d. S. name*
3e. Stream Type *
3f. Type of
3g. S. width *
3h. Impact
(?)
Jurisdiction*
length*
S1
Site 1 stabilization
Permanent
Bank Stabilization
Tar River
Perennial
Both
130
71
Average (feet)
(lir�rfee[)
S2
Site 1 temp bridges and
Temporary
Workpad/Causeway
Tar River
Perennial
Both
130
50
possible dewatering for
Average (fee)
(ii ear fcet)
interior bent removal
31. Total jurisdictional ditch impact in square feet:
0
31. Total permanent stream impacts:
71
31. Total stream and ditch impacts:
121
3i. Total temporary stream impacts:
50

3j. Comments:
6. Buffer Impacts (for DWR)
6a. Project is in which protect basin(s)?
Check all that apply.
r Neuse P Tar -Pamlico
r Catawba r Randleman
r Goose Creek F Jordan Lake
r Other
b. Impact Type 6c. Per or Temp 6d. Stream name 6e. Buffer mitigation required? 6f. Zone 1 impact 6g. Zone 2 impact
�e 1 P Tar River No 2,181 1,353
6h. Total buffer impacts:
Zone 1 Zone 2
Total Temporary impacts: 0.00 0.00
Zone 1
Zone 2
Total Permanent impacts: 2,181.00
1,353.00
Zone 1
Zone 2
Total combined buffer impacts: 2,181.00
1,353.00
6i. Comments:
Supporting Documentation
Edge 54 Permit drawings.pdf
Edge 54 buffer draWngs.pdf
E. Impact Justification and Mitigation
1. Avoidance and Minimization
2.03MB
923.17KB
V
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
The new bridge has less bents in the water.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
All construction equipment Wil be staged and operated from upland areas. DOT will also install silt fencing to protect the streams and wetlands
adjacent to the project. Safety fencing will be used to delineate jurisdictional and environmentally sensitive areas from encroachment.
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?
r Yes r No
2b. If this project DOES NOT require Compensatory Mitigation, explain why:
Under Thresholds
F. Stormwater Management and Diffuse Flow Plan (required by DWR)
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?
r Yes r No
What type of SCM are you providing?
r Level Spreader
r Vegetated Conveyance (lower SM/Vf)
r Wetland Swale (higher SMNT)
r Other SCM that removes minimum 30 % nitrogen
* Proposed project will not create concentrated stormwater flow through the buffer
Diffuse Flow Documentation

Edge 54 SMP.pdf 119.55KB
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?*
r Yes r No
Comments:
G. Supplementary Information
1. Environmental Documentation
la. Does the project involve an expenditure of public (federal/state/local) funds or the use of public (federal/state) land?*
r Yes r No
1b. 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 (NEPAUSEPA)? *
r Yes r No
Comments:*
MCDC available upon request
2. Violations (DWR Requirement)
2a. Is the site in violation of DWR Water Quality Certification Rules (15ANCAC 2H .0500), Isolated Wetland Rules (15A NCAC 2H .1300), or DWR Surface Water or Wetland Standards or
Riparian Buffer Rules (15A NCAC 2B .0200)?*
r Yes r No
3. Cumulative Impacts (DWR Requirement)
3a. Will this project result in additional development, which could impact nearby downstream water quality?*
r Yes r No
3b. If you answered "no," provide a short narrative description.
just a bridge replacement project
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
r Yes r Nor 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?*
r Yes r No
5b. Have you checked with the USFWS concerning Endangered Species Act impacts?*
r Yes r No
5c. If yes, indicate the USFWS Field Office you have contacted.
Raleigh
5d. Is another Federal agency involved?*
r Yes r No
5e. Is this a DOT project located within Division's 1-8?
r Yes r No
r Unknown
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
IPAC lists Red -cockaded Woodpecker Picoides borealis, Neuse River Waterdog Necturus lewisi, Carolina Madtom Noturus furiosus, Atlantic Pigtoe
Fusconaia masoni, and Tar River Spinymussel Elliptio steinstansana.
Additioanally NMFS has designated the Tar River critical habitat for Atlantic Sturgeon Acipenser oxyrinchus oxyrinchus
-Red-cockaded Woodpecker Picoides borealis- no habitat, no occurrences within a mile, no affect
-Neuse River Waterdog Necturus lewisk not currently listed, found within project area in 2018, NCDOT is working on a programmatic that will address
this species, the appropriate biological conclusions, and the required mitigation prior to its formal listing, at the time of its formal listing NCDOT make
the appropriate biological conclusion according to the programmatic and will adhere to the required mitigation in the programmatic in order to comply
with section 7.
-Carolina Madtom Noturus furiosus- not currently listed, found roughly 18 river miles downstream in 2007 , NCDOT is working on a programmatic that
will address this species, the appropriate biological conclusions, and the required mitigation prior to its formal listing, at the time of its formal listing
NCDOT make the appropriate biological conclusion according to the programmatic and will adhere to the required mitigation in the programmatic in
order to comply with section 7.
-Atlantic Pigtoe Fusconaia masoni-MA-LAA, payment made per programmatic.
-Tar River Spinymussel Elliptic steinstansana-MA-LAA, payment made per programmatic.
-Atlantic Sturgeon Acipenser oxyrinchus oxyrinchus-MANLAA-consultation and conditions attached

Consultation Documentation Upload
project report_b_320054_22031 _22031. pdf
Edge 54 NMFS consultation. pdf
17BPA.R.101 Aquatic Species Survey Report.pdf
Species List_ Raleigh Ecological Services Field Office.pdf
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as an Essential Fish Habitat?*
r Yes r No
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat?*
non coastal
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
1.08MB
554.11 KB
3.73MB
211.05KB
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?*
r Yes r No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?*
HEU clearance
7c. Historic or Prehistoric Information Upload
PA 17-08-0018 Edgecombe (NHP).pdf 2.23MB
17-08-0018NoSurvey.pdf 1.79MB
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain?*
r Yes r No
8b. If yes, explain how project meets FEMA requirements:
MOA approved
8c. What source(s) did you use to make the floodplain determination?*
FRIS
Miscellaneous
Comments
Agreed to Moratorium for this project is Feb 15th-June 30th and Aug 15th-Oct 31st. Travis agreed to this on 11/14/2019 and NMFS concurrence email is below.
Miscellaneous attachments not previously requested.
Re_ [External] Re_ Tar River SR 1243 Bridge 54 Replacement moratorium issue. pdf 333.48KB
Signature
*
P By checking the box and signing below, I certify that:
• 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:
Chad Coggins
Signature
Date
11/18/2019