20191730 Ver 1_PCN Form Submission_20191217

DWR
Dlrlslon 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
20191730
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:
Bridges 3,4 and 5 over Swift Creek on SR 1404 (BR-0111 Central)
1a. Who is the Primary Contact?*
NCDOT
1b. Primary Contact Email:*
[e-mail]
Date Submitted
12/17/2019
Nearest Body of Water
Swift Creek
Basin
Tar -Pamlico
Water Classification
C; ORW, NSW
Site Coordinates
Latitude: Longitude:
36.058323-77.681421
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?*
IT Yes r No
(NCDOT only) T.I.P. or state project number:
BR-0111
WBS#M
48820.1.1
1a. Type (a) of approval sought from the Corps:
Version#*
1
Reviewing Office*
Central Office - [phone]
1c. Primary Contact Phone:*
[phone]
U

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: 14 - Linear transportation
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
BR-0111 - RW - TP 01.pdf
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 Yec r• Nn
B. Applicant Information
1d. Who is applying for the permit?
W Owner r 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:
NCDOT
2b. Deed book and page no.:
2c. Responsible party:
2d.Address
Street Address
1000 Birch Ridge Drive
Address Line 2
city
Raleigh
Fostal / Zip Code
27610
2e. Telephone Number:
[phone]
2g. Email Address:*
State / Rwince / Fbgion
NC
Country
USA
2f. Fax Number:
71.21 KB
r Yes r No
r Yes r No

[e-mail]
C. Project Information and Prior Project History U
1. Project Information
1b. Subdivision name:
frf appropriate)
1c. Nearest municipality/ town:
Battleboro
2. Project ctct Identification
2a. Property Identification Number: 2b. Property size:
2c. Project Address
Street Address
Address Line 2
(Sty State / Province / Region
Postal / Zip Code Country
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
Swift Creek
3b. Water Resources Classification of nearest receiving water:*
C; ORW, 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.
030201010803
4. Project Description and History
4a. Describe the existing conditions on the site and the general land use in the vicinityof the project at the time of this application:*
Land use in the project vicinity consists primarily of forested floodplains and agricultural fields and minor residential development.
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?*
r Yes r No r Unknovm
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)
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)
4f. List the total estimated acreage of all existing wetlands on the property:
24
4g. List the total estimated linear feet of all existing streams on the property:
1000
4h. Explain the purpose of the proposed project:*
The purpose of this project is to replace three structurally deficient bridges.
41. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
This project involves replacing 2- 125 foot, 5 span bridges and 1- 50 foot, 2 span bridge with 2- 165 foot, 3 span and 1- 100 foot, 2 span bridges respectively. Traffic will be maintained
on an off -site detour. Standard road building equipment, such as trucks, dozers and cranes will be used.
4j. Please upload project drawings for the proposed project.
BR-0111_BufferDrawing.pdf 1.54MB
BR-0111_PermitDrawing.pdf 10.26MB
BR0111_utilitiesBUFFER.pdf 1001.67KB
BR0111 _utilitiesPERMff DRAW INGS.pdf 1.21 MB
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
r Yes r No r Unknown
Comments:

Preliminary JD request sent on 4/29/2019. Written JD not received at this time.
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):
Agency/Consultant Company:
Other:
Sd1. Jurisdictional determination upload
6. Future Project Plans
James Mason
Three Oaks Engineering
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
1a. Where are the impacts associated with your project? (check all that apply):
W Wetlands W Streams -tributaries
r Open Waters r Pond Construction
2. Wetland Impacts
W Buffers
U
2a1 Reason(?)
2b. Impact type * (?)
2c. Type of W.*
2d. W. name *
2e. Forested *
2f. Type of
2g. Impact
Jurisdicition*(?)
area*
Site 1
Fill/Excavation
P
Riverine Swamp Forest
�WA
Yes
Both _]
0.070
(acres)
Site 2
Fill/Excavation
P
rverine Swamp Forest
WA
Yes
Both
0.040
(acres)
ff77771rIll
/Excavation
P
Riverine Swamp Forest
WA
Yes
Both
0.010
(acres)
2g. Total Temporary Wetland Impact 2g. Total Permanent Wetland Impact
0.000 0.120
2g. Total Wetland Impact
0.120
2h. Comments:
There will be an additional 0.94 acre of handclearing at the three bridge sites due to construction and aerial utility line relocations.
3. Stream Impacts
3a. Reason for impact (?)
3b.lmpact type *
3c. Type of impact*
3d. S. name *
3e. Stream Type *
3f. Type of
3g. S. width *
Impact
❑
(?)
Jurisdiction*
�3h.
length*
S1
Bent PlacemenVAbutment
Tem ora
P ry
Dewaterin 9
Swift Creek
Perennial
Both
40
50
Averge(feet)
(linearfeet)
S2
Bent Placement/Abutment
Tem ora
P ry
Dewaterin 9
Swift Creek
Perennial
Both
60
50
Average (feet)
(lirxearfeet)
S3
Bent PlacemenVAbutment
Tem ora
P ry
Dewaterin g
Swift Creek
Perennial
Both
60
50
Average (feet)
(lirxearfeet)
3i. Total jurisdictional ditch impact in square feet:
0
31. Total permanent stream impacts:
0
3i. Total temporary stream impacts:
150

31. Total stream and ditch impacts:
150
3j. Comments:
Temporary stream impacts due to construction of bridge abutments and setting of interior bents.
6. Buffer Impacts (for DWR)
6a. Project is in which protect basin(s)?
Check all that apply.
r Neuse
r Catawba
r Goose Creek
C Other
PF Tar -Pamlico
r Randleman
r Jordan Lake
6b. Impact Type
6c. Per or Temp
6d. Stream name
6e. Buffer mitigation required?
6f. Zone 1 impact
6g. Zone 2 impact
Site 1-Road Crossing -Allowable
P
Swift Creek
No
1,653
2,345
Site 1-13ridge-Allowable
P
Swift Creek
No
1,384
0
Site 2-Road Crossing -Allowable
P
Swift Creek
No
2,607
2,491
Site2-Bridge-Allowable
P
Swift Creek
No
1,157
0
Site 3-Road Crossing -Allowable
P
Swift Creek
No
990
1,368
Site 3-Bridge-Allowable
P
Swift Creek
No
2,955
1,374
Site U1/1.12-Utilities-Allowable
P
Swift Creek
No
1,356
848
Site U3&A-Utilities-Allowable
P
Swift Creek
No
539
410
Site U5/U6-Utilities-Allowable
P
Swift Creek
No
219
143
6h. Total buffer impacts:
Zone 1 Zone 2
Total Temporary impacts: 0.00 0.00
Zone 1
Zone 2
Total Permanent impacts: 12,860.00
8,979.00
Zone 1
Zone 2
Total combined buffer impacts: 12,860.00
8,979.00
61. Comments:
Buffer impacts are for three separate bridge crossings of Swift Creek. Impacts at each individual site are considered allowable without mitigation.
Supporting Documentation
i E. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
Bridges will be replaced on the ebsting alignments. Two of the three bridges will result in the reduction of in -water bents. The project was designed so
that grade of road was minimally raised to reduce fill in adjacent wetlands. See stormwater management plan for additional minimization measures.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
An off -site detour will be used during construction. NCDOT's Design Standards in Sensitive Watersheds will be adhered to.
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
2c. If yes, mitigation is required by (check all that apply):
r DWR W Corps
2d. If yes, which mitigation option(s) will be used for this project?
r Mitigation bank W Payment to in -lieu fee r Permittee Responsible
program Mitigation

4. Complete if Making a Payment to In -lieu Fee Program
4a. Approval letter from in -lieu fee program is attached.
r Yes r No
4b. Stream mitigation requested:
(linear feet)
0
4d. Buffer mitigation requested (DWR only):
(square feet)
0
4f. Non -riparian wetland mitigation requested:
(acres)
0
4h. Comments
4c. If using stream mitigation, what is the stream temperature:
4e. Riparian wetland mitigation requested:
(acres)
0.12
4g. Coastal (tidal) wetland mitigation requested:
(acres)
0
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 SHWT)
r Wetland Swale (higher SMNT)
r Other SCM that removes minimum 30 % nitrogen
W Proposed project will not create concentrated stormwater flow through the buffer
Diffuse Flow Documentation
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
1a. 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 (NEPA/SEPA)?*
r Yes r No
1c. If you answered "yes" to the above, has the document review been finalized bythe State Clearing House?*
r Yes r No
NEPAor SEPA Final Approval Letter
2. Violations (DWR Requirement)
2a. Is the site in violation of DWR Water Quality Certification Rules (15A NCAC 2H .0500), Isolated Wetland Rules (15A NCAC 2H .1300), or DWR Surface Water or Wetland Standards or
Riparian Buffer Rules (15A NCAC 2B .0200)? *
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.

Due to the minimal transportation impact resulting from this bridge replacement, this project vdll neither influence land use nor stimulate growth.
Therefore, a detailed indirect and cumulative effects study will not be necessary.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
r Yes r Nor WA
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
Sb. 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 r Unknown
So. Is this a DOT project located within Division's 1-8?
r Yes r No
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
N.C. Natural Heritage Program database; USFWS-Raleigh Field Office website; biological surveys for protected species listed for Edgecombe County,
Mich include Tar River spinymussel, yellow lance, dwarf wedgemussel, red -cockaded woodpecker. Biological conclusion of "No Effect" were rendered
for dwarf wedgemussel and red -cockaded woodpecker. This project occurs within an identified stream reach for the yellow lance and Tar River
spinymussel. NCDOT proposes to satisfy impacts to Section 7 for the species by making payment to the N.C. Non -game Aquatic Species Fund as set
in the Programmatic Biological Opinion for freshwater mussels.
Consultation Documentation Upload
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?*
NMFS County Index
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?*
r Yes r No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?*
NEPA docu mention
7c. Historic or Prehistoric Information Upload
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:
Hydraulics Unit coordination with FEMA.
8c. What source(s) did you use to make the floodplain determination?*
FEMA maps
Miscellaneous
Comments
Miscellaneous attachments not previously requested.
Signature
U
u
*
W 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:
Mack Christopher Rivenbark, III
Signature
1a4 C. RifWaO. P/
Date
12/17/2019