20091214 Ver 1_Application_20091110

STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
(.)BEVERLY EAVES PERDUE
GOVERNOR
November 5, 2009
U. S. Army Corps of Engineers
1149
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EUGENE A. CONTI, JR.
SECRETARY
69 Darlington Ave "Ek 91214
Wilmington, NC 28403
ATTN: Ms. Kimberly Garvey
NCDOT Coordinator
Subject: Application for Section 404 Nationwide Permits.13, 23, and 33 for the
proposed replacement of Bridge No. 73 over Back Creek (Lake Lucas) on SR
1518 in Randolph County, Federal Aid Project No. BRZ-1518(2); Division 9;
TIP No. B-4610
Dear Ma'am:
The North Carolina Department of Transportation (NCDOT) proposes to replace Bridge No.
73 over Back Creek (Lake Lucas) on SR 1518. There will be 0.02 acres of temporary
surface water impacts, 0.01 acres of bank stabilization on open water, and 0.21 acres of
permanent open water fill.
Please see enclosed copies of the Pre-Construction Notification (PCN), permit drawings,
design plans, and stormwater management plan for the above referenced project. The
Programmatic Categorical Exclusion (PCE) was completed December 12, 2008. The
document was distributed shortly thereafter. Additional copies are available upon request.
Please note that this project is an accelerated bridge project on NCDOT's Maintenance of
Effort list. The NCDOT Administration has deemed these projects highest priority. This
project calls for a letting date of June 10, 2010 and a review date of April 22, 2010;
however, the let date may advance as additional funding becomes available.
MAILING ADDRESS:
NC DEPARTMENT OF TRANSPORTATION
PROJECT DEVELOPMENT AND ENVIRONMENTAL ANALYSIS
1598 MAIL SERVICE CENTER
RALEIGH NC 27699-1598
TELEPHONE: [phone]
FAX: [phone]
VJEBSITE: WWW.NCDOT.ORG
LOCATION:
2728 CAPITAL BLVD
PLB SUITE 168
RALEIGH NC 27604
A cbpy of this permit application will be posted on the NCDOT Website at:
http://www.ncdot.org/doh/preconstruct/pe/. If you have any questions or need additional
R.
information, please call James Pflaum at [phone].
Sincerely
?,
Gregory J. Thorpe, Ph.D.
Environmental Management Director, PDEA
Cc:
w/attachment
Mr. Brian Wrenn, NCDWQ (2 copies)
W/o attachment (see website for attachments)
Dr. David Chang, P.E., Hydraulics
Mr. Mark Staley, Roadside Environmental
Mr. Greg Perfetti, P.E., Structure Design
Mr. Victor Barbour, P.E., Project Services Unit
Mr. Tim Johnson, P.E., Division 8 Engineer
Mr. Art King, Division 8 Environmental Officer
Mr. Jay Bennett, P.E., Roadway Design
Mr. Majed Alghandour, P. E., Programming and TIP
Mr. Art McMillan, P.E., Highway Design
Mr. Scott McLendon, USACE, Wilmington
Mr. Travis Wilson, NCWRC
Mr. Gary Jordan, USFWS
Mrs. Christy Wright, PDEA
o?0, NNATF19
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Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.3 Dec 10 2008
Pre-Construction Notification (PCN) Form
A. Applicant Information
1. Processing
1 a. Type(s) of approval sought from the
Corps:
®Section 404 Permit El Section 10 Permit
1b. Specify Nationwide Permit (NW P) number: 13, 23, 33 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
1f. 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 in-lieu
fee program. ? Yes ® No
1g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1h
below. ? Yes ® No
1 h. Is the project located within a NC DCM Area of Environmental Concern (AEC)? ? Yes ®No
2. Project Information
2a. Name of project: Replacement of Bridge No. 73 over Back Creek (Lake Lucas) over SR 1518
2b. County: Randolph
2c. Nearest municipality / town: Asheboro
2d. Subdivision name: not applicable
2e. NCDOT only, T.I.P. or state
project no: B-4610
3. Owner Information
3a. Name(s) on Recorded Deed: North Carolina Department of Transportation
3b. Deed Book and Page No. not applicable
3c. Responsible Party (for LLC if
applicable): not applicable
3d. Street address: 4701 Atlantic Ave, Suite 116
3e . City, state, zip: Raleigh, NC 27604
3f. Telephone no.: [phone]
3g . Fax no.: [phone]
3h . Email address: [e-mail]
4. Applicant Information (if different from owner)
4a. Applicant is: ? Agent ? Other, specify:
4b. Name: not applicable
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: not applicable
5b. Business name
(if applicable):
5c. Street address:
5d. City, state, zip:
5e. Telephone no.:
5f. Fax no.:
5g. Email address:
2
B. Project Information and Prior Project History
1. Property Identification
1 a. Property identification no. (tax PIN or parcel ID): not applicable
1b. Site coordinates (in decimal degrees): Latitude: 35.742091 Longitude: -79.861596
(DD.DDDDDD) (-DD.DDDDDD)
1c. Property size: 64 acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to Back Creek (Lake Lucas)
proposed project:
2b. Water Quality Classification of nearest receiving water: WS-II, HOW, CA
2c. River basin: Yadkin-Pee Dee
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:
Forested area with rural residential housing and some pasture land.
3b. List the total estimated acreage of all existing wetlands on the property:
0
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
0
3d. Explain the purpose of the proposed project:
To replace a structurally deficient bridge.
3e. Describe the overall project in detail, including the type of equipment to be used:
The project involves replacing a 226-foot long, 16-foot wide, 6 span timber deck on steel girder bridge with a 240-foot
long, 34-foot wide, 3 span box beam bridge on the existing alignment with an off site detour. Temporary work bridge will
be used to remove and place bridge bents. Standard road building equipment, such as trucks, dozers, and cranes will be
used.
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property I ? Yes ®No ? Unknown
project (including all prior phases) in the past.
Comments: No streams, No wetlands in project area
4b. If the Corps made the jurisdictional determination, what type ? Preliminary ? Final
of determination was made?
4c. If yes, who delineated the jurisdictional areas? Agency/Consultant Company:
Name (if known): Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
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.
6. Future Project Plans
6a. Is this a phased project? ? Yes ®No
6b. If yes, explain.
C. Proposed Impacts Inventory
1. Impacts Summary
la. 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)
Temporary T
W1 ? P ? T ? Yes ? Corps
? No ? DWQ
W2 ? P ? T ? Yes ? Corps
? No ? DWQ
W3 ? P ? T ? Yes ? Corps
? No ? DWQ
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
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. 39.
Stream impact Type of impact Stream name Perennial Type of Average Impact length
number - (PER) or jurisdiction stream (linear feet)
Permanent (P) or intermittent (Corps - 404, 10 width
Temporary (T) (INT)? DWQ - non-404, (feet)
other)
S1 ? P ? T ? PER ? Corps
? INT ? DWQ
S2 ? P ? T ? PER ? Corps
? INT ? DWO
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:

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 individual) list all open water impacts below.
4a. 4b. 4c. 4d. 4e.
Open water Name of
impact number - waterbody Type of impact Waterbody type Area of impact (acres)
Permanent (P) or (if applicable)
Temporary T
01 ®P ? T Back Creek Fill Lake 0.21
(Lake Lucas)
02 ? P ® T Back Creek Fill Lake 0.02
(Lake Lucas)
03 ®P ? T Back Creek Bank Stabilization Lake 0.01
(Lake Lucas)
04 ?P?T
0. Total open water impacts 0.22 Perm
0.02 Temp
4g. Comments:
5. Pond or Lake Construction
If and or lake construction proposed, then complete the chart below.
5a. 5b. 5c. 5d. 5e.
Wetland Impacts (acres) Stream Impacts (feet) Upland
Pond ID Proposed use or (acres)
number purpose of pond Excavat
Flooded Filled ed Flooded Filled Excavated Flooded
P1
P2
5f. 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 an impacts require miti gation, 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) or for Stream name mitigation (square feet) (square feet)
Temporary T impact required?
61 ?P?T ?Yes
? No
B2 ?P?T ?Yes
? No
B3 ?P?T ?Yes
? No
6h. Total buffer impacts
61. Comments:
6
D. Impact Justification and Mitigation
1. Avoidance and Minimization
la. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
The proposed bridge is 14 feet longer than the existing bridge; it will be replaced at approximately the same location and
alignment; an off site detour will be used; 1.5:1 slopes will be used in jurisdictional areas; 5 bents will be removed from
Lake Lucas; only 2 bents will be used on the proposed bridge.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
NCDOT will implement Best Management practices (BMP's) for bridge demolition and removal. Design Standards in
Sensitive Watersheds will be used during construction.
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? ? Yes ®No
2b. If yes, mitigation is required by (check all that apply): ? DWQ ? Corps

2c.
If yes, which mitigation option will be used for this

pro
project? ? Mitigation bank

El Payment to in-lieu fee program

? Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank: not applicable
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.
7
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,
permiftee responsible riparian buffer restoration, payment into an approved in-lieu fee fund).
6h. Comments:
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 ? Yes ® No
within one of the INC Riparian Buffer Protection Rules?
1b. If yes, then is a diffuse flow plan included? If no, explain why.
? Yes ? No
Comments: See Permit Drawings
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:
See enclosed
? 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 government's jurisdiction is this project? not applicable
? Phase II
E] NSW
3b. Which of the following locally-implemented stormwater management programs ? USMP
apply (check all that apply): ? Water Supply Watershed
? Other:
3c. Has the approved Stormwater Management Plan with proof of approval been ? Yes ? No
attached?
4. DWQ Stormwater Program Review
? Coastal counties
® HOW
4a. Which of the following state-implemented stormwater management programs apply ? ORW
(check all that apply): ? Session Law 2006-246
? Other:
4b. Has the approved Stormwater Management Plan with proof of approval been
? Yes ®No
attached?
5. DWQ 401 Unit Stormwater Review
5a . Does the Stormwater Management Plan meet the appropriate requirements? ? Yes ? No Pending
5b . Have all of the 401 Unit submittal requirements been met? ? Yes ? No Pending
F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
1a. Does the project involve an expenditure of public (federal/state/local) funds or the ED Yes ? No
use of public (federal/state) land?
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 ® Yes ? No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
I 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:
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.
Due to the minimal transportation impact resulting from this bridge replacement, this project will neither influence nearby
land uses nor stimulate growth. Therefore, a detailed indirect or cumulative effects study will not be necessary.
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
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 USFW S 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?
As of January 31, 2008 the USFWS list two protected species in Randolph County, Schweinitizs sunflower and the Cape
Fear Shiner. Suitable habitat for the Cape Fear Shiner is not present in the project area due to absence of available stream
habitat and the presence of Lake Lucas. Suitable habitat for Schweinitiz's sunflower is present in the study area along
roadside shoulders and embankments. Surveys were conducted by NCDOT biologists throughout areas of suitable habitat on
September 15, 2009. No individuals were observed. A review of NCNHP records, updated July 2009, indicates no known
occurrences of the Cape Fear Shiner or Schweinitiz's sunflower within 1.0 mile of the study area. This project will have no
effect on the Cape Fear Shiner or Schweinitiz's sunflower.
Suitable foraging habitat is present for the Bald eagle. Surveys for the bald eagle were conducted on November 4, 2009. No
bald eagles or nests were observed within the project study area or within 660 feet of the project study area. Trees were
predominantly hardwoods and scattered pines less than 60 ears of age that are typically unsuitable for nesGn .
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
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?
Programmatic Categorical Exclusion B-4610
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: Hydraulics Unit coordinating with FEMA
8c. What source(s) did you use to make the floodplain determination? FEMA maps

Gregory J. Thorpe, Ph D f l l • S- d9
Applicant/Agent's Printed Name pplica /Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant
is provided.)
II
STORMWATER MANAGEMENT PLAN
TIP No. B-4610 001 1%DA
Project: 33794.1.1 101 14
Randolph County
ROADWAY DESCRIPTION
The purpose of this project is to replace Randolph County Bridge No. 73 on SR 1518
over Lake Lucas (Back Creek). The overall length of the project is approximately 0.2
miles. The approaches will be widened to provide two 11-foot lanes. Eight-foot grass
shoulders will be provided on each side. Where guardrail is required, the shoulder will
be widened an additional 3 feet. The roadway has been designed as a Rural Local
Route using the Sub-Regional Tier Design Guidelines for Bridge Projects. The project
drainage design consists of cross pipe, grated inlets with associated pipe systems, tail
ditch, roadside ditches, and grass swales.
ENVIROMENTAL DESCRIPTION
The project is located over Lake Lucas (Back Creek) in the Yadkin-Pee Dee River
Basin. Back Creek in the project area is classified WS-II, HQW, CA. The proposed
roadway embankment encroaches laterally into the jurisdictional surface waters (pond).
BEST MANAGEMENT PRACTICES (BMP's)
The primary goal of Best Management Practices (BMP) is to prevent degradation of the
state's surface waters through the location, construction and operation of the highway
system. BMP's are activities, practices and procedures undertaken to prevent or
reduce stormwater pollution. Non-structural BMPs for this project include grass
shoulder filtration, rock fill in lake, reduction of proposed impervious areas via use of the
Sub-Regional Tier Design Guidelines for Bridge Projects, and the widening the bridge
shoulder on the left side to accommodate the design spread and eliminate direct
discharge to the jurisdictional surface waters (pond), and stormwater diversion, as much
as practical, to separate on-site pavement runoffs for treatment. In addition to the non-
Structural BMPs, grass swales have been used as Structural BMP on this project for the
bridge and approach runoff.
Bridge on -L- 17+80 to 20+20:
Deck drains are not required. Bridge shoulder has been widened to eliminate the need
for deck drains. All deck pavement runoffs will be collected through grated inlets and
storm system and be drained to a grass swale for treatment (-L- 21+50 to 22+25 LT). A
grass tailditch (-L- Sta 22+25 LT) is provided with a tapered base to provide a non-
erosive outlet velocity to the pond. Approach pavement runoffs will be collected through
grated inlets and storm system and be drained to a grass swale for treatment (-L- 17+00
to 16+50 RT). Grass Swale Treatment Sheet is attached.
Attachment
B-4610
Stormwater Management Plan
Page 1 of 1
WETLAND IMPACTS
SUMMARY OF AFFECTED PROPERTY OWNERS

TRACT NO. PROPERTY OWNER ADDRESS SITE NO.
O CITY OF ASHEBORO P.O. BOX 1106
ASHEBORO N.C.27204 1

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b NCDOT
DIVISION OF HIGHWAYS
RANDOLPH COUNTY

PROJECT: 33794.1.1 (B-4610)
BRIDGE NO. 73 ON SR 1518
OVER LAKE LUCAS

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