20091192 Ver 1_Application_20091109

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STATE. OF NOR,rH CAROLINA
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DEPARTMENT OF TRANSPORTATION
Beverly Eaves Purdue Gene Conti
GOVGRNOR StCRBTARY
November 2. 2009
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Reg Army Corps of Engineers S (?
Regulatory Field Office ?@-J1I
Post Office Bo 1000 _
Washington, N.C. 27889-1000
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Attention: Bill Biddlecome {
Subject: Request for a NW 3 Permit and DWQ 401 for the replacement of Bridge 4 36 over Connarista
Swamp on SR 1221 in Berrie County. 3
The North Carolina Department of Transportation is requesting the issuance ofa NW 3 permit
and corresponding DWQ certification for the replacement of bridge = 36 in Berrie County. The bridge is
located on SR 1221 (Charles Taylor Rd.) approximately 1.25 miles west of the.intersection of NC 305 and
SR 1221. l'he bridge spans Connarista Swamp, which is a tributary that flows too the Cashie River
approximately 0.6 miles downstream. The Division of Water Quality classitiesjConnarista Swamp as Class
"C". "SW- waters, which is also, designated an anadromous fish spawning area by the Wildlife Resource
Commission. Bridge N 36 is currently a wooden structure that is 70 R. long by 25 tt. wide. This structure
will be removed using NCDOT's guidelines for bridge removal. The proposed-bridge will be replaced on
its existing alignment. The new bridge structure will be 105 ft. in length by 30 Ft. wide and built with
precast cored slab concrete deck, support piles and bents. The bridge roadway approaches will have to he
reconstructed. This will result in some widening of the shoulders, which will permanently impact 447 sq. ft
(0.010 acres) of riverine wetlands. NCDOT is proposing to remove approximately 0.013 acres of old
approach till and grade the restored area to adjacent wetland elevation. An off-site detour will be utilized to
detour traffic around the project area. i=
Included with this letter are the location map, permit drawings, and PCN. If you have questions
please call me at [phone]. 6
Sincerely,
Jerry Jennings
Acting Division One Engineer
Clay Willis d
Division One Environmental Officer
Cc: Garcy Ward. DWQ
Sonja Gregory, DWQ
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Pre-Construction Notification (PCN) i Form
A. Applicant Information
1. Processing j
la. Type(s) of approval sought from the
®Section 404 Permit E] Section 10 Permit
Corps:
1b. Specify Nationwide Permit (NWP) number: NW 3 or General Permit (GP) number:
tc. 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 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 0 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.
l h. Is the project located within a NC DCM Area of Environmental Concern (AEC)? ® Yes ? No
2. Project Information i
2a. Name of project: Bridge Replacement # 36 over Connarista Swamp
(FEDERAL STIMULUS PROJECT)
2b. County: Bertie
2c. Nearest municipality / town: Lewiston-Woodville
2d. Subdivision name: n/a
2e. NCDOT only, T.I.P. or state Bridge # 36 WBS # 41730.1.ST1 federal stimulus project - ARRA
project no: I
3. Owner Information j
3a. Name on Recorded Deed: NCDOT j
3b. Deed Book and Page No. n/a I
3c. Responsible Party (for LLC if NCDOT Division One
applicable):
3d. Street address: 113 Airport Drive Suite 100 t
3e. City, state, zip: Edenton, NC 27932
3f. Telephone no.: 252-482-5889
3g. Fax no.: 252-482-8722
3h. Email address: [e-mail] r
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Page 1 of 12
PCN Form - Version 1.0 November 2008 Version
Office Use Only:
Corps action ID no.
DWQ project no. _
Version 1.0 November 2008
Section A. Applicant Information, continued
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:
51b. Business name
(if applicable):
5c. Street address:
5d. City, state, zip:
5e. Telephone no.:
5f. Fax no.
5g. Email address:
Page 2 of 12
PCN Form - November 2008 Version
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B. Project Information and Prior Project History
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1. Property Identification
1a. Property identification no. (tax PIN or parcel ID):
1 b. Site coordinates (in decimal degrees): 36.1076505'N A77.040736'W
1c. Property size: 1.10 acres
2. Surface Waters Y
2a. Name of nearest body of water (stream, river, etc.) to n
Connarista Swamp
proposed project:
21b. Water Quality Classification of nearest receiving water: class C, SW
2c. River basin: Roanoke
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 existing bridge is a 25' X 70' wooden bridge with 4 interior bents supported by wood piles and two end bents. The
existing roadway is an 18 ft. asphalt surface roadway with 4-8 ft. grassed shoulde(s. This bridge crosses Connarista
Swamp and the associated riverine hardwood swamp. Landuse within the project area is dominated by forestry and row
crop agriculture.
3b. List the total estimated acreage of all existing wetlands on the property:
0.3 acres
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:

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100 feet
3d. Explain the purpose of the proposed project:
Replace bridge # 36, which has been identified as eligible for the federal bridge replacement program based on age and
structural condition
3e. Describe the overall project in detail, including the type of equipment to be used:
The existing wooden bridge deck and piles will be removed in accordance with NCDOT guidelines for bridge demolition
and removal. The new bridge will be 105 feet in length by 30 feet wide. The new bridge will be a three span cored slab
concrete structure supported by concrete piles. Approximatley 600 sq. feet of the old fill approaches will be removed and
graded to the adjacent wetland elevation. The new roadway approaches will be widened to accommodate the bridge
structure. Equipment used during this project will include a crane, excavator, grading equipment, and dump trucks.
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
® Yes ?' No ? Unknown
project (including all prior phases) in the past?
41b. If the Corps made the jurisdictional determination, what type
®Preliminary ?'Final
of determination was made?
4c. If yes, who delineated the jurisdictional areas? Agency/Consultan[ Company:
Name (if known): Clay Willis / Ryan Shook Other: a
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
10/12/09
5. Project History
5a. Have permits or certifications been requested or obtained for ? Yes ® I. No ? Unknown
this project (including all prior phases) in the past?
5b. If yes, explain in detail according to "help file" instructions.
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Page 3 of 12
PCN Form - Version 1.0 November 2008 Version
B. Project Information and Prior Project History
6. Future Project Plans ?
6a. Is this a phased project? ? Yes ®=No
6b. If yes, explain.
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Page 4 of 12 ?y
PCN Form - November 2008 Version
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C. Proposed Impacts Inventory
1. Impacts Summary
la. Which sections were completed below for your project (check all that apply):
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® Wetlands ? Streams - tributaries ? Buffers }
? Open Waters ? Pond Construction t
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
2a.
Wetland impact 2b. 2c. 2d. 2e.. S
Type of jurisdiction 2f.
number - Type of Type of wetland Forested (Corps - 404, 10 Area of impact (acres)
Permanent (P) or impact (if known) DWQ - non-404, other)
Temporary T '
W1 ®P ? T Earthen Hardwood ® Yes ? No ® Corps £ 0.010
Fill swamp ® DWQ
W2 E] P E] T El Yes El No ® Corps
® DWQ
W3 [_1 P ? T ? Yes ? No ® Corps
® DWQ

W4 E] P F-1 T E] Yes E] No ® Corps
® DWQ ?
W5 [I P [I T El Yes El No E] Corps
? DWQ
W6 ? P ? T ? Yes ? No ® Corps z
® DWQ
2g. Total wetland impacts 0.010
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. 31b. 3c. 3d. 3e. 3f.
Stream impact Type of Stream name Perennial (PER) or Average stream width (feet) Impact
number - impact intermittent (INT)? length
Permanent (P) or (linear feet)
Temporary (T)
S1 ? P ? T ? PER ?INT r
S2 ?P?T ?PER ?INT
S3 ?P?T ?PER ?INT
S4 ?P?T ?PER ?INT
S5 ? P ? T ? PER ? INT
S6 ?P?T ?PER ?INT
3g. Total stream and tributary impacts 0
3h. Comments:
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Page 5 of 12
PCN Form -Version 1.0 November 2008 Version
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C. Proposed Impacts Inventory, continued
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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 o en water impacts below. i
4a. 4b. 4c. 4d. 4e.
Open water Name of k
impact number waterbody Type of impact Waterbody type Area of impact (acres)
- Permanent (if
(P) or applicable)
Temporary T -f
01 ?P?T {
02 ?P?T
03 ?P?T r
04 ?P?T
4f. Total open water;impacts 0
4g. Comments:
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Page 6 of 12
PCN Form - November 2008 Version
C. Proposed Impacts Inventory, continued
5. Pond or Lake Construction
If and 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 (acres)
number purpose of pond
Flooded Filled Excavated 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 mitigation, then ou 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 (square Zone 2 impact
Permanent (P) for impact Stream name mitigation feet) (square feet)
or Temporary required?
T
B1 ?P?T ?Yes ?No
B2 ?P?T ?Yes ?No
B3 ?P?T ?Yes ?No
6h. Total buffer impacts 0
6i. Comments:
Page 7 of 12
PCN Form - November 2008 Version
D. Impact Justification and Mitigation
1. Avoidance and Minimization
Ia. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
Impacts to wetlands have been minimized through the reduction in the roadway f otprint. The bridge approach shoulders
are set at a width that allows for safety concerns to be met. The new bridge will be 35 ft. longer, which will enhance the
ability of the floodplain to function. This will also allow us to restore approximately 0.013 acres of wetlands, by removing
the old approach fill and grading it to adjacent wetland elevation. The road will be closed during the building process,
which avoids the need for an on-site detour that would impact wetlands. t

1 b. • r
Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
The bridge is being built using top-down construction technique and a off-site detour is being utilized.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State

2a.
Does the project require Compensatory Mitigation for i
? Yes No
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impacts to Waters of the U.S. or Waters of the State? E
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
E] Payment to in-lieu fee program
project?
? Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:

3b.
Credits Purchased (attach receipt and letter)
Type 4
Quantity
3c. Comments:
4. Complete if Making a Payment to In-lieu Fee Program k
4a. Approval letter from in-lieu fee program is attached. ? Yes
4b. Stream mitigation requested: n/a !linear feet
4c. If using stream mitigation, stream temperature: n/a iwarm, cool, cold
4d. Buffer mitigation requested (DWQ only): n/a square feet
4e. Riparian wetland mitigation requested: n/a acres
4f. Non-riparian wetland mitigation requested: n/a lacres
4g. Coastal (tidal) wetland mitigation requested: n/a !acres
4h.. Comments: .F
5. Complete if Using a Permittee Responsible Mitigation Plan

5a. v
If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
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Page 8 of 12 !
PCN Form - Version 1.0 November 2008 Version
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D. Impact Justification and Mitigation, continued
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?
61b. 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 Reason for impact Total impact
(square feet) Multiplier Required mitigation
(square feet)
Zone 1 3 (2 for Catawba)
Zone 2 1.5
Total buffer mitigation required:
6c. 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).
6d. Comments:
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Page 9 of 12
PCN Form - November 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 idehtified ? Yes ® No
within one of the NC Riparian Buffer Protection Rules?
1b. If yes, then is a diffuse flow plan included? ? Yes ? No
2. Determination if the Project Requires a Stormwater Management Plan
2a. Does the project require a Non-404 Jurisdictional General Permit? ? Yes ® No
21b. Is the project subject to General Certification 3704 or 3705? ? Yes ® No
3. Determination of Stormwater Review Jurisdiction
3a. Is this project subject to any of the following state-implemented stormwater i ? Coastal counties
management programs (check all that apply)? ? HOW
? ORW
If so, attach one copy of the approval letter from the DWQ and one copy of the ? Session Law 2006-246
approved stormwater management plan., ® Other: NCDOT 01000
31b. In which local government's jurisdiction is this project? n/a
3c. Is this local government certified to implement a state stormwater program? ? Yes ®No
If so, attach one copy of the approval letter from the local government and one copy
of the approved stormwater management plan (or one copy of the approved
Stormwater management plan stamped as approved). ;
4. Information Required for DWQ 401 Unit Stormwater Review F
4a. What is the overall percent imperviousness according to the most current site plan'? 0.45 acres
4b. Does this project contain any areas that meet the criteria for "high density" per ? Yes ®No
General Certifications 3704 and 3705?
4c. If the site is over 24% impervious and/or contains high density areas, then provide'a brief narrative description of the
stormwater management plan. k
NCDOT will follow BMP's and implement the erosion control plan for the construction site
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4d. Has a completed BMP Supplement Form with all required items been submitted i ? Yes ®No
for each stormwater BMP?
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Page 10 of 12 a
PCN Form - Version 1.0 November 2008 Version
F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
la. Does the project involve an expenditure of public (federal/state/local) funds or the t ® 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)?
tc. 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
? Yes
® No
letter.)
Comments: ;
2. Violations (DWQ Requirement) j
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)?
21b. 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? t
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.
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4. Sewage Disposal (DWQ Requirement) f
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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. k
n/a
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Page 11 of 12
PCN Form - Version 1.0 November 2008 Version
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F. Supplementary Information, continued
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?
E] Raleigh
Sc. 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?
Natural Heritage Database and USFWS information for Bertie County
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat? ? Yes ® No
61b. What data sources did you use to determine whether your site would impact Essen i tial Fish Habitat?
Marine Fisheries
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?
SHPO information
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: n/a
8c. What source(s) did you use to make the floodplain determination? FEMA maps
Clay Willis `J
l? 11/2/09
Applicant/Agent's Printed Name Applicant/Ager6s Signature
(Agent's signature is valid only if an authorization letter from the applicant Date
is provided.)
Page 12 of 12
PCN Form - November 2008 Version
Bridge # 36 Replacement
Connarista Swamp - Bertie County
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