20091139 Ver 1_Application_20091023

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Office Use Only:
Corps action ID no,
DWO project no.
Form Version 1.3 Dec 10 2008
Pre-Construction No tcafion C Form
A. Applicant Infor-mation
1. Processing
1a. Type(s) of approval sought from the
Corps: ® Section.404 Permit ?'Section 10 Permit
1 b. Specify Nationwide Permit (NWP) number -.3 or General Permit (GP) number.
1c. Has the NWP or GP number been verified by the Corps? Yes ? No
Id. 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
I a. 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 in-lieu
fee program. ? Yes ® No
1g. Is the project located in any of NC's twenty coastal aunties. If yes, answer 1h
below. ? Yes ®.No
1h. Is the project located within a NC DCM Area of EnvironmentaLConcem{AEC)? ? Yes ® No
2. Project Information

2a.
Name of project: 84237 Pitt 25 Bridge Replacement Water Line,and Telephone Line Relocation SR
1723,Ayden Country Club Road Over
Fork Swamp WBS Element Number 33580.1.1
2b. County: Pitt
2c. Nearest municipality /town: Ayden
2d. Subdivision name: N/A
2e. NCDOT only, T.I.P. or state
project no: 33580.1.1
3. Owner Information
3a. Name(s) on Recorded Deed: North Carolina Department of Transportation
3b. Deed Book and Page No. WA
3c: Responsible Party (for LLC if
applicable): N/A
3d. Street address: 105 Pactolus Highway NC 33 P.O. Box 1587
3e. City, state, zip: Greenville, NC 27835
3f. Telephone no.: 252-830-3490
3g. Fax no.: 252-830-3341
3h. Email address: [e-mail]
PageI 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
41). Name: Jay B. Johnson
4c. Business name
(if applicable): North Carolina Depratment of Transportation
4d. Street address: P.O. Box 1587
4e. City, state, zip: Greenville, NC 27835
4f. Telephone no.: 252-8303490
4g. Fax no.: 252-8303341
4h. Email address: [e-mail]
5. Agent/Consuttant Information (if applicable)
5a. Name: NIA
5b. Business name
(if applicable):
5c. Street address:
5d. City, state, zip:
5e. Telephone no.:
5f. Fax no.:
59. Email address:
Page 2 of 11
PCN Form - Version 1.3 December 10, 2008 Version
,,.
B. Project Information and Prior Project History I
1. Property Identification
13. Property identification no. (tax PIN or parcel ID): Pitt 25 SR 1723 Over Fork Swamp

1b. Site coordinates (in decimal degrees): Latitude: N 35.488940 Longitude: - W
77.366433
(DD. DDDDDD) (-DD.DDDDDD)
1c. Property size: WA acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to

proposed project: Fork Swam
p
2b. Water Quality Classification of nearest receiving water. C;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:
SR 1723, Ayden Country Club Road is a paved secondary state highway. Woodlands and Agriculture dominate the
landscape.
3b. List the total estimated acreage of all existing wetlands on the property:
0.0 Acres There are no 404 Wetland Impacts For The Bridge Replacement,water line,and telephone line relocation.
3c. List the total estimated linear feet of all existing streams (Intermittent and perennial) on the property:
'
80
This site is part of a longer adjacent stream system
3d. Explain the purpose of the proposed project
Bridge To Bridge Replacement, Water Line and Telephone Line Relocation; the existing bridge has deteoriated and
needs replacing. A section of existing water line will be abandoned and a 12" HDPE Pipe will be installed by Directional
Drilling.The Telephone Line will be Relocated From Station 12+65 to Staion 19+10.
3e. Describe the overall project in detail, including the type of equipment to be used:
The Existing 67-03" Bridge will be replaced with a Proposed 102'-6" x 27-10" Bridge. A Section of The Existing 12 " PVC
Pipe Will Be Abandoned and a Proposed 12" HDPE Pipe will be installed by Direxctional Drilling. The telephone Line will
be relocated.Excavators,Dump Trucks,and Crane Trucks will be used for the Bridge Replacement and Water Line
Installation.
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property
/
project (including all prior phases) in the past? ? Yes ® No ? Unknown
Comments:
4b. If the Corps made the jurisdictional determination, what type
f d
t
? Preliminar
? Final
o
e
ermination was made? y
c. If yes, who delineated the jurisdictional areas? Agency/Consultant Company:
Name (if known): Jay B. Johnson Other. NCDOT
4d.
If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
[
September, 2009
. Project History
a. 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.
Page 3 of 11
PCN Form -Version 1.3 December 10, 2008 Version

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
y;
,l
C. Proposed Impacts inventory
1. Impacts Summary
ta. 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.
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)
Tem ora
?Yes ? Corps 0
W1 ? P ? T ? No ? DWQ
? Yes ? Corps
W2 ? PEI T ? No ? DWQ
? Yes ? Corps
W3 ? P ? T ? No ? DWQ
? Yes ? Corps
W4 ? P ? T ? No ? DWQ
? Yes ? Corps
W5 ? P ? T ? No ? DWQ
? Yes ? Corps
W6 ? P ? T ? No ? DWQ
2g. Total wetland impacts 0.0 Acres

2h. Comments: No 404 Wetland Impacts
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.
3g.
3c. . 3e.
3a.
Stream impact pe of impact Stream name Perennial Type of jImpact
length

number - (PER) or (Corps
(linear
T
Permanent (P) or intermittent DWQ -
;
Temporary (T) (INT)? otfeet)
S1 ®P ? T t Placement
n Fork Swamp ®PER
? INT El Corps
®DWQ 35'
? PER ? Corps
S2 ? P ? T ? INT ? DWQ
? PER ? Corps
S3 ? P F1 T ? INT ? DWQ
? PER ? Corps
S4 ? P ? T ? INT ? DWQ
? PER ? Corps
S5 ? P ? T ? INT ? DWQ
? PER ? Corps
S6 ? P ? T ? INT ? DWQ
35 Linear
3h. Total stream and tributary impacts Feet

Page 5 of 11
PCN Form - Version 13 December 10, 2008 Version
,h
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.
Open water
impact number
- Permanent
(P) or
Temporary 413.
Name of waterbody
(if applicable) 4c.

Type of impact 4d. `

Watertody type 4e.

Area of impact (acres)
01 ?P?T
02 ?P?T
03 ?P?T
04 ?P?T
4f. Total open water impacts None
4g. Comments:
5. Pond or take Construction
If and or lake construction sed, then com fete the chart below.
5a.

ID
Pond 5b.

proposed use purpose of
or 5c.
Wetland Impacts (acres) 5d.
Stream Impacts (feet) 5e.
Upland
(acres)
number r pond d Flooded Filled Excavated Flooded Filled Excavated Flooded
P1
P2
51. 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
a:
1 1, >
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.
® Neuse ?Tor-Pamlico ? Other. None
Project is in which protected basin? ? Catawba ? Randleman
6b. 6c. 6d. 6e. 6f. 6g.
Buffer impact
number- Reason for Buffer Zone 1 impact Zone 2 impact
Permanent (P) impact Stream name mitigation (square feet) (square feet)
or Temporary required?
Construction
B1 ®P ? T Maintenance Fork Swamp 0 Ye
® Nos 7325 Sq. Ft. 4650 Sq. Ft.
Road
132 ?P?T ?Yes
? No
B3 ?P?T ?Yes
? No
6h. Total buffer impacts 7325 Sq. Ft. 4850 Sq. Ft.
6i. Comments:
D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
Welland Impacts have been minimized to the extent feasible, with impacts occurring only where necessary to accommodate
the proposed bridge and water line.
I b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Use of existing roadway to operate construction equipment; no equipment will enter wetlands.
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 ® 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
3. Complete If Using a Mitigation Bank
3a. Name of Mitigation Bank:
3b. Credits Purchased (attach receipt and letter) Type Quantity
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 ? cooi ?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:
6. Complete If Using a Perrnittee Responsible Mitigation Plan
53. 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 Be.
Required mitigation
(square feet)
Zone 1 3 (2 for Catawba)
Zone 2 1.5
6f. Total buffer mitigation required: None
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 in4ieu fee fund).
WA
6h. Comments:
Page 8 of 11
PCN Form - Version 1.3 December 10, 2008 Version
i.,
E. Stormwater Management and Diffuse Flaw Plan (required by DWQ)
1. Diffuse Flow Plan
ta. Does the project include or is it adjacent to protected riparian buffers idenfified N Yes ? No
within one of the NC Riparian Buffer Protection Rules?
1b. If yes, then is a diffuse flow plan included? If no, explain why.
Comments: Bridge Replacement project covered by NCDOT Statewide NPDES ? Yes ® No
Permit
2. Stort water Management Plan _
2a. What is the overall percent imperviousness of this project? NIA Roadway/Bridge Project %
2b. Does this project require a Stormwater Management Plan? ? Yes N No
20. 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 Stormwater Management Plan, then provide a brief, narrative description of the plan:
? 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?
? Phase II
3b. Which of the following locally-implemented stormwater management programs ? NSW
? USMP
apply (check all that apply): ? Water Supply Watershed
? Other:
3c. Has the approved Stormwater Management Plan with proof of approval been ? Yes N 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
N Other: NPDES Permit
4b. Has the approved Stormwater Management Plan with proof of approval been
? Yes N No
attached?
5. DWQ 401 Unit Stormwater Review
5a. Does the Stomrwater Management Plan meet the appropriate requirements? ? Yes ? No
5b. Have all of the 401 Unit submittal requirements been met? ? Yes ? No
Page 9 of 11
PCN Form -Version 1.3 December 10, 2008 Version
I.
F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
1a: Does the project involve an expenditure of public (federal/statellocal) funds or the ® Yes ? No
use of public (federal/state) land?
1b. If you answered "yes' to the above, does the project require preparation of an
t
l
St
? Yes
® No
e
or
a
environmental document pursuant to the requirements of the Nationa
(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 ? Yes ? No
letter.)
Comments:
2. Violations (DWQ Requirement)
2a. Is the site in violation of DWQ Wetland Rules (15A NCAC 2H .0500), Isolated
d
d
? Yes
® No
ar
s,
Wetland Rules (15A NCAC 2H .1300), DWQ Surface Water or Wetland Stan
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.
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 Forth - Version 1.3 December 10, 2008 Version
S. 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 conceming Endangered Species Act ? Yes No
Impacts?
El 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?
On-Site Habitat Investigation of Tar River SpinyMussels by Jason Mays and Steve Mitchell
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?
On-Site Investigation and Moratorium Information From Travis Wilson, NCWRC
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 El 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?
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
Sc. What source(s) did you use to make the floodplain determination? FEMA FIRM Maps
October 20,
Betty Ann Caldwell, PE 2009
Applicant/Agents Printed Name A plicantlAgent's Signature
(Agent's signature Is valid only it an authorization letter from the applicant Date
is provided.)
Page 11 of 11
PCN Forth - Version 1.3 December 10, 2008 Version
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°?' ?; GARDNERVILLEUSGS'QUAD'MAP
SHEET NUMBER 63-B OF THE SOIL SURVEYOFPITT COUNTY, , `
"FIRMPANEL 4683,) . MAENUNIBER 3720468300 J'
WBS ELEMENT NUMBER 3358 11 OCTOBER 20, 2009 ,
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September 23, 2009
Memorandum to: Jay Johnson, DEO, NC DOT Division 3
From: Steve Mitchell, PDEA, Biological Surveys Group
Subject: B-4237 Mussel Survey Report
Biologists from the NCDOT Biological Surveys Group, Jason Mays and Steve Mitchell
performed a survey for Tar River spinymussel (Elliptio steinstansana, TSM) at the Pitt County
SR 1723 crossing of Fork Swamp on September 18, 2009. B-4237 involves the replacement of
the existing bridge, number 25, with a new structure on existing location. Surveys were
conducted within the Fork Swamp (Tar-Pam River Basin) from a location approximately 400 m
downstream of the bridge to approximately 100m upstream of the bridge.
During the 2.5 person hours of search effort 55 individuals of Elliptio complummta and a single
individual of Lampsilis radiata were collected along with an abundant numbers of Corbicula
fluminea (asiatic clam). These same species were encountered during a previous survey
conducted on April 28, 2004. No TSM were collected during either of the surveys.
Habitat within the surveyed reach of the creek was not adequate for TSM, being about 2-3 meters
wide and having unstable silt/mud/sand substrate with unstable banks.' Agriculture and
commercial land uses are present in the watershed and an access road parallels the right bank with
some signs of recent land clearing activity insulting in very narrow or nonexistent buffer. These
influences have resulted in degraded habitat that would not support TSM. US Fish & Wildlife's
web site list the TSM occurrence as historic since it has not been observed in Pitt County in over
50 years.
Biological Conclusion
Tar River spinymussel-No Effect
Principle Investigator
Investigator: Jason W. Mays, Environmental Specialist
Permit: NC - 2009 ES 133
Education: B.S. Biological Sciences, UNC Chapel Hill 2002 .
M.S. Fisheries and Wildlife Science, NCSU 2009
Experience: NCWRC Field Biologist May 2002-October 2003
Environmental Specialist, NCDOT, March 2004- Present
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September 23, 2009
Memorandum to: Jay Johnson, DEO, NC DOT Division 3
From: Steve Mitchell, PDEA, Biological Surveys Group
Subject: B-4237 Mussel Survey Report
Biologists from the NCDOT Biological Surveys Group, Jason Mays. and Steve Mitchell
performed a survey for Tar River spinymussel (Elliptio steinstaruana, TSM) at the Pitt County
SR 1723 crossing of Fork Swamp on September 18, 2009. B-4237 involves the replacement of
the existing bridge, number 25, with a new structure on existing location. Surveys were
conducted within the Fork Swamp (Tar-Pam River Basin) from a location approximately 400 in
downstream of the bridge to approximately 100m upstream of the bridge.
During the 2.5 person hours of search effort 55 individuals of Elliptio complananta and a single
individual of Lwnpsihs radiata were collected along with an abundant numbers of Corbicula
.Jluminea (asiatic clam). These same species were encountered during a previous survey
conducted on April 28, 2004. No TSM were collected during either of the surveys.
Habitat within the surveyed reach of the creek was not adequate for TSM, being about 2-3 meters
wide and having unstable silt/mud/sand substrate with unstable banks. Agriculture and
commercial land uses are present in the watershed and an access road parallels the right bank with
some signs of recent land clearing activity resulting in very narrow or nonexistent buffer. These
influences have resulted in degraded habitat that would not support TSM. US Fish & Wildlife's
web site list the TSM occurrence as historic since it has not been observed in Pitt County in over
50 years.
Biological Conclusion
Tar River spinymusset-No Effect
Principle Investigator
Investigator: Jason W. Mays, Environmental Specialist
Permit: NC - 2009 ES 133
Education: B.S. Biological Sciences, UNC Chapel Hill 2002
M.S. Fisheries and Wildlife Science, NCSU 2009
Experience: NCWRC Field Biologist May 2002-October 2003
Environmental Specialist, NCDOT, March 2004- Present

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gee Pitt #25
Water Line Relocation
Telephone Line Relocation
October 20, 2009
All Planning documents have been completed including the Programmatic Categorical Exclusion Form
Regulatory Authorization Options for this Activity
Federal: Section 404(F)(1)(b) Exempt Activities-Maintenance of Transportation Structures.
State: Activities Deemed to Comply with Water Quality Standards.
Local: None
Federal: USACE Nationwide General Permit 3 - Maintenance
State: General Water Quality Certification #3687
Local: None
Project Description
Replace existing 69'-03" long by 24.0' (clear roadway) wide concrete deck bridge with timber piles with a
proposed 102'-6" long by 27'-10" (clear roadway) wide reinforced concrete bridge on steel piles and install
a proposed 12" HDPE Pipe by Directional Drilling. Age of the bridge and safety inspection reports dictate
the need for replacement of this bridge. There will be no impacts to jurisdictional waters during bridge
construction and guardrail installation. The longer bridge will result in approximately 1,630 square feet
(0.04 Acres) of excavated roadway fil I beneath the new structure. This project does not involve Section 10
(Rivers and Harbors Act) navigable waters. A section of existing PVC Pipe Water Line will be abandoned
and replaced by 12" HDPE Pipe and installed by Directional Drilling. The Launching and Receiving Pits
are located outside of the Riparian Buffers and the Proposed water Line will be located 28'Left of the
center-line of SR 1723 as shown on the attached plan. A section of telephone line will be relocated from
Station 12+65 to Station 19+10 as shown on the plan sheet. This project does not require the completion of
a formal PCN but notification to the Corps is being provided to be included in their database. This
conveyance is shown on the Gardnerville USGS Quad Map and Sheet Number 63-B of the Soil mop taken
from the Soil Survey of Pitt County. The channel is 40 feet wide from bank top to bank top and drains a
woodland/agricultural area. No federally protected species or historic resources are immediately adjacent
to this location.There is no Moratorium for this project and a Tar River spinymussel Survey has been
conducted with a Biological Conclusion of "No Effect" on the Tar River spinymussel.
In order to ensure compliance with best management practices, all attached General and Regional
Conditions associated with Nationwide Permit 3 and Water Quality Certification #3687 must be followed.
Keep demolition and construction debris out of the stream. Riprap will not be placed below the
plane of ordinary high water for stabilization. Excavation should be confined to the right of way,
and limited to the minimum amount required to excavate In high ground for the construction of the
new bridge, All excavated material should be removed from the site, placed on existing spoil piles, or
disposed of in farm fields. Any waste material disposed of off-site shall have a reclamation plan.
All Erosion and Sedimentation measures and Maintenance Best Management Practices should be
implemented. I am forwarding a copy to Mr. Andy Blankenship in Roadside Environmental for his perusal
in US inspections. The project supervisor should always have this permit package, including the attached
General and Regional Conditions associated with the Nationwide Permit 3 and Water Quality Certification
#3687 on site during the bridge replacement. The project supervisor should notify me immediately if any
questions or concerns should arise before and during construction.
Betty Ann Caldwell, PE
Project Manager
NCDOT Division 2 flt /? ///
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BRIDGE REPLACEMENT I
PITT25
SR 1723,AYDENCOUNTRY CLUB ROAD OVER FORKSWAMP ii
GARDNERVILLE USGS QUAD MAP
SHEETNUMBER63-B OF THE SOIL SURVEY OFPITT COUNTY
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FIRM PANEL 4683 J MAP NUMBER 3720468300 J i'
Wp?BS ELEMENT NUMBER 33580. 1.1 OCTOBER 20, 2009
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