20041289 Ver 1_Complete File_20040803

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STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY
GovERNoR
July 27, 2004
Ms. Beth Barnes
Wetlands/401 Unit
NC DENR Division of Water Quality
1650 Mail Service Center
Raleigh, NC 27699
(Courtesy Notification, Two Copies) 041289
Mr. John Thomas
US Army Corps of Engineers
6508 Falls of the Neuse Suite 120
Raleigh, NC 27615-6814
(Two Copies)
LYNDO TIPPETT
SECRETARY
WETLANDS/ 401 OR.-OUP
AUG 0 3 x)04
WATER QUAiUIP-';,?TION
Subject: Rockingham County, Bridge Replacement on Kerr's Chapel Road (SR 1100) Bridge #33
Project Number # 7#.20711
To Whom It May Concern:
The North Carolina Department of Transportation (NCDOT) proposes to replace a structurally
deficient bridge with a new Aluminum Box Culvert on Concrete Footings on Kerr's Chapel Road (SR
1100) in order to maintain traffic safety. The bridge site crosses Stoney Creek above Lake
Burlington in Caswell County. In an effort to obtain the necessary permits for the subject bridge
replacement, we are providing a pre-construction notification with supporting documentation. An
off-site detour is proposed during construction of the new bridge and approaches will remain in the
existing alignment. We believe this project can be permitted under the Nationwide Permits 3 and
33.
The following information is being provided to satisfy conditions of General Water Quality
Certification.
P. O. Box 14996 Greensboro. NC 27415-4996 Telephone No. [phone] Fax No. (336) 3343637
PROJECT INFORMATION
Road Name SR Number Project Length Classification
miles
Kerr's Chapel SR 1100 N/A Rural
Road
River Basin: DWQ Water Quality % Impervious
ID Desi ation Surface
Cape Fear 16-14-(l) WS-II; HQW NSW N/A
Buffer Rules Buffer Rule Conditions where applicable)
No Request Exemption
Protected Species Mapped Historic CAMA Essential Fishery
Present Properties AEC Habitat
No(See attached No No No
letters
BRIDGE REPLACEMENT INFORMATION
Site Kerr's Chapel Road Stream Type Perennial
Station
Existing 40ft Long X 24ft Wide Proposed 48ft long X l lft high X
Bride Bride 36 ft aloe the stream
Construction Place bottomless Con-Span - Dewatering Coffer Dams, during
Method Bridge on concrete footings Device* construction of concrete
outside of stream footings
Burial Depth N/A E/C Plan
Date
Construction As soon as practicable Duration Four weeks
Date
Impacts ft. 12 linear ft-shaded; 30 linear ft-rip-rap; 60 linear ft -temporary acts
Special
Conditions
Restoration Within 15 working days of the pipe replacement the natural stream contours
Plan will be restored and seeded. Temporary silt screens will be cleaned and
removed following vegetation establishment.
RCP = reinforced concrete pipe; CMP = Corrugated metal pipe; CMPA = Corrugated metal pipe arch; E/C = Erosion
control. *A less intrusive dewatering device may be used in lieu of the one proposed.
P. O. Box 14996 Greensboro, NC 27415-4996 Telephone No. [phone] Fax No. [phone]
MINIMIZATION INFORMATION
Impacts will be minimized by strict enforcement of Best Management Practices for the protection of
surface waters and wetlands, restrictions against the staging of equipment in or adjacent to waters
of the US, and coordination (including a pre-construction meeting) with the Division Environmental
Officer.
MITIGATION INFORMATION
Stream mitigation is not anticipated, as the impacts to any individual stream do not exceed 150 feet
Wetland mitigation is not anticipated, as wetland impacts do not exceed 0.10 acres and do not
occur in a unique natural wetland.
APPLICATION INFORMATION
Enclosed please find the Pre-construction Notification Form and supporting documentation for the
above referenced project. If you have any questions or need any additional information, please
contact Dennis Johnson at [phone] or Jerry Parker at [phone]. Your time and effort
are appreciated.
Sincerely,
i Mills, P.E.
Dgineer, Division 7
Enclosures
CC: Jerry Parker. NCDOT
Dennis Johnson, Bridge Maintenance NCDOT
Barry Harrington, NCDOT
Herbert McDowell, NCDOT
Davis Watkins, NCDOT
Sue Homewood, DWQ
P. O. Box 14996 Greensboro, NC 27415-4996 Telephone No. [phone] Fax No. (3361334-3637
Office Use Only: Form Version May 2002
USACE Action ID No. DWQ No.041289
(if any particular item is not applicable to this project, please enter "Not Applicable" or "N/A".)
1. Processing
1. Check all of the approval(s) requested for this project:
® Section 404 Permit ? Riparian or Watershed Buffer Rules
? Section 10 Permit ? Isolated Wetland Permit from DWQ
X 401 Water Quality Certification
2. Nationwide, Regional or General Permit Number(s) Requested: NWP 3 & 33
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: X
4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for
mitigation of impacts (verify availability with NCWRP prior to submittal of PCN), complete
section VIII and check here: ?
5. If your project is located in any of North Carolina's twenty coastal counties (listed on page
4), and the project is within a North Carolina Division of Coastal Management Area of
Environmental Concern (see the top of page 2 for further details), check here: ?
H. Applicant Information
1. Owner/Applicant Information
Name: Mr. J.M. Mills, P.E, Division ELigineer - Division 7
Mailing Address: P.O. Box 14996
Greensboro, NC
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: mmills?cr dot.state.nc.us
2. Agent/Consultant Information (A signed and dated copy of the Agent Authorization letter
must be attached if the Agent has signatory authority for the owner/applicant.)
Name: Jerry A. Parker
Company Affiliation: NCDOT
Mailing Address: P.O. Box 14996
Greensboro NC
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: jparker(a,dot.state.nc.us
Pagel of 9
M. )Project Information
Attach a vicinity map clearly showing the location of the property with respect to local
landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property
boundaries and development plans in relation to surrounding properties. Both the vicinity map
and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities must be included. If possible, the maps and plans should
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USACE requires information to be submitted on sheets no larger than 11 by 17-inch format;
however, DWQ may accept paperwork of any size. DWQ prefers full-size construction
drawings rather than a sequential sheet version of the full-size plans. If full-size plans are
reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps are provided.
1. Name of project: Replacement of Caswell County Bridge #33 on Kerr Chapel Road SR
1100)
2. T.I.P. Project Number or State Project Number (NCDOT Only): 711.201711
3. Property Identification Number (Tax PIN): Not Applicable
4. Location
County: Caswell Nearest Town: Anderson
Subdivision name (include phase/lot number): Not Applicable
Directions to site (include road numbers, landmarks, etc.):
The project is north of Burlington off NC 62. From I-85/40 in Burlington take Exit 143
(NC 62) and head north for approximately 17 miles to Caswell County line. After crossing
the county line, go 0.8 miles to SR 1114 (Vinson Road). Turn left on SR 1114 and go 2.3
miles to SR 1001 (Union Ridge Road). Turn right on SR 1001 and go One mile to SR 1100.
Turn left on SR 1100 and go 0.7 miles to the bridge site.
5. Site coordinates, if available (UTM or Lat/Long): See Attached Map
(Note - If project is linear, such as a road or utility line, attach a sheet that separately lists the
coordinates for each crossing of a distinct waterbody.)
6. Property size (acres): Not Applicable
7. Nearest body of water (stream/river/sound/ocean/lake): Toms Creek
8. River Basin: Cave Fear
Page 2 of 9
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://h2o.enr.state.nc.us/admin/maps/.)
9. Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this application: Rural residential and farmland
10. Describe the overall project in detail, including the type of equipment to be used:
The project will involve the replacement of a structurally deficient timber bridge with a
bottomless Con-Span Bridge placed on concrete footings A coffer dam will be utilized
during the construction of the concrete footings in order that they = be constructed in the
dry Equipment used will be standard road construction egpipment (trackhoe, grader,
backhoe and bulldozer.
11. Explain the purpose of the proposed work: To replace a structurally deficient bridge.
Replacement is necessary in order to bring the structure up to standard specifications.
IV. Prior Project History
If jurisdictional determinations and/or permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USAGE Action ID Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules.
Not Applicable
V. Future Project Plans
Are any future permit requests anticipated for this project? If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application.
Not Applicable
VI. Proposed Impacts to Waters of the United States/Waters of the State
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. The applicant must also
provide justification for these impacts in Section VII below. All proposed impacts, permanent
and temporary, must be listed herein, and must be clearly identifiable on an accompanying site
plan. All wetlands and waters, and all streams (intermittent and perennial) must be shown on a
delineation map, whether or not impacts are proposed to these systems. Wetland and stream
evaluation and delineation forms should be included as appropriate. Photographs may be
included at the applicant's discretion. If this proposed impact is strictly for wetland or stream
Page 3 of 9
mitigation, list and describe the impact in Section VIII below. If additional space is needed for
listing or description, please attach a separate sheet.
Provide a written description of the proposed impacts: The Department does not anticipate
permanent stream impacts during construction of the bridge because the concrete footings that
will support the box culvert will be placed parallel and on both sides of the stream but not in the
stream. A pump around or diversion channel will not be necessarduring construction since
work will be performed outside of the stream. The area for the concrete footings will be
excavated after demolition of.the old bridge. Any water entering the excavated area will be
pumped into a silt bag which will be located within the ROW and outside of any wetlands.A
temporary coffer dam will be used to keep water out of the work area where the concrete
footings for the Aluminum Box Culvert will be constructed. Permanent impacts will result from
the placement of rip-rap at each end of the new structure to help stabilize the stream banks. No
riprap is proposed to be placed within the stream Within 15 working days of the activity, all
temporary structures will be entirely removed and natural stream contours will be restored and
seeded Best Management Practices will be utilized during_the demolition of the old bridge and
construction of the new bridge.
1. Individually list wetland impacts below:
Wetland Impact
Site Number
indicate on ma
Type of Impact* Area of
Impact
acres Located within
100-year Floodplain**
es/no Distance to
Nearest Stream
linear feet
Type of Wetland***
N/A

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: mechanized clearing, grading, fill,
excavation, flooding, ditching(drainage, etc. For dams, separately list impacts due to both structure and flooding.
** 100-Year floodplains are identified through the Federal Emergency Management Agency's (FEMA) Flood Insurance Rate Maps
(FW, or FEMA-approved local floodplain maps. Maps are available through the FEMA Map Service Center at 1-800-358-9616, or
online at httuJ/www.fema.,ov.
*** List a wetland type that best describes wetland to be impacted (e.g., freshwater/saltwater marsh, forested wetland, beaver pond,
Carolina Bay, bog, etc.) Indicate if wetland is isolated (determination of isolation to be made by USACE only).
List the total acreage (estimated) of all existing wetlands on the property: Not Applicable
Total area of wetland impact proposed: Not Applicable
2. Individually list all intermittent and perennial stream impacts below:
Stream Impact Length of Average Width Perennial or
Site Number Type of Impact* Impact Stream Name** of Stream Intermittent?
indicate on ma linear feet Before Impact leases eci
fy)
12ft
Bridge #33 Bridge (covered)
60ft (tmp)
Toms Creek
10 to 20 ft
Perennial
Kerr Chapel Road replacement 30ft(rp)

Page 4 of 9
* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: culverts and associated rip-rap,
dams (separately list impacts due to both structure and flooding), relocation (include linear feet before and after, and net losstgain),
stabilization activities (cement wall, rip-rap, crib wall, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is
proposed, plans and profiles showing the linear footprint for both the original and relocated streams must be included.
** Stream names can be found on USGS topographic maps. If a stream has no name, list as UT (unnamed tributary) to the nearest
downstream named stream into which it flows. USGS maps are available through the USGS at 1-800-358-9616, or online at
www.usas.Qov. Several internet sites also allow direct download and printing of USGS maps (e.g., www.topozone.coni,
www.MMNuest.com, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: No permanent direct
impacts to the stream are anticipated An additional 12 linear feeet of shading is anticipated
due to the increased width of the Con Span Bridge. Best Management Practices will be
utilized during: the demolition of the old bridge Riprap will be placed along the banks of the
stream in the bridge area for bank stabilization purposes, but no ripmp is proposed to be in
the stream,
3. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.) below:
Open Water Impact
Site Number
(indicate
on ma
Type of Impact* Area of
Impact
(acres)
Name of Waterbody
(if applicable) Type of Waterbody
(lake, pond, estuary, sound,
bay, ocean, etc.)
N/A

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: fill, excavation, dredging,
flooding, drainage, bulkheads, etc.
4. Pond Creation
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ? uplands ? stream ? wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw down valve or spillway, etc.): Not Applicable
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.): Not Applicable
Size of watershed draining to pond: N/A Expected pond surface area: N/A
VII. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
Page 5 of 9
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts.
The proposed activity is being conducted to replace a structurally deficient structure and insure
the public safety. Temporary impacts will be minimized by strict enforcement of Best
Management Practices for the protection of wetland and surface waters, restrictions against the
stag_mg of equipment in or adjacent to waters of the US, and coordination with the Division
Environmental Officer.
VIII. Mitigation
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on March 9, 2000, mitigation will be required when
necessary to ensure that adverse effects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed. Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USACE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCWRP concurrence shall be placed on hold as
incomplete. An applicant may also choose to review the current guidelines for stream restoration
in DWQ's Draft Technical Guide for Stream Work in North Carolina, available at
http://h2o.enr.state.nc.us/ncwetlands/strmgide,html.
1. Provide a brief description of the proposed mitigation plan. The description should provide
as much information as possible, including, but not limited to: site location (attach directions
and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed method of construction. Please attach
a separate sheet if more space is needed.
A finding of insignificant impact is anticipated, therefore a mitigation plan is not provided.
Permanent stream impacts will result from an additional 12 feet of shading from the Con
Span Bridge No Outstanding Resource Waters, federally protected species or their habitats,
Page 6 of 9
or essential fishery habitats occur in the project area (see attached mussel survey lettersl.
The project is not located in a Hi gLh Quality Water.
2. Mitigation may also be made by payment into the North Carolina Wetlands Restoration
Program (NCWRP). Please note it is the applicant's responsibility to contact the NCWRP at
[phone] to determine availability and to request written approval of mitigation prior
to submittal of a PCN. For additional information regarding the application process for the
NCWRP, check the NCWRP website at http://h2o.enr.state.nc.us/wrp/index.htm. If use of
the NCWRP is proposed, please check the appropriate box on page three and provide the
following information:
Amount of stream mitigation requested (linear feet): Not Applicable
Amount of buffer mitigation requested (square feet): Not Applicable
Amount of Riparian wetland mitigation requested (acres): Not Applicable
Amount of Non-riparian wetland mitigation requested (acres): Not Applicable
Amount of Coastal wetland mitigation requested (acres): Not Applicable
IX. Environmental Documentation (required by DWQ)
Does the project involve an expenditure of public (federal/state) funds or the use of public
(federal/state) land?
Yes ® No ?
If yes, does the project require preparation of an environmental document pursuant to the
requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)?
Note: If you are not sure whether a NEPA/SEPA document is required, call the SEPA
coordinator at [phone] to review current thresholds for environmental documentation.
Yes ? No
If yes, has the document review been finalized by the State Clearinghouse? If so, please attach a
copy of the NEPA or SEPA final approval letter.
Yes ? No
X. Proposed Impacts on Riparian and Watershed Buffers (required by DWQ)
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required state and local buffers associated with the project. The applicant must also provide
justification for these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Meuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and
Water Supply Buffer Requirements), or other (please identify
Page 7 of 9
Yes No X If you answered "yes", provide the following information:
Identify the square feet and acreage of impact to each zone of the riparian buffers. If buffer
mitigation is required calculate the required amount of mitigation by applying the buffer
multipliers.
Zone* Impact
(square feet Multiplier Required
Mitigation
1 N/A 3
2 N/A 1.5
Total N/A
* Zone 1 extends out 30 feet perpendicular from near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.
If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation
of Property, Conservation Easement, Riparian Buffer Restoration / Enhancement, Preservation or
Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as
identified within I SA NCAC 2B .0242 or.0260.
Not Applicable
XI. Stormwater (required by DWQ)
Describe impervious acreage (both existing and proposed) versus total acreage on the site.
Discuss. stormwater controls proposed in order to protect surface waters and wetlands
downstream from the property.
The proposed activity involves the_replacement_of an existing structure with no addition to the
travel lane: therefore the percent new impervious surface equals 0%. Because the percent new
impervious surface is less than 30% stormwater controls are not being provided.
XII. Sewage Disposal (required by DWQ)
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
XM. Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H .0500) or any Buffer Rules?
Yes ? No X
Page 8 of 9
Is this an after-the-fact permit application?
Yes ? No X
XIV. Other Circumstances (Optionan:
It is the applicant's responsibility to submit the application sufficiently in advance of desired
construction dates to allow processing time for these permits. However, an applicant may
choose to list constraints associated with construction or sequencing that may impose limits on
work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and
Threatened Species, accessibility problems, or other issues outside of the applicant's control).
,7
Ap li ntlAgenrs Signature Date
(Agent's gna a is valid only if an authorization letter from the applicant is provided.)
Page 9 of 9
N.C. D.O.T.
BRIDGE MAINT. DEPT.
CASWELL CO
336-6345610
BRIDGE#33
SR 1100
PROJECT No.
EROSION CONTROL SEQUENCE
ROANOKE RIVER BASIN
KERR'S CHAPEL RD
78.201711
REPLACE BRIDGE # 33 WITH CON-SPAN 48'X 1 TX 36' LONG (A /*n ? t I Aret 41)
REMOVE EXISTING BRIDGE
1 DIVERT STREAM WITH COFFER DAM FOR FOOTING #1
2 EXCAVATE FOR FOOTING # 1
3 INSTALL SILT FENCE AS NEEDED AND PUMP EXCESS WATER INTO SILT BAG
4 POUR CONCRETE LEVELING PAD
5 CONSTRUCT FORMS FOR FOOTING # 1 AND POUR CONCRETE
6 REMOVE COFFER DAM FOR FOOTING #1
7 INSTALL COFFER DAM FOR FOOTING #2
8 EXCAVATE FOR FOOTING # 2 TO REQUIRED DEPTH.
9 INSTALL SILT FENCE ASNEEDED AND PUMP EXCESS WATER INTO SILT BAG
10 POUR CONCRETE LEVELING PAD
11 CONSTRUCT FORMS FOR FOOTING # 2 AND POUR CONCRETE
12 REMOVE COFFER DAM FOR FOOTING #2
13 INSTALL CON-SPAN
14 BACKFILL CULVERT AND SHOULDERS.
15 PLACE FILTER FABRIC AND RIP RAP AS NEEDED.
16 SEED EXPOSED AREAS AFTER PAVING.
APPROXIMATE PROJECT START DATE 8/2/04
PREPARED BY W. D. Watkins TRANSPORTATION SUPV
3
DATE 6/14/04
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Name: ANDERSON Location: 036° 15'38.2" N 079° 22'20.9" W
Date: 7/27/2004 Caption: Kerr Chapel Rd (SR 1100)
Scale: 1 inch equals 2000 feet Caswell County
Bridge #33

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EXAMPLES OF CON-SPAN BRIDGE
Kerr Chapel Road (SR
Kerr Chapel Road (SR 1100) View of bridge from upstream side showing
the west bank beneath the bridge
1100)- View of bridge from downstream side
Kerr Chapel Road (SR 1100)-Downstream view from road
Kerr Chapel Road (SR 1100) - Upstream view from road
Kerr Chapel Road (SR 1100) View of bridge looking east