20100505 Ver 1_Application_20100628

N6? 1,0
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
Beverly E. Purdue Gene Conti
GOVERNOR SECRETARY
June 22, 2010
U.S. Army Corps of Engineers
Regulatory Field Office ® ® 5 ® 5
Post Office Box 1000
Washington, N.C. 27889-1000
Attention: Bill Biddlecome
Subject: Request for a NW 3 Permit and DWQ 401 for the maintenance work associated with the
placement of 19 pile jackets on Bridge 9 7 (B-5194) over the Roanoke, Middle and Cashie River on NC 45
in Bertie and Washington County.
The North Carolina Department of Transportation is requesting the issuance of a NW 3 permit
and corresponding DWQ certification for maintenance work associated with the placement of 19 pile
jackets on Bridge # 7 over the Roanoke River in Berrie County. The pile jackets will be 7 feet long with 5
feet above the waterline and 2 feet below the waterline. At some locations the mud line is within 2 feet of
the water surface. Therefore, NCDOT will need to remove some sediment around the base of the pile in
order to properly install the pile jacket. The area temporarily impacted will be a width of I ft. around the
base and no deeper than 2 feet. This will be done using a pressurized water hose. Prior the soil
displacement a turbidity curtain will be placed to incase the pile. The process will result in a total of 59.47
sq. ft. of area being disturbed. This maintenance project is designed to reduce the impact of a deteriorating
bridge and prolong the life of the existing structure.
Included with this letter are the location map, pile jacket schematics, and PCN. If you have
questions please call me at [phone].
Sincerely,
Jerry Jennings
Acting Division One Engine _
Clay Willis
Division One Enviro 19 ental Officer
Cc: Garcy Ward, DWQ
Sonia Gregory, DWQ

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 0 Section 404 Permit ? Section 10 Permit
Corps:
1 b. Specify Nationwide Permit (NWP) number: NW 3 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
1 e. 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
if. Is payment into a mitigation bank or in-lieu fee program proposed for mitigation ? Yes ® No
of impacts? If so, attach the acceptance letter from mitigation bank or in-lieu
fee program.
1 g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h ® Yes ? No
below.
1 h. Is the project located within a NC DCM Area of Environmental Concern (AEC)? ® Yes ? No
2. Project Information
2a. Name of project: Bridge # 7 bridge pile jacket maintenance work
2b. County: Bertie
2c. Nearest municipality / town: Plymouth
2d. Subdivision name: n/a
2e. NCDOT only, T.I.P. or state B-5194 45287.3.ST1
project no:

3. Owner Information
3a. Name(s) on Recorded Deed:
3b. Deed Book and Page No.
3c. Responsible Party (for LLC if NCDOT Division One
applicable)

3d. Street address: 113 Airport Drive
3e. City, state, zip: Edenton, 27932
3f. Telephone no.: 252-482-7977
3g. Fax no: 252-482-8722
3h. Email address: [e-mail]
Page 1 of 11
PCN Form - Version 1 3 December 10, 2008 Version
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. AgenVConsultant Information (if applicable)
5a. Name:
5b. Business name
(if applicable):
5c. Street address:
5d. City, state, zip:
5e. Telephone no.:
5f. Fax no.:
5g. Email address:
Page ? of 11
PCN Form - Version 1.3 December 10, 2008 Version
B. Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID): n/a
Latitude: 35.9231308
1b. Site coordinates (in decimal degrees): Longitude: - 76.73257
(DD DDDDDD) (-DD DDDDDD)
1 c. Property size: 3 acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to Cashie. Middle, and Roanoke River
proposed project:
2b. 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 crosses the Lower Roanoke River system, which consist of the Cashie, Middle and Roanoke River.
This bridge is approximately 1 mile long with a high rise over the Roanoke River. The bridge was constructed in 1968 and
the aging concrete piles need maintenance work conducted to preserve structural integrity. The adjacent landuse is
primarily in woodland conservation. The south end of the bridge on the Washington County side has a public boat ramp
managed by the Wildlife Resource Commission.
3b. List the total estimated acreage of all existing wetlands on the property:
4 acre
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
500
3d. Explain the purpose of the proposed project:
Restore and preserve structural integrity of the bridge # 7 pilings
3e. Describe the overall project in detail, including the type of equipment to be used:
The bridge was constructed in 1968 and the aging concrete piles need maintenance work conducted to preserve
structural integrity. This will be done by the placement of pile jackets around the piles. The pile jackets are 7 ft. in length
and will be placed at the waters edge, leaving 5 ft. above the waterline and 2 ft. below the water line. At some locations
the mudline is within 2 ft. of the waters surface. Therefore, some minimal soil displacement will need to take place around
the base of the pile. This will be done by using pressurized water. An area approximately 1 ft. around the base of the pile
will need to be removed to a depth not exceeding 2 feet. Prior to the soil removal a turbidity curtain will be placed around
the base of each piling. This will capture the suspended material. Once the pilling collars are in place a filler will be
pumped into the collars. This will reinforce the piling at the scour zone.
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:
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 ves list the dates of the Corps iurisdictional determinations or State determinations and attach documentation.
Page 1 of 11
PCN Form - Version 1.3 December 10, 2008 Version
S. Project History
5a. Have permits or certifications been requested or obtained for l ? Yes ? No ? Unknown
this project (including all prior phases) in the past? 1
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
Page =4 of 11
PCN Form - Version 1.3 December 10, 2008 Version
C. Proposed Impacts Inventory
1. Impacts Summary
1 a. 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
? Yes ? Corps
W4 ? P ? T ? No ? DWQ
W5 ? P ? T ? Yes ? Corps
? No ? DWQ
? Yes ? Corps
W6 ? P ? T ? No ? DWQ
?;. Total wetland impacts 0.018
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. 3g.
Stream impact Type of impact Stream name Perennial Type of jurisdiction Average Impact
number - (PER) or (Corps - 404, 10 stream length
Permanent (P) or intermittent DWQ - non-404, width (linear
Temporary (T) (INT)? other) (feet) feet)
? PER ? Corps
S1 ? P F1 T ? INT ? DWQ
S2 ? P ? T ? PER ? Corps
? INT ? DWQ
S3 ? P ? T ? PER ? Corps
? INT ? DWQ
S4 ? P ? T ? PER ? Corps
? INT ? DWQ
S5 ? P ? T ? PER ? Corps
? INT ? DWQ
- ? PER ? Corps
1 T
S6 ? P F ? INT ? DWQ
3h. Total stream and tributary impacts
3i. Comments: None
Page _5 of 11
PCN Form - Version 1.3 December 10. 2008 Version
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. 4b. 4c. 4d. 4e.
Open water Name of waterbody
impact number - (if applicable) Type of impact Waterbody type Area of impact (acres)
Permanent (P) or
Temporary T)
01 ? P ® T Roanoke River Bottom soil displacement warm water river 0.0013
02 ?P?T
03 ?P?T
04 ?P?T
-tf. Total open water impacts 0.0013
4g. Comments: Temporary displacement of bottom material 1 ft. diameter around 19 piles
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 purpose (acres)
number of pond Flooded Filled Excavated Flooded Filled Excavated Flooded
P1
P2
5f. Total
5g. Comments: None
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 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?
?Yes
B1 ?P?T ? No
7 Yes
62 ?P?T ?
No
? Yes
63 ? P ? T ? No
6h. Total buffer impacts
6i. Comments: None
Page 6 of 11
PCN Form - Version 1.3 December -10. 2008 Version
D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
The maintenance of the pile support system on this bridge prolongs the life span of this structure, reducing the need for
replacement. This work avoids impact from a deteriorating structure and the need for a replacement bridge.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques
A t urbidity curtain will be placed around each pile prior to and soil displacement being conducted
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?
?b. If yes. mitigation is required by (check all that apply): ? DWQ ? Corps
F1 Mitigation bank
2c. If yes, which mitigation option will be used for this
? 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 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.
Page 7 of 11
PCN Form - Version 1.3 December 10, 2008 Version
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? 1
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.
6c. 6d. 6e.
Zone Reason for impact Total impact Multiplier Required mitigation
(square feet) (square feet)
Zone 1 3 (2 for Catawba)
Zone 2 1.5
6f. Total buffer mitigation required:
L
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 in-lieu fee fund).
6h. Comments,
Page 8 of 11
PCN Form - Version 1.3 December 10, 2008 Version
E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Plan
la. Does the project include or is it adjacent to protected riparian buffers identified ? Yes ® No
within one of the NC Riparian Buffer Protection Rules?
1 b explain why.
then is a diffuse flow plan included? If no
If
es
. ,
y
, ? Yes ? No
Comments
2. Stormwater Management Plan

2a. What is the overall percent imperviousness of this project? NIA %
2b. Does this project require a Stormwater Management Plan? ? Yes ®No
2c. If this project DOES NOT require a Stormwater Management Plan, explain why: No G round Disturbance or new
impervious surface added. NCDOT BMP's will be followed for bridge maintenance wo rk associated with concrete repair
and steel surface painting
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? n/a
? Phase II
? NSW
3b. Which of the following locally-implemented stormwater management programs USMP
F-1
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
? HQW
4a. Which of the following state-implemented stormwater management programs apply ? ORW
? Session Law 2006-246
(check all that apply): ® Other: NCDOT stormwater
permit
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
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
F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
1a. Does the project involve an expenditure of public (federal/state/local) funds or the ? Yes ? No
use of public (federal/state) land?
lb . 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)?
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
El Yes ? No
letter.)
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, I ? 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.
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.
No wastewater will be created from this project
Page M of 11
PCN Form -Version 1.3 December 10, 2008 Version
o. tnaangerea >pecies ana uesignaiea t.nucai naunaL t%,UFWs RClj MIC111CI11)
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?
? Raleigh
5c. If yes, indicate the USFWS Field Office you have contacted.
ill
? A
h
s
ev
e
5d . What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
Natural Heritage database

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?
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?
Natural Register of Historic Places
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: project will not have an effect on 100 yr floodpl ain elevations
8c . What source(s) did you use to make the floodplain determination? FEMA map
/
Clav Willis
-)
/, a-? Z1, /, 6122110
ApplicanUAgent's Printed Name -
Appli t/Agent's Signature Date
gnly if an authorization letter from the applican
(Agent's signature is val t
,
is provided
Page 1 I of 11
PCN Form - Version 1.3 December 10, 2008 Version
I ISLuCENT FIBERGLASS
ET.
f r
I
1.
DAMA A '
(TY
I ?
f?
I
I I. I
I

l
o? I I I
r?
?D 114

-SEE DETAIL `D'' I I I
DETAIL V
N
TEMPORART NTLON RATCHET
STRAPS
ISLPPLIED BY CONTRACTORS)
PLACED OVER BOTTOM SEAM.
E x? WE
ADtJ??JrCP?uLA i LDi+?
-SEE DETAIL 'O--
PE ELEVATION P L FLEVATIQN
ABOVE GRADE REPAIR SELDM GRADE REPAIR
.. ...+.•....?..r... ,,•?....w.....we.rrr -- - ? ? 4Oirr/001M . .
Bridge Inspection Field Sketch
END BENT
CASHIE MER
FLOW
aeirrs as !2
TYP1C-%AY c TEED
seas s7 - 6b
SEWS AE - 7
TYP1CJiL.LY e 7 OEEP
BENM M - 4E
VANS UP TO Zr OEEP
BENTS 4 - a
fYPCAUY . 7 DEEP
PERM 24 - 31
VARIES UP 70 2I' DEEP
PIERS %. 23
TfPICA Y < 7 DEEP
ROANOKE RWER
BENTS o - 04
V+IRIES UP TO 33,
DEE>s
Y
(ASSUYE{71
PIERS I.12
TVPICALI-Y c 7 CEEP
r BOAT PAW
NuT1!
TFE C7iAN4EL BOTTOM lS VERY
SOFT 04AVING PROBE ROD
PEIETRATIONS FROM c TO v
TWe
CHANNEL LAYOUT
END SENT 1
CMAA&ML LAYOM
wm
WW" No: 070007
Description
CHANNELLAYOUT
G?awn?y MAB 1 oarg??2Q08 NsInCT0438000013
FLOW ? J
WIDOLE RFAW (\\II?
Bent # of Piles
11 1
32 1
33 1
35 1
38 1
39 1
40 2
42 1
53 1
54 1
56 1
67 1
69 1
73 2
78 3
Bridge # 7 NC 45
Bertie County
11110
. a
i
_-- Pry _-Dca n
Y71,
q ?!
V
r.
!i fl ,
N
0 1 2 4 Miles
N