20201753 Ver 1_ePCN Application_20201117

I I DWR
Division of Water Resources
Pre-Construction Notification (PCN) Form
October 26,2020 Ver 3.3
Initial Review
Has this project met the requirements for acceptance in to the review process?*
6 Yes
✓ No
Is this project a public transportation project?*
0 Yes r No
Change only if needed.
BIMS#Assigned* Version#*
20201753 1
Is a payment required for this project?*
6 No payment required
✓ Fee received Reviewing Office*
✓ Fee needed-send electronic notification Wilmington Regional Office-[phone]
Select Project Reviewer*
Joanne Steenhuis:eads\jhsteenhuis
Information for Initial Review
1a.Name of project:
B-5303 Duplin Bridge 45
1a.Who is the Primary Contact?*
Mason Herndon
lb.Primary Contact Email:* 1c.Primary Contact Phone:*
[e-mail] [phone]
Date Submitted
11/17/2020
Nearest Body of Water
Island Creek
Basin
Cape Fear
Water Classification
C;Sw
Site Coordinates
Latitude: Longitude:
34.804387 -77.971560
Pre-Filing Meeting Information
ID# Version
Pre-fling Meeting or Request Date*
12/21/2012
Attach documentation of Pre-Filing Meeting Request here:*
SOS e-mail.pdf 91.51 KB
A. Processing Information C^U
County(or Counties)where the project is located:
Duplin

Is this a NCDMS Project
✓ Yes r No
Is this project a public transportation project?*
✓ Yes r No
Is this a NCDOT Project?*
✓ Yes r No
(NCDOT only)T.I.P.or state project number:
B-5303
WBS#(7)
17BP.3.PE.83
1a.Type(s)of approval sought from the Corps:
fJ Section 404 Permit(wetlands,streams and waters,Clean Water Act)
r Section 10 Permit(navigable waters,tidal waters,Rivers and Harbors Act)
Has this PCN previously been submitted?*
✓ Yes
r No
lb.What type(s)of permit(s)do you wish to seek authorization?
fJ Nationwide Permit(NWP)
r Regional General Permit(RGP)
r Standard(IP)
1c.Has the NWP or GP number been verified by the Corps?
(7 Yes CNo
Nationwide Permit(NWP)Number: 03-Maintenance
NWP Numbers(for multiple NWPS):
Id.Type(s)of approval sought from the DWR:
17 401 Water Quality Certification-Regular r 401 Water Quality Certification-Express
r Non-404 Jurisdictional General Permit r Riparian Buffer Authorization
r Individual Permit
le.Is this notification solely for the record because written approval is not required? *
For the record only for DWR 401 Certification: r Yes r No
For the record only for Corps Permit: r Yes r No
If.Is this an after-the-fact permit application?*
✓ Yes rNo
1g.Is payment into a mitigation bank or in-lieu fee program proposed for mitigation of impacts?
CYes rNo
1g.Is payment into a mitigation bank or in-lieu fee program proposed for mitigation of impacts?
✓ Yes rNo
Acceptance Letter Attachment
lh.Is the project located in any of NC's twenty coastal counties?
CYes rNo
1j.Is the project located in a designated trout watershed?
✓ Yes r No
B. Applicant Information
Id.Who is applying for the permit?
7 Owner 17 Applicant(other than owner)
le.Is there an Agent/Consultant for this project?*
✓ Yes r No
2.Owner Information
2a.Name(s)on recorded deed:
North Carolina Department of Transportation

2b.Deed book and page no.:
N/A
2c.Responsible party:
Chad D.Kimes
2d.Address
Street Address
5501 Barbados Blvd
Address Line 2
Criy State/Bovine/legion
Castle Hayne NC
Postal/Zip Code Country
28429 US
2e.Telephone Number: 2f.Fax Number:
[phone] [phone]
2g.Email Address:*
[e-mail]
3.Applicant Information(if different from owner)
3a.Name:
Mason Herndon
3b.Business Name:
North Carolina Department of Transportation
3c.Address
Street Address
5501 Barbados Blvd
Address Line 2
Qly State/Rovince/Region
Castle Hayne NC
Fbstal/Zip Code Country
28429 US
3d.Telephone Number: 3e.Fax Number:
[phone] [phone]
3f.Email Address:*
[e-mail]
C. Project Information and Prior Project History
1. Project Information
lb.Subdivision name:
(if appropriate)
N/A
1c.Nearest municipality/town:
Rose Hill
2. Project Identification
2a.Property Identification Number: 2b.Property size:
N/A 0.75
2c.Project Address
Street Address
N/A
Address Line 2
Qly State/Rovince/Region
N/A N/A
Postal/Zip Code Country
N/A N/A
3.Surface Waters
3a.Name of the nearest body of water to proposed project:*
Island Creek
3b.Water Resources Classification of nearest receiving water:*

C;Sw
3c. What river basin(s)is your project located in?*
Cape Fear
3d.Please provide the 12-digit HUC in which the project is located.
030300070404
4. Project Description and History
4a.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 86 ft.long x 29.3 ft.wide and located on a paved secondary road.The general land use is predominantly forested with some agriculture and residential dwellings.
4b.Have Corps permits or DWR certifications been obtained for this project(including all prior phases)in the past?*
r Yes ( No r Unknown
4d.Attach an 8 1/2 X 11 excerpt from the most recent version of the USGS topographic map indicating the location of the project site.(for DWR)
B-5303 topo.pdf 1MB
4e.Attach an 8 1/2 X 11 excerpt from the most recent version of the published County NRCS Soil Survey map depicting the project site.(for DWR)
B-5303 Soil Map.pdf 6.09MB
4f.List the total estimated acreage of all existing wetlands on the property:
2.6 ac
4g.List the total estimated linear feet of all existing streams on the property:
789
4h.Explain the purpose of the proposed project:*
The proposed purpose of the project is to replace the existing functionally obsolete and structurally deficient 83 ft.long x 29.3 ft.wide bridge with a 125 ft.long x 33 ft.wide bridge in
accordance with NCDOT standards.
4i.Describe the overall project in detail,including indirect impacts and the type of equipment to be used:*
Remove existing bridge structure and replace with 125 ft.long x 33 ft.wide bridge.An existing waterline that conflicts with the construction of the new structure will also be relocated.
The project will be constructed with standard roadway construction equipment which includes excavators,backhoes,and cranes.
4j.Please upload project drawings for the proposed project.
SF-300045_AppPermit Drawings_20201117.pdf 4.36MB
5.Jurisdictional Determinations
5a.Have the wetlands or streams been delineated on the property or proposed impact areas?*
6 Yes r No 6 Unknown
Comments:
Sb.If the Corps made a jurisdictional determination,what type of determination was made?*
6 Preliminary r Approved r Not Verified r Unknown f N/A
Corps AID Number:
SAW-2013-00229
5c.If 5a is yes,who delineated the jurisdictional areas?
Name(if known): Stanton/Rivenbark
Agency/Consultant Company: NCDOT ECAP
Other:
5d.List the dates of the Corp jurisdiction determination or State determination if a determination was made by the Corps or DWR
11/5/2020
5d1.Jurisdictional determination upload
final signed B 5303 PJD tearhseet.pdf 218.63KB
6. Future Project Plans
6a.Is this a phased project?*
rYes rNo
Are any other NWP(s),regional general permit(s),or individual permits(s)used,or intended to be used,to authorize any part of the proposed project or related activity?
No
D. Proposed Impacts Inventory
1. Impacts Summary

1a.Where are the impacts associated with your project?(check all that apply):
7 Wetlands 17 Streams-tributaries n Buffers
1 Open Waters r' Pond Construction
2.Wetland Impacts
2a.Site OM 2a1 Reason(?) 2b.Impact type*(?) 2c.Type of W.* 2d.W.name* 2e.Forested* 2f.Type of 2g.Impact
Jurisdicition*(?) area*
1 Fill P Riverine Swamp Forest WA Yes Both 0.007
(acres)
1 FP excavation P Riverine Swamp Forest WA No Both 0.004
(acres)
2g.Total Temporary Wetland Impact 2g.Total Permanent Wetland Impact
0.000 0.011
2g.Total Wetland Impact
0.011
2h.Comments:
Excavation is for floodplain bench tie in after approach fill is excavated for longer bridge.
3.Stream Impacts
3a.Reason for impact(?) 3b.lmpact type* 3c.Type of impact* 3d.S.name* 3e.Stream Type* 3f.Type of 3g.S.width* 3h.Impact
(?) Jurisdiction* length*
S1 Abutment removal Temporary Other Island Creek Perennial Both 40 50
Average(feet) (linear feet)
3i.Total jurisdictional ditch impact in square feet:
0
3i.Total permanent stream impacts: 3i.Total temporary stream impacts:
O 50
3i.Total stream and ditch impacts:
50
3j.Comments:
Impact are associated with the removal of the existing abutment at the OHM.
E. Impact Justification and Mitigation
1.Avoidance and Minimization
1a.Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
Slopes in jurisdictional areas are 3:1 to minimize impacts.Between Sta.15+30 to 16+33 LT slopes were reduced to 1.5:1 and rock plated to minimize
impact to the maximum extent practicable.
1b.Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Top down construction will be utilized on this project.Strict implementation of SE&C BMP's will be utilized to protect water of the US in accordance with
NCDOT's NPDES Permit No.00250 and NCG01.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a.Does the project require Compensatory Mitigation for impacts to Waters of the U.S.or Waters of the State?
✓ Yes 6No
2b.If this project DOES NOT require Compensatory Mitigation,explain why:
Total permanent wetlands impacts associated with this project is 0.011 acres and no permanent stream impacts.This project only requires written approval from the Corps due to the
presence of habitat for wood stork which has recently been listed by USFWS in this county.
F. Stormwater Management and Diffuse Flow Plan (required by DWR)
1. Diffuse Flow Plan
1a.Does the project include or is it adjacent to protected riparian buffers identified within one of the NC Riparian Buffer Protection Rules?
✓ Yes 6 No
If no,explain why:

Project is not adjacent to or within protected riparian buffers
2.Stormwater Management Plan
2a.Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?*
a Yes r No
Comments:
See attached storm management plan in permit drawing packet.
G. Supplementary Information
1. Environmental Documentation
la.Does the project involve an expenditure of public(federal/state/local)funds or the use of public(federal/state)land?*
a Yes r No
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(North Carolina)
Environmental Policy Act(NEPAiSEPA)?*
( Yes r No
1c.If you answered"yes"to the above,has the document review been finalized by the State Clearing House?*
✓ Yes ( No
Comments:*
A PCE was completed and signed for this project on 2/3/17.
2.Violations(DWR Requirement)
2a.Is the site in violation of DWR Water Quality Certification Rules(15A NCAC 2H.0500),Isolated Wetland Rules(15A NCAC 2H.1300),or DWR Surface Water or Wetland Standards or
Riparian Buffer Rules(15A NCAC 2B.0200)?*
✓ Yes ( No
3. Cumulative Impacts(DWR Requirement)
3a.Will this project result in additional development,which could impact nearby downstream water quality?*
✓ Yes a No
3b.If you answered"no,"provide a short narrative description.
The project is the replacement of an existing bridge structure on an existing paved secondary road.
4.Sewage Disposal(DWR Requirement)
4a.Is sewage disposal required by DWR for this project?*
✓ Yes (' Nor N/A
5. Endangered Species and Designated Critical Habitat(Corps Requirement)
5a.Will this project occur in or near an area with federally protected species or habitat?*
(7 Yes r No
5b.Have you checked with the USFWS concerning Endangered Species Act impacts?*
( Yes r No
5c.If yes,indicate the USFWS Field Office you have contacted.
Raleigh
5d.Is another Federal agency involved?*
✓ Yes ( No r Unknown
5e.Is this a DOT project located within Division's 1-8?
a Yes r No
5j.What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
IPAC
Consultation Documentation Upload
20201106_Itr_USFWS_NCDOT_B-5303_Bridge810213.es.pdf 174.56KB
6. Essential Fish Habitat(Corps Requirement)
6a.Will this project occur in or near an area designated as an Essential Fish Habitat?*
✓ Yes r No

6b.What data sources did you use to determine whether your site would impact an Essential Fish Habitat?*
NC GIS data
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 status?*
r Yes R No
7b.What data sources did you use to determine whether your site would impact historic or archeological resources?*
Project was reviewed and cleared by NCDOT HEU in coordination with SHPO.
7c.Historic or Prehistoric Information Upload
B-5303 Historic Reviews.pdf 370.33KB
8. Flood Zone Designation(Corps Requirement)
8a.Will this project occur in a FEMA-designated 100-year floodplain?*
r Yes !' No
8b.If yes,explain how project meets FEMA requirements:
Bridge Survey Report was completed by NCDOT Hydraulics
8c.What source(s)did you use to make the floodplain determination?*
FEMA mapping
Miscellaneous U
Comments
PCE is attached.
Miscellaneous attachments not previously requested.
B5303_PCE.pdf 1.12MB
Signature
*
7 By checking the box and signing below,I certify that:
• The project proponent hereby certifies that all information contained herein is true,accurate,and complete to the best of my knowledge and belief;and
• The project proponent hereby requests that the certifying authority review and take action on this CWA 401 certification request within the applicable reasonable period of time.
• I have given true,accurate,and complete information on this form;
• I agree that submission of this PCN form is a"transaction"subject to Chapter 66,Article 40 of the NC General Statutes(the"Uniform Electronic Transactions Act');
• I agree to conduct this transaction by electronic means pursuant to Chapter 66,Article 40 of the NC General Statutes(the"Uniform Electronic Transactions Act");
• I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written signature;AND
• I intend to electronically sign and submit the PCN form.
Full Name:
Mason Herndon
Signature
Date
11/17/2020