20091273 Ver 1_Application_20101201

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'I STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
(] 1 Beverly Eaves Purdue Gene Conti
lJ GOVERNOR SECRETARY

U.S. Army Corps of Engineers
Regulatory Field Office
Post Office Box 1000
Washington, N.C. 27889-1000
Attention: Bill Biddlecome
November 23, 2009
091273
Subject: Request for a NW 3 Permit and DWQ 401 for the replacement of Bridge # 6 over Ready
Branch on US 17 in Martin County.
The North Carolina Department of Transportation is requesting the issuance of a NW 3 permit
and corresponding DWQ certification for the replacement of bridge # 6 in Martin County. The bridge is
located on US 17 approximately 0.1 miles north of the intersection of SR 1521 (Mill Inn Rd). The bridge
-spans Ready _Branch,_which.is-classified.by- DWQ.as.class-`C"-waters.-Bridge #_ 6_ is. currently-a.concrete----
structure that is 90 ft. long by 28 ft. wide. This structure will be removed using NCDOT's guidelines for
bridge removal. Coffer dams will be utilized around the interior bent and southern end bent during removal.
The proposed bridge will be replaced on its existing alignment. The new bridge structure will be 145 ft. in
length by 40 ft. wide and built with precast cored slab concrete deck, support piles and bents. The bridge
roadway approaches will have to be reconstructed. An on-site detour will be used utilizing the existing
bridge on the north bound lanes of US 17. There is a 12" gas main that will be relocated to the west side of
US 17 and will be installed under Ready Branch Creek using a trenchless method and will not result in any
additional impacts. This project will be funded through federal stimulus money.
Included with this letter are the location map, permit drawings, and PCN. If you have questions
please call me at [phone].
Sincerely,
Jerry Jennings ;??,?
Acting Division On? -' % g??
Clay Willis m
Division One Environ ental OfScer
Cc: Garcy Ward, DWQ
Sonja Gregory, DWQ
i Martin County Bridge #5 US 17
0.1 miles N. of SR 152.1 Mill Inn Rd
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Roanoke River Basin o 0.2 0.4 0.8 Miles w E
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Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.0 November 2008
Pre-Construction Notification (PCN) Form
I
A
I
.
Applicant Information
11 . Processing
Zia. Type(s) of approval sought from the
Corps:
N Section 404 Permit E] Section 10 Permit
11b. Specify Nationwide Permit (NWP) number: NW 3 or General Permit (GP) number:
1c. Has the NWP or GP number been verified by the Corps? N Yes E] No
lid, Type(s) of approval sought from the DWQ (check all that apply):
N 401 Water Quality Certification - Regular ? Non404 Jurisdictional General Permit
? 401 Water Quality Certification - Express ? Riparian Buffer Authorization
tie. Is this notification solely for the record
because written approval is not required? For the record only for DWQ 401
Certification:
N Yes ? No For the record only for Corps Permit:

? Yes N No
l f. 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 N No
i
fig
Is the project located in any of NC's twenty coastal-counties-lfyes,-answerlh
below.
-? Yes------
---- N-No -----
1Ih. Is the project located within a NC DCM Area of Environmental Concern (AEC)? ?Yes N No
2. Project Information

21a.
Name of project: Bridge Replacement # 6 over Ready Branch
(FEDERAL STIMULUS PROJECT)
2b. County: Martin
2c. Nearest municipality / town: Williamston
2d. Subdivision name: n/a
2e. NCDOT only, T.I.P. or state
project no:
Bridge # 6 WBS # 33780.1.1 federal stimulus project - ARRA
3. owner information
?a. Name on Recorded Deed: NCDOT
?b. Deed Book and Page No. n/a
C. Responsible Party (for LLC if
applicable): NCDOT Division One
d. Street address: 113 Airport Drive Suite 100
?e. City, state, zip: Edenton, NC 27932
1_f. Telephone no.: 252-482-5889
3g. Fax no.: 252-482-8722
°.h. Email address: [e-mail]
Page 1 of 12
PCN Form - Version 1.0 November 2008 Version
Section A. Applicant Information, continued
4 . Applicant Information (if different from owner)
4a. Applicant is: ? Agent ? Other, specify:
4b. Name:
dc. Business name
(if applicable):
4.d. Street address:
4'e. City, state, zip:
4f. Telephone no.:
4. Fax no.:
4h. Email address:
5. Agent/Consultant Information (if applicable)
Sa. Name:
Sb. Business name
(if applicable):
Sc. Street address:
5d. City, state, zip:
5e. Telephone no.:
5f. Fax no.:
5g. Email address:
Page 2 of 12
PCN Form - November 2008 Version
i
B. Project Information and Prior Project History
I
11. Property Identification
1i3. Property identification no. (tax PIN or parcel ID):
1 b. Site coordinates (in decimal degrees): 35.78880'N - 77.05942'W
1 - Property size: 1.8 acres
2i Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to Ready Branch Creek
proposed project:
2b. Water Quality Classification of nearest receiving water: class C
2c. River basin: Roanoke
3? Project Description
3 a. 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 28' X 90' concrete bridge with 1 interior bent . The existing roadway is a 25 ft. asphalt surface
L roadway with 8-10 ft. grassed shoulders. This bridge crosses Ready Branch Creek. Land use within the project area is
residential, agricultural, and undeveloped forrest.
3b. List the total estimated acreage of all existing wetlands on the property:
0.1 acres
3i:. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
150 feet
3( J. Explain the purpose of the proposed project:
Replace bridge # 6, which has been identified as eligible for the federal bridge replacement program based on age and
-- --structural-condition--- ------------------- ---- --
3 e. Describe the overall project in detail, including the type of equipment to be used:
The existing concrete bridge deck and interior bent will be removed in accordance with NCDOT guidelines for bridge
demolition and removal. The interior bent has a concrete footing and a coffer dam will be needed to encompass the area
during removal. A coffer dam will also be needed for the removal of the southern end bent. This will result in 0.01 acres
of temporary surface water impacts. The new bridge will be 145 feet in length by 40 feet wide. The new bridge will be a
three span cored slab concrete structure supported by concrete piles. 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.
4.1 Jurisdictional Determinations
4;3. 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?
4b. If the Corps made the jurisdictional determination, what type ®preliminary ? Final
of determination was made?
4i:. If yes, who delineated the jurisdictional areas? Agency/Consultant Company: Ecoscience
. Name (if known): Other:
4if. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
3/29/06, Action ID 2005-11638
5i Project History
5i3. Have permits or certifications been requested or obtained for El Yes ® No El Unknown
this project (including all prior phases) in the past?
5113. If yes, explain in detail according to "help file" instructions.
Page 3 of 12
PCN Form - Version 1.0 November 2008 Version
Page 4 of 12
PCN Form - November 2008 Version

Proposed Impacts Inventory
Iy
1. Impacts Summary
i
I a. Which sections were completed below for your project (check all that apply):
® Wetlands ? Streams - tributaries ? Buffers
? Open Waters ? Pond Construction
2. iWetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
2a. I 2b. 2c. 2d. 2e. 2f.
Wetland impact Type of jurisdiction
'number - Type of Type of wetland Forested (Corps - 404, 10 Area of impact (acres)
Permanent (P) or impact (if known) DWQ - non404, other)
Temporary T
\N1 ? P ®T
I Hand
Clearing Riverine ? Yes ® No ® Corps
®DWQ 0.02
\N2 ? P ? T ? Yes ? No ? Corps
I ? DWQ
\N3 ? P ? T
I ? Yes ? No ? Corps
? DWQ
\N4 ? P ? T ? Yes ? No ? Corps
I ? DWQ
W5 ? P ? T ? Yes ? No ? Corps
? DWQ
IN6 ? P ? T ? Yes ? No ? Corps
? DWQ
- ---------- ----- 2g. Total- wetland impacts- --- ----0:02 --------
2h. Comments:
S. 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.
Stream impact Type of Stream name Perennial (PER) or Average stream width (feet) Impact
number - impact intermittent (INT)? length
Flermanent (P) or (linear feet)
-temporary (T)

'1 ? P ®T coffer Ready Branch
PER ?INT
20
39
dam Creek
:32 ?P?T ?PER ?INT
:i3 ? P ? T ? PER E] INT
:>4 ?P?T ?PER ?INT
S5 ?P?T ?PER ?INT
S6 ?P?T ?PER ?INT
39. Total stream and tributary impacts 39
3h. Comments: Coffer dams will be used during removal of the interior bent and southern end bent.
Page 5 of 12
PCN Form - Version 1.0 November 2008 Version
C. Proposed Impacts Inventory, continued
i
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 open water impacts below.
4a. 4b. 4c. 4d. 4e.
Open water Name of
impact number waterbody Type of impact Waterbody type Area of impact (acres)
Permanent (if
(P) or applicable)
Tem ora T
61 ?P?T
O2I?P?T
O3I?P?T
i:)4 ?P?T
4f. Total open water impacts 0
4g. Comments:
Page 6 of 12
PCN Form - November 2008 Version

C. Proposed Impacts Inventory, continued
I
!i. Pond or Lake Construction
I
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)
r
wmber ur
ose
f
nd
l p
p
po
o Flooded Filled Excavated Flooded Filled Excavated Flooded
P1
P2
5f. Total
!ig. Comments:
!ih. Is a dam high hazard permit required?
? Yes ? No if yes, permit ID no:
!ii. Expected pond surface area (acres):
:ij. Size of pond watershed (acres):
!ik. Method of construction:
I
I I i. 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.
iia.
I
? Neuse ?Tor-Pamlico ? Other:
P i roject is in which protected basin? El Catawba El Randleman
fib.--- -6c.- --- -6d.------ --- -6e.- - -6f.---- - - 69 - -- -- --- --
Bufferimpact
number - Reason Buffer Zone 1 impact (square Zone 2 impact
Permanent (P) for impact Stream name mitigation feet) (square feet)
or Temporary required?
T
I131 ?P?T ?Yes ?No
182 ?P?T ?Yes ?No
I133 ? P ? T ? Yes ? No
6h. Total buffer impacts 0
iii. Comments:
Page 7 of 12
PCN Form - November 2008 Version
n ? + r,
FE Impact Justification and Mitigation
? Avoidance and Minimization
1a. Speccally describe measures taken to avoid or minimize the proposed impacts in designing project.
The new bridge will be 55 ft. longer, which will enhance the ability of the floodplain to function. There will be an on-site
detour utilizing the existing bridge on the north bound lanes of US 17, which will avoid any additional wetland or stream
impacts.

11 I I
). 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 an on-site detour is being used utilizing the existing
11 ridge on the north bound lanes of US 17.
2) Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
23. Does the project require Compensatory Mitigation for
impacts to Waters of the U.S. or Waters of the State? ? Yes ®No
i
21?. If yes, mitigation is required by (check all that apply):
? DWQ ? Corps

2
0. If yes, which mitigation option will be used for this
project? ? Mitigation bank

E] Payment to in-lieu fee program
? Permittee Responsible Mitigation
31 Complete if Using a Mitigation Bank
3; 1 3. Name of Mitigation Bank:
i
31 . Credits Purchased (attach receipt and letter)
Type
Quantity
3(1;. Comments:
i
4.1 Complete if Making a Payment to In-lieu Fee Program
4<3. Approval letter from in-lieu fee program is attached. ? Yes
41). Stream mitigation requested:. n/a linear feet
4i;. If using stream mitigation, stream temperature: n/a warm, cool, cold
4( 1. Buffer mitigation requested (DWQ only): n/a square feet
4i:. Riparian wetland mitigation requested: n/a acres
4f . Non-riparian wetland mitigation requested: n/a acres
4i1. Coastal (tidal) wetland mitigation requested: n/a acres
d1.. Comments:
5.I Complete if Using a Permittee Responsible Mitigation Plan
5<i. If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
Page 8 of 12
PCN Form - Version 1 .0 November 2008 Version
D. Impact Justification and Mitigation, continued
6! Buffer Mitigation (State Regulated Riparian Buffer Rules) - required by DWQ
63. Will the project result in an impact within a protected riparian buffer that requires ? Yes ® No
buffer mitigation?
i
6
b. 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.
i
Zone Reason for impact Total impact
(square feet) Multiplier Required mitigation
(square feet)
Z one 1 3 (2 for Catawba)
Z one 2 1.5
Total buffer mitigation required:
61 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).
61i. Comments:
Page 9 of 12
PCN Form - November 2008 Version

I
E.
I
Stormwater Management and Diffuse Flow Plan (required by DWQ)
I
1.
Diffuse Flow Plan
I
1a.
Does the project include or is it adjacent to protected riparian buffers identified
? Yes
® No
1
within one of the NC Riparian Buffer Protection Rules?
I
1 b.
If yes, then is a diffuse flow plan included?
? Yes
? No
I'
21 I
Determination if the Project Requires a Stormwater Management Plan
2a.
I Does the project require a Non404 Jurisdictional General Permit?
I ? Yes ®No
I
2b.
I l
Is the project subject to General Certification 3704 or 3705?
? Yes
No

3. I
Determination of Stormwater Review Jurisdiction
3s. Is this project subject to any of the following state-implemented stormwater ? 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
I
3b.
In which local government's jurisdiction is this project?
n/a
3? . 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).
-4L- Information Required for DWQ 401-Unit-Stormwater-Review---- --- ----- ----------
4;a. What is the overall percent imperviousness according to the most current site plan? 54 %
I
4b.
Does this project contain any areas that meet the criteria for "high density" per
? Yes
®No
General Certifications 3704 and 3705?
41:. If the site is over 24% impervious and/or contains high density areas, then provide a brief narrative description of the
stormwater management plan.
NCDOT will follow BMP's and implement the erosion control plan for the construction site
41J. Has a completed BMP Supplement Form with all required items been submitted ? Yes ® No
for each stormwater BMP?
Page 10 of 12
PCN Form - Version 1.0 November 2008 Version

F.
I Supplementary Information
11
1 Environmental Documentation (DWQ Requirement)
1 a. Does the project involve an expenditure of public (federal/state/local) funds or the ® Yes ? No
use of public (federal/state) land?
I
1
b.
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)?
1 c. 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:
21
I 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, ? Yes ®No
or Riparian Buffer Rules (15A NCAC 28 .0200)?
2b.
I Is this an after-the-fact permit application? ? Yes ®No
2i:.
1 If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s):
3I
I Cumulative Impacts (DWQ Requirement)
3,
a. Will this project (based on past and reasonably anticipated future impacts) result in ? Yes ®No
1 additional development, which could impact nearby downstream water quality?
313. 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.
4I
1 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 11 of 12
PCN Form - Version 1.0 November 2008 Version
F. Supplementary Information, continued
1
,5.
Endangered Species and Designated Critical Habitat (Corps Requirement)
i
:5a.
Will this project occur in or near an area with federally protected species or
? Yes ®No
habitat?
I
b. I
Have you checked with the USFWS concerning Endangered Species Act
? Yes ® No
impacts?
I
? Raleigh
c. If yes, indicate the USFWS Field Office you have contacted.
? Asheville
I
5d. I
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 Martin County
I
6.
Essential Fish Habitat (Corps Requirement)
E I ra. Will this project occur in or near an area designated as essential fish habitat? ? Yes ® No
I
Eib.
What data sources did you use to determine whether your site would impact Essential Fish Habitat?
Marine Fisheries
1
7
Historic or Prehistoric Cultural Resources (Corps Requirement)
I
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 propertiessignificantin
North Carolina history and archaeology)?
1
7b.
What data sources did you use to determine whether your site would impact historic or archeological resources?
SHPO information
I
8. Flood Zone Designation (Corps Requirement)
8ia. Will this project occur in a FEMA-designated 100-year floodplain? ® Yes ? No
I
8b.
If yes, explain how project meets FEMA requirements: n/a
I
81c.
What source(s) did you use to make the floodplain determination? FEMA maps
I
Clay Willis

?
j//?" 4 11118/09
Applicant/Agent's Printed Name AppliddnUA nt's 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
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