20110200 Ver 1_Application_20110301

CAMA & 404/401 PERMIT APPLICATION
PROJECT: B-5018
COUNTY:HERTFORD
?"FA_ ??Jl . t?
DESCRIPTION: Replacement of Bridges #12 and #25 over Ahoskie Creek (Swamp)
TABLE OF CONTENTS:
ITEM
1 DESCRIPTION
Cover Letter
2 DCM MP-1 Form
3 DCM MP-5 Form - Bridge #l2
4 DCM MP-5 Form - Bridge #25
5 Pre-Construction Notification Form
6 Stormwater Management Permit Application Form
7 NCEEP Acceptance Letter
8 USACE Jurisdictional Determination
9 Landowner Notification Letters
10 Permit Impact Plan Set & Impact Summary
JL ®2 0U
a
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
BEVERLY EAVES PERDUE EUGENE A. CONTI, JR.
GOVERNOR SECRETARY
February 3, 2011
Stephen Lane
Division of Coastal Management
400 Commerce Avenue
Morehead City, NC 28557
Dear Mr. Lane,
The NCDOT requests the issuance of a CAMA General Permit 2300 for the
replacement of Bridges #12 and 25 in Hertford County, NC, along with General Permit
1600 for associated relocation of overhead power lines and directional boring of fiber
optic lines under Ahoskie Creek and associated wetlands. This project is included in the
Federal Stimulus Program associated with the ARRA (America Recovery and
Reinvestment Act). The bridges are located on US 13/NC 42 approximately 2.8 miles
south of Ahoskie. Bridge #12 spans Ahoskie Creek, which is a tributary that flows to the
Chowan River approximately 17.0 miles downstream. Bridge #25 spans a floodplain
overflow in Ahoskie Swamp. The Division of Water Quality classifies Ahoskie Creek
(Ahoskie Swamp/Bear Swamp) as Class "C", "NSW" waters, and it is also designated an
anadromous fish spawning area by the Wildlife Resource Commission.
The existing Bridge # 12 has a reinforced concrete floor on timber, joist timber end bents,
and timber piles with steel crutch bents at interior bents. Bridge # 12 is 120 ft. long by 28
ft. wide. Existing Bridge # 25 has a reinforced concrete floor on timber, joist end bents,
and timber piles with steel crutch bents at interior bent 2. Bridge # 25 is 70 ft. long by
28.2 ft. wide.
Both structures will be removed using NCDOT's guidelines for bridge removal, which
will prevent material from being dropped into the stream. The proposed bridges will be
replaced on the existing alignment. The new bridge structures will be constructed as
follows. Bridge # 12 will be 167.5 ft. in length by 36 ft. wide and built with a cored slab
concrete deck, a vertical steel sheeting abutment on the south end and a spill through
abutment on the north end. Bridge # 25 will be 112.4 ft. in length by 36.0 ft. wide and
built with a cored slab concrete deck, a vertical steel sheeting abutment on the south end
and a spill through abutment on the north end.
113 Airport Dr.. Suite 100, Edenton, NC 27932 -Phone: [phone] Fax: [phone]
The bridge roadway approaches will have to be reconstructed to meet current design
standards. The roadway grade at the southern end of Bridge # 12 will be raised
approximately 3.5 feet to allow for the vertical curve south of the bridge. The roadway
grade will be raised approximately 1.2 feet at the north end of Bridge # 25 to tie in the
proposed grade with the existing roadway. These roadway changes will result in some
widening of the shoulders, which will permanently impact 2,020 sq. ft. (0.05 acre) of
riverine wetlands. In addition, 0.21 acre of wetland will be cleared for roadside
maintenance and for overhead utility line relocation required for construction. This
acreage does not include the area already cleared for the existing power line easement
adjacent to the roadway. These impacts will be mitigated through a combination of on-
site wetland restoration and in-lieu fee payment. Wetland restoration will be performed
through the removal of 0.01 acre of old approach fill under Bridge #12, grading the
restored area to match adjacent wetland elevations, and seeding according to current
NCDOT on-site mitigation specifications. The remaining 0.04 acre of impact from fill
will be mitigated through requesting 0.08 acre of riverine wetland restoration through the
EEP. The additional 0.21 acre of clearing for utility and roadside maintenance will be
mitigated through requesting 0.21 acre of riverine wetland restoration from EEP. Tot4I
required mitigation from EEP will be 0.29 acre. An off-site detour will be utilized to
detour traffic around the project area.
The original proposal for this project included lengthening the primary structure (Bridge
#12) to approximately 300 feet and replacing the overflow structure (Bridge #25) with a
box culvert. Upon completion of the hydraulic and flood modeling analysis, it was
determined that significant flow is directed toward the overflow structure during flood
events. Therefore, the replacement of both bridges as proposed would better serve to pass
flood waters with minimal impact to the environment and future roadway. Bridge #25
has been lengthened and designed with a skew angle to improve flood passage. Bridge
#12 has been lengthened to provide additional flood passage along Ahoskie Creek, and
allow for restoration of wetlands under the north side of the bridge. Ahoskie Creek is
channelized through out the project area, upstream and downstream, which decreases the
effectiveness of one longer structure and makes the proposed dual bridge project more
effective in passing flood waters.
Stormwater improvements have also been designed as part of this project, although little
additional impervious surface will be constructed. The existing concrete ditches on the
south end of the project currently discharge in close proximity to Ahoskie Creek down the
steep southern approach. The proposed design routes most of the stormwater from the
east to the west side of the road and outlets into an existing ditch at Station 18+00. The
stormwater then flows through approximately 250 feet of upland prior to discharge into
the wetlands associated with Ahoskie Creek. This provides treatment of stormwater
runoff prior to discharge. The remaining stormwater from a greatly reduced drainage area
along the roadway is discharged into uplands adjacent to Ahoskic Creek.
Stormwater between the bridges will be collected and discharged at non-erosive velocities
at Station 26+25. This outlet was originally considered at the small upland area to the
north. However, this upland area is adjacent to the open water scour hole of the overflow
channel. Therefore, the outlet was moved further from the scour hole to provide
113 Airport Dr., Suite 100. Edenton, NC 27932 - Phone: [phone] Pax: [phone]
increased protection and stability. Deck drains, currently discharging both to Ahoskie
Creek and the overflow channel, will be eliminated over surface water. The northernmost
30 feet of Bridge #12 requires deck drains to avoid potential hydroplaning as a result of
water spreading into the travel lanes. The proposed deck drains will discharge directly
into wetland areas under the north side of Bridge #12, replacing the current drains that
discharge directly into the surface water. A collection system was considered for this
bridge but it was determined that deck drains with minimal discharge would be preferred
to a larger concentrated direct discharge into wetlands adjacent to Ahoskie Creek. Deck
drains have been eliminated on Bridge #25.
Based on our review of the proposed design and construction methods, this project is
eligible for consideration under General Permits 2300 and 1600. Included with this letter
are the forms MP-1 and MP-5, adjacent landowner notices, permit drawings, and location
map. A pre-construction notification for Clean Water Act Section 401/404 review is also
included for the US Army Corps of Engineers and the NC Division of Water Quality
review. Return receipts for the adjacent landowner notices will be forwarded upon
receipt. Authorization to debit the $400 Permit Application Fee from WBS element
41730.3.ST1 is hereby given. If you have questions please do not hesitate to call me at
[phone].
Sincerely,
Jerry Jennings, P.E.
Acting Division Engineer, Division One
Clay Willis
Environmental Officer, Division One
113 Airport Dr., Suite 100, Edenton, NC 27932 -Phone: [phone] Fax: [phone]
a
STATE OF NORTH CAROLINA
10;r%?
DEPARTMENT OF TRANSPORTATION
BEVERLY EAVES PERDUE EUGENE A. CONTI, JR.
GOVERNOR
February 9, 2011
Bill Biddlecome
USACE Washington Regulatory Office
400 Commerce Avenue
Morehead City, NC 28557
Dear Mr. Biddlecome,
SECRETARY
The NCDOT requests the issuance of a Nationwide Permit 14 for the replacement
of Bridges #12 and 25 in Hertford County and associated relocation of overhead power
lines and directional boring of fiber optic lines under Ahoskie Creek and adjacent
wetlands. This project is included in the Federal Stimulus Program associated with the
ARRA (America Recovery and Reinvestment Act). The bridges are located on US
13/NC 42 approximately 2.8 miles south of Ahoskie. Bridge # 12 spans Ahoskie Creek,
which is a tributary that flows to the Chowan River approximately 17.0 miles
downstream. Bridge #25 spans a floodplain overflow in Ahoskie Swamp. The Division
of Water Quality classifies Ahoskie Creek (Ahoskie Swamp/Bear Swamp) as Class "C",
"NSW" waters, and it is also designated an anadromous fish spawning area by the
Wildlife Resource Commission.
The existing Bridge # 12 has a reinforced concrete floor on timber, joist timber end bents,
and timber piles with steel crutch bents at interior bents. Bridge # 12 is 120 ft. long by 28
ft. wide. Existing Bridge # 25 has a reinforced concrete floor on timber, joist end bents,
and timber piles with steel crutch bents at interior bent 2. Bridge # 25 is 70 ft. long by
28.2 ft. wide.
Both structures will be removed using NCDOT's guidelines for bridge removal, which
will prevent material from being dropped into the stream. The proposed bridges will be
replaced on the existing alignment. The new bridge structures will be constructed as
follows. Bridge # 12 will be 167.5 ft. in length by 36 ft. wide and built with a cored slab
concrete deck, a vertical steel sheeting abutment on the south end and a spill through
abutment on the north end. Bridge # 25 will be 112.4 ft. in length by 36.0 ft. wide and
built with a cored slab concrete deck, a vertical steel sheeting abutment on the south end
and a spill through abutment on the north end.
113 Airport Dr., Suite 100, Edenton, NC 27932 - Phone: [phone] Fax: [phone]
The bridge roadway approaches will have to be reconstructed to meet current design
standards. The roadway grade at the southern.end of Bridge # 12 will be raised
approximately 3.5 feet to allow for the vertical curve south of the bridge. The roadway
grade will be raised approximately 1.2 feet at the north end of Bridge # 25 to tie in the
proposed grade with the existing roadway. These roadway changes will result in some
widening of the shoulders, which will permanently impact 2,020 sq. ft. (0.05 acre) of
riverine wetlands. In addition, 0.21 acre of wetland will be cleared for roadside
maintenance and for overhead utility line relocation required for construction. This
acreage does not include the area already cleared for the existing power line easement
adjacent to the roadway. These impacts will be mitigated through a combination of on-
site wetland restoration and in-lieu fee payment. Wetland restoration will be performed
through the removal of 0.01 acre of old approach fill under Bridge #12, grading the
restored area to match adjacent wetland elevations, and seeding according to current
NCDOT on-site mitigation specifications. The remaining 0.04 acre of impact from fill
will be mitigated through requesting 0.08 acre of riverine wetland restoration through the
EEP. The additional 0.21 acre of clearing for utility and roadside maintenance will be
mitigated through requesting 0.21 acre of riverine wetland restoration from EEP. Total
required mitigation from EEP will be 0.29 acre. An off-site detour will be utilized to
detour traffic around the project area.
The original proposal for this project included lengthening the primary structure (Bridge
# 12) to approximately 300 feet and replacing the overflow structure (Bridge #25) with a
box culvert. Upon completion of the hydraulic and flood modeling analysis, it was
determined that significant flow is directed toward the overflow structure during flood
events. Therefore, the replacement of both bridges as proposed would better serve to pass
flood waters with minimal impact to the environment and future roadway. Bridge #25
has been lengthened and designed with a skew angle to improve flood passage. Bridge
#12 has been lengthened to provide additional flood passage along Ahoskie Creek, and
allow for restoration of wetlands under the north side of the bridge. Ahoskie Creek is
channelized through out the project area, upstream and downstream, which decreases the
effectiveness of one longer structure and makes the proposed dual bridge project more
effective in passing flood waters.
Stormwater improvements have also been designed as part of this project, although little
additional impervious surface will be constructed. The existing concrete ditches on the
south end of the project currently discharge in close proximity to Ahoskie Creek down the
steep southern approach. The proposed design routes most of the stonmwater from the
east to the west side of the road and outlets into an existing ditch at Station 18+00. The
stormwater then flows through approximately 250 feet of upland prior to discharge into
the wetlands associated with Ahoskie Creek. This provides treatment of stormwater
runoff prior to discharge. The remaining stormwater from a greatly reduced drainage area
along the roadway is discharged into uplands adjacent to Ahoskie Creek.
Stormwater between the bridges will be collected and discharged at non-erosive velocities
at Station 26+25. This outlet was originally considered at the small upland area to the
north. However, this upland area is adjacent to the open water scour hole of the overflow
channel. Therefore, the outlet was moved further from the scour hole to provide
113 Airport Dr., Suite 100. Edenton, NC 27932 - Phone: [phone] Fax: [phone]
increased protection and stability. Deck drains, currently discharging both to Ahoskie
Creek and the overflow channel, will be eliminated over surface water. The northernmost
30 feet of Bridge #12 requires deck drains to avoid potential hydroplaning as a result of
water spreading into the travel lanes. The proposed deck drains will discharge directly
into wetland areas under the north side of Bridge #12, replacing the current drains that
discharge directly into the surface water. A collection system was considered for this
bridge but it was determined that deck drains with minimal discharge would be preferred
to a larger concentrated direct discharge into wetlands adjacent to Ahoskie Creek. Deck
drains have been eliminated on Bridge #25.
Based on our review of the proposed design and construction methods, this project is
eligible for consideration under Nationwide Permit 14 and corresponding Section 401
General Certification 3820. Included with this letter are a pre-construction notification,
permit drawings, and location map. CAMA MP-1 and 5 forms and landowner notices are
included for NC Division of Coastal Management review. Authorization to debit the
$240 Permit Application Fee from WBS Element 41730.3.ST1 is hereby given to the NC
Division of Water Quality for the 401 review. If you have questions please do not
hesitate to call me at [phone].
Sincerely,
Jerry Jennings, P.E.
Division Engineer, Division One
Clay Willis
Environmental icer Division One
cc: Brian Wrenn, NCDWQ Transportation Permitting Unit
Garcy Ward, NCDWQ
113 Airport Dr., Suite 100, Edenton, NC 27932 -Phone: [phone] Fax: [phone]
DICE HP-1
APPLICATION for
Major Development Permit
(last revised 12/27106)

North Carolina DIVISION OF COASTAL MANAGEMENT
1. Primary Applicant/ Landowner Information
Business Name
NCDOT Division One Project Name (if applicable)
Bridges # 12 & 25 over Ahoskie Creek
Applicant 1: First Name
Clay MI Last Name
Willis
Applicant 2: First Name MI Last Name
If additional applicants, please attach an additional page(s) with names listed.
Mailing Address
113 Airport Drive, Suite 100 PO Box City
Edenton State
NC
ZIP
27932 Country
US Phone No.
252-482-7977 ext. 221 FAX No.
252-482-8722
Street Address (if different from above) City State ZIP
Email
[e-mail]
2. AgenUContractor Information
Business Name
N/A
Agent/ Contractor 1: First Name MI Last Name
Agent/ Contractor 2: First Name MI Last Name
Mailing Address PO Box City State
ZIP
1
Phone No. 1
-

- ext.
Phone No. 2
- - ext.
FAX No. Contractor #
Street Address (it different from above) City State ZIP
Email
<Form continues on back>
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Form DCM MP-1 (Page 2 of 5)
APPLICATION for
Major Development Permit
3. Project Location
County (can be multiple) Street Address State Rd. #
Hertford US 13/NC 42 (approx. 1500 ft. north of Bertie County line) NC 42
Subdivision Name City State Zip
N/A N/A NC 27910-
Phone No. Lot No.(s) (if many, attach additional page with list)
N/A - - exl. N/A, ,
a. In which NC river basin is the project located? b. Name of body of water nearest to proposed project
Chowan Ahoskie Creek (Ahoskie Swamp, Bear Swamp)
C. Is the water body identified in (b) above, natural or manmade? d. Name the closest major water body to the proposed project site.
®Natural ?Manmade ?Unknown Ahoskie Creek
e. Is proposed work within city limits or planning jurisdiction? f. If applicable, list the planning jurisdiction or city limit the proposed
?Yes ®No work falls within.
N/A
4. Site Description
a. Total length of shoreline on the trap (ft.) b. Size of entire tract (sq.ft.)
200 ft. (100 on each bank of Ahoskie Creek) 188,500 sq. ft.
c. Size of individual lot(s) d. Approximate elevation of tract above NHW (normal high water) or
N/A NWL (normal water level)
(if many lot sizes, please attach additional page with a list) 12 ft. ?NHW or ®NWL
e. Vegetation on trap
Bottomland hardwood forest is present on both sides of the bridges and connecting roadway. This area is mostly wetland
with mature trees including american elm, bald cypress, laurel oak, and sycamore. No coastal wetland species are present
on the site.
f. Man-made features and uses now on trap
NC 42 and Bridges #12 and #25 are the only man-made features on the tract. It is used as a thoroughfare for the travelling
public. Bridge If 12 crosses Ahoskie Creek, while Bridge # 25 crosses an overflow channel with no direct connection to the
stream except by diffuse flow through the bottomland wetlands during flood events. An overhead power line runs along the
western side of the project and crosses to the east over Bridge #25.
g. Identify and describe the existing land uses adiacent to the proposed project site.
The adjacent land use is primarily undeveloped forest. At the south end of the project, a cemetery is present to the east of
the roadway but outside the project area.
h. How does local government zone the trap? i. Is the proposed project consistent with the applicable zoning?
N/A (Attach zoning compliance certificate, if applicable)
?Yes ?No ®NA
j. Is the proposed activity part of an urban waterfront redevelopment proposal? ?Yes ®No
k. Hasa professional archaeological assessment been done for the tract? If yes, attach a copy. ?Yes ®No ?NA
If yes, by whom?
1. Is the proposed project located in a National Registered Historic District or does it involve a ?Yes ®No ?NA
National Register listed or eligible property?
<Form continues on next page>
ZS'l-P. !i3-2SS?3 .. 1.8113. 4 R r 0 AST .. www. n C. c 0 s s to 1 at ana q enie nt -net
Form DCM MP-1 (Page 3 of 5)
APPLICATION for
Major Development Permit
M. (i) Are there wetlands on the site? ®Yes ?No
(ii) Are there coastal wetlands on the site? ?Yes ONO
(iii) If yes to either (i) or (ii) above, has a delineation been conducted? ®Yes ?No
(Attach documentation, if available)
n. Describe existing wastewater treatment facilities.
None
o. Describe existing drinking water supply source.
None
p. Describe existing storm water management or treatment systems.
Stormwater is routed through concrete ditches south of Bridge # 12 and discharged within 50 feet of the surface water. Deck
drains on both bridges discharge into Ahoskie Creek (Bridge #12) or the overflow channel (Bridge #25).
5. Activities and Impacts
a. Will the project be for commercial, public, or private use? ?Commercial ®Public/Governmem
?Private/Community
b. Give a brief description of purpose, use, and daily operations of the project when complete.
The project will provide safe and efficient tranportation access along US 13/NC 42 by replacing the aging bridge structures
and widening existing travel lanes and shoulders to meet current design standards.
c. Describe the proposed construction methodology, types of construction equipment to be used during construction, the number of each type
of equipment and where it is to be stored.
The bridges will be constructed using top-down methods. No equipment or staging will be placed in surface waters or
wetlands. Cranes and other standard construction equipment will be used to drive piles, and place the concrete slabs.
Dump trucks, excavators and other standard construction equipment will be used to haul and place materials used in
construction. The road will be closed between the two bridges during construction and the existing roadway used for staging
materials and equipment.
d. List all development activities you propose.
The existing Bridge #12 (120 ft. long by 28 ft. wide) and Bridge #25 (70 ft. long by 28.2 ft. wide) will be removed using
NCDOT standard bridge removal techniques. The new Bridge #12 (167.5 ff. long by 36 ft. wide) and Bridge #25 (112.4 ft.
long by 36 ft. wide) will be constructed on the existing alignment. The road will be closed for the construction period, and an
off-site detour will be used to route traffic. Road surfaces will be replaced to tie to the new bridges, and shoulder fill will be
placed to create the proper roadside slopes.
e. Are the proposed activities maintenance of an existing project, new work, or both? Maintenance/replacement of existing
structures.
f. What is the approximate total disturbed land area resulting from the proposed project? 2.60 ?Sq.Ft or ®Acres
g. Will the proposed project encroach on any public easement, public accessway or other area ?Yes ONO ?NA
that the public has established use of?
h. Describe location and type of existing and proposed discharges to waters of the state.
Discharge to waters of the state will occur for bridge support (driven steel H-piles), a minimal amount of structural fill at the
end bents and for expansion of the roadway and shoulders to meet current standards. The fill material will impact previously
disturbed fringes of the bottomland wetlands under the current power line easement on the west side of the project.
Additional clearing will be necessary to move the existing overhead power line out of the roadway. Trees will be cleared but
not grubbed up to the right-of-way for future maintenance. Steel sheeting will be placed on the south side of Bridges #12
and #25 to prevent scouring of the embankments. Approximatelye 0.01 acres of existing roadway fill will be removed for the
lengthening of Bridge #12, and wetland elevation restored in this area.
i. Will wastewater or stormwater be discharged into a wetland? ®Yes ?No ?NA
If yes, will this discharged water be of the same salinity as the receiving water? ?Yes ?No ®NA
252.806.2808 ,. 1-888-4BrOA51r .. vrri av.r:cc o:aSfFi:man9?eotent.nCt
Form DCM MP-1 (Page 4 of 5)
APPLICATION for
Major Development Permit
j. Is there any mitigation proposed? ®Ves ?No ?NA
If yes, attach a mitigation proposal.
<Form continues on back>
6. Additional Information
In addition to this completed application form, (MP-1) the following items below, if applicable, must be submitted in order for the application
package to be complete. Items (a) - (t) are always applicable to any mgfor development application. Please consult the application
instruction booklet on how to properly prepare the required items below.
a. A project narrative.
b. An accurate, dated work plat (including plan view and cross-sectional drawings) drawn to scale. Please give the present status of the
proposed project. Is any portion already complete? It previously authorized work, clearly indicate on maps, plats, drawings to distinguish
between work completed and proposed.
c. A site or location map that is sufficiently detailed to guide agency personnel unfamiliar with the area to the site,
d. A copy of the deed (with state application only) or other instrument under which the applicant claims title to the affected properties.
e. The appropriate application fee. Check or money order made payable to DENR.
I. A list of the names and complete addresses of the adjacent waterfront (riparian) landowners and signed return receipts as proof that such
owners have received a copy of the application and plats by certified mail. Such landowners must be advised that they have 30 days in
which to submit comments on the proposed project to the Division of Coastal Management.
Name See attached property owner list Phone No. .
Address
Name Phone No.
Address
Name Phone No.
Address
g. A list of previous state or federal permits issued for work on the project tract. Include permit numbers, permittee, and issuing dates.
None
h. Signed consultant or agent authorization form, if applicable.
i. Wetland delineation, if necessary.
j. A signed AEC hazard notice for projects in oceanfront and inlet areas. (Must be signed by property owner)
k. A statement of compliance with the N.C. Environmental Policy Act (N.C.G.S. 113A 1-10), if necessary. If the project involves expenditure
of public funds or use of public lands, attach a statement documenting compliance with the North Carolina Environmental Policy Act.
I understand that any permit issued in response to this application will allow only the development described in the application.
The project will be subject to the conditions and restrictions contained in the permit.
I certify that I am authorized to grant, and do in fact grant permission to representatives of state and federal review agencies to
enter on the aforementioned lands in connection with evaluating information related to this permit application and follow-up
monitoring of the project.
I further certify t at the information provided in this application is truthful to the be t of my knowledge.
Date .? Print Name C 4?
Signature /
Please indicate application attachments pertaining to your proposed project.
?DCM MP-2 Excavation and Fill Information ®DCM MP-5 Bridges and Culverts
252-808-2a018 .. 1.n88-,tRC )Asr .. •.•?w?rv.n Crna:talman. gement.n r.i
Form DCM MP-1 (Page 5 of 5)
?DCM MP-3 Upland Development
?DCM MP-4 Structures Information
APPLICATION for
Major Development Permit
252-1108.2808 .. 1-8841-4RCOASL .. wvu w.rtccoastalmannea moot. net
Form DCM MP-5
BRIDGES and CULVERTS
Attach this form to Joint Application for CAMA Major Permit, Form DCM MP-1. Be sure to complete all other sections of the Joint
Application that relate to this proposed project. Please include all supplemental information.
1. BRIDGES ?This section not applicable
a. Is the proposed bridge: b. Water body to be crossed by bridge:
?Commercial ®Public/Government ?Private/Community Ahoskie Swamp - overflow pool of Ahoskie Creek
c. Type of bridge (construction material):
2-span concrete cored slab on steel H-piles
e. (i) Will proposed bridge replace an existing bridge? ®Yes ?No
If yes,
(it) Length of existing bridge: 70 ft.
(iii) Width of existing bridge: 28 ft.
(iv) Navigation clearance underneath existing bridge: n/a
(v) Will all, or a part of, the existing bridge be removed?
(Explain) Yes - all of the existing structure will be
removed using standard NCDOT practices for bridge
demolition.
d. Water depth at the proposed crossing at NLW or NWL:
0-8 ft.
I. (i) Will proposed bridge replace an existing culvert? ?Yes ®No
If yes,
(ii) Length of existing culvert:
(iii) Width of existing culvert: _
(iv) Height of the top of the existing culvert above the NHW or
NWL:
(v) Will all, or a part of, the existing culvert be removed?
(Explain)
g. Length of proposed bridge: 112.4 ft.
i. Will the proposed bridge affect existing water flow? ®Yes ?No
If yes, explain: The existing water flow will be less restricted
as Bridge #25 has wider spans (55 ft.) and is
lengthened approximately 50 feet, providing
additional flood passage.
h. Width of proposed bridge: 36.0 ft.
j. Will the proposed bridge affect navigation by reducing or
increasing the existing navigable opening? ®Yes ?No
If yes, explain: The overflow channel under Bridge 25 is not
connected to Ahoskie Creek and therefore is not navigable.
k. Navigation clearance underneath proposed bridge: n/a I. Have you contacted the U.S. Coast Guard concerning their
approval? ?Yes ®No
If yes, explain: N/A
m. Will the proposed bridge cross wetlands containing no navigable n. Height of proposed bridge above wetlands: 7_f ..
waters? ?Yes ®No
If yes, explain:
2. CULVERTS ®This section not applicable
a. Number of culverts proposed:
b. Water body in which the culvert is to be placed:
252-ao©-28oa ;. ':-liai;.dRCOAS: :: mwv?_nccoa sta Lnanary artren. .nr_1 ravised' 7el2eiefi
Form DCM MP-5 (Bridges and Cu)verts, Page 2 of 4)
< Form continues on back>
c. Type of culvert (construction material):
d. (i) Will proposed culvert replace an existing bridge?
f. Length of proposed culvert:
h. Height of the top of the proposed culvert above the NHW or NWL.
j. Will the proposed culvert affect navigation by reducing or
increasing the existing navigable opening? ?Yes ?No
If yes, explain:
3. EXCAVATION and FILL El This section not applicable
?Yes ?No
If yes,
(ii) Length of existing bridge:
(iii) Width of existing bridge:
(iv) Navigation clearance underneath existing bridge: _
(v) Will all, or a part of, the existing bridge be removed?
(Explain)
e. (i) Will proposed culvert replace an existing culvert?
?Yes ?No
If yes,
(ii) Length of existing culvert(s):
(iii) Width of existing culvert(s):
(iv) Height of the top of the existing culvert above the NHW or
NWL: _
(v) Will all, or a part of, the existing culvert be removed?
(Explain)
g. Width of proposed culvert:
I. Depth of culvert to be buried below existing bottom contour.
k. Will the proposed culvert affect existing water flow?
?Yes ?No
If yes, explain:
a.
(i) Will the placement of the proposed bridge or culvert require any
excavation below the NHW or NWL? ?Yes ®No
It yes,
(ii) Avg. length of area to be excavated:
(iii) Avg. width of area to be excavated-
(iv) Avg. depth of area to be excavated:
(v) Amount of material to be excavated in cubic yards: _
b. (i) Will the placement of the proposed bridge or culvert require any
excavation within coastal wetlandstmarsh (CW), submerged
aquatic vegetation (SAV), shell bottom (SB), or other wetlands
(WL)? If any boxes are checked, provide the number of square
feet affected.
?CW ?SAV ?SB _
?WL ®None
(ii) Describe the purpose of the excavation in these areas:
2 ?2.U!)J3-2&08 :: S-:S138?4KCC??t? ; ;; wwxr.nr?oasta?lm _?r;a..grment,;:ct r!;vi>ed: 10/").6(?6
Form OCM MP-5 (Bridges and Culverts, Page 3 of 4)
c. (i) Will the placement of the proposed bridge or culvert require any
high-ground excavation? ®Yes ®No
If yes,
(ii) Avg. length of area to be excavated: 330
(iii) Avg. width of area to be excavated: 60
(iv) Avg. depth of area to be excavated: 6
(v) Amount of material to be excavated in cubic yards: 410
d. If the placement of the bridge or culvert involves any excavation, please complete the following:
(i) Location of the spoil disposal area: Approved NCDOT waste disposal site
(ii) Dimensions of the spoil disposal area: To be determined.
(iii) Do you claim title to the disposal area? ®Yes ?No (It no, attach a letter granting permission from the owner.)
(iv) Will the disposal area be available for future maintenance? ®Yes ?No
(v) Does the disposal area include any coastal wetlands/marsh (CW), submerged aquatic vegetation ISM), other wetlands (WL), or shell
bottom (SB)?
?CW ?SAV ?WL ?SB ®None
If any boxes are checked, give dimensions if different from (ii) above.
(vi) Does the disposal area include any area below the NHW or NWL? ? ?Yes ®No
If yes, give dimensions if different from (it) above.
e. (i) Will the placement of the proposed bridge or culvert result in any
fill (other than excavated material described in Item d above) to
be placed below NHW or NWL? ?Yes ENo
If yes,
(ii) Avg. length of area to be filled:
(iii) Avg. width of area to be filled: _
(Iv) Purpose of fill:
g. (i) Will the placement of the proposed bridge or culvert result in any
fill (other than excavated material described in Item of above) to
be placed on high-ground? ®Yes ?No
If yes,
(ii) Avg. length of area to be filled: 450 ft.
(iii) Avg. width of area to be filled: 20 .
(iv) Purpose or fill: Increased grade on roadway
approaches to eliminate sharp vertical curve in road.
(ii) Describe the purpose of the excavation in these areas:
Construction of end bents, road shoulders, and
expansion of travel lanes to accommodate proposed
bridge and current safety standards.
4. GENERAL
a. Will the proposed project require the relocation of any existing b. Will the proposed project require the construction of any temporary
utility lines? ®Yes ?No detour structures? ?Yes ®No
I. (i) Will the placement of the proposed bridge or culvert result in any
fill (other than excavated material described in Item d above) to
be placed within coastal wetlands/marsh (CW), submerged
aquatic vegetation (SAV), shell bottom (SB), or other wetlands
(WL)? If any boxes are checked, provide the number of square
feet affected.
?CW _ ?SAV ?SB
OWL 1791so.ft.?None
252-808-21100 :: 1418ll- RCtJAST wav_v,ncr_oas4afr:?an:erygmlm Lnet revised: 70!25/06
Form 0CM MP-5 (Bridges and Culverts, Page 4 or 4)
If yes, explain: Overhead power lines will be shifted to the
west slightly to avoid roadway. A fiber optic line will be
directionally drilled under Ahoskie Creek and associated
wetlands.
/f this portion of the proposed project has already received
approval from local authorities, please attach a copy of the
approval or certification.
It yes, explain:
< Form continues on back>
c. Will the proposed project require any work channels? d. How will excavated or fill material be kept on site and erosion
?Yes ONO controlled?
If yes. complete Form DCM-MP-2.
e. What type of construction equipment will be used (for example,
dragline, backhoe, or hydraulic dredge)?
Crane, dump truck, excavator and other standard
construction equipment
NCDOT Sediment and Erosion Control BMPs
f. Will wetlands be crossed in transporting equipment to project site?
?Yes ONO
If yes, explain steps that will be taken to avoid or minimize
environmental impacts.
g. Will the placement of the proposed bridge or culvert require any
shoreline stabilization? ?Yes ONO
It yes, complete form MP-2, Section 3 for Shoreline
Stabilization only.
4&11
Date
?LS'so/8
Project Name
Applicant Name
// x i9 r/
Applicant Signature
?52-tiQa-280N :: i-LF3•S-4^CJi;ST :: zr mrw.ncnnaztalmaraxigvnc?.4-nnt r^vised: 10%2GlQti
Form DCM MP-5
BRIDGES and CULVERTS
Attach this form to Joint Application for CAMA Major Permit, Form DCM MP-1. Be sure to complete all other sections of the Joint
Application that relate to this proposed project. Please include all supplemental information.
1. BRIDGES []This section not applicable
a. Is the proposed bridge: b. Water body to be crossed by bridge:
[]Commercial ZPublic/Government []Private/Community Ahoskie Creek (Ahoskie Swamp)
C. Type of bridge (construction material):
3-span concrete cored slab on steel H-piles
e. (i) Will proposed bridge replace an existing bridge? ®Yes ?No
It yes,
(ii) Length of existing bridge: 120 ft.
(iii) Width of existing bridge: 28 ft.
(iv) Navigation clearance underneath existing bridge: 101t.
(v) Will all, or a part of, the existing bridge be removed?
(Explain) Yes - all of the existing structure will be
removed using standard NCDOT practices for bridge
demolition.
9 Length of proposed bridge: 167.5 .
L Will the proposed bridge affect existing water flow? ®Yes ?No
If yes, explain: The existing water flow will be less restricted
as Bridge #12 has wider spans (55 ft.) and a higher
clearance. It will also be 47.5 ft. longer, providing
additional flood passage.
k. Navigation clearance underneath proposed bridge: 12 - 13 ft.
m. Will the proposed bridge cross wetlands containing no navigable
waters? ?Yes ®No
If yes, explain:
d. Water depth at the proposed crossing at NLW or NWL:
4ft.to7.5ft.
f. (i) Will proposed bridge replace an existing culvert? []Yes ®No
If yes,
(ii) Length of existing culvert:
(iii) Width of existing culvert: _
(iv) Height of the top of the existing culvert above the NHW or
NWL:
(v) Will all, or a part of, the existing culvert be removed?
(Explain)
h. Width of proposed bridge: 36 ft.
j. Will the proposed bridge affect navigation by reducing or
increasing the existing navigable opening? ®Yes ?No
If yes, explain: The existing navigable opening will be
increased as Bridge #12 low steel to normal water line will
be raised 2.7 feet and spans lengthened from 17 ft. to 55 ft.
1. Have you contacted the U.S. Coast Guard concerning their
approval? ?Yes ®No
If yes, explain: N/A
n. Height of proposed bridge above wetlands: 9 ft.
2. CULVERTS ® This section not applicable
a. Number of culverts proposed:
b. Water body in which the culvert is to be placed:
?S2-SV/'-2aJ8 :: !-OLSII-4RC4AST :: wtv?+.nc';»n51oi .M1ar:?gerpentACt r. visr_d: 9U/2fir06
Form DCM MP-5 (Bridges and Culverts, Page 2 of 4)
< Form continues on 11i
c. Type of culvert (construction material):
d. (i) Will proposed culvert replace an existing bridge?
?Yes ?No
If yes,
'(ii) Length of existing bridge:
(iii) Width of existing bridge:
(iv) Navigation clearance underneath existing bridge:
(v) Will all, or a part of, the existing bridge be removed?
(Explain)
I. Length of proposed culvert:
h. Height of the top of the proposed culvert above the NHW or NWL.
j. Will the proposed culvert affect navigation by reducing or
increasing the existing navigable opening? ?Yes ?No
If yes, explain:
e. (i) Will proposed culvert replace an existing culvert?
?Yes ?No
If yes,
(ii) Length of existing culvert(s): _
(iii) Width of existing culvert(s): _
(iv) Height of the top of the existing culvert above the NHW or
NWL: _
(v) Will all, or a part of, the existing culvert be removed?
(Explain)
9. Width of proposed culvert: _
i. Depth of culvert to be buried below existing bottom contour.
k. Will the proposed culvert affect existing water flow?
?Yes ?No
If yes, explain:
3. EXCAVATION and FILL ?This section not applicable
a.
(i) Will the placement of the proposed bridge or culvert require any
excavation below the NHW or NWL? ?Yes ®No
If yes,
(ii) Avg, length of area to be excavated:
(iii) Avg. width of area to be excavated:
(iv) Avg. depth of area to be excavated:
(v) Amount of material to be excavated in cubic yards:
b. (i) Will the placement of the proposed bridge or culvert require any
excavation within coastal wetlandsimarsh (CW), submerged
aquatic vegetation (SAV), shell bottom (SB), or other wetlands
(WL)? If any boxes are checked, provide the number of square
feet affected.
?CW ?SAV ?SB
?WL ®None
(it) Describe the purpose of the excavation in these areas:
c. (i) Will the placement of the proposed bridge or culvert require any
high-ground excavation? ®Yes ?No
If yes,
(ii) Avg. length of area to be excavated: 200ft.
(iii) Avg. width of area to be excavated: 30 ft.
(iv) Avg. depth of area to be excavated: 3 R.
(v) Amount of material to be excavated in cubic yards: 665
2S2-aDA•;'.3oi1 :: 1-d N!1•at{COi•Sl' :: wrrv.acroastaroannocrnent.nef revised: 10/26ro6
Form DCM MP-5 (Bridges and Culverts, Page 3 of 4)
d. If the placement of the bridge or culvert involves any excavation, please complete the following:
(i) Location of the spoil disposal area: Approved NCDOT waste disposal site
(ii) Dimensions of the spoil disposal area: To be determined. -
(iii) Do you claim title to the disposal area? ®Yes ?No (If no, attach a letter granting permission from the owner.)
(iv) Will the disposal area be available for future maintenance? ®Yes ?No
(v) Does the disposal area include any coastal wetlands/marsh (CW), submerged aquatic vegetation (SAVs), other wetlands (W L), or shell
bottom (SB)?
?CW ?SAV ?WL ?SB ®None
If any boxes are checked, give dimensions if different from (ii) above.
(vi) Does the disposal area include any area below the NHW or NWL? ? ?Yes ®No
If yes, give dimensions if different from (ii) above.
e. (i) Will the placement of the proposed bridge or culvert result in any
fill (other than excavated material described in Item d above) to
be placed below NHW or NWL? ?Yes ®No
If yes,
(ii) Avg. length of area to be filled:
(iii) Avg. width of area to be filled:
(iv) Purpose of fill:
I. (i) Will the placement of the proposed bridge or culvert result in any
fill (other than excavated material described in Item d above) to
be placed within coastal wetlands/marsh (CW), submerged
aquatic vegetation (SAV), shell bottom (SB), or other wetlands
(WL)? If any boxes are checked, provide the number of Square
feet affected.
?CW ?SAV ?SB
OWL 229so.ft. ?None
(ii) Describe the purpose of the excavation in these areas:
Construction of end bents, road shoulders, and
expansion of travel lanes to accommodate proposed
bridge and current safety standards.
g. (i) Will the placement of the proposed bridge or culvert result in any
fill (other than excavated material described in Item d above) to
be placed on high-ground? ®Yes ?No
If yes,
(ii) Avg. length of area to be filled: 1100 .
(iii) Avg. width of area to be filled: 10 ft.
(iv) Purpose of fill: Increased grade on roadway
approaches to eliminate sharp vertical curve in road.
a. Will the proposed project require the relocation of any existing b. Will the proposed project require the construction of a
,gtemporary
utility lines? ®Yes ?No detour structures? Yes ®No
If yes, explain: Overhead power lines will be shifted to the If yes, explain:
west slightly to avoid roadway. A fiber optic line will be
directionally drilled under Ahoskie Creek and associated
wetlands.
If this portion of the proposed project has already received
approval from local authorities, please attach a copy of the
approval or certification.
252n00230ti :: t.aa!3-,SftCUAST :; vvuvw.ntcnasYalmarra;l:mrn t.nci revised: x0/29;06
Form DCM MP-5 (Bridges and Culverts. Page 4 of 4)
-c Form continues on back>
c. Will the proposed project require any work channels? d. How will excavated or fill material be kept on site and erosion
?Yes ®No controlled?
If yes, complete Form DCM-MP-2.
e. What type of construction equipment will be used (for example,
dragline, backhoe, or hydraulic dredge)?
Crane, dump truck, excavator and other standard
construction equipment
NCDOT Sediment and Erosion Control BMPs
I. Will wetlands be crossed in transporting equipment to project site?
?Yes ®No
If yes, explain steps that will be taken to avoid or minimize
environmental impacts.
g. Will the placement of the proposed bridge or culvert reew?ire any
shoreline stabilization? NYes MNo
If yes, complete form MP-2, Section 3 for Shoreline
Stabilization only.
Date
Project Name
Applicant Name
Applicant Signature
2`2->."1:8-2808 :: t-87II hR^.OA L :: wovw.nccca;kalman;rge+::ent.nca revised: '10126106
o?OF wATf9O
of
Office Use Only:
Corps action ID no.
DWO project no.
Form Version 1.3 Dec 10 2008
Pre-Construction Notification (PCN) Form
A. Applicant Information
1. Processing
1a. Type(s) of approval sought from the
Corps:
[p Section 404 Permit El Section 10 Permit
1b. Specify Nationwide Permit (NWP) number: 14 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 DWO (check all that apply):
® 401 Water Quality Certification - Regular ? Non-404 Jurisdictional General Permit
? 401 Water Quality Certification - Express ? Riparian Buffer Authorization
1e. 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
1f. 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 counties. If yes, answer 1h
below. ® Yes ? No
1 h. Is the project located within a NC DCM Area of Environmental Concern (AEC)? ® Yes ? No
2. Project Information
2a. Name of project: Replacement of Bridges No. 12 and No. 25 over Ahoskie Creek on US13/NC42
2b. County: Hertford
2c. Nearest municipality / town: Ahoskie
2d. Subdivision name: Not applicable
2e. NCDOT only, T.I.P. or state
project no: 8-5018
3. Owner Information
3a. Name(s) on Recorded Deed: NC Department of Transportation
3b. Deed Book and Page No.
3c. Responsible Party (for LLC if
applicable): Clay Willis
3d. Street address: 113 Airport Drive Suite 100
3e. City, state, zip: Edenton, NC 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. Agent/Consultant 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 2 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): See plan sheets
1 b. Site coordinates (in decimal degrees): Latitude: 36.2446 Longitude: - 76.9467
(DD. DDDDDD) (-DD.DDDDDD)
1c. Property size: 4.1 acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to
Ahoskie Creek (Ahoskie Swamp)
proposed project:
2b. Water Quality Classification of nearest receiving water: C-NSW
2c. River basin: Chowan
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 site is an existing roadway with two bridges (#12 & #25). Bridge #12 is over Ahoskie Creek, and Bridge #25 is in the
northernmost portion of the Ahoskie Creek floodplain across an overflow channel connected to Ahoskie Creek
downstream only by diffuse flow through a bottomland wetland system. Land use adjacent to the road is primarily
forested, with a cemetery located on the southeast side.
31b. List the total estimated acreage of all existing wetlands on the property:
0.44 acres
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
100 ft.
3d. Explain the purpose of the proposed project:
The project will replace the two bridge structures and bring the roadway and shoulders up to current design standards.
The bridges were constructed in 1934. Bridge #12 has a sufficiency rating of 16 out of 100. Both bridges will be replaced
at the same time to coordinate an accurate flood passage model and sizing of the structures.
3e. Describe the overall project in detail, including the type of equipment to be used:
The two existing bridges will be removed using standard NCDOT bridge demolition procedures. No material will be
dropped into the stream or wetlands. The road will be temporarily closed and traffic routed through an off-site detour.
The new bridges will be constructed on the existing roadway alignment using cranes, excavators, dump trucks, and other
standard construction equipment. Road shoulders will be slightly widened and the wetlands cleared to the right-of-way
for future maintenance. An overhead power line will be relocated west of the existing road and a fiber optic cable
directionally drilled under Ahoskie Creek and associated wetlands.
4. Jurisdictional Determinations
4a. 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?
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): Clay Willis - NCDOT Div 1 Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
8/17/2009
Page 3 of 11
PCN Form - Version 1.3 December 10, 2008 Version
5. Project History
5a. 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.
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
1a. 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 Fill Bottomland ® Yes ® Corps 0.01
Hardwood Forest ? No ? DWQ
W2 ® P ? T Fill Bottomland ® Yes ® Corps 0.02
Hardwood Forest ? No ? DWQ
W3 ® P ? T Fill Bottomland ® Yes ® Corps 0.02
Hardwood Forest ? No ? DWQ
W4 ? P ? T ? Yes ? Corps
? No ? DWQ
W5 ? P ? T ? Yes ? Corps
? No ? DWQ
W6 ? P ? T ? Yes ? Corps
? No ? DWQ
2g. Total wetland impacts 0.05
2h. Comments: An additional 0.21 acres of hand clearing for relocation of overhead power line easement and for future
roadway maintenance will occur as a result of the project.
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)
S1 ? P ? T ? PER ? Corps
? INT ? DWQ
S2 ? P ? T ? PER ? Corps
? INT ? DWO
S3 ? P ? T ? PER ? Corps
? INT ? DWQ
S4 ? P ? T ? PER ? Corps
? INT ? DWQ
S5 ? P ? T ? PER ? Corps
? INT ? DWQ
S6 ? P ? T ? PER ? Corps
? INT ? DWQ
3h. Total stream and tributary impacts 0
3i. Comments: Stream impacts limited to driving H-piles at 55 ft intervals for bridge support: 2 bents are located in Ahoskie
Creek totaling less than 0.01 acres of impact. Current bridge supports are being removed and the project would result in an
overall decrease in surface water impacts.
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
Ot ?P?T
02 ?P?T
03 ?P?T
04 ?P?T
41'. Total open water impacts 0
4g. Comments:
5. Pond or Lake Construction
If and or lake construction ro osed -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:
51h. Is a dam high hazard permit required?
? Yes ? No If yes, permit ID no:
51. Expected pond surface area (acres):
5j. Size of pond watershed (acres):
5k. Method of construction:
6. Buffer Impacts (for DWO)
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 ?far-Pamlico ? Other:
Project is in which protected basin? ? Catawba ? Randleman
6b. 6c. 6d. 6e. 6f. 69.
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 re uired?
Bt ?P?T ?Yes
? No
82 ?P?T ?Yes
? No
B3 ?P?T ?Yes
? No
6h. Total buffer impacts
6i. Comments:
Page 6 of 11
PCN Form - Version 1.3 December 10, 2008 Version
D. Impact Justification and Mitigation
1. Avoidance and Minimization
la. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
Impacts have been minimized by replacing the bridges on the existing alignment. Slight increases in roadway fill and
lane/shoulder width are required to meet current design standards. Bridge #12 was lengthened to increase flood passage and
Bridge #25 has been retained and skewed to allow for overflow flood waters to pass safely along natural flow paths.
Shoulders were tied into existing shoulder grades where practical to avoid any adjacent wetland impact. Where fill is required
in wetlands to bring shoulders and roadway to current standards, the amount has been minimized and slopes steepened to
the maximum amount allowable and stable.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Existing sheet piling will be retained to increase stability during construction. Driven H-piles will eliminate the need for drilling
and disposal of associated cuttings. Top down construction will be used to avoid equipment being staged within the stream
and the use of a workbridge.
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 ? No
2b. If yes, mitigation is required by (check all that apply): ? DWO ® Corps

2c. If yes, which mitigation option will be used for this
project? ? Mitigation bank
® 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
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 (DWO only): square feet
4e. Riparian wetland mitigation requested: 0.29 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.
See cover letter.
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
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 6e.
Required mitigation
(square feet)
Zone 1 3 (2 for Catawba)
Zone 2 1.5
6f. Total buffer mitigation required:
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).
61h. Comments:
Page 8 of 11
PCN Form - Version 1.3 December 10, 2008 Version
E. Stormwater Management and Diffuse Flow Plan (required by DWO)
1. Diffuse Flow Plan
1 a . 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 . If yes, then is a diffuse flow plan included? If no, explain why.
? Yes ? No
Comments:
2. Stormwater Management Plan
2a . What is the overall percent imperviousness of this project? NA %
2b . Does this project require a Stormwater Management Plan? ® Yes ? No
2c . If this project DOES NOT require a Stormwater Management Plan, explain why:
2d . If this project DOES require a Stormwater Management Plan, then provide a brief, na rrative description of the plan:
Although only limited new impervious surface is being created by the project through the widening of existing travel lanes,
existing stormwater management on the site is being improved by the replacement of the current concrete ditches with
expressway gutter discharging into uplands further removed from Ahoskie Creek. Deck drains have been eliminated from
discharging into Ahoskie Creek and pushed back from the bank. Stormwater outfalls are provided between the bridges to
eliminate erosion of side slopes and discharge as far as practical from surface waters . Additional measures are
discussed in more detail in the cover letter and attached stomrwater management pla n. NCDOT will follow BMPs in
compliance with their statewide issued NPDES permit.
? Certified Local Government
2e . Who will be responsible for the review of the Stormwater Management Plan? ® DWQ Stormwater Program
? DWO 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 ? 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
? Other: NA
4b. Has the approved Stormwater Management Plan with proof of approval been
attached? ? Yes ? No
5. DWO 401 Unit Stormwater Review
5a. Does the Stormwater Management Plan meet the appropriate requirements? ? Yes ? No
Page 9 of 11
PCN Form - Version 1.3 December 10, 2008 Version
5b. Have all of the 401 Unit submittal requirements been met? ? Yes ? No
F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
Ia. Does the project involve an expenditure of public (federal/state/local) funds or the ® Yes ? No
use of public (federal/state) land?
tb. 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
letter.) ? Yes ® No
Comments: Required NEPA document is a Categorical Exclusion (attached), which
does not require review through the State Clearinghouse.
2. Violations (DWO Requirement)
2a. Is the site in violation of DWQ Wetland Rules (15A NCAC 2H.0500), Isolated
Wetland Rules (15A NCAC 2H.1 300), DWQ Surface Water or Wetland Standards, ? Yes ® No
or Riparian Buffer Rules (15A NCAC 28 .0200)?
21b. 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 (DWO 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?
31b. 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.
The project replaces existing two-lane bridges and roadway with upgraded two-lane infrastructure. No increase in traffic
flow or other influence likely to cause growth in the area is associated with the project.
4. Sewage Disposal (DWO 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 sewage will be created by the project.
Page 10 of 11
PCN Form - Version 1.3 December 10, 2008 Version
5. 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 concerning Endangered Species Act ® Yes ? No
impacts?
® Raleigh
5c. If yes, indicate the USFW S 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?
USFWS Hertford County listing, on-site review of habitat by NCDOT for red-cockaded woodpecker.
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?
EFH mapper
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?
Concurrence from State Historic Preservation Office.
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: NC Flood Mapping Program approval will be received for the
project prior to construction. The proposed design raises the bridge and lengthens the flood plain opening, and therefore
will not increase flood elevations.
8c. What source(s) did you use to make the floodplain determination? Current NC Flood Mapping Program data

!7/
Applicant/Agent's Printed Name Ap Agent's Signature Date
(Agent's signature is va ly if an authorization letter from the applicant
is provided.)
Page I 1 of 11
PCN Form - Version 1.3 December 10, 2008 Version
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
NORTH CAROLINA DEPARTMENT OF TRANSPORTATION
LINEAR ROADWAY PROJECT
Thisform man be photocopied for use as an original.
DWO Stormwater Management Plan Review
A complete stonnwater management plan submittal includes this application form, a supplement form for each BMP
proposed (see Section V), design calculations, and plans and specifications showing all road and BMP details.
1. PROJECT INFORMATION
NCDOT Project Number:NCDOT Design Build TIP B-5018 County: Hertford
Project Name: Replacement of Bridge No. 13 and No. 35 over Ahoskie Creek on US 13/NC 42
Project Location:North of Herford Co./Bertie Co. line
Contact Person:Max Price Phone:[phone] Pae:919-851-8107
Receiving Stream Name:Ahoskie Creek River Basin:Chowan Class:C:NSW
Proposed linear feet of project: 1935 If
Proposed Structural BMP and Road Station (attach a list of.station and BlLIP tape if more room is needed):
Type of proposed project: (check all that applt):
? New []Widening Ma lane" ?4 lane* []Curb and Gutter MBridge Replacement
MOther (Describe)Shoulder Berm Grauer and Expresswav Gutter
'2 lame and d lane implt, that roadside ditches are used unless Curb and Gutter is also checkecl.
II. REQUIRED ITEMS CHECKLIST
Initial in the space provided below to indicate the following design requirements have been met and supporting
documentation is attached. Supporting documentation shall, at a minimum, consist of a brief narrative description
including ( I ) the scope of the project, (3) how the items below are met, (3) how the proposed best management practices
minimize water quality impacts, and (4) any significant constraints and/orjustification for not meeting a, b, c and d to the
maximum extent practicable.
Designer's Initials
S t a. The amount of impervious surface has been minimized as much as possible.
mso b. The runoff from the impervious areas has been diverted away from surface waters as much as possible.
0 c. Best Management Practices are employed which minimize water quality impacts.
5'0 d. Vegetated roadside ditches are 3:1 slope or [latter.
Form SW401-NCDO'f Linear Roadway-Rev. I Page I oft
III. OPERATION AND MAINTENANCE AGREEMENT
I acknowledge and agree by my initials below that the North Carolina Department of Transportation is responsible for the
implementation of the four maintenance items listed. I agree to notify DWQ of any operational problems with the BMP's
that would impact water quality or prior to making any changes to the system or responsible party.
MaArtenance Engineer's Initials
Spa. BMP's shall be inspected and maintained in good working order.
Sttp b. Eroded areas shall be repaired and reseeded as needed.
.fbll c. Stomiwater collection systems, including piping, inlets, and outlets, shall be maintained to insure proper
functioning.
Maintenance Engineer's Name: ST''it R1A'1CCA..
Title: Vila. fM4
IV. APPLICATION CERTIFICATION
I, (print or t' pe name) of Branch,
certify that the information included on this permit application form is, to the best of my knowledge, correct and that the
project will be constructed in conformance with the approved plans and that the proposed project complies with the
requirements of 15A NCAC 2H .1000.
Address:
Date:
V. SUPPLEMENT FORMS
The applicable state stormwater management permit supplement form(s) listed below must be submitted for each BMP
specified for this project. Contact the Stonnwater and General Permits Unit at [phone] for the status and
availability ofthese forms.
Form SW401-Low Density
Form SW401-Curb Outlet System
Form SW401-Off-Site System
Form SW401-Wet Detention Basin
Form SW401-Infiltration Basin
Form SW401-Infiltration Trench
Form SW401-Bioretention Cell
Form SW401-Level Spreader
Form SW401-Wetland
Form SW401-Grassed Swale
Form SW401-Sand Filter
Low Density Supplement
Curb Outlet System Supplement
Off-Site System Supplement
Wet Detention Basin Supplement
Infiltration Basin Supplement
Underground Infiltration Trench Supplement
Bioretention Cell Supplement
Level Spreader/Filter Strip/ Restored Riparian Buffer Supplement
Constructed Wetland Supplement
Grassed Swale Supplement
Sand Filter Supplement
Form S W 401-NCDOT Linear Roadway-Rev. I Page 2 of 2
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August 5, 2010
Mr. Clay Willis.
Division I Environmental Officer
North Carolina Department of Transportation
113 Airport Drive, Suite 100
Edenton, North Carolina 27932
Dear Mr. Willis:
Subject: EEP Mitigation Acceptance Letter:
B-5018, Replace Bridge Numbers 12 and 25 over Ahoskie Creek and Ahoskie Creek Overflow
on US 13, Hertford County
The purpose of this letter is to notify you that the Ecosystem Enhancement Program (EEP) will provide the
compensatory riparian wetland mitigation for the subject project. Based on the information received on July 26, 2010, the
impacts are located in CU 03010203 of the Chowan River Basin in the Northern Outer Coastal Plain (NOCP) Eco-Region,
and are as follows:
Chowan Stream Wetlands Buffer (Sq. Ft.)
03010203 Non- Coastal
NOCP Cold Coot Warm Riparian Riparian Marsh Zone I Zone 2
Impacts (feet/acres) 0 0 0 0.26 0 0 0 0
Mitigation Units 0 0 0 0.52 0 0 0 0
(Credits-up to 2:1)
This mitigation acceptance letter replaces the mitigation acceptance letter issued on July 9, 2009. EEP
commits to implementing sufficient compensatory riparian wetland mitigation credits to offset the impacts associated with
this project by the end of the MOA Year in which this project is permitted, in accordance with Section X of the
Amendment No. 2 to the Memorandum of Agreement between the North Carolina Department of Environment and Natural
Resources, the North Carolina Department of Transportation, and the U. S. Army Corps of Engineers, fully executed on
March 8, 2007. If the above referenced impact amounts are revised, then this mitigation acceptance letter will no longer be
valid and a new mitigation acceptance letter will be required from EEP.
If you have any questions or need additional information, please contact Ms. Beth Harmon at 919-715-1929.
Sincerely,
William D. Gilmore, P.E.
EEP Director
cc: Mr. Bill Biddlecome, USACE - Washington Regulatory Field Office
Mr. Brian Wrenn, Division of Water Quality, Wetlands/401 Unit
Mr. Sterling Baker, P.E., NCDOT Division I Maintenance Engineer
Mr. Gregory Thorpe, Ph.D., NCDOT - PDEA
File: B-5018
R.utorikg... Enka"... Prot" Oar Stag
eM
NCDENR
North Carolina Ecosystem Enhancement Program, 1662 Mail Service Center, Raleigh, NC 27699-1652 / 919-715-04761 www.nceep.nel
U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Action Id. SAW-2008-01377 County: Hertford U.S.G.S. Quad: Powellsville, NC
NOTIFICATION OF JURISDICTIONAL DETERMINATION
Property Owner/Agent: NCDOT
Address: Jerry Jennings, Division Engineer
113 Airport Drive, Suite 100
Edenton, North Carolina 27932
Telephone No.: [phone]
Property description
Size (acres) 2.4 acres Nearest Town Powellsville
Nearest Waterway Ahoskie Creek River Basin Chowan
USGS HUC 03010203 Coordinates N 36.2445767 W 76.9472553
Location description The proiect area is adjacent to Bridge # 12 and 25 on US Hiehwav 13 approximately .29 miles
south of the intersection of US Highway 13 and NCSR 1419, crossine over and adjacent to Ahoskie Creek. TIP 4 11-
5018.
Indicate Which of the Following Apply:
A. Preliminary Determination
_ Based on preliminary information, there may be wetlands on the above described property. We strongly suggest you have
this property inspected to determine the extent of Department of the Army (DA) jurisdiction. To be considered final, a
jurisdictional determination must be verified by the Corps. This preliminary determination is not an appealable action
under the Regulatory Program Administrative Appeal Process ( Reference 33 CFR Part 331).
B. Approved Determination
There are Navigable Waters of the United States within the above described property subject to the permit requirements of
Section 10 of the Rivers and Harbors Act and Section 404 of the Clean Water Act. Unless there is a change in the law or
our published regulations, this determination may be relied upon for a period not to exceed five years from the date of this
notification.
X There are waters of the U.S. including wetlands on the above described project area subject to the permit requirements of
Section 404 of the Clean Water Act (CWA)(33 USC § 1344). Unless there is a change in the law or our published
regulations, this determination may be relied upon for a period not to exceed five years from the date of this notification.
We strongly suggest you have the wetlands on your property delineated. Due to the size of your property and/or our
present workload, the Corps may not be able to accomplish this wetland delineation in a timely manner. For a more timely
delineation, you may wish to obtain a consultant. To be considered final, any delineation must be verified by the Corps.
X The waters of the U.S. including wetland on your project area have been delineated and the delineation has been
verified by the Corps. We strongly suggest you have this delineation surveyed. Upon completion, this survey should be
reviewed and verified by the Corps. Once verified, this survey will provide an accurate depiction of all areas subject to
CWA jurisdiction on your property which, provided there is no change in the law or our published regulations, may be
relied upon for a period not to exceed five years.
The wetlands have been delineated and surveyed and are accurately depicted on the plat signed by the Corps
Regulatory Official identified below on _. Unless there is a change in the law or our published regulations, this
detemtination may be relied upon for a period not to exceed five years from the date of this notification.
There are no waters of the U.S., to include wetlands, present on the above described property which are subject to the
permit requirements of Section 404 of the Clean Water Act (33 USC 1344). Unless there is a change in the law or our
published regulations, this determination may be relied upon for a period not to exceed five years from the date of this
notification.
Page 1 of 2
X The property is located in one of the 20 Coastal Counties subject to regulation under the Coastal Area Management Act
(CAMA). You should contact the Division of Coastal Management in Elizabeth City, NC, at [phone] to determine
their requirements.
Action Id. SAW-2009-01337
Placement of dredged or fill material within waters of the US and/or wetlands without a Department of the Army permit may
constitute a violation of Section 301 of the Clean Water Act (33 USC § 1311). If you have any questions regarding this
determination and/or the Corps regulatory program, please contact Bill Biddlecome at (910) 2514558.
C. Basis For Determination
This site exhibits wetland criteria as described in the 1987 Corps Wetland Delineation Manual and is adiacent to
Ahoskie Creek, a tributary to the Wiccacon River, which is a tributary to the Chowan River.
D. Remarks
ARRA Proiect
E. Appeals Information (This information applies only to approved jurisdictional determinations as indicated in
B. above)
This correspondence constitutes an approved jurisdictional determination for the above described site. If you object to this
determination, you may request an administrative appeal under Corps regulations at 33 CFR part 331. Enclosed you will find a
Notification of Appeal Process (NAP) fact sheet and request for appeal (RFA) form If you request to appeal this
determination you must submit a completed RFA form to the following address:
District Engineer, Wilmington Regulatory Division _
Atm:Bill Biddlecome, Project Manager,,
Washington Regulatory Field Office
P.O. Box 1000
Washington, North Carolina 27889
In order for an RFA to be accepted by the Corps, the Corps must determine that it is complete, that it meets the criteria for
appeal under 33 CFR part 331.5, and that it has been received by the District Office within 60 days of the date of the NAP.
Should you decide to submit an RFA form, it must be received at the above address by October 17, 2009.
**It is not necessary to submit an RFA form to the District Office if you do not object to the determination in this
correspondence.** /]??/?f n (/(?
Corps Regulatory Official: /?(,CJGIB, .N YJlflf(
Date 08/17/2009 Expiation Date 08117/2014
The Wilmington District is committed to providing the highest level of support to the public. To help as ensure we continue to
do so, please complete the Customer Satisfaction Survey located at our website at hn://repulatory.usacesurvey.com/ to
complete the survey online.
Copy furnished:
Page 2 of 2
Applicant: NCDOT File Number: SAW-2000- Date: 08/17/2009
INITIAL PROFFERED
337
Permit or Letter of
See Section below
PROFFERED PERMIT Standard Permit or Letter of permission) B
PERMIT DENIAL C
APPROVED JURISDICTIONAL DETERMINATION D
PRELIMINARY JURISDICTIONAL DETERMINATION E
A: INITIAL PROFFERED PERMIT: You may accept or object to
• ACCEPT: If you received a Standard Permit, you may sign the permit document and return it to the district engineer for final
authorization. If you received a Letter of Permission (LOP), you may accept the LOP and your work is authorized. Your signature
on the Standard Permit or acceptance of the LOP means that you accept the permit in its entirety, and waive all rights to appeal the
permit, including its terms and conditions, and approved jurisdictional determinations associated with the permit.
• OBJECT: If you object to the permit (Standard or LOP) because of certain terms and conditions therein, you may request that the
permit be modified accordingly. You must complete Section II of this form and return the form to the district engineer. Your
objections must be received by the district engineer within 60 days of the date of this notice, or you will forfeit your right to appeal
the permit in the future. Upon receipt of your letter, the district engineer will evaluate your objections and may: (a) modify the
permit to address all of your concerns, (b) modify the permit to address some of your objections, or (c) not modify the permit
having determined that the permit should be issued as previously written. After evaluating your objections, the district engineer
will send you a proffered permit for your reconsideration, as indicated in Section B below.
B: PROFFERED PERMIT: You may accept or appeal the permit
• ACCEPT: If you received a Standard Permit, you may sign the permit document and return it to the district engineer for final
authorization. If you received a Letter of Permission (LOP), you may accept the LOP and your work is authorized. Your signature
on the Standard Permit or acceptance of the LOP means that you accept the permit in its entirety, and waive all rights to appeal the
permit, including its terms and conditions, and approved jurisdictional determinations associated with the permit.
• APPEAL: If you choose to decline the proffered permit (Standard or LOP) because of certain terms and conditions therein, you
may appeal the declined permit under the Corps of Engineers Administrative Appeal Process by completing Section II of this form
and sending the form to the division engineer. This form must be received by the division engineer within 60 days of the date of
this notice.
I C: PERMIT DENIAL: You may appeal the denial of a permit under the Corps of Engineers Administrative Appeal Process by I
completing Section II of this form and sending the form to the division engineer. This form must be received by the division engineer
within 60 days of the date of this notice.
D: APPROVED JURISDICTIONAL DETERMINATION: You may accept or appeal the approved JD or
provide new information.
ACCEPT: You do not need to notify the Corps to accept an approved JD. Failure to notify the Corps within 60 days of the date of
this notice, means that you accept the approved JD in its entirety, and waive all rights to appeal the approved JD.
APPEAL: If you disagree with the approved JD, you may appeal the approved JD under the Corps of Engineers Administrative
Appeal Process by completing Section II of this form and sending the form to the district engineer. This form must be received by
the division engineer within 60 days of the date of this notice.
E: PRELIMINARY JURISDICTIONAL DETERMINATION: You do not need to respond to the Corps
regarding the preliminary JD. The Preliminary JD is not appealable. If you wish, you may request an approved
JD (which may be appealed), by contacting the Corps district for further instruction. Also you may provide new
information for further consideration by the Corps to reevaluate the JD.

REASONS FOR APPEAL OR OBJECTIONS: (Describe your reasons for appealing the decision or your
objections to an initial proffered permit in clear concise statements. You may attach additional information to
this form to clarify where your reasons or objections are addressed in the administrative record.)
ADDITIONAL INFORMATION: The appeal is limited to a review of the administrative record, the Corps
memorandum for the record of the appeal conference or meeting, and any supplemental information that the
review officer has determined is needed to clarify the administrative record. Neither the appellant nor the Corps
may add new information or analyses to the record. However, you may provide additional information to clarify
the location of information that is already in the administrative record.
ilk!: i ii''
116151; iiji
If you have questions regarding this decision If you only have questions regarding the appeal process you
and/or the appeal process you may contact: may also contact:
Mr. Bill Biddlecome Mr. Mike Bell, Administrative Appeal Review Officer
Washington Regulatory Field Office CESAD-ET-CO-R
P.O. Box 1000 U.S. Army Corps of Engineers, South Atlantic Division
Washington, North Carolina 27889 60 Forsyth Street, Room 9M15
910 251-4558 Atlanta, Georgia 30303-8801
RIGHT OF ENTRY: Your signature below grants the right of entry to Corps of Engineers personnel, and any
government consultants, to conduct investigations of the project site during the course of the appeal process. You
will be provided a 15 day notice of any site investigation, and will have the opportunity to participate in all site
investigations.
Date: Telephone number:
Signature of appellant or agent.
For appeals on Initial Proffered Permits and approved Jurisdictional Determinations send this
form to:
District Engineer, Wilmington Regulatory Division, Attn:Bill Biddlecome, Project Manager,
Washington Regulatory Field Office, P.O Box 1000, Washington, North Carolina 27889
For Permit denials and Proffered Permits send this form to:
Division Engineer, Commander, U.S. Army Engineer Division, South Atlantic, Attn: Mr. Mike Bell,
Administrative Appeal Officer, CESAD-ET-CO-R, 60 Forsyth Street, Room 9M15, Atlanta,
Georgia 30303-8801
WETLAND DETERMINATION DATA FORM -Atlantic and Gulf Coastal Plain Region (DRAFT)
ProjerdSi;e: f//70llSiC ('rlfl? ??i?q( cE ilS City/County: yri A", Cu? Sampling Date: OQ
01 ApplicanllOwner. NC/-;7-- ?iri Yi+7 State: V e/ Sampling Point: )4,,
Investigator(s): Section, Township, Range: Qljkl'C Kj-Su' /
Landform (hillslope, terra Local relief (concave, convex, none):.ezz4c f e Slope (%): .?
q--3'0 /' Datum: d.AD B3
Subregion(LRR or MLRA): Let: - 761. 91/ 7 y 3 Long: 3 .,?V
Soil Map Unit Name: /3 -d NPJI classification: V F- e)(, F
Are climatic / hydrologic conditions on the site typical for this time of year? Yes ? No _ (If no, explain in Remarks.)
Are Vegetation L?o , Soil _ ?e , or Hydrology NO significantly disturbed? Are 'Normal Circumstances' present? Yes --?' No
Are Vegetation n1p, Soil ?yo, or Hydrology ?,Iv naturally problematic? (If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS - Attach site map showing sampling point locations, tansects, important features, etc.
Hydrophytic Vegetation Present? Yes No Is the Sampled Area
Hydric Soil Present? Yes ? No
N within a Wetland? "Yes No
Wetland Hydrology Present? Yes
o
. Remarks:
•'gr fue? { ?icG?
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-

HYDROLOGY
Wetland Hydrology Indicators: Secondary Indicators (minimum of two required)
Primary Indicators fminimum of one is required' check all that aoolv) _ Surface Soil Cracks (B6)
_ Surface Water (At) _?Water-Stained Leaves (69) L Sparsely Vegetated Concave Surface (68)
_ High Water Table (A2) - Aquatic Fauna (013) ?orainage Patterns (BID)
Saturation (A3) - Marl Deposits (1315) (LRR U) _ Mass Trim Lines (016)
_ Water Marks (61) - Hydrogen Sulfide Odor G l) -Dry-Season Water Table( C2)
,i Sediment Deposits (82) -/Oxidized Rhizospheres on Living Roots (C3) ?Crayfish Burrows (C8)
-,f Drift Deposits (B3) , Presence of Reduced Iron (C4) Saturation Visible on Aerial Imagery (C9)
Algal Mai or Crust (B4) _ Recent Iron Reduction in Tilled Soils (C6) -,"Geomorphic Position (D2) -
_ Iron Deposits (05) _ Thin Muck Surface (C7) _ Shallow Aquitard (D3)
_ Inundation Visible on Aerial Imagery (87) _ Other (Explain in Remarks) /FAC-Neutral Test (D5)
Field Observations: '
Surface Water Present? Yes _ No / Depth (inches):
Water Table Present? Yes Z No - Depth (inches): la A,
Saturation Present? Yes_,? No_ Depth.(inches): G z/7- Wetland H ydrology Present? Yes No
includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks: - - - -

US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region - DRAFT Version 6.15-2007

SOIL Sampling Point:
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth Matrix Redox Features
(inches) Color (moist) % Color (moist) % Type' Loc Texture Remarks
D" Ca y Z 16' i/ ! i O __ ?Gq H

'Type: C=Concentration, D=De lesion, RM=Reduced. Matrix CS=Covered or Coated Sand Grains. °Location: PL=Pare Lining, M=Matrix.
Hydric Soil Indicators: Indicators for Problematic Hydric Soils':
- Histosol (Al) - Poiyvalue Below Surface (S8) (LRR S, T. U) _ 1 cm Muck (A9) (LRR O)
- Hislic Epipedon (A2) _ Thin Dark Surface (S9) (LRR S. T, U) _ 2 cm,Muck (A10) (LRR S)
_ Black Histic (A3) - Loamy Mucky Mineral (Fi) (LRR O) - Reduced Vertic (F18) (outside MLRA 150A,B)
- Hydrogen Sulfide (A4) - Loamy Gleyed Matrix (F2) _ Piedmont Floodplain Scils (F19) (LRR P, 5, T)
- Stratified Layers (A5) ,-/Depleted Matrix (F3) _ Anomalous Bright Loamy Soils (F20)
Organic Bodies (A6) (LRR P, T, U) _ Redox Dark Surface (F6) (MLRA 1538)
- 5 cm Mucky Mineral (A7) (LRR P, T, U) _ Depleted Dark Surface (F7) - Red Parent Material (TF2)
- Muck Presence (AS) (LRR U) _ Redox Depressions (F8) - Other (Explain in Remarks)
_ 1 cm Muck (A9) (LRR P, T) _ Mart (F10) (LRR U)
Depleted Below Dark Surface (A11) _ Depleted Ochric (F11) (MLRA 151) 'Indicators of hydrophytic vegetation and
_ Thick Dark Surface (A12) _ Iron-Manganese Masses (F12) (LRR O, P, T) wetland hydrology must be present
_ Coast Prairie Redox (A16) (MLRA 150A) _ Umbdc Surface (F13) (LRR P, T. U) .
- Sandy Mucky Mineral (S7) (LRR O, S) _ Delta Ochric (F17) (MLRA 151) '
- Sandy Gleyed Matrix (S4) _ Reduced Vertic (F18) (MLRA 150A, 1508)
Sandy Redox (S5) - - Piedmont Floodplain Soils (F19) (MLRA 149A)
- Stripped Matrix (S6) - Anomalous Bright Loamy Soils (F20) (MLRA 149A, 153q, 153D)
_ Dark Surface (S7) (LRR P, S, T, U)
Restrictive Layer (if observed):
Type:
Depth (inches): Hydric Soif,Present? Yes ? No_
Remarks:
vPr]FTATlnN - I Ise scientific names of Plants.
Sampling Point.
•
Tree Stratum (Plot sizes:
1. GMlix/ /)ak Absolute
) % Cover
- Dominant Indicator
Species? Status
? /?4CH/ Dominance Test worksheet:
Number of.Dominanl Species /
That Are OBL, FACW, or FAC: (O (A)
2 l3 /m , Total Number of Dominant
.
3 A- 11lra OM 21 )r*?W' Species Across All Strata: (B)
.
4 k AdVAN Z G//c c?
f Dominant Species
t
.
6 ? o
Percen
That Are OBL, FACW, or FAC: (AIB)
6.
7 Prevalence Index worksheet:
M
lti
l
b
'
.
Saplin
i
g Stratum ( )
?!/ ?^ Total Cover: 11V4

?O

? v
u
p
y
Total Y Cover of:
LO x 1= 60
DEL species
FACW species IRS x2= a7 D

1-0 /^' PAC species 60 x 3 = 6 0
3 00-,rte 20 F/aLv? FACU species x4= 0
4 - UPL species /x 5 = D
5 Column Totals: 3 Q> (A) 0 (B)
6 = B/A = ' (O
I
d
a
. ex
Prev
n
lence
7 n Indicators:
t
ti
h
ti
V
.
Shrub Stratum ( )
1. ;PS! Soap q
Total Cover. 7D rc
.?

C a
o
Hydrop
y
e
ege
?Dominance Testis >50%
_? Prevalence index i5s3.0'
'
2 ? ,/ GRCa? (Explain)
_ Problematic Hydrophytic Vegetation
3 /,,' 20 6lJG .
.
4 yt : F? 'Indicators of hydric soil and wetland hydrology must
r
nt
b

5 .
ese
e p
.
6
.
7
.

Herb Stratum ( )
Total Cover: -70
2. a /. A, /0 061-
3 ?M.y?7Jl0
.
4
.
5
.
6
.
7
8
.
9.
10.
11.
12
.

Wood
2.

y Vine Stratum ( q
Total Cover: 3 D L,
)

rxI
3
.
4
.
5 Hydrophytic
Vegetation
. Total Cover. 2?i Present? Yes _ No _
Remarks: (If observed, list morphological adaptations below).
WETLAND DETERMINATION DATA FORM -Atlantic and Gulf Coastal Plain Region (DRAFT)
40 `7 D9
city/County: 1L /' r!! Sampling Date:
Project)Site: //l/fJS?/? LRdr g
Applicant/Owner: NCQO% i?r 5/. /Yot State: / yC Sampling Point: r H
Investigator(s): ?lu„ Grl/GC?/Ei';/L•?o Section, Township, Range: ?i?nSK.Y
Landform (hillslope, terrace, etc.): blAlol ¢. - ,'oWrr "kJ Local relief (concave, convex, none): zonexzc Slope
Subregion (LRR or MLRA): Lat ` 7l0. 9y8. ? Long: YCo. 2`f ZX Z Datum: mq D 93'
r
Soil Map Unit Name: -Se ljr,? Zm.,l S?„ij NWI classification: Ale-4E
Are climatic / hydrologic conditions on the site typical for this time of year? Yes V' No _ (If no, explain in Remarks.)
Are Vegetation Soil _, or Hydrology _ significantly disturbed? Are "Normal Circumstances" present? Yes // No
Are Vegetation Soil or Hydrology _ naturally problematic? (If needed, explain,any answers in Remarks.)
SUMMARY OF FINDINGS - Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes ? No Is the Sampled Area
Hydric Soil Present? Yes No I/ within a Wetland? Yes No
Wetland Hydrology Present? Yes No
Remarks:
ve9enon make-U/0 e ?r,s? o ??, Fe ? 5
HYDROLOGY
Wetland Hydrology Indicators: Secondary Indicators (minimum of two required)
Primary Indicators (minimum of one is required: check all that apply) _ Surface Soil Cracks (86)
_ Surface Water (Al) _ Water-Stained Leaves (89) _ Sparsely Veggtated Concave Surface (88)
- High Water Table (A2) _ Aquatic Fauna (813) - Drainage Patterns (810)
_ Saturation (A3) _ Marl Deposits (B15) (LRR U) _ Moss Trim Lines (B16)
_ Water Marks (Bt) - Hydrogen Sulfide Odor (Cl) - Dry-Season Water Table (C2)
Sediment Deposits (B2) _ Oxidized Rhizospheres on Living Roots (C3) _ Crayfish Burrows (CB)
_ Drift Deposits (133) _ Presence of Reduced Iron (C4) _ Saturation Visible on Aerial Imagery (C9)
y+ _ Algal Mat or Crust (64) _ Recent Inn Reduction in Tilled Soils (C6) _ Geomorphic Position (D2)
_ Iron Deposits (135) _ Thin Muck Surface (C7) Shallow Aquitard (D3)
_ Inundation Visible on Aerial Imagery (B7) _ Other (Explain in Remarks) /
FAC-Neutral Test (D5)
Field Observations:
Surface Water Present? Yes- No Depth (inches): '
Water Table Present? Yes_ No ? Depth (inches):
Saturation Present? Yes _ No ? Depth (inches): Wetland Hydrology Present? Yes_ No
includes w ills fringe)
-
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:

-
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e6llln r. ?e?a s
ryr /7/,6j 6"Ie4 r

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US Army Corps of Engineers Allantic and Gulf Coastal Plain Region - DRAFT Version 6.15-2007
SOIL
Sampling Point: 11),/1
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth Matrix Redox Features
(inchesl Color moist % Color (moist) -% Twe Loc Texture Remarks

'Type: C=Concentration, D=De letion, RM=Reduced Matrix CS=Covered or Coated Sand Grains. Location: PL=Pore Linin
M=Matrix

Hydric Soil Indicators: ,
.
Indicators for Problematic Hydric Si
_ Histosol (Al) _ Polyvalue Below Surface (S8) (LRR S, T, U) _ 1 cm Muck (A9) (LRR O)
- Histic Epipedon (A2) _ Thin Dark Surface (S9) (LRR S, T, U) _ 2 cm Muck (A10) (LRR S)
- Black Histic (A3) _ Loamy Mucky Mineral (F7) (LRR O) _ Reduced Vertic (FIB) (outside MLRA 1SOA
13)
_ Hydrogen Sulfide (A4) ,
_ Loamy Gleyed Matrix (172) _ Piedmont Floodplain Soils (F19) (LRR P, S
T)
- Stratified Layers (AS) ,
_ Depleted Matrix (173) _ Anomalous Bright Loamy Soils (F20)
- Organic Bodies (AS) (LRR P, T, U) _ Redox Dark Surface (F6) (MLRA 1538)
- 5 cm Mucky Mineral (A7) (LRR P, T, U) _ Depleted Dark Surface (F7) _ Red Parent Material (TF2)
- Muck Presence (A8) (LRR U) _ Redox Depressions (F8) _ Other (Explain in Remarks)
_ 1 cm Muck (A9) (LRR P, T) - Mad (F 10) (LRR U)
Depleted Below Dark Surface (Al 1)
- _ Depleted Ochric (F11) (MLRA 151) 'Indicators of hygrophytic vegetation and
_ Thick Dark Surface (A12) _ Iron-Manganese Masses (1712) (LRR O, P, T) wetland hydrology must be present

- Coast Prairie Redox (At 6) (MLRA 150A) .
_ Umbric Surface (1713) (LRR P, T, U)
- Sandy Mucky Mineral (S1) (LRR O, S) _ Delta Ochric (1717) (MLRA 151)
- Sandy Gleyed Matrix (S4) - Reduced Vertic (F18) (MLRA 150A, 1508)
- Sandy Redox (SS) _ Piedmont Floodplain Soils (F19) (MLRA 149A)
- Stripped Matrix (S6) - Anomalous Bright Loamy Soils (F20) (MLRA 149A, 153C, 153D)
_ Dark Surface (S7) (LRR P, S, T, U)
Restrictive Layer (if observed):
Type:
Depth (Inches): Hydric Soil Present? Yes
No
Remarks: _
¦ Complete Items 1, 2, and 3. Also complete
item 4 If Restricted Delivery Is desired.
¦ Print your name and address on the reverse
so that we can return the card to you.
¦ Attach this card to the back of the mallplece,
or on the front If space permits.
1. Article Addressed to:
Eva>lcy Fa?r.s
Corr, NC, a 7q'2.
Domestic Return Receipt
z Article mNumber
ah from service rand, 7.009 2250 0001 3691 2397
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(ransr'_ ,. _
PS Form 3811, February 2004 Domestic Return Receipt 1025911-024*1540
¦ Complete items 1, 2, and 3. Also complete
Item 4 If Restricted Del" Is desired.
¦ Print your name and address on the reverse
so that we can return the card to you.
¦ Attach this card to the back of the mallplece,
or on the front If space permits.
1. Article Addressed to:
4 I M 4'v?,,
(ra?cQi?s, 1 mac.
P. ?. 3D1c S83 ? <
A. Signature
X 0 Agent
?0 Address
4?
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B. Rq¢ Cb. N / C. D
D. Is delivery address ddrerent from item 19 0 Yes
If YES era elloery address,t V'%19 0 No
/??arc / ? ?11i
3. Ser" lype
O'bertfled Mail 0 Express Mali
0 Registered 0 Return Receipt for Msrchandise
0Insured Mail 0 C.O.D.
4. Restricted Delivery! P'tre Fee) 0 Yes
A. Silitipm
Agent Njl?o ._
X 'K)aAkVV-"
Date of Delivery
D. Is de9v/ Item 1? 0 Yes
If YES, emer del ress txllow. ? No
'10 ?o,,
Certif ed Mae Express Mall
Q Iat 0 Return Receipt for Merchandise
0 Insured Mae • 0 C.O.D.
4. Restricted Deliveyl (Extra Fee) 0 Yes
L Article Number
' 7009 2250 0001 3691 2410
(ilansler mxrr service raven .
's Form 3811, February 2004
¦ Complete hems 1, 2, and 3. Also complete [A.
item 4 if Restricted Delivery Is desired. ¦ Prim your name and address on the reverse
so that we can return the card to you. I Attach this card to the back of the malipiece,
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a
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
Beverly E. Purdue
GOVERNOR
Gene Conti
SECRETARY
February 3, 2011
Town of Powellsville
PO Box 22
Powellsville, NC 27967
Dear Sir or Madam,
CERTIFIED MAIL
The NC Department of Transportation is proposing to replace bridges # 12 and # 25 on
US 13/NC 42. The bridges are existing 120 ft. X 28 ft. and 70 ft. X 28.2 ft. structures.
The proposed bridges are 167.5 ft. X 36.0 ft. and 112.4 ft. X 36.0 ft. cored slab concrete
structures on the same alignment. Included with this package are the plan sheets detailing
the described bridge replacement. This work will require the closure of the road until the
project is completed. Access will be maintained through an off-site detour.
The Division of Coastal Management (DCM) considers the waters at this location to be
"Public Trust Waters" under their regulations. Therefore, it is provided protection under
state law. For this reason the NCDOT will apply for a permit from the DCM to perform
the described work. Part of the permit process is notifying the adjacent landowners of the
proposed work. A map depicting the project area, along with a design plat and copy of
the permit application is included with this letter. If you have any questions concerning
the proposed work you can contact Clay Willis at 252-482-7977.
The attached form is submitted to insure that you have an opportunity to comment on the
proposal. The work is depicted on the attached drawings. If you have no objects to the
proposal, please return the form with your response within ten (10) days to this office. If
you do have objections to the project, please forward your comments to:
Stephen Lane
NC Division of Coastal Management
400 Commerce Avenue
Morehead City, N.C. 28577
113 Airport Dr., Suite 100, Edenton, NC 27932 - Phone: [phone] Fax: [phone]
No response within ten (10) days will be construed to mean you have no objections.
"Thank you for your cooperation.
Sincerely,
,Jerry Jennings, P.E.
Division Engineer, Division One
Clay Willis h-CJ
!i,nvironmental OYticer, Division One
113 Airport Dr., Suite 100, Gdemon, NC 27932 -- Phone: [phone] Fax: [phone]
.. SUR
??w
STATE of NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
Beverly E. Purdue Gene Conti
GovLRNOR S FC-RE VARY
February 3. 2011
David T. & Tammy L. Morse
2418 US 13 South
Ahoskie, NC 227910
CERTIFIED MAIL
Dear Mr. Copeland,
The NC Department of Transportation is proposing to replace bridges # 12 and # 25 on
US I YNC 42. The bridges are existing 120 ft. X 28 ft. and 70 ft. X 28.2 ft. structures.
The proposed bridges are 167.5 ft. X 36.0 ft. and 112.4 ft. X 36.0 ft. cored slab concrete
structures on the same alignment. Included with this package are the plan sheets detailing
the described bridge replacement. This work will require the closure of the road until the
project is completed. Access will be maintained through an off-site detour.
The Division of Coastal Management (DCM) considers the waters at this location to be
"Public Trust Waters" under their regulations. Therefore, it is provided protection under
state law. For this reason the NCDOT will apply for a permit from the DCM to perform
the described work. Part of the permit process is notifying the adjacent landowners of the
proposed work. A map depicting the project area, along with a design plat and copy of
the permit application is included with this letter. If you have any questions concerning
the proposed work you can contact Clay Willis at 252-482-7977.
The attached form is submitted to insure that you have an opportunity to comment on the
proposal. The work is depicted on the attached drawings. Ifyou have no objects to the
proposal, please return the form with your response within ten (10) days to this office. If
you do have objections to the project, please forward your comments to:
Stephen Lane
NC Division of Coastal Management
-YOU Commerce Avenue
Nforehead City, N.C. 28577
1 13 Airpon Dr., Suite 100, Edenton, NC 27912 - Phone: [phone] Fax: [phone]
No response within ten (10) days will be construed to mean you have no objections..
,rhank you for your cooperation.
Sincerely,
Jerry Jennings, P.E.
Division Engineer, Division One
Clay Willis
I[nvironmental ticer, Division One
1 13 Aiipoit Dr., Suite 100, Hdcntou, NC 27932 -- Phone: [phone] Fax: [phone]
.?
w^
STA"rF of NOR 1-11 CAROLINA
DEPARTMENT OF TRANSPORTATION
Beverly E. Purdue Gene Conti
GOVERNOR SI(CRHIARY
February 3). 2011
Citadel Highland Memorial Gardens, Inc. CERTIFIED MAIL.
PO Box 8839
Greenville, SC 229604
Dear Sir or Madam,
The NC Department of Transportation is proposing to replace bridges # 12 and # 25 on
US I YNC 42. The bridges are existing 120 It. X 28 1t. and 70 ft. X 28.2 ft. structures.
The proposed bridges are 167.5 ft. X 36.0 tt. and 112.4 ft. X 36.0 ft. cored slab concrete
structures on the same alignment. Included with this package are the plan sheets detailing
the described bridge replacement. This work will require the closure of the road until the
project is completed. Access will be maintained through an off-site detour.
The Division of Coastal Management (DCM) considers the waters at this location to be
"Public 'Trust Waters" under their regulations. Therefore, it is provided protection under
state law. For this reason the NCDOT will apply for a permit from the DCM to perform
the described work. Part of the permit process is notifying the adjacent landowners of the
proposed work. A map depicting the project area, along with a design plat and copy of
the permit application is included with this letter. If you have any questions concerning
the proposed work you can contact Clay Willis at 252-482-7977.
The attached form is submitted to insure that you have an opportunity to comment on the
proposal. The work is depicted on the attached drawings. If you have no objects to the
proposal, please return the form with your response within ten (10) days to this office. If
you do have objections to the project, please lbiward your comments to:
Stephen Lane
NC Division of Coastal Management
400 Commerce Avenue
Nlorchead City, N.C. 28577
113 Airport Dr„ Suite IOQ cdcrlon. NC 279"," -Phone: [phone] Fax: [phone]
No response within ten (10) days will be construed to mean you have no objections.
'['hank you for your cooperation.
Sincerely,
Jerry Jennings. P.E.
Division Engineer. Division One
Clay Willis
Fnvironmental 0 Cer, Division One
1 13 Airport Dr.. Suite 100. Edenton, NC 27932 -- Phone: [phone] Fax: [phone]
non„
' t s
STATE or NOil ri-I CAROLINA
DEPARTMENT OF TRANSPORTATION
Beverly E. Purdue
GOVERNOR
Gene Conti
SICRk_1"ARY
Februacry 3. 2011
I Lorton D. Copeland Jr.
1874 Cherry Grove Road N.
Suffolk, VA 23432
Dear Mr. Copeland,
CERTIFIED MAIL
The NC Department of Transportation is proposing to replace bridges # 12 and # 25 on
US IYNC 42. The bridges are existing 120 ft. X 28 ft. and 70 ft. X 28.2 ft. structures.
The proposed bridges are 167.5 ft. X 36.0 ft. and 112.4 ft. X 36.0 ft. cored slab concrete
structures on the same alignment. Included with this package are the plan sheets detailing
the described bridge replacement. This work will require the closure of the road until the
project is completed. Access will be maintained through an off=site detour.
The Division of Coastal Management (DCM) considers the waters at this location to be
"Public Trust Waters" under their regulations. Therefore, it is provided protection under
state law. For this reason the NCDOT will apply for a permit from the DCM to perform
the described work. Part of the permit process is notifying the adjacent landowners of the
proposed work. A map depicting the project area, along with a design plat and copy of
the permit application is included with this letter. If you have any questions concerning
the proposed work you can contact Clay Willis at 252-482-7977.
The attached form is submitted to insure that you have an opportunity to comment on the
proposal. The work is depicted on the attached drawings. If you have no objects to the
proposal, please return the form with your response within tcn (10) days to this office. If
you do have objections to the project, please forward your comments to:
Stephen Lane
NC Division of Coastal Management
400 Commerce Avenue
Murehead City, N.C. 28177
113 Airport Dr.. Suite 100, I?d?X(Ov, MC 2793_ - Phone: [phone] Fax: [phone]
No response within ten (10) days will be construed to mean you have no objections.
Thank you for your cooperation.
sincerely,
Jerry,lennings, P.E.
Division Engineer, Divisio One
Clay Willis
Unvironmental tcer, Division One
113 Airport Dr., Suite 100, I:dem on, NC 27932 -P hone: [phone] Fax: [phone]

STATE of NORT1-1 CAROLINA
DEPAR'T'MENT OF TRANSPORTATION
Beverly E. Purdue
GOVERNOR
February 3.201 1
Beasley Farms, Inc.
PO Box 38
Colerain, NC 27924
Dear Sir or Madam,
Gene Conti
SI-CRETARY
CERTIFIED MAIL
The NC Department of Transportation is proposing to replace bridges # 12 and # 25 on
US I YNC 42. The bridges are existing 120 ft. X 28 ft. and 70 ft. X 28.2 ft. structures.
The proposed bridges are 167.5 ft. X 36.0 ft. and 1 12.4 ft. X 36.0 ft. cored slab concrete
structures on the same alignment. Included with this package are the plan sheets detailing
the described bridge replacement. This work will require the closure of the road until the
project is completed. Access will be maintained through an off-site detour.
The Division of Coastal Management (DCM) considers the waters at this location to be
"Public Trust Waters" under their regulations. Therefore, it is provided protection under
state law. For this reason the NCDOT will apply for a permit from the DCM to perform
the described work. Part of the permit process is notifying the adjacent landowners of the
proposed work. A map depicting the project area, along with a design plat and copy of
the permit application is included with this letter. If you have any questions concerning
the proposed work you can contact Clay Willis at 252-482-7977.
The attached form is submitted to insure that you have an opportunity to comment on the
proposal. The work is depicted on the attached drawings. Ifyou have no objects to the
proposal, please return the torm with your response within ten (10) days to this office. If
you do have objections to the project, please forward your comments to:
Stephen Lane
NC Division of Coastal Management
400 Commerce Avenue
Rlorehead City. N.C. 28577
113 Airport Dr.. Suite 100. Edcrlion, NC 27932 - Phone: [phone] Fax: [phone]
No response within ten (10) days will be construed to mean you have no objections.
Thank you for your cooperation.
Sincerely,
Jerry Jennings, P.E.
Division Engincer, Division One
Clay Willis
Environmental Ofticer, Division One
113 Airport Dr., Suite 100, Edenton, NC 27932 -- Phone: [phone] Fax: [phone]
1
PROPERTY OWNERS
NAMES AND ADDRESSES
PARCEL NO. NAMES
ADDRESSES
1 TOWN OF POWELLSVILLE
2 BEASLEY FARMS, INC.
3 CITADEL HIGHLAND
MEMORIAL GARDENS, LLC.
4 DAVID T.MORSE &
TAMMY L. MORSE
5 HORTON D.COPELAND
PO Bo: Powell.ville, NC 27967
PO Bo: 38 Colerain, NC 27924
PO Bo: 8839 Green.ille, SC 29604
2418 US 13 South Ahe.kie, NC 27910
1874 Che..y Grope Road Suffolk, VA 23432

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BRIDGE NO. 12 AND BRIDGE NO.25
OVER AHOSKIE CREEK
ON US 13/NC 42
SHEET OF 11/23/10