20110243 Ver 1_Application_20110314

a
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
BEVERLY EAVES PERDUE
GOVERNOR
Mamb 9, 2011
Ms. Amy Euliss
NC DENR Division of Water Quality
585 Waughtown Street
Winston-Salem, NC 27107
Mr. Andrew Williams
US Army Corps of Engineers
6508 Falls of the Neuse Suite 120
Raleigh, NC 27615-6814
(Two Copies)
Subject: Rockingham County, Bridge #163 on US Hwy 158
Project Number Al 7B.107911
To Whom It May Concern:
q?~?Y
EUGENE A. Cowl JR.
SECRETARY
11Q243
The North Carolina Department of Transportation (NCDOT) proposes to place gabions filled with large riprap
around the bents of a bridge over Hogans Creek on US 158 in Rockingham County. The riprap is necessary
in order to stop scouring around the base of the bents and therefore maintain the structural integrity of the
bridge. This activity will result in permanent impacts to Hogans Creek. The NCDOT anticipates that the
activity will be authorized under Nationwide Permit (NWP) 3. This application is intended as a request for
written authorization from the US Army Corps of Engineers for the Nationwide 3 as described under
General Condition 027. This package is also being forwarded to the NC Division of Water Quality as a
courtesy notification. The following information is being provided to satisfy conditions of the Nationwide
Permit and General Water Quality Certification.
P.O. Box 14996 Greensboro, NC 274154996 Telephone No. [phone] Fax No. [phone]
PROJECT INFORMATION
'Separate documentation attached as needed: See the attached Endangered Species Review Sheet for further information: ` When
Applicable - See the attached Historic Review Letter for further information
GABION RIPRAP PLACEMENT
Road Name SR Number Project Length
(miles) Classification
US 158 US 158 N/A
River Basin: DWQ
ID Water Quality
Designation % Impervious Surface
Roanoke 22-31 Class C N/A
Buffer Rules` Buffer Rule Conditions (where applicable)
No
Protected Species Presentb Mapped Historic
Pro erties CAIViA
AEC Essential Fishery Habitat
No No No No
Site Station N/A Stream Type Perennial
Existing Stream 45 feet Proposed 45 feet
Width Stream Width
Construction Place wire mesh gabions filled with dprap in Dewatering N/A
Method stream at base of bents utilizing H-piles and Device'
a trolley system. A turbidity curtain will be WA
u5lized to minimize turbidly. No equipment
is proposed to be in the stream.
Burial Depth N/A E/C Plan N/A
Date
Construction As soon as practicable Duration One week
Date
Impacts ft. Approximately 38.6 total linear feet of permanent stream impacts.
Special
Conditions
Restoration Plan Within 15 working days of the project completion any disturbed area adjacent to the stream will be
restored and seeded.
RCP = reinforced concrete pipe; CMP = Corrugated metal pipe; CMPA = Corrugated metal pipe arch; E/C = Erosion control. 'A less intrusive
dewate6ng device may be used in lieu of the one proposed.
MINIMIZATION INFORMATION
Impacts will be minimized by strict enforcement of Best Management Practices for the protection of
surface waters and wetlands, restrictions against the staging of equipment in or adjacent to waters of
the US, and coordination (including a pre-construction meeting) with the Division Environmental
Officer.
MITIGATION INFORMATION
Stream mitigation Is not anticipated, as the impacts to any individual stream do not exceed 150 feet
Wetland mitigation is not anticipated, as wetland impacts do not exceed 0.10 acres and do not occur
in a unique natural wetland.
APPLICATION INFORMATION
Enclosed please find the Pre-construction Notification Form and supporting documentation for the
above referenced project. If you have any questions or need any additional information, please
contact Jerry Parker at [phone]. Your time and effort are appreciated.
Sincerely,
Mr M. Mills, P.E.
vision Engineer, Division 7
Enclosures
CC: Tim Powers, Bridge Maintenance NCDOT
Barry Harrington, NCDOT
Paul Ingram, NCDOT
Ad 0,, W AT$' 0
y y
Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.3 Dec 10 2008
Pre-Construction Notification PCN Form
A. Applicant Information
1. Processing
1 a. Type(s) of approval sought from the
Corps:
®Section 404 Permit ? Section 10 Permit
1b. Specify Nationwide Permit (NWP) number: 3 or General Permit (GP) number:
1c. Has the NWP or GP number been verified by the Corps? ? Yes ® No
1d. Type(s) of approval sought from the DWQ (check all that apply):
® 401 Water Quality Certification - Regular ? Non-404 Jurisdictional General Permit
? 401 Water Quality Certification - Express ? Riparian Buffer Authorization
le. 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 1 In
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: US 158 Bridge #163
2b. County: Rockingham
2c. Nearest municipality /town: Lawsonville
2d. Subdivision name: N/A
2e. NCDOT only, T.I.P. or state
project no: WBS # 7B.107911
3. Owner Information
3a. Name(s) on Recorded Deed:
3b. Deed Book and Page No.
3c. Responsible Party (for LLC if
applicable):
3d. Street address:
3e. City, state, zip:
3f. Telephone no.:
3g. Fax no.:
3h. Email address:
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: J. M. Mills
4c. Business name
(if applicable):
Division Engineer NCDOT Division Seven
4d. Street address: P.O. Box 14996
4e. City, state, zip: Greensboro, NC 27415
4f. Telephone no.: 336 334-3297
4g. Fax no.:
4h. Email address:
5. Agent/Consultant Information (if applicable)
5a. Name: Jerry Parker
5b. Business name
(if applicable):
Division Environmental Supervisor
5c. Street address: P.O. Box 14996
5d. City, state, zip: Greensboro, NC 27415
5e. Telephone no.: 336 256-2063
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
I a. Property iderrtification no. (tax PIN or parcel ID): NIA
Latitude: 36.3985212 N Longitude: -
1b. Site coordinates (in decimal degrees): 79.5300415 W
.(DD.DDDDDD) (-DD.DDDDDD)
I c. Property size: N/A acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to

proposed project: Hogans Creek
2b. Water Quality Classification of nearest receiving water: Class C
2c. River basin: Roanoke
3. Project Description
3a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this
application:
Rural and wooded
3b. List the total estimated acreage of all existing wetlands on the property:
0
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
90 feet
3d. Explain the purpose of the proposed project:
Secure support pilings of bridge. Scouring has occurred at base of pilings and is jepardizing the structural integrity of
interior bents # 2 and #3.
3e. Describe the overall project in detail, including the type of equipment to be used:
NCDOT will drive 12" X 40'H-piles on each side of concrete cap. A total of 12 H-piles will be driven (three on each side of
the two interior bents). H-piles will provide additional support to the bridge and allow a trolley system to be utilized to
place gabions around the bents without placing heavy equipment in the stream. Wire mesh 6'X 2' gabions filled with large
riprap will be placed around the lower area of the bents. A turbidity curtain will be used to limit onsite turbidity. No
equipment is proposed to be in the stream.
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
project (including all prior phases) in the past?
? Yes ®No ? Unknown
Comments:
4b. If the Corps made the jurisdictional determination, what type
? Preliminary ? Final
of determination was made?
4c. If yes, who delineated the jurisdictional areas? Agency/Consultant Company:
Name (if known): Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
5. Project History
5a. Have permits or certifications been requested or obtained for ? Yes ®No ? Unknown
this project (including all prior phases) in the past?
5b. If yes, explain in detail according to "help file" instructions.
Page 3 of 11
PCN Form - Version 1.3 December 10, 2008 Version
6. Future Project Plans
6a. Is this a phased project? ? Yes ® No
6b. If yes, explain.
Page 4 of 11
PCN Form - Version 1.3 December 10. 2008 Version
C. Proposed Impacts Inventory
1. Impacts Summary
1 a. Which sections were completed below for your project (check all that apply):
? Wetlands ® Streams - tributaries ? Buffers
? Open Waters ? Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
2a. 2b. 2c. 2d. 2e. 2f.
Wetland impact Type of jurisdiction
number- Type of impact Type of wetland Forested (Corps - 404, 10 Area of impact
Permanent (P) or (if known) DWQ - non-404, other) (acres)
Temporary
W1 ? P ? T ? Yes ? Corps
? No ? DWQ
W2 ? P ? T ? Yes ? Corps
? No ? DWQ
W3 ? P ? T ? Yes ? Corps
? No ? DWQ
W4 ? P ? T ? Yes ? Corps
? No ? DWQ
W5 ? P ? T ? Yes ? Corps
? No ? DWQ
W6 ? P ? T ? Yes ? Corps
® No ? _NQ
2g. Total wetland impacts
2h. Comments:
3. Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this
question for all stream sites impacted.
3a. 3b. 3c. 3d. 3e. 3f. 3g.
Stream impact Type of impact Stream name Perennial Type of jurisdiction Average Impact
number - (PER) or (Corps - 404, 10 stream length
Permanent (P) or intermittent
DWQ non-404,
(T) (INT)? other) (fe? feet)
S1 [K P El T Riprap in stream Hogans Creek ® PER
E]
INT ® Corps
® DWQ Approx.
45 ft 38.6
S2 ? P ? T ? PER ? Corps
? INT ? DWQ
S3 ? P ? T ? PER ? Corps
? INT ? DWQ
S4 ? P ? T ? PER ? Corps
? INT ? DWQ
S5 ? P ? T ? PER ? Corps
? INT ? DWQ
S6 ? P ? T ? PER ? Corps
? INT ? DWQ
31L Total stream and tributary impacts 38.6 feet
3i. Comments:
Page 5 of 11
PCN Fonn - 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
01 ?P?T
02 ?P?T
03 ?P?T
04 ?P?T
4f. Total open water impacts
4g. Comments:
5. Pond or Lake Construction
If and or lake construction proposed, then complete the chart below.
5a. 5b. 5c. 5d. 5e.
Wetland Impacts (acres) Stream Impacts (feet) Upland
Pond ID Proposed use or purpose (acres)
number of pond
Flooded Filled Excavated Flooded Filled Excavated Flooded
P1
P2
5f. Total
5g. Comments:
5h. Is a dam high hazard permit required?
? Yes ? No If yes, permit ID no:
5i. Expected pond surface area (acres):
5j. Size of pond watershed (acres):
5k. Method of construction:
6. Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer, then complete the chart below. If yes, then individually list all buffer impacts
below. If an impacts require mitigation, then you MUST fill out Section D of this form.
6a.
? Neuse ?Tar-Pamlico ®Other: Jordan
Project is in which protected basin? ? Catawba ? Randleman
6b. 6c. 6d. 6e. 6f. 6g.
Buffer impact
number - Reason Buffer Zone 1 impact Zone 2 impact
Permanent (P) or for Stream name mitigation (square feet) (square feet)
Temporary impact required?
B1 ?P®T ?Yes
? No
B2 ?P?T ?Yes
? No
B3 ? P ? T ? Yes
? No
6h. Total buffer impacts 3
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.
Best Management Practices will be utilized during construction. A turbidity curtain will placed in the stream to help reduce
impacts from turbidity.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Impacts will be minimized by utilization of Best Management Practices and by utilizing a turbidity curtain. Pre-construction
meeting with Environmental Superevisor will take place prior to commencing construction. Utilization of H-piles and a trolley
system to eliminate the need for any equipment in the stream.
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 In4ieu Fee Program
4a. Approval letter from in-lieu fee program is attached. ? Yes
4b. Stream mitigation requested: linear feet
4c. If using stream mitigation, stream temperature: ? warm ? cool ?cold
4d. Buffer mitigation requested (DWQ only): square feet
4e. Riparian wetland mitigation requested: acres
4f. Non-riparian wetland mitigation requested: acres
49. Coastal (tidal) wetland mitigation requested: acres
4h. Comments:
5. Complete if Using a Permittee Responsible Mitigation Plan
5a. If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
Page 7 of 11
PCN Form - Version 1.3 December 10, 2008 Version
6. Buffer Mitigation (Stab: 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).
6h. Comments:
Page 8 of 11
PCN Form - Version 1.3 December 10, 2008 Version
E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Plan
I 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? N/A %
2b. Does this project require a Stormwater Management Plan? ? Yes ® No
2c. If this project DOES NOT require a Stormwater Management Plan, explain why: No increased permanent impervious
coverage is anticipated. Therefore, stormwater flow will not increase.
2d. If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
? Certified Local Government
2e. Who will be responsible for the review of the Stormwater Management Plan? ® DWQ Stormwater Program
? DWQ 401 Unit
3. . Certified Local Government Stormwater Review
3a. In which local governments jurisdiction is this project? N/A
? 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 Stonmwater Management Plan with proof of approval been ? Yes ® No
attached?
4. DWQ Stonmwater Program Review
? Coastal counties

4a.
Which of the following state-implemented stormwater management programs apply ? HOW
? ORW
(check all that apply):
? Session Law 2006-246
? Other:
4b. Has the approved Stormwater Management Plan with proof of approval been
attached? ? Yes ® No
5. DWQ 401 Unit Stormwater Review
5a. Does the Stormwater Management Plan meet the appropriate requirements? ? Yes ? No
5b. Have all of the 401 Unit submittal requirements been met? ? Yes ? No
Page 9 of 11
PCN Form - Version 1.3 December 10, 2008 Version
F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
la. Does the project involve an expenditure of public (federal/state/locao funds or the ®Yes ? No
use of public (federal/state) land?
1b. 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)?
11c. 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:
2. Violations (DWQ Requirement)
2a. Is the site in violation of DWQ Welland Rules (15A NCAC 2H .0500), Isolated
Welland Rules (15A NCAC 2H .1300), DWQ Surface Water or Wetland Standards, ? Yes ® No
or Riparian Buffer Rules (15A NCAC 2B .0200)?
2b. Is this an after-the-fact permit application? ? Yes ®No
2c. If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s):
3. Cumulative Impacts (DWQ Requirement)
3a. Will this project (based on past and reasonably anticipated future impacts) result in ? Yes ®No
additional development, which could impact nearby downstream water quality?
3b. If you answered "yes" to the above, submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWQ policy. If you answered "no," provide a short narrative description.
4. Sewage Disposal (DWQ Requirement)
4a. Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of wastewater generated from
the proposed project, or available capacity of the subject facility.
NA
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 USFWS 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?
Per telephone conversation with US Fish and Wildlife representative Gary Jordan.
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?
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?
National Historic Register Web Site
8. Flood Zone Designation (Corps Requirement)
8a . Will this project occur in a FEMA-designated 100-year floodplain? ® Yes ? No
8b. If yes, explain how project meets FEMA requirements: Project will not measurably increase flood elevation within
floodplain.
8c. What source(s) did you use to make the floodplain determination? NC Floodplain Mapping Information System
J.M. Mills 3-9 11
Applicant/Agent's Printed Name pplicanUAgent's Signature Date
(Agent' signatu is valid only if an authorization letter from the applicant
is provided.)
Page 11 of 11
PCN Form - Version 1.3 December 10, 2008 Version
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Name: RUFFIN
Date: 31812011
Scale: 1 inch equals 4000 feet
Location: 036.3981834° N 079.5330518° W
Caption: US 158 Bridge #163
Rockingham County
Bridge #163 on US 158 Downstream view looking north
Bridge #163 on US 158 Beneath bridge looking west
Bridge #163 on US 158 Upstream view looking south
Bridge #163 on US 158 Beneath bridge looking west
Erosion Control- Construction Sequence
County Rockingham
BR # 163
SR # US-158
WBS 7B.107911
1. Install turbidity curtain west side of stream.
2. Drive 12" X 53 x 40' H- piles on each side of concrete cap. 12 H-Piles Total
3. Place gabions on each side of Interior Bents #2 and #3 by the use of a trolley system.
4. Repeat same procedure to east side of stream.
5. Remove turbidity curtain after construction is complete.
Approximate Project Start Date 3/712011
Prepared By Davis Watkins
Date 2/16/2011

Approval
Title Division Bridge Program Manager
Date 2/17/2011
Total Pages 4
Project Layout
County Rockingham
BR # 163
SR # US-158
WBS 7B.107911
Turbidity Curtin Stream Banks

Interior Bent Detail
County Rockingham
BR # 163
SR # US-158
WBS 7B.107911
Cap
& Hoist System
placing Sack
Gabions
Added Piles & Sub Cap
Note:
Trolley & Hoist System will extend entire width of Bridge. This will allow us to
install the Sack Gabions without placing any equipment on the stream banks.
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