20110296 Ver 1_Application_20110310

STATE OF NORTH CAROLINA. I) D
DEPARTMENT OF TRANSPORTATION o>>
q ry
BEVERLY EAVES PERDUE EUGEN ON TI, JR.
GOVERNOR SEC Y

March 10, 2011
- U. S. Army Corps of Engineers
Regulatory Field Office
3331 Heritage Trade Drive, Suite 105
Wake Forest, NC 27587
ATTN: Mr. Eric Alsmeyer
NCDOT Coordinator
Dear Sir:
11®296
Subject: Application for Section 404 Nationwide Permits 33, 23, 13, Section 401 Water
Quality Certification, and Tar-Pamlico Riparian Buffer Authorization for the
replacement of Bridge No. 36 over Tar River on SR 1003 in Franklin County,
State Project No. 8.23611011, Federal Aid Project No. BRSTP-1003(30),
Division 5, T.I.P No. B-4514.
Debit $240.00 from WBS No. 33739.1.1
The North Carolina Department of Transportation (NCDOT) proposes to replace bridge No. 36
over the Tar River on SR 1003 (Sims Bridge Road) in Franklin County.
Please see the enclosed copies of the Pre-Construction Notification (PCN), Stormwater
Management Plan, permit drawings, and design plans for the above-referenced project. The
Categorical Exclusion (CE) for this project was completed in May 2009. Additional copies are
available upon request.
There will be 0.07 acres of riparian wetland impacts from permanent fill and mechanized
clearing. Due to the minimal amount of wetland impacts, the fact that the function of the
wetland will not be compromised, and the wetland is scrub/shrub and not a mature forest,
NCDOT proposes no mitigation. There will also be 92 linear feet of stream impact due to bank
stabilization requiring no mitigation.
This project calls for a letting date of January 17, 2012 and a review date of November 29, 2011.
However, the let date may advance as additional funds become available.
MAILING ADDRESS:
INC DEPARTMENT OF TRANSPORTATION TELEPHONE: [phone] LOCATION:
PROJECT DEVELOPMENT AND ENVIRONMENTAL ANALYSIS Century Center Building B
NATURAL ENVIRONMENT UNIT FAX: [phone] Birch Ridge Road
1598 MAIL SERVICE CENTER Raleigh, NC 27610
RALEIGH NC 27699-1598 IYSSITE. M14VNCDOT.ORG
A copy of this permit application and its distribution list will be posted on the NCDOT website
at http://www.ncdot.org/doh/preconstruct/pe/neu/permit.html. If you have any questions or need
additional information, please call Greg Price at [phone].
Sincere /W)'(-
Gregory J. Thorpe, Ph.D.
Environmental Management Director, PDEA
- --- -- --- - ---- -- --- - -
cc:
NCDOT Permit Application Standard Distribution List
C
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B-4514 Permit Application
Page 2 of 2
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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:
N Section 404 Permit El Section 10 Permit
1b. _Specify Nationwide Pennit.(NWP)_number: 23 33 13, or General Permit (GP) number:
1c. Has the NW P or GP number been verified by the Corps? ? Yes ® No
1d. Type(s) of approval sought from the DWQ (check all that apply):
N 401 Water Quality Certification - Regular ? Non404 Jurisdictional General Permit
? 401 Water Quality Certification - Express N 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 S No For the record only for Corps Permit:

? Yes N 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 N No
1g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h
below. ? Yes N No
1h. Is the project located within a NC DCM Area of Environmental Concern (AEC)? ? Yes S No
2. Project Information
2a. Name of project: Replacement of Bridge 36 on SR 1003 (Sims Bridge Road)
2b. County: Franklin
2c. Nearest municipality / town: Louisburg
2d. Subdivision name: not applicable
2e. NCDOT only, T.I.P. or state
project no: B-4514
3. Owner Information
3a. Name(s) on Recorded Deed: North Carolina Department of Transportation
3b. Deed Book and Page No. not applicable
3c. Responsible Party (for LLC if
applicable): not applicable
3d. Street address: 1598 Mail Service Center
3e. City, state, zip: Raleigh, NC 27699-1598
3f. Telephone no.: [phone]
3g. Fax no.: [phone]
3h. Email address: [e-mail]
4. Applicant Information (if different from owner)
4a. Applicant is: ? Agent ? Other, specify:
4b. Name: not applicable
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: not applicable
5b. Business name
(if applicable):
5c. Street address:
5d. City, state, zip:
5e. Telephone no.:
5f. Fax no.:
5g. Email address:
B. Project Information and Prior Project History
1. Property Identification
1 a. Property identification no. (tax PIN or parcel ID): not applicable
1 b. Site coordinates (in decimal degrees): Latitude: 36.1422 Longitude: - 78.3721
(DD.DDDDDD) (-DD. DDDDDD)
1c. Property size: 5 acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to Tar River
proposed project:
2b. Water Quality Classification of nearest receiving water: WS-IV, NSW
2c. River basin: --- -- Tar-Pamlico - -
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:
Low density single family, cultivated land, and forest land
3b. List the total estimated acreage of all existing wetlands on the property:
0.07
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
94
3d. Explain the purpose of the proposed project:
To replace a structurally deficient and functionally obsolete bridge.
3e. Describe the overall project in detail, including the type of equipment to be used:
The project involves replacing bridge No. 36 with a structure that is approximately 285 feet long. All five bents in the
water for existing bridge will be removed while only one bent for new bridge will be placed in the water. The new bridge
will include two 12-foot lanes, 4 foot shoulders on the existing alignment with an off-site detour. One temporary causeway
will be used to construct the new bridge. Standard road building equipment, such as trucks, dozers, and cranes will be
used.
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: Environmental Services
Name (if known): Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
Site visit on October 31, 2006 by Eric Alsmeyer of USACE.
S. 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.
6. Future Project Plans
6a. Is this a phased project? ? Yes ® No
6b. If yes, explain.
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
Site 1 ® P ? T Permament fill Riparian ® Yes
? No ® Corps
? DWQ 0.05

Site 2 ®P ? T Mechanized
Riparian ® Yes ® Corps
0.02
Clearing ? No ? DWQ
Site 3 ? P ? T ? Yes ? Corps
? No ? DWQ
Site 4 ? PEI T ? Yes ? Corps
? No ? DWQ
Site 5 ? P ? T ? Yes ? Corps
? No ? DWQ
Site 6 ? P ? T ? Yes ? Corps
? No ? DWQ
2g. Total wetland impacts 0.07 Permanent
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 Average Impact length
number - (PER) or jurisdiction stream (linear feet)
Permanent (P) or intermittent (Corps - 404, 10 width
Temporary (T) (INT)? DWQ - non-404, (feet)
other)
Site 1 ? P ® T Temporary Tar River ® PER ® Corps 100 94
Causeway ? INT ? DWQ
Site 2 ® P ? T Bank
stabilization Tar River ® PER
? INT ® Corps
? DWQ 100 92
Site 3 ? P ? T ? PER ? Corps
? INT ? DWQ
Site 4 ? P ? T ? PER ? Corps
? INT ? DWQ
Site 5 ? P ? T ? PER ? Corps
? INT ? DWQ
Site 6 ? P ? T ? PER ? Corps
? INT ? DWQ
3h. Total stream and tributary impacts 94
3i. Comments: Total impact for Temporary Causeway is 0.07 acres. Length of stream impact for causeway encompasses
bank stabilization impacts.
4
4. Open Water Impacts
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of
the U.S. then individual) list all open water impacts below.
4a.
Open water
impact number -
Permanent (P) or
Tem ora T 4b.
Name of
waterbody
(if applicable) 4c.

Type of impact 4d.

Waterbody type 4e.

Area of impact (acres)
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.

Pond ID 51b.

Proposed use or 5c.
Wetland Impacts (acres) 5d.
Stream Impacts (feet) 5e.
Upland
(acres)
number purpose of pond
Flooded
Filled Excavat
ed
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 l ist all buffer
impacts below. If an impacts require mitig ation, then you MUST fill out Section D of this form.
6a.
? Neuse
®Tar-Pamlico
? Other:
Project is in which protected basin? ? Catawba ? Randleman
6b. 6c. 6d. 6e. 6f. 6g.
Buffer impact
number- Reason for impact Buffer Zone 1 impact Zone 2 impact
Permanent (P) or Stream name mitigation (square feet) (square feet)
Temporary T required?
B1 ®P ? T Bridge Impacts Tar River ® Nos 6,392 3,732
112-El P?T ---
? Yes
- -
? No
B3 ?P?T ?Yes
? No
6h. Total buffer impacts 6,392 3,732
6i. Comments:
D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
An off site detour will be used. Design Standards in Sensitive Watersheds will be used. Only one bent will be placed in
water for new bridge compared to five bents for existing bridge.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
2:1 slopes in jurisdictional and buffer areas, and Best Management Practices for Surface Waters. Bridge end drains are
located outside of buffer and wetlands. No deck drains are used on the roadway side of the bridge. Preformed Scour
Hole at pipe outlet.
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 Due to the minimal amount of wetland
impacts, the fact that the function of the wetland will not be
compromised and the wetland is scrub/shrub and not a
mature forest, NCDOT proposes no mitigation.
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

El Payment to in-lieu fee program

? Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank: not applicable
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: 0 linear feet
4c. If using stream mitigation, stream temperature: ? warm ? cool ?cold
4d. Buffer mitigation requested (DWQ only): 0 square feet
4e. Riparian wetland mitigation requested: 0 acres
4f. Non-riparian wetland mitigation requested: 0 acres
4g. Coastal (tidal) wetland mitigation requested: 0 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.
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).
6h. Comments:
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: if yes, see attached permit drawings.
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:
2d. If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
See attached permit drawings.
? Certified Local Government
2e. Who will be responsible for the review of the Stormwater Management Plan? ? DWQ Stormwater Program
? DWQ 401 Unit
3. Certified Local Government Stormwater Review
3a. In which local government's jurisdiction is this project? not applicable
? Phase II
El NSW
3b. Which of the following locally-implemented stormwater management programs 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
4a. Which of the following state-implemented stormwater management programs apply ? HOW
(check all that apply): ? ORW
? Session Law 2006-246
? Other:
4b. Has the approved Stormwater Management Plan with proof of approval been
? Yes ? No
attached?
5. DWQ 401 Unit Stormwater Review
5a . Does the Stormwater Management Plan meet the appropriate requirements? ® Yes ? No
51b. Have all of the 401 Unit submittal requirements been met? ® Yes ? No
F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
la. Does the project involve an expenditure of public (federal/state/local) 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)?
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:
2. Violations (DWQ Requirement)
2a. Is the site in violation of DWQ Wetland Rules (15A NCAC 2H .0500), Isolated
Wetland Rules (15A NCAC 2H .1300), DWQ Surface Water or Wetland Standards, ? 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
additional development, which could impact nearby downstream water quality? ® No
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.
Due to the minimal transportation impact resulting from this bridge replacement, this project will neither influence nearby
land uses nor stimulate growth. Therefore, a detailed indirect or cumulative effects study will not be necessary.
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.
not applicable
10
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?
-NHP; USFWS website- and the NCDOT mussel surveys conducted in August 2005, August 2008, and March 2011.. No
dwarf wedgemussel or Tar spinymussel species were found. The Biological Conclusion remains "May affect-not likely to
adversely affect." In a letter dated December 30, 2008, the USFWS concurred on this Biological Conclusion.
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?
NMFS County Index
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)?
71b. What data sources did you use to determine whether your site would impact historic or archeological resources?
NEPA Documentation
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 1 00-year floodplain? ? Yes ® No
81b. If yes, explain how project meets FEMA requirements: NCDOT Hydraulics coordination with FEMA
8c. What source(s) did you use to make the Floodplain determination? FEMA Maps

E
/ 3 ' ( I
Dr. Gregory J. Thorpe, Ph D ,
Date
Applicant/Agent's Printed Name Ap anUA
t's Signature
(Agent's signature is valid only if an authorization letter from the applicant
is provided.
1)
STORMWATER MANAGEMENT PLAN
Project: 33739.1.1
TIP: B-4514
County: Franklin
Hydraulics Project Engineers: Josh Dalton, P.E. (Sungate Design Group); -
Marshal Clawson, P.E. (NCDOT Hydraulics Unit)
ROADWAY DESCRIPTION
The project involves the replacement of Bridge No. 36 on SR 1003 (Sims Bridge Road)
over the Tar River. The overall length of the project with approach work is
approximately 830 feet. The proposed bridge will consist of 1 @ 85' and 2 @ 100' box
beams. The project drainage systems consist of the bridge and associated bridge end
drains. No side ditches are proposed.
ENVIRONMENTAL DESCRIPTION
The project is located in the Tar-Pamlico River Basin. Buffer rules are in effect for this
river basin. The project will have one (1) crossing of a jurisdictional stream that will
impact Tar River. The Tar River at this location is classified as WS-1V and NSW. The
Tar River is not listed on NCDWQ's 303d list. Wetlands will be impacted by the
proposed project.
BEST MANAGEMENT PRACTICES AND MAJOR STRUCTURES
The primary goal of Best Management Practices (BMPs) is to prevent degradation of the
states surface waters as a result of the location, construction and operation of the highway
system. BMPs are activities, practices and procedures taken to prevent or reduce
stormwater pollution. The BMP measures used on this project to reduce stormwater
impacts are:
• Preformed Scour Hole at pipe outlet.
At all the sites, stormwater will be treated and non-erosive velocities will be achieved
where practicable.
AIIN'BUZATION OF IMPACTS
Several design elements provided for minimization of wetland impacts. Bridge end drains
are located outside of buffers and wetland areas. Also, fill slopes were limited to 2:1
(H:V) in wetland areas to reduce impacts.
PROPERTY OWNERS
NAMES AND ADDRESSES
PARCEL NO. NAMES ADDRESSES
2 MABEL DORA HILL
615 SIMS BRIDGE ROAD
FRANKLINTON, NC 27525
----4---------JOHN KINGSBERRY HEIRS
5 JEFFREY V. AND
ANGELA B.HOFFMANN
BUFFER
IMPACTS
575W 127TH. ST APT 53
NEW YORK, NY 10027
955 SIMS BRIDGE ROAD
KITTRELL, NC 27544
NCDOT
DIVISION OF HIGHWAYS
FRANKLIN COUNTY
PROJECT. 33739.1.1 (B-4514)
BRIDGE NO.36 OVER TAR RIVER
ON SR 1003 (SIMS BRIDGE RD.)
BETWEEN SR 1231 (POSSUM RDJ
AND SR 1235 (W DYKING RD)
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