20061693 Ver 1_Application_20061010

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PRE-CONSTRUCTION NOTIFICATION (PCN)
Mr. John Hennessy
Division of Water Quality
North Carolina Department of Environment
And Natural Resources, Raleigh, NC
(Fax) 919-733-6893
Pion Sechler
National Marine Fisheries, Beaufort, NC
(Fax) 252-728-8728
Travis Wilson
North Carolina Wildlife Commission, Crecdmoor, NC
(Fax) 91.9-528-9839
Sara Winslow
NC Division of Marine Fisheries, Elizabeth City, Regional Office
(Fax) 252-264-3723
Cary Jordan
US 11sh and Wildlife Service, Raleigh, NC
(Fag) 919-8564556
C) (01 q ?
1. ORM ID: okX)U - c: i QQ L.2.17.
2. APPLICANT:
3. DATE OF TRANSMITTAL: Q
4. RESPONSE DEADLINE:
5. COMMENTS DEADLINE:
6. SEND COMMENTS TO: US Army Corps of. Engineers
Washington Regulatory Field Office
Attn: William Biddlecome (.Bill)
[phone] ext. 26
Post Office Box 1000
Washington, North Carolina 27889
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REGULATORY L)RANGH
STA'L'E 4F NORm Ciao I m
DEPARTMENT OF TRANSPORTATION
MICHAEL F. FASLEY LYNDO T1PPF-TT
G*ovirRNaR SECRUARY
September 13, 2006
(1.5. Army Corps of Engineers
Regulatory Field Office
Post Office Box 1000
Washington, N.C. 278$9-1000
Attention: Bill 3iddlecome
C)C9 I q q 3
Subject: NW 3 request axsaciated with bridge # 5 replacement on SR 1417 in Martin County.
The North Carolina Department of Transportation is requesting a NW 3 permit for a bridge
replacement in Martin County. Bridge # 5 is located tm SR 1417 approximately 4 miles northwest of
Williamston. It spans C:onoho Greek that flows to the Roanoke River approximately 0.8 mules downstream.
Conoho Creels is classified by the DWQ as class '17' waters. This creek. is also listed as anadramous fish
spawning waters by the WRC.'1'he proposed bridge will measure 210' long X 30 wide', which is 48 teet
longer and 6 Feet wider than the existing 172' X 24' bridge. As a result of lengthening the bridge,
approximately 640 square feet (0.015 acres) of existing wetland fill will be removed and grade restored to
wetland elevation. The wetland restoration will off set unavoidable wetland impacts of 0,045 acres that arc
occurring due to bridge approach widening. This will leave a balance of 0.030 acres that will be mitigated
through the EEP. The PCN, vicinity maps, and permit drawings are included with this letter. If you need
any additional information or have any questions concerning this project, please call the at 252482-7977.
Sincerely,
Anthony Roper
Division One Engineer
Clay Willis
Division One Environmental Officer
SONU 113M-0MO :3WUN
RECENED

Cc: Garcy Ward, DWQ
Sonja Gregory, DWQ
Travis Wilson, WAC
John Abel, NCDOT

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Office Use Only: Fomi Varion April 2001
USAGE Action ID No. DWQ No. _j
If any particular item is not applicable to this project, please enter "Not Applicable" or "NIA" rather than
leaving the space blank. RPECEoVED
I. Processing

1. Check all of the approval(s) requested for this project: 060M WAft
® Section 404 Permit
? Section 10 Permit
® 401 Water Quality Certification
? Riparian or Watershed Buffer Rules
2_ Nationwide, Regional or General Permit Number(s) Requested: 3
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: ?
4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for
mitigation. of impacts (see section VIII. - Mitigation), cheek here: ?
II. Applicant Information
Owner/Applicant Informatio,n
Name: Clay Willis NC DOT Division One Environmental Officer
Mailing Addr: 113 Airport Dr. Suite 100 --
Edenton NC 27432
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: Tcwillis(c,dot state nc us
2. Agent Information (A signed and dated copy of the Agent Authorization letter must be
attached if the Agent has signatory authority for the owncrlapplicant.)
Name: NIA
Company Affiliation:
Mailing Address:
Telephone Number: Fax Number: E-mail _--
Address:
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M.
Project Information
Attach a vicinity map clearly showing the location of the property with respect to local
landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property
boundaries and development plans in relation to surrounding propertiws, Both the vicinity map
and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities must be included. If possible, the maps and plans should
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USACB requires information to be submitted on sheets no larger than 11 by 17-inch format;
however, DWQ may accept paperwork of any size. DWQ prefers full-size construction
drawings rather than a sequential sheet version of the full-size plans. if full-size plans are
reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps are provided.
1. Name of project: Bridge #05 Replacement on SR 1417 • Martin County
2. T,I.P, Project Number (NCDOT Only): WBS # 33534
3. Property Identification :Number (Tax PIN): _ ._ N/A
4. Location
County: Martin Nearest Town: WilliamstOn
Subdivision name (include phasellot number): NIA
Directions to site (include road numbers, landmarks, etc_): In Martin County. from
Williamston take NC 125 north, then tum right on SR 1417 approximately 2,6 miles north of
Williamston travel on SR 1417 for 1.2 miles until you reach bridge* 5 over Conoho Creek.
5. Site coordinates, if available (UTM or Lat/Long): 35.885542 N 77.124222 W
(Note - if project is linear, such. as a road or utility line, attach a sheet that separately lists the
coordinates for each crossing of a distinct waterbody.)
6. Describe the existing land use or condition of the site at the time of this application:
Woodland rural agriculture area with idina creek and riverine swamp forest.
7. Property sine (acres): 1.5 acres
8. Nearest body of water (stream/river/sound/ocean/lake): Conoho Creek
9. River Basin: Roanoke River Basin
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at httl)://b2G.C-nT..%tate.nq.us/admin/map,;!.)
10. Describe the purpose of the proposed work: To replace astructurally deficient bridge.
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11. List the type of equipment to be used to construct the project: excavator, crane , backhoe,
and dump trucks
1.2. Describe the land use in the vicinity of this project: Woodland _
IV. Prior Project History
V.
V t.
If jurisdictional determinations and/or permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action ID Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued fir prior segments of the same T.I.P. project, along with
uinstruc tion schedules.
No or permits have been r nested on this project
Future Project Plans
Are any additional permit requests anticipated for this project in the future? Tf so, describe the
anticipated work, and provide justification for the exclusioti of this work lrom the current
application: None
Proposed impacts to Waters of the United States/Waters of the State
it is the applicant's (or agent's) responsibility to determine, delineate and snap all impacts to
wetlands, open water, and stream channels associated with the project The applicant must also
provide justification for these impacts in Section VII below. All proposed impacts, permanent
and temporary, must be listed herein, and must be clearly identifiable on an accompanying; site
plan. All wetlands and waters, and all streams (intermittent and perennial) must be shown on a
delineation map, whether or not impacts are proposed to these systems. Wetland and stream
evaluation and delineation forms should be included as appropriate. Photographs may be
included at the applicant's.discretion. If this proposed impact is strictly for wetland or stream
mitigation, list and describe the impact in Section VIII below. Tf additional space is needed for
listing or description, please attach a separate shut.
1. Wetland Tmpacts
Wetland impact
Site Number
Type of impact* Area of
impact Located within
loo-year Floodplain** Distance to
Neatest Stream
Type of Wetland***
indicate on map) acres no linear feet)
Wetland Fill I'm 0.045 Yes l foot Riverine swamp forest

kn- .; rKlnimad clearina- enxlirm fill,
-- - ---- - - -
* l,itit cash impact sepustoly and identity tCfVonuy impa4[5. LIMMl3 AAIVIUU%, - u.w ...........
cxcavation, flooding, ditching/drainage, etc. For dams, separately list impacts chic to both structure and 1'luoding.
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List the total acreage (estimated) of existing wetlands on the property: 1.0 acres
Total area of wetland impact proposed: 0.045 acres
2. Stream impacts, including all intermittent and perennial streams: None
Stream Impact Length of Average Width Perennial or
of Stream Intermittent`.?
Site Number Type of impact' impact Stream Name** Before impact lemUe s -i
indicate on ma) (linear iicet
NIA
* List each impact ?cparatcly and idcxttify =porary impacts- Impacts include, but are not limited to: culverts and associated rip-rap,
darns (separately list impacts due to both structure and flooding), relocation (include linear feet beftwo and after. and net loss/gain),
stabilization activities (cement wall, rip-rap, crib wall, gahions etc-), extavatim, ditcbingistratglttcning, etc. If stream relocation is
proposed, plans and profiles showing the linear I.00Trint for both the original and raloc:ated sbvwns must be included.
Stream name:: ettn be found an USGS tOpographiv maps. If a straun has no name, list as UT (unnamed tributary) to the n=mt
downstrerun narned str rn ink) which it Flows- USGS maps are available through the USGS at 1-800-359-9616, or nlino at
www.uweti-S"oy, Scv=W intcrnct sit.cs ulso allow direct download and printing of USGS maps (e-g-,
?ty,?14.tTSeMIUCtt_WMI ctc.).
Cumulative impacts (linear distance in feet) to all streams on site: NIA
3. Open Water Imparts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any
other Water of the U.S. None
Area of - YpC of Watcrbody
Open Water Impact Name of Waterbody (lake, pond, estuary. spund,
Site Number Type of Impact* impact (if applicable) ba ocean, etc,
indicate on tzta } (acres) ?? ..? .,?.
NIA
List each impact sctraratcly and identify temporary impacts. imp is include, but are not limited to: till, =euvaNtyn. dredging,
flooding, drainage, bulkheads, etc.
4- Pond creation NIA
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application. wetlands
Pond to be created iu (check all that apply): ? uplands ? stream
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.): N/A
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lWyow iloodplains arc identified through ttte Fcdcral Emergency Management Agency's (FEMA) Flood Insurance Rate Maps
(FIRM), or FEMA-approved local fiWdrlain maps. Maps are available through the T 0vU Map Service Ceara at 1-80D-358-9616, or
onlincathttn•.;www_Irms.sx?v_
List a wetland type that lest describes wetland to be impacted (egfrechwatersaltwatcx marsh, torestcd wetland, leaver panel,
Carolina Bay, trig, etc-)
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Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.): N/A
Size of watershed draining to pond: N/A hxpectea pond suriace area: i4rr+
VII. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts.
Impacts to wetlands have been avoided and minimized by routing traffic during construction
t_o_an off site detour. Impacts have been minimized by rerlucma the onaynal footonnt of the slope
protection around the abutments Unavoidable impacts are a result of appmaoh widmia that
will allow safe transition from the roadwa to the brid structure.
VUL Mitigation
DWQ - In accordance with l SA NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
USACE - In accordance with the final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on March 9, 2000, mitigation will be required when
necessary to ensure that adverse effects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed. Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losm of
agti4tic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
It mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USACE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan, or NCWRP concurrence shall be placed on hold as
incomplete. An applicant may also choose to review the current guidelines for stream, restoration
in DWQ's Draft Technical Guide for Stream Work in North Carolina, available at
http-/lh2o enr state nc.uslncwetlamtls/strm ide.html.
1. Provide a brief description of the proposed mitigation plan. The description should provide
as much information as possible, including, but not limited to: site location (attach directions
and/or map, if offsite), affected stream and river basin, type and amount (acreagellinear fcct)
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of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed method of construction. Please attach
a separate sheet if more space is needed.
The vrojec t is impacting 0.045 acres of riverinc wetland due to road aytxroach widening. "The
new bride will be 2i0 ft in length, which is replacine an existing 172 ft. bridge. The
ng
additional length will allow the restoration of Q-015 acres of nvenne wetland by rcmcyvi
existin causeway fill The fill will be removed and the elevation graded to the surrounding
wetland elevation. This will leave a balance of 0-030 acres of rm acted wetland that will be
miti ted throw h the EEP ro am.
2. Mitigation may also be made by payment into the North Carolina Wetlands Restoration
Program (NCWRP) with the NCWRP's written agreement. Check the box indicating that
you would like to pay into the NCWRP. Please note that payment into the NCWRP must be
reviewed and approved before it can be used to satisfy mitigation requirements. Applicants
will be notified early in the review process by the 401.lWetiands Unit if payment into the
NCWRP is available as an option. For additional information regarding the application
process for the NCWRP, check the NCWRP website at htt?:(?h2o.car.state.nc.u 'wn,/ind_ex.ht.cn. If
use of the NCWRP is proposed, please check the appropriate box on page three and provide
the following information;
Amount of stream mitigation requested (linear feet): NIA,
Amount of buffer mitigation requested (square feet). NIA
Amount of Riparian wetland mitigation requested (acres); NIA
Amount of. Non-riparian wetland mitigation requested (acres), NIA
Amount of Coastal wetland mitigation requested (acres): NIA
». Environmental Documentation (DWQ Only)
Does the project involve an expenditure of public funds or the use of public (i'ederal/statellocal)
land?
Yes ® No ?
if yes, does the project require preparation of an environmental document pursuant to the
requirements of the National or North Carolina Environmental Policy Act (NEPAlSEPA)?
Note: If you are not sure whether a NEPAfSEPA document is required, call the SEPA-
coordinator at [phone] to review current thresholds for environmental documentation,
Yes ? No
If yes, has the document review been tinaliyed by the State Clearinghouse? if so, please attach a
copy of the NEPA or SEPA final approval letter.
Yes ? No ?
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X.
proposed impacts on Riparian. and Watershed Buffers (DWQ Only)
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required state and local buffers associated with the project. The applicant must also provide
justification for these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
asap, whether or not impacts are proposed to the buffers. m be from u the DVt Q incded Regional office may be included as appropriate. Photographs may also
applicant's discretion.
Will the project impact protected riparian buffers identified within 15A NCAC 23 .0233
(Neese), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and
Water Supply Buffer Requirements), or other (please ide ratify .?th following infrnmation:
Yes 0 No 0 If you answered `y provide
Identify the square feet and acreage of impact to each zone of the riparian buffers. s• . hu ffer
mitigation is required calculate the required amount of mitigation by applying the multipliers.
Required
Zone* Impact Multiplier 't slioi
(s uare feet)
1 900 sq. feet 3 NIA
2 15 sq. feet 1.5 NIA
Total I
f channrl; Zona 2 extends an
zone 1 extrnds out 30 fret, pecpendtcular from scar bank 0
additional 20 feet from the edge of Zone 1.
XI.
If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation
of property, Conservation Easement, Riparian Buffer Restoration 11nhancement, Preservation or
Payment into the Ripari.an Buffer Restoration Fund). Please attach all appropriate information as
identified within 15A NCAC 2B .0242 or.0
NIA
Stermwater (DWQ Only)
Describe impervious acreage (both existing and proposed) versus total acreage on the site.
Discuss stormwater controls proposed in order to protect surface waters and wetlands
downstream from the property.
Im envious acres c will be increased minimall b the widenin of the brid e a roache s
NCDOT BMP's will be in lace for soil and erosion contol.
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Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of
wastewater, generated *0m the proposed project, or available capacity of the subject facility.
N/A
X111. Violations (DWQ Only)
Is this site in violation of DWQ Wetland Rules (I SA NCAC 211 .0500) or any Buffer Rules?
Yes ? No 19
is this an after-the-fact permit application?
Yes ? No
X1V. Other Circumstances (Optional):
It is the applicant's responsibility to submit the application sufficiently in advance of desired
construction dates to allow processing time for these permits. However, an applicant may
choose to list constraints associated with construction or sequencing that may impose limits on
work schedules (e.g,., draw-down schedules for lakes, dates associated with. Endangered and
Threatened Species, accessibility problems, or other issues outside of the applicant's control)..
P?1/A
Y/
Applicant/Agcnt's Si ature
ti
h
ri
letter from t Date
he applicant is provided.)
(Agears signature is valid only if an on
za
o
aut
US Army Corps Of Engineers Field Offices and County Coverage
Ashcville Regulatory Field Office Alexander Cherokee lredell Mitchell
ckson Polk
J
US Army Corps of Engineent Avery
Buncombe Clay
Cleveland a
Lincoln Rowan
151 Patton Avenue Burke .
Gagtnn Macon Rutherford
Rax)m 208
Ashe-611c, NC 28801-5006 Cabatrus
ll Graham
wood
Ha Madison stanlcy
McDowell Swain
Telephonc- [phone] Caldwe
Catawba y
Henderson Mecklenburg Transylvania
Fay- [phone]
Raleigh Regulatory Ficid Office. Alamance. Durham Johnston Rockingham
Stokes
L
US Army Corps Of Engineers Alleghany Edgecombe ee
Page 10 of 12
Union
Watauga
Yancey
Wilson
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STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY
GOVERNOR
September 13, 2006
U.S. Army Corps of Engineers
Regulatory Field Office
Post Office Box 1000
Washington, N.C. 27889-1000
Attention: Bill Biddlecome
LYNDO TIPPETT
SECRETARY
061493
Subject: NW 3 request associated with bridge # 5 replacement on SR 1417 in Martin County.
The North Carolina Department of Transportation is requesting a NW 3 permit for a bridge
replacement in Martin County. Bridge # 5 is located on SR 1417 approximately 4 miles northwest of
Williamston. It spans Conoho Creek that flows to the Roanoke River approximately 0.8 miles downstream.
Conoho Creek is classified by the DWQ as class "C" waters. This creek is also listed as anadramous fish
spawning waters by the WRC. The proposed bridge will measure 210' long X 30 wide', which is 48 feet
longer and 6 feet wider than the existing 172' X 24' bridge. As a result of lengthening the bridge,
approximately 640 square feet (0.015 acres) of existing wetland fill will be removed and grade restored to
wetland elevation. The wetland restoration will off set unavoidable wetland impacts of 0.045 acres that are
occurring due to bridge approach widening. This will leave a balance of 0.030 acres that will be mitigated
through the EEP. The PCN, vicinity maps, and permit drawings are included with this letter. If you need
any additional information or have any questions concerning this project, please call me at 252-482-7977.
Sincerely,
Cc: Garcy Ward, DWQ
Sonja Gregory, DWQ
Travis Wilson, WRC
John Abel, NCDOT
Anthony Roper
Division One Engineer
Clay Willis
Division One Environmental Officer
Office Use Only: Form Version April 2001
USACE Action ID No. DWQ No.
If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A" rather than
leaving the space blank.
1. Processing
1. Check all of the approval(s) requested for this project:
® Section 404 Permit
? Section 10 Permit
® 401 Water Quality Certification
? Riparian or Watershed Buffer Rules
2. Nationwide, Regional or General Permit Number(s) Requested: NW 3
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: ?
4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for
mitigation of impacts (see section VIII - Mitigation), check here: ?
II. Applicant Information
Owner/Applicant Information
Name: Clav Willis. NC DOT Division One Environmental Officer
Mailing Address: 113 Airport Dr. Suite 100 _
Edenton NC 27932
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: Tcwillis(a),dot.state.nc.us
2. Agent Information (A signed and dated copy of the Agent Authorization letter must be
attached if the Agent has signatory authority for the owner/applicant.)
Name: N/A
Company Affiliation:
Mailing Address:
Telephone Number: Fax Number:
E-mail Address:
Page 3 of 12
III. Project Information
Attach a vicinity map clearly showing the location of the property with respect to local
landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property
boundaries and development plans in relation to surrounding properties. Both the vicinity map
and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities must be included. If possible, the maps and plans should
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USACE requires information to be submitted on sheets no larger than 11 by 17-inch format;
however, DWQ may accept paperwork of any size. DWQ prefers full-size construction
drawings rather than a sequential sheet version of the full-size plans. If full-size plans are
reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps are provided.
1. Name of project: Bridge #05 Replacement on SR 1417, Martin County
2. T.I.P. Project Number (NCDOT Only): WBS # 33534
3. Property Identification Number (Tax PIN): N/A
4. Location
County: Martin Nearest Town: Williamston
Subdivision name (include phase/lot number): N/A
Directions to site (include road numbers, landmarks, etc.): In Martin County, from
Williamston take NC 125 north, then turn right on SR 1417 approximately 2.6 miles north of
Williamston, travel on SR 1417 for 1.2 miles until you reach bridge # 5 over Conoho Creek.
5. Site coordinates, if available (UTM or Lat/Long): 35.885842 N 77.124222 W
(Note - If project is linear, such as a road or utility line, attach a sheet that separately lists the
coordinates for each crossing of a distinct waterbody.)
6. Describe the existing land use or condition of the site at the time of this application:
Woodland, rural agriculture area with surrounding creek and riverine swamp forest.
7. Property size (acres): 1.5 acres
8. Nearest body of water (stream/river/sound/ocean/lake): Conoho Creek
9. River Basin: Roanoke River Basin
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://h2o.enr.state.nc.us/admin/piVs/.)
10. Describe the purpose of the proposed work: To replace a structurally deficient bridge.
Page 4 of 12
11. List the type of equipment to be used to construct the project: excavator, crane , backhoe,
and dump trucks
12. Describe the land use in the vicinity of this project: Woodland
IV. Prior Project History
If jurisdictional determinations and/or permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action ID Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules.
No prior permits have been requested on this project
V. Future Project Plans
Are any additional permit requests anticipated for this project in the future? If so, describe the
anticipated work, and provide justification for the exclusion of this work from the current
application: None
VI. Proposed Impacts to Waters of the United States/Waters of the State
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. The applicant must also
provide justification for these impacts in Section VII below. All proposed impacts, permanent
and temporary, must be listed herein, and must be clearly identifiable on an accompanying site
plan. All wetlands and waters, and all streams (intermittent and perennial) must be shown on a
delineation map, whether or not impacts are proposed to these systems. Wetland and stream
evaluation and delineation forms should be included as appropriate. Photographs may be
included at the applicant's discretion. If this proposed impact is strictly for wetland or stream
mitigation, list and describe the impact in Section VIII below. If additional space is needed for
listing or description, please attach a separate sheet.
1. Wetland Impacts
Wetland Impact
Site Number
(indicate on ma)
Type of Impact* Area of
Impact
(acres) Located within
100-year Floodplain**
(yes/no) Distance to
Nearest Stream
(linear feet)
Type of Wetland***
Wetland fill Fill 0.045 Yes 1 foot Riverine swamp forest

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: mechanized clearing, grading, fill,
excavation, flooding, ditching/drainage, etc. For dams, separately list impacts due to both structure and flooding.
Page 5 of 12
** 100-Year floodplains are identified through the Federal Emergency Management Agency's (FEMA) Flood Insurance Rate Maps
(FIRM), or FEMA-approved local floodplain maps. Maps are available through the FEMA Map Service Center at 1-800-358-9616, or
online at hjq2:,J/www.fema.Rov.
*** List a wetland type that best describes wetland to be impacted (e.g., freshwater/saltwater marsh, forested wetland, beaver pond,
Carolina Bay, bog, etc.)
List the total acreage (estimated) of existing wetlands on the property: 1.0 acres
Total area of wetland impact proposed: 0.045 acres
2. Stream Impacts, including all intermittent and perennial streams: None
Stream Impact
Site Number
(indicate on map)
Type of Impact* Length of
Impact
(linear feet)
Stream Name** Average Width
of Stream
Before Impact Perennial or
Intermittent?
leasespecify)
N/A

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: culverts and associated rip-rap,
dams (separately list impacts due to both structure and flooding), relocation (include linear feet before and after, and net loss/gain),
stabilization activities (cement wall, rip-rap, crib wall, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is
proposed, plans and profiles showing the linear footprint for both the original and relocated streams must be included.
** Stream names can be found on USGS topographic maps. If a stream has no name, list as UT (unnamed tributary) to the nearest
downstream named stream into which it flows. USGS maps are available through the USGS at 1-800-358-9616, or online at
www.usgs.gov. Several internet sites also allow direct download and printing of USGS maps (e.g., www.topozone.com,
www.mapguest.com, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: N/A
3. Open Water Impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any
other Water of the U.S. None
Open Water Impact Area of Name of Waterbod
y Type of Waterbody
Site Number Type of Impact* Impact
(if applicable) (lake, pond, estuary, sound,
(indicate on ma) (acres) bay, ocean, etc.)
N/A

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: fill, excavation, dredging,
flooding, drainage, bulkheads, etc.
4. Pond Creation N/A
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ? uplands ? stream ? wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.): N/A
Page 6 of 12
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.): N/A
Size of watershed draining to pond: N/A Expected pond surface area: N/A
VII. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts.
Impacts to wetlands have been avoided and minimized by outing traffic during construction
to an off-site detour. Impacts have been minimized by reducing the original footprint of the slope
protection around the abutments. Unavoidable impacts are a result of approach widening that
will allow safe transition from the roadway to the bridge structure.
VIII. Mitigation
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on March 9, 2000, mitigation will be required when
necessary to ensure that adverse effects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed. Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USACE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCWRP concurrence shall be placed on hold as
incomplete. An applicant may also choose to review the current guidelines for stream restoration
in DWQ's Draft Technical Guide for Stream Work in North Carolina, available at
http:/..,%2o.enr.state.nc.us/ncwetlands/simigide.hti,nl.
1. Provide a brief description of the proposed mitigation plan. The description should provide
as much infomation as possible, including, but not limited to: site location (attach directions
and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet)
Page 7of12
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed method of construction. Please attach
a separate sheet if more space is needed.
The project is impacting 0.045 acres of riverine wetland due to road approach widening. The
new bridge will be 210 ft. in length, which is replacing an existing 172 ft. bridge. The
additional length will allow the restoration of 0.015 acres of riverine wetland by removing
existing causeway fill. The fill will be removed and the elevation graded to the surrounding
wetland elevation. This will leave a balance of 0.030 acres of impacted wetland that will be
mitigated through the EEP program.
2. Mitigation may also be made by payment into the North Carolina Wetlands Restoration
Program (NCWRP) with the NCWRP's written agreement. Check the box indicating that
you would like to pay into the NCWRP. Please note that payment into the NCWRP must be
reviewed and approved before it can be used to satisfy mitigation requirements. Applicants
will be notified early in the review process by the 401/Wetlands Unit if payment into the
NCWRP is available as an option. For additional information regarding the application
process for the NCWRP, check the NCWRP website at http:/./h2o.enr.state.ne.us/wM/index.htm. If
use of the NCWRP is proposed, please check the appropriate box on page three and provide
the following information:
Amount of stream mitigation requested (linear feet): N/A
Amount of buffer mitigation requested (square feet): N/A
Amount of Riparian wetland mitigation requested (acres): N/A
Amount of Non-riparian wetland mitigation requested (acres): N/A
Amount of Coastal wetland mitigation requested (acres): N/A
IX. Environmental Documentation (DWQ Only)
Does the project involve an expenditure of public funds or the use of public (federal/state/local)
land?
Yes No ?
If yes, does the project require preparation of an environmental document pursuant to the
requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)?
Note: If you are not sure whether a NEPA/SEPA document is required, call the SEPA
coordinator at [phone] to review current thresholds for environmental documentation.
Yes ? No
If yes, has the document review been finalized by the State Clearinghouse? If so, please attach a
copy of the NEPA or SEPA final approval letter.
Yes ? No ?
Page 8 of 12
X. Proposed Impacts on Riparian and Watershed Buffers (DWQ Only)
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required state and local buffers associated with the project. The applicant must also provide
justification for these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Neuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and
Water Supply Buffer Requirements), or other (please identify )?
Yes ? No ® If you answered "yes", provide the following information:
Identify the square feet and acreage of impact to each zone of the riparian buffers. If buffer
mitigation is required calculate the required amount of mitigation by applying the buffer
multipliers.
Zone* Impact
(square feet) Multiplier Required
Mitigation
1 900 sq. feet 3 N/A
2 15 sq. feet 1.5 N/A
Total
* Zone 1 extends out 30 feet perpendicular from near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.
If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation
of Property, Conservation Easement, Riparian Buffer Restoration / Enhancement, Preservation or
Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as
identified within 15A NCAC 2B .0242 or .0260.
N/A
XI. Stormwater (DWQ Only)
Describe impervious acreage (both existing and proposed) versus total acreage on the site.
Discuss stormwater controls proposed in order to protect surface waters and wetlands
downstream from the property.
Impervious acreage will be increased minimallv by the widening of the bridle annroaches.
NCDOT BMP's will be in place for soil and erosion contol.
Page 9 of 12
XIL Sewage Disposal (DWQ Only)
Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of
wastewater generated from the proposed project, or available capacity of the subject facility.
N/A
XIII. Violations (DWQ Only)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H.0500) or any Buffer Rules?
Yes ? No
Is this an after-the-fact permit application?
Yes ? No
XIV. Other Circumstances (Optional):
It is the applicant's responsibility to submit the application sufficiently in advance of desired
construction dates to allow processing time for these permits. However, an applicant may
choose to list constraints associated with construction or sequencing that may impose limits on
work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and
Threatened Species, accessibility problems, or other issues outside of the applicant's control).
N/A
d, ,//A
q/,31061
Applicant/Agent's Si6ature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
US Army Corps Of Engineers Field Offices and County Coverage
Asheville Regulatory Field Office Alexander. Cherokee Iredell Mitchell Union
US Army Corps of Engineers Avery Clay Jackson Polk Watauga
151 Patton Avenue Buncombe Cleveland Lincoln Rowan Yancey
Room 208 Burke Gaston Macon Rutherford
Asheville, NC 28801-5006 Cabarrns Graham Madison Stanley
Telephone: [phone] Caldwell Haywood McDowell Swain
Fax: [phone] Catawba Henderson Mecklenburg Transylvania
Raleigh Regulatory Field Office Alamance Durham Johnston Rockingham Wilson
US Army Corps Of Engineers Alleghany Edgecombe Lee Stokes Yadkin
Page 10 of 12
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