20110353 Ver 1_Application_20110413

1/ I I ??I?

STATE OF NORTH CAROLINA I%4sgo
DEPARTMENT OF TRANSPORTATION
?Fq?Q
BEVERLY EAVES PERDUE - EUGENE A. l:oOJ?TI JR.
GOVERNOR SECRETARY yApril 6, 2011

U. S. Army Corps of Engineers
Regulatory Field Office
PO Box 1000
Washington, NC 27899-1000
ATTN: Mr. Tom Steffens
NCDOT Coordinator
Dear Sir:
110,353
Subject: Application for Section 404 General Permit 31, Section 401 Water Quality
Certification, and Tar-Pamlico Riparian Buffer Authorization for the replacement
of Bridge No. 69 over West Bear Creek on SR 1501 in Lenior County. State Project
No. 8.2200701; Debit $240 from WBS 33774.1.1; Federal Aid Project Number
BRZ-1501(6); TIP No. B-4567.
The North Carolina Department of Transportation (NCDOT), Division of Highways, in
consultation with the Federal Highway Administration (FHWA), proposes to replace Bridge
No. 69 in Lenior County. The proposed let-date for the project is December 20, 2011 with
a review date of November 1, 2011; however, the let date may advance as additional
funds become available.
Please find enclosed a Pre-Construction Notification (PCN) form, permit drawings, buffer
drawings, utility drawings, roadway plans, ; and a copy of the State Stormwater
Management Plan. A Programmatic Categorical Exclusion (PCE) was completed for this
project on January 8, 2007, and distributed shortly thereafter. Additional copies are
available upon request.
Regulatory Approvals
Section 404 Permit: NCDOT requests that a General Permit 198200031 be issued to
authorize the impacts resulting from this project in accordance with 23 CFR 771.115(b).
a
MAILING ADDRESS:
NC DEPARTMENT OF TRANSPORTATION
PROJECT DEVELOPMENT AND ENVIRONMENTAL ANALYSIS
1598 MAIL SERVICE CENTER
RALEIGH NC 27699-1598
TELEPHONE: [phone]
FAX: [phone]
WEBSITE. WWWNCDOTORG
LOCATION:
1020 BIRCH RIDGE DRIVE
RALEIGH NC 276104328
IN 1
Section 401 Permit: We anticipate 401 Certification number 3820 will apply to this project.
All general conditions of the Water Quality Certification will be met and we are requesting
written approval from NCDWQ. In accordance with 15A NCAC 2H, Section .0500(a), we are
providing three copies of this application to the NCDWQfor their approval.
Tar-Pamlico River Basin Buffer Authorization: NCDOT requests that the NC Division of
Water Quality review this application and issue a written approval for a Tar-Pamlico
Riparian Buffer Authorization.
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.htmi
if you have any questions or need additional information, please call or email Dr. Lance P.
Fontaine at 919-707-6118 or [e-mail].
Sincerely;
Gregory J. Thorpe, Ph.D. Environmental Management Director
Project Development and Environmental Analysis Branch
cc:
NCDOT Permit Application Standard Distribution List
2
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020E W ATF9OG
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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
la. Type(s) of approval sought from the
Corps:
®section 404 Permit E] Section 10 Permit
1 b. Specify Nationwide Permit (NWP) number: or General Permit (GP) number: 198200031
1 c. Has the N WP or GP number been verified by the Corps? ? Yes ® No
Id. 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
If. 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 Bridge 69 over West Bear Creek on SR 1501
2b. County: Lenior
2c. Nearest municipality / town: La Grange
2d. Subdivision name: not applicable
2e. NCDOT only, T.I.P. or state
project no: B-4567
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 i f
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]
1.( a f ,
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: 35.345162 Longitude: - 77.819477
(DD.DDDDDD) (-DD.DDDDDD)
1c. Property size: 1.5 acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to West Bear Creek
proposed project:
2b. Water Quality Classification of nearest receiving water: C; Sw; NSW
2c. River basin: Neuse
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:
Existing conditions on the site include mostly forested and timbered areas with maintained/disturbed roadside shoulders
and access to West Bear Creek. Land use in the project vicinity is predominantly agriculture.
3b. List the total estimated acreage of all existing wetlands on the property:
0.02
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
80
3d. Explain the purpose of the proposed project:
To replace a structurally deficient and functionally obsolete existing bridge.
3e. Describe the overall project in detail, including the type of equipment to be used:
The project involves replacing a 81-foot bridge with a 100-foot, 2-span bridge on the existing alignment with an off-site
detour. Standard road building equipment, such as trucks, dozers, and cranes will be used. Overhead powerfine utility
will be relocated away from bridge and water line will be relocated via directional bore (trenchless method) without
impacts to wetland areas or West Bear Creek.
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: Mike Bell from USACE performed field review on
02 Nov 2004.
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: RK&K Consultant
Name (if known): E. Workman Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
Mike Bell from USACE performed field review on 02 Nov 2004. Mr. Bell made changes to the initial delineation based on
field visit but no tear sheet was provided. RK&K provided revised wetland boundaries and maps based on Mr. Bell's
changes and approval.
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.
I, t,
6. Future Project Plans
6a. Is this a phased project? ? Yes N No
6b. If yes, explain.
4
F
C. Proposed Impacts Inventory
1. Impacts Summary
I 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 - non404, other) (acres)
Tem ora
Site 1 ® P ? T Fill Riparian El Nos Corps
El DWQ 0.01

Site 2 ® P El T Mechanized
clearing
Riparian ® Yes
El No ® Corps
El DWQ
0.01
Site 3 ? P ? T ? Yes ? Corps
? No ? DWQ
Site 4 ? P ? 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 0.02 Permanent
0.00 Temporary
2h. Comments: Impacts due to improvement of canal access road.
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)
® PER ® Corps
Site 1 ® P ? T Pipe West Bear Creek
? INT
? DWQ 30 5
Site 2 ? P ? T ? PER ? Corps
? INT ? DWQ
Site 3 ? P ? T ? PER ? Corps
? INT ? DWQ
Site 4 ? P ? T ? PER
? INT ? Corps
? DWQ
Site 5 ? P ? T ? PER ? Corps
? INT ? DWQ
Site 6 ? P ? T ? PER ? Corps
? INT ? DWQ
3h. Total stream and tributary impacts 5 Perm
0 Temp
3i. Comments: In NW quad, replace existing 24" corrugated metal pipe (pipe) with 48" reinforced concrete pipe. Flatten slope
of pipe at outlet and incorporate drop structure to reduce velocity into stream. Impacts of piers to surface waters = 0.9 sf.
f,
4. Open Water Impacts
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of
the U.S. then individual) list all open water impacts below.
4a. 4b. 4c. 4d. 4e.
Open water Name of
impact number - waterbody Type of impact Waterbody type Area of impact (acres)
Permanent (P) or (if applicable)
Temporary
01 ?P?T
02 ?P?T
03 ?P?T
04 ?P?T
4f. Total open water impacts X Permanent
X Temporary
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 (acres)
number purpose of pond Excavat
Flooded Filled 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:
} i
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)
Tem ora re uired?
B1 ®P ? T Access Road West Bear
Creek ? Yes
® No 1,012 510
B2 ®P ? T Road Fill West Bear s
® 171 455
Creek No
B3 ®P ? T Bridge West Bear ? Yes 1,175 0
Creek ®No
6h. Total buffer impacts 2,358 965
6i. Comments: As discussed during on-site field meeting March 23, 2011: Pipe in NW quad replaces existing pipe. Pipe in
NE quad discharges into existing roadside ditch.

D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
The proposed bridge is 19 feet longer than the existing bridge; the proposed bridge will be at approximately the same
grade as the existing structure; an off site detour will be used, 3:1 fill slopes where practicable. In NW quad, replacing
existing 24" corrugated metal pipe (pipe) with 48" reinforced concrete pipe; flattening slope of pipe at outlet and
incorporating a drop structure to reduce velocity into stream. In NE quad, direct outlet to an existing roadway ditch to rip
rap pad, not in buffer. Ditches in NW and SW quads will be grassy swales that are directed to existing ditches outside of
buffer. Reduce overhead power poles in buffer zone and replace outside of buffer zone. No deck drains. No new or
created ditches in buffer zones. Increased bridge opening for improved hydrological conveyance. Design Standards in
Sensitive Watersheds will also be implemented.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Top-down construction; water utility will use trenchless method (directional bore) to place facility under West Bear Creek;
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
If no, explain: Due to minimal impacts to Water of the U.S.,
NCDOT is not proposing compensatory mitigation.
2b. If yes, mitigation is required by (check all that apply): ? DWQ ? Corps

2c.
If yes, which mitigat ion 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: 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: 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
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.

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: Proposed buffer impacts "Allowable" and under mitigation requirement category and threshold.
9

E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Plan .
la. Does the project include or is it adjacent to protected riparian buffers identified ® Yes ? No
within one of the NC Riparian Buffer Protection Rules?
1b. If yes, then is a diffuse flow plan included? If no, explain why.
Yes No
® ?
Comments: 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 and stonmwater management 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 government's jurisdiction is this project? not applicable
? 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 J 6 Yes ? No
attached?
4. DWQ Stormwater Program Review
? Coastal counties
4a. Which of the following state-implemented stormwater management programs apply ? HQW
(check all that apply): ? ORW
? 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 NA
5b. Have all of the 401 Unit submittal requirements been met? ? Yes ? No NA
10
F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
1a. 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
® Yes ? No
letter.)
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
11
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 El No
impacts?
® Raleigh
5c. If yes, ind icate 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?
NCNHP, USFWS, field surveys.
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)?
7b. 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 100-year floodplain? ® Yes ? No
8b. If yes, explain how project. meets FEMA requirements: NCDOT Hydraulics Unit coordination with FEMA
8c. What source(s) did you use to make the floodplain determination? FEMA Maps

4 ?
Dr. Gregory J. Thorpe. Ph D
' D
t
Applicant/Agent
s Printed Name Appli nUAge s Signature a
e
(Agent's signature is valid only iF an authorization letter from the applicant
is provided.)
12

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NAMES AND ADDRESSES
PARCEL NO.
NAMES
ADDRESSES
SLEEPY CREEK FARMS INC. PO DRAWER 10
O GOLDSBORO NC 275
27532
O BESTFARMS INC. 1361 NEW HOPE RD.
LAGRANGE NC 28551
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PROFILE (HORIZONTAL)
Utility Permit Drawing
Sheet of 3
B-4567
PROJECT No.
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TO SHADETOWN
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INCOMPLETE PLANS
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Utility Permit Drawing
Sheet s3
B-4567 NEU Narrative
March 8, 2011
Ref: Bridge replacement project over West Bear Creek on SR-1501, Lenoir County
Existing Utilities
o Potable water... owned by North Lenoir Water Corporation... 6" water line
runs along right/south side of roadway (under shoulder) for entire length
of roadway project
¦ New water line will be installed on right/south side of roadway for
entire length of project... it will be moved 6ut/away from roadway
to just inside R/W and will be laid in open trench except for length
under river which will be installed by directional drill ...the boring
will begin and end approximately 200' on each side of creek with
no impacts to any buffer zones or wetland areas
o Overhead power line ...owned by Tri-County EMC runs along left/north
side of roadway for entire length of roadway project
¦ Power pole (#30) will be moved 27' east from its current location
(Sta 18+83/45L) to Sta 19+10/45L
¦ Power guy pole (#31) will be removed permanently from its
current location at Sta 18+80/25R
• There will be no, clearing (hand or mechanized), fill, or excavations
inside any wetlands or buffer zones associated with power line
relocations
Summary: no environmental impacts due to utility relocations
Utility Permit Drawing
Sheet s-of-,-_
B-4567 NEU Narrative
March 8, 2011
Ref: Bridge replacement project over West Bear Creek on SR-1501, Lenoir County
Existing Utilities
o Potable water... owned by North Lenoir Water Corporation... 6" water line
runs along right/south side of roadway (under shoulder) for entire length
of roadway project
• New water line will be installed on right/south side of roadway for
entire length of project... it will be moved out/away from roadway
to just inside R/W and will be laid in open trench except for length
under river which will be installed by directional drill ...the boring
will begin and end approximately 200' on each side of creek with
no impacts to any buffer zones or wetland areas
o Overhead power line ...owned by Tri-County EMC runs along left/north
side of roadway for entire length of roadway project
¦ Power pole (#30) will be moved 27' east from its current location
(Sta 18+83/45L) to Sta 19+10/451,
¦ Power guy pole (#31) will be removed permanently from its
current location at Sta 18+80/25R
¦ There will be no, clearing (hand or mechanized), fill, or excavations
inside any wetlands or buffer zones associated with power line
relocations
Summary: no environmental impacts due to utility relocations

CONTRACT 1170.:33774.2.1 TIP PROJECT No.: E-4567
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