20210100 Ver 1_ePCN Application_20210114

I I DWR
Division of Water Resources
Pre-Construction Notification (PCN) Form
October 26,2020 Ver 3.3
Initial Review
Has this project met the requirements for acceptance in to the review process?*
6 Yes
✓ No
Is this project a public transportation project?*
G Yes r No
Change only if needed.
BIMS#Assigned* Version#*
20210100 1
Is a payment required for this project?*
6 No payment required
✓ Fee received Reviewing Office*
✓ Fee needed-send electronic notification Washington Regional Office-[phone]
Select Project Reviewer*
Garcy Ward:eads\gpward
Information for Initial Review
1a.Name of project:
Tyrrell Bridge 17 Replacement Project
1a.Who is the Primary Contact?*
Paul Williams
lb.Primary Contact Email:* 1c.Primary Contact Phone:*
pcwilliams2©ncdot.gov [phone]
Date Submitted
1/14/2021
Nearest Body of Water
Riders Creek
Basin
Pasquotank
Water Classification
C;Sw
Site Coordinates
Latitude: Longitude:
35.89824 -76.24641
Pre-Filing Meeting Information
ID# Version
Pre-fling Meeting or Request Date*
11/30/2020
Attach documentation of Pre-Filing Meeting Request here:*
Agency Onsite Meeting.pdf 100.28KB
A. Processing Information C^U
County(or Counties)where the project is located:
Tyrrell

Is this a NCDMS Project
✓ Yes r No
Is this project a public transportation project?*
✓ Yes r No
Is this a NCDOT Project?*
✓ Yes r No
(NCDOT only)T.I.P.or state project number:
WBS#(�)
17BP.1.R.87
1a.Type(s)of approval sought from the Corps:
fJ Section 404 Permit(wetlands,streams and waters,Clean Water Act)
r Section 10 Permit(navigable waters,tidal waters,Rivers and Harbors Act)
Has this PCN previously been submitted?*
✓ Yes
r No
lb.What type(s)of permit(s)do you wish to seek authorization?
fJ Nationwide Permit(NWP)
r Regional General Permit(RGP)
r Standard(IP)
1c.Has the NWP or GP number been verified by the Corps?
✓ Yes CNo
Nationwide Permit(NWP)Number:
NWP Numbers(for multiple NWPS):
Id.Type(s)of approval sought from the DWR:
(7 401 Water Quality Certification-Regular r 401 Water Quality Certification-Express
r Non-404 Jurisdictional General Permit r Riparian Buffer Authorization
r Individual Permit
le.Is this notification solely for the record because written approval is not required? *
For the record only for DWR 401 Certification: r Yes r No
For the record only for Corps Permit: r Yes r No
If.Is this an after-the-fact permit application?*
✓ Yes r No
1g.Is payment into a mitigation bank or in-lieu fee program proposed for mitigation of impacts?
CYes rNo
1g.Is payment into a mitigation bank or in-lieu fee program proposed for mitigation of impacts?
✓ Yes rNo
Acceptance Letter Attachment
lh.Is the project located in any of NC's twenty coastal counties?
✓ Yes C No
1i.Is the project located within a NC DCM Area of Environmental Concern(AEC)?
✓ Yes r No r Unknown
1j.Is the project located in a designated trout watershed?
✓ Yes r No
B. Applicant Information
Id.Who is applying for the permit?
7 Owner r Applicant(other than owner)
le.Is there an Agent/Consultant for this project?*
✓ Yes r No
2.Owner Information

2a.Name(s)on recorded deed:
NCDOT Right-of-Way SR 1105 Riders Creek Road in Tyrrell County
2b.Deed book and page no.:
2c.Responsible party:
Paul Williams
2d.Address
Street Address
113 Airport Dr.
Address Line 2
City State/Rovince/Region
Edenton NC
Postal/Zip Code Country
27932 USA
2e.Telephone Number: 2f.Fax Number:
[phone] [phone]
2g.Email Address:*
[e-mail]
C. Project Information and Prior Project History
1. Project Information
lb.Subdivision name:
(f apprcpriate)
1c.Nearest municipality/town:
Columbia
2. Project Identification
2a.Property Identification Number: 2b.Property size:
2c.Project Address
Street Address
Riders Creek Road,approx 0.6 mi.from NC 94
Address Line 2
city State/Bovine/Region
Columbia NC
Postal/Zip Coyle Country
27925 USA
3.Surface Waters
3a.Name of the nearest body of water to proposed project:*
Riders Creek
3b.Water Resources Classification of nearest receiving water:*
C;Sw
3c. What river basin(s)is your project located in?*
Pasquotank
3d.Please provide the 12-digit HUC in which the project is located.
030102050206
4. Project Description and History
4a.Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this application:*
Project area consists of NCDOT Tyrrell County SR 1105 and Bridge#17.The general land use in the vicinity is forested swamp and Pocosin Lakes National Wildlife Refuge.
4b.Have Corps permits or DWR certifications been obtained for this project(including all prior phases)in the past?*
r Yes r No r Unknown
4d.Attach an 8 1/2 X 11 excerpt from the most recent version of the USGS topographic map indicating the location of the project site.(for DWR)
B-4648_QuadMap.pdf 3.03MB
4e.Attach an 8 1/2 X 11 excerpt from the most recent version of the published County NRCS Soil Survey map depicting the project site.(for DWR)
Soil_Map.pdf 653.55KB

4f.List the total estimated acreage of all existing wetlands on the property:
1
4g.List the total estimated linear feet of all existing streams on the property:
100
4h.Explain the purpose of the proposed project:*
The purpose of this project is to replace the aging Bridge#17 that has received deficiency ratings,qualifying it for replacement.NCDOT wants to maintain SR 1105 as a safe and
reliable travel route for the public.
4i.Describe the overall project in detail,including indirect impacts and the type of equipment to be used:*
Replace an epsting 3-span 120 ft.X28 ft.bridge with a new 2-span bridge structure measuring 130 ft.X33 ft.Upon completion of the structure,NCDOT will have to rebuild the roadway
approaches on either end of the bridge.This will involve some minor widening of the roadway bridge approaches and extensive sheetpile placement along the roadway shoulders.The
new bridge will be constructed using a top down methodology,utilizing an off-site detour.The project will be built using cranes,excavators,backhoes,dump trucks and small equipment
associated with bridge construction.The project will result in approx 0.04 acres of permanent fill in wetlands and approx 0.05 acres of temporary hand clearing in wetlands.The project
will not result in any stream or surface water impacts.
4j.Please upload project drawings for the proposed project.
17BP.1.R.87_Permit Drawings_12-16-2020.pdf 1.46MB
5.Jurisdictional Determinations
5a.Have the wetlands or streams been delineated on the property or proposed impact areas?*
6 Yes r No C Unknown
Comments:
5b.If the Corps made a jurisdictional determination,what type of determination was made?*
r Preliminary r Approved F Not Verified r Unknown r N/A
Corps AID Number:
5c.If 5a is yes,who delineated the jurisdictional areas?
Name(if known): S.Stokes
Agency/Consultant Company: KCI Technologies
Other:
5d1.Jurisdictional determination upload
B-4648_JD_051515 Final.pdf 4.36MB
6. Future Project Plans
6a.Is this a phased project?*
r Yes r: No
Are any other NWP(s),regional general permit(s),or individual permits(s)used,or intended to be used,to authorize any part of the proposed project or related activity?
D. Proposed Impacts Inventory ( )
1. Impacts Summary
1a.Where are the impacts associated with your project?(check all that apply):
fJ Wetlands r Streams-tributaries r Buffers
r Open Waters r Pond Construction
2.Wetland Impacts
2a.Site#*(?) 2a1 Reason(?) 2b.Impact type*(?) 2c.Type of W.* 2d.W.name* 2e.Forested* 2f.Type of 2g.Impact
Jurisdicition*(?) area*
All Roadway fill slopes and P Riverine Swamp Forest All Yes Corps 0.040
stormwater discharge (acres)
pad
All Hand clearing T Riverine Swamp Forest All Yes Corps 0.050
(acres)
2g.Total Temporary Wetland Impact 2g.Total Permanent Wetland Impact
0.050 0.040
2g.Total Wetland Impact
0.090

2h.Comments:
E. Impact Justification and Mitigation L)
1.Avoidance and Minimization
la.Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
NCDOT minimized the roadway width by narrowing the shoulders and bridge width to the minimal amount allowable with the design speed,roadway
geometry,and use of steel sheeting.There are no deck drains located on the bridge.The existing bridge demolition will follow NCDOT BMP's for
bridge demolition work.Erosion and Sediment control plans have been designed and will be followed to retain any runoff from construction activities.
An off-site detour is being utilized to eliminate any additional wetland and surface water impacts.
lb.Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Utilizing BMPs for bridge demolition will capture all components of the old structure.Erosion and Control measures will be placed along the entire
project area to reduce soil runoff.A turbidity curtain can be utilized along the banks to capture any siltation that may occur during project construction.
The utilization of precast concrete materials,reduces the potential for uncured concrete entering the adjacent waters.
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 f• No
2b.If this project DOES NOT require Compensatory Mitigation,explain why:
Impacts are below the threshold requiring mitigation.
F. Stormwater Management and Diffuse Flow Plan (required by DWR)
1. Diffuse Flow Plan
1a.Does the project include or is it adjacent to protected riparian buffers identified within one of the NC Riparian Buffer Protection Rules?
✓ Yes 6' No
If no,explain why:
NC Riparian Buffer Rules do not apply to the Pasquotank River Basin.
2.Stormwater Management Plan
2a.Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?*
G Yes r No
Comments:
NCDOT will follow best management practices for soil and erosion control in compliance with N.C.Sediment and Pollution Control Act and NCDOT NPDES permit.Erosion control
devices will be installed and maintained during the project.A grated drop inlet on the SW side and a modified concrete flume on the NW side will route stormwater to vegetated buffers
prior to entering surface waters.No deck drains will be located over surface waters.
G. Supplementary Information U
1. Environmental Documentation
1a.Does the project involve an expenditure of public(federal/state/local)funds or the use of public(federal/state)land?*
✓ Yes r No
lb.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(North Carolina)
Environmental Policy Act(NEPAISEPA)?*
✓ Yes ( No
Comments:*
Activity and impacts covered by Minimum Criteria Checklist or PCE.
2.Violations(DWR Requirement)
2a.Is the site in violation of DWR Water Quality Certification Rules(15A NCAC 2H.0500),Isolated Wetland Rules(15A NCAC 2H.1300),or DWR Surface Water or Wetland Standards or
Riparian Buffer Rules(15A NCAC 2B.0200)?*
✓ Yes f No
3. Cumulative Impacts(DWR Requirement)
3a.Will this project result in additional development,which could impact nearby downstream water quality?*
✓ Yes C.' No
3b.If you answered"no,"provide a short narrative description.
Project replaces an existing bridge with a bridge.

4.Sewage Disposal(DWR Requirement)
4a.Is sewage disposal required by DWR for this project?*
✓ Yes rNo6' N/A
5. Endangered Species and Designated Critical Habitat(Corps Requirement)
5a.Will this project occur in or near an area with federally protected species or habitat?*
6' Yes r No
5b.Have you checked with the USFWS concerning Endangered Species Act impacts?*
✓ Yes 6' No
5d.Is another Federal agency involved?*
✓ Yes r No r Unknown
What Federal Agency is involved?
USFWS-Pocosin Lakes NWR
5e.Is this a DOT project located within Division's 1-8?
6 Yes r No
5j.What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
NC Natural Heritage Data Explorer Website
Consultation Documentation Upload
6. Essential Fish Habitat(Corps Requirement)
6a.Will this project occur in or near an area designated as an Essential Fish Habitat?*
6 Yes r No
Are there submerged aquatic vegetation(SAV)around the project vicinity?*
✓ Yes r No r Unknown
6b.What data sources did you use to determine whether your site would impact an Essential Fish Habitat?*
National Marine Fisheries Database
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 status?*
✓ Yes 6' No
7b.What data sources did you use to determine whether your site would impact historic or archeological resources?*
NCDOT Cultural Resources Unit
7c.Historic or Prehistoric Information Upload
PA 15-03-0020 Tyrrell(Resubmit)(NSR).pdf 5.93MB
15-03-0020NoSurveyRevised.pdf 1.76MB
8. Flood Zone Designation(Corps Requirement)
8a.Will this project occur in a FEMA-designated 100-year floodplain?*
6 Yes r No
8b.If yes,explain how project meets FEMA requirements:
FEMA Approved
8c.What source(s)did you use to make the floodplain determination?*
NC DOT Hydraulics Unit
Miscellaneous
Comments
This water body has been designated as a AFSA,and an in-water work moratorium will be observed from February 15 to June 30.
CAMA General Permit will be required and has been applied for.
Miscellaneous attachments not previously requested.
multibridge 01302015_WRC.pdf 118.67KB
Signature
*

R By checking the box and signing below,I certify that:
• The project proponent hereby certifies that all information contained herein is true,accurate,and complete to the best of my knowledge and belief;and
• The project proponent hereby requests that the certifying authority review and take action on this CWA 401 certification request within the applicable reasonable period of time.
• I have given true,accurate,and complete information on this form;
• I agree that submission of this PCN form is a"transaction"subject to Chapter 66,Article 40 of the NC General Statutes(the"Uniform Electronic Transactions Act");
• I agree to conduct this transaction by electronic means pursuant to Chapter 66,Article 40 of the NC General Statutes(the"Uniform Electronic Transactions Act");
• I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written signature;AND
• I intend to electronically sign and submit the PCN form.
Full Name:
Paul Collins Williams,Jr.
Signature
C,aW4:u,ref/w® e,rT.
Date
1/14/2021