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STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
Beverly Eaves Purdue Gene Cont
GOVERNOR SECRFTARY
January 9 2012
U S Army Corps of Engineers
Regulatory Field Office
Post Office Box 1000
Washington N C 27889 1000
Attention Bill Biddlecome
Subject Request for a GP 48 and corresponding DWQ 401 certification for use at the New Inlet protective
shoring project which involves the placement of sand bags
The North Carolina Department of Transportation is requesting the issuance of a GP 48 and
corresponding DWQ certification to authorize sandbag fill dredging associated with a shoring project aL
the southern end of the New Inlet Bridge The current proposal will use a hydraulic dredge to pump
approximately 451 cubic yards of material This sand material will go directly into the sandbags as they
will be laid and filled in place The sand source is located within the tidal swash zone of the inlet as
illustrated on the provided aerial map The proposed work is scheduled to be done prior to April I" to avoid
any protected species issues This work is being coordinated with the USFWS through the issuance of a
Special Use Permit NCDOT has also coordinated with the NCDCM by modifying an existing major permit
for the temporary bridge
Included with this letter are the location map permit drawings and aerial If you have questions
please call me at [phone]
Sincerely
Jerry Jennings
Division Ones ngineer���
Clay Willis ``` �j��, -�
Division One Envy onmental Officer
Cc Garcy Ward DWQ
Sonia Carrillo DWQ

AT�cdG
>_ y
C �
Office Use Only
Corps action ID no
DWQ project no
Form Version 1 0 November 2008
Page 1 of 12
PCN Form — Version 1 0 November 2008 Version
Pre - Construction Notification (PCN) Form
A
Applicant Information
1
Processing
1a
Type(s) of approval sought from the
Corps
®Section 404 Permit El Section 10 Permit
lb
Specify Nationwide Permit (NWP) number or General Permit (GP) number 48
1c
Has the NWP or GP number been verified by the Corps?
® Yes ❑ No
1 d
Type(s) of approval sought from the DWQ (check all that apply)
Fa 401 Water Quality Certification — Reqular ❑ Non 404 Jurisdictional General Permit
❑ 401 Water Quality Certification — Express ❑ Riparian Buffer Authorization
le
Is this notification solely for the record
because written approval is not required?
For the record only for DWQ 401
Certification
❑ Yes ® No
For the record only for Corps Permit
❑ Yes ® No
1f
Is payment into a mitigation bank or in lieu fee program proposed for mitigation
of impacts? If so attach the acceptance letter from mitigation bank or in lieu
fee program
❑ Yes ® No
1g
Is the project located in any of NC s twenty coastal counties If yes answer 1 h
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
NC 12 emergency sand bag sheetpile and rip rap placement adjacent to the southern
end bent of the temporary bridge crossing over an Inlet formed by Hurricane Irene in
August 2012
2b
County
Dare
2c
Nearest municipality / town
Rodanthe
2d
Subdivision name
n/a
2e
NCDOT only T I P or state
project no
E—e genc,. Tempo a ; Br dge maintenance v or', at the New Inlet on Pea Island
3
Owner Information
3a
Name on Recorded Deed
NCDOT
3b
Deed Book and Page No
n/a
3c
Responsible Party (for LLC if
applicable)
NCDOT Division One
3d
Street address
113 Airport Drive Suite 100
3e
City state zip
Edenton NC 27932
3f
Telephone no
252 482 5889
3g
Fax no
252 482 8722
3h
Email address
tcwillis @ncdot gov
Page 1 of 12
PCN Form — Version 1 0 November 2008 Version

Section A Applicant Information continued
4 Applicant Information (if different from owner)
4a Applicant is
❑ Agent ❑ Other specify
4b Name
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
5b Business name
(s app' cable)
5c Street address
5d City state zip
5e Telephone no
5f Fax no
5g Email address
Page 2 of 12
PCN Form — November 2008 Version

B Project Information and Prior Project History
1 Property Identification
1a Property identification no (tax PIN or parcel ID)
1b Site coordinates (in decimal degrees)
35 683529 N 75 483780 W
1c Property size
3 4 acres
2 Surface Waters
2a Name of nearest body of water (stream river etc ) to
Atlantic Ocean
proposed project
2b Water Quality Classification of nearest receiving water
class SB
2c River basin
Pasquotank
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
NC 12 state highway with a 650 ft temporary bridge structure crossing New Inlet which was formed by Hurricane Irene in
MMUSt of 2011 The adjacent Drooertv is all USFWS Pea Island Refuge comonsed mostly of coastal marsh creeks
maritime shrub beach dune communities and man made waterfowl impoundments
3b List the total estimated acreage of all existing wetlands on the property
1 acres
3c List the total estimated linear feet of all existing streams (intermittent and perennial) on the property
New Inlet runs through the NCDOT highway R O W for a distance of approximately 100 feet
3d Explain the purpose of the proposed project
Attempt to provide protection for the southern bridge abutment which will help preserve the only connecting highway
route on and off Hatteras Island
3e Describe the overall project in detail including the type of equipment to be used
NCDOT is proposing to place temporary sandbags rip rap and steel sheeting around the existing southern endbent of the
temporary inlet bridge The proposed temporary structure is being placed to reinforce the southern endbent in anticipation
of further inlet migration to the south The current southern migration pattern of the inlet will likely result in future stability
issues arising from undermining of the southern end bent The placement of additional steel sheeting rip rap and
sandbags will be done as depicted in the attached drawing and reduce the risk of roadway failure The contractor will
place the sandbags and fill in place by means of hydraulic dredge The dredge will draw approximatley 450 cubic yards
of fill sand `rom t'ie inlet swasl, zone to fill the sandbags The area depicted on the attached aerial illustrates the
approximate location of the proposed dredge area The dredging will take place by using a hydraulic dredge which will
draw sand from the inlet swash zone Other equipment used in this project will include crane excavators dump trucks
bull dozer and backhoe s
4 Jurisdictional Determinations
4a Have lurisdictionai wetlano or stream aeterminauons Dy the
Corps or State been requested or obtained for this property /
® Yes ❑ No ❑ Unknown
project (including all prior phases) in the past?
4b If the Corps made the jurisdictional determination what type
❑ Preliminary ® Final
of determination was made
4c If yes who delineated the jurisdictional areas?
Agency /Consultant Company
Name (if known) NCDOT Consultants
Other
4d If yes list the dates of the Corps jurisdictional determinations or State determinations and attach documentation
Page 3 of 12
PCN Form — Version 1 0 November 2008 Version

Project Information and Prior Project History
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
Prior to the placement of this temporary bridge structure permits from the COE
DWQ DCM and USFWS were issued for
work at this site This work took place in September through November of 2011
This work also involved the placement of
sandbags along NC 12
6
Future Project Plans
6a
Is this a phased project?
® Yes
❑ No
6b
If yes explain
The existing structure is a temporary bridge which will be replaced by a longer
more permanent structure The proposed
permanent bridge is being designed and undergoing environmental review
Page 4 of 12
PCN Form — November 2008 Version

C Proposed Impacts Inventory
1 Impacts Summary
la 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
Type of wetland
Forested
(Corps 404 10
Area of impact (acres)
Permanent (P) or
impact
(if known)
DWQ -non 404 other)
Temporary T
W1 ❑ P ❑ T
❑ Yes ❑ No
❑ Corps
❑ DWQ
W2 ❑ P ❑ T
❑ Yes ❑ No
❑ Corps
❑ DWQ
W3 ❑ P ❑ T
❑ Yes ❑ No
❑ Corps
❑ DWQ
W4 ❑ P ❑ T
❑ Yes ❑ No
❑ Corps
❑ DWQ
W5 ❑ P ❑ T
❑ Yes ❑ No
❑ Corps
❑ DWQ
W6 ❑ P ❑ T
❑ Yes ❑ No
❑ Corps
❑ DWQ
2g Total wetland impacts
0
2h Comments No Wetland Impacts
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
Stream impact
Type of
Stream name
Perennial (PER) or
Average stream width (feet)
Impact
number
i npac'
intermittent (INT)
length
(linear feet)
Permanent (P) or
Temporary (T)
S1 ❑ P ❑ T
❑ PER ❑ INT
S2 ❑ P ❑ T
❑ PER ❑ INT
S3 ❑ P ❑ T
❑ PER ❑ INT
S4 ❑ P ❑ T
❑ PER ❑ INT
S5 ❑P ❑T
[:1 PER F-1 INT
S6 ❑ P ❑ T
❑ PER ❑ INT
3g Total stream and tributary impacts
0
3h Comments No Stream Impacts
Page 5 of 12
PCN Form - Version 1 0 November 2008 Version

C Proposed Impacts Inventory continued
4 Open Water Impacts
If there are proposed impacts to lakes ponds estuaries tributaries sounds the Atlantic Ocean or any other open water of
the U S then individually list all o en 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
(if
(P) or
applicable)
Temporary T
01 ❑P ❑T
02 ❑P ❑T
03 ❑P ❑T
04 ❑P ❑T
4f Total open water impacts
0
4g Comments No Impacts
Page 6 of 12
PCN Form — November 2008 Version

C Proposed Impacts Inventory continued
5 Pond or Lake Construction
If pond or lake construction pro osed then complete the chart below
5a
5b
5c
5d
5e
Wetland
Impacts (acres)
Stream Impacts (feet)
Upland
Pond ID
Proposed use or
(acres)
Flooded
Filled
Excavated
Flooded
Filled
Excavated
Flooded
number
purpose of pond
P1
P2
5f Total
5g Comments
5h Is a dam high hazard permit required
❑ Yes ❑ No If yes permit ID no
51 Expected pond surface area (acres)
5j Size of pond watershed (acres)
5k Method of construction
6 Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer then complete the chart below If yes then individually list all buffer impacts
below If any impacts require mitigation
then y ou MUST fill out Section D of this form
6a
❑ Neuse El Tar Pamlico F-1 Other
Project is in which protected basin?
❑ Catawba ❑ Randleman
6b
6c
6d
6e
6f
6g
Buffer impact
number—
Reason
Buffer
Zone 1 impact (square
Zone 2 impact
Permanent (P)
for impact
Stream name
mitigation
feet)
(square feet)
or Temporary
required?
T
B1 ❑P ❑T
El Yes El No
B2 ❑P ❑T
❑Yes E:1 No
B3 ❑P ❑T
El Yes E] No
6h Total buffer impacts
o
61 Comments No impacts
Page 7 of 12
PCN Form — November 2008 Version

D Impact Justification and Mitigation
1 Avoidance and Minimization
1a Specifically describe measures taken to avoid or minimize the proposed impacts in designing project
This project will be completed outside of moratoriums established by the Division of Coastal Management and the
USFWS for the protection of Sea Turtles and Protected Shore Birds This work will be completed prior to April 1 ` 2012
1b Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques
2 Compensatory Mitigation for Impacts to Waters of the U S or Waters of the State
2a Does the project require Compensatory Mitigation for
impacts to Waters of the U S or Waters of the State?
❑ Yes ® No
2b If yes mitigation is required by (check all that apply)
❑ DWQ ❑ Corps
2c If yes which mitigation option will be used for this
project?
❑ Mitigation bank
❑Payment to in lieu fee program
❑ Permittee Responsible Mitigation
3 Complete if Using a Mitigation Bank
3a Name of Mitigation Bank
3b Credits Purchased (attach receipt and letter)
Type
Quantity
3c Comments
4 Complete if Making a Payment to In lieu Fee Program
4a Approval letter from in lieu fee program is attached
❑ Yes
4b Stream mitigation requested
n/a
linear feet
4c If using stream mitigation stream temperature
n/a
warm cool cold
4d Buffer mitigation requested (DWQ only)
n/a
square feet
4e Riparian wetland mitigation requested
n/a
acres
of Non riparian wetland mitigation reauested
n/a
acres
4g Coastal (tidal) wetland mitigation requested
n/a
acres
4h Comments N
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
No mitigation required
Page 8 of 12
PCN Form — Version 1 0 November 2008 Version

D Impact Justification and Mitigation continued
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
Reason for impact
Total impact
(square feet)
Multiplier
Required mitigation
(square feet)
Zone 1
3 (2 for Catawba)
Zone 2
1
1 1 5
Total buffer mitigation required
6c If buffer mitigation is required discuss what type of mitigation is proposed (e g payment to private mitigation bank
pe — eve espo -s ble pa an buf'e es +n at nn rnnymont into nn apprnvarl in lieu fee fund)
6d Comments
Page 9 of 12
PCN Form — November 2008 Version

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?
lb
If yes then is a diffuse flow plan included?
❑ Yes
❑ No
2
Determination if the Project Requires a Stormwater Management Plan
2a
Does the project require a Non 404 Jurisdictional General Permit?
❑ Yes
® No
2b
Is the project subject to General Certification 3704 or 3705?
❑ Yes
® No
3
Determination of Stormwater Review Jurisdiction
3a
Is this project subject to any of the following state implemented stormwater
❑ Coastal counties
management programs (check all that apply)?
❑ HOW
❑ ORW
If so attach one copy of the approval letter from the DWQ and one copy of the
I—I Session
Law 2006 246
approved stormwater management plan
® Other NCDOT 01000
3b
In which local governments iunsdiction is this project?
n/a
3c
Is this local government certified to implement a state stormwater program?
❑ Yes
® No
If so attach one copy of the approval letter from the local government and one copy
of the approved stormwater management plan (or one copy of the approved
Stormwater management plan stamped as approved)
4
Information Required for DWQ 401 Unit Stormwater Review
4a
What is the overall percent imperviousness according to the most current site Ian?
0
4b
Does this project contain any areas that meet the criteria for high density per
❑ Yes
® No
General Certifications 3704 and 3705?
4c
if the site is over 24% impervious and /or contains high density areas then provide a brief narrative description of the
stormwater management plan
n/a
4d
Has a completed BMP Supplement Form with all required items been submitted
❑ Yes
® No
for each stormwater BMP?
Page 10 of 12
PCN Form — Version 1 0 November 2008 Version

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?
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
❑ Yes ® No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1 c
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 ® No
additional development which could impact nearby downstream water quality?
3b
If you answered yes to the above submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWQ policy If you answered no provide a short narrative description
4
Sewage Disposal (DWQ Requirement)
4a
Clearly detail the ultimate treatment methods and disposition (non discharge or discharge) of wastewater generated from
the proposed project or available capacity of the subject facility
Page 11 of 12
PCN Form — Version 1 0 November 2008 Version

F Supplementary Information continued
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?
Natural Heritage Database and USFWS Pea Island Refuge Biologist
6
Essential Fish Habitat (Corps Requirement)
6- a
Wdl thic nrniart orrijr in or near an area designated as essential fish habitat? XI Yes ❑ No
6b
What data sources did you use to determine whether your site would impact Essential Fish Habitat?
Marine Fisheries
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?
SHPO information Pea Island Refuge
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 n/a
8c
What source(s) did you use to make the floodplain determination? FEMA maps
Clay Willis
llza �/�
x
01/9/12
Applican gent s Signature
Applicant/Agent s Printed Name
(Agents signature is valid o Y if an authorization letter from the applicant
Date
is provided
Page 12 of 12
PCN Form — November 2008 Version

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