20120295 Ver 1_Application_20120323

BEVERLY EAVES PERDUE
GOVERNOR
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
March 19 2012
U S Army Corps of Engineers
Regulatory Field Office
3331 Heritage Trade Drive Suite 105
Wake Forest NC 27587
ATTN Mr Eric Alsmeyer
NCDOT Coordinator
Dear Sirs
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EUGENE A CONTI
SECRETARY
Subject Application for Section 404 Nationwide Permits 13, 23, and 33,
Section 401 Water Quality Certification, and Tar - Pamhco Riparian
Buffer Authorization for the Replacement of Bridge No 73 on SR 1002
(Seven Paths Rd ) over Prong Cypress Creek in Franklin County, North
Carolina TIP No B -4513 Federal Aid Project No BRSTP - 1002(15),
State Project No 82361001
Debit $240 00 from WBS Element 33738 1
The North Carolina Department of Transportation ( NCDOT) proposes to replace Bridge
No 73 over Prong Cypress Creek on SR 1002 in Franklin County The project involves
replacement of the existing 40 -foot structure with a 143 foot long bridge in the same
location There will be 0 03 acre of permanent riparian wetland impacts due to
mechanized clearing 69 feet of bank stabilization, 0 01 acre of temporary stream impacts
due to a coffer dam, and 1,709 square feet of riparian buffer impacts on this project
Please find enclosed the Pre - Construction Notification (PCN) form, stormwater
management plan, permit drawings, and design plans for the above referenced project A
Programmatic Categorical Exclusion (PCE) was completed for this project on April 27,
2009 and distributed shortly thereafter Additional copies are available upon request
The proposed let date for the project is November 20, 2012 with a review date of October
2, 2012 However, the let date may advance as additional funds become available
MAILING ADDRESS TELEPHONE [phone] LOCATION
NC DEPARTMENT OF TRANSPORTATION FAX [phone] CENTURY CENTER BUILDING B
PROJECT DEVELOPMENT AND ENVIRONMENTAL ANALYSIS WEBSITE WWW NCDOT ORG 1020 BIRCH RIDGE DR
1548 MAIL SERVICE CENTER RALEIGH NC 27610
RALEIGH NC 27699 1548

O�OF W ATF9QG
O Y
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 El Section 10 Permit
1 b Specify Nationwide Permit (NWP) number 13 23 33 or General Permit (GP) number
1c Has the N WP or GP number been verified by the Corps?
❑ Yes
® No
1 d
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
1h
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 no 73 over Prong Cypress Creek on SR
1002
2b
County
Franklin
2c Nearest municipality / town
Seven Paths
2d
Subdivision name
not applicable
2e
NCDOT only T I P or state
project no
B-4513
3
Owner Information
3a
Name(s) on Recorded Deed
North Carolina Department of Transportation
3b
Deed Book and Page No
not applicable
3c Responsible Party (for LLC if
applicable)
not applicable
3d
Street address
1598 Mad Service Center
3e
City state zip
Raleigh NC 27699 1598
3f
Telephone no
[phone]
3g
Fax no
[phone]
3h
Email address
aejames @ncdot gov

B Project Information and Prior Project History
1 Property Identification
la Property identification no (tax PIN or parcel ID)
not applicable
1 b Site coordinates (in decimal degrees)
Latitude 36 26026 Longitude 78 197639
(DD DDDDDD) (DD DDDDDD)
1 c Property size
16 acres
2 Surface Waters
2a Name of nearest body of water (stream river etc) to
Prong Cypress Creek
proposed project
2b Water Quality Classification of nearest receiving water
B NSW
2c River basin
Tar Pamlico
3 Project Description
3a Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this
application
Land use in the project vicinity consists primarily of agricultural and forested land with low density residential
development
3b List the total estimated acreage of all existing wetlands on the property
28
3c List the total estimated linear feet of all existing streams (intermittent and perennial) on the property
672
3d Explain the purpose of the proposed project
To replace a structurally deficient bridge
3e Describe the overall project in detail including the type of equipment to be used
The project involves replacing a 40 foot bridge with a 143 foot 3 span bridge on the existing alignment with an off site
detour Standard road budding equipment such as trucks dozers and cranes will be used
4 Jurisdictional Determinations
4a Have Jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
® Yes ❑ No ❑ Unknown
project (including all pnor phases) in the past?
Comments
4b If the Corps made the jurisdictional determination what type
❑ Preliminary ® Final
of determination was made?
4c If yes who delineated the jurisdictional areas?
Agency /Consultant Company ESI
Name (if known) Gad Tyner & Steve Kichefski
Other
4d If yes list the dates of the Corps junsdictional determinations or State determinations and attach documentation
A JD site visit was conducted on October 31 2006 however no paper copy was ever received
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
6 Future Project Plans
6a Is this a phased project?
❑ Yes ® No
6b If yes explain

4 Open Water Impacts J
If there are proposed impacts to lakes ponds estuaries tributaries sounds the Atlantic Ocean or any other open water of
the U S then indivi ually 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 pond 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
51 Expected pond surface area (acres)
5j Size of pond watershed (acres)
5k Method of construction

D Impact Justification and Mitigation
1 Avoidance and Minimization
la Specifically describe measures taken to avoid or minimize the proposed impacts in designing project
The proposed bridge is 103 feet longer than the existing bridge and will be at approximately the same grade and
alignment 3 1 fill slopes where practicable no deck drains on bridge and the implementation of Design Standards in
Sensitive Watersheds
1 b Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques
NCDOT Best Management Practices for Bridge Demolition Removal and Construction will be followed as well as those
for Sedimentation and Erosion Control the shoulder berm and gutter system will drain to a preformed scour hole instead
of Prong Cypress Creek and the utilization of an off site detour
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 Wetland impacts will occur on the edge of a
much larger system and as such should not cause any
change in wetland quality or function Therefore no
compensatory mitigation is proposed
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 Permi tee Responsible Mitigation Plan
5a If using a permittee responsible mitigation plan provide a description of the proposed mitigation plan

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? If not explain why
® Yes ❑ No
Comments see attached buffer permit drawings
2
Stormwater Management Plan
2a
What is the overall percent imperviousness of this project?
N/A
2b
Does this project require a Stormwater Management Plan?
® Yes ❑ No
2c
If this project DOES NOT require a Stormwater Management Plan explain why
2d
If this project DOES require a Stormwater Management Plan then provide a brief narrative description of the plan
See attached permit drawings
❑ Certified Local Government
2e
Who will be responsible for the review of the Stormwater Management Plan?
❑ DWQ Stormwater Program
® DWQ 401 Unit
3
Certified Local Government Stormwater Review
3a
In which local government s jurisdiction is this project'?
not applicable
❑ Phase II
❑ NSW
3b
Which of the following locally implemented stormwater management programs
❑ USMP
apply (check all that apply)
❑ Water Supply Watershed
❑ Other
3c Has the approved Stormwater Management Plan with proof of approval been
❑ Yes ❑ No
attached?
4
DWQ Stormwater Program Review
❑ Coastal counties
4a
Which of the following state implemented stormwater management programs apply
❑ HQW
(check all that apply)
❑ ORW
❑ Session Law 2006 246
❑ Other
4b Has the approved Stormwater Management Plan with proof of approval been
❑ Yes ® No
attached?
5
DWQ 401 Unit Stormwater Review
5a
Does the Stormwater Management Plan meet the appropriate requirements?
❑ Yes ❑ No N/A
5b Have all of the 401 Unit submittal requirements been met?
❑ Yes ❑ No 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
❑ Yes ® No
habitat?
5b Have you checked with the USFWS concerning Endangered Species Act
❑ Yes ® No
impacts?
El 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?
USFWS county list
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
3
Dr Gregry J Thorlpe, PhD
Date
Applicant/Agent s Printed Name
p is t/Agent s Signature
(Agents signature valid ly rf an authorization letter from the applicant
is provided
11

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PROPERTY TY OWNERS
NAMES AND ADDRFSSES
PARCEL NO NAMES
ADDRESSES
WILHELM & INGRID P O BOX 452
I VOLK FRANKLINTON NC 27525
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NC D ® T
WETLAND/ STREAM DIVISION OF HIGHWAYS
IMPACTS FRANKLIN COUNTY
PROJECT 3373811 (B -4513)
BRIDGE NO 73 OVER
PRONG CYPRESS CREEK
ON SR 1002 (SEVEN PATHS RD)
SHEET -7- OF $ 07/29/11

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