20120307 Ver 1_Application_20120327

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STATE OF NORTH CAROLINA
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DEPARTMENT OF TRANSPORTATION '8
BEVERLY EAVES PERDUE
GOVERNOR
March 12, 2012
U S Army Corps of Engineers
Regulatory Field Office
151 Patton Avenue Room 208
Asheville, NC 28801 -5006
ATTN Liz Hair
NCDOT Coordinator
EUGENE A CONTI 7R
SECRETARY
Subject Application for Regional General Permit 198200031 and General 401 for
the proposed replacement of Bridge No 95 over South Fork Catawba River
on SR 2019 (Rocky Ford Road) in Catawba County, Federal Aid Project No
BRZ- 2019(2), Division 12, TIP No B 4458, WBS 38375 1 1, Debit $240 00
Dear Ms Hair
The North Carolina Department of Transportation ( NCDOT) proposes to replace Bridge No
95, a 76 -foot double -span bridge over South Fork Catawba River on Rocky Ford Road (SR
2019), with a 200 -foot triple span bridge to the south on new location No in- stream work is
required for bridge removal There will be 1321mear feet of permanent impacts from the
use of nprap for bank stabilization at ditch outfalls and at the proposed bridge There are
42 4 square feet of permanent impacts in surface water due to proposed bridge interior bents
There are 0 02 acres of temporary impacts in surface waters associated with causeways
required for construction of the new structure
Comments from the North Carolina Wildlife Resources Commission ( NCWRC)
will be required prior to authorization by the Corps of Engineers By copy of this
letter and attachments, NCDOT hereby requests NCWRC review NCDOT requests
that NCWRC forward their comments to the Corps of Engineers and the NCDOT
within 30 calendar days of receipt of this application
Please see enclosed copies of the Pre - Construction Notification (PCN) Form, Stormwater
Management Plan, Permit drawings and Design plans The Categorical Exclusion (CE) was
completed on October 31 2011 Documents were distributed shortly thereafter Additional
copies are available upon request
MAILING ADDRESS TELEPHONE [phone] LOCATION
NC DEPARTMENT OF TRANSPORTATION FAX [phone] BIRCH RIDGE DRIVE
PROJECT DEVELOPMENT AND ENVIRONMENTAL ANALYSIS RALEIGH NC 276104328
1598 MAIL SERVICE CENTER WEBSITE WWW NCDOT ORG
RALEIGH NC 27699 1598

M
This project calls for a letting date of November 20, 2012 and a review date of October 2,
2012, however the let date may advance as additional funding becomes available
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 html If you have any
questions or need additional information, please call Jennifer Harrod at (919) 707 -6124
IIYV-lk
kw Gregory J Thorpe, Ph D Manager
Project Development and Environmental Analysis Unit
Cc NCDOT Permit Application Standard Distribution List
File
2

O�0F W A rF9Q�
1 I _
o �
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
1 a
Type(s) of approval sought from the
Corps
FM Section 404 Permit ❑Section 10 Permit
1 b Specify Nationwide Permit (NWP) number or General Permit (GP) number 198200031
1c Has the N WP or GP number been verified by the Corpse
❑ 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
1 e
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
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 95 over the South Fork Catawba River on SR 2019 (Rocky
Ford Road)
2b
County
Catawba
2c Nearest municipality / town
Startown
2d
Subdivision name
not applicable
2e
NCDOT only T I P or state
project no
B 4458
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 Mad Service Center
3e
City state zip
Raleigh NC 27699 1598
3f
Telephone no
[phone]
3g
Fax no
[phone]
3h
Email address
jwharrod @ncdot gov

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
la Property identification no (tax PIN or parcel ID)
not applicable
1 b Site coordinates (in decimal degrees)
Latitude 35 613309 Longitude 81 289333
(DD DDDDDD) ( DD DDDDDD)
1 c Property size
3 5 acres
2 Surface Waters
2a Name of nearest body of water (stream river etc) to
proposed project
South Fork Catawba River
2b Water Quality Classification of nearest receiving water
WS V
2c River ba sin
Catawba
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
Rural residential and agricultural land
3b List the total estimated acreage of all existing wetlands on the property
0
3c List the total estimated linear feet of all existing streams (intermittent and perennial) on the property
233 ft
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 76 foot double span bridge with a 200 foot triple span bridge to the south on new
location Traffic will be maintained on the existing bridge during construction 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 /
project (including all prior phases) in the past?
Comments
❑ Yes ® No ❑ Unknown
4b If the Corps made the jurisdictional determination what type
of determination was made*7
❑ preliminary ❑ Final
4c If yes who delineated the jurisdictional areas?
Name (if known)
Agency /Consultant Company
Other
4d If yes list the dates of the Corps jurisdictional determinations or State determinations and attach documentation
5 Project History
5a Have permits or certifications been requested or obtained for
this project (including all pnor phases) in the past?
❑ Yes ® No ❑ Unknown
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

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 impact
Type of wetland
Forested
(Corps 404 10
Area of impact
Permanent (P) or
(if known)
DWQ — non 404 other)
(acres)
Temporary
Site 1 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
Site 2 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
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
X Permanent
X Temporary
2h Comments
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)
Site 1 ® P El
Rip Rap
Bank
South Fork
® PER
® Corps
50
114 ft
Stabilization
Catawba River
[:1 INT
El DWQ
Site 1 ❑ PUT
Fil
South Fork
® PER
® Corps
50
0 02 ac
(work pad)
Catawba River
❑ INT
❑ DWQ
Site 1 ®P ❑ T
Fill
South Fork
® PER
® Corps
50
<0 01 ac
(mtenor bents)
Catawba River
❑INT
❑DWQ
Site 2 ® P El
Rip Rap Bank
UT to South Fork
® PER
® Corps
4
18 ft
Stabilization
Catawba River
❑ INT
❑ DWQ
3h Total stream and tributary impacts
132 Perm
0 02 Temp
31 Comments

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 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 ❑ PEI 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)
Flooded
Filled
Excavat
Flooded
Filled
Excavated
Flooded
number
purpose of pond
ed
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 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)
Temporary
required'?
B1 ❑P ❑T
El Yes
❑ No
B2 ❑P ❑T
El Yes
❑ No
B3 ❑P ❑T
El Yes
❑ No
6h Total buffer impacts
61 Comments

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 a triple span structure that is 124 feet longer than the existing bridge traffic will be maintained on
the existing bridge during construction 3 1 fill slopes where practicable the placement of the new bridge minimizes
impacts to the UT South Fork Catawba River
1b Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques
A temporary causeway will be utilized to construct the new structure surficial bridge runoff will not be directed into the
South Fork Catawba River or the UT via deck drains stormwater will be managed via roadside ditches Design Standards
in Sensitive Watersheds will be adhered to
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 permanent impacts are due to the use of rip
rap for bank stabilization and is not considered a loss of
waters of the U S by the USACE
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 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
Fa 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

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
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 El 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

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)?
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 26 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
IM

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?
Only one Endangered and Threatened species is listed for Catawba County the Dwarf flowered heartleaf A survey was
conducted by NCDOT biologists on May 1 2007 utilizing 2 person hours finding no suitable habitat due to a semi dense
understory and lack of slopes rendering a biological conclusion of No Effect A search of the NHP database yielded no
occurrences of Dwarf flowered heartleaf within 1 mile of the project study area
6 Essential Fish Habitat (Corps Requirement)
6a WIII this project occur in or near an area designated as essential fish habitats
❑ 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?
F19 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 Q ` Z
Dr Gregory J Thorpe, PhD
Applicant/Agent s Printed Name
Date
App ica Agent s Signature
(Agents signature is valid only if an authorization letter from the applicant
is provided
11

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NORTH CAROLINA DEPARTMENT OF
TRANSPORTATION
DIVISION OF HIGHWAYS
PROJECT DEVELOPMENT &
ENVIRONMENTAL A14ALYSIS BRANCH
CATAW BA COUNTY
REPLACE BRIDGE NO 95 ON SR 2019
OVER SOUTH FORK CATAWBA RIVER
B 4458
Figure 1
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SITES ENLARGEMENT
®DENOTES IMPACTS IN
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IMPACTS IN SURFACE WATER
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GRAPHIC SCALE
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PROPERTY OWNERS
NAMES AND ADDRESSES
PARCEL NO NAMES
ADDRESSES
1 Rogers Broudus Earl & Linda D 3523 Rocky Ford Rd Newton NC 28658 -8854 I
2 Neill Properties, LLC PO Box 3916 Hickory nc 28603 -3916
NCDOT
DIVISION OF HIGHWAYS
CATAWBA COUNTY
PROJECT 3837511 (B -4458)
BRIDGE 95 OVER THE
SOUTH FORK CATAWBA RIVER
ON ROCKY FORD RD (SR 2019)
SHEET 9 OF 10 02/08/12
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