20120445 Ver 1_Application_20120504

STATE OF NORTH CAROLINA
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DEPARTN ffiNT OF TRANSPORTATION
BEVERLY EAVES PERDUE
GOVERNOR
April 26, 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 Division 5 Coordinator
120c.�5
l�^
EUGENE A CONTI JR
SECRETARY
SUBJECT Application for Section 404 Nationwide Permit No 33, Section 401 Water
Quality Certification, and Tar — Pamlico Riparian Buffer Authorization for
the replacement of Bridge No 124 over Reedy Pond Creek on SR 1510 (Mat
Nelson Road), Warren County, North Carolina Federal Aid Project No
BRZ —1510 (3), TIP No B 4835
Debit $240 00 from WBS Element No 38605 1 1
The North Carolina Department of Transportation ( NCDOT) proposes to replace Bridge No 124
over Reedy Pond Creek on SR 1510 (Mat Nelson Road) in Warren County The project consists
of replacing the existing one -span, 41 -foot long bridge with a two -span, 100 -foot long bridge
along the existing alignment The project will result in 0 01 acres of temporary jurisdictional
stream impacts to Reedy Pond Creek due to the placement of a temporary rock causeway The
causeway will be utilized for both existing bridge removal and new bridge construction An
additional 212 square feet of permanent stream impacts to Reedy Pond Creek will occur due to
the placement of piers in the creek
Please find enclosed the Pre - Construction Notification (PCN) form, Stormwater Management
Plan, Preliminary Jurisdictional Determination Form, permit drawings, buffer drawings, and
roadway design plans for the above - referenced project A Programmatic Categorical Exclusion
(PCE) was completed for this project in May 2011 and distributed shortly thereafter Additional
copies are available upon request
The proposed let date for this project is February 19, 2013, with a let review date of January 1,
2013 However, the let date may advance as additional funds become available
MAILING ADDRESS
PHYSICAL ADDRESS
NC DEPARTMENT OF TRANSPORTATION TELEPHONE [phone]
Century Center Building B
PROJECT DEVELOPMENTAND ENVIRONMENTAL ANALYSIS
1020 Birch Ridge Dr
NATURAL ENVIRONMENT SECTION FAX [phone]
Raleigh NC27610 -4328
1598 MAIL SERVICE CENTER
RALEIGH NC 27699 1599 IYEBS1TE 1PJYIYNCD0T 0RC

IL V
A copy of this permit application will be posted on the NCDOT Website at
http / /www ncdot org/ do�h/preconstruct/.pe /neu/permrt html
Thank you for your assistance with this project If you have any questions or need additional
information, please contact Jim Mason at eitherjsmason @ncdot gov or (919) 707 -6136
Sincerely,
Gregory J Thorpe, Ph D , Manager
Project Development and Environmental Analysis Unit
cc NCDOT Permit Application Standard Distribution List
B 4835 Permit Application Cover Letter
2

\o�OF W AT 69QG
r
O `f
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
lb Specify Nationwide Permit (NWP) number 33 or General Permit (GP) number
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)
N 401 Water Quality Certification — Regular ❑ Non 404 Jurisdictional General Permit
❑ 401 Water Quality Certification -- Express N Riparian Buffer Authorization
1 e
Is this nobftcation solely for the record
because written approval is not required?
For the record only for DWQ 401
Certification
❑ Yes N No
For the record only for Corps Permit
❑ Yes N No
1 f
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 protect 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 124 over Reedy Pond Creek on SR 1510 (Mat Nelson Rd)
2b
County
Warren
2c
Nearest municipality! town
Grove Hill
2d
Subdivision name
not applicable
2e
NCDOT only T I P or state
project no
B 4835
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 Mail Service Center
3e
City state zip
Raleigh NC 27699 -1598
3f
Telephone no
[phone]
3g
Fax no
(919) 212 -5785
3h
Email address
jsmason @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 36 3566 Longitude 78 0030
(DD DDDDDD) ( DD DDDDDD)
1 c Property size
0 64 acres
2 Surface Waters
2a Name of nearest body of water (stream river etc ) to
Reedy Pond Creek
proposed project
2b Water Quality Classification of nearest receiving water
C 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
SR 1510 is designated as a Rural Local Route Land use within the vicinity includes Forested Land Silviculture and
Agriculture
3b List the total estimated acreage of all existing wetlands on the property
0 acres
3c List the total estimated linear feet of all existing streams (intermittent and perennial) on the property
70 linear feet
3d Explain the purpose of the proposed project
To replace a structurally deficient and functionally obsolete bridge
3e Describe the overall project in detail including the type of equipment to be used
The project involves replacing a 1 span 41 foot bridge with a 2 span 100 foot Cored Slab bridge on the existing
alignment An off site detour will be utilized 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 pnor phases) in the past?
®Yes El No ❑Unknown
Comments Site visit with USACE occurred in 2008 A
Preliminary JD Packet was provided to USACE on 03/20/12
No changes were made post 2008 site visit JD Pending
4b If the Corps made the jurisdictional determination what type
® Preliminary ❑ Final
of determination was made?
4c If yes who delineated the junsdictional areas?
Agency /Consultant Company
Name (if known) Principal investigator James Pfiaum
Other
4d If yes list the dates of the Corps jurisdictional determinations or State determinations and attach documentation
Preliminary Jurisdictional Determination Form included
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 protects ❑ Yes ® No
6b If yes explain
I

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 T
Site 1 ❑ P ❑ T
❑ Yes
❑ No
❑ Corps
❑ DWQ
Site 2 ❑ P ❑ T
❑ Yes
❑ No
❑ Corps
❑ DWQ
Site 3 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
Site 4 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
Site 5 ❑ P ❑ T
❑ Yes
❑ No
❑ Corps
❑ DWQ
Site 6 ❑ P ❑ T
❑ Yes
❑ No
❑ Corps
❑ DWQ
2g Total wetland impacts
0 Permanent
0 Temporary
2h Comments No wetland impacts are associated with this project
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 ®T
Temp Rock
Causeway
Reedy Pond
Creek
® PER
❑INT
® Corps
E] DWQ
40
0 01 ac
Site 2 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
Site 3 ❑ P ❑ T
❑ PER
❑ Corps
PINT
❑DWQ
Site 4 ❑ P ❑ T
❑ PER
❑ Corps
[]INT
❑ DWQ
Site 5 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
Site 6 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
3h Total stream and tributary impacts
0 Perm
0 01 ac Temp
31 Comments An additional 21 2 sq ft of permanent stream impacts to Reedy Pond Creek will occur due to the placement of
piers in the creek

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 indiv 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 T
01 ❑P ❑T
02 ❑P ❑T
03 ❑P ❑T
04 ❑P ❑T
4f Total open water impacts
0 Permanent
0 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
Felled
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)
51 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 mite anon then you MUST
fill out Section D of this form
6a
❑ Neuse
®Tar Pamlico
El 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 T
required'?
B1 ®P ❑ T
Road Crossing
Reedy Pond
El Yes
232
232
(12 +65/13 +15)
Creek
® No
B2 ®P ❑ T
Bridge
Reedy Pond
❑ Yes
986
63
(13 +15114 +15)
Creek
® No
B3 ®P ❑ T
Road Crossing
Reedy Pond
❑ Yes
27
314
(14 +15/14 +45)
Creek
® No
6h Total buffer Impacts
1245
609
61 Comments

D
Impact Justification and Mitigation
1
Avoidance and Minimization
1a
Specifically describe measures taken to avoid or mintmize the proposed impacts In designing project.
The proposed bridge is 59 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 a preformed scour hole will be installed outside of the
riparian buffer in the southwest quadrant ( at L- STA 12 +50 LT) to capture bridge deck drainage grassed shoulders and
slopes will be employed to allow roadway runoff to sheetflow prior to entering the stream
1 b
Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques
NCDOT Best Management Practices for Bridge Demolition and Removal will be implemented during the removal of the
existing bridge Best Management Practices for the Protection of Surface Waters will be employed Design Standards in
Sensitive Watersheds will be employed
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 Jurisdictional stream impacts are Temporary
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 Permcttee 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
0
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 All buffer impacts are Allowable

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?
1 b
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
descnpbon 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
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
❑ 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 N/A
5b
Have all of the 401 Unit submittal requirements been met?
❑ Yes ❑ No N/A
10

F Supplementary Information
1 Environmental Documentation (DWQ Requirement)
la Does the protect involve an expenditure of public (federallstate /focal) funds or the
® Yes ❑ No
use of public (federal /state) land?
1 b if you answered yes to the above does the protect 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
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 ❑ 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?
NO Natural Heritage Program data USFWS website NCDOT 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
0
S
4 -Up lZ'
Dr Gregory J Thorpe, PhD
C , ;f
Date
Applicant/Agents Printed Name
A plica Agents Signature
(Agents signature is valid only if an authorization letter from the applicant
is provided
12

STORMWATER MANAGEMENT PLAN
B -4835 WBS No 38605 1 1
WARREN COUNTY
Hydraulics Project Manager Stephen R Morgan, PE
Date 3/27/2012
ROADWAY DESCRIPTION
The project involves the replacement of bridge number 124 over Reedy Pond Creek on
SR 1510 in Warren County The overall length of the project is 0 740 mile The project
will replace an existing 41 foot length bridge with a new 100 foot length, 24" Cored Slab
An off site detour will be required
ENVIRONMENTAL DESCRIPTION
The project is located in the Tar Pamlico River Basin The proposed bridge is over Reedy
Pond Creek which is classified as C NSW
Approximately 212 square feet of existing stream will be temporary impacted
Approximately 0 01 acre of existing stream will be temporary impacted
Approximately 1854 square feet of buffer zones will be allowable impacted
BEST MANAGEMENT PRACTICES AND MAJOR STRUCTURES
Best Management Practices (BMPs) and measures used on the project are an attempt to
reduce the stormwater impacts to the receiving stream due to erosion and runoff BMPs
used on the job aie primarily non structural and consist of methods to attenuate and
disperse stormwater before entering the receiving waters Bridge deck drainage will not
be allowed to directly discharge into the water, but instead is routed to a performed scour
hole (PSH) outside of Buffer Zone 2 Roadway runoff is allowed to sheetflow across
glassed shoulders and slopes before entering the stream
PREFORMED SCOUR HOLE
-L- STA 12 +50 LT
BRIDGE
-L- STA 13 +65 00 Replace existing bridge over Reedy Pond Creek This includes a
temporary rock causeway

ATTACHMENT
PRELIMINARY JURISDICTIONAL DETERMINATION FORM
BACKGROUND INFORMATION
A REPORT COMPLETION DATE FOR PRELIMINARY JURISDICTIONAL
DETERMINATION (JD)
B NAME AND ADDRESS OF PERSON REQUESTING PRELIMINARY JD
James Mason, N C Department of Transportation, 1598 Mail Service Center,
Raleigh, NC 27699 -1598
C DISTRICT OFFICE, FILE NAME, AND NUMBER
(NCDOT /B- 4835/B ridge No 124 over Reedy Pond Creek on SR 1510 (Matt
Nelson Rd)/Warren County
D PROJECT LOCATION(S) AND BACKGROUND INFORMATION
Replacement of Bridge No 124 over Reedy Pond Creek on SR 1510 (Matt
Nelson Rd)
(USE THE ATTACHED TABLE TO DOCUMENT MULTIPLE WATERBODIES
AT DIFFERENT SITES)
State NC County /parish /borough Warren City near Grove Hill
Center coordinates of site (lattlong in degree decimal format)
Lat 36 356642° N, Long -78 0030070 W
Universal Transverse Mercator
Name of nearest waterbody Reedy Pond Creek
Identify (estimate) amount of waters in the review area
Non - wetland waters linear feet 460 (Reedy Pond Cr), width (ft) and/or
acres 30 -40 (Reedy Pond Cr)
Cowardin Class Rivenne
Stream Flow Perennial (Reedy Pond Cr)
Wetlands 0 6 acres
Cowardin Class Scrub shrub
Name of any water bodies on the site that have been identified as Section 10
waters
Tidal
Non -Tidal

E REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALL THAT
APPLY)
❑ Office (Desk) Determination Date
❑ Field Determination Date(s)
1 The Corps of Engineers believes that there may be jurisdictional waters of the United
States on the subject site and the permit applicant or other affected parry who
requested this preliminary JD is hereby advised of his or her option to request and obtain
an approved jurisdictional determination (JD) for that site Nevertheless, the permit
applicant or other person who requested this preliminary JD has declined to exercise the
option to obtain an approved JD in this instance and at this time
2 In any circumstance where a permit applicant obtains an individual permit, or a
Nationwide General Permit (NWP) or other general permit verification requiring "pre
construction notification' (PCN), or requests verification for a non reporting NWP or
other general permit, and the permit applicant has not requested an approved JD for the
activity, the permit applicant is hereby made aware of the following (1) the permit
applicant has elected to seek a permit authorization based on a preliminary JD which
does not make an official determination of jurisdictional waters (2) that the applicant has
the option to request an approved JD before accepting the terms and conditions of the
permit authorization, and that basing a permit authorization on an approved JD could
possibly result in less compensatory mitigation being required or different special
conditions (3) that the applicant has the right to request an individual permit rather than
accepting the terms and conditions of the NWP or other general permit authorization (4)
that the applicant can accept a permit authorization and thereby agree to comply with all
the terms and conditions of that permit, including whatever mitigation requirements the
Corps has determined to be necessary (5) that undertaking any activity in reliance upon
the subject permit authorization without requesting an approved JD constitutes the
applicant's acceptance of the use of the preliminary JD, but that either form of JD will be
processed as soon as is practicable (6) accepting a permit authorization (e g , signing a
proffered individual permit) or undertaking any activity in reliance on any form of Corps
permit authorization based on a preliminary JD constitutes agreement that all wetlands
and other water bodies on the site affected in any way by that activity are jurisdictional
waters of the United States, and precludes any challenge to such jurisdiction in any
administrative or judicial compliance or enforcement action, or in any administrative
appeal or in any Federal court, and (7) whether the applicant elects to use either an
approved JD or a preliminary JD, that JD will be processed as soon as is practicable
Further, an approved JD a proffered individual permit (and all terms and conditions
contained therein), or individual permit dental can be administratively appealed pursuant
to 33 C F R Part 331, and that in any administrative appeal, jurisdictional issues can be
raised (see 33 C F R 331 5(a)(2)) If, during that administrative appeal it becomes
necessary to make an official determination whether CWA jurisdiction exists over a site,
or to provide an official delineation of jurisdictional waters on the site, the Corps will
provide an approved JD to accomplish that result, as soon as is practicable
This preliminary JD finds that there may be' waters of the United States on the subject
project site, and identifies all aquatic features on the site that could be affected by the
proposed activity, based on the following information
2

SUPPORTING DATA Data reviewed for preliminary JD (check all that apply
- checked items should be Included in case file and, where checked and
requested, appropriately reference sources below)
® Maps, plans, plots or plat submitted by or on behalf of the
applicant/consultant
® Data sheets prepared/submitted by or on behalf of the
applicant/consultant
❑ Office concurs with data sheets /delineation report
❑ Office does not concur with data sheets /delineation report
❑ Data sheets prepared by the Corps
❑ Corps navigable waters' study
❑ U S Geological Survey Hydrologic Atlas
❑ USGS NHD data
❑ USGS 8 and 12 digit HUC maps
❑ U S Geological Survey map(s) Cite scale & quad name
® USDA Natural Resources Conservation Service Sod Survey Citation
Warren County
❑ National wetlands inventory map(s) Cite name
❑ State /Local wetland inventory map(s)
❑ FEMA/FIRM maps
❑ 100 -year Floodplain Elevation is
of 1929)
(National Geodectic Vertical Datum
❑ Photographs ❑ Aerial (Name & Date)
or ❑ Other (Name & Date)
❑ Previous determination(s) File no and date of response letter
® Other information (please specify) A JD site visit was performed between Eric
Alsmeyer (USACE) and James Pflaum (NCDOT) on 11/5/2008 No written JD was
provided for that visit A Preliminary JD is requested at this time for Reedy Pond
Creek and Wetland WA
IMPORTANT NOTE The information recorded on this form has not necessarily
been verified by the Corps and should not be relied upon for later wrisdictional
determinations
Signature and date of
Regulatory Project Manager
(REQUIRED)
141 /1
I n 7 Z L
,r Signature- and date bf
person requesting preliminary JD
(REQUIRED, unless obtaining
the signature is impracticable)

Estimated
Site
Cowardin
amount of
Class of
number
Latitude
Longitude
Class
aquatic
aquatic
resource in
resource
review area
1-
36 356642
78 003007
Riverine
460 linear ft
Non - section 10
Reedy
— perennial
Pond Cr
2-
36 357319
78 002461
Scrub
0 6 Acres
Non - section 10
Wetland
shrub
— wetland
WA

NORTH CAROLINA
L-4,
i
f
WETLAND % SURFACE WATER
VICINITY
NOT TO SCALE
o Hzath$v
RIn�ti4gd �
NCDOT
DIVISION Or HIGHWAYS
WARREN COUNTY
PROJECT 3860511 (B-4835)
BRIDGE NO 124
OVER REEDY POND CREEK
ON SR 1510 BETWEEN
SR 1509 AND SR 1512
SHEET OF
3/21/12

PARCEL NO
1
F
PROPERTY OWNERS
NAMES AND ADDRESSES
NAMES
The State of
North Carolina
Williams J Richard
ADDRESSES
900 Kinderton Road
Clarksville, VA 23927

CATEGORICAL EXCLUSION ACTION CLASSIFICATION FORM
TIP Project No B -4835
W B S No 3860511
Federal Project No BRZ- 15_3)
A Project Description
The purpose of this project is to replace Warren County Bridge No 124 on
SR 1510 over Reedy Pond Creek Bndge No 124 is 40 5 feet long The
replacement structure will be a bridge approximately 78 feet long providing a
minimum 26 feet clear deck width The bridge will include two 10 -foot lanes and
3 -foot offsets The bridge length is based on preliminary design information and
is set by hydraulic requirements The roadway grade of the new structure will be
the same as the existing structure
The approach roadway will extend approximately 100 feet from the south end of
the new bridge and 150 feet from the north end of the new bridge The
approaches will be widened to include a 20 -foot pavement width providing two
10 foot lanes Three -foot grass shoulders will be provided on each side The
roadway will be designed as a Rural Local Route using Sub - regional tier
guidelines with a 60 mile per hour design speed
Traffic will be detoured off site during construction (see Figure 1)
B Purpose and Need
NCDOT Bridge Management Unit records indicate Bridge No 124 has a
sufficiency rating of 25 7 out of a possible 100 for a new structure
The bridge is considered structurally deficient due to a structural evaluation
appraisal rating of 2 out of 9 according to Federal Highway Administration
q HWA) standards and therefore eligible for FHWA s Highway Bridge Program
The bridge also meets the criteria for functionally obsolete due to a deck
geometry appraisal of 3 out of 9
The superstructure and substructure of Bridge No 124 have timber elements that
are fifty -seven years old Timber components have a typical life expectancy
between 40 to 50 years due to the natural deterioration rate of wood
Rehabilitation of a timber structure is generally practical only when a few
elements are damaged or prematurely deteriorated However, past a certain
degree of deterioration most timber elements become impractical to maintain and
upon eligibility are programmed for replacement Timber components of bridge
No 124 are experiencing an increasing degree of deterioration that can no longer
be addressed by reasonable maintenance activities therefore the bridge is
approaching the end of its useful life

C Proposed Improvements
Circle one or more of the following Type II improvements which apply to the
project
Modernization of a highway by resurfacing restoration, rehabilitation,
reconstruction, adding shoulders, or adding auxiliary lanes (e g, parking,
weaving, turning, climbing)
a Restoring Resurfacing, Rehabilitating and Reconstructing
pavement (3R and 4R improvements)
b Widening roadway and shoulders without adding through lanes
c Modernizing gore treatments
d Constructing lane improvements (merge, auxiliary, and turn lanes)
e Adding shoulder drains
f Replacing and rehabilitating culverts inlets, and drainage pipes
including safety treatments
g Providing driveway pipes
h Performing minor bridge widening (less than one through lane)
i Slide Stabilization
Structural BMP's for water quality improvement
2 Highway safety or traffic operations improvement projects including the
installation of ramp metering control devices and lighting
a Installing ramp metering devices
b Installing lights
c Adding or upgrading guardrail
d Installing safety barriers including Jersey type barriers and pier
protection
e Installing or replacing impact attenuators
f Upgrading medians including adding or upgrading median barriers
g Improving intersections including relocation and/or realignment
h Making minor roadway realignment
i Channelizing traffic
i Performing clear zone safety improvements including removing
hazards and flattening slopes
k Implementing traffic aid systems signals, and motorist aid
1 Installing bridge safety hardware including bridge rail retrofit
3 Bridge rehabilitation, reconstruction, or replacement or the construction of
grade separation to replace existing at -grade railroad crossings
a Rehabilitating reconstructing, or replacing bridge approach slabs
b Rehabilitating or replacing bridge decks
c Rehabilitating bridges including painting (no red lead paint) scour
repair fender systems and minor structural improvements
O Replacing a bridge (structure and/or fill)
4 Transportation corridor fringe parking facilities
2

5 Construction of new truck weigh stations or rest areas
6 Approvals for disposal of excess right -of -way or forlonnt or limited use of
right of -way where the proposed use does not have significant adverse
impacts
7 Approvals for changes in access control
8 Construction of new bus storage and maintenance facilities in areas used
predominantly for industrial or transportation purposes where such
construction is not inconsistent with existing zoning and located on or near
a street with adequate capacity to handle anticipated bus and support
vehicle traffic
9 Rehabilitation or reconstruction of existing rail and bus buildings and
ancillary facilities where only minor amounts of additional land are
required and there is not a substantial increase in the number of users
10 Construction of bus transfer facilities (an open area consisting of
passenger shelters, boarding areas kiosks and related street
improvements) when located in a commercial area or other high activity
center in which there is adequate street capacity for projected bus traffic
11 Construction of rail storage and maintenance facilities in areas used
predominantly for industrial or transportation purposes where such
construction is not inconsistent with existing zoning and where there is no
significant noise impact on the surrounding community
12 Acquisition of land for hardship or protective purposes, advance land
acquisition loans under section 3(b) of the UMT Act Hardship and
protective buying will be permitted only for a particular parcel or a limited
number of parcels These types of land acquisition qualify for a CE only
where the acquisition will not limit the evaluation of alternatives,
including shifts in alignment for planned construction protects, which may
be required in the NEPA process No project development on such land
may proceed until the NEPA process has been completed
13 Acquisition and construction of wetland, stream and endangered species
mitigation sites
14 Remedial activities involving the removal treatment or monitoring of soil
or groundwater contamination pursuant to state or federal remediation
guidelines

D Special Project Information
The estimated costs, based on 2011 prices are as follows
Structure
201,000
Roadwa Approaches
81000
Detour Structure and Approaches
0-
Structure Removal
15 000
Misc & Mob
68 000
Eng & Contingencies
60 000
Total Construction Cost
425 000
Right-of-way Costs
24 000
Right of - -wa Utility costs
0-
Total Pro ect Cost
449,000
Estimated Traffic
Current -
400 vpd
Year 2035 -
600 vpd
TTST -
1%
Dual -
2%
Accidents Traffic Engineering has evaluated a recent ten year period and found
two accidents occurring in the vicinity of the project
Design Exceptions There are no design exceptions
Pedestrian and Bicycle Accommodations
This portion of SR 1510 is not a part of a designated bicycle route nor is it listed
in the Transportation Improvement Program (TIP) as a bicycle project Neither
permanent nor temporary bicycle or pedestrian accommodations are required for
this project
Bridge Demolition Bridge No 124 is constructed entirely of timber and steel
and should be possible to remove with no resulting debris in the water based on
standard demolition practices
Alternatives Discussion
No Build — The no build alternative would result in eventually closing the
road which is unacceptable given the volume of traffic served by SR 1510
Rehabilitation -- The bridge was constructed in 1954 and the timber
materials within the bridge are reaching the end of their useful life
Rehabilitation would require replacing the timber components which
would constitute effectively replacing the bridge
Mite Detour — Bridge No 124 will be replaced on the existing
alignment Traffic will be detoured offsite (see Figure 1) during the
4

construction period NCDOT Guidelines for Evaluation of Offsrte Detours
for Bridge Replacement Projects considers multiple project variables
beginning with the additional time traveled by the average road user
resulting from the offsrte detour The offsite detour for this project would
include SR 1511 and SR 1509 The majority of traffic on the road is
through traffic The detour for the average road user would result in less
than 5 minutes of additional travel time (2 2 miles additional travel) Up to
a 4 -month duration of construction is expected on this project
Based on the Guidelines, the criteria above indicate that on the basis of
delay alone the detour is acceptable Warren County Emergency Services
along with Warren County Schools Transportation have also indicated that
the detour is acceptable NCDOT Division 5 has indicated the condition of
all roads, bridges and intersections on the offsite detour are acceptable
without improvement and concurs with the use of the detour
Onsrte Detour — An onsite detour was not evaluated due to the presence
of an acceptable offsite detour
Staged Construction — Staged construction was not considered because
of the availability of an acceptable offsite detour In addition, the existing
bridge width cannot be reduced due to the steel girder /steel stringer /steel
floor beam system
New Alignment— Given that the alignment for SR 1510 is acceptable a
new alignment was not considered as an alternative
Other Agency Comments
The N C Wildlife Resource Commission recommended replacing the bridge with
a bridge
Response The bridge will be replaced with a bridge
The Environmental Protection Agency, the N C Division of Water Quality NC
Department of Agricultural Services and the Army Corps of Engineers, had no
special concerns for tlus project
Public Involvement
A letter was sent by the Location & Surveys Unit to all property owners affected
directly by tlus project Property owners were invited to comment No comments
have been received to date

E Threshold Criteria
The following evaluation of threshold criteria must be completed for Type H
actions
ECOLOGICAL
YES
(1) Will the project have a substantial impact on any
❑
unique or important natural resource?
(2) Does the project involve habitat where federally
one -tenth (1/10) of an acre and have all practicable measures
listed endangered or threatened species may occur?
(3) Will the project affect anadromous fish?
x
(4)
If the project involves wetlands is the amount of
permanent and/or temporary wetland taking less than
one -tenth (1/10) of an acre and have all practicable measures
to avoid and minimize wetland takings been evaluated?
x
(5)
Will the project require the use of S Forest Service lands?
❑
(6)
Will the quality of adjacent water resources be adversely
❑
impacted by proposed construction activities?
(7)
Does the project involve waters classified as Outstanding
Resources Waters (ORW) and/or II'igh Quality Waters (HQW)?
(8)
Will the project require fill in waters of the United States
in any of the designated mountain trout counties?
(9)
Does the project involve any known underground storage
tanks (UST's) or hazardous materials sites?
❑
PERMITS AND COORDINATION YES
(10) If the project is located within a CAMA county, will the
project significantly affect the coastal zone and/or any ❑
"Area of Environmental Concern" (AEC)?
(11) Does the project involve Coastal Barrier Resources Act ❑
resources?
(12) Will a U S Coast Guard permit be required? ❑
(13) Could the project result in the modification of any existing o
regulatory floodway? x
3
NO
X
X
X
X
X
X
X
X
NO
X
X
X

k
(14) Will the project require any stream relocations or channel
changes? X
SOCIAL, ECONOMIC. AND CULTURAL RESOURCES
YES NO
(15)
Will the project induce substantial impacts to planned
growth or land use for the area?
x
(16)
Will the project require the relocation of any family or
business?
X
(17)
Will the project have a disproportionately high and adverse
human health and environmental effect on any minority or
low- income population?
X
(18)
If the project involves the acquisition of right of way, is the
❑
amount of right of way acquisition considered minor?
x
(19)
Will the project involve any changes in access control?
❑
X
(20)
Will the project substantially alter the usefulness
and/or land use of adjacent property?
X
(21)
Will the project have an adverse effect on permanent
local traffic patterns or community cohesiveness?
x
(22)
Is the project included in an approved thoroughfare plan
and/or Transportation Improvement Program (and is
therefore in conformance with the Clean Air Act of 1990)?
x
(23)
Is the project anticipated to cause an increase in traffic
volumes?
X
(24)
Will traffic be maintained during construction using existing
❑
roads staged construction, or on-site detours?
x
(25)
If the project is a bridge replacement project will the bridge
be replaced at its existing location (along the existing facility)
and will all construction proposed in association with the
bridge replacement project be contained on the existing facility?
x
(26)
Is there substantial controversy on social economic or
environmental grounds concerning the project?
x
(27) Is the project consistent with all Federal, State, and local laws ❑
relating to the environmental aspects of the project? x
(28) Will the project have an "effect" on structures /properties
eligible for or listed on the National Register of I istonc Places? x
7

(29) Will the project affect any archaeological remains which are
important to history or pre- history9 x
(30) Will the project require the use of Section 4(f) resources
(public parks recreation lands, wildlife and waterfowl refuges
historic sites, or historic bridges, as defined in Section 4(f)
of the U S Department of Transportation Act of 1966)? x
(31) Will the project result in any conversion of assisted public
recreation sites or facilities to non - recreation uses as defined
by Section 6(f) of the Land and Water Conservation Act ❑
of 1965, as amended?
(32) Will the project involve construction in, across, or adjacent
to a river designated as a component of or proposed for ❑
inclusion in the National System of Wild and Scenic Rivers?
F Additional Documentation Required for Unfavorable Responses in Part E
Response to Question 13 Warren County is a participant in the National Flood
Insurance Program, administered by the Federal Emergency Management Agency
(FEMA) Based on the most current information available from the NC
Floodplain Mapping Program (FMP), this stream crossing is in a designated flood
hazard zone which is within a limited detailed flood study reach The Hydraulics
Unit will coordinate with the FMP to determine the status of the project with
regard to applicability of NCDOT S Memorandum of Agreement with FMP, or
approval of a Conditional Letter of Map Revision (CLOMR) and subsequent final
Letter of Map Revision (LOUR) This project involves construction activities on
or adjacent to a FEMA regulated stream Therefore, the Division shall submit
sealed as -built construction plans to the Hydraulics Unit upon completion of
project construction, certifying that the drainage structures and roadway
embankment that are located within the 100 -year floodplain were built as shown
in the construction plans both horizontally and vertically

G CE 4noroN al
TIP Project No B -4835
W B S No 3860511
Federal Project No BRZ-1510(3)
Project Description
The purpose of this project is to replace Warren County Bridge No 124 on
SR 1510 over Reedy Pond Creek Bndge No 124 is 40 5 feet long The
replacement structure will be a bridge approximately 78 feet long providing a
minimum 26 feet clear deck width The bridge will include two 10 foot lanes and
Moot offsets The bridge length is based on preliminary design information and
is set by hydraulic requirements The roadway grade of the new structure will be
the same as the existing structure
The approach roadway will extend approximately 100 feet from the south end of
the new bridge and 150 feet from the north end of the new bridge The
approaches will be widened to include a 20 -foot pavement width providing two
10 -foot lanes Three -foot grass shoulders will be provided on each side The
roadway will be designed as a Rural Local Route using Sub regional tier
guidelines with a 60 mile per hour design speed
Traffic will be detoured off -site during construction (see Figure 1)
Cateeoncal Exclusion Action Classification
TYPE II(A)
X TYPE II(B)
Approved
Mot
Date ri ge Project evelopment Engineer
Project Development & Environmental Analysis Branch
5 5 +i
Date
Date
Proj�neer
Project Development & Environmental Analysis Branch
Project Planning Engineer
Project Development & Environmental Analysis Branch
For Type II(B) projects only
4tate John F Sulliv n, III PE Division,
Federal Highway Administration
strator

PROJECT COAOHTMENTS
Warren County
Bridge No 124 on SR 1510
Over Reedy Pond Creek
Federal Aid Protect No BRZ- 1510(3)
W B S No 3860511
T LP No B -4835
Division Five Construction
In order to have tune to adequately reroute school busses, Warren County Schools will be
contacted at (252) 257 -3184 at least one month prior to road closure
Warren County Emergency Services will be contacted at (252) 257 -2666 at least one
month prior to road closure to make the necessary temporary reassignments to primary
response units
This project involves construction activities on or adjacent to FEMA- regulated stream(s)
Therefore, the Division shall submit sealed as -built construction plans to the Hydraulics
Unit upon completion of project construction, certifying that the drainage structure(s) and
roadway embankment that are located within the 100 -year floodplain were built as shown
in the construction plans, both horizontally and vertically
Hydraulics Unit
The Hydraulics Unit will coordinate with the NC Floodplain Mapping Program (FMP), to
determine status of project with regard to applicability of NCDOT'S Memorandum of
Agreement, or approval of a Conditional Letter of Map Revision (CLOMR) and
subsequent final Letter of Map Revision (LOMR)
Categorical Exclusion Page 1 of 1
Green Sheet
May 2011

STUDIED DETOUR ROUTE o� r
�r
a
Nomu CAROLINA DEPARTMWT OF
TRANSPORTAMON
DIVISION OF HioHwAYS
PROJECT DEVELOPMENT &
ENVIRONMENTAL ANALYSIS BRANCH
aTit
WARREN COUNTY
REPLACE BRIDGE NO 124 ON SR 1510
OVER REEDY POND CREEK
B-4835
Figure I

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North Carohna Department of Cultural Resources
State Historic Preservation Office
I'mr it landbeek \dnnnt trttar
11L%Lrl% I n1-9I'rnlut. C mLrnor
I And1A UrbsIL %LcrLL%r%
)LffrL% I ( nn► 1) puty Secrcttn
J1nulry 26, 2009
M} ZYIORANDbM
!'O Hank Schwlb, Project Engineer
Project Development, Bridge Unit
NCDOT Division of Highway's
( 1hLL tl Vchn � -in I I It ion
1) t L 1 n t 1 It t tncil 14a um a
17niIAm L Dircu r
PROM Petet S1ndbLck qtc�- p SaA ''"
SUBJECT Bridge 124 on SR 1510 of er Reed) Pond Creek B -4835, W1tre n Count%, 1..R 08 2516
Thank you for sending informntion on the proposed bridge teplaccittcnt
Tlhete are no recorded archaeological sites within the proposed project are-► If the tcpl'1CLML11t 1% to bL located
along the existing alignment, it is unlikely thlt significant lrchacological rLSources would bL 1ffLctc-d Ind no
investigation would be tecommended If, howex er the repllcement is to be ni 1 ne\\ laclnon, plcltic for« 1rd 1
m1p to this office indicating the locltion of the new alignment so we m11 ev- 11u'lte t11L potenpll effects of the.
ieplacement upon lrch ieological iesoui ces
We hai a determined thlt the project 1s proposed will not 111 c in effLct on 1ri,, historic structures
fhe abo-% a comments are mlde pursuant to Section 106 of the Nauonah Historic PICSLte Anon 1ct and the
Adi isory Council on Histouc Picscii - ition's Regulltions for Comp11111ce w111 SLction 106 codifiLd nt 36 CrR
P1rt 800
Thank you for your cooperltion and consider -ition If you h1 ,,'c questions concerning th, -1bo-, L comment
please contict RenLe Gledhill -E ii.1e) LnA ironmentll ie,. iew cool dinitoi, 1t 919/807 6579 In 111 futuie
communication concerning this project, please cite the tbo1 a refetenced tucking number
cc M ttt Wilkcison, NCDO T
Mary Pope Fury, NCDO F
Location lo) r-utJ tnra %irmt tialetg+ NC 27MI Afadutg Addres= 4(17 AIAd ticmct, ( r uLr Halt-iii \( 27f.9)4(1 Tcicphon /Fax () 1)) 8(1 (:) 11 1SAL (a)7

NORTH CAROLINA
3 t
f
BUFFER
VYCgIVd°Il°Y
raysow-
NOT TO SCALE
�.Aa i'
NCDOT
DIVISION OF HIGHWAYS
WARREN COUNTY
PROJECT 3860511 (B-4835)
BRIDGE NO 124
OVER REEDY POND CREEK
ON SR 1510 BETWEEN
SR 1509 AND SR 1512
SHEET l OF --jL 3/21/12

I
PARCEL. NO
1
K
PROPERTY OWNERS
NAMES AND ADDRESSES
NAMES
The State of
North Carolina
ADDRESSES
Williams J Richard 900 Kinderton Road
Clarksville, VA 23927

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