20120576 Ver 1_Application_20120608

Section 10 Permit Application is hereby made for a USACE Section 10 Permit as required for the above
described activities
A copy of this permit application and its distribution list will be posted at the NCDOT Website at
http / /www ncdot org /doh /preconstruct/pe /neu /permit html If you have any questions or need additional
information please contact Tyler Stanton at tstanton @ncdot gov or [phone]
Sincerely
Gregory J Thorpe Ph D Manager
Protect Development and Environmental Analysis Unit
cc NCDOT Permit Application Standard Distribution List

o`'oF�w A�rF9o�
O lqi� ^c
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 ER Section 10 Permit
lb Specify Nationwide Permit (NWP) number 23 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 ❑ 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
N Yes ❑ No
For the record only for Corps Permit
❑ Yes N 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
N Yes
❑ No
1h
Is the project located within a NC DCM Area of Environmental Concern (AEC)?
N Yes
❑ No
2
Project Information
2a
Name of project
Replacement of Bridges No 188 and No 189 on SR 1316 over Cape Fear River
2b
County
Bladen
2c Nearest municipality / town
Tar Heel
2d
Subdivision name
not applicable
2e
NCDOT only T I P or state
project no
B-4712
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) 250 -4224
3h
Email address
tstanton @ncdot gov

14 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 34 7447 Longitude 78 7857
(DD DDDDDD) (DD DDDDDD)
1 c Property size
9 4 acres
2 Surface Waters
2a Name of nearest body of water (stream river etc ) to
Cape Fear River
proposed project
2b Water Quality Classification of nearest receiving water
C
2c River basin
Cape Fear
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 Existing conditions at the site include maintained / disturbed roadside shoulder agriculture and forested
areas Land use in the project vicinity is predominantly agriculture with some residential properties
3b List the total estimated acreage of all existing wetlands on the property 2 78
3c List the total estimated linear feet of all existing streams (intermittent and perennial) on the property 577
3d Explain the purpose of the proposed project To replace a structurally deficient bridge (no 188) and a functionally
obsolete bridge (no 189)
3e Describe the overall project in detail including the type of equipment to be used
The project involves replacing a 1473 foot 24 span bridge (no 188) with a 1570 foot 14 span bridge and a 280 foot 8
span bndge (no 189) with a 300 foot 4 span bridge both on a new alignment while maintaining traffic on the existing
structures during construction Standard road budding equipment such as trucks dozers and cranes will be used
Overhead powerlme utilities will be relocated away from bridges and telephone lines will be adjusted to provide clearance
for the work bridges and equipment required to dismantle the existing bridge
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?
® Yes ❑ No ❑ Unknown
Comments USACE conducted an on site jurisdictional
determination (Action ID SAW 2009 1877)
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 NCDOT
Name (if known) Lance Fontaine & Tyler Stanton
Other
4d If yes list the dates of the Corps junsdictional determinations or State determinations and attach documentation
28 April 2011 and a follow up for utilities on 24 Oct 2011
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

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
Fill
Rivenne
® Yes
❑ No
® Corps
❑ DWQ
029
Site 1 ❑ P ® T
Fill
Rivenne
® Yes
❑ No
® Corps
❑ DWQ
003
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
2g Total wetland impacts
0 00 Permanent
0 32 Temporary
2h Comments There will be 0 53 acre of hand clearing due to bridge construction and 0 60 acre of hand clearing due to utility
relocations
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
❑ PER
❑ Corps
❑ INT
❑ DWQ
Site 2 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
Site 3 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
Site 4 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
3h Total stream and tributary impacts
X Perm
X Temp
31 Comments

4. Open Water Impacts
If Mere 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
Cape Fear River
Fill
River
006
01 ❑ PMT
UT to Cape
Fill
Stream
002
Fear River
02 ❑P ❑T
03 ❑P ❑T
0 00 Permanent
4f Total open water impacts
0 08 Temporary
4g Comments Impacts due to piers are less than 0 01 acre
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)
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 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?
131 ❑ PEI T
El Yes
❑ No
B2 ❑ P ❑ T
❑ Yes
❑ No
B3 ❑ PEI 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 No 188 is 97 feet longer than the existing bridge and the proposed Bridge No 189 is 20 feet longer
than the existing bridge the proposed bridges will be at approximately the same grade as the existing structures there
will be no permanent fill or excavation in jurisdictional areas Deck drains are limited to overbank area under bridge with
no direct discharge into the river Removal of existing road fill for longer bridge and increasing bridge opening will
improve hydrological conveyance and wildlife passage and reduce bridge opening velocities Stream side areas will be
graded such that elevations match natural /undeveloped floodplam in project vicinity Promotion of sheet flow and
infiltration over grassed surfaces
1 b
Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques
Construction will be both top -down and utilize temporary work pads and barges There will be no permanent fill or
excavation in jurisdictional areas An in water work moratorium for the protection of anadroumous fish in the Cape Fear
River 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
❑ Yes ® No
impacts to Waters of the U S or Waters of the State?
If no explain
2b
If yes mitigation is required by (check all that apply)
❑ DWQ ❑ Corps
❑ Mitigation bank
2c
If es which mitigat ion option will be used for this
El 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)
TType
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
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
6g If buffer mitigation is required discuss what type of mitigation is proposed (e g payment to private mitigation bank
permittee responsible npanan 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
1a
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 and stormwater management plan
❑ 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

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?
1 b 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
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
10

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?
NCNHP USFWS website field surveys
6 Essential Fish Habitat (Corps Requirement)
6a Will 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?
® 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
Dr Gregory J Thorpe, PhD
-OW
q z°'y
Applicant/AgentsPririted Name
Applicant/Agents Signature
Date
(Agents signature is valid only rf an authonzation letter from the applicant
is provided
11

STORMWATER MANAGEMENT PLAN
B -4712, State Project 37912 1 1 Date 2/29/12
Bladen County
Hydraulics Project Engineer R C Henegar PE
ROADWAY DESCRIPTION
This project involves replacing Bridge No 188 over Cape Fear River and Overflow
Bridge No 189 in Bladen County The overall length of the project is 1 127 miles The
existing 23 -foot paved road is a two lane road with 12 foot grassed shoulders Bridge
No 188 is a 1472 7 ft twenty four span bridge (2@ 45 3 1Truss Span @ 300 5, 1@
613, 8@ 60, 11@ 45, 1@ 45 3) with a clear roadway width of 26 feet Bridge No 189
is a 280ft eight span bridge (8@ 35) with a clear roadway width of 26 feet The project
will be a two -lane section with 12 foot lanes and 4 foot grassed shoulders The
replacement structure for Bridge No 189 will be a 1570 ft bridge with 14 spans (3@
175' Steel Girders, 11@ 95 54' Prestressed Girder) with a clear roadway width of 32
feet The replacement structure for Bridge No 189 will be a 300 ft bridge with four
spans (4@ 75 ) 45" Prestressed Girder with a clear roadway width of 32 feet
ENVIRONMENTAL DESCRIPTION
This project is located in the Cape Fear River Basin There is one river crossing on this
project, which has a Class `C' classification This river is not on the 303(d) list
Wetlands will be impacted by the proposed project
BEST MANAGEMENT PRACTICES AND MAJOR STRUCTURES
There will be no direct discharge into the stream Sheet flow will be utilized as much as
practicable and discharged onto grassed surfaces

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PROPERTY OWNERS
NAMES AND ADDRESSES
REFERENCE NO NAMES
03 BARBARA T MERRITT AND
HUSBAND DANNY
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DIVISION OF HIGHWAYS
BLADEN COUNTY
PROJECT B-4712
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PROPERTY OWNERS
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NAMES
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BENJAMIN G YOUNG 756 McARTHUR ROAD
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BARBARA T & DANNY 1340 S BLADEN UNION ROAD
MERRITT FAYETTEVILLE, N C 28306
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DIVISION OF HIGHWAYS
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REPLACE BRG'188 AND BRO189 OVER
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12/13/11
B -4712 NEU Narrative
Utility Owners
• Power Four County EMC — (contact Edward Pope 910- 259 -1854)
Telecommunications Palmetto - Net — (contact Scott Temple 919 291 0813)
General Utility Relocation
All utility lines inside the project limits will be adjusted as necessary or relocated away from the
construction limits The aerial power transmission pole line and underground telecommunication
lines will be relocated or adjusted prior to the date of availability
Existing Utilities
• Power the existing Four County EMC aerial power transmission pole line is on the west
side of SR 1316 (Tarheel Ferry Road)
• Telecommunications the existing Telephone Communication lines (fiber optic and
copper cables) are underground on the west side of SR 1316 (Tarheel Ferry Road)
Proposed Utility Relocation
• Power Four County EMC will install a new power transmission pole line further left of
Line —L- 50' inside the PUE line on the west side of SR 1316 (Tarheel Ferry Road) from
Sta 22 +50 to Sta 56 +78
• Telecommunications Palmetto Net will adjust the fiber optic and copper cables left of
Line —L- on the west side of SR 1316 (Tarheel Ferry Road) from Sta 30 +76 to Sta
31 +41