20120590 Ver 1_Application_20120614

STATE OF NORTH CAROLINA qr,, 1 ZO%
DEPARTMENT OF TRANSPORTATION 4',0 ,,)4
BEVERLY EAVES PERDUE Eugene gkoil Jr
GOVERNOR SECRET y
June 6 2012
U S Armv Corps of Engineers
Wilmington Regulatory Field Office
P O Box 1890
Wilmington North Carolina 28402 1890 05 9 0
ATTN Mr Ronnie Smith
NCDOT Coordinator
Dear Sir
Subject Notification for Nationwide Permit 14 (Minor Road Crossing)
NCDENR 401 WQC 3886
Bridge to Culvert Replacement # 450 Robeson County
State Project Number 17BP 6 R 5
The North Carolina Department of Transportation ( NCDOT) has scheduled to remove and
replace Bridge #450 on NC 130 in Robeson County Total project length is 40LF This project
will require the replacement of one (1) wet cross line as shown below
Crossing
Roadway Station
Existing Bridge
Proposed Culvert
Permit Site #1
Sta 12 +22 9
33LF out to out Wood
40 LF (25 2 x7 0 )
Timbers
ACBC w/Headwalls
(20 Ft Tem orary)
iNew Stream Impacts = 40 linear feet
Construction of this project will require impacts to the waters of the United States in the Lumber
River Basin The project is located within the 03040203 Hydrologic Unit sub basin 03 07 -51
Permit Sites #1 is a Perennial Stream channel that is Flowers Swamp C Sw
Bridge #450 is located in South Eastern Robeson County The surrounding area is swamp
Flowers Swamp is within the AE zone floodplam and has BFE s
Permit Site #1 is currently a Wooden Bridge 17feet in length and 33ft wide with a Concrete
deck It was originally built in 1950 and has deteriorated to the point necessitating repair It has
been determined that the proposed Culvert a 40LF (25 2 x7'0 ) Corrugated Aluminum Box
Culvert with Headwalls would provide the same hydrologic function as the existing Bridge The
existing shoulders at this location are between 8 to 11 feet wide The existing Bridge bottlenecks
and creates an unsafe driving obstacle This shift from Bridge to Culvert will also allow for an
P 0 Box 1150 Fayetteville NC 28302 1150 Telephone [phone] Fax [phone]

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STATE OF NORTH CAROLINA
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DEPARTMENT OF TRANSPORTATION ANDST°��nn°q Rry
BEVERLY EAVES PERDUE EUGENE A COJR
GovERNOR
MAY 29 2012
NCDENR Div Water Quality
Mr Brian Wrenn
512 North Salisbury Street
Raleigh, NC 27604
SECRETARY
Ali o
I VU
RE Linear Transportation Project / Bridge #450 / Robeson County
State Project 17BP 6 R 5
USACOE NWP #14 / NCDENR WQC 3886
Dear Mr Wrenn
Enclosed please find five (5) copies of a PCN and related documentation for a Linear
Transportation Project replacing Bridge #450 along NC 130 in Robeson County The project will
be completed in compliance with NCDENR Division of Water Quality General Certification 3886
and USACE Nationwide Permit #14
This project is being submitted under the 401 Automated Payment Procedure The State
Project Number is 17BP 6 R 5 and the permit fee is $240 00
A separate copy of this submission has been forwarded to Mason Herndon of the
Fayetteville Regional Office
If you should have any questions or comments regarding this notification, please feel free to
contact me
Sdncerel ,
G,,,, to is
James Rerko PWS
Division 6 Environmental Officer
P 0 Box 1150 Fayetteville NC 28302 1150 Telephone [phone] Fax [phone]

Temporary Stream impacts will be necessary for dewatering Dewatering the project area will be
completed in accordance with the NCDOT BMP Manual During construction NC 130 will be
detoured onto surrounding roadways
RESOURCE STATUS
In general there will be minor impacts proposed as a result of the replacement of the culvert
along Bridge #450 in Robeson County A Nationwide Permit #14 / NCDENR 401 WQC 3886
is required for the project
Endangered Species Plants and animals with Federal classification of Endangered (E) or
Threatened (T) are protected under provisions of Section 7 and Section 9 of the Endangered
Species Act of 197' ) as amended As of September 22 2010 the U S Fish and Wildlife Service
lists three (3) federally protected species for Robeson County
Federally Protected Species for Robeson County
SCIENTIFIC NAME
COMMON NAME
STATUS
Alligator mississippiensis
American alligator
T (S /A)
Picoides borealis
Red cockaded woodpecker
E
Rhus michauxii
Michaux s sumac
E
E denotes Endangered (a species that is in danger of extinction throughout
all or a significant portion of its range)
T(S /A) Threatened due to similarity of appearance a species that is threatened
Due to similarity of appearance with other rare species and is listed for its
Protection These species are not biologically endangered or threatened and
Are not subject to Section 7 consultation
A biological conclusion of No Effect was reached for all species dt— nmr g the May 25 2012
sur-,eN for protected species Protected species were not identified nor was the general habitat
for each species identified
REGULATORY APPROVALS
Application is hereby made for a Department of the Army Nationwide Permit 14 / NCDENR 401
WQC 3886 as required by the above described activities
The National Register was reviewed in addition to conducting a field view of the project for
significant historic features

The project impacts are minor in nature and should not remove or degrade existing water quality
uses Pipe size proposed are the minimum necessary to create a safe highway while
accommodating the 25 year design storm There is no record within the NCDOT District 1
Office (Robeson County) that the road experiences flood overtopping By utilizing the erosion
control measures downstream water quality standards will be protected All appropriate BMP s
will be utilized during construction
Attached is a Preconstruction Notification Form plan sheets marked county road map quad
location map and photographs
If you should have any questions or need additional information please contact James J Rerko
PWS at [phone]
Sincerely /
I
James Rerko PWS
Division 6 Environmental Officer
ATTACHMENTS
Cc Brian Wrenn Division of Water Quality (copies)
Mason Herndon Division of Water Quality (1 copy)
Greg Burns P E Division Engineer

��__�� �. 4•hfi3 a
0
Office Use Only
Corps action ID no
DWQ project no
Form Version 1 3 Dec 10 2008
Page 1 of 11
PCN Form — Version 1 3 December 10 2008 Version
Pre - Construction Notification PC Form
A Applicant Information
1
Processing
1a
Type(s) of approval sought from the
Corps
®Section 404 Permit El Section 10 Permit
1 b
Specify Nationwide Permit (NWP) number 14 or General Permit (GP) number 3886
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)
® 401 Water Quality Certification — Regular ❑ Non 404 Junsdictional General Permit
❑ 401 Water Quality Certification — Express ❑ Riparian Buffer Authonzabon
le
Is this notfication 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 ® 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
N No
1g
Is the project located in any of NC s twenty coastal counties If yes answer 1 h
below
❑ Yes
N No
1h
is the project located within a NC DCM Area of Environmental Concern (AEC)?
❑ Yes
® No
2
Project Information
2a
Name of project
Budge # 450 Bridge to Culvert
2b
County
Robeson
2c
Nearest municipality / town
Orrum
2d
Subdivision name
NA
2e
NCDOT only T I P or state
oroie t r•o
17BP 6 R 5
3
Owner Information
3a
Name(s) on Recorded Deed
NA
3b
Deed Book and Page No
NA
3c
Responsible Party (for LLC if
applicable)
NA
3d
Street address
NA
3e
City state zip
NA
3f
Telephone no
NA
3g
Fax no
NA
3h
Email address
NA
Page 1 of 11
PCN Form — Version 1 3 December 10 2008 Version

4
Applicant Information (if different from owner)
4a
Applicant is
® Agent ❑ Other specify
4b
Name
Greg Burns P E / NCDOT /Division 6 Engineer
4c
Business name
(if applicable)
NCDOT
4d
Street address
PO BOX 1150
4e
City state zip
Fayetteville NC 28302
4f
Telephone no
[phone]
4g
Fax no
[phone]
4h
Email address
gburns @ncdot gov
5
Agent/Consultant Information (if applicable)
5a
Name
James J Rerko PWS
5b
Business name
(if applicable)
NCDOT/ Division 6 Environmental Officer
F5c
Street address
PO Box 1150
5d
City state zip
Fayetteville NC 28302
5e
Telephone no
[phone] x 26
5f
Fax no
[phone]
5g
Email address
jIrerko @ncdot gov
Page 2 of 11
PCN Form —Version 1 3 December 10 2008 Version

B Project Information and Prior Project History
1 Property Identification
la Property identification no (tax PIN or parcel ID)
NA
Latitude Longitude
lb Site coordinates (in decimal degrees)
PS #1 342736 795942
(DD DDDDDD) ( DD DDDDDD)
1c Property size
0 02 acres
2 Surface Waters
2a Name of nearest body of water (stream river etc) to
Flowers Swamp
proposed project
2b Water Quality Classification of nearest receiving water
C Sw
2c River basin
Lumber
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
Surrounding land is Swamp floodplains of the Lumber River NC 130 connects to NC 74 roughly 0 5mile to the East
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
40 LF
3d Explain the purpose of the proposed project
NCDOT has an over abundance of Bridges in need of replacement throughout the State This Bridge has been reviewed
and it has been determined that it s hydrologic function will remain the same if replaced with an accommodating sized
Culvert This is significantly less expensive than replacement with another Bridge Thus allowing NCDOT to replace
more Bridges for the Safety of the traveling public
3e Describe the overall project in detail including the type of equipment to be used
Impacts will be minimized as much as possible The existing Bridge will be removed The new Culvert will be installed
and all work shall be done utilizing NCDOT best management practices
4 Junsdicbonal Determinations
4a Have junsachonal wetland or stream determmabons by the
Corps or Sta a pa=n --quested or obtained for this property /
El Yes �, Wa El Uri, owr i
project (including all prior phases) in the pasty
Commen s
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 Arcadis
Name (if known) NA
Other NA
4d If yes list the dates of the Corps jurisdictional determinations or State determinations and attach documentation
NA
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
NA
Page 3 of 11
PCN Form — Version 1 3 December 10 2008 Version

6 Future Project Plans
6a Is this a phased project? ❑ Yes ® No
6b If yes explain
NA
Page 4 of 11
PCN Form —Version 1 3 December 10 2008 Version

C Proposed Impacts Inventory
1 Impacts Summary
1a 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
W1 ❑ P ❑ T
NA
❑ Yes
❑ Corps
❑ No
❑ DWQ
W2 El P ❑ T
j
El Yes
E:1 Corps
❑ No
❑ DWQ
W3 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W4 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W5 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W6 ❑ P FIT
❑ Yes
❑ Corps
❑ No
❑ DWQ
22 Total wetland impacts
0 ac
2h Comments NA
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 jurisdiction
Average
Impact
number
(PER) or
(Corps 404 10
stream
length
Permanent (P) o
intermittent
DWQ —non 404
vAdth
(linear
Temporary M I
(INT)?
other)
(feet)
feet)
i
® PER I
RT Com,
40LF
S1 ® P 17;1 T Culvert
Flowers Swamp
i
❑ INT I
❑I DWQ
25fi
(20LF
Temp)
S2 ❑ P ❑ T I
❑ PER
❑ Corps
[:11 NT
❑ DWQ
S3 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S4 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S5 ❑ P ❑ T
❑ PER
❑ Corps
[:11 NT
❑ DWQ
S6 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
3h Total stream and tributary impacts
40 LF
31 Comments 20LF of Temporary Stream impacts resulting from the dewatering process
Page 5of11
PCN Form — Version 1 3 December 10 2008 Version

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 waterbody
impact number —
(if applicable)
Type of impact
Waterbody type
Area of impact (acres)
Permanent (P) or
Temporary T
01 ❑P ❑T
NA
02 ❑P ❑T
03 ❑P ❑T
04 ❑P ❑T
4f Total open water impacts
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 purpose
(acres)
number
of pond
Flooded
Filled
Excavated
Flooded
Filled
Excavated
Flooded
P1
NA
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)
NA
51 Size of pond watershed (acres)
NA
5k Method of construction
NA
6 Buffer Impacts (for DWQ)
It project wui uno= a orotected riparian burrer then compete Lhe chart below If yw ?jam r-di\ndually fist ail bLF1er impacts
below a; y ir~Dac�Ls equrre mitigation then you MUST ill out Sermon D of tnis 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
Buffer
Zone 1 impact
Zone 2 impact
Permanent (P) or
for
Stream name
mitigation
(square feet)
(square feet)
Temporary T
impact
required
B1 ❑ P ❑ T
NA
❑ Yes
❑ No
B2 ❑ P ❑ T
❑ Yes
❑ No
B3 ❑P ❑T
El Yes
❑ No
6h Total buffer impacts
61 Comments NA
Page 6 of 11
PCN Form —Version 1 3 December 10 2008 Version

D Impact Justification and Mitigation
1 Avoidance and Minimization
1a Specifically describe measures taken to avoid or minimize the proposed impacts in designing project
NCDOT proposes to retain the hydrologic function provided by the Bridge and replace it with a Culvert at a fraction of the cost
1 b Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques
NCDOT proposes to increase Safety while also providing adequate water passage All construction BMP s shall be utilized
2 Compensatory Mitigation for Impacts to Waters of the U S or Waters of the State
2a Does the project require Compensatory Mitigation for
impacts to Waters of the U S or Waters of the State'?
❑ Yes ® No
2b If yes mitigation is required by (check all that apply)
❑ DWQ ❑ Corps
2c If yes which mitigation option will be used for this
project?
❑ Mitigation bank
F-1 Payment to in lieu fee program
❑ Permittee Responsible Mitigation
3 Complete if Using a Mitigation Bank
3a Name of Mitigation Bank NA
3b Credits Purchased (attach receipt and letter)
Type
Quantity
3c Comments NA
4 Complete if Making a Payment to In lieu Fee Program
4a Aporovai letter from in lieu fee program is attached
❑ Yes
4b Stream mitigation requested
NA linear feet
4c If using stream mitigation stream temperature
❑ warm ❑ cool ❑cold
4d Buffer mitigation requested (DWQ only)
NA square feet
4e Riparian wetland mitigation requested
NA acres
4f Non noanan wetland mitigation requested
NA acres
4g Coastal (tidal wetland mitigation requested
NA acres
4h Cornmertw NA �
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
NA
Page 7 of 11
PCN Form —Version 1 3 December 10 2008 Version

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
❑ Yes ® No
buffer mitigation?
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
6c
6d
6e
Zone
Reason for impact
Total impact
Multiplier
Required mitigation
(square feet)
(square feet)
Zone 1
NA
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)
NA
6h Comments NA
Page 8 of 11
PCN Form —Version 1 3 December 10 2008 Version

E
Stormwater Management and Diffuse Flow Plan (required by DWQ)
1
Diffuse Flow Plan
1 a
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 no explain why
❑ Yes 0 N
Comments
2
Stormwater Management Plan
2a
What is the overall percent imperviousness of this project?
NA %
2b
Does this project require a Stormwater Management Plan?
❑ Yes ® No
2c
If this project DOES NOT require a Stormwater Management Plan explain why In agreement
with NCDWQ and NCDLR
NCDOT has its own individual NPDES Permit Bndge #450 is not located within a HWQ or ORW
2d
If this Droiect DOES require a Stormwater Management Plan then provide a bnef narrative
description of the 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?
Robeson County
❑ 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?
I
4
DWQ Stormwater Program Review
i
❑ Coastal counties
❑ HQW
4a
Which of the following state implemented stormwater management programs apply
❑ ORW
(check all that apply)
❑ 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
5b
Have all of the 401 Unit submittal requirements been met?
® Yes ❑ No
Page 9 of 11
PCN Form —Version 1 3 December 10 2008 Version

F
Supplementary Information
1
Environmental Documentation (DWQ Requirement)
la
Does the project involve an expenditure of public (federal /state /local) funds or the
® Yes
❑ No
use of public (federal /state) land?
lb
If you answered yes to the above does the project require preparation of an
environmental document pursuant to the requirements of the National or State
❑ Yes
® No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1 c
If you answered yes to the above has the document review been finalized by the
State Clearing House? (If so attach a copy of the NEPA or SEPA final approval
❑ Yes
❑ No
letter )
Comments NA
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 Ripanan Burger 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)
NA
3
Cumulative Impacts (DWQ Requirement)
3a
Will this project (based on past and reasonably anticipated future impacts) result in
❑ Yes
® No
add►bonal development which could impact nearby downstream water quality?
3b
If you answered yes to the above submit a qualitative or quantitative cumulative impact analysis in accordance
with the
most recent DWQ policy If you answered no provide a short narrative description
NA
4
Sewage Disposal (DWQ Requirement)
4a
Clearly oetail the ultimate treatment methods and disposition (non discharge or discharge) of wastewater generated from
die oroDos7 prated or available capacity of the subject facility
f
NA
Page 10 of 11
PCN Form — Version 1 3 December 10 2008 Version

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?
USFWS Endangered Species website Natural Heritage GIS data layer (updated constantly) Preliminary Ground Survey
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?
USFWS website http / /www /fws gov /nc es /fish /fish html
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?
In accordance with Programmatic Agreement an Internal NCDOT State Historic Preservation review was conducted
8 Flood Zone Designation (Corps Requirement)
8a Will this protect occur in a FEMA designated 100 year floodplain? I ® Yes ❑ No
8b It Yes expiau} now protect meets FEMA requirements Bridge is located vvit!n the 1 00y Floodplain na; BFE s (AE zone)
8c What source(s) did you use to make the floodplain determination? NC Floodplain Mapping website (Tile #0205)
Greg Burns P E
�l /
May 31 2012
Applicant/Agent s Printed Name
Date
Applicant/Agents Signature
(Agents signature is valid only if an authorization letter from the applicant
is provided )
Page 11 of 11
PCN Form —Version 1 3 December 10 2008 Version

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