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Home My WebLink About20120590 Ver 1_More Info Received_2012062801 �F W A TF9 ✓�� 2 U Q �� TUIrl�F� vYq�R 202 Office Use Only Corps action ID no DWQ project no Form Version 1 3 Dec 10 2008 11 Page 1 of 11 PCN Form — Version 1 3 December 10 2008 Version 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 1b 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 1d Type(s) of approval sought from the DWQ (check all that apply) ® 401 Water Quality Certification — Regular ❑ Non 404 Jurisdictional General Permit ❑ 401 Water Quality Certification — Express ❑ Riparian Buffer Authorization le Is this notification solely for the record because written approval is not required? For the record only for DWQ 401 Certification ❑ Yes 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 ® No 1g Is the project located in any of NC s twenty coastal counties If yes answer 1 h below ❑ Yes ® No 1h Is the project located within a NC DCM Area of Environmental Concern (AEC)* ❑ Yes ® No 2 Project Information 2a Name of project Bridge # 450 Bridge to Culvert 2b County Robeson 2c Nearest municipality / town Orrum 2d Subdivision name NA 2e NCDOT only T I P or state project no 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 11 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 (910) 486 1493 4g Fax no (910) 486 1959 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 5c Street address PO Box 1150 5d City state zip Fayetteville NC 28302 5e Telephone no (910) 437 0207 x 26 5f Fax no (910) 486 1959 5g Email address Urerko @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 1a Property identification no (tax PIN or parcel ID) NA Latitude Longitude 1 b 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 5mde 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 Jurisdictional Determinations 4a Have jurisdictional wetland or stream determinations by the Corps or State been requested or obtained for this property / El Yes ED No El Unknown project (including all prior phases) in the pasty Comments 4b If the Corps made the jurisdictional determination what type ❑ Preliminary ❑ Final of determination was made? 4c If yes who delineated the jurisdictional areas? Agency /Consultant Company 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 Fill /Culvert PFO ® Yes ❑ No ® Corps ❑ DWQ 0 02 ac W2 ®P ❑ T Culvert PFO ® Yes ❑ No ® Corps ❑ DWQ 0 01 ac W3 ❑ P ® T Dewatering PFO ® Yes ❑ No ❑ Corps ❑ DWQ 0 01 ac W4 ❑ P ❑ T ❑ Yes ❑ Corps ❑ No ❑ DWQ W5 ❑ P ❑ T ❑ Yes ❑ Corps ❑ No ❑ DWQ W6 ❑ P ❑ T ❑ Yes ❑ Corps ❑ No ❑ DWQ 2g Total wetland impacts 0 04 ac 2h Comments 3 Stream Impacts If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site then complete this question for all stream sites impacted 3a 3b 3c 3d 3e 3f 3g Stream impact Type of impact Stream name Perennial Type of jurisdiction Average Impact number (PER) or (Corps 404 10 stream length Permanent (P) or intermittent DWQ — non 404 width (linear Temporary (T) (INT)? other) (feet) feet) S1 ❑ P ❑ T NA ❑ PER ❑ Corps ❑ INT ❑ DWQ S2 ❑ P ❑ T ❑ PER ❑ Corps ❑ INT ❑ DWQ S3 ❑ P ❑ T E:1 PER [:1 Corps ❑ INT ❑ DWQ S4 ❑ P ❑ T ❑ PER ❑ Corps ❑ INT ❑ DWQ S5 ❑ P ❑ T ❑ PER ❑ Corps ❑ INT ❑ DWQ S6 ❑ P ❑ T ❑ PER ❑ Corps ❑ INT ❑ DWQ 3h Total stream and tributary impacts 31 Comments Page 5 of 11 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 the 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 5) Size of pond watershed (acres) NA 5k Method of construction NA 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 Buffer Zone 1 impact Zone 2 impact Permanent (P) or for Stream name mitigation (square feet) (square feet) Temporary T impact required? 61 ❑ 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 projects ❑ Mitigation bank E: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 Approval 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 riparian wetland mitigation requested NA acres 4g Coastal (tidal) wetland mitigation requested NA acres 4h Comments 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 ®No Comments 2 Stormwater Management Plan 2a What is the overall percent imperviousness of this project? NA % 2b Does this project require a Stormwater Management Plans ® 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 This is a redevelopment project The grass lined shoulder will be expanded to increase stormwater treatment ❑ Certified Local Government 2e Who will be responsible for the review of the Stormwater Management Plan9 ❑ 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 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 attached9 4 DWQ Stormwater Program Review ❑ 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 attached9 ❑ 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 mete ® 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)? 1c If you answered yes to the above has the document review been finalized by the State Clearing House? (If so attach a copy of the NEPA or SEPA final approval letter ) ❑ Yes ❑ No 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 Riparian Buffer Rules (15A NCAC 2B 0200)? 2b Is this an after the fact permit applications ❑ 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 additional 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 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 NA Page 10 of 11 PCN Form —Version 1 3 December 10 2008 Version 5 Endangered Species and Designated Critical Habitat (Corps Requirement) 5a WIII 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 WIII 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 WIII 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 WIII this project occur In a FEMA designated 100 year floodplain? ® Yes ❑ No 8b If yes explain how project meets FEMA requirements Bridge is located within the 1 00y Floodplain has 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 June 6 2012 Applicant/Agent s Printed Name Date Applicant/Agent s Signature (Agents signature is valid only if an authorization letter from the applicant is rovided Page 11 of 11 PCN Form — Version 1 3 December 10 2008 Version