20110023 All Versions_Application_20120726

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STATE OF NORTH CAROLINA -
6'
DEPARTMENT OF TRANSPORTATION`)Z%a osr� R 2012
BEVERLY EAVES PERDUE EUGEIVt�TI JR
GOVERNOR SECRE pH
July 25 2012 'K
United States Army Corps of Engineers
Washington Regulatory Field Office
2407 West 5`h St
Washington NC 27899
ATTN Mr Bill Biddlecome
NCDOT Coordinator
l' - UUZ3 v Z
SUBJECT Application for Nationwide Permit 6 for Foundation Load Test
Replacement of Bridge 11 over Oregon Inlet on NC 12 in Dare County
North Carolina TIP Project B 2500 (Phase I) Federal Aid Projects BRNHF 0012 (48)
and BRNHF 0012 (36) WBS Element 32635 14
Dear Sir
The North Carolina Department of Transportation ( NCDOT) is in the process of planning a foundation
load test for the replacement of Bridge No 1 I over Oregon Inlet (TIP Project B 2500 Phase I) in Dare
County North Carolina A completed Pre Construction Notification and associated site drawings are
attached for your review As Oregon Inlet is designated as a 'High Quality Water' and portions of the
work will be occurring on a barrier island notification to the appropriate agencies through a Nationwide
Permit 6 application is required
The contractor and their subcontractors will conduct the foundation load test Additionally the
contractor is required to conduct a static load test involving axial and lateral loading All activities are
temporary and will be removed at the completion of testing One primary test pile and a small number
of non production indicator test piles are planned at the following locations
Primary Test Pile A static load test of a 36 square precast pre stressed concrete pile
involving axial and lateral loading to failure will be performed in Scour Region III (near
proposed Bent 24 in Oregon Inlet) This test would occur prior to commencement of bridge
construction This test pile will be installed in open water The temporary impact including test
pile frame will be limited to the area shown in the attached plan sheet The exact location of the
test pile and frame are to be determined on site based on current site conditions
• Indicator Test Piles A small number of non production non instrumented indicator piles (both
36 square and 54 cylinder) will be installed near the locations of the primary test pile (in
Oregon Inlet) and at the North Approach (near proposed bents 80 81 in uplands) The first
indicator piles would be attempted by driving only (no betting) to the planned tip elevations
Preliminary analyses indicate that installation by driving only will be possible at a very limited
MAILING ADDRESS LOCATION
NC DEPARTMENT OF TRANSPORTATION TELEPHONE [phone] CENTURY CENTER BUILDINGA
PROJECT DEVELOPMENT AND ENVIRONMENTAL ANALYSIS FAX [phone] BIRCH RIDGE DRIVE
1548 MAIL SERVICE CENTER RALEIGH NC 27610
RALEIGH NC 27699 1548 WEBSITE WWW NCDOT GOV/DOH/PRECONSTRUCT /PE/

number of locations Jetting will be utilized where driving is nut anticipated to be successful The
driven piles will be monitored with a Pile Driving Analyzer (PDA) solely to measure the driving
stresses and available resistance Where these indicator piles cannot be installed by driving
alone the DBT will use this opportunity to refine the Jetting procedures proposed in the
404 /401 /CAMA permit application for B 2500 Phase 1 currently under review and evaluate
various Jetting setups for both the 36 square piles and the 54 cylinder piles without
instrumentation possibly getting in the way or being damaged It is anticipated that the
installation of the Primary Test Pile and Indicator Test Piles will also provide an opportunity to �`-
refine the Jetting procedures and Jetting spoils containment system prior to production pile
installation In Oregon Inlet, it will likely be a maximum of 3 Indicator Test Piles in addition to
the Primary Test Pile to be installed
• Test Pile frames Eight to twelve temporary —18 pipe piles will be driven to support the
Primary Test Pile frame from which the equipment will operate and guide the test piles into
place
All piles are temporary and will be removed at the completion of testing The overall timeframe is
anticipated to be 4 8 weeks from beginning to end The 36 square Indicator Test Pile(s) and Primary
Test Pile near proposed Bent 24 in open water will be installed first followed by the 54 cylinder
Indicator Test Pile(s) near proposed Bents 80 — 81 on land at the north end of the bridge Activities are
planned to begin in October 2012
Regulatory Approvals
Section 404 The NCDOT anticipates that these activities will be authorized by a Nationwide Permit 6
will follow the general conditions of that permit
Section 401 Permit We anticipate 401 General Certification number 3883 will apply to this project All
general conditions of the Water Quality Certification will be met and therefore NCDOT is not
requesting written approval NCDOT is providing two copies of this application to the NCDWQ for
their review
Section 10 Permit Application is hereby made for a USACE Section 10 Permit as required for the
above described activities
If you have any questions or would like additional information please contact Michael Turchy at
maturchygncdot gov or [phone] A copy of this application will also be posted at
http //www doh dot state nc us /preconstruct/pe/
Sincerely,
w Gregory Thorpe Ph D Manager
Project Development and Environmental Analysis Unit
cc NCDOT Permit Application Standard Distribution List
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- -- - - -
Use
Corps action ID no
DWQ project no
Form Version 1 3 Dec 10 2008
Page 1 of 1
PCN Form - Version 1 3 December 10 2008 Version
Pre - Construction Notification PC Form
A Applicant Information
1
Processing
1 a
Type(s) of approval sought from the
Corps
®Section 404 Permit ®Section 10 Permit
lb Specify Nationwide Permit (NWP) number 6 or General Permit (GP) number
1c Has the N WP 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 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 ❑ 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
B 2500 (Phase 1) Replacement of Bridge 11 over Oregon Inlet on NC 12
2b
County
Dare
2c
Nearest municipality / town
Nags Head
2d
Subdivision name
2e
NCDOT only T I P or state
project no
B 2500 (Phase 1)
3
Owner Information
3a
Name(s) on Recorded Deed
North Carolina Department of Transportation
3b
Deed Book and Page No
3c
Responsible Party (for LLC i f
applicable)
3d
Street address
1598 Mail Service Center
3e
City state zip
Raleigh NC 27699 1598
3f
Telephone no
919 707 6157
3g
Fax no
919 212 5785
3h
Email address
maturchy @ncdot gov
Page 1 of 1
PCN Form - Version 1 3 December 10 2008 Version

4 Applicant Information (if different from owner)
4a Applicant is — — - — - — -
El-Agent— -- - El Other specify — - - -- - - -- — - - --
4b Name
4c Busines s 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
5b Business name
(if applicable)
5c Street address
5d City state zip
5e Telephone no
5f Fax no
5g Email address
Page 2 of 2
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)
lb Site coordinates (in decimal degrees)
Latitude 35 77271 Longitude 7553754
(DD DDDDDD) ( DD DDDDDD)
1c Property size
n/a acres
2 Surface Waters
2a Name of nearest body of water (stream river etc ) to
Oregon Inlet/Pamlico Sound
proposed project
2b Water Quality Classification of nearest receiving water
SA
2c River basin
Pasquotank
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
Natural intertidal marsh and open water partially within the Cape Hatteras National Seashore
3b List the total estimated acreage of all existing wetlands on the property
The 2 5 mile corridor is primarily either wetland or open water
3c List the total estimated linear feet of all existing streams (intermittent and perennial) on the property
n/a
3d Explain the purpose of the proposed project
To perform tests to determine the axial and lateral loading to failure of the 36 square precast prestressed concrete piles
and the 54 precast prestressed cylinder piles (see cover letter)
3e Describe the overall project in detail including the type of equipment to be used
Please see cover letter for description of work to be performed Equipment to be used will include barges hammer and
jetting equipment The foundation load testing being performed on land will be performed with rubber tire or tracked
heavy equipment hammer and jetting equipment
4 Jurisdictional Determinations
4a Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
® Yes ❑ No ❑ Unknown
project (including all prior phases) in the past?
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 CZR Inc
Name (if known)
Other
4d If yes list the dates of the Corps jurisdictional determinations or State determinations and attach documentation
May 4 2012 Action ID SAW 2012 00715 The Division of Coastal Management concurred with CAMA mapping on May
30 2012
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
NW 6 Action 10200310829 Issued 11/13/2003 NW 6 Action ID SAW 2011 00107 issued 1/13/2011 and modified
9/27/2011 Recently submitted Individual Permit Application for construction of B 2500 (Phase 1)
Page 3 of 3
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
The foundation load testing will be conducted as part of final design of Phase I (per the ROD) of the replacement of the
Bonner Bridge Future phases of B 2500 are not included herein
Page 4 of 4
PCN Form - Version 1 3 December 10 2008 Version

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
W1 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W2 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W3 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W4 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W5 ❑ P FIT
❑ Yes
❑ Corps
❑ No
❑ DWQ
W6 ❑ P [-IT
❑ Yes
❑ Corps
❑ No
❑ DWQ
2g Total wetland impacts
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
❑ PER
❑ Corps
❑ INT
❑ DWQ
S2 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S3 ❑ P ❑ T
❑ PER
❑ 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 5
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 ❑ POT
Oregon inlet/
Foundation Load Testing
Open Water
<0 01 (temporary)
Pamlico Sound
02 ❑P ❑T
03 ❑P ❑T
04 ❑P ❑T
4f Total open water impacts
<0 01 (temporary)
4g Comments Temporary open water impacts are from 36 precast prestressed square piles (to be removed after testing is
completed) and a series of 18 pipe piles for the test frame The pipe piles will be used to support the load testing equipment
and will be removed after testing is completed
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
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 Meth od of construction
Page 6 of 6
PCN Form — Version 1 3 December 10 2008 Version

Page 7 of 7
PCN Form — Version 1 3 December 10 2008 Version
6 Buffer Impacts (for DWQ)
If project Will impact —a protected riparian buffer then complete the chat 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 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
im act
required?
61 ❑P ❑T
El Yes
❑ No
B2 ❑P ❑T
El Yes
❑ No
B3 ❑P ❑T
El Yes
❑ No
6h Total buffer impacts
61 Comments
D Impact Justification and Mitigation
1 Avoidance and Minimization
1a Specifically describe measures taken to avoid or minimize the proposed impacts in designing project
The foundation load test being performed in the vicinity of bent 24 will be performed from a barge The indicator tests being
performed in uplands near bents 80 81 will be performed with rubber tire drill rigs or low ground pressure tracked drill rigs
1 b Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques
NCDOT will implement Guidelines for Avoiding Impacts to the West Indian Manatee Precautionary Measures for
Construction Activities in North Carolina Waters during work for this project All conditions of Nationwide 6 will be adhered to
during installation
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?
2b If yes mitigation is required by (check all that apply)
❑ DWQ ❑ Corps
❑ Mitigation bank
2c If yes which mitigat ion option will be used for this
❑ payment to in lieu fee program
project
❑ Permittee Responsible Mitigation
3 Complete if Using a Mitigation Bank
3a Name of Mitigation Bank
3b Credits Purchased (attach receipt and letter)
Type
Quantity
Page 7 of 7
PCN Form — Version 1 3 December 10 2008 Version

Page 8 of 8
PCN Form — Version 1 3 December 10 2008 Version
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 riparian buffer restoration payment into an approved in lieu fee fund)
6h Comments
Page 8 of 8
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 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?
USFWS website and agency consultation FEIS /ROD
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 FEIS /ROD
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 FEIS /ROD
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 This temporary activity will not result in changes in permanent flood
elevations
8c What source(s) did you use to make the floodplain determination? approved NEPA documents
GIZ156094 J 121
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40 2-, 1
Applicant/Agent s Printed Name
Date
Ap icant/Agent s Signature
(Agent s 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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