20120875 Ver 1_Application_20120920

STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
BEVERLY EAVES PERDUE
GOVERNOR
SEPTEMBER 17 2012
NCDENR Div Water Quality
Ms Soma Carrillo
512 North Salisbury Street
Raleigh, NC 27604
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EUGENE A CONNR
SECRETARY
12375
RE Linear Transportation Project / Bridge #128 / Columbus County
State Project 17BP 6 R 12
USACOE NWP #14 / NCDENR WQC 3886
Dear Ms Carrillo
Enclosed please find four (4) copies of a PCN and related documentation for a Linear
Transportation Project for the replacement of Bridge #128 along SR 1335 in Columbus 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 12 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
S cerely,
James Rerko, PWS
Division 6 Environmental Officer
P 0 Box 1150 Fayetteville NC 28302 1150 Telephone [phone] Fax [phone]

" S,
STATE OF NORTH CAROLINA��p �N� �� ®10��
DEPARTMENT OF TRANSPORTATION °STORMQu
BEVERLY EAVES PERDUE Eugene A Conti
GOVERNOR SECRETARY IV&
September 14 2012
U S Army Corps of Engineers
Wilmington Regulatory Field Office
P O Box 1890
Wilmington North Carolina 28402 1890
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- # 128 Columbus County
State Project Number 17BP 6 R 12
The North Carolina Department of Transportation ( NCDOT) has scheduled to remove and
replace Bndge #128 located on SR 1335 in Columbus County Total project length is 225LF
This project will require the replacement of Bridge 4128 (0231?) as shown below
Crossing
Roadway Station
Existing Bride
Proposed Culvert
Permit Site #1
Sta 10 +09
18 6LF 25 3ft wide
40 LF (22 6 x8 1 )
ACBC w/Headwalls
New 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 -58
Permit Sites #1 is a Perennial Stream channel that is Five Mile Branch C Sw
Bridge #128 is located in Central Columbus County The surrounding area is comprised of
pastures and agriculture fields Five Mile Branch is within the AE zone floodplain and has
BFE s
Permit Site 41 is the replacement of Bridge 128 Columbus County which is a Wooden Timber
Bridge 18 6 foot long 25 3 foot wide It was originally built in 1955 and has deteriorated to the
point necessitating repair The proposed Culvert a 401,17 (22 6 x8 1 ) Corrugated Aluminum
Box that will provide for the passage of the 100 year storm as required under the FEMA
approved MOA The installation of the proposed culvert will yield 40LF permanent Stream
impacts with 20 LF of Temporary Stream impacts for dewatering Less than 0 01 acres of
P 0 Box 1130 Fayetteville NC 28302 1 10` Telephone [phone] Fax [phone]

excavation within wetlands must be completed in order to discharge the 36" CMP. This cut will
reduce scour form the discharge from the 36" CMP. The proposed Culvert will increase the
shoulder width, thus increasing safety for the traveling public. Guardrail shall be installed from
Station 12 +00 to Station 14 +25.
RESOURCE STATUS
In general, there will be minor impacts proposed as a result of the replacement of the culvert
along Bridge 4128 in Columbus 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 1973, as amended. As of September 22, 2010, the U.S. Fish and Wildlife Service
lists eight (8) federally protected species for Columbus County.
Federally Protected Species for Columbus County
SCIENTIFIC NAME
COMMON NAME
STATUS
Alligator mississippiensis
American alligator
T (S /A)
Picoides borealis
Red - cockaded woodpecker
E
Mycteria americana
Wood Stork
E
Haliaeetus leucocephalus
Bald Eagle
BGPA
Thalictrum cooleyi
Cooley's meadowrue
E
Lyimachia asperulaefolia
Rough- leaved loosestrife
E
Acipenser brevirostrum
Shormose sturgeon
E
Menidia extensa
Waccamaw silverside
T
"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 during the May 15, 2012
survey 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 3
Office (Columbus 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 (910) 437 -0207.
inc erely
L" I ,�oPF�5
James . Rerk, WS
Division 6 Environmental Officer
ATTACHMENTS
Cc: David Wainwright, Division of Water Quality (4 copies)
Mason Herndon, Division of Water Quality (1 copy)
Greg Burns, P.E., Division Engineer

WaT!9q
Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.3 Dec 10 2008
Page 1 of 11
PC Form — Version 1.3 December 10, 2008 Version
Pre - Construction Notification PCN Form
A. Applicant Information
1.
Processing
1 a.
Type(s) of approval sought from the
Corps:
®Section 404 Permit ❑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
1 e.
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
1 g.
Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h
below.
❑ Yes
® No
1 h.
Is the project located within a NC DCM Area of Environmental Concern (AEC)?
❑ Yes
® No
2.
Project Information
2a.
Name of project:
Bridge # 128 -Bridge to Culvert
2b.
County:
Columbus
2c.
Nearest municipality / town:
Chadburn -- (located on SR 1335)
2d.
Subdivision name:
NA
2e.
NCDOT only, T.I.P. or state
project no:
17BP.6.R.12
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
PC 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:
jjrerko @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
1 a. Property identification no. (tax PIN or parcel ID):
NA
Latitude: Longitude: -
1 b. Site coordinates (in decimal degrees):
PS #1 34.2863 - 78.7857
(DD.DDDDDD) (- DD.DDDDDD)
1 c. Property size:
0.3 acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to
Five Mile Branch
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 use is a mixture of pasture and agricultural farm fields.
3b. List the total estimated acreage of all existing wetlands on the property:
0.01 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 /
® Yes ❑ No ❑ Unknown
ro ect (including all riot phases) in the past?
P j (� 9 P� P )� P
Comments:
4b. If the Corps made the jurisdictional determination, what type
El Preliminary Final
of determination was made?
4c. If yes, who delineated the jurisdictional areas?
Agency /Consultant Company: Arcadis
Name (if known): Arcadis
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
has- 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
Excavation
Riverine Swamp
® Yes
❑ No
® Corps
❑ DWQ
0.01ac
W2 ❑ P ❑ T
❑ Yes
❑ 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 ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
2g. Total wetland impacts
0.01 ac
2h. Comments: Temporary impacts due to clearing.
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
Culvert
Five Mile Branch
® PER
E:1 INT
® Corps
® DWQ
25ft
40LF
(20LF
Temp)
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
40 LF
3i. Comments: 20LF of Temporary Stream impacts resulting from the dewatering process.
Page 5 of 11
PC 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 ❑ PEI 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:
5i. Expected pond surface area (acres):
NA
5j. 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 El 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
E3 Yes
❑ No
6h. Total buffer impacts
6i. Comments: NA
Page 6 of 11
PC Form -Version 1.3 December 10, 2008 Version

D. Impact Justification and Mitigation
1. Avoidance and Minimization
1 a. 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
El 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 permfttee 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
within one of the NC Riparian Buffer Protection Rules?
❑ Yes ® No
1 b. If yes, then is a diffuse flow plan included? If no, explain why.
Comments:
❑ Yes No
®
2. Stormwater Management Plan
2a. What is the overall percent imperviousness of this project?
33%
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:
Please see attached Stormwater Management Plan
2e. Who will be responsible for the review of the Stormwater Management Plan?
❑ Certified Local Government
❑ DWQ Stormwater Program
® DWQ 401 Unit
3. Certified Local Government Stormwater Review
3a. In which local government's jurisdiction is this project?
Columbus County
3b. Which of the following locally - implemented stormwater management programs
apply (check all that apply):
❑ Phase II
❑ NSW
❑ USMP
❑ Water Supply Watershed
❑ Other:
3c. Has the approved Stormwater Management Plan with proof of approval been
attached?
❑ Yes ❑ No
4. DWQ Stormwater Program Review
4a. Which of the following state - implemented stormwater management programs apply
(check all that apply):
❑ Coastal counties
❑ HQW
❑ 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
5b. Have all of the 401 Unit submittal requirements been met?
❑ Yes ❑ No
Page 9 of 11
PC Form —Version 1.3 December 10, 2008 Version

F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
1 a. 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
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 26 .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
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.
The project is one which qualifies as a minimum criteria under 19A NCAC 2F .0102. As such, the project is in a category
of projects that add either no or a minor amount of new impervious surface directly, indirectly or cumulatively.
Consequently, the project will not result in cumulative impacts that cause or will cause a violation of downstream water
quality standards.
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

I � 4
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, 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/fiish.htmi
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
- -7a. Will this- project occurin or near an area that the stai2— edefa[ortrib2l -- - - --
-- — -
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 project occur in a FEMA- designated 100 -year floodplain?
® Yes ❑ No
8b. If yes, explain how project meets FEMA requirements: MOA has been approved through FEMA.
8c. What source(s) did you use to make the floodplain determination? NC Floodplain Mapping website - (Tile #0126)
Greg Burns, P.E.
(,6) -
Sept 14, 2012
Applicant/Agent's Printed Name
Date
Applicant/Agent's 4 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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