20210869 Ver 1_ePCN Application_20210426

DWR
Division of Water Resources
Pre-Construction Notification (PCN) Form
April 4,2021 Ver 4
Initial Review
Has this project met the requirements for acceptance in to the review process?*
6 Yes
✓ No
Is this project a public transportation project?*
G Yes r No
Change only if needed.
BIMS#Assigned* Version#*
20210869 1
Is a payment required for this project?*
✓ No payment required
6 Fee received Reviewing Office*
✓ Fee needed-send electronic notification Washington Regional Office-[phone]
Select Project Reviewer*
Garcy Ward:eads\gpward
Information for Initial Review
1a.Name of project:
Chowan 3 Replacement Project
1a.Who is the Primary Contact?*
Paul Williams
lb.Primary Contact Email:* 1c.Primary Contact Phone:*
pcwilliams2©ncdot.gov [phone]
Date Submitted
4/26/2021
Nearest Body of Water
Pollock Swamp
Basin
Pasquotank
Water Classification
C;NSW
Site Coordinates
Latitude: Longitude:
36.0707 -76.6485
LA. Processing Information
County(or Counties)where the project is located:
Chowan
Is this a NCDMS Project
✓ Yes G No
Is this project a public transportation project?*
6 Yes r No
Is this a NCDOT Project?*
6' Yes r No
(NCDOT only)T.I.P.or state project number:

WBS#(9)
17BP.1.R.91
Pre-Filing Meeting Information
Is this a courtesy copy notification?*
✓ Yes r No
ID# Version
Pre-fling Meeting or Request Date
11/30/2020
Attach documentation of Pre-Filing Meeting Request here:
Dick the upload button or drag and drop files here to attach document
Agency Onsite Meeting.pdf 100.28KB
Pie type mast be FIT
1a.Type(s)of approval sought from the Corps:
I7 Section 404 Permit(wetlands,streams and waters,Clean Water Act)
n Section 10 Permit(navigable waters,tidal waters,Rivers and Harbors Act)
Has this PCN previously been submitted?*
✓ Yes
✓ No
lb.What type(s)of permit(s)do you wish to seek authorization?
fJ Nationwide Permit(NWP)
n Regional General Permit(RGP)
n Standard(IP)
1c.Has the NWP or GP number been verified by the Corps?
✓ Yes r No
Nationwide Permit(NWP)Number: 03-Maintenance
Nationwide Permit(NWP)Number: Multiple NWP#'s(specify below)
NWP Numbers(for multiple NWPS):
57,58
Id.Type(s)of approval sought from the DWR:
17 401 Water Quality Certification-Regular n 401 Water Quality Certification-Express
n Non-404 Jurisdictional General Permit n Riparian Buffer Authorization
n Individual 401 Water Quality Certification
le.Is this notification solely for the record because written approval is not required? *
For the record only for DWR 401 Certification: r YesC.' No
For the record only for Corps Permit: r Yes r No
If.Is this an after-the-fact permit application?*
✓ Yes ( No
1g.Is payment into a mitigation bank or in-lieu fee program proposed for mitigation of impacts?
✓ Yes rNo
1g.Is payment into a mitigation bank or in-lieu fee program proposed for mitigation of impacts?
✓ Yes rNo
Acceptance Letter Attachment
SR 1200-Bridge 3-Div 1-RW-PS 05.pdf 499.69KB
1h.Is the project located in any of NC's twenty coastal counties?
✓ Yes r No
1i.Is the project located within a NC DCM Area of Environmental Concern(AEC)?
✓ Yes r No r Unknown
1j.Is the project located in a designated trout watershed?
✓ Yes r No
B. Applicant Information

1d.Who is applying for the permit?
17 Owner r Applicant(other than owner)
le.Is there an Agent/Consultant for this project?*
r Yes a No
2.Owner Information
2a.Name(s)on recorded deed:
NCDOT Right-of-Way SR 1200 Macedonia/Mexico Road in Chowan County
2b.Deed book and page no.:
2c.Contact Person:
Paul Williams
2d.Address
Street Address
113 Airport Dr.
Address Line 2
atY State/Bovine/Region
Edenton NC
Postal/Zip Code Country
27932 USA
2e.Telephone Number: 2f.Fax Number:
[phone] [phone]
2g.Email Address:*
[e-mail]
C. Project Information and Prior Project History v
1. Project Information
lb.Subdivision name:
(if appropriate)
1c.Nearest municipality/town:
Edenton
2. Project Identification
2a.Property Identification Number: 2b.Property size:
1.8
2c.Project Address
Street Address
Macedonia/Mexico Road,approx.0.35 mi.from SR 1202
Address Line 2
Dly State/Bovine/Region
Edenton NC
Postal/Zip Code Country
27932 USA
3.Surface Waters
3a.Name of the nearest body of water to proposed project:*
Pollock Swamp
3b.Water Resources Classification of nearest receiving water:*
C;NSW
3c. What river basin(s)is your project located in?*
Pasquotank
3d.Please provide the 12-digit HUC in which the project is located.
030102050101
4. Project Description and History
4a.Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this application:*
Project area consists of NCDOT Chowan County SR 1200 and Bridge#3.The general land use in the vicinity is rural residential,farmland,and forested swamp.

4b.Have Corps permits or DWR certifications been obtained for this project(including all prior phases)in the past?*
✓ Yes r No r Unknown
4d.Attach an 8 1/2 X 11 excerpt from the most recent version of the USGS topographic map indicating the location of the project site.(for DWR)
Location Map-Bridge 3.pdf 1.23MB
4e.Attach an 8 1/2 X 11 excerpt from the most recent version of the published County NRCS Soil Survey map depicting the project site.(for DWR)
Soil_Map.pdf 1.28MB
4f.List the total estimated acreage of all existing wetlands on the property:
2.9
4g.List the total estimated linear feet of all existing streams on the property:
262
4h.Explain the purpose of the proposed project:*
The purpose of this project is to replace the aging Bridge#3 that has received deficiency ratings,qualifying it for replacement.NCDOT wants to maintain SR 1200 as a safe and reliable
travel route for the public.
4i.Describe the overall project in detail,including indirect impacts and the type of equipment to be used:*
Replace an existing 8-span 138 ft.X25 ft.bridge with a new 3-span bridge structure measuring 153 ft.X33 ft.Upon completion of the structure,NCDOT will have to rebuild the roadway
approaches on either end of the bridge.This will involve some minor widening of the roadway bridge approaches and some sheetpile placement along the roadway shoulders.
Temporary cofferdams would be used for dewatering during concrete cap pours.Two cofferdams would be sequentially constructed with steel sheeting and would not be in place at the
same time.In addition,the telephone line and the water line will be relocated by directional bore.The project will result in approx 0.10 acres of permanent fill in wetlands,approx.0.24
acres of temporary hand clearing in wetlands,approx 0.03 acres of mech.clearing in wetlands,and approx 0.16 acres of temp.surface water impacts.
4j.Please upload project drawings for the proposed project.
17BP.1.R.91_Permit Drawings_Final.pdf 1.86MB
5.Jurisdictional Determinations
5a.Have the wetlands or streams been delineated on the property or proposed impact areas?*
• Yes r No r Unknown
Comments:
PJD request may have been submitted by NCDOT-Central Office in 2016 or later
5b.If the Corps made a jurisdictional determination,what type of determination was made?*
✓ Preliminary r Approved G Not Verified r Unknown r N/A
Corps AID Number:
5c.If 5a is yes,who delineated the jurisdictional areas?
Name(if known): R.Sullivan&W.Sullivan
Agency/Consultant Company: Kimley-Horn
Other:
5d1.Jurisdictional determination upload
_TIP_B5501_PreliminaryJD_Request_28JUL2016.pdf 9.4MB
6. Future Project Plans
6a.Is this a phased project?*
✓ Yes No
Are any other NWP(s),regional general permit(s),or individual permits(s)used,or intended to be used,to authorize any part of the proposed project or related activity?
D. Proposed Impacts Inventory
1. Impacts Summary
la.Where are the impacts associated with your project?(check all that apply):
I7 Wetlands I-Streams-tributaries r Buffers
17 Open Waters I- Pond Construction
2.Wetland Impacts
2a.Site#*(?) 2a1 Reason(?) 2b.Impact type*(?) 2c.Type of W.* 2d.W.name* 2e.Forested* 2f.Type of 2g.Impact
Jurisdicition*(?) area*

Fill Roadway Fill P Riverine Swamp Forest Pollock Swamp Yes Corps 0.100
(acres)
Mech.Clearing Mech.Clearing for utility T Riverine Swamp Forest Pollock Swamp Yes Corps 0.030
relocations (acres)
Hand Clearing Hand Clearing T Riverine Swamp Forest Pollock Swamp Yes Corps 0.240
(acres)
2g.Total Temporary Wetland Impact 2g.Total Permanent Wetland Impact
0.270 0.100
2g.Total Wetland Impact
0.370
2i.Comments:
Permanent fill in Wetlands impacts=4,369 square feet
Mechanized Clearing in Wetlands impacts=1,320 square feet(within maintained powerline corridor)
Hand Clearing in Wetlands impacts=10,468 square feet(mostly within maintained powerline corridor)
4.Open Water Impacts
4a. Site# 4a1.Impact Reason 4b.Impact type 4c.Name of waterbody 4d.Activity type 4e.Waterbodytype 4f.Impact area
Pollock Swamp Dewatering for bent T Pollock Swamp Dewatering Tributary 0.16
installation
4g.Total temporary open water Impacts: 4g.Total permanent open water impacts:
0.16 0.00
4g.Total open water impacts:
0.16
4h.Comments:
Temporary Surface Water Impacts due to Cofferdam Installation is 7,124 square feet.
E. Impact Justification and Mitigation
1.Avoidance and Minimization
1a.Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
NCDOT minimized the roadway width by narrowing the shoulders and bridge width to the minimal amount allowable with the design speed and roadway
geometry.There are no deck drains located on the bridge.The existing bridge demolition will follow NCDOT BMP's for bridge demolition work.Erosion
and Sediment control plans have been designed and will be followed to retain any runoff from construction activities.An offsite detour is being utilized
to eliminate any additional wetland and surface water impacts.
lb.Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Utilizing BMPs for bridge demolition will capture all components of the old structure.Erosion and Control measures will be placed along the entire
project area to reduce soil runoff.A turbidity curtain can be utilized along the banks to capture any siltation that may occur during project construction.
The utilization of precast concrete materials,reduces the potential for uncured concrete entering the adjacent waters.
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 r No
2c.If yes,mitigation is required by(check all that apply):
✓DWR fJ Corps
2d.If yes,which mitigation option(s)will be used for this project?
17 Mitigation bank r Payment to in-lieu fee r Permittee Responsible
program Mitigation
3. Complete if Using a Mitigation Bank
3a.Name of Mitigation Bank:
Division of Mitigation Services
3b.Credits Purchased/Requested(attach receipt and letter)
Type: Quantity:
Riparian wetland 0.100
Attach Receipt and/or letter
SR 1200-Bridge 3-Div 1-RW-PS 05.pdf 499.69KB
Corps Email-Mitigation.pdf 239.44KB

3c.Comments
Per attached email,mitigation will only be required for 0.10 acres of permanent fill.
F. Stormwater Management and Diffuse Flow Plan (required by DWR)
1. Diffuse Flow Plan
1a.Does the project include or is it adjacent to protected riparian buffers identified within one of the NC Riparian Buffer Protection Rules?
✓ Yes ( No
If no,explain why:
NC Riparian Buffer Rules do not apply to the Pasquotank River Basin.
2.Stormwater Management Plan
2a.Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?*
( Yes r No
Comments:
NCDOT will follow best management practices for soil and erosion control in compliance with N.C.Sediment and Pollution Control Act and NCDOT NPDES permit.Erosion control
devices will be installed and maintained during the project.A grated drop inlet on the NW side will route storm water to vegetated buffers prior to entering surface waters.No deck drains
will be located over surface waters.
G. Supplementary Information
1. Environmental Documentation
1a.Does the project involve an expenditure of public(federal/state/local)funds or the use of public(federal/state)land?*
( Yes rNo
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(North Carolina)
Environmental Policy Act(NEPA/SEPA)?*
✓ Yes ( No
Comments:*
Activity and impacts covered by Minimum Criteria Checklist or Categorical Exclusion.
2.Violations(DWR Requirement)
2a.Is the site in violation of DWR Water Quality Certification Rules(15A NCAC 2H.0500),Isolated Wetland Rules(15A NCAC 2H.1300),or DWR Surface Water or Wetland Standards or
Riparian Buffer Rules(15A NCAC 2B.0200)?*
✓ Yes ( No
3. Cumulative Impacts(DWR Requirement)
3a.Will this project result in additional development,which could impact nearby downstream water quality?*
✓ Yes ( No
3b.If you answered"no,"provide a short narrative description.
Project replaces an epsting bridge with a bridge.
4.Sewage Disposal(DWR Requirement)
4a.Is sewage disposal required by DWR for this project?*
✓ Yes rNo ( N/A
5. Endangered Species and Designated Critical Habitat(Corps Requirement)
5a.Will this project occur in or near an area with federally protected species or habitat?*
( Yes rNo
5b.Have you checked with the USFWS concerning Endangered Species Act impacts?*
✓ Yes ( No
5d.Is another Federal agency involved?*
✓ Yes ( No r Unknown
5e.Is this a DOT project located within Division's 1-8?
( Yes r No
5j.What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
NC Natural Heritage Data Explorer Website,NRTR
Consultation Documentation Upload

6. Essential Fish Habitat(Corps Requirement)
6a.Will this project occur in or near an area designated as an Essential Fish Habitat?*
6 Yes r No
Are there submerged aquatic vegetation(SAV)around the project vicinity?*
✓ Yes f No r Unknown
6b.What data sources did you use to determine whether your site would impact an Essential Fish Habitat?*
National Marine Fisheries Database
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 status?*
✓ Yes ( No
7b.What data sources did you use to determine whether your site would impact historic or archeological resources?*
NCDOT Cultural Resources Unit
7c.Historic or Prehistoric Information Upload
16-01-0132NoSurveyUpdate.pdf 699.12KB
AR16-01-0132NoSurveyRevised.pdf 2.04MB
8. Flood Zone Designation(Corps Requirement)
8a.Will this project occur in a FEMA-designated 100-year floodplain?*
f Yes r No
8b.If yes,explain how project meets FEMA requirements:
FEMA Approved
8c.What source(s)did you use to make the floodplain determination?*
NC DOT Hydraulics Unit,Zone AE
Miscellaneous
Comments
CAMA Major Permit will be required for this project.Application has been submitted to DCM,but permit has not been issued at this time.
Anadromous Fish
A moratorium on in-water construction will be in place from February 15 to June 30 of any given year.Stream Crossing Guidelines for Anadromous Fish will be implemented in the
design and construction of this project.(NCWRC Letter dated 2/17/2016)
West Indian Manatee
West Indian Manatee(Trichechus manatus)habitat was identified within the project area per the NRTR dated September 2016.A biological conclusion of"May Affect Not Likely to
Adversely Affect"(MANLAA)was made for this species.Since this species may be present at the time of the project,NCDOT will adhere to the Guidelines for Avoiding Impacts to the
West Indian Manatee:Precautionary Measure for Construction Activities in North Carolina Waters during the construction of this project.
Miscellaneous attachments not previously requested.
NCWRC Bridge Replacments 2016 FSM Bridge Replacements.pdf 272.73KB
Signature
*
7 By checking the box and signing below,I certify that:
• The project proponent hereby certifies that all information contained herein is true,accurate,and complete to the best of my knowledge and belief;and
• The project proponent hereby requests that the certifying authority review and take action on this CWA 401 certification request within the applicable reasonable period of time.
• I have given true,accurate,and complete information on this form;
• I agree that submission of this PCN form is a"transaction"subject to Chapter 66,Article 40 of the NC General Statutes(the"Uniform Electronic Transactions Act');
• I agree to conduct this transaction by electronic means pursuant to Chapter 66,Article 40 of the NC General Statutes(the"Uniform Electronic Transactions Act");
• I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written signature;AND
• I intend to electronically sign and submit the PCN form.
Full Name:
Paul Collins Williams,Jr.
Signature
6v4k.c/cAw .rT.
Date
4/26/2021