20210465 Ver 1_ePCN Application_20210430

I I 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?*
0 Yes r No
Change only if needed.
BIMS#Assigned* Version#*
20210465 1
Is a payment required for this project?*
✓ No payment required Reviewing Office*
6 Fee received Winston-Salem Regional Office-(336)776-
✓ Fee needed-send electronic notification 9800
Select Project Reviewer*
Dave Wanucha:eads\djwanucha
Information for Initial Review
1a.Name of project:
Dibrell Road Bridge Replacement
1a.Who is the Primary Contact?*
Della Moore
lb.Primary Contact Email:* 1c.Primary Contact Phone:*
[e-mail] [phone]
Date Submitted
4/30/2021
Nearest Body of Water
Wolf Island Creek
Basin
Roanoke
Water Classification
Roanoke River Basin
Site Coordinates
Latitude: Longitude:
36.498517 -79.541834
A. Processing Information
County(or Counties)where the project is located:
Rockingham
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:
B-5355

WBS#(?)
17BP.7.R.126
Pre-Filing Meeting Information
Is this a courtesy copy notification?*
✓ Yes G No
ID# Version
20210465 1
Pre-fling Meeting or Request Date
3/1/2021
Attach documentation of Pre-Filing Meeting Request here:
Click the upbad button or drag and drop files here to attach document
20210465 Ver 1_Pre-Filing Acknowledgement Email_20210303 Dibrell Rd.pdf 1.09MB
Pie type must be FCF
1a.Type(s)of approval sought from the Corps:
I7 Section 404 Permit(wetlands,streams and waters,Clean Water Act)
r Section 10 Permit(navigable waters,tidal waters,Rivers and Harbors Act)
Has this PCN previously been submitted?*
✓ Yes
t: No
lb.What type(s)of permit(s)do you wish to seek authorization?
fJ Nationwide Permit(NWP)
✓Regional General Permit(RGP)
✓Standard(IP)
1c.Has the NWP or GP number been verified by the Corps?
✓ Yes 6 No
Nationwide Permit(NWP)Number: 14-Linear transportation
NWP Numbers(for multiple NWPS):
N/A
Id.Type(s)of approval sought from the DWR:
17 401 Water Quality Certification-Regular r'401 Water Quality Certification-Express
✓Non-404 Jurisdictional General Permit r Riparian Buffer Authorization
✓ 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 Yes 6' No
For the record only for Corps Permit: r Yes 6 No
If.Is this an after-the-fact permit application?*
✓ Yes f No
1g.Is payment into a mitigation bank or in-lieu fee program proposed for mitigation of impacts?
✓ Yes ( No
1g.Is payment into a mitigation bank or in-lieu fee program proposed for mitigation of impacts?
✓ Yes rNo
Acceptance Letter Attachment
lh.Is the project located in any of NC's twenty coastal counties?
✓ Yes 6 No
1j.Is the project located in a designated trout watershed?
✓ Yes f No
B. Applicant Information L)
Id.Who is applying for the permit?
(7 Owner r Applicant(other than owner)
le.Is there an Agent/Consultant for this project?*
✓ Yes f No

2. Owner Information
2a.Name(s)on recorded deed:
North Carolina Department of Transportation
2b.Deed book and page no.:
2c.Contact Person:
2d.Address
Street Address
P.O.Box 14996
Address Line 2
aty State/Province/FOgion
Greensboro NC
Postal/Zip Code Country
27415 United States
2e.Telephone Number: 2f.Fax Number:
[phone]
2g.Email Address:*
[e-mail]
C. Project Information and Prior Project History
1. Project Information
lb.Subdivision name:
(if appropriate)
1c.Nearest municipality/town:
Pelham
I 2. Project Identification
2a.Property Identification Number: 2b.Property size:
N/A
2c.Project Address
Street Address
Address Line 2
Oty State/Province/legion
Postal/Zip Code Country
3.Surface Waters
3a.Name of the nearest body of water to proposed project:*
Wolf Island Creek
3b.Water Resources Classification of nearest receiving water:*
Roanoke River Basin
3c. What river basin(s)is your project located in?*
Roanoke
3d.Please provide the 12-digit HUC in which the project is located.
030101030905
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:*
The project is situated in Rockingham County in Pelham on a two-lane roadway(SR 1902)surrounded by forested woodlands sequenced with nearby low residential properties.This
bridge is numbered 780106 for Rockingham County.The existing bridge crosses over Wolf Island Creek and is comprised of a six spans(6 @ 30',total length 180')with reinforced
concrete caps on timber piles(#1-5 crutches:ppc cap&steel piles),and sits at a 90 degree skew.The proposed structure is designed as a four span bridge,4 @ 60'24"cored slab,
with a total length of 240'.The proposed bridge will be constructed within the existing footprint with minimal changes in length(new bridge will extend 30 more feet on both sides)due to
elevation accommodations to minimize future bank erosion.
4b.Have Corps permits or DWR certifications been obtained for this project(including all prior phases)in the past?*
r Yes f 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)
Bridge_106_Rockingham_USGS.pdf 1.7MB

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)
Bridge_106_Rockingham_soil.pdf 2.16MB
4f.List the total estimated acreage of all existing wetlands on the property:
0.003
4g.List the total estimated linear feet of all existing streams on the property:
110 feet
4h.Explain the purpose of the proposed project:*
NCDOT proposes to replace bridge#106 with a new bridge due to the structural integrity of the existing structure.The existing structure has deficiencies and have been repaired
several times with a final recommendation of replacement suggested.The proposed bridge will accommodate for a better alignment with the roadway with sufficient embankment
protection.
4i.Describe the overall project in detail,including indirect impacts and the type of equipment to be used:*
The proposed structure is a four span,4 @ 60'24"cored slab,with a 240'total length.This new bridge will sit at a 90 degree skew on 4.0'high end bent caps,with 42"high concrete
bridge barrier rail.The bridge opening will increase from 1406 sq.ft.to 2262 sq.ft.Stream banks will be armored with class II rip rap for bank stabilization.The existing stable ditches will
be maintained.Proposed cut ditch south east of the bridge carries 1 cfs of roadside drainage along the fill slope parallel to an adjacent wetland.Construction of the ditch will cause a
minimal amount of mechanized clearing in the wetland.Maximum 2:1 side slopes will be utilized.The proposed project drainage systems include 1 outlet pipe northwest of the bridge.
The system outlet discharges 0.9 cfs into the overbank.Deck drains will be utilized in overbanks only,including proposed rip rap swale under deck drains.Construction equipment
utilized will consist of but not limited to cranes,excavators,dump trucks,backhoes,hand tools,compactors,erosion control material(mini-excavator used for installing posts),and safety
materials for preconstruction implementation.
4j.Please upload project drawings for the proposed project.
Dibrell Rd Permit Drawings.pdf 2.02MB
5.Jurisdictional Determinations
5a.Have the wetlands or streams been delineated on the property or proposed impact areas?*
6' Yes r No C Unknown
Comments:
N/A
5b.If the Corps made a jurisdictional determination,what type of determination was made?*
r Preliminary r Approved r Not Verified ( Unknown C N/A
Corps AID Number:
N/A
5c.If 5a is yes,who delineated the jurisdictional areas?
Name(if known):
Agency/Consultant Company: Mott MacDonald
Other:
5d1.Jurisdictional determination upload
17BP.7.R.126_HYD_PERMIT_WET_2021 03 01.pdf 2.01 MB
6. Future Project Plans
6a.Is this a phased project?*
r 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?
N/A
LL:). Proposed Impacts Inventory
1. Impacts Summary
1a.Where are the impacts associated with your project?(check all that apply):
17 Wetlands 17 Streams-tributaries r Buffers
r Open Waters r Pond Construction
2.Wetland Impacts
2a.Site#*(?) 2a1 Reason(?) 2b.Impact type*(?) 2c.Type ofW.* 2d.W.name* 2e.Forested* 2f.Type of 2g.Impact
Jurisdicition*(?) area*
2 Standard V Ditch P Isolated Wetlands WLB Yes Both 0.003
(acres)

2g.Total Temporary Wetland Impact 2g.Total Permanent Wetland Impact
0.000 0.003
2g.Total Wetland Impact
0.003
2i.Comments:
Mechanized Clearing in Wetlands to install Standard V-Ditch;please see the impact summary plan sheet.
3.Stream Impacts
3a.Reason for impact(?) 3b.lmpact type* 3c.Type of impact* 3d.S.name* 3e.Stream Type* 3f.Type of 3g.S.width* 3h.Impact
(?) Jurisdiction* length*
S1 Bank Stabilization(-L-15+80 Permanent Bank Stabilization Wolf Island Creek Perennial Both 25 100
to 16+43) Average(feet) (linear feet)
32 Bank Stabilization(-L-15+80 Temporary Bank Stabilization Wolf Island Creek Perennial Both 25 20
to 16+43) Average(feet) (linear feet)
S3 Causeway Temporary Workpad/Causeway Wolf Island Creek Perennial Both 25 53
Average(feet) (linear feet)
S4 Bank Stabilization(-L-14+32 Permanent Bank Stabilization Wolf Island Creek Perennial Both 25 180
to 16+04) Average(feet) (linear feet)
S5 Bank Stabilization(-L-14+32 Temporary Bank Stabilization Wolf Island Creek Perennial Both 25 10
to 16+04) Average(feet) (linear feet)
3i.Total jurisdictional ditch impact in square feet:
0
3i.Total permanent stream impacts: 3i.Total temporary stream impacts:
280 83
3i.Total stream and ditch impacts:
363
3j.Comments:
These impacts are reflected on the surface water impacts summary sheet within the project permit plans.
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 proposes to replace a structurally deficient bridge with a new bridge in the same alignment due to the numerous repairs and maintenance
issues over the life span of the existing structure.The final recommendation is to replace the structure in it's entirety for safety and structural integrity.
Therefore,total replacement within the existing footprint has been proposed with use of an construction causeway along side best management
practices during construction.Erosion control measure have been designed to reduce runoff,offsite,and control erosion.
lb.Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
The bridge opening will increase from 1406 sq.ft.to 2262 sq.ft.Stream banks will be armored with class II rip rap for bank stabilization.The existing
stable ditches will be maintained.Proposed cut
ditch south east of the bridge carries 1 cfs of roadside drainage along the fill slope parallel to an adjacent wetland.Construction of the ditch will cause
a minimal amount of mechanized clearing in the wetland.Maximum 2:1 side slopes will be utilized.The proposed project drainage systems include 1
outlet pipe northwest of the bridge.The system outlet discharges 0.9 cfs into the overbank.Deck drains will be utilized in overbanks only,including
proposed rip rap swale under deck drains.Vegetation and erosion control measures will be implement as final barriers to reduce runoff and minimize
disturbance.
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?
r Yes ( No
2b.If this project DOES NOT require Compensatory Mitigation,explain why:
This project does not require compensatory mitigation.
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?
rYes rNo
If no,explain why:

Today North Carolina has rules protecting riparian buffers in six watersheds:the Neuse River basin(effective 1997),Randleman Lake watershed(1999),Tar-Pamlico River basin
(2000),Catawba River basin(2001),Goose Creek watershed(2009),and Jordan Lake watershed(2009).Roanoke River basin does not feed any of the six watersheds listed.
2.Stormwater Management Plan
2a.Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?*
✓ Yes ( No
2b.Does this project meet the requirements for low density projects as defined in 15A NCAC 02H.1003(2)?
( Yes r No
Comments:
BMP will be used along with erosion control and vegetative requirements.
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:*
No NEPA/SEPA required
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.
This project will not include any additional downstream water quality impacts.
4.Sewage Disposal(DWR Requirement)
4a.Is sewage disposal required by DWR for this project?*
✓ Yes ( Nor 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 rNo
5c.If yes,indicate the USFWS Field Office you have contacted.
Raleigh
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?
USFWS-Gary Jordan
Consultation Documentation Upload
Dibrell Rd USFWS Concurremce.pdf 162.55KB
6. Essential Fish Habitat(Corps Requirement)
6a.Will this project occur in or near an area designated as an Essential Fish Habitat?*
✓ Yes ( No

6b.What data sources did you use to determine whether your site would impact an Essential Fish Habitat?*
USFWS-Gary Jordan
NMFS County Index
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 C No
7b.What data sources did you use to determine whether your site would impact historic or archeological resources?*
SHPO
7c.Historic or Prehistoric Information Upload
AR15-02-0028NoSitesPresent.pdf 5.55MB
15-02-0028_NoSurveyReq Archictecture.pdf 4.06MB
8. Flood Zone Designation(Corps Requirement)
8a.Will this project occur in a FEMA-designated 100-year floodplain?*
( Yes r No
8b.If yes,explain how project meets FEMA requirements:
Selected project location using the link above reports minimal flood hazard.
8c.What source(s)did you use to make the floodplain determination?*
FEMA Floodplain Maps:https://msc.fema.gov/portal/search
Miscellaneous
Comments
N/A
Miscellaneous attachments not previously requested.
Signature "7
*
17 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 knovvedge 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:
Wright R.Archer Ill,PE
Signature
Date
4/30/2021