20211126 Ver 1_ePCN Application_20210715

DWR
Division of Water Resources
Pre-Construction Notification (PCN) Form
For Nationwide Permits and Regional General Permits
(along with corresponding Water Quality Certifications)
June 1,2021 Ver4.1
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?*
R Yes r No
Change only if needed.
BIMS#Assigned* Version#*
20211126 1
Is a payment required for this project?*
(7 No payment required
✓ Fee received Reviewing Office*
✓ Fee needed-send electronic notification Washington Regional Office-[phone]
Select Project Reviewer*
Garcy Ward:eads\gpward
Information for Initial Review
la.Name of project:
Bridge No.7 on US 64 over the Alligator River
1a.Who is the Primary Contact?*
Gordon Cashin
lb.Primary Contact Email:* 1c.Primary Contact Phone:*
[e-mail] [phone]
Date Submitted
7/15/2021
Nearest Body of Water
Alligator River
Basin
Pasquotank
Water Classification
SC,Sw,ORW
Site Coordinates
Latitude: Longitude:
35.900732 -76.008779
A. Processing Information L)
County(or Counties)where the project is located:
Tyrrell
Dare
Is this a NCDMS Project
✓ Yes f• No
Is this project a public transportation project?*
6' Yes r No
Is this a NCDOT Project?*
<7 Yes r No

(NCDOT only)T.I.P.or state project number:
HB-0001
WBS#(2)
49475.1.1
Pre-Filing Meeting Information
Is this a courtesy copy notification?*
✓ Yes r No
ID# Version
Pre-fling Meeting or Request Date
Attach documentation of Pre-Filing Meeting Request here:
Click the upload button or drag and drop ties here to attach docurrent
Re type trot be FCF
1a.Type(s)of approval sought from the Corps:
17 Section 404 Permit(wetlands,streams and waters,Clean Water Act)
17 Section 10 Permit(navigable waters,tidal waters,Rivers and Harbors Act)
Has this PCN previously been submitted?*
✓ Yes
r No
lb.What type(s)of permit(s)do you wish to seek authorization?
17 Nationwide Permit(NWP)
r Regional General Permit(RGP)
I—Standard(IP)
1c.Has the NWP or GP number been verified by the Corps?
✓ Yes r No
Nationwide Permit(NWP)Number: 6-Survey Activities
NWP Numbers(for multiple NWPS):
1d.Type(s)of approval sought from the DWR:
I7 401 Water Quality Certification-Regular r 401 Water Quality Certification-Express
r Non-404 Jurisdictional General Permit r Riparian Buffer Authorization
r 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 r No
For the record only for Corps Permit: r Yes r No
If.Is this an after-the-fact permit application?*
✓ Yes rNo
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
1h.Is the project located in any of NC's twenty coastal counties?
✓ Yes r No
11.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
Id.Who is applying for the permit?
I7 Owner r Applicant(other than owner)

le.Is there an Agent/Consultant for this project?*
r Yes r No
2.Owner Information
2a.Name(s)on recorded deed:
Multiple properties
2b.Deed book and page no.:
2c.Contact Person:
2d.Address
Street Address
1000 Birch Ridge Road
Address Line 2
(Sty State/Bovine/Region
Raleigh NC
Fbstal/Zip Code Country
27610 USA
2e.Telephone Number: 2f.Fax Number:
[phone]
2g.Email Address:*
[e-mail]
C. Project Information and Prior Project History e).
1. Project Information
1b.Subdivision name:
(if appropriate)
1c.Nearest municipality/town:
Columbia
2. Project Identification
2a.Property Identification Number: 2b.Property size:
2c.Project Address
Street Address
Address Line 2
IDLY State/Province/Region
Fbstal/Zip(ode Country
3.Surface Waters
3a.Name of the nearest body of water to proposed project:*
Alligator River
3b.Water Resources Classification of nearest receiving water:*
SC,Sw,ORW
3c. What river basin(s)is your project located in?*
Pasquotank
3d.Please provide the 12-digit HUC in which the project is located.
03010205
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:*
Existing land use in the vicinity is rural,with one gas station/marina located at the western end of the existing bridge.
4b.Have Corps permits or DWR certifications been obtained for this project(including all prior phases)in the past?*
r Yes r No r Unknown
4f.List the total estimated acreage of all existing wetlands on the property:
88.08

4g.List the total estimated linear feet of all existing streams on the property:
1,091
4h.Explain the purpose of the proposed project:*
Replace the existing bridge over Alligator River.Geotechnical borings are required to facilitate design of the new bridge's foundations.
4i.Describe the overall project in detail,including indirect impacts and the type of equipment to be used:*
Please see the attached detailed narrative of the proposed work.
5.Jurisdictional Determinations
5a.Have the wetlands or streams been delineated on the property or proposed impact areas?*
6 Yes r No O Unknown
Comments:
5b.If the Corps made a jurisdictional determination,what type of determination was made?*
6 Preliminary r Approved r Not Verified r Unknown r N/A
Corps AID Number:
5c.If 5a is yes,who delineated the jurisdictional areas?
Name(if known): Rob Crowther
Agency/Consultant Company: Carolina Ecosystems
Other:
5d.List the dates of the Corp jurisdiction determination or State determination if a determination was made by the Corps or DWR
The USACE,Division of Water Resources and Division of Coastal Management visited the project on March 31,2021.
6. Future Project Plans
6a.Is this a phased project?*
C Yes a 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?
This proposed work is for geotechnical investigations to faciltate bridge design.A detailed permit application for the actual bridge replacement will be submitted in the future.
D. Proposed Impacts Inventory
1. Impacts Summary
1a.Where are the impacts associated with your project?(check all that apply):
17 Wetlands r Streams-tributaries ❑Buffers
17 Open Waters r 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*
1 Borings T Salt/Brackish Marsh marsh No Both 0.021
(acres)
2g.Total Temporary Wetland Impact 2g.Total Permanent Wetland Impact
0.021 0.000
2g.Total Wetland Impact
0.021
2i.Comments:
Assuming a 2 foot radius of impact around each boring.
4.Open Water Impacts
4a. Site# 4a1.Impact Reason 4b.Impact type 4c.Name of waterbody 4d.Activity type 4e.Waterbodytype 4f.Impact area
1 borings T Alligator River Excavation Tributary 0.04
4g.Total temporary open water Impacts: 4g.Total permanent open water impacts:
0.04 0.00
4g.Total open water impacts:

0.04
4h.Comments:
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:
Please see the attached detailed narrative.
lb.Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
The drilling and sampling of the borings will be completed within the steel casing utilizing mud-rotary drilling methods.Drill fluids consisting of a water-
bentonite slurry will be circulated from a mud tub on the barge platform through the drill tools and drilling bit and recirculated to the mud tub on the
barge platform through the outer steel casing.Drilling cuttings(spoils)will be captured in the mud tub,removed as necessary to facilitate drilling and
sampling operations,and temporarily stored in metal drums on the barge platform until boring termination is achieved.Please see the attached
narrative for additional information.
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 (zNo
2b.If this project DOES NOT require Compensatory Mitigation,explain why:
The request is for geotechnical borings only.
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 (zNo
If no,explain why:
The Pasquotank Basin does not have riparian buffer rules.
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 a No
2c.Does this project have a stormwater management plan(SMP)reviewed and approved under a state stormwater program or state-approved local government stormwater
program?
✓ Yes r No
( N/A-project disturbs<1 acre
Comments:
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 r No
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)?*
(z Yes r No
1c.If you answered"yes"to the above,has the document review been finalized by the State Clearing House?*
✓ Yes (7 No
Comments:*
A Categorical Exclusion document is in preparation for the bridge replacement.
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)?*

C Yes ( No
3. Cumulative Impacts(DWR Requirement)
3a.Will this project result in additional development,which could impact nearby downstream water quality?*
✓ Yes 6- No
3b.If you answered"no,"provide a short narrative description.
The borings are needed to assist with the design for the future bridge replacement.
4.Sewage Disposal(DWR Requirement)
4a.Is sewage disposal required by DWR for this project?*
✓ Yes F No r 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 r No
5b.Have you checked with the USFWS concerning Endangered Species Act impacts?*
( Yes r No
5c.If yes,indicate the USFWS Field Office you have contacted.
Raleigh
5d.Is another Federal agency involved?*
( Yes r No r Unknown
What Federal Agency is involved?
NOAA Fisheries
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 databases and field surveys
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?*
NOAA Essential fish habitat mapping tool.
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?*
6 Yes r No
7b.What data sources did you use to determine whether your site would impact historic or archeological resources?*
Coordination with SHPO
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:
The proposed activity is for temporary impacts.
8c.What source(s)did you use to make the floodplain determination?*
FRIS
Miscellaneous
Please use the space below to attach all required documentation or any additional information you feel is helpful for application review.Documents should be combined into one
file when possible,with a Cover Letter,Table of Contents,and a Cover Sheet for each Section preferred.
Click the upload button or drag and drop files here to attach document
HB-0001_Alligator River Boring Plan.pdf 2.87MB
Fie mist be FDF or lOsE
Comments

Signature
R 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:
Mack Christopher Rivenbark,Ill
Signature
/04 C. X(.47A404 III
Date
7/15/2021