20211364 Ver 1_ePCN Application_20211014

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 Ver 4.1
Initial Review
Has this project met the requirements for acceptance in to the review process?*
Yes
No
Is this project a public transportation project?*
Yes No
Change only if needed.
BIMS#Assigned* Version#*
20211364 1
Is a payment required for this project?*
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
1a.Name of project:
Replacement of Bridge No.530068 on SR 1515(Aldridge Store Rd)over Groundnut Creek
la.Who is the Primary Contact?*
Nancy Oberle
lb.Primary Contact Email:* 1c.Primary Contact Phone:*
[e-mail] [phone]
Date Submitted
10/14/2021
Nearest Body of Water
Groundnut Creek
Basin
Neuse
Water Classification
27-77-2-2
Site Coordinates
Latitude: Longitude:
35.325579 -77.746634
A. Processing Information
County(or Counties)where the project is located:
Lenoir
Is this a NCDMS Project
Yes No
Is this project a public transportation project?*
Yes No
Is this a NCDOT Project?*
Yes No
(NCDOT only)T.I.P.or state project number:
17BP.2.R90

WBS#(?)
38413.1.2
Pre-Filing Meeting Information
Is this a courtesy copy notification?*
Yes No
ID# Version
Pre-fling Meeting or Request Date
10/15/2021
Attach documentation of Pre-Filing Meeting Request here:
Click the upload button or drag and drop files here to attach document
DWR Pre-Filing Meeting Request Form.pdf 50.88KB
File type must be PDF
la.Type(s)of approval sought from the Corps:
Section 404 Permit(wetlands,streams and waters,Clean Water Act)
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?
Nationwide Permit(NWP)
Regional General Permit(RGP)
Standard(IP)
lc.Has the NWP or GP number been verified by the Corps?
Yes No
Nationwide Permit(NWP)Number: 03-Maintenance
NWP Numbers(for multiple NWPS):
ld.Type(s)of approval sought from the DWR:
401 Water Quality Certification-Regular 401 Water Quality Certification-Express
Non-404 Jurisdictional General Permit 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: Yes No
For the record only for Corps Permit: Yes 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 No
1g.Is payment into a mitigation bank or in-lieu fee program proposed for mitigation of impacts?
Yes No
lh.Is the project located in any of NC's twenty coastal counties?
Yes No
1j.Is the project located in a designated trout watershed?
Yes No
B. Applicant Information
Id.Who is applying for the permit?
Owner Applicant(other than owner)
1e.Is there an Agent/Consultant for this project?*
Yes No
2.Owner Information

2a.Name(s)on recorded deed:
NCDOT Highway Division 2
2b.Deed book and page no.:
2c.Contact Person:
Michael Aman,PE
2d.Address
Street Address
2815 Rouse Road Extension
Address Line 2
City State/Province/Region
Kinston NC
Postal/Zip Code Country
28504 USA
2e.Telephone Number: 2f.Fax Number:
[phone]
2g.Email Address:*
[e-mail]
4.Agent/Consultant(if applicable)
4a.Name:
Nancy Oberle
4b.Business Name:
Three Oaks Engineering,Inc.
4c.Address
Street Address
324 Blackwell Street,Suite 1200
Address Line 2
City State/Province/Region
Durham NC
Postal/Zip Code Country
27701 USA
4d.Telephone Number: 4e.Fax Number:
[phone]
4f.Email Address:*
[e-mail]
C. Project Information and Prior Project History
1.Project Information
lb.Subdivision name:
(if appropriate)
1c.Nearest municipality I town:
La Grange
2.Project Identification
2a.Property Identification Number: 2b.Property size:
2c.Project Address
Street Address
Address Line 2
City State/Province/Region
Postal/Zip Code Country
3. Surface Waters
3a.Name of the nearest body of water to proposed project:*
Groundnut Creek
3b.Water Resources Classification of nearest receiving water:*
27-77-2-2

3c. What river basin(s)is your project located in?*
Neuse
3d.Please provide the 12-digit HUC in which the project is located.
030202020205
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 study area is comprised of mostly maintained roadway with hardwood forest along the stream and roadway.There are riparian wetlands on either side of the stream.Land use
in the vicinity of the project study area is residential,forested,and agricultural.There is an existing 60 foot long,2-span bridge that has a sufficiency rating of 29.3.
4b.Have Corps permits or DWR certifications been obtained for this project(including all prior phases)in the past?*
Yes No Unknown
4f.List the total estimated acreage of all existing wetlands on the property:
0.09
4g.List the total estimated linear feet of all existing streams on the property:
88
4h.Explain the purpose of the proposed project:*
The purpose of the proposed project is to replace a structurally deficient bridge.Existing Bridge No.68 is 61 feet long,with a clear roadway width of 26 feet.The bridge has an asphalt
wearing surface over concrete channel beams.The substructure consists of timber piles and concrete caps.NCDOT Structures Management Unit Records indicated Bridge No.68
currently has a sufficiency rating of 22.01 out of a possible 100 for a new structure(as of 2019).The bridge is posted with a weight limit of 19 tons for single vehicles and 22 tons for truck
tractor semitrailers.The bridge is considered structurally deficient due to a structural appraisal of 4 out of 9.
4i.Describe the overall project in detail,including indirect impacts and the type of equipment to be used:*
State Project involves the replacement of NCDOT Bridge 530068 over Groundnut Creek on SR 1515 in Lenoir County.The existing structure is an approximately 61-foot long,2 span
(2@30')prestressed concrete channel bridge with a sufficient rating of 22.01.The proposed structure will be a single span(1 @70')24 inch girder bridge with an out to out deck width of 30
feet.The existing bridge has deck drains.The proposed bridge will collect bridge runoff with four TB 2Gls without deck drains and outlets the runoff outside Buffer Zone 2.Rip-rap pads will
be utilized at each outlet to dissipate flow and minimize erosion.The proposed bridge maintains the existing level of service with a single span bridge,so no bents will be placed in the
water.The bridge utilizes 4.0'caps,so the rip-rap key in ties in outside the existing top of bank under the bridge.Grassy 3:1 fill slopes are utilized with a low roadway profile to minimize
impacts to the wetland areas.
Equipment to be used includes typical construction equipment,such as track hoe,dump truck,paving equipment,pumps,various hand tools,and crane.
5. Jurisdictional Determinations
5a.Have the wetlands or streams been delineated on the property or proposed impact areas?*
Yes No Unknown
Comments:
5b.If the Corps made a jurisdictional determination,what type of determination was made?*
Preliminary Approved Not Verified Unknown N/A
Corps AID Number:
5c.If 5a is yes,who delineated the jurisdictional areas?
Name(if known): Tina Sekula
Agency/Consultant Company: EEE Consulting
Other: Reviewed by Jim Mason,Three Oaks Eng.
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 U
1. Impacts Summary
1a.Where are the impacts associated with your project?(check all that apply):
Wetlands Streams-tributaries Buffers
Open Waters Pond Construction
2.Wetland Impacts

2a.Site#*(?) 2a1 Reason(?) 2b.Impact type*(?) 2c.Type of W.* 2d.W.name* 2e.Forested* 2f.Type of Jurisdicition*12g.Impact
in area*
1 Bridge and Fill Slope P Bottomland Hardwood Forest WA Yes Both 0.001
(acres)
1 Bridge and Fill Slope P Bottomland Hardwood Forest WD Yes Both 0.001
(acres)
2g.Total Temporary Wetland Impact 2g.Total Permanent Wetland Impact
0.000 0.002
2g.Total Wetland Impact
0.002
21.Comments:
Permanent fill in wetland=50.0 square feet
Mechanized clearing in wetland=8.8 square feet
3. Stream Impacts
3a.Reason for impact(?) 3b.Impact type* 3c.Type of impact* 3d.S.name* 3e.Stream Type* 3f.Type of 3g.S.width* 3h.Impact
(?) Jurisdiction* length*
Si Turbidity Curtain Temporary Other Groundnut Creek Perennial Both 38 71
Average(feet) (linear feet)
S2 Bridge and Fill Slope Permanent Bank Stabilization Ditch B/C Jurisdictional Ditch Corps 4 16
Average(feet) (linear feet)
S3 Bridge and Fill Slope j
Temporary Dewatering Ditch B/C Jurisdictional Ditch Corps 4 21
Average(feet) (linear feet)
3i.Total jurisdictional ditch impact in square feet:
148
3i.Total permanent stream impacts: 3i.Total temporary stream impacts:
16 92
31.Total stream and ditch impacts:
108
3j.Comments:
Ditch B/C is a roadside ditch.Although we do not believe that this feature would be claimed by USAGE,since we are pursuing a PJD,impacts to this
feature were included as a precaution.
6. Buffer Impacts (for DWR)
6a.Project is in which protect basin(s)?
Check all that apply.
Neuse Tar-Pamlico
Catawba Randleman
Goose Creek Jordan Lake
Other
6b.Impact Type 6c.Per or Temp 6d.Stream name 6e.Buffer mitigation required? 6f.Zone 1 impact 6g.Zone 2 impact
Site 1-Bridge-Allowable without Authorization P Groundnut Creek No 99 167
6h. Total buffer impacts:
Zone 1 Zone 2
Total Temporary impacts: 0.00 0.00
Zone 1 Zone 2
Total Permanent impacts: 99.00 167.00
Zone 1 Zone 2
Total combined buffer impacts: 99.00 167.00
61.Comments:
E. Impact Justification and Mitigation

1.Avoidance and Minimization
la.Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
The proposed project is to remove and replace a structurally deficient bridge with a new bridge.Roadway approach work is minimized as much as is
practical to reduce the overall project footprint.The existing bridge has a bent in the creek,while the proposed bridge will span the creek and remove the
existing bent.The new bridge will also divert stormwater through a basin instead of releasing it directly into the stream.The bridge utilizes 4.0'caps,so
the rip-rap key in ties in outside the existing top of bank under the bridge.Grassy 3:1 fill slopes are utilized with a low roadway profile to minimize
impacts to the wetland areas.
lb.Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Erosion and sedimentation BMPs will be installed prior to construction.Impacts will be minimized by strict enforcement of Best Management Practices
for the protection of surface waters,restrictions
against the staging of equipment in or adjacent to waters of the US and coordination with appropriate environmental staff.
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 this project DOES NOT require Compensatory Mitigation,explain why:
The impacts to jurisdictional features as a result of this bridge replacement will be minimal-16 LF of permanent stream impact,<0.01 acre of wetland impact,and<0.01 acre of buffer
impact.Therefore,no mitigation is required.
F. Stormwater Management and Diffuse Flow Plan (required by DWR) "
1. Diffuse Flow Plan
la.Does the project include or is it adjacent to protected riparian buffers identified within one of the NC Riparian Buffer Protection Rules?
Yes No
What type of SCM are you providing?
Level Spreader
Vegetated Conveyance(lower SHWT)
Wetland Swale(higher SHWT)
Other SCM that removes minimum 30%nitrogen
Proposed project will not create concentrated stormwater flow through the buffer
2. Stormwater Management Plan
2a.Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?*
Yes No
Comments:
See Stormwater Management Plan in attached permit drawings package.
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 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)?*
Yes No
lc.If you answered"yes"to the above,has the document review been finalized by the State Clearing House?*
Yes No
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.
Per the NC DWQ April 10,2004 Version 2.1 Cumulative Impacts policy,small scale public transportation projects-such as widening projects,bridge
replacements and intersection improvements-have a"low potential for cumulative impacts since little(if any)new impervious surface is added and the
projects are usually in already developed locales."This proposed project is within a somewhat developed landscape(i.e.existing residential homes in
the vicinity),this is not a road on a new location(i.e.there is an existing road and bridge structure and thus,the area already contains impervious
surfaces),and the project drains to Groundnut Creek,which is a Class C,Swamp waters(i.e.not HQW,ORW or 303(d)listed waters).We anticipate the
NC DWR will advise us if a qualitative or quantitative analysis is needed.
4. Sewage Disposal (DWR Requirement)
4a.Is sewage disposal required by DWR for this project?*
Yes No 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 No
5b.Have you checked with the USFWS concerning Endangered Species Act impacts?*
Yes No
5c.If yes,indicate the USFWS Field Office you have contacted.
Raleigh
5d.Is another Federal agency involved?*
Yes No Unknown
5e.Is this a DOT project located within Division's 1-8?
Yes No
5j.What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
IPaC;species surveys for the project.No habitat is present for the West Indian manatee or the American alligator.No foraging habitat is present within
1.0 mile for bald eagle.Carolina madtom,Atlantic pigtoe,and Neuse River waterdog surveys are scheduled and will be completed prior to Let.It is
anticipated,if the Biological Conclusion for madtom or waterdog is MANLAA or MALAA,the appropriate payment will be made for each species per the
existing PCO.If Atlantic pigtoe results in a Biological Conclusion that requires USFWS concurrence,appropriate documentation will be submitted to
USFWS and concurrence will be obtained prior to Let.NLEB is covered per the existing PBO for NCDOT Divisions 1-8.
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 Mapper
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?*
State Historic Preservation Office correspondence;SEPA review.
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 or CLOMR
8c.What source(s)did you use to make the floodplain determination?*
NC Floodplain Map
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
B-4569_Revised_MCDC_signed.pdf 2.18MB
17BP.2.R.90_Permit Drawings_BUFFER_20210923.pdf 1.12MB
17.BP.2.R.90_Rdy_RPC.pdf 2.7MB
17BP.2.R.90_Permit Drawings_20210922.pdf 1.85MB
File must be PDF or KMZ

Comments
Since the NRTR was completed,the Neuse River Waterdog has been listed as Threatened and the Carolina madtom has been listed as Endangered by the US Fish and Wildlife Service.
Surveys have not yet been done for these species,but are anticipated to be done over the 2021-2022 season.Since these species are covered under a PCO,we were hoping to acquire
the permit before the surveys are complete under the condition that surveys will be done before the project is underway and appropriate payment is made based on the Biological
Conclusion of each species.
Signature
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:
Signature
Sign
Date
10/14/2021