20140050 Ver 1_Application_20140114

ENVIRONMENTAL SERVICES, INC.
524 S NEW HOPE ROAD
RALEIGH, NORTH CAROLINA 27610
919 - 212 -1760 • FAX [phone]
www.environmentalservicesinc.com
January 9, 2014
NCDWQ, Transportation Permitting Unit
1650 Mail Service Center
Raleigh, NC 27699 -1650
Re: BD- 5103X, Pender County Bridge #202
Low Impact Bridge Project Data Sheet for General Certification #3687
Pender County, NC
Environmental Services, Inc. is submitting five (5) copies the enclosed Low Impact Bridge Project Data
Sheet and attachments on behalf of NCDOT for the proposed replacement of Pender County Bridge #202.
The proposed project will improve driver safety. This project is subject to the Low Impact Bridge
Process and meets documentation requirements and approval procedures under NEPA, as defined by
FHWA, for Low Impact Bridge Replacements.
Please contact me at (919) 212 -1760 if you have any questions or comments. Thank you for your
assistance with this project.
Sincerely,
Environmental Services, Inc.
Robert Turnbull
Senior Scientist
0 1 40 0 5 0
Attachments: Low Impact Bridge documentation
FLORIDA • GEORGIA • NORTH CAROLINA • SOUTH CAROLINA • MARYLAND • OHIO

Low /Minimal Impact Bridge Project Data Sheet
TIP NO
BD -5103X
WBS Element No.
45349.1.24
County
Pender
Bridge Number
202
Replace Bridge 202 over bills
Description
Creek
Cape Fear
Basin
Classifleatlon
C;Sw
Stream SIN
18- 74-24-4
Type
Perennial
Size width & depth)
20x4
Type
2 span bridge
Existing Structure site
1 aQ17'- 9 ",1Q16- 11 ",1Q17 -8°
Out-lo-out--25.3'
Suff. Ratino
40
Proposed Structure Type
2 span bridge
Size n m oetcut
80' X 30'
Stream USACE Impacts (LF)
0
NCDWQ Impacts (I-F )
0
USACE Impacts (AC)
0.03
Wetlands Non 4D4 Impacts (AC)
0
CAMA Impacts SF
0
NC DWO Buffers Impacts SF
No
Suffer Application Required 1N
No
State Stormwater Permit Required IN
No
Habitat
Yes (American Alligator)
TEE Species Present
American Alligator Possible
Bic Conclusion
No Effect
Moratorium Type
No
Dates
Nativell-fatchery
No
Trout Waters Trout Species Present
Trout Conditions IN
WRC Reviewer
CAMA AECs
None
Essential Fish Habitat 1n)
No
Nay. Openina
No
USCG Permit
No
Historic Properties
Yes
Archaeolo lcal Resources
No
Tribal Lands
No
4M Resources
No
6 LWC Fl Resources
No
Wild and Scenic River
No
Federal Lands
No
NA Area
No
FEMA Buyout
No
FEMA Flood Study
Yes
USTs Haz Mats
No
Relocatees
No
Location LAT
34.67126
LONG
- 78.04765
Project Comments
Historic Architecture survey
pending
Completed nX Q
-r j
En ineer, ate
0j r/- e CA,,d-�
Division Environmental Officer, Date
1/9/2014
JA Id 1
AIDS IRMTF""
2,G1:4 0050

A��1
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
Attachment L: Low Impact Bridge Replacement Process
Low Impact Bridge Project No.: 139- 063XCounty �l at--
Bridge No. VZ over S- I I s C- ek WBS Element Number gFS3gq. /. 7-11
This project is subject to the Low Impact Bridge Process as agreed to on October 6,
2009. This project meets the documentation requirements and approval procedures
under NEPA, as defined by FHWA, for Low Impact Bridge Replacements. This project
meets the standards of NCDOT's Minimum Criteria Rules.
Date: 'tav�LA a tj X20 [
Applicant Name: NC-1�� 9ivisi� -,., 3
Applicant Address: 5-501 31m.
(f,�15'dge KAyA NC ZSLIzI
Primary Contact for Project: ArwA -,de, 61
Phone No.: q 10 - 341 - 2004
Is this an after - the -fact application: Yes No
River Basin: C4fc re�"
Stream Classification: G , Sw
Regulatory Authorization Options for this Activity
Federal: USACE Nationwide General Permit 3 — Maintenance
State: General Water Quality Certification #3687 and /or Buffer Authorization
Local: None
Dee Freeman
Secretary
Project Description — This section shall include a description of the existing and proposed bridges,
any stormwater management BMPs utilized to meet diffuse flow or treatment prior to discharge, existing
and proposed stream /wetland /open water impacts, buffer impacts by impact type (road fill, bridging, etc.),
drawings of the proposed project and impacts. Additional pages may be attached.
Signature:
Print Name:
Title:
Transportation Permitting Unit
1650 Mail Service Center, Raleigh, North Carolina 27699 -1650
Location: 2321 Crabtree Blvd., Raleigh, North Carolina 27604
Phone: 919 - 733 -17861 FAX: 919 - 733 -6893
Internet: http:// h2o.enr.state.nc.us /ncwetiands/
An Equal Opportunity l Affirmative Action Employer
NorthCarolina
Naturally,

AGENT AUTHORIZATION FORM
PROPERTY DESCRIPTION:
�D -slo3X - P"E'- 202 S,e13ZS ov" siffs � k
PARCEL ID:
STREETADDRESS: SR1325* 1.911t
PROPERTYOWNER (PLEASE PRINT): N*r& CL•A -k �P�I: aF lfin..rPuri►c�ik
PROPERTY OWNER:
The undersigned, registered property owners of the above noted property, do hereby authorize
Robert Turnbull of Environmental Services. Inc.
3Zy
to act on my behalf and take all actions necessary for the processing, issuance, and acceptance of this
permit or certification and any and all standard and special conditions attached.
PROPERTY OWNER ADDRESS (if different from above):
g"Adst rival. ce'solc. RAyncr Mc. Z8yZ9
Telephone: 9f0— 3 ql -Zfaa
We hereby certify the above information submitted in this application is true an accurate to the best of
our knowledge.
Authorized Signature
Date: i
Authorized Signature
Date:
i

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Project Tracking No. (Internal Use)
13 -07 -0017
SUR VEY REQUIRED FORM
PROJECT INFORMATION
Project No: BD -5103X
WBS No: 45349.1.24
F.A. No:BRZ- 1325(6)
County: Pender
Document: CE
Funding: ® State ® Federal
Federal (USA CE) Permit Required? ® Yes ❑ No Permit Type: NWP 3 & WQC 3883
Project Description:
Replace Bridge No 202 on SR 1325 (Sills Creek Rd) over a branch of Sills Creek.
SUMMARY OF CULTURAL RESOURCES REVIEW — SURVEYREQUIRED
Brief description of review activities, results of review, and conclusions:
A review of HPOGIS reveals that the APE of this project is within the National Register - eligible
Penderlea Historic District (PD 318). An architectural historian will need to conduct a site visit to
document the study area. NCDOT, SHPO and the lead federal agency will need to meet to determine if
there is any effect to the historic district.
SUPPORT DOCUMENTATION
See attached: Map
FINDING BY NCDOT CULTURAL RESOURCES PROFESSIONAL — SURVEY REQUIRED
Archaeology Historic Architecture (circle one)
Shelby Spillers
NCDOT Cultural Resources Specialist
July 29, 2013
Proposed fieldwork completion date
November 2, 2013
Sun ey Required Form for Minor Transportation Projects as Qualified in the 1007 Programmatic Agreement.
NCDOT Archaeology & Historic Architecture Groups
Date

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13-07-0017
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Survey Required Form for Minor Transportation Projects as Qualified in the 2007 Programmatic Agreement.
NCDOT Archaeology & Historic Architecture Groups
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Survey Required Form for Minor Transportation Projects as Qualified in the 2007 Programmatic Agreement.
NCDOT Archaeology & Historic Architecture Groups

( 13 -07 -0017
NO ARCHAEOLOGICAL SURVEY REQUIRED FORM
g
This form only pertains to ARCHAEOLOGICAL RESOURCES for this project. It is not f`Ct 4
valid for Historic Architecture and Landscapes. You must consult separately with the '01
Historic Architecture and Landscapes Group.
PROJECT INFORMATION
Project No: BD -5103X
WBS No: 45349.1.24
F.A. No: BRZ- 1325(6)
Federal Permit Required?
County: Pender
Document: CE
Funding. ❑ State ® Federal
® Yes ❑ No Permit Type: NWP 3 & WQC 3883
Project Description: Replace Bridge #202 on SR 1325 over Sill's Creek.
SUMMARY OF CULTURAL RESOURCES REVIEW
Brief description of review activities, results of review, and conclusions: Review of the Office of State
Archaeology map files on July 29, 2013 found that Bridge 202 had been cleared on February 14, 1996 as
part of a previous NCDOT project.
Brief Explanation of why the available information provides a reliable basis for reasonably predicting
that there are no unidentified historic properties in the APE: Based upon previous documentation from
the Office of State Archaeology clearing this bridge project no further work is required.
SUPPORT DOCUMENTATION
See attached: ® Map(s) ❑ Previous Survey Info ® Photos ❑Correspondence
❑ Photocopy of County Survey Notes Other: ER 96 -8328
FINDING BY NCDOT ARCHAEOLOGIST
"No AI?CHArOI.OGY SURVEY REOUIIiI,D •" join+ jar Minor Transportation Projects as Qualified in the 2007 Prograuuualic Agreement.
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Pender 202 Bridge — USGS Topo Map

Pender Bridge 202
Detour Route
1300
202 �
203
SR 1325(Sills Creek Road) to SR 1328 (Garden Road) to NC 11
to SR 1324(Crooked Run Road) back to SR 1325(Sills Creek Road)
Total Detour 1.6 miles
Pender 202 — SV13 / TTST 21 which is greater than the current posting of SV10 /TTST17 at Pender 202.
No restriction created.