20201505 Ver 1_ePCN Application_20220106

DW R
Divi.ha of ware.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#*
20201505 1
Is a payment required for this project?*
No payment required
Fee received Reviewing Office*
Fee needed-send electronic notification Central Office-[phone]
Select Project Reviewer*
Ryan Conchilla:eads\rjconchilla
Information for Initial Review
1a.Name of project:
B-5728:Replacement of Bridge#000112 on NC 87 over Reedy Fork Creek
la.Who is the Primary Contact?*
NCDOT
1 b.Primary Contact Email:* 1c.Primary Contact Phone:*
[e-mail] [phone]
Date Submitted
1/6/2022
Nearest Body of Water
Reedy Fork Creek
Basin
Cape Fear
Water Classification
WS-V;NSW
Site Coordinates
Latitude: Longitude:
36.173083 -79.510335
A. Processing Information u
County(or Counties)where the project is located:
Alamance
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:
B-5728

WBS#(,
45684.1.1
Pre-Filing Meeting Information
Is this a courtesy copy notification?"
Yes No
ID# Version
Pre-fling Meeting or Request Date
9/28/2020
Attach documentation of Pre-Filing Meeting Request here:
Click the upload button or drag and drop files here to attach document
B-5728 401 Pre-Filing Notification(Mass 12 MLL Request)2020-09-28.pdf 417.96KB
File type must be PDF
1a.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
1 b.What type(s)of permit(s)do you wish to seek authorization?
Nationwide Permit(N W P)
Regional General Permit(RGP)
Standard(IP)
1c.Has the NWP or GP number been verified by the Corps?
Yes No
Regional General Permit(RGP)Number: 201902350-Work associated with bridge construction,widening,replacement,and
interchanges
RGP Numbers(for multiple RGPS):
1d.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
1f.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
1 h.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
1d.Who is applying for the permit?
Owner Applicant(other than owner)
le.Is there an Agent/Consultant for this project?
Yes No
2.Owner Information

2a.Name(s)on recorded deed:
n/a
2b.Deed book and page no.:
2c.Contact Person:
2d.Address
Street Address
1598 Mail Service Center
Address Line 2
City State/Province/Region
Raleigh NC
Postal/Zip Code Country
27699 US
2e.Telephone Number: 2f.Fax Number:
[phone]
2g.Email Address:'
[e-mail]
C. Project Information and Prior Project History
1.Project Information
1b.Subdivision name:
(if appropriate)
1c.Nearest municipality/town:
Ossippee
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:
Reedy Fork Creek
3b.Water Resources Classification of nearest receiving water:*
WS-V;NSW
3c. What river basin(s)is your project located in?*
Cape Fear
3d.Please provide the 12-digit HUC in which the project is located.
030300020705
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:
Forestland with historically industrial,residential use areas and agricultural properties.
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
4g.List the total estimated linear feet of all existing streams on the property:
633

4h.Explain the purpose of the proposed project:'
The purpose of the proposed project is to remove a structurally deficient bridge and replace in-place with a bridge that meets current design standards and can accommodate future
projected traffic volumes as well as accommodating all legal loads.The bridge is considered structurally deficient due to a substructure condition appraisal of 4 out of 9,according to
Federal Highway
Administration standards.NCDOT Bridge Management Unit records indicate Bridge No.112 currently has a sufficiency rating of 29.32 out of a possible 100.
41.Describe the overall project in detail,including indirect impacts and the type of equipment to be used:"
The bridge will include a two-lane roadway with twelve-foot lanes and a minimum of six-foot paved shoulders.The design speed limit is 55 MPH.The bridge will be replaced with a new
bridge approximately 340 feet in length.
The Burlington-Graham Metropolitan Planning Organization(MPO)Comprehensive Transportation Plan(CTP)for bicycle paths recommends improvements to the NC 87 route in Ossipee.
Although,no special bicycle or pedestrian accommodations(i.e.,8 foot wide path and/or sidewalks)have been requested on the bridge.The current design has shoulders on the bridge six
feet in width,which a bicycle or pedestrian could use to cross the bridge.
An offsite detour was considered but ultimately not chosen because no NC routes were available to detour traffic,especially truck traffic,onto.The preferred alternative is to replace Bridge
No.112 in place with an onsite detour via a temporary bridge west of its existing location.
Standard road building equipment such as trucks,dozers,and cranes will be used.
5. Jurisdictional Determinations
5a.Have the wetlands or streams been delineated on the property or proposed impact areas?*
Yes No Unknown
Comments:
only streams present,no wetlands.
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): Troy Shelton
Agency/Consultant Company: Dewberry,Inc.
Other:
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?
No
D. Proposed Impacts Inventory
1. Impacts Summary
1a.Where are the impacts associated with your project?(check all that apply):
Wetlands Streams-tributaries Buffers
Open Waters Pond Construction
3. Stream Impacts
E�
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
?) 11 Jurisdiction* length*
S7 causeway Temporary Bank Stabilization Reedy Fork Creek Perennial Both 170 17
Average(feet) (linear feet)
gy causeway Temporary Workpad/Causeway Reedy Fork Creek Perennial Both 170 134
Average(feet) (linear feet)
S3 bridge replacement Permanent Bank Stabilization Reedy Fork Creek Perennial Both 170 66
Average(feet) (linear feet)
31.Total jurisdictional ditch impact in square feet:
0
31.Total permanent stream impacts: 3i.Total temporary stream impacts:
66 151
31.Total stream and ditch impacts:
217

3j.Comments:
Note included on Permit Drawing Sheet 2 of 8:"Causeways not to extend more than 50%across Reedy Fork Creek".
There are some temporary stream impacts from the causeway that aren't included in totals,as they overlap with permanent bank stabilization impacts.
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 11
6e.Buffer mitigation required? 6f.Zone 1 impact 6g.Zone 2 impact
Bridge 1P Reedy Fork Creek Yes 14,938 9,374
6h. Total buffer impacts:
Zone 1 Zone 2
Total Temporary impacts: 0.00 0.00
Zone 1 Zone 2
Total Permanent impacts: 14,938.00 9,374.00
Zone 1 Zone 2
Total combined buffer impacts: 14,938.00 9,374.00
6i.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:
Steps were taken to reduce stream impacts where possible.For any fill slopes located with ditch stub-outs,toe protection is being installed.Rip rap pads
are being used near jurisdictional areas to minimize the potential for erosion.Any sediment and erosion control devices will follow the NCDOT procedure
for Environmentally Sensitive Areas where required and will be installed as needed throughout the site to promote stability and minimize sedimentation.
Grass swales and rip rap dissipator treatments have been designed and utilized where practical to minimize the impacts to jurisdictional and wetland
areas.
1 b.Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
NCDOT will adhere to Best Management Practices for Construction and Maintenance Activities.
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
2c.If yes,mitigation is required by(check all that apply):
DWR Corps
2d.If yes,which mitigation option(s)will be used for this project?
Mitigation bank Payment to in-lieu fee program Permittee Responsible Mitigation
4. Complete if Making a Payment to In-lieu Fee Program
4a.Approval letter from in-lieu fee program is attached.
Yes No
4b.Stream mitigation requested: 4c.If using stream mitigation,what is the stream temperature:
(linear feet)
4d.Buffer mitigation requested(DWR only):
(square feet) 4e.Riparian wetland mitigation requested:
24,312 (acres)
4f.Non-riparian wetland mitigation requested: 4g.Coastal(tidal)wetland mitigation requested:
(acres) (acres)

4h.Comments
6. Buffer mitigation (State Regulated Riparian Buffer Rules)- required by DWR
6a.Will the project result in an impact within a protected riparian buffer that requires buffer mitigation?If yes,you must fill out this entire form-please contact DWR for more information.
Yes No
6b.If yes,then identify the square feet of impact.
6c.Reason for impact 6d.Total impact(square Multiplier 6e.Required mitigation
feet) (square feet)
Zone 1 Bridge 14,938 3 44,814
Zone 2 Bridge 9,374 1.5 14,061
6f.Total buffer mitigation required
58875
6g.If buffer mitigation is required,is payment to a mitigation bank or NC Division of Mitigation Services proposed?
Yes No
6j.Comments:
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 attached Permit Drawings.
G. Supplementary Information
1. Environmental Documentation
la.Does the project involve an expenditure of public(federal/state/local)funds or the use of public(federal/state)land?*
Yes No
1 b.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
1c.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.
Due to the minimal transportation impact resulting from this bridge replacement,this project will neither influence nearby land uses nor stimulate growth.
Therefore,a detailed indirect or cumulative effects study will not be necessary.
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
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,NC Natural Heritage Program(NHP)Biotics Database,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?
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 No
7b.What data sources did you use to determine whether your site would impact historic or archeological resources?*
Minimum Criteria Determination Checklist(MCDC),NCDOT Archaeology Group and Historic Structures Group documentation(attachments).
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:
NCDOT Hydraulics Unit coordination with FEMA.
8c.What source(s)did you use to make the floodplain determination?*
FEMA Map(Zone EA)
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-5728 Cover Letter.pdf 406.26KB
B-5728 Historic Properties.pdf 5.2MB
B-5728 PA 16-01-0055 Alamance No Archaeological Survey Required Form.pdf 1.72MB
B-5728 Tribal Letters.pdf 1015.6KB
B-5728 Mitigation Accept.pdf 208.7KB
B-5728 NCDWR Stream Determination Letter_B-5728.pdf 2.21MB
B5728_Permit_Buffer_drawings.pdf 3.76MB
FINAL State MCD Checklist B-5728 11-23-20.pdf 4.11 MB
File must be PDF or KMZ

Comments
In response to Question C.S.B.,the"unknown"box was clicked.However,David Bailey with the Corps(and April Norton,NCDWR Representative)conducted an on-site visit on August 17,
2018.A PJD was never issued by the Corps.
The NCDWR"Onsite Determination for Applicability to the Mitigation Rules(15A NCAC 2H.0506)and Onsite Determination for Applicability to the Jordan Buffer Rules(15A NCAC 02B
.0267)"document,dated September 19,2018,is attached to this ePCN.
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:
Michael Turchy
Signature
T"
Date
1/6/2022