20211101 Ver 1_ePCN Application_20220202

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)
December 6,2021 Ver 4.2
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#*
20211101 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 150057 over Harlowe Creek on Ball Farm Road(1391)
la.Who is the Primary Contact?*
Casey Whitley
1 b.Primary Contact Email:* 1c.Primary Contact Phone:*
[e-mail] [phone]
Date Submitted
2/2/2022
Nearest Body of Water
Harlowe Canal
Basin
White Oak
Water Classification
SA;HQW
Site Coordinates
Latitude: Longitude:
34.836496 -76.749003
A. Processing Information
County(or Counties)where the project is located:
Carteret
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:
BP2.R005.1

WBS
TBD
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(NWP)
Regional General Permit(RGP)
Standard(IP)
1c.Has the NWP or GP number been verified by the Corps?
Yes No
Nationwide Permit(NWP)Number: 03-Maintenance
NWP Numbers(for multiple NWPS):
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
1 i.Is the project located within a NC DCM Area of Environmental Concern(AEC)?
Yes No Unknown
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:
NCDOT
2b.Deed book and page no.:
2c.Contact Person:

2d.Address
Street Address
1037 W.H Smith Blvd
Address Line 2
City State/Province/Region
Greenville North Carolina
Postal/Zip Code Country
27835 United States
2e.Telephone Number: 2f.Fax Number:
[phone]
2g.Email Address:*
[e-mail]
3.Applicant Information(if different from owner)
3a.Name:
Casey Whitley
3b.Business Name:
NCDOT
3c.Address
Street Address
1037 W.H Smith Blvd
Address Line 2
City State/Province/Region
Greenville North Carolina
Postal/Zip Code Country
27835 United States
3d.Telephone Number: 3e.Fax Number:
[phone]
3f.Email Address:*
[e-mail]
4.Agent/Consultant(if applicable)
4a.Name:
Sam Cullum
4b.Business Name:
Kisinger Campo&Associates
4c.Address
Street Address
301 Fayetteville
Address Line 2
Suite 1500
City State/Province/Region
Raleigh North Carolina
Postal/Zip Code Country
27601 United States
4d.Telephone Number: 4e.Fax Number:
[phone]
4f.Email Address:*
[e-mail]
C. Project Information and Prior Project History
1.Project Information
1b.Subdivision name:
(if appropriate)
1c.Nearest municipality/town:
Newport,NC
2.Project Identification

2a.Property Identification Number: 2b.Property size:
2c.Project Address
Street Address
Ball Farm Road(SR 1391)
Address Line 2
City State/Province/Region
Newport North Carolina
Postal/Zip Code Country
28570 United States
3. Surface Waters
3a.Name of the nearest body of water to proposed project:
Harlowe Canal
3b.Water Resources Classification of nearest receiving water:*
SA;HQW
3c. What river basin(s)is your project located in?*
White Oak
3d.Please provide the 12-digit HUC in which the project is located.
030203010404
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 conditions consist of a 2-lane bridge in a rural area.Surrounding land use is mostly agricultural with some single family homes.
Agricultural:2.01.01
Residential:1.01.01.01
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:
0.0026
4g.List the total estimated linear feet of all existing streams on the property:
100
4h.Explain the purpose of the proposed project:"
Replacement of existing structurally deficient bridge.
4i.Describe the overall project in detail,including indirect impacts and the type of equipment to be used:
Impacts to the jurisdictional stream and wetlands will result from construction activities required to remove existing endbents and install the proposed bridge.
Permanent impacts will result from the granite rip rap bank stabilization being used to lay back the existing vertical enchants with a proposed 1.5:1 slope up to the proposed endbent caps.
Temporary impacts will result from the removal of existing bents and placement of the proposed bank stabilization.
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): Jay B.Johnson
Agency/Consultant Company: NCDOT Div 2
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?
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
2.Wetland Impacts
2a1 Reason(?) 2b.Impact type*(?) 2c.Type of W. 2d.W.name* 2e.Forested* 2f.Type of Jurisdicition*2g.Impact
area
Proposed(End Bridge) P Unknown Harlowe Canal No Both 0.002
End Bent (acres)
End Proposed(End Bridge) T Unknown Harlowe Canal Both No 0(OO�s)
2g.Total Temporary Wetland Impact 2g.Total Permanent Wetland Impact
0.001 0.002
2g.Total Wetland Impact
0.003
21.Comments:
The temporary impacts for site 2 resulted in 0.0004 acres,was rounded up for entry.
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 Proposed(Begin Bridge)End Permanent Bank Stabilization Harlowe Canal Perennial Both 56 14
Bent Average(feet) (linear feet)
S2 Both Proposed(Begin Bridge)End Temporary Workpad/Causeway Harlowe Canal Perennial 56 50
Bent Average(feet) pinear feet)
S3 Proposed(End Bridge)End Permanent Bank Stabilization Harlowe Canal Perennial Both 56 46
Bent Average(feet) pinear feet)
S4 Proposed(End Bridge)End Temporary Workpad/Causeway Harlowe Canal Perennial Both 56 53
Bent Average(feet) (linear feet)
31.Total jurisdictional ditch impact in square feet:
0
31.Total permanent stream impacts: 3i.Total temporary stream impacts:
60 103
3i.Total stream and ditch impacts:
163
3j.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:
Proposed design features a box beam to cross the channel in a single span and avoid the need for intermittent bents.
1 b.Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Erosion control measures will be used throughout the construction process to minimize soil sediment transportation from the project location to the
jurisdictional stream.
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:
Proposed design features minimal impacts.
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
If no,explain why:
The project does not lie within a designated buffer zone.
2. Stormwater Management Plan
2a.Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?
Yes No
Comments:
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.
The scope of this project does not include adding travel lanes or impervious surfaces.Existing drainage patterns are maintained,therefore there is no
reason for a change in water quality resulting from the project.
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?
Natural Resources Technical Report
6. Essential Fish Habitat(Corps Requirement)
6a.Will this project occur in or near an area designated as an Essential Fish Habitat?
Yes No
Are there submerged aquatic vegetation(SAV)around the project vicinity?*
Yes No Unknown
6b.What data sources did you use to determine whether your site would impact an Essential Fish Habitat?
Natural Resources Technical Report
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?*
Historical&Archaeological surveys
8. Flood Zone Designation (Corps Requirement)
Be.Will this project occur in a FEMA-designated 100-year floodplairl
Yes No
8b.If yes,explain how project meets FEMA requirements:
No impacts will result from the proposed project to the 100-yr WSEL
8c.What source(s)did you use to make the floociplain determination?*
Proposed design and existing conditions were modeled in HEC-RAS and no impacts were shown.
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
BP2.R005 PCN Supporting Docs.pdf 60.48MB
File must be PDF or KMZ
Comments
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:
William Nelson King
Signature
�A<f.
Date
2/2/2022