20140613 Ver 1_Application_20140617

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Corps action ID no.
DWQ project no.
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Nps �. y/ 041 Form Version 1.4 January 2009
Page 1 of 10
PCN Form — Version 1.4 January 2009
'r
Pre- Constr= otification (PCN) Form
A.
Applicant Information
1.
Processing
1a.
Type(s) of approval sought from the Corps:
Section 404 Permit ❑ Section 10 Permit
1b.
Specify Nationwide Permit (NWP) number: 3 or General Permit (GP) number:
1c.
Has the NWP or GP number been verified by the Corps?
0 Yes ❑ No
1d.
Type(s) of approval sought from the DWQ (check all that apply):
❑9 401 Water Quality Certification — Regular ❑ Non -404 Jurisdictional General Permit
❑ 401 Water Quality Certification — Express El Riparian Buffer Authorization
le-
Is this notification solely for the record
because written approval is not required?
For the record only for DWQ
401 Certification:
❑ Yes 0 No
For the record only for Corps Permit:
❑ Yes Q No
1f.
Is payment into a mitigation bank or in -Geu fee program proposed for
mitigation of impacts? If so, attach the aoceptance letter from mitigation bank
or in -lieu fee program.
❑ Yes No
1g.
Is the project located in any of NC's twenty coastal counties. If yes, answer I
below.
0 Yes ❑ No
1 h. Is the project located within a NC DCM Area of Environmental Concern (AEC)?
❑Q Yes ❑ No
2.
Project Information
2a.
Name of project:
Pamlico 24
2b.
County:
Pamlico
2c.
Nearest municipality / town:
Bayboro
2d.
Subdivision name:
N/A
2e_
NCDOT only, T.I.P. or state project no:
42287.1.2
3.
Owner Information
3a. Name(s) on Recorded Deed:
North Carolina Department of Transportation
3b.
Deed Book and Page No.
N/A
3c.
Responsible Party (for LLC if
applicable):
N/A
3d_
Street address:
105 Pactolus Highway NC 33 P.O. Box 1587
3e.
City, state, zip:
Greenville, NC 27835
3f.
Telephone no.:
252 -439 -2800
3g.
Fax no.:
252 - 830 -3341
3h.
Email address:
jbjohnson @ncdot.gov
Page 1 of 10
PCN Form — Version 1.4 January 2009

4.
Applicant Information (if different from owner)
4a.
Applicant is:
❑ Agent Other, specify: Division 2 Environmental Officer
4b.
Name:
Jay B. Johnson
4c.
Business name
(if applicable):
North Carolina Department of Transportation
4d.
Street address:
P.O. Box 1587
4e.
City, state, zip:
Greenville, NC 27835
4f.
Telephone no-
252 -439 -2800
4g.
Fax no.
252- 830 -3341
4h.
Email address:
jbjohnson @ncdot.gov
5.
AgentlConsultant Information (if applicable)
5a.
Name:
N/A
5b.
Business name
(if applicable):
5c.
Street address:
5d.
City, state, zip:
5e.
Telephone no.:
5f.
Fax no.:
5g.
Email address:
Page 2 of 10

B. Project Inforrnation and Prior Project History
1.
Property Identification
1a.
Property identification no. (tax PIN or parcel ID):
Pamlico 24 Bridge to Bridge Replacement
1b.
Site coordinates (in decimal degrees):
Latitude: 35.144428 Longitude: -76.766296
1c.
Property size:
acres
2.
Surface Waters
2a.
Name of nearest body of water to proposed project:
North Prong Bay River
2b.
Water Quality Classification of nearest receiving water:
North Prong Bay River SC; Sw, NSW
2c.
River basin:
Neuse
3.
Project Description
3a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this
application:
NC 304 is a paved North Carolina Highway. Commercial business and residences dominate the landscape.
3b.
List the total estimated acreage of all existing wetlands on the property: 1
3c.
List the total estimated linear feet of all existing streams (intermittent and perennial) on the property: 70
3d. Explain the puroose of the proposed project:
Bridge to pipe replacement: the existing bridge has deteriorated and needs replacement
3e. Describe the overall project in detail, including the type of equipment to be used:
The existing 70' long concrete bridge will be replaced by a 1 10' long cored slab bridge.
4. Jurisdictional Determinations
4a.
Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
project (including all prior phases) in the past?
❑ Yes E] No ❑ Unknown
Comments:
4b.
If the Corps made the jurisdictional determination, what type
of determination was made?
❑ Preliminary ❑ Final
4c.
If yes, who delineated the jurisdictional areas?
Name (if known):
Agency /Consultant Company:
Other:
4d.
5.
If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
Project History — -- -- -- —
5a.
Have permits or certifications been requested or obtained for
this project (including all prior phases) in the past?
0 Yes ❑ No ❑ Unknown
5b. If yes, explain in detail according to "help file" instructions.
CAMA GP has been submitted to CAMA for review and permit
6.
Future Project Plans
6a.
Is this a phased project?
❑ Yes Q No
6b.
If yes, explain.
Page 3 of 10
PCN Form — Version 1.4 January 2009

C. Proposed Impacts Inventory
1. Impacts Summary
1 a. Which sections were completed below for your project (check all that apply):
❑ Wetlands ❑ Streams — tributaries Buffers ❑ Open Waters ❑ Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
2a.
Wetland impact
number
Permanent (P) or
Temporary
2b.
Type of impact
2c.
Type of wetland
2d.
Forested
2e.
Type of jurisdiction
Corps (404,10) or
DWQ (401, other)
2f.
Area of
impact
(acres)
)
W1
Choose one
Choose one
Yes/No
-
Vii2
Choose one
Choose one
Yes/No
W3
Choose one
Choose one
Yes/No
W4
Choose one
Choose one
Yes/No
W5
Choose one
Choose one
Yes/No
W6
Choose one
Choose one
Yes/No
-
2g. Total Wetland Impacts:
2h. Comments:
3. Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this
question for all stream sites impacted.
3a.
Stream impact
number
Permanent (P) or
Temporary (T)
3b.
Type of impact
3c.
Stream name
3d.
Perennial (PER) or
intermittent (INT)?
3e.
Type of
jurisdiction
3f.
Average
stream
width
(feet)
3g.
Impact
length
(linear
feet)
S1
Choose one
S2
Choose one
S3
Choose one
S4
Choose one
S5
Choose one
S6
Choose one
3h. Total stream and tributary impacts
3i. Comments:
Page 4 of 10
PCN Form — Version 1.4 January 2009

4. Open Water Impacts
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of
the U.S. then individually list all open water impacts below.
4a.
Open water
impact number
Permanent (P) or
Temporary
4b.
Name of waterbody
(if applicable)
4c.
Type of impact
4d.
Waterbody
type
4e.
Area of impact (acres)
01
Choose one
Choose
02
Choose one
Choose
03
Choose one
Choose
04
Choose one
Choose
4f. Total open water impacts
4g. Comments:
5. Pond or Lake Construction
If pond or lake construction proposed, the complete the chart below.
5a.
Pond ID number
5b.
Proposed use or
purpose of pond
5c.
Wetland Impacts (acres)
5d.
Stream Impacts (feet)
5e.
Upland
(acres)
Flooded
Filled
Excavated
Flooded
Filled
Excavated
Pi
Choose one
P2
Choose one
5f. Total:
5g. Comments:
5h. Is a dam high hazard permit required?
❑ Yes ❑ No If yes, permit ID no:
5i. Expected pond surface area (acres):
5j. Size of pond watershed (acres):
5k. Method of construction:
6. Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer, then complete the chart below. If yes, then individually list all buffer impacts
below. If any impacts require mitigation, then you MUST fill out Section D of this form.
6a. Project is in which protected basin?
Neuse ❑ Tar - Pamlico ❑ Catawba ❑ Randleman ❑ Other:
6b.
Buffer Impact
number -
Permanent (P) or
Temporary
6c_
Reason for impact
6d.
Stream name
6e.
Buffer
mitigation
required?
6f.
Zone 1
impact
(square
feet )
69.
Zone 2
impact
(square
feet
Bi P
Fill
North Prong of Bay River
No
930
460
B2 P
Fill
North Prong of Bay River
No
3,800
275
B3
YesfNo
B4
Yes/No
B5
Yes/No
B6
Yes/No
6h. Total Buffer Impacts:
4,730
735
6i. Comments: Zone 1 Impacts - 0.1086 Acres, Zone 2 Impacts 0.0169 Acres
Page 5 of 10

D. Impact Justification and Mitigation
1. Avoidance and Minimization
1 a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
There are 4,730 sq.ft. of buffer zone 1 impacts and 735 sq.ft. of buffer zone 2 impacts due to the installation of a 1 10' x 42' cored slab bridge.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Use of existing roadway to operate construction equipment
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 0 No
2b. If yes, mitigation is required by (check all that apply):
❑ DWQ ❑ Corps
2c. If yes, which mitigation option will be used for this
project?
❑ Mitigation bank
❑ Payment to in -lieu fee program
❑ Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
3b. Credits Purchased (attach receipt and letter)
Type: Choose one
Type: Choose one
Type: Choose one
Quantity:
Quantity:
Quantity:
3c. Comments:
4. Complete if Making a Payment to In -lieu Fee Program
4a. Approval letter from in -lieu fee program is attached.
❑ Yes
4b. Stream mitigation requested:
linear feet
4c. If using stream mitigation, stream temperature:
Choose one
4d. Buffer mitigation requested (DWQ only):
square feet
4e. Riparian wetland mitigation requested:
acres
4f_ Non - riparian wetland mitigation requested:
acres
4g. Coastal (tidal) wetland mitigation requested:
acres
4h. Comments:
5. Complete if Using a Permittee Responsible Mitigation Plan
5a. If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
Page 6 of 10
PCN Form — Version 1.4 January 2009

6. Buffer Mitigation (State Regulated Riparian Buffer Rules) — required by DWQ
6a. Will the project result in an impact within a protected riparian buffer that requires
buffer mitigation?
El Yes No
6b. If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation. Calculate the
amount of mitigation required.
Zone
6c.
Reason for impact
6d.
Total impact
(square feet)
Multiplier
6e.
Required mitigation
(square feet)
Zone 1
3 (2 for Catawba)
Zone 2
1.5
6f. Total buffer mitigation required:
6g. If buffer mitigation is required, discuss what type of mitigation is proposed (e.g., payment to private mitigation bank,
permittee responsible riparian buffer restoration, payment into an approved in -lieu fee fund).
6h. Comments:
Page 7 of 10

E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Plan
1a. Does the project include or is it adjacent to protected riparian buffers identified
Yes ❑ No
within one of the NC Riparian Buffer Protection Rules?
1b. If yes, then is a diffuse flow plan included? If no, explain why.
See Stormwater Management Plan
0 Yes ❑ No
2. Stormwater Management Plan
2a. What is the overall percent imperviousness of this project?
o
/o
2b. Does this project require a Stormwater Management Plan?
El Yes ❑ No
2c. If this project DOES NOT require a Stormwater Management Plan, explain why:
2d. If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
The proposed bridge does not contain deck drains. A majority of stormwater from the bridge and approach roadways will be collected in dosed storm
drainage systems and discharged outside the buffers. Approximately 0.09 acres of the proposed project will be discharged directly into North Prong
Bay River through an existing catch basin and outfall pipe that is being retained. The project contains three (3) outfalls in addition to the one
discussed above. Outfall #1 is located right of -L- Sta. 11 +30 and discharges onto a riprap pad into a wetland (note that Gass B np -rap is proposed at
the outlet is claimed as a wetland impact). Outfall #2 is left of -L- Sta. 12 +25 onto a riprap pad at natural ground Outfall #3 is a tail ditch at 0.30% left
of -L- Sta. 17 +45 that ends just short of an existing wetland.
2e. Who will be responsible for the review of the Stormwater Management Plan?
DWR 401 Unit
3. Certified Local Government Stormwater Review
3a. In which local government's murisdiction is this pro ect?
N/A
❑ Phase II
3b. Which of the following locally- implemented stormwater management programs
❑ NSW
apply (check all that apply):
❑ USMP
❑ Water Supply Watershed
❑ Other:
3c Has the approved Stormwater Management Plan with proof of approval been
❑ Yes ❑ No
attached?
4. DWQ Stormwater Program Review
OCoastal counties
❑HQW
4a. Which of the following state - implemented stormwater management programs apply
❑ORW
(check all that apply)
❑Session Law 2006-246
DOther: NPDES Peril
4b. Has the approved Stormwater Management Plan with proof of approval been
❑ Yes [S] No
attached?
5. DWQ 401 Unit Stormwater Review
5a. Does the Stormwater Management Plan meet the appropriate requirements?
❑ Yes ❑ No
5b. Have all of the 401 Unit submittal requirements been met?
❑ Yes ❑ No
Page 8 of 10
PCN Form — Version 1.4 January 2009

F.
Supplementary Information
1.
Environmental Documentation (DWQ Requirement)
la.
Does the project involve an expenditure of public (federaUstate / local) funds or the
Yes
❑ No
use of public (federaltstate) land?
1b.
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
❑ Yes
[S] No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1c.
If you answered "yes" to the above, has the document review been finalized by the
State Clearing House? (If so, attach a copy of the NEPA or SEPA final approval
❑ Yes
E] No
letter.)
Comments:
2.
Violations (DWQ Requirement)
2a.
Is the site in violation of DWQ Wetland Rules (15A NCAC 2H .0500), Isolated
Wetland Rules (15A NCAC 2H .1300), DWQ Surface Water or Wetland Standards,
❑ Yes
No
or Riparian Buffer Rules (15A NCAC 2B .0200)?
2b.
Is this an after - the -fact permit application?
❑Yes
No
2c.
If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s):
3.
Cumulative Impacts (DWQ Requirement)
3a.
Will this project (based on past and reasonably anticipated future impacts) result in
❑ Yes
No
additional development, which could impact nearby downstream water quality?
3b.
If you answered "yes" to the above, submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWQ policy. If you answered "no," provide a short narrative description.
4.
Sewage Disposal (DWQ Requirement)
4a.
Clearly detail the ultimate treatment methods and disposition (non- discharge or discharge) of wastewater generated from
the proposed project, or available capacity of the subject facility.
Page 9 of 10
PCN Form — Version 1.4 January 2009

5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or
❑ Yes No
habitat?
5b. Have you checked with the USFWS concerning Endangered Species Act
Yes No
impacts?
5c. If yes, indicate the USFWS Field Office you have contacted.
-
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
Onsite field investigation by Jay Johnson "No Effect'
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat?
❑ Yes QQ No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
NCWRC and NCDMF - See attached email
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
Yes No
status (e.g., National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?
NCDOT HEU Historic Architecture and Archaeology - See attached letter
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA- designated I Myear floodplain?
Yes ❑ No
8b. If yes, explain how project meets FEMA requirements:
Designed to no-rise standards
8c. What source(s) did you use to make the floodplain determination?
FEMA FIRM Maps
Jay B. Johnson
r/L✓I�
6 -11 -2014
Applicant/Agent's Printed Name
Date
App nt/ a Signature
(Agent's s ure Ili, my if an authorization
letter om the a nt is provided.)
Page 10 of 10

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Brame, Bill Jr.
From:
Wilson, Travis W.
Sent:
Monday, June 09, 2014 3:36 PM
To:
Brame, Bill Jr.
Cc:
Johnson, Jay B
Subject:
Bridge 24 Pamlico County
See the email chain below.
NOTE: NEW PHONE NUMBER AND MAILING ADDRESS
Travis W. Wilson
Eastern Region Highway Project Coordinator
Habitat Conservation Program
NC Wildlife Resources Commission
1718 Hwy 56 West
Creedmoor, NC 27522
Phone: [phone]
Fax: [phone]
Travis.Wilson @ncwildlife.org
From: Wilson, Travis W.
Sent: Wednesday, August 08, 2012 3:46 PM
To: Rogerson, Maria A
Cc: Johnson, Jay B
Subject: RE: D -2 bridge replacements
You are correct since Pamlico 24 is in Coastal Waters WRC defers to DMF for the moratorium call.
From: Rogerson, Maria A
Sent: Wednesday, August 08, 2012 3:29 PM
To: Wilson, Travis W.
Cc: Johnson, Jay B
Subject: RE: D -2 bridge replacements
Travis:
Just want to confirm that NCDMF makes the call on moratorium (if necessary) on Pamlico 24, because they were sent
the same notification and responded with no comments. So I can assume we are clear on this one. Thanks,
Maria
From: Wilson, Travis W.
Sent: Thursday, August 02, 2012 10:24 AM
To: Rogerson, Maria A
Subject: D -2 bridge replacements
Craven County Bridge number 27 on SR 1630 over Beaverdam Swamp: WRC does not have any specific concerns with
this bridge replacement project.
1

Pamlico County Bridge number 24 on NC 304 over North Prong of Bay River: North Prong Bay River is designated as
Coastal Waters in this location. NCDOT should coordinate with NCDMF for comments pertaining to aquatic resources.
Travis W. Wilson
Eastern Region Highway Project Coordinator
Habitat Conservation Program
NC Wildlife Resources Commission
1142 1 -85 Service Rd.
Creedmoor, NC 27522
Phone: 919 - 528 -9886 ext. 6
Fax: 919 - 528 -9839
[e-mail]
Email co respon- once to and from this sender is subject to the N.C. Public Records Law and may be disclosed to third pprties.

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11/27/2007 14:25 NC STATE HISTORIC PRESERUATION 4 912528303352 NO.728 903
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PAMLICO 24 BRIDGE REPLACEMENT
NC 304 OVER NORTH PRONG OF THE BAYRIVER
BAYBORO USGS QUAD MAP WBS ELEMENT NUMBER 42287.1.2
SHEET NUMBER 3 OF THE SOIL SURVEY OF PAMLICO COUNTY
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