20210633 Ver 1_ePCN Application_20220712

DWR
Division of Water Resources
Pre-Construction Notification (PCN) Form
For Nationwide Permits and Regional General Permits
(along with corresponding Water Quality Certifications)
April 13,2022 Ver 4.3
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.
Pre-Filing Meeting Date Request was submitted on:
3/25/2021
BIMS#Assigned* Version#*
20210633 1
Is a payment required for this project?*
No payment required
Fee received Reviewing Office*
Fee needed-send electronic notification Wilmington Regional Office-[phone]
Select Project Reviewer*
Hannah Sprinkle:eads\hhsprinkle
Information for Initial Review
la.Name of project:
Replace Bridge 125 on NC41/72 and Bridge 175 on SR1600 over Lumber River(B-5985-Central)
1a.Who is the Primary Contact?*
NCDOT
lb.Primary Contact Email:* lc.Primary Contact Phone:*
[e-mail] [phone]
Date Submitted
7/12/2022
Nearest Body of Water
Lumber River
Basin
Lumber
Water Classification
C;Sw
Site Coordinates
Latitude: Longitude:
34.619241 -79.010685
A. Processing Information
County(or Counties)where the project is located:
Robeson
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-5985
WBS#(?)
47749.1.1
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
lb.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
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
lf.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
ld.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
1000 Birch Ridge Drive
Address Line 2
City State/Province/Region
Raleigh NC
Postal/Zip Code Country
27610 USA
2e.Telephone Number: 2f.Fax Number:
[phone]
2g.Email Address:*
[e-mail]
C. Project Information and Prior Project History
1.Project Information
1 b.Subdivision name:
(if appropriate)
1c.Nearest municipality I town:
Lumberton
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:*
Lumber River
3b.Water Resources Classification of nearest receiving water:*
C;Sw
3c. What river basin(s)is your project located in?*
Lumber
3d.Please provide the 12-digit HUC in which the project is located.
030402031003
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:*
Land use in the project vicinity consists primarily of commercial development and community park along Lumber River floodplain.The Lumber River is considered"Wild and Scenic"in this
location.
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:
1.4
4g.List the total estimated linear feet of all existing streams on the property:
1,640
4h.Explain the purpose of the proposed project:*
The purpose of this project is to replace two structurally deficient bridges.
4i.Describe the overall project in detail,including indirect impacts and the type of equipment to be used:*
This project involves replacing the 285-foot,6 span Bridge 125 with a 295-foot,3 span structure and the 268-foot,6 span Bridge 175 with a 285-foot,3 span structure on the existing
alignment using an off-site detour.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:
5b.If the Corps made a jurisdictional determination,what type of determination was made?*
Preliminary Approved Not Verified Unknown N/A
Corps AID Number:
SAW-2021-00431
5c.If 5a is yes,who delineated the jurisdictional areas?
Name(if known): Rob Crowther
Agency/Consultant Company: Carolina Ecosystems
Other:
5d.List the dates of the Corp jurisdiction determination or State determination if a determination was made by the Corps or DWR
PJD received dated April 1,2021
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 projector related activity?
D. Proposed Impacts Inventory U
1. Impacts Summary
la.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*2g.Impact
(?) area*
B125-1 stormwater discharge P Bottomland Hardwood Forest WA Yes Both 0.003
(acres)
B125-3 pipe installation P Non-Tidal Freshwater Marsh WB/WJ No Both 0.002
(acres)
B175-6 pipe installation P Non-Tidal Freshwater Marsh WB No Both 0.003
(acres)
2g.Total Temporary Wetland Impact 2g.Total Permanent Wetland Impact
0.000 0.008
2g.Total Wetland Impact
0.008
2i.Comments:
An additional 0.16 acre of hand clearing in riparian wetlands due to project construction.
Surface Water impacts due to temporary workbridges:
Interior bent for Bridge#125=392 sqft.Temporary workbridge=4,225 sqft(Site 4)
Interior bent for Bridge#175=348 sqft.Temporary workbridge=4,051 sqft(Site 7)
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:
The bridges will be replaced on their existing alignment.The new bridges will have less bents in the water than the existing structures.See stormwater
management plan for additional minimization measures.
lb.Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
An off-site detour will be used during construction.
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:
Impacts on project are considered minimal and not a"Loss of Waters of the U.S.".
F. Stormwater Management and Diffuse Flow Plan (required by DWR)
1. Diffuse Flow Plan
1a.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:
There are no riparian buffers for the Lumber River in the project area.
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
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
1c.If you answered"yes"to the above,has the document review been finalized by the State Clearing House?*
Yes No
Comments:*
Type I/II Categorical Exclusions do not require approval from the State Clearing House.
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 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
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?
N.C.Natural Heritage Program database;USFWS-IPAC query of project area;biological surveys for protected species,which include American alligator,
red-cockaded woodpecker,wood stork,and Michaux's sumac.Surveys are not required for American alligator due to its federal listing a Threatened Due
to Similarity of Appearance.There is no habitat for red-cockaded woodpecker or wood stork.Habitat for Michaux's sumac occurs within the study area.
An updated survey for the species was conducted on 06/29/2022 No specimens were observed within the study area.The biological conclusion for all
species is No Effect.
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?*
An Effects meeting was held on 11/18/21 with the State Historic Preservation Office(SHPO)and the U.
S.Army Corps of Engineers in attendance.It was determined that the project had a finding of No
Adverse Effect and all parties were in concurrence.Commitments have been included in the Project
Commitments sheet to comply with this No Adverse Effect determination.See the CE for additional information.
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 maps
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-5985 General Robeson July 12 2022.pdf 6.26MB
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:
Mack Christopher Rivenbark,Ill
Signature
xa e. Ic1RAiRif% 11
Date
7/12/2022