20150394 Ver 1_Application_20150423 (2)

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STATE OF NORTH CAROLINA
DEPAR'1'MENT OF '1'RANSPORTATION
PAT MCCRORY ANTHONY J. TATA
GOVEftNOR SCCRETARY
E�]Jl'l12], i�15
US Army Coips of Engiueers NC Division of WaYer Resources
Raleigh Regulatory Field Ofiice Winston-Salem Regional Offce
Attn: Mr. David Bailey Attn: Mr. Dave Wanucha
3331 Heritage Trade Dr, Ste. 105 450 W. Hanes Mill Rd, Ste. 103
Walw Forest, NC 27587 Winston-Salem, NC 27105
Subject: Nationwide 14 Permit and Jardan Lake Riparian Buffer Application for the
replacement of Bridge No. 253 on SR 2178 (Rumley Road) over Brick House Creek (Haw
River Tributaiy #6), Alamance County, North Carolina, WBS Element No. 17BP.7.R.63
Dear Mr. Bailey and Mr. Wanudia:
Tl�e North Carolina Department of Transportation (NCDOT) is proposing to replace a functionally
obsolete 19' L by 20' W single span timber bridge with a new 18' W by 4.5' H reinforced concrete
bottomless culvert. An off-site detour w.ill be used to convey h•affic dm�ing construction. The projeat
will also include some minor approach work on the existing roadway.
Please iuid enclosed a PCN application, Stormwater Management Plan, Culvert Suivey Report, pennit
drawings, buffer drawings, a USGS quad map, SHPO Concurrence Forms, and photographs.
The North Carolina Natural Heritage Database was checked for records of tl�reatened and endangered
species. The database lists no species for Alamance County that have federal status. The Bald eagle is
protected in eveiy counTy in North Cu•olina under the Bald and Golden Eagle Protection Act. The Haw
River is suitable feed'vig/water source and is located within one mile of the study area. Field surveys
for nesting eagles were conducted and it was determined that there will be "No EffecY' due to the
project. Further, Mr. Gary Jordan (USFWS) recently released the Programmatic Conference Opinion
(PCO) for the recently listed Nortliern Long Eared Bat (NLEB). This opinion, states in part, that "... it
is the Service's confereiace opinion that NCDOT activities in eastern North Cm�olina (Divisions I-8), as
proposed, a�•e not likely to jeopardize the cantinued existence of the NLEB. "
This project was reviewed by NCDOT's Hwnan Environment Unit in 2012 for potential affects to
historical architecture and archaeology. After reviewing historical maps, aerials, and other data
sources, it was determined that no survey was required for historical architecture. A survey on August
24, 2012 determined that no arcl�aeological resources will be affected by the project.
The project study area is comprised mostly of maintainedhesidential land.
NCDOT best management practices (BMPs) will be used to minimize and cont��ol sedimentation and
erosion. The constiuction foreman will review the BMPs daily to ensure erosion aud sedimentation is
1584 Yanceyville Street Greensboro, NC 27405 P.O. Box 14996 Greensboro, NC 27415-4996
Telephone: [phone] Fax: [phone]

Bridge No. 253 Page 2 April 21, 2015
being effectively controlled. If the foreman determines tl�e devices are not functioning as intended,
they will be replaced immediately with better devices.
Impacts to Waters of the United States
Brick House Creek (Haw River Tributary#6) (DWR Class: WS-V, NSW) is shown on the USGS
topographic map as a perem�ial stream. The chanuel is well defined witl� a substraYe prin�arily
eomposed of sand, silt, and gravel and is approximately 11 feet in width. From the project site, the
tributary flows approximately 1,500-feet eastward to its confluence with the Haw River, a part of the
Cape Fear River Basin (HUC 03030002). The Haw River meets the definition of a Traditional
Navigable Water. For these reasons, we believe Brick House Creek is a Relatively Permanent Water
and is under the jurisdiction of the U.S. Army Corps of Engineers. As such, replacing the existiug
bridge will result in impaets to waters of the United States. The impacts are listed in the table below:
Jurisdictional Impact Summary
Perm. Temp. Perm. Temp.
�xisting Existing
Station Structure Size / Type Sw sW Channel Channel
Impacts Impacts
Impacts Impacts
(ac) ( ac) � �
12+12 to 12+30 CL Excavation/channel realigmnent for
] 2+04 to 12+30 —LT- bottomless culvert, floodplain bench, 0.03 0.02 70 33
12+27 to 12+46 —RT- stabilization, temporary pipe, and
im eivious dikes
Station
11+56 to 12+10 —LT-
12+31 to 12+81 —LT-
11+58 to 12+12 —RT-
12+29 to 12+31—LT-
12+12 to 12+27 —LT-
Total
Jordan Lake Buffer
Type
Road Fill and Cleu�ing
Bridge Fill and Clearing
Za�e 1 (ftZ)
2,389
107
2,496
Zone 2 (ftZ)
1,216
1,216

Bridge No. 253 Page 3 April 21, 2015
Pe�•mits Requested
NCDOT is l�ereby requesting authorization under Section 404 of the Clean Water AcY Yo proceed with
the construction project outlined above. We are also requestiug a 401 Water Quality Ceitiiication aud
Jordan Lake Riparian Buffer AuthorizaUon from the North Carolina Department of Environment and
Nahtral Resources (DENR), Division of Water Resources (DWR).
If you have any questions or need additional information, please contact Jeriy Parlcer at [phone]
or jparker(a�nedot o�v. Your review and consideration are greatly appreciated.
Suicerely,
q�-�..�/�
J.M. Mills, PE
Division Engineer, Division 7
Enclosures
cc: Tim Powers, NCDOT
Bany Harrington, Roadside Enviro�unental Field Operatiovs Engineer
Jeremy Warren, NCDOT
Chuck Edwards, Dist�'ict 1, District Engineer

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Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.3 Dec 10 2008
Pre-Construction Notification PCN Form
A. A licant Information
1. Processing
1a. Type(s) of approval sought from the
Corps: � Section 404 Permit ❑ Section 10 Permit
1 b. Specify Nationwide Permit (NWP) number: 14 or Generai Permit (GP) number:
1c. Has the NWP or GP number been verified by the Corps? � Yes ❑ No
1 d. Type(s) of approval sought from the DWQ (check all that apply):
� 401 Water Quality Certification — Regular ❑ Non-404 Jurisdictional General Permit
❑ 401 Water Quality Certification — Express � Riparian Buffer Authorization
1 e. Is this notification solely for the record For the record only for DWQ 401 For the record only for Corps Permit:
because written approvai is not required? Certification:
❑ Yes � No ❑ Yes � No
1f. Is payment into a mitigation bank or in-lieu fee program proposed for mitigation � yes ❑ No
of impacts? If so, attach the acceptance letter from mitigation bank or in-lieu
fee program.
1 g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h ❑ Yes � No
below.
1 h. Is the project located within a NC DCM Area of Environmental Concern (AEC)? ❑ Yes � No
2. Project Information
2a. Name of project: Replace Bridge No. 253 on SR 2178 over Brick House Creek (Haw River Tributary 6)
2b. County: Alamance
2c. Nearest municipality / town: Saxapahaw
2d, Subdivision name: N/A
2e. NCDOT only, T.I.P. or state ��BP � R.63
project no:
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 Division Engineer NC DOT Division 7, Mr. Mike Mills, PE
applicable):
3d. Street address: PO Box 14996
3e. City, state, zip: Greensboro, NC 27415
3f. Telephone no.; [phone]
3g. Fax no.: [phone]
3h. Email address: [e-mail]
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PCN Form — Version 1.3 December 10, 2008 Version

4. Applicant Information (if different from owner)
4a. Applicant is: ❑ Agent � Other, specify: NC DOT Highway Division 7
4b. Name: Division Engineer NC DOT Division 7, Mr. Mike Mills, PE
4c. Business name NC DOT
(if applicable):
4d. Street address: PO Box 14996
4e. City, state, zip: Greensboro, NC 27415
4f. Telephone no.: [phone]
4g. Fax no.: [phone]
4h. Email address: [e-mail] *note: please a/so copy Mr. JenyParker, Highway Division 7 Environmenta!
Supervisor on al! correspondence — jparker a�cdot.gov
5. AgenUConsultant Information (if applicable)
5a. Name: Mr. Jerry Parker
5b. Business name NC DOT Highway Division 7, Division Environmental Supervisor
(if appiicable):
5c. Street address: PO Box 14996
5d. City, state, zip: Greensboro, NC 27415 .
5e. Telephone no.: [phone]
5f. Fax no.: [phone]
5g. Email address: [e-mail]
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PCN Form — Version 1.3 December 10, 2008 Version

B. Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID): N/A
1b. Site coordinates (in decimal degrees): Latitude 35.954757 Longitude: -79.337307
(DD.DDDDDD) (-DD.DDDDDD)
1c. Property size: N/A acres
2. SurFace Waters
2a. Name of nearest body of water (stream, river, etc.) to grick House Creek (Tributary to Haw River #6)
proposed project:
2b. Water Quality Classification of nearest receiving water: 16-(10.5); WS-V; NSW
2c. River basin: Cape Fear (HUC 03030002)
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:
The project study area is comprised of mostly of maintained/residential property. The Haw River is approximately 1,500
feet east of the project study area.
3b. List the total estimated acreage of all existing wetlands on the property:
N/A
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
— 103 LF of stream within the project boundaries
3d. Explain the purpose of the proposed project:
To replace a structurally deficient and functionally obsolete timber bridge.
3e. Describe the overali project in detail, including the type of equipment to be used:
Traffic will be detoured off-site. Erosion and sedimentation control measures will be installed. Water will be diverted around the
construction area. The old bridge will be removed. The proposed stucture will be replaced on its existing alignment. The new
culvert structure will be a reinforced concrete bottomless culvert with a width of 18 feet and a height of 4.5 feet. The channel will
be excavated and realigned for low flow shaping, and a floodplain bench with stabilization will be established on each bank.
Water will be pumped around the work area during construction by installed impervious dikes upstream and downstream of the
existing bridge. Water will be directed into special stilling basins. Equipment to be used includes a track hoe, dump truck,
paving equipment, pumps, and various hand tools.
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained fo�r this property / � yes � No ❑ Unknown
project (inciuding all prior phases) in the past.
Comments: N/A
4b. If the Corps made the jurisdictional determination, what type
of determination was made? ❑ Preliminary � Finai
4c. If yes, who delineated the jurisdictional areas? Agency/Consultant Company: N/A
Name (if known): N/A Other: N/A
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
N/A
5. Project History
5a. Have permits or certifications been requested or obtained for � yes � No ❑ Unknown
this project (including all prior phases) in the past?
5b. If yes, explain in detaii according to "help file" instructions.
N/A
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PCN Form — Version 1.3 December 10, 2008 Version

6. Future Project Plans
6a. Is this a phased project? ❑ Yes � No
6b. If yes, explain.
N/A
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PCN Form — Version 1.3 December 10, 2008 Version

C. Proposedlmpactslnventory
1. Impacts Summary
1a. 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. 2b. 2c. 2d. 2e. 2f.
Wetland impact Type of jurisdiction
number — Type of impact Type of wetland Forested (Corps - 404, 10 Area of impact
Permanent (P) or (if known) DWQ — non-404, other) (acres)
Tem orar T
W1 ❑ P � T ❑ Yes ❑ Corps �
❑ No ❑ DWQ
2g. Total wetland impacts 0
2h. Comments: There are no wetlands within the project boundaries.
3. Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this
question for ali stream sites impacted.
3a. 3 b. 3c. 3d. 3e. 3f. 3g.
Stream impact Type of impact Stream name Perennial Type of jurisdiction Average Impact
number - (PER) or (Corps - 404, 10 stream length
Permanent (P) or intermittent DWQ — non-404, width (linear
Temporary (T) (INT)? other) (feet) feet)
Excavation/channel
realignment for
bottomless culvert,
S1 � P� T floodplain bench, Haw River � PER � Corps � � P: 70
stabilization, Tributary ❑ INT � DWQ T: 33
temporary pipe,
and impervious
dikes
S2 ❑ P❑ T ❑ PER ❑ Corps
❑ INT ❑ DWQ
3h. Total Permanent Stream and Tributary Impacts 70
3i. Comments: Of the 103 LF of stream impacts, only 70 LF are associated with permanent impacts to the stream for the
purpose of stream alignment and stabilization with respect to the culvert installation. The 33 LF of temporary impacts are
associated with the impervious dikes that will be used upstream and downstream of the proposed crossing. The dewatering
of the stream will run concurrently with the construction activities (i.e. the temporary impacts associated with dewatering are
within the permanent stream impact footprint location).
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. 4b. 4c. 4d. 4e.
Open water Name of waterbody
impact number — (if applicable) Type of impact Waterbody type Area of impact (acres)
Permanent(P)
or Tem orar T
01 ❑P❑T
4f. Total open water impacts
4g. Comments: No open water impacts
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PCN Form — Version 1.3 December 10, 2008 Version

5. Pond or Lake Construction
If ond or lake construction ro osed, then com lete the chart below.
5a. 5b. 5c. 5d. 5e.
Wetland Impacts (acres) Stream Impacts (feet) Upland
Pond ID Proposed use or purpose of (acres)
number pond
Flooded Filled Excavated Flooded Filled Excavated Flooded
P1
P2
5f. Total
5g. Comments: There are no ponds created for this project
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 wiil impact a protected riparian buffer, then complete the chart below. If yes, then individually list all buffer impacts
below. If an im acts re uire miti ation, then ou MUST fill out Section D of this form.
6a.
❑ Neuse ❑ Tar-Pamlico � Other: Jordan Lake
Project is in which protected basin? ❑ Catawba ❑ Randleman
6b. 6c. 6d. 6e. 6f. 6g.
Buffer impact
number— Reason Buffer Zone 1 impact Zone 2 impact
Permanent (P) for Stream name mitigation (square feet) (square feet)
orTem ora T im act re uired?
Road fill ❑ Yes
B1 � P❑ T and Haw RiverTributary � No 2,389 1,216
clearing
Bridge ❑ Yes
B2 � P❑ T Fill and Haw River Tributary � No 107 0
Clearing
6h. Total buffer impacts 2,496 1,216
6i. Comments: The impacts associated with the roadway crossing and culvert installation fall under the "potentially allowable"
category per the Jordan Water Supply Buffer Rules Table of Uses {15A NCAC 02B .0267 (9)}
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.
The proposed project is to remove a structurally deficient bridge and replace it with a bottomless cuivert. Roadway approach
work is minimized as much as is practical to reduce the overall project footprint. Impacts to the associated protected riparian
buffers have also been reduced by promoting sheet flow as weil as providing grass shoulders to promote infiltration. An off-
site detour will be empioyed to avoid the need for a temporary parallel structure. Bank stabilization will be minimized to those
areas where deemed necessary.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through constructio� techniques.
Erosion and sedimentation BMPs will be installed prior to construction. The stream will be diverted around the work area to
prevent sedimentation of downstream aquatic resources. Impacts will be minimized by strict enforcement of Best
Management Practices for the protection of surface waters, restrictions against the staging of equipment in or adjacent to
waters of the US and coordination (including a pre-construction meeting) with the Division Environmental Supervisor.
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PCN Farm — Version 1.3 December 10, 2008 Version

2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for � Yes ❑ No
impacts to Waters of the U.S. or Waters of the State?
2b. If yes, mitigation is required by (check all that apply): ❑ DWQ � Corps
❑ Mitigation ba�k
2c. If yes, which mitigation option will be used for this project? � 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 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: 70 LF
4c. If using stream mitigation, stream temperature: � warm ❑ cool �cold
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: The NCDOT proposes to provide 1:1 mitigation for the impacts to the stream with the installation of the
bottomless culvert. NCDOT does not believe a 2:1 mitigation ratio is required as the thalweg of the channel wili not be
permanently impacted with structures or fiil. The stream banks will be reshaped and floodplain benches wili be built with
streambank stabilization to prevent scour/erosion around the footers of the 3 sided culvert.
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,
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PCN Form — Version 1.3 December 10, 2008 Version

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? ❑ Yes � No
While there are impacts to the protected Jordan Riparian area, these impacts are
"allowable" per the Tabie of Uses {15A NCAC 026.0267(9))
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.
6c. 6d. 6e.
Zone Reason for impact Total impact Multiplier Required mitigation
(square feet) (square feet)
Zone 1 3(2 for Catawba)
Zane 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:
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PCN Form — Version 1.3 December 10, 2008 Version

E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Plan
1 a. Does the project include or is it adjacent to protected riparian buffers identified � Yes ❑ No
within one of the NC Riparian Buffer Protection Rules?
1 b. If yes, then is a diffuse flow plan included? If no, explain why.
Comments: The proposed structure wiil be a 1 S' by 4.5' bottomless culvert. There is � yes � No
a slight increase in impervious surtace but treatment is not required. Stormwater
runoff will be directed to existing, grass lined roadside ditches.
2. Stormwater Mana ement Plan
2a. What is the overall percent imperviousness of this project? N/A %
2b. Does this project require a Stormwater Management Plan? � Yes ❑ No
2c. If this project DOES NOT require a Stormwater Management Plan, explain why:
2d. If this project DOES require a Stormwater Management Pian, then provide a brief, narrative description of the plan:
Plan is attached.
❑ Certified Local Government
2e. Who will be responsible for the review of the Stormwater Management Plan? ❑ DWQ Stormwater Program
� DWQ 401 Unit
3. Certified Local Government Stormwater Review
3a. In which local government's jurisdiction is this project? 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 Pro ram Review
❑ Coastai counties
❑ HQW
4a. Which of the following state-impiemented stormwater management programs apply � ORW
(check all that apply):
❑ Session Law 2006-246
❑ Other:
4b. Has the approved Stormwater Management Plan with proof of approval been
attached? ❑ Yes ❑ No
5. DWQ 401 Unit Stormwater Review
Sa. Does the Stormwater Management Plan meet the appropriate requirements? ❑ Yes ❑ No
5b. Have all of the 401 Unit submittal requirements been met? ❑ Yes ❑ No
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PCN Form — Version 1.3 December 10, 2008 Version

F. Suppiementary Information
1. Environmental Documentation (DWQ Requirement)
1a. Does the project involve an expenditure of public (federal/state/local) funds or the � yes ❑ No
use of public (federai/state) land?
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 ❑ Yes � No
(North Carolina) Environmental Policy Act (NEPAlSEPA)?
1 c. 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
letter.) ❑ Yes ❑ No
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.
Per the NC DWQ April 10, 2004 Version 2.1 Cumulative Impacts policy, small scale public transportation projects — such
as widening projects, bridge replacements and intersection improvements — have a"low potential for cumulative impact
since little (if any) new impervious surtace is added and the projects are usuaily in already developed locales." This
proposed project is within a somewhat developed landscape (i.e. existing residential homes in the vicinity), this is not a
road on a new location (i.e. there is an existing road and bridge structure and thus, the area already contains impervious
surtaces) and the project drains to the Haw Riverwhich is Class WS-V; Nutrient Sensitive Waters (NSW) (i.e, not HWQ or
ORW or 303(d) listed waters). We anticipate the NC DWR will advise us if a qualitative or quantitative analysis is needed.
4. Sewage Disposal (DWQ Requirement)
4a. Cleariy 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.
It is not anticipated that this project will generate any wastewater as it is a roadway project.
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PCN Form — Version 1.3 December 10, 2008 Version

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?
� Raleigh
5c. If yes, indicate the USFWS Field Office you have contacted.
❑ Asheville
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
North Carolina Natural Heritage Database and onsite investigation.
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat? ❑ Yes � No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
This bridge replacement project takes place in Alamance County which is not near any coastal or tidal habitat that wouid
support EFH (i.e. salt marshes, oyster reefs, etc.).
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 culturai 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?
This project was submitted to the North Carolina Department of Transportation's Human Environment Unit for review in
2012. It was determined that no survey was required for historical properties, and a field survey on August 24, 2012,
supported that no archaeological resources will be affected by this project.
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain? � Yes ❑ No
Sb. If yes, explain how project meets FEMA requirements: MOA
8c. What source(s) did you use to make the floodplain determination? North Carolina Floodplain Mapping Program
Mr. Mike Mills, PE �) ` � l
Applicant/AgenYs Printed Name �• �'�l• ✓�l-L�d /�cJ `� Z/• /s
ApplicanUAgenCs Si a re Date
(Agenfs signature is valid only if an authorization letter from the
a licant is rovided.)
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PCN Form — Version 1.3 December 10, 2008 Version