20231288 Ver 1_ePCN Application_20230915

DW R
DHlsloo 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:
4/16/2022
BIMS # Assigned
20231288
Is a payment required for this project?*
No payment required
Fee received
Fee needed - send electronic notification
Select Project Reviewer*
Ryan Conchilla: ryan. conch it la
Information for Initial Review
1a. Name of project:
Richmond Bridge 142
1a. Who is the Primary Contact?*
Art C. King
1b. Primary Contact Email: *
[e-mail]
Date Submitted
9/15/2023
Nearest Body of Water
Naked Creek
Basin
Lumber
Water Classification
WS-II: ORW
Site Coordinates
Latitude:
35.178308
A. Processing Information
Is this project connected with ARPA funding?
Yes No
County (or Counties) where the project is located:
Richmond
Is this a NCDMS Project
Yes No
Longitude:
-79.698165
Version#*
1
Reviewing Office*
Central Office - [phone]
1c. Primary Contact Phone:*
[phone]
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:
WBS # (1)
BP8.R016.1
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
1b. 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):
13
1d. Type(s) of approval sought from the DWR:
401 Water Quality Certification - Regular
Non-404 Jurisdictional General Permit
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:
For the record only for Corps Permit:
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
1h. 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:
NCDOT Highway Division 8
2b. Deed book and page no.:
NA
2c. Contact Person:
401 Water Quality Certification - Express
Riparian Buffer Authorization
Yes No
Yes No

2d. Address
Street Address
121 DOT Drive
Address Line 2
city
Carthage
Postal / Zip Code
28327
2e. Telephone Number:
[phone]
2g. Email Address:*
[e-mail]
4. Agent/Consultant (if applicable)
4a. Name:
Mead & Hunt
4b. Business Name:
4c. Address
Street Address
111 E. Hargett Street, Suite 300
Address Line 2
city
Raleigh
Postal / Zip Code
27601
4d. Telephone Number:
[phone]
4f. Email Address:*
[e-mail]
C. Project Information and Prior Project History
1. Project Information
1b. Subdivision name:
(if appropriate)
NA
1c. Nearest municipality / town:
Norman
2. Project Identification
State / Province / Region
NC
Country
Moore
2f. Fax Number:
[phone]
State / Province / Region
NC
Country
Wake
4e. Fax Number:
2a. Property Identification Number: 2b. Property size:
NA 1
2c. Project Address
Street Address
Research Farm Rd.
Address Line 2
City State / Province / Region
Norman NC
Postal / Zip Code Country
Richmond/Montgomery
3. Surface Waters
3a. Name of the nearest body of water to proposed project:
Naked Creek
3b. Water Resources Classification of nearest receiving water:
WS-II; ORW
3c. What river basin(s) is your project located in?
Lumber

3d. Please provide the 12-digit HUC in which the project is located.
030402030103
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: "
Secondary road bridge located in a rural -agricultural, residential area.
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:
<0.01
4g. List the total estimated linear feet of all existing streams on the property:
161
4h. Explain the purpose of the proposed project:"
To replace an outdated deficient bridge with a new structure that meets current standards for safety.
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used: "
To replace an outdated deficient bridge with a new structure that meets current standards for safety. There will be no changes of land use in the area. Construction equipment will include
but not limited to: Dump trucks, cranes, dozers, graders, compactors, shaft drilling machines, track hoes, paving equipment, milling machines.
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?
Yes No O 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): Veronica Miller
Agency/Consultant Company: Mead & Hunt
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
2. Wetland Impacts
O
Reason (?)
2b. Impact type* (?)
2c. Type of W. *
2d. W. name
2e. Forested"
2f. Type of Jurisdicition"
(?)
2g. Impact
area
F77]hand
clearing JT
Floodplain Pool
Naked Creek
f=Bo
th
0.010
(acres)
2g. Total Temporary Wetland Impact
0.010
2g. Total Wetland Impact
0.010
2i. Comments:
Hand clearing only.
2g. Total Permanent Wetland Impact
0.000

3. Stream Impacts
❑
S1
3a. Reason for impact (?)
Bank Stabilization
3b.lmpact type"
Permanent
3c. Type of impact*
Stabilization
3d. S. name*
Naked Creek
3e. Stream Type*
(?)
Perennial
3f. Type of
Jurisdiction*
Both
3g. S. width
25
Aveage (feet)
3h. Impact
liength*
74
(linear feet)
S2
Dewatering
Temporary
Stabilization
1 aked Creek
Perennial
Both
25
Average (feet)
10
(linear feet)
31. Total jurisdictional ditch impact in square feet:
0
3i. Total permanent stream impacts:
74
3i. Total stream and ditch impacts:
84
3j. Comments:
All impacts are related to bank stabilization.
E. Impact Justification and Mitigation
1. Avoidance and Minimization
3i. Total temporary stream impacts:
10
la. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
Removal of the existing bridge structure will be done by equipment stationed at the top of bank.
The new structure will be a complete span of the channel.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Installing the minimum amount of stabilization material (riprap) needed to protect the structure as determined by the Hydraulics Engineers.
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 a below the threshold limits for mitigation.
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:
Lumber River Basin
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?
Yes No
Comments:
Stormwater management plan attached to the 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
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 (North Carolina)
Environmental Policy Act (NEPA/SEPA)?*
Yes No
L
1c. If you answered "yes" to the above, has the document review been finalized by the State Clearing House?
Yes No

Comments:
State MCDC
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.
New structure is a minor deviation from the existing structure and will not change hydraulic flow or road/land usage.
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
5e. Is this a DOT project located within Division's 1-8?
Yes No
Unknown
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
On -site survey by NCDOT Environmental Staff
USF&W website
IPAC
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?
NOAA Website.
IPAC.
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?
Tribal letter attached.
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain?
Yes No
8c. What source(s) did you use to make the floodplain determination?
National Flood Hazard Layer FIRMette
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
BP8R016_Permit Drawings.pdf
1.55MB
21-12-0005NoSurveyReq.pdf
389.84KB
Rich_142_EFH.pdf
82.2KB
Rich_142_Soils _map.pdf
539.38KB
Richmond 142 hydro and wetland data 2022.05.20-compressed.pdf
3.2MB
Richmond 142 MCDC signed.pdf
338.24KB
Richmond 142 NRTR.pdf
444.21KB
BP-8 R016 Catawba Coordination Letter.pdf
764.56KB
Rich-142—Species List_ Raleigh Ecological Services Field Office.pdf
141.57KB
Rich_142_topo.pdf
254.89KB
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:
Art C. King
Signature
Date
9/15/2023
a