20150873 Ver 1_Application_20150826

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STATE OF NORTH CAROLINA
DEPAR'I'MENT OF TTZANSPORTATION
PAT MCCRORY NICHOLASJ.TENNYSON
GOVERNOR SECRGTAAY
August 25, 2015
US Army Corps of Engineers NC Division of Water Resources
Raleigh Regulatoiy Field Office Winston-Salem Regional Office
Attn: Mr. David Bailey Athl: NI��. Dave Wanucha
3331 Heritage Trade Dr., Ste. 105 450 W. Hanes Mill Rd., Ste. 103
Wake Forest, NC 27587 Wn�stoil-Salem, NC 27105
Sabject: Nationwide 14 Perniit Application and Jordan Lalce Riparian Buffer Application for
the replacement of Bridge No. 200 on SR I 110 (Mt. 7ion Road) over Little Cree]c
Tributary, Alamance County, North Carolina, WBS Element No. 17BP.7.R.63
Dear Mr. Bailey and Mr. Wanucha:
The North Carolina Department of Transportation (NCDOT) is proposing to replace a
funetionally oUsolete 19' by 24' single span timber bridge with a new 18' by 6.5' bottomless
culvert witli top bevels and wingwalls. An off-site detour will Ue used to convey h�affic dw ing
conshuction. The project will also include some minor approach wark on the existing roadway.
Please find enclosed a PCN applicaYion, Stormwater Management Plan, Bridge Survey ReporC,
permit drawings, Uuffer drawings, a USGS quad map, SHPO Concurrence Forms, and
photographs.
The Nortl� Carolina Natural Heritage Database was checiced for records of threatened and
endangered species. The database lists no species for Alamance County that have federal status.
The Bald eagle is protected in eve�ry county in No�th Carolina under the Ba]d and Golden Eagle
Protectiov Act. No suitable feeding/water source is loeated within one mile of the project study
area to support bald eagle habitat. Furtl�er, Mr. Gaiy Jordan (USFWS) receirtly released the
Programmatic Conference Opinion (PCO) for the recently listed Northern Long �ared Bat
(NLEB). This opinion, states in part, that "... it is the Service 's co�zference opi�7iorr tlzat NCDOT
activities in eastern North Carolina (Divisions 1-8), as proposed, cu°e i2ot Zikely to jeopardize the
continued existence of tlze NLEB. "
This project was reviewed by NCDOT's Human Envirorunent Unit in 2012 for potential affects
to l�istorical architecture and arcl�aeology. After reviewing historical maps, aerials, and other
data som�ces, it was determined that no suivey was required for historieal architecture or
arcl�aeological resources.
The project study area is comprised mostly of hardwood forest and a small portion of
mowed/maintained residential land in the viciniry.
NCDOT best management practices (BMPs) will be used to minimize and control sedimentation
and erosion. The construction foreman will review the BMPs daily to ensure erosion and
P. O. Hox 14996 Greensboro, NC 27415-4996 Tetephone No. [phone] Fas No. [phone]

Bridge No. 200 Page 2 Aug�ist 25, 2015
sedimentation is being effectively controlled. If tl�e foreman determines the devices are not
funetiouing as intended, Yl�ey will be replaced immediately with better devices.
Impacts to Waters of the United States
Little Creek Tributary (DWR Class: WS-V, NSW) is showu on the USGS topographic map as a
peremiial strea�n. Tl�e chamiel is well defiued with a substrate primvily composed of sand, silt,
and gravel aud is approxiuiately 7-8 feet in width. From the project site, the Little Creel<
Tributary flows approximately 0.8 mile to its confluence with Little Creek, whicli then flows
approximaYely 2 miles to its confluence with South Prong Stinkiug Quarter Creelc South Prong
Stinking Quarter Creek flows 5.5 miles to join Noith Prong Stinking Quarter Creek, thus
becoming Stinlcing Quarter Creek Stinlcing Quaiter Creek flows anoYher 4.8 miles to Big
Alamance Creek, which then flows another 4.4 miles into the Haw River. The Haw River meets
the definition of a Traditional Navigable Water. For these reasons, we believe this tributaty of
Little Ci�eek is a Relatively Permanent Water and is under the jurisdiction of the U.S. Army
Corps of Engineers. As such, replacing tihe existing bridge will result in impacts to waters of the
United States in the Cape Fear River Basui (HUC 03030002). The impacts are listed in the table
below:
.h�risdictional Lnaact Summa�y
Perm. Temp. pe1�m. Temp.
��sting �xisting
Station Structw•e Size / Type I pacts Impacts Channel Channel
Impacts ImpacYs
�a�� � �°� 1 I
12+41 to 12+57 CL Excavation/chamiel realignment for
12+34 to 12+57 —LT- bottomless culvert, floodplain bench, 0.03 0.02 66 23
12+33 to 12+'72 —RT- staUilization, temporary pipe, and
im ervious dikes
Station
11+84 to 12+37 —LT-
12+55 to 13+09 —L1'-
1 l+'70 to 12+45 —RT-
12+63 to 13+25 RT-
12+54 to 12+55 —LT-
12+43 to 12i 45 —RT-
12+61 to 12+63 —RT-
Total
Permits Requested
Jordan Lake
Type
Road Fill and Clearing
Bridge Fill and Clearing
Zone 1 (ftZ)
1,416
1,424
Zone 2 (ftZ)
1,205
1,205
NCDOT is hereby requesting authorization under Section 404 of the Clean Water Act to proceed
wiYh the construction project outlined above. We are also requesting a 401 Water Quality
Certification and Jordan Lake Riparian Buffer Authorization fi�om the North Carolina
Depaiiment of Environment and Natural Resources (DENR), Division of Water Resources
�D�)•

Bridge No. 200 Page 3 August 25, 2015
If you liave any questions or need additional information, please contact Jerry Parker at (336)
256-2063 or j�arkerCc�ncdot. o�v. Your review and consideration are greaUy appreciated.
Sincerely,
9�,� . ,�.����
J.M. Mills, PE
Division Engineer, Division 7
Enclosures
ca Tim Powers, NCDOT
Bany Harrington, Roadside Envi�ronmental Field Operations Engineer
Jeremy Warren, NCDOT
Chuck Edwards, DisYrict l, Dist�•ict Engineer
File Copy

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O�ce Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.3 Dec 10 2008
Pre-Construction Noti�cation (PCN) I+orm
A. A licant Information
1. Processing
1a. Type(s) of approval sought from the
Corps: � Section 404 Permit ❑ Section 10 Permit
1b. Specify Nationwide Permit (NWP) number: 14 or General Permit (GP) number:
1c. Has the NWP or GP number 6een verified by the Corps? � Yes ❑ No
1 d. Type(s) of approval sought from the DW Q(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 approval 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 mifigation bank or in-lieu
fee program.
1g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1h ❑ 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. 200 on SR 1110 over Little Creek Tributary
2b. County: Alamance
2c. Nearest municipality / town: Kimesville
2d. Subdivision name: N/A
2e. NCDOT only, T.I.P. or state 17BP.7.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]
Page 1 of 11
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. Milce 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 copyMr. Jerry Parker, HighwayDivision 7 Envfronmenlal
Supervisor on all correspondence — [e-mail]
5. AgentlConsultant Information (if applicable)
5a. Name: Mr. Jerry Parker
5b. Business name NC DOT Highway Division 7, Division Environmental Supervisor
(if applicable):
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]
Page 2 of 11
PCN Form — Version 1.3 December 10, 2008 Version

�. Project Information and Prior Project History
1. Property Iden4ification
1 a. Property identification no. (tax PIN or parcel ID): N/A
1 b. Site coordinates (in decimal degrees): Latitude 35.940258 Longitude: -79.508480
(DD.DDDDDD) (-DD.DDDDDD)
1 c. Property size: N/A acres
2. Surtace Waters
2a. Name of nearest body of water (stream, river, etc.) to Little Creek Tributary
proposed project:
2b. Water Quality Classification of nearest receiving water: WS-V; NSW; 16-19-8-2-4; 03-06-03
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 hardwood forest with a small portion of mowed/maintained residential land in the
vicinity. There are no additional jurisdictional features within the project study area other than Little Creek Tributary.
3b. List the total estimated acreage of all existing wetlands on the property:
N/A
3c. List the total estimated linear feet of alI existing streams (intermittent and perennial) on the property:
— 89 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 overall project i� 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 bottomless culvert 18' by 6.5' with top bevels and wingwalls. The channel will be excavated and
realig�ed 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.
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 for this property /
project (including all prior phases) in the past? ❑ yes � No ❑ lJnlcnown
Comments: N/A
4b. If the Corps made the jurisdictional determination, what type
of determination was made? ❑ Preliminary ❑ Final
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 detail according to "help file" instructions.
N!A
Page 3 of 11
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
Page 4 of 11
PCN Form — Versian 1.3 December 10, 2008 Version

C. Proposed Impacts Inventory
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 ofjurisdiction
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
W 1❑ 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 all stream sites impacted.
3a. 3 b. 3c. 3 d. 3e. 3f. 3g.
Stream impact Type of impact Stream name Perennial Type ofjurisdiction 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
bottamless culvert,
S1 � P� T floodplain bench, Little Creek � PER � Corps �$ P: 66
stabilization, Tributary ❑ INT � DWQ T: 23
temporary pipe,
and impervious
dikes
S2 ❑ P Q T ❑ PER ❑ Corps
❑ INT ❑ DWQ
3h. Total Permanent Stream and Tributary Impacts 89
3i. Comments: Of the 89 LF of stream impacts, only 66 LF are associated with permanent impacts to fhe stream for the
purpose of stream alignment and stabilization with respect to the culvert installation. The 23 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 ora T
01 ❑P�T
4f. Total open water impacts
4g. Comments: No open water impacts
Page 5 of 11
PCN Form — Version 1.3 December 10, 2008 Version

5. Pond or Lake Construction
If ond or lake construction roposed, 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):
5. Size of pond watershed (acres):
5k. Methad 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 an impacts require mitigation, then ou MUST fill out Section D of this form.
6a.
❑ Neuse ❑ Tar-Pamlico � Other: Jordan Lake
Project is in which protected basin? ❑ Catawba ❑ Randlema�
6b. 6c. 6d. 6e. 6f. 6g.
Bufferimpact
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 Little Creek Tributary � No 1,416 1,205
clearing
Bridge ❑ Yes
B2 � P❑ T Fill and Little Creek Tributary � No 8 0
Clearing
6h. Total buffer impacts 1,424 1,205
6i. Comments: The impacts associated with the roadway crossing and culvert installation fail under the "potentially allowable"
category per the Jordan Water Supply Buffer Rules Table of Uses {15A NCAC 028 .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 and replace a structurally deficient bridge and replace it with a bottomless culvert.
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 well as providing grass shoulders to
promote infiltration. An off-site detour will be employed 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 construction techniques.
Erosion and sedimentation BMPs will be installed prior to construction. Water will be diverted around the work area to prevent
sedimentation of downstream aquatic resources. Impacts will be minimized by strict enforceme�t 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.
Page 6 of 11
PCN Form — Version 1.3 December 10, 2008 Version

2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the StaQe
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 bank
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: 66 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: 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 cha�nel will not be permanently
impacted with structures or fill. The stream banks will be reshaped and floodplain benches will be built with streambank
stabilization to prevent scour/erosion around the footers of the 3-sided culvert.
5. Complete if Using a Permittee Responsibie Mitigation Plan
5a. If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
Page 7 of 11
PCN Form — Version 1.3 December 10, 2008 Version

6. Buffer Mitigation (State IZegulated Riparian �uffer 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 Table of Uses {15A NCAC 02B.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)
Zone 2 1.5
6f. Totai 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 8 of 11
PCN Form — Version 1.3 December 10, 2008 Version

�. Stormwater Management and Diffuse Fiow Plan (required by BWQ)
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?
1 b. If yes, then is a diffuse flow plan included? If no, explain why.
Comments: The proposed structure will be a 1S' by 6.5' bottomless culvert. There is
a slight increase in impervious surtace and any additional stormwater generated will ❑ Yes � No
be minimal. Additionally, existing grass lined ditches will be utilized in the same
manner as they are now for conveying stormwater to the stream.
2. Stormwater Management 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 Plan, 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 governmenYs 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 Program Review
❑ Coastal counties
❑ HQW
4a. Which of the following state-implemented stormwater management programs apply � ORW
(check ail 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
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 9 of 11
PCN Form — Version 1.3 December 10, 2008 Version

F. Supplementary Information
1. Environmental Documentation (BWQ Requirement)
1 a. Does the project involve an expenditure of public (federal/state/local) funds or the � Yes ❑ No
use of public (federal/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 (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
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 Sufface 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 surface is added and the projects are usually 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
surfaces) and the project drains to Little Creek which is Class WS-V; Nutrient Sensitive Waters (NSW) (i.e. not HWQ or
ORW or 303(d) Iisted waters). We anticipate the NC DWR will advise us if a qualitative or quantitative analysis is needed.
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.
It is not anticipated that this project will generate any wastewater as it is a roadway project.
Page 10 of 11
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 coastai or tidal habitat that would
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 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?
This project was submitted to the NCDOT's Human Environment Unit for review in 2012. It was determined that no
survey was required for archaeological resources. A field survey on July 6, 2012 supported that no historic properties 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
8b. 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 ,/�/� '
ApplicanUAgenYs Printed Name , s U �. �
ApplicanUAgenYs Signa ur Date
(AgenYs signature is valid only if an authorization letter from the
a licant is rovided.
Page 11 of 11
PCN Form — Version 1.3 December 10, 2008 Version