20240179 Ver 1_ePCN Application_20240129

DW R
DHlsloo of Water Resources
Pre -Construction Notification (PCN) Form
For Nationwide Permits and Regional General Permits
(along with corresponding Water Quality Certifications)
October 2, 2023 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.
Does this project involve maintenance dredging funded by the Shallow Draft Navigation Channel Dredging and Aquatic Weed Fund or involve the distribution or transmission of energy or
fuel, including natural gas, diesel, petroleum, or electricity?
Yes No
BIMS # Assigned Version# *
20240179 1
Is a payment required for this project?*
No payment required
Fee received
Fee needed - send electronic notification
Select Project Reviewer*
Rob Ridings: rob. ridings
Information for Initial Review
la. Name of project:
BP4. R015
la. Who is the Primary Contact?*
Garry Wright
1b. Primary Contact Email: *
[e-mail]
Date Submitted
1 /29/2024
Nearest Body of Water
Beaverdam Creek
Basin
Neuse
Water Classification
WS-IV:NSW
Site Coordinates
Latitude:
35.390705
A. Processing Information
Is this project connected with ARPA funding?
Yes No
County (or Counties) where the project is located:
Wayne
Is this a NCDMS Project
Yes No
Longitude:
-78.102485
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:
BP4.R015
WBS # (?)
BP4.R015.1
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
Regional General Permit (RGP) Number:
RGP Numbers (for multiple RGPS):
1d. Type(s) of approval sought from the DWR:
401 Water Quality Certification - Regular
Non-404 Jurisdictional General Permit
Individual 401 Water Quality Certification
201902350 - Work associated with bridge construction, widening, replacement, and
interchanges
1e. 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
2b. Deed book and page no.:
2c. Contact Person:
Garry Wright
401 Water Quality Certification - Express
Riparian Buffer Authorization
Yes No
Yes No

2d. Address
Street Address
P.O. Box 3165
Address Line 2
city
Wilson
Postal / Zip Code
27895
2e. Telephone Number:
[phone]
2g. Email Address:*
[e-mail]
3. Applicant Information (if different from owner)
3a. Name:
Garry Wright
3b. Business Name:
NCDOT
3c.Address
Street Address
P.O. Box 3165
Address Line 2
city
Wilson
Postal / Zip Code
27895
3d. Telephone Number:
[phone]
3f. Email Address:*
[e-mail]
C. Project Information and Prior Project History
1. Project Information
1b. Subdivision name:
(if appropriate)
1c. Nearest municipality / town:
Rosewood
2. Project Identification
2a. Property Identification Number
2c. Project Address
Street Address
Address Line 2
City
Postal / Zip Code
3. Surface Waters
3a. Name of the nearest body of water to proposed project:
Beaverdam Creek
3b. Water Resources Classification of nearest receiving water:
WS-IV;NSW
3c. What river basin(s) is your project located it *
Neuse
3d. Please provide the 12-digit HUC in which the project is located.
030202011704
4. Project Description and History
State / Province / Region
NC
Country
USA
2f. Fax Number:
State / Province / Region
NC
Country
Wilson
3e. Fax Number:
2b. Property size:
State / Province / Region
Country

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:*
The land use near the site is mixed use agricultural and residential. The project area consists of Bottomland Hardwood Forest and Mesic Mixed Hardwood Forest.
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:
2.39
4g. List the total estimated linear feet of all existing streams on the property:
660
4h. Explain the purpose of the proposed project:*
The purpose of the proposed project is to replace a functionally obsolete bridge. NCDOT records
indicate Bridge No. 66 was built in 1959. The bridge is considered functionally obsolete due to a deck
appraisal of 2 out of 9 according to Federal Highway Administration (FHWA) standards.
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:
The replacement structure will be a bridge approximately 70 feet long, providing a minimum 30-foot
10-inch clear roadway width. The proposed bridge will be replaced on existing alignment and include
two 11-foot lanes with 4-foot 5-inch offsets. The bridge length is based on preliminary design
information. The roadway grade of the new structure will be approximately 1-foot higher than the
existing structure.
The approach roadway for the proposed replacement structure will extend approximately 401-feet
from the south end of the new bridge and approximately 279-feet from the north end of the new
bridge. The approaches will be widened to include two 11-foot travel lanes and 6-foot shoulders (9-
feet with guardrail). SR 1236 (Rosewood Road) has a functional classification of a Rural Local and
will be designed using Sub -Regional Tier Standards with a 60 mile per hour design speed.
Heavy road equipment will be used during construction. All NCDEQ, USACE, and NCDOT permit conditions and best management practices will be followed.
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-2022-01291
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known): K. Harmon, R. Elliot
Agency/Consultant Company:
Other:
5d. List the dates of the Corp jurisdiction determination or State determination if a determination was made by the Corps or DWR
04/04/2023
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?
D. Proposed Impacts Inventory
1. Impacts Summary
1a. Where are the impacts associated with your project? (check all that apply):
Wetlands Streams -tributaries p Buffers
Open Waters Pond Construction
2. Wetland Impacts
u
2a1 Reason(?)
2b. Impact type* (?)
2c. Type of W. *
2d. W. name
2e. Forested*
2f. Type of JurisdicitiI
?)
2g• Impact
area
Fill
P
Bottomland Hardwood Forest
WA
Yes
Both
0.001
(acres)

Mechanized Clearing
Fill
P
P
Bottomland Hardwood Forest ��WA
Bottomland Hardwood Forest
WA
Yes
Yes
---]
Both
Both
0.001
(acres)
0.002
(acres)
IE-1
Mechanized Clearing
P
Bottomland Hardwood Forest
WA
Yes
Both
0.007
(acres)
2g. Total Temporary Wetland Impact
0.000
2g. Total Wetland Impact
0.011
2i. Comments:
3. Stream Impacts
2g. Total Permanent Wetland Impact
0 011
❑
S1
3a. Reason for impact (?)
Site 1
3b.lmpact type"
Permanent
3c. Type of impact*
Bank Stabilization
3d. S. name*
F�erdam Creek
3e. Stream Type"
(?)
Perennial
3f. Type of
Jurisdiction*
Both
3g. S. width
50
Aveage (feet)
3h. Impact
length*
80
(linear feet)
S2
Site1
Temporary
Bank Stabilization
Beaverdam Creek
Perennial
Both
50
Average (feet)
15
(linear feet)
31. Total jurisdictional ditch impact in square feet:
0
3i. Total permanent stream impacts: 3i. Total temporary stream impacts:
80 15
3i. Total stream and ditch impacts:
95
3j. Comments:
6. Buffer Impacts (for DWR)
6a. Project is in which protect basin(s)?
Check all that apply.
p Neuse O Tar -Pamlico
O Catawba O Randleman
0. Goose Creek O Jordan Lake
O Other
6b. Impact Type
6c. Per or Temp
6d. Stream name
6e. Buffer mitigation required?
6f. Zone 1 impact
6g. Zone 2 impact
Site 1 Allowable
P
Beaverdam Creek
No
883
553
Site 1 Allowable
P
Beaverdam Creek
No
1,347
172
Site1 Allowable w/ Mitigation
P
Beaverdam
Yes
0
1,028
Site 1&2 Allowable
P
Beaverdam
Yes
147
0
Site 1 &3 Allowable
P
Beaverdam
Yes
321
101
6h. Total buffer impacts:
Zone 1 Zone 2
Total Temporary impacts: 0.00 0.00
Zone 1
Zone 2
Total Permanent impacts: 2,698.00
1,854.00
Zone 1
Zone 2
Total combined buffer impacts: 2,698.00
1,854.00

6i. Comments:
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:
This is a replace in place project with limited footprint expansion.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
This project is a replace in place project designed to minimize environmental impacts to the maximum extent practicable. The NEPA/SEPA process was
followed. All construction equipment will be staged and operated from upland areas. DOT will also install silt fencing to protect the streams and wetlands
adjacent to the project. Safety fencing will be used to delineate jurisdictional and environmentally sensitive areas from encroachment.
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:
Thresholds for mitigation were not met. Only parallel buffer mitigation is required.
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
What type of SCM are you providing?
Level Spreader
Vegetated Conveyance (lower SHWT)
Wetland Swale (higher SHWT)
Other SCM that removes minimum 30 % nitrogen
Proposed project will not create concentrated stormwater flow through the buffer
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?
Yes No
Comments:
See EC Plans
G. Supplementary Information
1. Environmental Documentation
1a. 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
1c. If you answered "yes" to the above, has the document review been finalized by the State Clearing House?
Yes No
Comments: *
Federal Administrative Action (Categorical Exclusion) was completed and is available upon request.
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)
O
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.
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
What Federal Agency is involved?
FHWA
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?
The original NRTR was completed June 2022 which identified five federally protected species ranges within the project study area.
Red -cockaded woodpecker
Biological Conclusion: No Effect
Habitat for red -cockaded woodpecker is not present in the study area. The forested portions of the study area are primarily comprised of deciduous tree
species with no old pines for suitable for nesting or foraging habitat. A review of NHP records, updated April 2022, indicates no known occurrences
within 1.0 mile of the study area.
Tricolored bat
Biological Conclusion: MA-LAA
The US Fish and Wildlife Service has issued a programmatic conference opinion (PCO) in conjunction with the Federal Highway Administration
(FHWA),the US Army Corps of Engineers (USAGE), and NCDOT for the tricolored bat (TCB) (Perimyotis subflavus) in eastern North Carolina. The PCO
covers the entire NCDOT program in Divisions 1-8, including all NCDOT projects and activities. NCDOT, FHWA, and USACE have agreed to three
conservation measures (listed in the PCO) which will avoid/minimize take to TCBs. These conservation measures apply to all counties in Divisions 1-8.
The programmatic determination for TCB for the NCDOT program is May Affect, Likely to Adversely Affect. Once the TCB is officially listed, the PCO will
become the programmatic biological opinion (PBO) by formal request from FHWA and USACE. The PBO will ensure compliance with Section 7 of the
Endangered Species Act for approximately five years (effective through December 31, 2028) for all NCDOT projects with a federal nexus in Divisions 1-
8, which includes Wayne County, where BP4.R015 is located.
Neuse River waterdog
Biological Conclusion: MA-NLAA
Surveys for Neuse River waterdog (NRWD) were completed February 13-17, 2023. No NRWD were captured during the survey. Thus, the biological
conclusion is: May Affect, Not Likely to Adversely Affect.
Carolina madtom
Biological Conclusion: MA-NLAA
Surveys for Carolina madtom (CMT) were completed February 13 -17, 2023. No CMT were captured during the survey. Thus, the biological conclusion
is: May Affect, Not Likely to Adversely Affect.
Atlantic pigtoe
Biological Conclusion: MA-NLAA
Endangered mussel surveys were conducted on September 8, 2022. During the survey, no Atlantic pigtoe were collected. Thus, the biological
conclusion is: May Affect, Not Likely to Adversely Affect.
Tar River spinymussel
Biological Conclusion: MA-NLAA
Endangered mussel surveys were conducted on September 8, 2022. During the survey, no Tar River Spinnymussel were collected. Thus, the biological
conclusion is: May Affect, Not Likely to Adversely Affect.
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 Essential Fish Habitat Mapper
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?"
The NCDOT Archeologist and Architectural Historian were consulted. See attached historic architecture and landscapes no survey required form. See
attached archaeological no survey required form.
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:
The project was evaluated under the standard NCDOT FEMA MCA requirements.
8c. What source(s) did you use to make the floodplain determination?
NCDOT Hydraulics Report, NCFIRS.
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
22-04-0018_NoSurvey.pdf
868.81KB
PA 22-04-0018 BP4-R015 No Archaeological Survey Required Br 66 on SR 1236 Rosewood Rd over Beaver Dam Cr
1.36MB
Wayne.pdf
SF-950066_Permit Drawings_2023-05-15.pdf
5.25MB
SF-950066_Erosion Control Plans_2023-05-15.pdf
File must be PDF or KMZ
3.89MB
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:
Garry Lyn Wright Jr.
Signature
Date
1/29/2024
\-D