20151251 Ver 1_Application_20151203

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Transportatlon
US Army Corps of Engineers
Raleigh RegulaYory Field Office
Attn: IVH•. David Bailey
3331 Heritage Trade Dr., Ste. 105
Wake Forest, NC 27587
PAT McC20RY
Gavernar
NICHOLAS j. TENNYSON
Secretary
December 3, 2015
NC Division of Water Resomces
Winston-Salem Regional Office
Attn: Mr. Dave Wanucha
450 W. Hanes Mill Rd, Ste. 103
Winston-Salem, NC 27107
Subject: Nationwide 14 Pennit Application and Jordan Lake Riparian Buffer Authorization for the
replacement of Bridge No. 146 on SR 2363 (Beaie Road) over Rock Creek.
Alamance County, Nortl� Carolina, WBS Element No. 17BP9.R.63
Dear Mr. Bailey and Mr. Wanucl�a:
The NorYh Carolina DepartmenY of TransportaYion (NCDO� is proposiug to replace a fuuctionally obsolete
24' x 7.5' single span timber bridge with a new 28' x 4' bottomless culvert with top bevel and wingwalls.
An off-site detour will be used Yo convey traffic during construction. The project will also include some
minor approach work on tlte existing roadway.
Please find enclosed a PCN application, Stonnwater Management Plan, Culvert Survey Report, permit
drawings, buffer drawings, a USGS quad inap, SHPO Concun�ence Forms, and photographs.
The North Carolina Nafural Heritage Database was checked far records of tlu�eatened and endangered
species. The database lists no species for Alunance County that have federal status. The Bald eagle is
protected in every county in North Carolina under the Bald and Golden Eagle Protection Act. No suitable
feeding/water source is located within one mile of the project study area to support Bald eagle habitat. Mr.
Gary Jordan (USFWS) recently released the Programmatic Couference Opinion (PCO) for the recently
lisfed Northern Long-eared Bat (NLEB). This opinion states, in pait, that "... it is the Service's corvference
opinion that NCDOT acrivitles i�z eastern Nor�fh Cm�oli�w (Diviston 1-8), as proyased, are r�ot Irhely Co
jeopardize the continued existence of tlze NLLB. " �
This project was reviewed by NCDOT's Human Envuoiunent Unit ni 20t2 for potential affects to
historical architecture and archaeology. It was determined that no suivey was required for historical
architecture. A survey was conducted far archaeology on July 19, 2012, and it was determined there would
be no eligible archaeological resow•ces present within the project study area.
The project study uea is coinprised mostly of inaintained/residential land with Itardwood forest along flie
stream banks. There are no additional jurisdiclional features associated with Bridge 146 other than Rock
Creek There is a possible wetland area outside of the study area southwest of Bridge 146. The possible
wetluid is within a fenced u�ea outside of the project study area.
NCDOT best management practices (BMPs) will be used to minvnize and conhol sedimentation and
erosion. The construction foreman will review the BMPs daity to ensuxe exosion and sedimentation is
being effectively conh olled. If the foreman determines the devices are not functioning as intended, they
will be replaced iixunediately with better devices.
�Nothing Compares���_.
StateofNoN�Camlioa � DepatlmentofTransportalion � DivisionofI�Iigh�vays,Division70ffice
1584 Yanceyville StreeS Greensboro, NC 27403� P. O. Box 14996, Greens6oro, NC 27415-0996
336-487-0000

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PAT McCRORY
Governor
NICHOLASJ.TENNYSON
Secretary
Transportation
Impacts to Waters of the United States
Rock Creek (DWR Class: WS-V, NSW) is shown on the USGS topograpluc map as a pereimial stream.
The channel is well defined with a subsUate priinarily cotnposed of sand, silt, and gravel and is
approximately 7-9 feet in width. From the project site, Rocl< Creek flows northward 8.90-miles to its
confluence with Stinking Quarter Creek. Stinking Quarter Creel< then flows approximately 1.09-iniles to
ifs conflneuce with the Big Alamance Creelc Big Alainance Creek flows 4.4 miles to its confluence with
flie Haw River. The Haw River meets the definition of a Traditional Navigable Water. For these reasons,
we believe Rock Creek is a Relatively Permanent Water and is under the jurisdiction of the U.S. Army
Coips of Engineers. In order to consh�uct the project, it will be necessary to impact waters of the United
States in the Cape Feu• River Basin (HiTC 03030002). Specifically, NCDOT is requesting fo replace
Bridge No. 146 with a reinforced concrete bottomless culvert. The unpacts are listed in the table below:
Jurisdictional Impact Summary
Perm. Temp. Penn. Temp.
Existing Existing
Station Structure Size / Type I Pacts I pacts Channel Cl�annel
Impacts Lnpacts
(ac) ( ac) i ��
12+36 to 12+57 CL Excavation/channel realigmnent for
12+41 to 12+90 —LT- bottoinless culvert, floodplain bench, 0.04 0.01 92 25
12+30 to 12+53 RT- stabilization, temporary pipe, and
im ervious dilces
Jordan Lalce Buffer Impact Summary
Station Type Zone 1(ftZ) Zone 2(ft')
11+92 to 12+40 —LT-
12+66 to 13+53 —LT- Road Fill and Clearing 1,507 853
11+80 to 12+28 —RT-
12+57 to 13+12 RT-
12+40 to 12+60 —LT-
12+62 to 12+66 —LT- Bridge Fill and Clearing 465 0
12+28 to 12+35 RT-
12+45 to 12+57 —RT-
Total 1,972 853
�Nothing Compares`��,._.
State of North Ca�'dina � Departnent of Transporta�ion � Division oFHighways, Division 7 0ffice
1584 Yanceyville S�reet, Greensbmo, NC 27405� P. O. Box 1499G, Greensboro, NC 27475-0996
33fi-0S7-0000

7}ansportation
Permits Requested
PAT McCRORY
Governor
N[CHOLAS J. TENNYSON
Secretary
NCDOT is hereby requesting authorization under Section 404 of the Clean Water Act to proceed with the
construction project outlined above. We are also requesting a 401 Water Quality Certification and Jordan
Lake Riparian Buffer Authorization from the North Carolina Department of Environment and Natural
Resources (DENR), Division of Water Resources (DWR).
If you have any questions or need additional information, please contact Jeny Parker at [phone] or
jparker(r�ncdot.�. Your review and consideration are greatly appreciated.
Sincerely,
�' � ' i' !/ /.l�f/�/�
J.M. Mills, PE
Division Engineer, Division 7
Enclosures
cc: Tun Powers, NCDOT
Barry Han�ington, Roadside Environmental Field Operations Engineer
Jeremy Warren, NCDOT
Chuck Edwards, District l, Dislrict Engineer
Travis Wilson, Wildlife Resources Commission (electronic copy)
Gary Jordan, US Fish & Wildlife Seivice (electronic copy)
File Copy
�Nothing Compares��_.
StateofNotlhCarolina � DepartmentofTransportation � Divisiono£Higlmays,Division70ffice
1584 Yanceyvilie Street, Greensborq NC 27405� P. O. Box 14996, Greensborq NC 27415-0996
336-487-0000

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Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.3 Dec 10 2008
Pre-Construction Notification C Form
A. A licant Information
1. Processing
1a. Type(s) of approval sought from the
� Section 404 Permit ❑ Section 10 Permit
Corps:
1b. Specify Nationwide Permit (NWP) number: 14 or General Permit (GP) number:
1c. Has the NWP or GP number been verified by the Corps? � Yes ❑ No
1d. Type(s) of approval sought from the DWQ (check aIl that apply):
� 401 Water Quality Certification — Regular ❑ Non-404 Jurisdictional General Permit
❑ 401 Water Quality Certification — Express � Riparian Buffer Authorization
1e. 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 mitigation 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.
1h. 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. 146 on SR 2363 over Rock Creek
2b. County: Alamance
2c. Nearest municipality / town: Kimesville
2d. Subdivision name: N/A
2e. NCDOT onty, T.I.P. or state 17BP.7.R.63
praject 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 �o.: [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. Mike Mills, PE
4c. Business name NC DOT
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] *nofe: please also copy Mr. Jerry Parker, HighwayDivision 7 Environmenfa!
Supervisor on a!I correspondence - jparker@�cdot.gov
S. AgentlConsultant Information (if applicable)
5a. Name: Mr. Jerry Parker
5b. Business name NC DOT Highway Division 7, Division Environmental Supervisor
5c. Street address:
5d. City, state, zip:
5e. Telephone no.:
5f. Fax no.:
5a. Email address:
PO Box 14996
Greensboro, NC 27415
[phone]
[phone]
[e-mail]
Page 2 of 11
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
1 b. Site coordinates (in decimal degrees): Latitude 35.93772 Longitude: -79.46772
(DD.DDDDDD) (-DD.DDDDDD)
1c. Property size: N/A acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to Rock Creek
proposed project:
2b. Water Quality Classification of nearest receiving water: WS-V; NSW; 16-9-8-3; 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 mostly maintainedlresidential with hardwood forest along the stream banks. There
are no additional jurisdictional features associated with Bridge 146 other than Rock Creek. There is a possible wetland
area outside of the study area southwest of Bridge 146. The possible wetland is within a fenced area outside 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 ail existing streams (intermittent and perennial) on the property:
� 117 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 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 28' by 4' reinforced concrete bottomless culvert. 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 instalied impervious dikes upstream and downstream of the existing bridge. Water will be directed
into special stilling bains. 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! � Yes � No ❑ Unknown
project (including all prior phases) in the past?
Comments: N/A
4b. If the Corps made the jurisdictional determinatio�, what type � Preliminary � Fi�al
of determination was made?
4c. If yes, who delineated the jurisdictional areas? AgencylConsultant 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
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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. 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 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: N/A
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.
3 a. 3 b. 3c. 3d. 3e. 3f. 3 g.
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,
S7 � P� T floodplain bench, Rock Creek � PER � Corps � 9 P: 92
stabilization, ❑ INT � DWQ T: 25
temporary pipe,
and impervious
dikes
S2 ❑ P 0 T ❑ PER ❑ Corps
❑ INT ❑ DWQ
3h. Total Permanent Stream and Tributary Impacts 717
3i. Comments: Of the 117 LF of stream impacts, only 92 LF are associated with permanent impacts to the stream for the
purpose of stream alignment and stabilization with respect to the culvert installation. The 25 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 applicabie) Type of impact Waterbody type Area of impact (acres)
Permanent(P)
or Tem ora
01 ❑POT
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. 5a 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 surtace area (acres):
5j. Size of pond watershed (acres):
5k. Method 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 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)
or Tem ora im act re uired?
Road fill ❑ Yes
B1 � P❑ T and Rock Creek � Np 1,507 853
clearing
Bridge ❑ Yes
62 � P❑ T Fill and Rock Creek � No 465 0
Clearing
6h. Total buffer impacts 1,972 853
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 026 .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.
1 b. 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 enforcement of Best Management
Practices for the protection of surtace 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 Form — 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 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: 92 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 mifigation ratio is required as the thalweg of the channel 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 sour/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 descriptio� 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 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. 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:
Page 8 of 11
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 will be a 28' by 4' bottomless culvert. There is a❑ Yes � No '
slight increase in impervious surtace but treatment is not required.
2. Stormwater Mana ement Plan
2a. What is the overail 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?
❑ 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
❑ Coastal counties
❑ HQW
4a. Which of the following state-implemented 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
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
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PCN Form — Version 1.3 December 10, 2008 Version

F. Supplementary Information
1. Environmental Documentation (DWQ 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
Wetiand 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"Iow potential for cumulative impact
since little (if any) new impervious surtace 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
surtaces) and the project drains to Rock Creek which 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 Disposai (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 coastal 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 North Carolina Department of Transportation's Human Environment Unit for review in
2012. A field survey on June 19, 2012, supported that no historic or archaeological resources will be affected by this
project.
8. Fiood Zone Designation (Corps Requirement)
Sa. Will this project occur in a FEMA-designated 100-year floodplain? � Yes ❑ No
Sb. If yes, explain how project meets FEMA requirements: MOA
Sc. What source(s) did you use to make the floodplain determination? North Carolina Floodplain Mapping Program
Mr. Mike Mills, PE /J � � •� / /„ \
Applicant/Agent's Printed Name �/ ..Gl/� �,�u) /Z�.3� /S
� ApplicanUAgenPs Signa ur Date
(AgenPs 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