20150368 Ver 2_Modifications_20160322

Carpenter,Kristi
From:
Thomson, Nicole J
Sent: Tuesday, March 22, 2016 12:05 PM
To: [e-mail]; Wanucha, Dave
Cc: Carpenter,Kristi; Parker, Jerry A
Subject: Bridge 53 on SR 1527 (River Bend Rd) over Cane Creek, Caswell Co; WBS No. 17BP.7.R.82 - MODIFICATION
Attachments: Cover letter and PCN Br 53.pdf; 20160217 SF-160053Permit Package.pdf; Bridge 53 Caswell Co usgs.pdf; Bridge 53 Caswell Co
soils.pdf
Good morning!
Please find the attached revised permit application for the above bridge replacement. After the original permit approvals were secured, a redesign in the
temporary onsite detour bridge structure necessitated a need to revise the project impact limits. Both temporary and permanent stream impacts have
increased in addition to a slight increase in the temporary wetland impacts. Hand clearing impacts, however, were reduced in the redesign.
I've only attached the revised maps and PCN as the other documentation in the original submittal is still valid. Please don't hesitate to call me with any
questions or concerns.
Thank you!
Nikki
Nicole J. Thomson
Division Environmental Supervisor Assistant
Division Environmental Office
919-754-7806 Mobile
PO Box 14996
Greensboro, NC 27415-4996
; � � �► � ,r _

Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
Email correspondence to and from this sender is subject to the N.C. Public Records Law and may be disclosed to third parties.

>::a
Transportation
March 22, 2016
US Aimy Corps of Engineers
Raleigh Regulatory Field Office
Attn: Mr. David Bailey
3331 Heritage Trade Dr., Ste. 105
Wake Forest, NC 27587
PAT McCRORY
Governor
NICHOLAS J. TENNYSON
Secretary
NC Division of Water Resources
Winston-Salem Regional Office
Attn: Mr. Dave Wanucha
450 W. Hanes Mill Rd., Ste. 103
Winston-Salem, NC 27105
Sabject: MODIFICATION R�QUEST - Nationwide 14 Peimit Application for the Replacement of
Bridge No. 53 on SR 1527 (River Bend Road) over Cane Creek, Caswell County, North
Carolina, WBS Element No. 17BP9.R.82
Dear Mr. Bailey and Mr. Wanucha:
The North Carolina DepaRment of Transportation (NCDOT) is proposing to replace the subject bridge.
The purpose of the project is to replace a functionally obsolete 69' L x 20' W tivee span timber bridge with
a new 105' L x 30' W, single span box beam bridge. An on-site detour will be used to convey traffic
during conshuction because an off-site detour would by necessity route travelers into Virgina and that was
not a viable option. The detour bridge will be a 80 ft. L x 26 ft. W bridge. The project will also include
some minor approach work on the existing roadway.
The temporary bridge structure is a h�uss type st�vcture that is approximately 4 feet deep from roadway to
bottom of bridge. This would put the truss within the natural ground of the overbank as well as putting the
bottom of the temporary bridge below the five-year backwater (which DOT typically tries to span) as
currently designed. Also, the sreeam banks in this area are eroded and there is an appreciable amount of
debris being transported by the stream which would create additional concerns should that debris get
lodged within the huss. Therefore, this required that the temporary detour road grade be raised to insure
that the bottom of the truss above natural ground and the 5ve-year backwater. These changes in design
necessitated additional temporary wetland fill as well as some proposed hand cleazing which is the reason
for this modification request. All the previously submitted information in April 2015 is still accurate and
cu�rently applies. The only changes proposed are related to the temporary impacts.
The North Carolina Natural Heritage Database was checked for records of threatened and endangered
species. A smvey far James spinymussel species and habitat was conducted and a"No EffecY' biological
conclusion was rendered. Mr. Gary Jordan concurred with this assessment. The Bald eagle is protected in
every county in North Carolina under the Bald and Golden Eagle Protection Act. No suitable feedingJwater
source is located within one mile of the project study area to support Bald eagle habitat. Further, Mr. Gary
Jordan (USFWS) recently released the Prograinmatic Conference Opinion (PCO) for the recently listed
Noithern Long Eared Bat (NLEB). This opinion, states in part, that "... it is the Service's conference
opinlox khat NCDOT activities in eastei�n North Carolina (Dirisions 1-8), as proposed, are not likefy to
jeopardize the con[inued existence of the NLEB. "
This project was reviewed by NCDOT's Human Environment Unit in 2010 and 2013 for potential affects
to historical architecture and archaeology. It was determined there would be no eligible architectural or
archaeological resources present within the project study area.
The project study area is comprised of a mix of hardwood forest the majority of the surrounding landscape
being agriculturaVsivacultural operations. There are 2 wetlands within the project study area; one on the
�Nothing Compares�.._
StateofNorthCzrotina � DepartmentofTransponation � DivisionofHighways,Division70ffice
1584 Yanceyville Street, Greensboro, NC 27405� P. O. Box 14996, Greensboro, NC 27475-4996
33G-487-0000

,`', PAT McCRORY
Covernor
„ NICHOLAS J. TENNYSON
Secretary
Transportation
north and one on the south side of the existing bridge. Both wetland areas are contained within active cow
pastures.
NCDOT best management practices (BMPs) will be used to minimize and control sedimentation and
erosion. The consG�uction foreman will review the BMPs daily to ensure erosion and sedimentation is
being effectively controlled. If the foreman determines the devices are not functioning as intended, they
will be replaced immediately with better devices.
Impacts to Waters of the United States
Cane Creek (DWR Class: WS-IV) is shown on the USGS topographic map as a perennial stream. The
channel is well defined with a substrate primarily composed of sand, silt, and gravel and is approximately
30-40 feet in width. From the project site, Beaver Creek flows south to its confluence with the Dan River.
The Dan River meets the definition of a Traditional Navigable Water. For these reasons, we believe Cane
Creek is a Relatively Permanent Water and is under the jurisdiction of the U.S. Army Corps of Engineers.
In order to consh�uc[ the project, it will be necessa�y to impact waters of the United States in the Roanoke
River Basin (HUC 03010104). Specifically, NCDOT is requesting to replace Bridge No. 53 with a new,
]onger bridge. The impacts are listed in the Yable below:
Perm. SW Temp. Perm. Temp. Temp. Fill Hand Clearing
Structure Size / Type Impacts SW Existing Existing �n Wetlands in Wetlands
Impacts Channel Channel
(ac) ac Im acts 1 Im acts 1 (ac) (ac)
Streambank
stabilization, 0.02 0.01 96* 22* 0.03* 0.02*
temporary onsite
detow�
"revisedimpncts
Previous Authorizations
The USACE previously autUorized this project under the Nationwide Permit 14 on April 3Q 2015. On
May 1, 2015, the NC DWR also authorized this project to proceed per the General Certification Number
3886. Both of these documents are attached.
Permits Requested
NCDOT is hereby requesting a revised authorization under Section 404 of the Clean Water Act to proceed
with the construction project outlined above. We are also requesting a revised authorization under Section
401 of the Clean Water Act from the North Carolina Depaitment of Environment and Natural Resources
(DENR), Division of Water Resources (DWR).
�Nothing Compares�.��_
Sm�e ofNorth Carolina � DepnM�ent ofTranspotlafion � Division ofHigh�vays, Divisio� 7 0�ce
1584 Yanceyville Sireet, Greensborq NC 27405� P. O. Box 1499fi, Greensboro, NC 27M115-4996
336-487-0000

�''; PAT McCRORY
Governor
w NICHOLAS J. TENNYSON
Secretaty
Transportation
If you have any questions or need additional information, please contact Jerry Pzrker at [phone] or
,iparker e ncdot.gov. Your review and consideration are greatty appreciated.
Sincerely,
�
✓�`i'., ��✓
J. . Mills, PE
ivision Engineer, Division 7
Enclosures
cc: Tim Powers, NCDOT
Bany Harringtou, Roadside Environmental Field Operations Engineer, NCDOT
Jeremy Warren, NCDOT
Bobby Non�is, District 3 Engineer, NCDOT
File Copy
�Nothing Compares�,�
State oFNorth Carolina � Department of7mnsporta�ion I Division ofHighways, Divisim� 7 0f}icc
1584 Yanceyvi(le S�ree�, Greensbom, NC 27405I P. O. Bos 1499fi, Greensboro, NC 2747 5-4996
336-M187-00�0

Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.3 Dec 10 2008
Pre-Construction Notification PC Form
A. A licant Information
1. Processing
1 a. Type(s) of approval sought from the
Corps: � Section 404 Permit ❑ Section 10 Permit
1 b. Specify Nationwide Permit (NWP) number: 14 or General Permit (GP) number:
1 c. 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
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.
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. Projectlnformation
2a. Name of project: Replace Bridge No. 53 on SR 1527 (River Bend Road) over Cane Creek
2b. County: Alamance
2c. Nearest municipality / town: Burlington
2d. Subdivision name: N/A
2e. NCDOT only, T.I.P. or state WgS Element No. 17BP.7.R.82
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 12
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 Milis, 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] *nofe: please also copy Mr. Jerry Parker, Highway Division 7Environmental
Supervisor on all correspondence — jparker@�cdot.gov
5. Agent/Consultant 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 12
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 36.54078 Longitude: -79.26311
(DD.DDDDDD) (-DD.DDDDDD)
1c. Property size: N/A acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to Cane Creek
proposed project:
2b. Water Quality Classification of nearest receiving water: WS-IV; 25-54; 03-02-04
2c. River basin: Roanoke (HUC 03010104)
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 a mix of hardwood forest with the majority of the surrounding landscape being
agricultural/sivacultural operations. There are 2 wetlands located with the project study area; one on the north and one
on the south side of the existing bridge. Wetland data, upland data and Rapanos forms are attached. Both wetland areas
are contained within active cow pastures and therefore, are mostly comprised of herbs/grasses with a few immature
woody plant stands. A minor amount of temporary wetland impact is necessary for the construction of the onsite detour
during the bridge replacement,
On May 5, 2014, USACE Agent Mr. Dave Bailey issued a JD for the above project (see aftached).
3b, List the total estimated acreage of all existing wetlands on the property:
—1 acre within project study area
3c. List the total estimated linear feet of alI existing streams (intermittent and perennial) on the property:
�120 LF
3d. Explain the purpose of the proposed project:
To replace a structurally deflcient and functionally obsolete timber bridge.
3e. Describe the overall project in detail, including the type of equipment to be used:
Traffc will be detoured on-site due to the fact that the off-site detour would route people into Virginia which was not a viable option.
The temporary detour will be an SO ft. L X 26 ft. W bridge. Erosion and sedimentation control measures will be installed. The old,
three-span, 69 ft. L X 20 ft. W bridge on timber deck with timber joists and timber abutments will be removed. The proposed
structure will be replaced on its existing alignment. The new bridge will be a single span, 105 ft. L X 30 ft. W box beam. There will be
no deck drains on the new bridge. Storm water will conveyed via existing ditches. Equipment to be used includes a track hoe, dump
truck, paving equipment, pumps and various hand tools.
The temporary bridge structure is a truss type structure that is approximately 4 feet deep from roadway to bottom of bridge. This
would put the truss wifhin the natural ground of the overbank as well as pufting the bottom of the temporary bndge below fhe five-
year backwater (which DOT typically tries to span) as currenfly designed. Also, the stream banks in this area are eroded and there
is an appreciable amount of debris being transported by the stream which wou/d creafe addifional concems should thai debris get
lodged within fhe truss. Therefore, this required that the femporary detour road grade be raised to insure fhat the bottom of the truss
above natural ground and the five-year backwater. These changes in design necessitafed additional temporary wetland fill as well
as some ro osed hand clearin . These chan es are accounted for in the followin , revised tables.
Page 3 of 12
PCN Form — Version 1.3 December 10, 2008 Version

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 determination, what type � Preliminary � Final
of determination was made?
4c. If yes, who delineated the jurisdictional areas? Agency/Consultant Company: Arcadis
Name (if known): Mr. Robert Lepsic Other: N/A
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
USACE AID: SAW-2014-00605 dated 5!5/2014
5. Project History
5a. Have permits or certifications been requested or obtained for � yes ❑ No ❑ Unknown
this project (including alI prior phases) in the past?
5b. If yes, explain in detail according to "help file" instructions. On Apri130, 2015, the USACE issued a verification for this
project as proposed to utilize the Nationwide Permit (NWPJ 14 (USACE AID SAW-2094-00605). On May 1, 2015, the NC
DWR issued a 401 Authorization for General Waier Quality Certification Number 3886 (DWR Project No. 20150368) for
this bridge replacemenf. P/ease see ihe atiached authorizations/approvals.
6. Future Project Plans
6a. Is this a phased project? ❑ Yes � No
6b. If yes, explain.
N/A
C. Proposed Impacts Inventory
1. Impacts Summary
1 a. Which sections were completed below for your project (check all that apply):
� Wetiands � Streams - tributaries ❑ Buffers
❑ Open Waters ❑ Pond Construction
Page 4 of 12
PCN Form — Version 1.3 December 10, 2008 Version

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
��„" �Xes �er�s �
`"'"�-�-� �gefe� �� �-P7e 8-9\N4
W1 ❑ P� T Temporary Fill Riparian � yes � Corps 0.03
(Detour) � No ❑ DWQ
2g. Total wetland impacts 0.03
2h. Comments: �.. ..�'�'•, ,,.. ,,, ��., ��•,,••9K3K� W2N2pd-Ip�2G�l1�2-�fgjOEl_�3•,• � n nn -. ..E N�, �.+�.,i �u.T3�BI�WIEk1
}ho n d4��rlo4n r
With the revisions to the femporary onsite detour bridge, proposed temporary wetland fill impacts have increased by 0.01
acres and hand clearing impacts have been reduced to 0.02 acres.
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. 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)
��-�Aa,^,!� �-P-E-F� �--Ger�s �8-48 75
c���r, r....���.ve� u I�IT e-g��
��
S1 � P❑ T Stream bank Cane Creek � PER � Corps 30-40 96
stabilization ❑ INT ❑ DWQ
Tomnnr�r�r � P� �_�g�Ng
��T � �..,,,,��.,,,.� ��F �9W4 39-48 �8
S2 ❑ P� T Temporary Cane Creek � PER � Corps 30-40 22
construction ❑ INT ❑ DWQ
3h. Total Permanent Stream and Tributary Impacts �
198
3i. Comments: n�.N,, o� � r..a �s.e.,.., '.,, �..�.. ..pi„ �c i �., �+e.� ,., �N .. ..eai irr�qani.� 4.. 44... �4.....w. I4'n
�m {I+.+ �4..+..r.+ M�nL c4��'1'-.�{'.. _ �+f4cr Lhc�lTeV����e_Blrl.hririn� �L. i....�n4� Tl.c 'm �.Mc .In nnf o�a.,n�_�n�e
�., .�� �.�y
4h.�n 4��io ..L44.n�4.-.n..ol
^y .. .�
Both permanent and temporary siream impacts have increased due fo the needed changes in the femporary onsite deiour
bridge. Additionally, the decision was made to exiend the stream bank rip �ap under fhe detour bridge due to the poor
condition of fhe existing banks. As siated in fhe previous application, ihe rip rap will be locafed only on the sfream banks and
will nof extend into the thalweg of fhe channel.
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 ope� 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 12
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 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 T im act re uired?
B1 ❑ P � T Bridge ❑ Yes
Crossing ❑ No
6h. Total buffer impacts
6i. Comments:
D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. 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 new, longer bridge.
Roadway approach work is minimized as much as is practical to reduce the overall project footprint. An on-site detour will be
necessary as the only detour route would take travelers north into Virginia which was not viable. 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 control BMPs will be installed prior to the start of construction of the project. The stream will be
temporarily diverted through a pipe (in place) during construction to minimize downstream impacts and to insure that ali work
is conducted "in the dry." 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 (inciuding a
pre-construction meeting) with the Division Environmental Supervisor.
Page 6 of 12
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
impacts to Waters of the U.S, or Waters of the State?
'We do not believe that mitigation should be required for
the permanent fills associated with this project as they are
limited to the stream bank location(s) where the old bridge
abutments were previously located. There is no proposal
to impact the thalweg of the channel. Further, NCDOT is ❑ Yes � No
improving the conditions of the stream channel at this site
by increasing the hydraulic opening with the new, longer
bridge. The pattern, dimension and profile of the stream
channel will not be permanently changed and/or damaged
with the inclusion of the rip rap at the proposed stream
bank location.
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:
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:
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.
Page 7 of 12
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 ❑ Yes ❑ No
buffer mitigation?
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:
E. Stormwater Management and Diffuse Flow Plan (repuired 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.
❑ Yes ❑ No
Comments:
Page 8 of 12
PCN Form — Version 1.3 December 10, 2008 Version

2. Stormwater Mana ement Pian
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:
There will be no deck drains on the new bridge. Storm water will conveyed to the existing ditches. See attached plan.
❑ 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 localiy-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
Page 9 of 12
PCN Form — Version 1.3 December 10, 2008 Version

F. Supplementary 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 (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)?
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. fs 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 26 .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 o� past and reasonably anficipated 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 Beaver Creek which is Class WS-IV (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.
Page 10 of 12
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?
Please see the attached email from Mr. Gary Jordan concurring with the "No EffecP' biological conclusion with respect to
the James spinymussel. Further, with the recent listing of the Northern Long Eared Bat (NLEB) in all Counties of NC, Mr.
Gary Jordan (USFWS) provided Divisions 1-8 a signed Programmatic Conference Opinion (PCO) for the NLEB (which
will need to be converted into a biological opinion). This will provide "incidental take" for all NCDOT projects with a
federal nexus in Divisions 1-8 for the next 5 years. As listed i� the conclusion of the PCO, "Afterreviewing the current
status of the NLEB, the environmenfal baseline of the action area, the effects of the proposed action and cumulative
effects, it is fhe Service's conference opinion that NCDOT activities in eastern North Carolina (Divisions 1-8), as
proposed, are not likely to jeopardize fhe continued existence of the NLEB. No critical habitat has been proposed or
designated forthe NLEB; iherefore, none will be affected."
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 piace 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?
See attached letters.
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:
8c. What source(s) did you use to make the floodplain determination? North Carolina Floodplain Mapping Program
\
Mr. Mike Mills, PE '"/ Y�/`"�'�r'"_ � 6
ApplicanUAgenYs Printed Name i
ApplicanUAgenYs Signature Date
(Agent's signature is valid only if an authorization letter from the
a licant is rovided.
Page 11 of 12
PCN Form — Version 1.3 December 10, 2008 Version

Hl�;f 1��'�1V North Carolina Department of Transportation ���~ �
Stc)Cl�l�'d�C'Y Highway Stormwater Program
STORMWATER MANAGEMENT PLAN —
(Version 7.2; Released July 2012) FOR LINEAR ROADWAY PROJECTS
Project/TIP No.: SF-160053 17BP.7.R.82) County(ies : Caswell Page 1 of 1
General Project Information
Project No.: SF-160053 17BP.7.R.82 Pro'ect T e: Brid e Replacement Date: 2/18/2016
NCDOT Contact: Bill Elam Contractor / Designer:
Address: 1020 Birch Ridge Road Address:
Raleigh, NC 27610
Phone: [phone] Phone:
Email: [e-mail] Email:
City/Town: Milton County(ies): Caswell
River Basin(s): Roanoke CAMA County? No
Primary Receiving Water: Cane Creek NCDWQ Stream Index No.: 22-54
NCDWQ Surface Water Classification for Primary Receiving Water Primary: Water Supply IV (WS-IV)
Supplemental:
Other Stream Classification:
303(d) Impairments: None
Buffer Rules in Effect N/A
Project Description
Project Length (lin. Miles or feet): 0.217 miles Surrounding Land Use: Rural farmland
Pro osed Project Existin Site
Project Built-Upon Area ac.) 0.36 ac. 0.34 ac.
Typical Cross Section Description: Paved 10' lanes with shoulder section Paved 10' lanes with shoulder section
Average Daily Traffic (veh/hr/day): Design/Future: Existing: 200
General Project Narrative: This project involves the replacement of Bridge No. 160053 over Canes Creek on SR 1527 (River Bend Rd). The existing bridge consists of a 3 span bridge with a total length
of 69 feet. The bridge has a timber deck on timber joists and timber abutments with a width of 20'. The proposed bridge consist of a single span 105' - 39" box beam that is
30' wide. There will be no deck drains on the proposed bridge deck. The bridge replacement and associated improvements have been designed to minimize increases to
impervious areas to the extent practicable. A temporary on-site detour is proposed. This structure will be 80' in length and 26' wide.
Increases between preconstruction and post construction stormwater discharges are minimal as a result of the slight increase in the impervious area as denoted above.
There are existing ditches located on all four quadrants of the bridge.
References

�
�
� � '� � � . ��) � � ��� ��� � � � � '� ��� ��) � . � .. � .�
��) � � � � � (�> . ' � (�) � �-� � � , �-� \ \ '� � �
CAS WELL CO U1�lTY
LOCATION: BRIDGE N0.53 OVER CANE CREEK ON SR 1527 (RIVER BEND ROAD)
TYPE OF WORK: GRADING, PAVING, DRAINAGE AND STRUCTURE
WETLAND AND SURFACE WATER IMPACTS PERMIT
PERMIT DRAWING
SHEET 1 OF 8
.
RA'R IM'R PROIRT M!l116N1� N4 �q NIl61f
N.C. li��.7.I$.82 1
fl'A'R PMIKT NO. I.A.PMLN0. OY1.1UP110N
DESIGN DATA
ADT 2000 = 120
V = 55 MPH
SUB REGIONAL TIER
LOCAL
PROJECT LENGTH
LENGTH ROADWAY TIP PROJECT = 0.217 MILES
LENGTH STRUCTURE TIP PROJECT = 0.020 MILES
TOTAL LENGTH TIP PROJECT = 0.237 MILES
Prepored In ihe Office of Hatch Mott MocDorwld for ROADWAY DESIGN ENGINEER
DIVISIOIV 7
NORTH CAROLINA DEPARTMENT OF TRANSPORTATlON
2012 STANDARD SPEC/FICATIONS �
_ _ _ TIM JORDAN _PE
LETTING DATE: PRo�ECTEN�INEEa______ P�
SlGNA7URE:
HYDRAULICS ENGINEER
— -- W._H,_ELAM _PE---
HYDRAULIGS ENGINEEA
NCDOT CONTACT: TIM POWERS, PE
DIVIS/ON BRIDGE
PROGRAA-I MANAGEN
P.E.
SIGNATURE:
PRELIMINARY PLANS
UO NOT U86 ►OR CONFI'RUC170N
INCOMPLETE PLANS
DO NOT U8B POR R/N ACCUIBITION
PLANS PREPARED BY:
� Hatch Mott
�` MacDonald
PO Box 700
Fuquoy-Vorina,NC 27526
t919>552-2253
(919>552-2254 tFoxl
www.hat chmo t t.com
LICENSE NO. F-0669

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WETLAND PERMIT IMPACT SUMMARY
WETLAND IMPACTS SURFACE WATER IMPACTS
Hand Existing Existing
Permanent Temp. Excavation Mechanized Clearing Permanent Temp. Channel Channel Natural
Site Station Structure Fillln Fillln in Clearing in SW SW Impacts Impacts Stream
No. (From/To) Size / Type Wetlands Wetlands Wetlands in Wetlands Wetlands impacts impacts Permanent Temp. Design
(ac) (ac) (ac) (ac) (ac) (ac) (ac) (ft) (fit) (ft)
1 18+73 to 19+92 -DET- Detour Road Fill 0.03 0.02
2 16+40 to 16+95 -L- Bank Stabilization 0.02 <0.01 96 22
TOTALS: 0.03 0.02 0.02 <0.01 96 22
TN Revised 3/31/05

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— NC DOT Bridge 53 over Cane Creek F;�f�4�r, �-�
River Bend Road, Milton, NC N ,���� ,�� °�,�`�
ROCKINGHAM CASWELLP RSON Caswell County `' f �
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Sheet E-1 ' � -�>, w �
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Map Location USGS Map Figure 1
NC DOT Bridge 53 over Cane Creek F;�f�4�r, �-�
River Bend Road, Milton, NC N ,���� ,�� °�,�`�
ROCKINGHAM CASWELLP RSON Caswell County `' f �
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USGS Topography, 2013 � � � °
GUILFORD ALAMANCE ORANGE July 1, 2014 ����f�.�►'T4r ��;A��'�����
1 inch = 2,000 feet