20160501 Ver 1_Application_20160517

Transportation
May 17, 2016
US Ariny Coips of Engineers
Raleigl� Regulatory Field Office
Attn: Mr. David Bailey
3331 Aeritage Trade Dr, Ste. 105
Walce Forest, NC 27587
PAT McCRORY
Governor'
NICHOLAS J. TENNYSON
Secremry
NC Division of Water ResoLuroes
Winston-Salem Regional O�ce
Attn: Mr. Dave Wanucha
450 W. Haues Mill Rd, Ste. 103
Winston-Salem, NC 27107
Subject: Nationwide 14 Permit Application and Jordan Lalce Riparian Buffer Authorization for
the replacement of Bridge No. 207 ou SR 1522 (Lakeside Ave) over Seivice Creek.
Alamance County, North Cairolina, WBS Element No. 17BP.7.R.63
Dev� Mr. Bailey aaid Mr. Wanucha:
The Noith Carolina Deparhneut of Trausportation (1VCDOT) is proposing to replace a
fuuctionally obsolete 18.5' x 11' single spu� timber bridge with a new 18' x 4.75' four-sided
culvert with sills and baffles. An off=site detour will be used to couvey traffic during
conshuction. The project will also include minor approach work on the existing roadway.
Please find enclosed a PCN application, Stormwater Management Plan, Culvert Survey Report,
permit drawiugs, buffer drawings, Erosion ConYrol Plan, a USGS quad map, SHPO Concurrence
Forms, and photograpl�s.
The Nortli Carolina Nahu�al Heritage Database was checked for records of threatened and
endangered species. The database lists ito species for Alamance County that have federal status.
The Bald eagle is protected in evety county in North Caroliva 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, including the 660-foot radius fiom tlie edge of the study area.
Since there was uo foraging habitat within Yhe review area, a suivey of the project study area
within 660 feet of the project lunits was noY conducted. Mr. Gary Jordan (LTSFWS) recently
released tl�e Prog�•ammatic Conference Opinioil(PCO) for tUe recently listed Northern Long-
eared Bat (NL�B). This opinion states, in part, that "... it is the Se���ice's conference opirziorz that
NCDOT activities in easteNn North Cmroli»a (Division 1-8), as piroposed, are not likely to
jeoprn•dzze the conta�zated existe�2ce of the NLEB. "
This project was reviewed by NCDOT's Human Snviroivnent Unit in 2012 for potenYial affects to
historical architecture and archaeology. It was determined that no survey was required for
archaeology or historic architecture, as there would be no eligible archaeological or historic
resources present witl�in the project study area.
The project sYudy area is comprised mostly of maintainedh�esidential land on the east and pasture
to the west. Seivice Creek flows tlu•ougli a cow pasture and significant damage to the stream has
occurred as a resulY of the catCle intrusion. There are no additional jurisdictional featares
associated wiYh Bridge 207 other tlian Service Creek.
�Nothing Compares�_
State of North Camlina I Depanment ofTransportation � Division ofAighwnys, Division 7 0ffice
1584 Yanceyvilie Street, Grecnsbom, NC 27405� P. O. Box 14996, Greensbom, NC 27415-4)9G
33fi-087-0000

Transportation
PAT McCRORY
Governor
NICHOLAS J. TENNYSON
Secrefary
NCDOT best management practices (BMPs) will Ue used to minimize and control sedimentation
and erosion. The consh�uction foreman will review the BMPs daily to ensure eirosion and
sedimentation is being effectively controlled. If the foreman determines U�e devices are not
fimctioning as inYended, they will be replaced immediately with better devices.
Impacts to Waters of the United States
Seivice Creelc (DWR Class: WS-V, NSW) is shown ou the USGS topograpl�ic map as a perennial
stream. The channel is well defined with a substrate }�rimarily composed of sand, silt, and g.avel
and is approximately 5-10 feet in width. From the project site, Service Creek flows generally
southeast for approximately 430 miles to its confluence witli the Haw River. Tl�e Haw River
meets the de�nition of a Traditional Navigable Water. For tllese reasons, we believe Service
Creek is a Relatively Pennaneut Water and is under the jurisdiction of the U.S. Army Coips of
Engineers. In order to construct the project, it will be necessaiy to impact waters of the United
States in the Cape Fear River Basin (HUC 03030002). Specifically, NCDOT is requestiug to
replace Bridge No. 207 witl� a four-sided culvert. The impacts are listed in the tab]e below:
Jw�isdictional Impact Summary
Perm. Temp. Perm. Temp.
Existing Existing
Station Stractw�e Size / Type I pacts I pacts Cl�annel Channel
(ac) (ac) Impacts Impacts
(1 I
12+25 to 12+40 LT 4-sided culvert, temporary pipe, and <0.01 <0.01 77 10
12+25 to 12+40 RT unpervious dikes
Jm�dan Lalte Buffer Impact Summary
Station Type Zone 1(ftZ) Zone 2(ft�
12+25 to ]2+36 LT
11+90 to 12+36 RT Road Fill and Clearing 1,382 316
72+40 to 12+50 RT
12+40 to 13+00 RT
12+30 to 12+50 LT Bridge Fill and Clearing 151 0
12+20 to 12+40 RT
Total 1,533 316
�Nothing Compares� .�_.
StateofNortliCamlina � DepahmentofTrmisportalion I DivisiovofHi6����ays,Division70ffice
I584 Ya�meyville Street, Greensboro, NC 27405� P. O. Box 14996, Greensboro, NC 27415-4996
336-�87-0000

7}�ansportatlon
Permits Requested
PAT McCRORY
Governor'
NICHOLAS J. TENNYSON
Secremry
NCDOT is hereby requestivg authorization under Sectiov 404 of tlie Clean Water Act to proceed
with the construction project ouUined above. We are also requesting a 401 Water Quality
Certification and Jordan Lake Riparian Buffer Authorization from the North Carolina Department
of Environmental Quality (DEQ), Division of Water Resources (DWR).
If you have any questions or need additional infonnation, please contact Jeny Parker at (336)
256-2063 or jpu•ker(c�ncdot.gov. Your review and consideration are greatly appreciated.
Sincerely,
9' I� • r�l -G� / �
�
J.M. Mills, PE
Division Engineer, Division 7
Enclosures
ca Tim Powers, NCDOT
Barry Han ington, Roadside Errvironmental Field Operations Engineer
Jeremy Warren, NCDOT
Chuck Edwards, Dish'ict 1, District Engineer
File Copy
�Nothing Compares�,�_
S�a�cofNotlhCarolina � DeparhnemofTransponation I Divisiono£HiSMvays,Division70ffice
1584 Yanceyvilie Street, Greensbom, NC 27405� P. O. Box 14996, GreensUoro, NC 27415-4996
336-487-0000

O�O� �A, T^eRQG
��' 0.�y�
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o �c
Pre-Construction Notification
A. Applicant Information
1. Processing
Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.3 Dec 10 2008
eTl Form
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:
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
because written approval is not required? Certification:
❑ Yes � No
1f. Is payment into a mitigation bank or in-lieu fee program proposed for mitigation
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
below.
For the record only for Corps Permit:
❑ Yes � No
� Yes ❑ No
❑ Yes � No
1h. Is the project located within a NC DCM Area of Environmental Concern (AEC)? I❑ Yes
2. Project Information
2a. Name of project: Replace Bridge No. 207 on SR 1522 over Service Creek
2b. County: Alamance
2c. Nearest municipality / town: Morgantown
2d. Subdivision name: N/A
2e. NCDOT only, T.I.P. or state ��gP.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
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]
// .
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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, Highway Division 7 Environmental
Supervisor on all correspondence — jparker a�cdot.gov
5. Agent/Consultant 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.:
5g. Email address:
PO Box 14996
Greensbaro, NC 27415
[phone]
[phone]
[e-mail]
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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)
1b. Site coordinates (in decimal degrees):
1c. Property size:
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to
2b. Water Quality Classification of nearest receiving water:
2c. River basin:
3. Project Description
N/A
Latitude 36.126778
(DD.DD�DDD)
N/A acres
Service Creek
Longitude: -79.444611
WS-V; NSW; 16-15
Cape Fear (HUC 03030002)
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 mostly comprised of mowed/maintained residential on the east and pasture on the west.
Service Creek flows through a cow pasture and significant damage to the stream has occurred as a result of the cattle
intrusion. There are not additional jurisdictional features associated with Bridge 207 other than Service Creek.
3b. List the total estimated acreage of all existing wetlands on the property:
N/A
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
— 87 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 18' by 4.75' four-sided culvert with sills and baffles. 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 installed impervious dikes upstream and downstream of the existing bridge. Water will be
directed into special siilling 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
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?
Name (if known): N/A
❑ Unknown
Agency/Consultant Company: 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
this project (including all prior phases) in the past?
5b. If yes, explain in detail according to "help file" instructions.
N/A
� No ❑ Unknown
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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
1. Impacts Summary
1 a. 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)
W1 ❑P❑T
2g. Total wetland im'.
2h. Comments: N/A
❑ Yes U Corps
❑ No ❑ DWQ
0
[�]
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. 3b. 3 c. 3d. 3e. 3f. 39
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) (�NT)� other) (feet) feet)
�/ • ►1
S2 ❑P�T
Four-sided culvert,
temporary pipe,
and impervious
dikes
Service Creek � PER
❑ INT
PER
INT
/1 . .�
►� � •
❑ Corps
❑ DWQ
5-10 I P: 77
T: 10
3h Total Permanent Stream and Tributary Impacts � 7�'
3i. Comments: Of the 87 LF of stream impacts, only 77 LF are associated with permanent impacts to the stream for the
purpose of stream alignment and stabilization with respect to the culvert installation. The 10 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)
01 ❑P�T
4f. Total open water impacts
4g. Comments: No open water impacts
5. Pond or Lake Construction
If oond or lake construction proposed, then
below.
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PCN Form — Version 1.3 December 10, 2008 Versian

Sa. 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 required7
❑ Yes ❑ No If yes, permit ID no:
5i. Expected pond surface 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?
Road fill ❑ Yes
B1 � P❑ T and Service Creek � No 1,382 316
clearing
Bridge ❑ Yes
B2 � P❑ T Fill and Service Creek � No 151 0
Clearing
6h. Total buffer impacts 1,533 316
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 02B .0267 (9)}
D. ImpactJustification 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 four-sided 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 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.
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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
impacts to Waters of the U.S. or Waters of the State?
2b. If yes, mitigation is required by (checl< all that apply)
� Yes ❑ No
❑ DWQ � Carps
❑ 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)
3c. Comments:
4. Complete if Making a Payment to In-lieu Fee Program
Type
4uantity
4a. Approval letter from in-lieu fee program is attached. � Yes
4b. Stream mitigation requested: 77 LF
4c. If using stream mitigation, stream temperature: � warm ❑ cool
4d. Buffer mitigation requested (DWQ only):
4e. Riparian wetland mitigation requested:
4f, Non-riparian wetland mitigation requested:
4g. Coastal (tidal) wetland mitigation requested:
4h. Comments:
5. Complete if Using a Permittee Responsible Mitigation Plan
square feet
acres
acres
acres
❑cold
5a. If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
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PCN Farm — 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 026.0267(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 Muitiplier 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:
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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 an 18' by 4.75' four-sided culvert. There ❑ Yes � No
is a slight increase in impervious surface but treatment is not required.
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?
❑ 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
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 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 Service 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 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.
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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
Sd. 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. It was determined that no historic or archaeological resources 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
pp Mr. 9ike Mills, PE �� ��/�J /�\ 4
A IicanUA enYs Printed Name � S•/7•/
ApplicanUAgent's Signatu e Date
(Agent's 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