20161083_Cover and PCN signed_20161103

Transportation
US Army 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
November 3, 2016
NC Division of Water Resources
Winston-Salem Regional Office
Attn: Mr. Dave Wanucha
450 W. Hanes Mill Rd, Ste. 103
Winston-Salem, NC 27105
Snbject: Nationwide 14 Peimit and Jordan Lake Riparian Buffer Application for the Replacement
of Bridge No. 254 on SR 3121 (Ferguson Road) over UT to South Prong Stinking
Quarter Creek, Guilford County, North Carolina, WBS Element No. 17BP.7.R.87
Dear Mr. Bailey and Mr. Wanucha:
The North Carolina Department of Transportation (NCDOT) is proposing to replace a functionally
obsolete 35' X 2Y single span timber bridge with a new double barrel 10' x 6' reinforced concrete
box culvert with 1' and 2' sills with bevels. An off-site detour will be used to convey traffic during
conshuction. The project will also include minor approach work on the e�sting roadway.
Please fmd enclosed a PCN application, USGS and Soil Survey vicinity maps, Stormwater
Management Plan, permit drawings, buffer drawings and SHPO Concurrence Forms.
The North Carolina Natural Heritage Database was checked for records of threatened and endangered
species. The database lists two species for Guilford County that have federal status. Bald eagle
(Haliaeetus leucocephalus) is protected in every county in North Carolina under the Bald and Golden
Eagle Protection Act. Small whorled pogonia (Isotria medeoloides) is listed as threatened. Cape Fear
Shiner (Notropis meldstocholas) is not listed for Guilford County, but is found in the Cape Fear River
basin. NCDOT assessed the potential for this species to be impacted by the subject project and
deterrnined the project would have no impact on this species.
Habitat for bald eagle primarily consists of mature forest in proacimity to large bodies of open water
for foraging. Large dominant trees are utilized for nesting sites, typically within 1.0 mile of open
water. A desktop-GIS assessment of the project study area, as well as the area within a 1.13-mile
radius (1.0 mile plus 660 feet) of the project limits, was performed on January 13, 2016 using 2014
color aerials. Kimesville Lake (approximately 25 acres and 0.5 mile to the southeast of the subject
bridge) was identified as a watex body large enough and su�ciently open to be considered a potential
feeding source. A field scoping meeting on February 20, 2014, determined that the subject project
would have no effect on bald eagle. Additionally, a review of the NCNHP database on January 13,
2016 revealed no known occurrences of this species within 1.0 mile of the project study area. The
closest known occurrence is approximately 19.7 miles east of the project. Due to the lack of known
occurrences and minimal impact anticipated for this project, it has been determined that the subject
project will not affect trus species.
Small whorled pogonia generally occurs in open, dry, deciduous woods with acid soil, accarding to
the U.S. Fish and Wildlife Service. However, it is also known to occur in a variety of habitats in
North Carolina, including along streams. The project site is maintained road right of way, with some
�Nothing Compares��
SGteofNortLCarolina � Departmen[ofTransponation � DivisionofHighways,Divisiou70ffice
1584 Yanceyville Sheet, Greensboro, NC 27405� P. O. Box 14996, Greensboro, NC 27415-4996
336-087-0000

;'�;
Transportation
PAT McCRORY
Governor
NICHOLAS J. TENNYSON
Secremry
forest area consisting of deciduous trees and pine species. The bridge site appears to have a very low
potential to support small whorled pogonia. Records indicate the nearest known occuirence of small
whorled pogonia is approximately 12.4 miles north of the project area. Additionally, a suivey was
performed on October 11, 2016 and no pogonia plants were found. Therefore, the subject project will
not affect this species.
This project was reviewed by NCDOT's Human Environment Unit in 2013 for potential affects to
histarical architecture and archaeology. It was determined that no survey was required for historical
architecture or archaeological resources and that no cultural resources will be affected by this project.
The project study area is comprised mostly of maintained/residential land with hardwood forest along
the stream banks and nearby agricultural fields and residences. There are no addirional jurisdictional
features associated with Bridge 254 other than IJT to South Prong Srinking Quarter Creek.
NCDOT best management practices (BMPs) will be used to minimize and control sedimentation and
erosion. The conshuction 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
UT to South Prong Stinking Quarter Creek [DWR Classi WS-V; NSW; 16-19-8-2-(2)] is shown on
the USGS topographic map as a perennial stream. The channel is well defined with a substrate
primarily composed of sand, cobble, bounder, and bedrock, and is approximately 4-8 feet in width.
From the project site, UT to South Prong Stinking Quarter Creek flows approximately 0.7 miles to its
confluence with South Prong Stinking Quarter Creek. South Prong Stinking Quarter Creek then flows
approximately 8.1 miles to its confluence with Stinking Quarter Creek. Stinking Quarter Creek flows
approximately 4.8 miles to Big Alamance Creek. Big Alamance Creek flows approximately 4.4 miles
to its confluence with the Haw River. The Haw River meets the defuution of a Traditionat Navigable
Water. For these reasons, we believe South Prong Stinkuig Quarter Creek Tributary #2is a Relatively
Permanent Water and is under the jurisdiction of the U.S. Army Corps of Engineers. In order to
construct the project, it will be necessary to impact waters of the United States in the Cape Fear River
Basin (HIJC 03030002). Specifically, NCDOT is requesting to replace Bridge No. 254 with a
reinforced concrete box culvert. The impacts are listed in the table below. There are no temporary
impacts listed in the Yable since temparary impacts were less than 10 If (S lf each at inlet and outlet
pipe) and were therefore rolled into the permanent impact summary. See below:
Jurisdictional Impact Summary
Perm. Temp. Perm. Temp.
�sisting E�isting
Station 5tructure Size / Type sw SW Channel Channel
Impacts Impacts Impacts Impacts
(ac) (ac) ��� ��fl
13+01 to 13+24 Channel realignment for RCBC, 0.02 0 I 10 0
temporuy pipe, and impervious dikes
�Nothing Compares��
State of North Caroliva � Department of Transponation � Division ofHighways, Division 7 0ffice
1584 Yaoceyville Street, Greensbora, NC 27405� P. O. Box ]4996, Greeiuboro, NC 27415-4996
336-487-0000

TranspoMatton
PAT McCRORY
Governor
NICHOLAS J. TENNYSON
Secretary
Jordan Lalce Buffer Impact Summary
Station Type Zone 1(ftZ) Zone 2(frz)
12+38 to ]3+51 Roadway Crossing 2,587 970
Total 2,587 970
Permits Requested
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 fiom the North Caroliva Department of Environment and
Natural Resources (DENR), Division of Water Resources (DWR).
If you have any questions or need additional information, please contact Jerry Parker at (336) 256-
2063 or jparker e ncdot�ov. Your review and consideration are greatly appreciated.
Sincerely,
�-m� ��P�
( J,FVI; Mills, PE
`T�ivision Engineer, Division 7
Enclosures
cc: Gary Jorden, USFWS (electronic copy)
Travis Wilson, WRCS (electronic copy)
Tim Powers, NCDOT (elecho�ic copy)
Kim V✓hitley, Roadside Environmental Field Operatio�s Engineer, NCDOT
Jeremy Waireq NCDOT
Bobby Non�is, Dish�ict 2 Engineer, NCDOT
File Copy
�Nothing Compares��
State ofNortL Carolina � Department ofTransportalion I Didsion ofHighways, Division 7 ORce
158M1 Yanceyviile Shee; Greens6orq NC 27405) P. O. Box 14996, Greensbom, NC 27415-499G
336-4S7-OOOD

Office Use Only:
Corps action ID no.
DW4 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
Corps: � Section 404 Permit ❑ Section 10 Permit
1b. Specify Nationwide Permit (NWP) number: 14 or General Permit (GP) number:
1c. Has the NWP or GP number been verified by the Corps? � Yes ❑ No
1d. Type(s) of approval sought from the DWQ (check alI that apply):
� 401 Water Quality Certification — Regular ❑ Non-404 Jurisdictional General Permit
❑ 401 Water Quality Certification — Express � Riparian Buffer Authorization
1 e. is this notification solely for the record For the record only for DWQ 401 For the record only for Corps Permit:
because written approval is not required? Cedification:
❑ Yes � No ❑ Yes � No
1f. Is payment into a mitigation bank or in-Iieu 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.
1 h. Is the project located within a NC DCM Area of Environmental Concem (AEC)? ❑ Yes � No
2. Pro)ect Information
2a. Name of project: Replace Bridge No. 254 on SR 3121 over UT to South Prong Stinking Quarter Creek
2b. County: Guilford
2c. Nearest municipality! town: Kimesville
2d. Subdivision name: N/A
2e. NCDOT only, T.I.P. or state 17BP.7.R.87
project no:
3. Owner Information
3a. Name(s) on Reco�ded 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.: (336) 3343297
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
(if applicable):
4d. Street address: PO Box 14996
4e. City, state, zip: Greensboro, NC 27415
4f. Telephone no.: (336) 3343297
4g. Fax no.: [phone]
4h. Email address: [e-mail] *nole: please a/so copyMr. Jerry Parker, HighwayDivision 7 Enviranmental
Supervisor on aIl correspondence — jparker(Scdot.gov
5. AgenUConsultant Information (if applicable)
5a. Name: Mr. Jerry Parker
5b. Business name NC DOT Highway Division 7, Division Environmental Supervisor
(if applicable):
5c. Street address: PO Box 14996
5d. City, state, zip: Greensboro, NC 27415
5e. Telephone no.: [phone]
5f. Fax no.: [phone]
5g. Email address: [e-mail]
Page 2 of 11
PCN Form — Version 1.3 December 10, 2008 Version

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 decimai degrees): Latitude 35.953471 Longitude: -79.554954
(DD.DDDDDD) (-DD.DDDDDD)
1 c. Property size: N/A acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to UT to South Prong Stinking Quarter Creek
proposed project:
2b. Water Quality Classification of nearest receiving water: WS-V; NSW; 16-19-8-2-(2)
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 maintained roadway with hardwood forest along the stream banks and
nearby agricultural fields and residences. There are not additional jurisdictionai features associated with Bridge 254 other
than UT to South Prong Stinking Quarter Creek.
3b. List the total estimated acreage of all existing wetlands on the property:
N/A
3c. List the total estimated Iinear feet of all existing streams (intermittent and perennial) on the property:
— 110 LF of stream within the project boundaries
3d. Explain the purpose of the proposed projecY.
To replace a structurally deficient and functionally obsolete timber bridge.
3e. Describe the overall project in detaii, including the type of equipment to be used:
Tra�c wili 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 structure will be replaced on its existing alignment. The new
culvert structure will be a 2@ 10' by 7' reinforced concrete box culvert with 1' and 2' sills with bevels. The channel will be
excavated and realigned for low flow shaping. Waterwill be gravity flow 24" piped around the work area during construction by
installed impervious dikes upstream and downstream of the existing bridge. Special stilling basins will be utilized on an as
needed basis to pump effluent trapped between the impervious dikes if a storm even overtops the dikes. Equipment to be used
includes a track hoe, dump truck, paving equipment, pumps, various hand tools, possibly a crane to move construction material
such as reinforced bars of steel, and concrete buckets to place conrete.
4. Jurisdictional Determinations
4a. Have jurisdictional wetla�d or stream determinations by the
Corps or State been requested or obtained for this property /
project (including all prior phases) in the past? ❑ Yes � No ❑ Unknown
Comments: N/A
4b. If the Corps made the jurisdictional determination, what type
of determination was made? ❑ Preliminary ❑ Final
4c. If yes, who delineated the jurisdictional areas? Agency/Consultant Company: N/A
Name (if known): N/A Other: N/A
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
N/A
5. Project History
5a. Have permits or certifications been requested or obtained for � yes � No ❑ Unknown
this project (including all prior phases) in the past?
5b. If yes, explain in detail according to "help file" instructions.
N/A
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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
Page 4 of 11
PCN Form — Version 1.3 December 10, 2008 Version

C. Proposed Impacts Inventory
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)
Tem ora 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 ail stream sites impacted.
3 a. 3 b. 3 c. 3 d. 3 e. 3 f. 3 g.
Stream impact Type of impact Stream name Perennial Type ofjurisdiction Average Impact
number - (PER) or (Corps - 404, 10 stream length
Permanent(P)or intermittent DWQ—non-404, width (linear
Temporary (T) (INT)? other) (feet) feet)
Channel South Prong
realignment for Stinking Quarter � PER � Corps
S1 � P❑ T RCBC, temporary Creek Tributary ❑ INT � DWQ 4-8 P: 110
pipe, and #2
impervious dikes
S2 ❑ P � T ❑ PER ❑ Corps
❑ INT ❑ DWQ
3h. Total Permanent Stream and Tributary Impacts 110'
3i. Comments: Oniy 110 LF are associated with permanent impacts to the stream for the purpose of stream alignment. 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 alI open water impacts below.
4a. 4b. 4c. 4d. 4e.
Open water Name of waterbody
impact number— (if applicable) Type of impact Waterbody type Area of impact (acres)
Permanent (P)
or Temporary
T
01 ❑P❑T
4f. Total open water impacts
4g. Comments: No open water impacts
5. Pond or Lake Construction
If ond or lake construction ro osed, then com lete the chart below.
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PCN Form — Version 1.3 December 10, 2008 Version

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):
5. Size of pond watershed (acres):
5k. Method of construction:
6. Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer, then compiete the chart below. If yes, the� individually list all buffer impacts
below. If an im acts require 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 Zo�e 2 impact
Permanent (P) for Stream name mitigation (square feet) (square feet)
orTemporary impact required?
T
Roadway UT to South Prong Stinking ❑ Yes
B1 � P 0 T Crossing Quarter Creek � No 2,587 970
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 D26 .0267 (9)}
D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specificaily 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. See attached
bridge to culvert justification memo from the Division Bridge Program Manager.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Erosion and sedimentation BMPs wiil 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 � 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: 110 LF @ 2:1 ratio
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.
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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 10' by 7' RCBC. There is a slight ❑ Yes � No
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 wiil 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 approvai 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 11
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)?
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. 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 2B A200)?
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, 20D4 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 UT to South Prong Stinking Quarter Creek which is Class WS-V; Nutrient Sensitive
Waters (NSW) (i.e. not ORW, HQW, 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.
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. See attached memos from NES, Biological Surveys
Unit
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 Guilford 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
2013. It was determined that no survey was required for historical architecture or archaeological resources and that no
cultural resources will be affected by this project. See attached concurrence 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 � / '� � ���w`�CJ ) �(�I (� t � ,j � /
ApplicanUAgenYs Printed Name i J" w
U ApplicanUAgenfs Signature Date
(AgenPs signature is valid only if an authorization letter from the
ap licant is rovided.
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PCN Form — Version 1.3 December 10, 2008 Version