20170218 Ver 1_NW3_request_20170220

STATE OF NORTH CAROLINA
DEPARTMENT OF T�ZANSPORTATION
ROY COOPF,R
GOVERNOR
Februaiy 20, 2017
USACOE
2407 West St�' Street
Washington, NC 27889
ATTN: Tracey Wheeler
NCDOT Coordinator
NCDWR
943 Washington Square Mall
Washington, NC 27899
ATTN: Garcy Ward
NCDOT Coordinator
JAM�S H. TROGDON, III
SECRtTARY
Subject: Request for a NW 3 Permit and corresponding 401 certification to replace and
existing fender system through the navigational span on Bridge # 7(NC 45) over
the Roanoke River. WBS Element Number: 44226
References: Bridge # 7 on NC 45 over the Roanoke River, Bertie County
The North Carolina Department of Transportation (NCDOT) is requesting the issuance of a NW
3 permit to authorize the replacement of an existing fender system on bridge # 7 over the
Roanoke River. The current structure is approximately 45 years old and is in poor condition, with
wood root and structural deterioration. The existing structure will be removed in its entirety.
Demolition of the existing structure will follow NCDOT guidelines for bridge demolition. The
new structure will be placed within the same alignment and foot print. The pile configuration is
slightly modiiied from the original design as indicated on the provided drawings. This project
will be constructed tluough a marine contractor, utilizing a barge/crane operation and wor•k boats.
There are no wetland or surface water impacts associated with this project.
�%"'Nothing Cnmpares: =.�
State of Nodli Carolina � Department of Transportation � Division 1
1 13 Ai�poit Drive � Suite ] 00 � Edentou, NC 27932
252-482-I850

With this request I have included a location map, PCN and permit drawings. If you
should have any questions regarding this request, please contact Clay Willis at [phone] or
tcwi11i5 �%ncdot.��.
Sincerely,
Jerry Jennings, P.E., Division Engineer
NCDOT Division 1
� �//�,�l� c,.-:
����"`�--- /% `'' ' �
.0
Clay Willis, Environmental Supervisor
NCDOT Division 1
Cc: Garcy Ward, NCDWR
Kristi Carpenter, NCDWR

Fender System Replacement Bridge # 7 on NC 45
Roanoke River
Bertie Count
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Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.4 January 2009
Pre-Construction Notification (PCN) Form
A. Applicant Information
1. Processing
1 a. Type(s) of approval sought from the Corps: X Section 404 Permit Section 10 Permit
1 b. Specify Nationwide Permit (NWP) number: NW 3 or General Permit (GP) number:
1 c. Has the NWP or GP number been verified by the Corps? X Yes No
1 d. Type(s) of approval sought from the DWQ (check all that apply):
X 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 For the record only for Corps Permit:
because written approval is not required? 401 Certification:
X Yes X No 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 Yes X No
fee program.
1 g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h X Yes No
below.
1 h. Is the project located within a NC DCM Area of Environmental Concern (AEC)? X Yes No
2. Project Information
2a. Name of project: Bridge Fender System Replacement — Bridge # 7 on NC 45
2b. County: Bertie
2c. Nearest municipality / town: Plymouth
2d. Subdivision name: N/A
2e. NCDOT only, T.I.P. or state project no: 41732.10
3. Owner Information
3a. Name(s) on Recorded Deed: NCDOT R-O-W
3b. Deed Book and Page No.
3c. Responsible Party (for �LC if NCDOT
applicable):
3d. Street address: 113 Airport Drive , Suite 100
3e. City, state, zip: Edenton, N.C. 27932
3f. Telephone no.: 252-482-1876 / 252-312-3692
3g. Fax no.:
3h. Email address: [e-mail]
Page 1 of 10
PCN Form — Version 1.4 January 2009

4. Applicant Information (if different from owner)
4a. Applicant is: Agent Other, specify:
4b. Name:
4c. Business name
(if applicable):
4d. Street address:
4e. City, state, zip:
4f. Telephone no.:
4g. Fax no.:
4h. Email address:
5. AgentlConsultant Information (if applicable)
5a. Name:
5b. Business name
(if applicable):
5c. Street address:
5d. City, state, zip:
5e. Telephone no.:
5f. Fax no.:
5g. Email address:
Page 2 of 10

B. Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID): NCDOT ROW — NC 45
1b. Site coordinates (in decimal degrees): Latitude: 35.915 Longitude: -76.7229
1c. Property size: 1 acres
2. 5urface Waters
2a. Name of nearest body of water to proposed project: Roanoke River
2b. Water Quality Classification of nearest receiving water: C, SW
2c. River basin: Roanoke River
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: Land use within the project vicinity consist of conservation land owned by the federal government
and private holdings. All the surrounding lands are riverine swamp system associated with the Roanoke River
fioodplain. NC 45 cross's the Roanoke River system with Bridge # 7, approximately 1 mile in length. The bridge
was built in 1968 and has a navigation span with a protective fender system. This fender system is made of all
wood structures and is in poor condition. The NCDOT is proposing to replace the existing fender system along the
same alignment and configuration, with some minor pile cluster relocation. The new fender system will stay within
the same footprint of the current fender system alignment.
3b. List the total estimated acreage of all existing wetlands on the property: 0 acres
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property: 100 ft
3d. Explain the purpose of the proposed project: To maintain an existing protective fender system on Bridge # 7 in the Roanok
River.
3e. Describe the overall project in detail, including the type of equipment to be used: The existing wooden fender system will be
removed in its entirety. The existing piles will be extracted via vibratory hammer and loaded out through a barge operation. The
new structure will be installed using a crane barge operation. The structure will be built with treated timber piles and structural
components. All materials will foilow specifications for marine application.
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the X Yes No Unknown
Corps or State been requested or obtained for this property / Comments:
pro'ect (including all prior phases) in the past?
4b. If the Corps made the jurisdictional determination, what type X Preliminary Final
of determination was made?
4c. If yes, who delineated the jurisdictional areas? Agency/Consultant Company:
Name (if known): Clay Willis Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
5. Project History
5a. Have permits or certifications been requested or obtained for Yes X No Unknown
this project (including ail prior phases) in the past?
Page 3 of 10
PCN Form — Version 1.4 January 2009

Page 4 of 10
PCN Form — Version 1.4 January 2009

C. Proposed Impacts Inventory
1. Impacts Summary
1 a. Which sections were completed below for your project (check ail that apply): None
Wetlands Streams — tributaries Buffers Open Waters Pond Construction
2. Wetiand 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. Area
Wetland impact Type of impact Type of wetland Forested Type of jurisdiction of
number Corps (404,10) or impact
Permanent (P) or DWQ (401, other) (acres)
Tem orar T
2g. Total Wetland Impacts: 0
2h. Comments:
No wetland impacts associated with this project
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. 3b. 3c. 3d. 3e. 3f. 39�
Stream impact Type of impact Stream name Perennial (PER) or Type of Average Impact
number intermittent (INT)? jurisdiction stream length
Permanent (P) or width (linear
Temporary (T) (feet) feet)
S1
S2
S3
S4
S5
S6
3h. Total stream and tributary impacts
3i. Comments: No stream impacts associated with this project
Page 5 of 10
PCN Form — Version 1.4 January 2009

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 individuall list all o en water impacts below.
4a. 4b. 4c. 4d. 4e.
Open water Name of waterbody
impact number (if applicable Type of impact Waterbody Area of impact (acres)
Permanent (P) or type
Temporar (T)
02
03
04
4f. Total open water impacts 0
4g. Comments: No open water impacts
5. Pond or Lake Construction
If pond or lake construction proposed, then complete the chart below.
5a. 5b. 5c. 5d. 5e.
Pond ID number Proposed use or Wetland Impacts (acres) Stream Impacts (feet) Upland
purpose of pond (acres)
Flooded Filled Excavated Flooded Filled Excavated
P1
P2
5f. Total:
5g. Comments:None
5h. Is a dam high hazard permit required? 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 wiil impact a protected riparian buffer, then complete the chart below. If yes, then individually list all buffer impacts
below. If any impacts require miti ation, then ou MUST fill out Section D of this form.
6a. Project is in which protected basin? Neuse X Tar-Pamlico Catawba Randleman Other:
6b. 6c. 6d. 6e. 6f. 6g.
Buffer Impact Reason for impact Stream name Buffer Zone 1 Zone 2
number— mitigation impact impact
Permanent (P) or required? (square (square
Temporar (T) feet) feet)
B1
B2
B3
B4
B5
B6
6h. Total Buffer Impacts:
6i. Comments: None
Page 5 ot 10

D. Impact Justification and Mitigation
1. Avoidance and Minimization
1 a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
NCDOT is replacing an existing fender system structure. The existing footprint of the structure will be maintained.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
NCDOT will utilize BMP during pile extraction and demolish of the existing fender system.
2. Compensato Miti ation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for Yes X 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 payment to in-lieu fee program
project?
Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
Type: Quantity:
3b. Credits Purchased (attach receipt and letter) Type: Quantity:
Type: Quantity:
3c. Comments: N/A
4. Complete if Makin a Pa ment to In-lieu Fee Pro ram
4a. Approval letter from in-lieu fee program is attached. Yes
4b. Stream mitigation requested: linear feet
4c. If using stream mitigation, stream temperature:
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: 0 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 6 of 10
PCN Form — Version 1.4 January 2009

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 X 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: Project is located in the Roanoke River Basin.
Page 7 of 10

E. Stormvvater 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 X No
within one of the NC Ri arian Buffer Protection Rules?
1 b. If yes, then is a diffuse flow pian included? If no, explain why.
Yes No
2. Stormwater Management Plan
2a. What is the overall percent imperviousness of this project? p
2b. Does this pro'ect require a Stormwater Mana ement Plan? Yes X 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:
2e. Who will be responsible for the review of the Stormwater Management Plan? N/A
3. Certified Local Government Stormwater Review N/A
3a. In which local governmenYsjurisdiction is this project? N/A
Phase II
3b. Which of the following locally-implemented stormwater management programs NSW
apply (check all that a ply): N/A USMP
p Water Supply Watershed
Other:
3c. Has the approved Stormwater Management Plan with proof of approval been Yes No
attached? N/A
4. DWQ Stormwater Pro ram Review
X Coastal counties
hqw
4a. Which of the following state-implemented storm water 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 Yes X No
attached? �
5. DWQ 401 Unit Stormwater Review
5a. Does the Stormwater Management Plan meet the appropriate requirements? N/A Yes No
5b. Have all of the 401 Unit submittal requirements been met? N/A Yes No
Page 8 of 10
PCN Form — Version 1.4 January 2009

F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
1 a. Does the project involve an expenditure of public (federal/state/local) funds or the X 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 X No
(North Carolina) Environmentai 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
Wetiand Rules (15A NCAC 2H .1300), DWQ Surface Water or Wetland Standards, Yes X No
or Riparian Buffer Rules (15A NCAC 2B .0200)?
2b. Is this an after-the-fact permit application? Yes X 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 X 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.
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. None

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 X No
habitat?
5b. Have you checked with the USFWS concerning Endangered Species Act Yes X No
impacts?
5c. If yes, indicate the USFWS Field Office you have contacted.
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat? Yes X No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
NMFS — Data Set for North Carolina
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 X 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?
NC State Historic Preservation Office
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain? Yes X No
8b. If yes, explain how project meets FEMA requirements: n/a
8c. What source(s) did you use to make the floodplain determination?
, u��2' a ����-
��- �l� �
Applic�t/Agent's Printed Name Appli nt/AgenYs Signature �a9ent�s Date
signature is valid only if an authorization letter
from the applicant is provided.)
Page 10 of 10