20170521 Ver 1_SRTE OFFICE17042703310_20170427

STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
ROY COOPER
Govealloa
Apri125, 2017
US Army Corps of Engineers
Wilmington Regulatory Field Office
69 Darlington Avenue
Wilmington, NC 28402
ATTN: Ms. Liz Hair
NCDOT Project Manager
SUBJECT: Bridge 165 / I-95 / Little Marsh Swamp / Robeson County
WBS Number 15006.078253
JAMESH.TROGDON,III
SECREfARY
The North Carolina Department of Transportation (NCDOT) is proposing to complete emergency
repairs to Bridge 780165 which is situated along I-95 (Southbound) at Mile Marker 35 over Little
Marsh Swamp in Robeson County. The emergency repairs aze due to latent damage incurred from
Hurricane Matthew on October 8, 2o16. The total length of the project is approximately 500 feet.
Bridge 780165 was inspected immediately after the hurricane for possible damage. At that time,
while the floodwater was still lugh, no damage was observed. Subsequent inspections revealed that
the north concrete end bent protection had failed and scour occurred to expose the end bent piles.
Scour also occurred under the bridge structure that extended below the scour critical elevation.
The NCDOT Geotech Unit detemuned that the scour was within two feet of creating vertical
movement of the piles.
NCDOT proposes to construct a haul road with a rock causeway to access the west (upstream) side
of the bridge. The haul road will have 0.06 acres of temporary wetland impacts and the rock
causeway will have 0.03 acre / 1250 sq ft of swface water impacts. Prior to any work, a turbidity
curtain will be installed downstream of Bridge 780164 (I-95 Northbound Bridge). From the rock
causeway, a track hoe or some type of specialty conveyor equipment will drop ballast size stone
under the bridge until the 17.0 foot below the barrier rail is obtained. According to the survey of
the project area, the area coverage of the stone is 0.16 acre (6800 sq ft) of which the area of rock
causeway is included. Approximately 2067 cu yd of stone is needed to fill the scour hole. Lazger
stone will be placed over top of the ballast stone to cap it. Upon completion of the fill under the
bridge, the rock causeway will be spread out on the upstream of the bridge within the upstream
scour. Once complete, the haul road will be removed and the entire area will be seeded, mulched
and matted to ensure stabilization.
MailingAddress:
NC DEPARTMENT OF TRANSPORTATION
DNISION 6
558 GILLESPIE STREET
FAYBTTEVILLE, NC 28302
Telephone: [phone]
Fax: [phone]
CustomerService: ]-877-366-4968
Website: www.ncdotgov
Loca[ion:
500 7'RANSPORTATION DRIVE
FAYETTEVILLE, NC 28302

The above described work will take place entirely during a night time road closure. I-95 will be
open to traffic during the daytime hours.
Construction of tlus project will require impacts to the waters of the United States in the Lumber
River Basin. The projectislocated within the 03040203 Hydrologic Unit,sub basin 14-22-1-3.
The Water Quality Classification of Little Mazsh Swamp is C;Sw.
RESOURCESTATUS
In general, there will be miuor impacts proposed as a result of the repairs to Bridge 780165 along I-
95 in Robeson County. A Nationwide Pernut #14 / NCDEQ 401 WQC 4088 is required for the
project and is in result of NCDOT and regulatory agency consultation on April 18, 2017.
Endangered Species: Plants and animal with Federal classification of Endangered (E) or
Threatened (T) are protected under provisions of Section 7 and Section 9 of the Endangered
Species Act of 1973, as amended. As of September 2016, the U.S. Fish and Wildlife Service list
three (3) federally protected species for Robeson County.
STA
�.es ooreaets xec!-cockaded wood ecker E
michauxii Michawc's sumac E
"E" denotes Endangered (a species that is in danger of extinction throughout
all or a significant portion of its' range)
"T(S/A)" denotes Threatened due to similarity of appeazance (a species that is Threatened
due to similarity of appeazance with other raze species and is listed for iu' protectioa
These species are not biologically endangered or threatened and are not subject to Section 7
Consultation.
A biological conclusion of "No EffecY' was reached for all species during an Apri124, 2017 survey
for protected species. Protected species were not identified for each species listed.
REGULATORY APPROVALS
Application is hereby made for a U.S. Army Corps of Engineers Nationwide Pernut #14 / NCDEQ
401 WQC 4088 as required by the above described activities.
Attached is a Preconstruction Notification Form, plan sheets and location map.
If you should have any questions, or need additional information, please contact James J. Rerko,
PWS at 910-437-0207.
mcerely ���
/ ' �7�5
� � ��
James J. Rerko, PWS
Division 6 Environmental Officer

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
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
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 Qualiry 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? 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 Concem (AEC)? ❑ Yes � No
2. Project Information
2a. Name of project: Bridge 780165 Stabilization
2b. County: Robeson County
2c. Nearest municipality / town: St Pauls
2d. Subdivision name: NA
2e. NCDOT only, T.I.P. or state 15006.1078253
project no:
3. Owner Information
3a. Name(s) on Recorded Deed: NA
3b. Deed Book and Page No. NA
3c. Responsible Party (for LLC if NA
applicable):
3d. Street address: NA
3e. Ciry, state, zip: NA
3f. Telephone no.: NA
3g. Fax no.: NA
3h. Email address: NA
Page 1 of 11
PCN Form — Version 1.3 December 10, 2008 Version

4. Applicant Information (if different from owner)
4a. Applicant is: ❑ Agent ❑ Other, specify:
4b. Name: Greg Burns, P.E./NCDOT/Div 6/Division Engineer
4c. Business name NCDOT
rs �....r.,.,�.i..�.
4d. Street address: PO Box 1150
4e. City, state, zip: Fayetteville, NC 28302
4f. Telephone no.: [phone]
4g. Fax no.: [phone]
4h. Email address: [e-mail]
5. AgentlConsultant Information (if applicable)
5a. Name: James J. Rerko, PWS
5b. Business name NCDOT/Div 6/Division Environmental Officer
!if annlir�hlol•
5c. Street address:
5d. Ciry, state, zip:
5e. Telephone no.:
5f. Fax no.:
5g. Email address:
PO Box 1150
Fayetteville, NC 28302
[phone]
[phone]
[e-mail]
Page 2 of 11
PCN Form — Version 1.3 December 10, 2008 Version

B. Project Information and Prior Project History
1. Property Identifcation
1a. Property identification no. (tax PIN or parcel ID):
1 b. Site coordinates (in decimal degrees):
1c. Propertysize:
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to
proposed project:
NA
Latitude:
PS#1: 34.8588'N
1.0 acres
Little Marsh Swamp
2b. Water Quality Classification of nearest receiving water: C; Sw
2c. River basin: Lumber
Longitude: -
-78.9658
3. Project Description
3a. Describe the existing conditlons on the site and the general land use in the vicinity of the project at the time of this
application:
Bridge 165 is located at MP 35 along I-95. The land use is interstate highway / bottomland hardwood forest.
3b. List the total estimated acreage of all existing wetlands on the property:
1.00. acres
3c. List the total estimated linear feet of a�l existing streams (intermittent and perennial) on the property:
350 linear feet
3d. Explain the purpose of the proposed project:
The concrete end bent slope protection failed on the northern end of the bridge, in addition to the stream invert extending
below scour critical elevation. The project will stabflize the stream channel and the strucutural integrity of the bridge.
3e. Describe the overall project in detail, including the type of equipment to be used:
NCDOT will construct an access road to the west of I-95 and a rock causeway into the channei of Little Marsh Swamp.
Ballast size stone will then be placed in the scour hole under the bridge to an elevation 17 foot below the barrier rail.
Once the ballast stone is placed, larger stone will then cap the ballast stone and rip-rap will then be placed at the northem
end bent for protection. Crutch bents will be installed to add additional structural stability of the interior bents. The work
will be completed utilizing a crane, pile hammer, track hoes, dump trucks and possiblv a convevor..
4. Jurisdictional Determinations
4a. Have jurisdictional wetland 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
Comments:
4b. If the Corps made the jurisdicUonal determination, what type
of determinatlon was made? ❑ Preliminary ❑ Final
4c. If yes, who delineated the jurisdictional areas?
Name (if known): RK&K
Agency/Consultant Company:
Other:
❑ Unknown
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
5. Project History
5a. Have permits or certffications 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.
� No ❑ Unknown
Page 3 of 11
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.
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.
WeBand impact Type ofjurisdiction
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. Access Road Fill Headwater Forest � Yes � Corps 0.06
❑ No � DWQ
W2 ❑ P❑ T ❑ Yes ❑ Corps
❑ No ❑ DWQ
W3 ❑ P 0 T ❑ Yes ❑ Corps
❑ No ❑ DWQ
W4 ❑ P � T ❑ Yes ❑ Corps
❑ No ❑ DWQ
W5 ❑ P❑ T ❑ Yes ❑ Corps
❑ No ❑ DWQ
W6 ❑ P � T ❑ Yes ❑ Corps
❑ No ❑ DWQ
2g. Total weUand impacts 0.06
2h. Comments: .Temporary impacts for access
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. 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
Tem ora T DWQ — non-404, width (linear
P rY � ) (INT)? other) (feet) feet)
S1 ❑ P Q T ❑ PER ❑ Corps
❑ INT ❑ DWQ
S2 ❑ P❑ T ❑ PER ❑ Corps
❑ INT ❑ DWQ
S3 ❑ P 0 T ❑ PER ❑ Corps
❑ INT ❑ DWQ
S4 ❑ P❑ T ❑ PER ❑ Corps
❑ INT ❑ DWQ
S5 ❑ P � T ❑ PER ❑ Corps
❑ INT ❑ DWQ
S6 ❑ P � T ❑ PER ❑ Corps
❑ INT ❑ DWQ
3h. Total stream and tributary impacts
3i. Comments: .
Page 5 of 11
PCN Form — Version 1.3 December 10, 2008 Version

4. Open Water Impacts
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the AUantic 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(Plor
01 � P❑ T Little Marsh Swamp Fill scour hole Swamp 0.13
02 � P❑ T Little Marsh Swamp Rock Causeway Swamp 0.03
03 � P 0 T Little Marsh Swamp Crutch Bentsl Swamp <0.01
04 ❑P❑T
4f. Total open water impacts
4g. Comments: 2067 cy of ballast sized stone will be required to backfill scour hole while providing stability to the two interior
bents. Crutch bents will be installed to add structural stability. Crutch Bent impact = 15 sq ft.
5. Pond or Lake Construction
If ond or lake construction ro 0
5a. 5b.
Pond ID Proposed use or purpose
number of pond
P1 NA
P2
Sf. Total
5g. Comments:
5h. Is a dam high hazard permit required?
5i. Expected pond surface area (acres):
5. Size of pond watershed (acres):
5k. Method of construction:
5c. 5d. 5e.
WeUand Impacts (acres) Stream Impacts (feet) Upland
(acres)
Flooded Filled Excavated Flooded Filled Excavated Flooded
❑ Yes � No If yes, permit ID no:
Page 6 of 11
PCN Form — Version 1.3 December 10, 2008 Version

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 ❑ TarvPamlico ❑ Other:
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) or for Stream name mitigation (square feet) (square feet)
Tem ora T im act re uired?
61 ❑POT Nq ❑Yes
❑ No
62 ❑ P ❑ T ❑ Yes
❑ No
B3 ❑POT ❑Yes
❑ No
6h. Total buffer impacts
6i. Comments:
D. ImpactJustification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
NCDOT has designed the access road to impact as little as possible while laying fabric undemeath the fill to ensure complete
removeal upon completion of the proejct.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Appropriate Erosion Control measures shall be in place so that the surrounding Wetlands are not disturbed and downstream
water qualiry is not negatively effected. A turbidity curtain will be installed downstream of the project to protect water quality.
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 opfion 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 Purohased (attach receipt and letter) Type NA Quantity NA
Page 7 of 11
PCN Form — Version 1.3 December 10, 2008 Version

3c. Comments:
4. Complete if Making a Payment to In-lieu Fee Program
4a. Approval letter from in-lieu fee progrem is attached. ❑ Yes
4b. Stream mitigation requested: linear feet
4c. If using stream mitigation, stream temperature: ❑ warm ❑ cool
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
❑cold
5a. If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
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.
Zone
Zone 1
Zone 2
Reasonforimpact
NA
Total impact Multiplier
(square feet)
3 (2 for Catawba)
1.5
6f. Total buffer mitigation
6e.
Required mitigation
(square feet)
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: NA
Page 8 of 11
PCN Form — Version 1.3 December 10, 2008 Version

E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1 a. Does the project include or is it adjacent to protected riparian buffers identified
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:
`#
Plan
2a. What is the overall percent imperviousness of this project?
2b. Does this project require a Stormwater Management Plan?
2c. If this project DOES NOT require a Stormwater Management Plan, explain why:
❑ Yes � No
❑ Yes ❑ No
N/A %
❑ Yes � No
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?
3. Certi£ed Local Government Stormwater Review
3a. In which local govemmenYs jurisdiction is this project?
3b. Which of the following locally-implemented stormwater management programs
apply (check all that apply):
3c. Has the approved Stormwater Management Plan with proof of approval been
attached?
4a. Which of the foilowing state-implemented stormwater management programs apply
(check all that apply):
4b. Has the approved Stortnwater Management Plan with proof of approval been
attached?
401 Unit
5a. Does the Stormwater Management Plan meet the appropriate requirements?
5b. Have all of the 401 Unit submittal requirements been met?
❑ Certified Local Govemment
❑ DWQ Stormwater Program
❑ DWQ 401 Unit
NA
❑ Phase II
❑ NSW
❑ USMP
❑ Water Supp�y Watershed
❑ Other:
❑ Yes ❑ No
❑ Coastal counties
❑ HQW
❑ ORW
❑ Session Law 2006-246
❑ Other:
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Page 9 of 11
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
use of public (federal/state) land? ❑ No
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 (NEPAISEPA)?
1 c. If you answered "yes" to the above, has the document review been flnalized 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 Surtace Water or Wetland Standards, ❑ Yes � No
or Riparian Buffer Rules (15A NCAC 2B .0200)?
2b. Is this an aftervthe-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.
The project is one which qualifies as a minimum criteria under 19 NCAC 2F.0102. As such, the project is in a category of
projects that add either no or a minor amount of new impervious surface directly, indirectly or cumulatively.
Consequently, the project will not result in cumulative impacts that cause or will cause a violation of downstream water
quality standards.
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 capaciry of the subject facility.
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
habitat? ❑ Yes � No
5b. Have you checked with the USFWS concerning Endangered Species Act
impacts7
5c. If yes, indicate the USFWS Field Office you have contacted.
❑ Yes � No
❑ Raleigh
❑ Asheville
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
Naturai Heritage GIS layer, In field survey and reconnaissance.
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat? I❑ Yes
6b. What data sources did you use to determine whether your site would impact Essentlal Fish Habitat?
USFWS website- http://www.fivs.gov/nc-es/fishffish.html
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
7a. Will this project occur in or near an area that the state, federal or fibal
govemments have designated as having historic or cultural preservation
status (e.g., National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
❑ Yes
►�I .
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?
No impacts to historic features will take place.
S. Flood Zone Designation (Corps Requirement)
Sa. Will this project occur in a FEMA-designated 100-year floodptain?
Sb. If yes, explain how project meets FEMA requirements: NA
❑ Yes
Sc. What source(s) did you use to make the floodplain determination? NC F�oodplain Mapping)
Greg Burns, P.E.
AppiicanUAgenPs Printed Name
�
AppiicanUAgenY Signature
(AgenPs signature is valid only if an authorization letter from the applicant
1Z� .
April 26, 2017
Date
Page 11 of 11
PCN Form — Version 1.3 December 10, 2008 Version

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