20170741 Ver 1_SRTE OFFICE17061621130_20170616

o�OFWATFRpG Office Use Only:
� � Corps action ID no. _
r�, �� o -~c DWQ project no. _
Fortn 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: 0 Section 404 Permit ❑ Section 10 Permit
1b. Specify Nationwide Permit (NWP) number: 3 or General Permit (GP) number:
1c. Has the NWP or GP number been verified by the Corps7 0 Yes ❑ No
1 d. Type(s) of approval sought from the DWQ (check all that apply):
0 401 Water Quality Certification — Regular ❑ Non-404 Jurisdictional General Permit
❑401WaterQualityCertification—Express ❑ RiparianBufferAuthoriza[ion
1e. 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:
� Yes ❑ 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 ❑ Yes ❑X No
or in-lieu fee program.
1 g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h � Yes � No
below.
1 h. Is the project located within a NC DCM Area of Environmental Concern (AEC)? ❑ Yes � No
2. Projectlnformation
2a. Name of project: Replacement of Bridge 59 over Big Marsh Swamp on SR 1924 (Baker Ten Mile Rd.)
2b. County: Robeson
2c. Nearestmunicipalilyltown: St. Pauls
2d. Subdivision name: not applicable
2e. NCDOT only, T.I.P. or state project no: TIP B-5693 (Bridge 770059)
3. Owner Information
3a. Name(s) on Recorded Deed: North Carolina Department of Transportation
3b. Deed Book and Page No. not applicable
3c. Responsible Party (for LLC if not applicable
applicable):
3d. Street address: 500 Transportation Drive (PO Box 1150)
3e. City, state, zip: Fayetteville, NC 28301 (PO Zip 28302)
3f. Telephone no.: [phone]
3g. Fa�c no.: [phone]
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: not applicable
4c. Business name
4d. Street address:
4e. City, state, zip:
4f. Telephone no.:
4g. Fax no.:
4h. Email address:
5. AgentlConsultantlnformation�ifapplicable)
5a. Name: not applicable
5b. Business name
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. Propertyldentification
1a. Property identification no. (tax PIN or parcel ID): I not applicable
1b. Site coordinates (in decimal degrees): Latitude: 34.782133
1c. Property size:
2. Surface Waters
2a. Name of nearest body of water to prop
2b. Water Quality Classification of nearest
2c. River basin:
water:
1.94
Longitude: �8 922722
acres
Big Marsh Swamp
C; Sw
Lumber
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 existing condition of the site is a Uansportation facility through a floodplain. the surrounding land use is rural resldential antl agricukural.
3b. List the total estimated acreage of all existing wetlands on the property: 0.3
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property: 81
3d. Explain the purpose of the proposed project:
Bridge 59 is consideretl strudurally deficient.
3e. Describe the overall project in detail, including the type of equipment to be used:
The project involves replacement of existing bridge 59, a 153 ft long bridge, with a 3 span (80 ft each span) 180 ft long bridge on the same alignment.
An oft-site detour will be utilized and standard 6ridge construction operations will be employed. No temporary causeway or work bridge is proposetl.
4. Jurisdictional Determinations
4a. Have jurisdictionai wetland or stream determinations by the � Yes
Corps or State been requested or obtained for this propeAy /
nrniuct /inrL vlinn nll nrinr nh�mcl in TL.o ..��19 Comments:
❑ No ❑ Unknown
4b. If the Corps made thejurisdictional determination, what type m preliminary ❑ Final
of determination was made?
4c. Ifyes, who delineated thejurisdictional areas? Agency/ConsultantCompany:
Name (if known): Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
SAW-2016-0061915/4/16 (see attached)
5. ProjectHistory
5a. Have permits or certifications been requested or obtained for
this project (including all prior phases) in the past?
5b. If yes, explain in detail according to "help file" instructions.
6. Future Project Plans
6a. Is this a phased project?
6b. If yes, explain.
❑Yes
❑ Yes
��ID
❑X No
❑ Unknown
Page 3 of 10
PCN Form — Version 1.4 January 2009

C. Proposed Impacts Inventory
7. Impacts Summary
1 a. Which sections were completed below for your project (check all that apply):
0 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 impact Type ofwedand Forested Type ofjurisdiction Area of
number Corps (404,10) or impact
Permanent (P) or DWQ (401, other) (acres)
Tem ora
W1 P Fill Riverine Swamp Forest Yes Corps 0.01
y�/Z T Hand Clearing Riverine Swamp Forest Yes Corps 0.04
y�/3 - Choose one Choose one Yes/No -
1/�/4 - Choose one Choose one Yes/No -
�/�/5 - Choose one Choose one Yes/No -
1/1/g - Choose one Choose one YesMo -
2g. Total Wetland Impacfs: 0.05
2h. Comments:
Total permaneM wetland impacts: 405 sq. ft. (0.009 acres)
3. SVeamlmpacts
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.
S[ream impact Type of impact Stream name Perennial (PER) or Type of Average Impact
number intermittent (IN�? jurisdiction stream length
Permanent (P) or width (linear
Temporary (n (feet) feet)
S1 T Excavation Big Marsh Swamp PER Corps 56 20
S2 - Choose one - -
S3 - Choose one - -
S4 - Choose one - -
SS - Choose one - -
S6 - Choose one - -
3h. Total stream and tributary impacts zo
3i. Comments:
Surtace water impacts less than 0.01 acres (79 sq. ft.)
Page 4 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 im acts 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
Tem ora
01 - Choose one Choose
02 - Choose one Choose
03 - Choose one Choose
04 - Choose one Choose
4f. Total open water impacts
4g. Comments:
5. Pond or Lake Construction
If ond or lake construction ro osed, then com lete the chart below.
5a. 5b. 5c. 5d. 5e.
Pond ID number Proposed use or Wetland Impacts (acres) Stream Impacts (fee[) Upland
purpose of pond
(acres)
Flooded Filled Excavated Flooded Filled Excavated
P1 Choose one
p2 Choose one
5f. Total:
5g. Comments:
5h. Is a dam high hazard permit required? � Yes � No If yes, permit ID no:
Si. Expected pond surface 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 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. Project is in which protected basin? � Neuse � 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
Tem ora feet feet
61 - Yes/No
B2 - Yes/No
B3 - Yes/No
B4 - . Yes/No
B5 - Yes/No
B6 - Yes/No
6h. Total Buffer Impacts:
6i. Comments:
raye o or i u

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.
Replace in-place was incorporated to minimize impacts. Bridge length has been eMended to provide setbacks from stream banks and no piers are
proposed in surface waters. 2:1 fll slopes proposed In wetland areas to avoid antllor minimize impads. Sheet flow from shoulders and side slopes
into wetlands with no ditches proposed. Rip-rap outlet pads at pipe outlets to reduce velocitfes.
1 b. Specificaily describe measures taken to avoid or minimize the proposed impacts through construction techniques.
NCDOT Best Management Practices for Construction and Maintenance Activities will be employed.
2. Com ensato Miti ation for Im acts 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 � pa ment to in-lieu fee ro ram
project? y P 9
❑ Permittee Responsible Mitigation
3. Com lete if Usin a Miti ation Bank
3a. Name of Mitigation Bank:
Type: Choose one Quantity:
3b. Credits Purchased (attach receipt and letter) Type: Choose one Quantity:
Type: Choose one Quantity:
3c. Comments:
4. Com lete 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: Choose one
4d. Buffer mitigation requested (DWQ only): square feet
4e. Riparian wetland mitigation requested: acres
4f. Non-riparian wetland mitigation requested: acres
4g. Coastal (tidal) wetland mitigation requested: acres
4h. Comments:
5. Complete if Using a Permittee Responsible Mitigation Plan
5a. If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
Page 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
buffer mitigation? ❑ Yes �X No
6b. If yes, then identiTy 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 � .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 7 of 10

E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Pian
1 a. Does the project include or is it adjacent to protected riparian buffers identified Yes �X No
within one ofthe NC Ri arian Buffer Protection Rules?
1 b. If yes, then is a diffuse flow plan included? If no, explain why.
Yes � No
2. Stormwater Mana ement Plan
2a. What is the overall percent imperviousness of this project? 38 %
2b. Does this project require a Stormwater Management Plan? XYes 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? NCDEQ ! DWQ
3. Certified Local Government Stormwater Review
3a. In which local overnment's'urisdiction is this ro'ect? not appiirable
Phasell
3b. Which of the following locally-implemented stormwater management programs ❑ NSW
apply (check alI that a I 8 USMP
PP y�� 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
❑-IQW
4a. Which of the following state-implemented stormwater management programs app�y RW
(check all that apply): �ession Law 2006-246
Other:
4b. Has the approved Stormwater Management Plan with proof of approval been Yes ❑ No
attached?
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 8 of 10
PCN Form — Version 1.4 January 2009

F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
1a. Does the project involve an expenditure of public (federal/state/local) funds or the 0 Yes ❑ No
use of public (federal/state) land?
1b. 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 0 No
or Riparian Buffer Rules (15A NCAC 26 .0200)?
2b. Is this an after-the-fact permit application? ❑Yes OX 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 wiih the
most recent DWQ policy. If you answered "no," provide a short narrative description.
Due to minimal transportation impact from this bridge replacement lhis project will neither irrtluence nearby land use nor stimulale growth. THerefore, a
tletailed indirect or cumulative effecls study will not be necessary.
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.
not applicable
Page 9 of 10
PCN Form — Version 1.4 January 2009

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 DYes ❑ No
impacts?
5c. If yes, indicate the USFWS Field Office you have contacted. Raleigh
Sd. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
Field surveys and USFWS County Lisl.
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 whetheryour site would impact Essential Fish Habitat?
NCMFS Caunty Index
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
7a. Will this project occur in or near an area that the state, federal or tribal
govemments 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?
NEPA Documentatlon
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain? ❑X Yes ❑ No
8b. If yes, explain how project meets FEMA requirements:
NCDOT Hydraulia Unit coordination with FEMA
8c. What source(s) did you use to make the floodplain determination?
FEMA FIRM
James J. Rerko, PWS � �� ��10�7
ApplicanUAgenYs Printed Name �� pplicanU9geqt%'s $ignature Date
(F\qenYs signalure is valid only if an authorization
( letterfinm the a licant is rovided.
Page 10 of 10

U.S. AIiMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Action Id. SAW-2016-00619 County: Robeson U.S.G.S. Quad� NGSAINT PAUI.S
NOTIFICATION OF JURISDICTIONAL DETERMINATION
Property Owner: North Carolina Department of Transportation
PDEA, Attn: Mr. PLitlip S. Harris, III, PE, CPM
Address: 1598 Matl Service Center
Raleig6, North Carolina 27b99
Size (acres)
Nearest Waterway
USGS HLTC
I,ocation descriQtion:
Wa
�iQ Marsh Swamn
03040203
Indicate Which of the Foliowine Annlv:
A. Preiiminary Determination
Nearest Town St. Pauls
River Sasin Lumber
Coordinates I.atitude:34.78211
Longitude: - . 271
���� �` ..��'
�Cp�J�Son C�p
X Based on preliminary inf'ortnatia�y there may be watera of the U.S. including weflands on the abave described
proJect area. We strongly suggest you have thia property inspected to determine the estent of Department of the
Army (DA) jurisdictiott. To be considered final, a jurisdicdonal determfnation must be veri6ed by the Corps. This
prel5minary determinarion is not an appealable action under the Regolatory Program Administrative Appea!
Process (Reference 33 CFR Part 331}. If yov wiah, you may request an approved JD (which may he appealed), by
contacting the Corpa disMict for further inatrucdon. Atso, you may provide new informetion for furth¢r
consideration by t6e Corps to reeveluate tHe JD.
B. Approved Determination
_'I'here are Navigabte Waters of the United States within the above described project area subject to the permit requirements
of Secrion 10 of the Hivers and Harbors Act and Section 404 of the Ciean Water Act. Unless there is e change in the (aw
or our published regulations, this determination may be relicd upon for a penad not to exceed five years from the date of
this notifica6on.
_ There are waters of the U.S. inctuding wettands on the above described project area subject to the permit requirements of
Section 404 oFthe Clean Water Act (CWAx33 USC � 1344). Unless there is a change in the law or our published
rcgulations, this determination may be reFied upon for a period not to exceed five years from the date of this notification
We sU'ongly suggest you have the waters of the U.S. including wetlands on your project area delineazed. Due to ihe
size of your property andlor our present wotkload, the Corps may not be able to accomplish this wetlund delinearion in a
timely manner. For a more timely delineation, you may wish to obtain a consultam. To be considered final, any
delineaUon must be verified by the Cocps.
_ The waters of the U.S. including wetland s on your project area have been dehneated and the detineation has 6een
verified by the Corps. We strongly suggest you have this delineation surveyed. Upon completion, this survey should be
reviewed and verified by tbe Cotps. Once verified, this survey witl provide an accurate depiction of all areas subjec[ to
CWA jurisdiction on your pmperty which, provided there is ao ehange in the law or our published regulations, may be
relied upon for a period not to exceed five years.
The waters ofthe U.S. inctuding wetlands have been detineated and sorveyed and are accurate(y depicted on the plat
signed by the Corps Regulatory Official idenHfied below on _. Uniess there is a change in the law or our published
regulations, this determination may be relied upon for a period not to e�cceed five years from the date of this noti£cation.
Page 1 of Z

_ There are no waters of thc U.S., to include wetlands, present on the above described project area which are subject to the
permit requirements of Secpon 404 of the Clean Water Act (33 USC 1344). Unless thero is a change in the ]aw or our
published regu]ations, this determination may be relied upon for a pe[iod not to exceed five years from the date of this
notificazion.
_ The property is located in one of the 20 Coasial Counties subject to reguladon under the Coastal Area Management Act
(CAMA). You should contact the Division of Coastal Management in Morehead City, NC, at (252} 808-2808 to
determine their requirements.
Placcment o£ dredged or fill materiat within waters of the US anNor wetlands without a Department of the P,rmy permit may
constitute a violation of Section 301 of the Clean Water Ac[ (33 USC § 1311). If you have any questions regazding this
dete[mination and/or the Corps regulatory program, pteasa contact Sarah Aair at 430-251-40A9 or
Sarah.E.Hair�alusace.armv.mil.
C. Basis Fo1' Deterinination: Waters onsite meet the criteria as defiaed in t4e 1487 Corps of Engineers Wetland
De6nearioo Manual and appropriate Regional Supplement. AddiNonally, the sfte contains waters whEch exhibit an
OAWM
D. Remarks:
E. Atteniion USDA Program Participants
This delineation(determination has been conducted to identify the limits of Corps' Clean Watet Act jurisdictio� for the
particular site idenrified in this request. The delinearion/determinadon may not be valid for the wetland conservarion
provisions of the Food Security Act of 1985. If you or your tenant are USDA Program participants, or anticipaze participaUon
in USDA programs, you should request a certified wettand detemunation from the local office of the Naturat Resources
Conservarion Secvice, priar to s[arting work
F. Appeals Informali0n (T6is informaHon applies only to approved jurisdictional determinations as indicated in
B. above)
This correspondence cpnstitutes an approved jurisdictional determination for the above described site. If you object to this
determinatioq you may raquest an administrarive appeal under Corps regulations at 33 Ck1t Part 331. Enclosed you will 6nd a
Notification of Appeal Process (NAP) fact sheet and reqaest for appeal (RFA) form. If you request to appeal thiz
determination you must submit a completed RFA form to the Fo]lowing address:
US Army Coips of Engineers
South Atlanric Division
Attn: Jason Steele, Review Of&cer
50 Forsyth Street SW, Room 10MI5
Atlanta, Georgia 30303-8801
In order for an RFA to be accepted by the Corps, the Corps must determine that if is complete, that it meets the criteria for
appeat under 33 CFR part 331.5, and that it has been received by the Division Office within 60 days of the date of the NAP.
Should you decide to submit an RFA fottn, it must be roceivod at the above address by NlA.
**It is not necessary to submit an RFA form to the Division Oftice if you do not object co the determination in this
correspondence.** ,�,,,�,�
HAIR.SARAH.E „�u ��„,,,,,,�
Corps Regutatory Official: Liz Hair_ A.10546935 J 2"""`��•�
Date� Mav 4, 2016 Expiiafion Date: '�,lA

The Wilmington District is committed to providing the highest level of sugport ro the public. To help us ensure we
continue to do so, please complete our Customer Sarisfacrion Survey, located online at
http://regulatoro.usacesurvev.com/.
Etectronic wpy furnished:
Mr. Chris Rivenback, ECAP Eastem Regional Manager, NC DOT-NES
Mr. $odger Rochepe, P.E., Technical Services Administrator, NC DOT-NES
Mr. Jason Dilday, NC DOT-NES
Mr. Iim Rerko, NC DOT Division 6 DEO
Mr. Mason Aerndon, NC DWR