20090474 Ver 1_Application_20090427

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Corps action ID no.
DWQ project no.
Form Version 1.3 Dec 10 2008
Pre-Construction Notification PCN) Form
A. A licant Information
1. Processing
1 a . Type(s) of approval sought from the
Corps:
®Section 404 Permit E] 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 all that apply):
® 401 Water Quality Certification - Regular ? Non-404 Jurisdictional General Permit
? 401 Water Quality Certification - Express ® Riparian Buffer Authorization
le. Is this notification solely for the record
because written approval is not required? For the record only for DWQ 401
Certification:
? Yes ® No For the record only for Corps Permit:

? Yes ® No
1f. Is payment into a mitigation bank or in-lieu fee program proposed for mitigation
of impacts? If so, attach the acceptance letter from mitigation bank or in-lieu
fee program. ? Yes ® No
1g. Is the project located in any of NC's twenty coastal counties. If yes, answer lh
below. ® Yes ? No
1 h. Is the project located within a NC DCM Area of Environmental Concern (AEC)? ® Yes ? No
2. Project Information "
2a. Name of project: Replace Bridge No. 44 on NC 304 over UT to Jones Bay
2b. County: Pamlico
2c. Nearest municipality / town: Bayboro
2d. Subdivision name: n/a
2e. NCDOT only, T.I.P. or state
project no:
B-4594 (WBS 42287. 1.1
)
3. Owner Information
3a. Name(s) on Recorded Deed: State of North Carolina, Department of Transportation
3b. Deed Book and Page No. n/a
3c. Responsible Party (for LLC if
applicable): n/a
3d. Street address: 105 Pactolus Highway (NC33)
3e. City, state, zip: Greenville, NC 27835
3f. Telephone no.: [phone]
3g. Fax no.: [phone]
3h. Email address:
Page I of 11
PCN Form - Version 1.3 December 10, 2008 Version .
4. Applicant Information (if different from owner)
4a. Applicant is: ? Agent ® Other, specify: Division 2 Environmental Officer
4b. Name: Jay B. Johnson
4c. Business name
(if applicable):
NC Department of Transportation
4d. Street address: 105 Pactolus Highway (NC33)
4e. City, state, zip: Greenville, NC 27835
4f. Telephone no.: [phone]
4g. Fax no.: [phone]
4h. Email address: [e-mail]
5. AgentlConsultant Information (if applicable)
5a. Name: Cindy Carr
5b. Business name
(if applicable): Mulkey, Inc.
5c. Street address: 6750 Tryon Road
5d. City, state, zip: Cary, NC 27518
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
Latitude: 35.238884'N
1b. Site coordinates (in decimal degrees): Longitude: - 76.595437'W
(DD.DDD DD D) (-DD. DDDD DD )
1c. Property size: n/a acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to UT to Jones Bay
proposed project:
2b. Water Quality Classification of nearest receiving water: Sa HQW-NSW
2c. River basin: Neuse
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:
NC304 is a two-lane state highway. Land surrounding Bridge No. 44 is undeveloped land comprised of tidal freshwater
marsh bordered by pine (planted timber) flatwoods.
The existing bddge'is a 3 span, 52 foot 5 inch long structure with a reinforced concrete floor structure on timber joists and
bents that are timber caps on timber piles. Relic wood piles are located in the water at the bridge and have been cut to
water surface level. Land use in the vicinity includes timber production, agriculture, and rural residential.
3b. List the total estimated acreage of all existing wetlands on the property:
Approx. 1 acre is located within the study area. Site is part of a larger adjacent wetland system.
3c. List the total estimated linear feel of all existing streams (intermittent and perennial) on the property:
Approx. 120 linear feet are within the study area. Site is part of a longer adjacent stream system.
3d. Explain the purpose of the proposed project:
Replace a deficient bridge structure with a new safer facility that meets new design standards.
3e. Describe the overall project in detail, including the type of equipment to be used:
The project will remove all components of Bridge No. 44 without dropping any pieces in the water and will remove relic
.wood piles in the water by pulling them straight out using cable tied to the timber. Sediment curtains will be used around
piles to reduce sediment in the water.
The new bridge will have 2 spans of precast concrete cored slabs, concrete and steel substructure on concrete piles,
and will be approximately 80 feet long with a clear roadway width of 33 feet. Bridge replacement and roadway approach
construction will use typical equipment such as track hoes, excavators, dump trucks, paving machines, and rollers.
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property I ® Yes ? No ? Unknown
project (including all prior phases) in the past?
Comments:
4b. If the Corps made the jurisdictional determination, what type
®Preliminary? Final
of determination was made? _
4c. If yes, who delineated the jurisdictional areas? Agency/Consultant Company: NCDOT Div. 2
Name (if known): Jay Johnson Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or Slate determinations and attach documentation.
February 2006, September 2008
Page 3 of 11
PCN Form - Version 1.3 December 10, 2008 Version
5. Project History
5a. Have permits or certifications been requested or obtained for
this project (including all prior phases) in the past? ® Yes ? No ? Unknown
5b. If yes, explain in detail according to "help file" instructions:
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.
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 - non404, other) (acres)
Temporary
W1 ® P ? T Roadway fill, Tidal Freshwater ? Yes ® Corps 0.003
riprap Marsh ®No ? DWQ (142 sq.ft.)
W2 ® P ? T Roadway fill, Tidal Freshwater ? Yes ® Corps 0.003
riprap Marsh ® No ? DWQ (142 sq.ft.)
W3 ® P ? T Roadway fill, Tidal Freshwater ? Yes ® Corps 0.007
riprap Marsh ® No ? DWQ (300 sq.ft.)
W4 ? P ? T Roadway fill, Tidal Freshwater ? Yes ® Corps 0.001
riprap Marsh ® No ? DWQ (11 sq.ft.)
W5 ? P ? T ? Yes ? Corps
. ? No ? DWQ
W6 ? P ? T ? Yes ? Corps
? No ? DWQ
0.014
2g. Total wetland impacts (595 sq. ft.)
2h. Comments: Impacts are for fill placement at new bridge end bent locations and are necessary for guardrail installation.
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 DWQ - non-004, width (linear
Temporary (f) (INT)? other) (feet) feet)
St ®P ? T Fill (bridge pier) UT to Jones Bay ® PER
? INT ® Corps
® DWQ 25 32
S2 ? P ? T ® PER ® Corps
? INT ® DWQ
S3 ? P ? 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 32
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 Atlantic-Ocean, or any other open water of
the U.S. then individually list all open water impacts below.
4a. 4b. 4c. 4d. 4e.
Open water Name of waterbody
impact number- (if applicable) Type of impact Waterbody type Area of impact (acres)
Permanent(P)or
Temporary T
01 ®P ? T UT to Jones Bay Fill (bridge interior piers) Perennial Stream 0.002
(99 sq. feet)
02 ?P?T
03 ?P?T
04 ?P?T
4f. Total open water impacts 0.002
(99 sq. feet)
4g. Comments:
5. Pond or Lake Construction
If and or lake construction proposed, then complete the chart below.
5a. 5b. 5c. 5d. 5e.
Welland Impacts (acres) Stream Impacts (feet) Upland
Pond ID Proposed use or purpose (acres)
number of pond
Flooded Filled Excavated Flooded Filled Excavated Flooded
P1
P2
K Total None
5g. Comments:
5h. Is a dam high hazard permit required?
? Yes ? No If yes, permit ID no:
51. Expected pond surface area (acres):
5j. Size of pond watershed (acres):
5k. Method of construction:
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 impacts require mitigation, then you MUST fill out Section D of this form.
6a.
® Neuse ?Tar-Pamlico ? 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)
Temporary T act required?
131 ?P?T ?Yes
? No
B2 ?P?T ?Yes
? No
B3 ?P?T ?Yes
? No
6h. Total buffer impacts None None
6i. Comments:
D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
Avoidance Measures: Existing roadway and bridge alignment will be maintained during staged construction and an on-site
detour will avoid need for a temporary detour bridge by using a portion of the existing bridge to maintain traffic flow. The new
structure will be constructed using pre-cast concrete components which avoids potential impacts from live concrete. During
demolition, components of the existing bridge will not be dropped in the water. Sediment curtains will be used around relic
wood piles to prevent sediment from entering the water column.
Minimization Measures: Wetland impacts have been minimized to the extent feasible, with impacts occurring only where new
location of bridge bents and piers are required to support the structure and installation of safety guard rails. Existing roadway
and bridge alignment have been maintained to minimize impacts.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Use of the existing roadway to maintain traffic on-site during construction of the new bridge. Use of existing roadway to
operate construction equipment; no equipment will enter wetlands or waters. Use of pre-cast concrete bridge components
avoid use of live concrete.
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
? Payment to in-lieu fee program

pro
project?
? Pennittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
3b. Credits Purchased (attach receipt and letter) Type Quantity
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 program is attached. ? Yes
4b. Stream mitigation requested: linear feet
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.
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
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 6c.
Reason for impact 6d.
Total impact
(square feet)
Multiplier 6e.
Required mitigation
(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,
pennittee 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
I a. Does the project include or is it adjacent to protected riparian buffers identified ? Yes M 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: Bridge replacement project covered by NCDOT Statewide NPDES ? Yes N No
permit
2. Stormwater Management Plan
2a. What is the overall percent imperviousness of this project? . n/a (roadway/bridge project) %
2b. Does this project require a Stormwater Management Plan? ? Yes N No
2c. If this project DOES NOT require a Stormwater Management Plan, explain why: Covered by NCDOT Statewide NPDES
Permit
2d. If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
N Certified Local Government
2e. Who will be responsible for the review of the Stormwater Management Plan? ? DWQ Stormwater Program
? DWQ 401 Unit
3. Certified Local Government Stormwater Review
3a. In which local government's jurisdiction is this project? Pamlico
? Phase II
N NSW
3b. Which of the following locally-implemented stormwater management programs ? USMP
apply (check all that apply): ? Water Supply Watershed
? Other:
3c. Has the approved Stormwater Management Plan with proof of approval been ? Yes 9 No
attached?
4. DWQ Stormwater Program Review
N Coastal counties
N HOW
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
? Yes X No
attached?
5. DWQ 401 Unit Stormwater Review
5a. Does the Slormwater 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)
1a. Does the project involve an expenditure of public (federaVstate/local) funds or the ® Yes ? No
use of public (federal/state) land? '
1 b. If you answered "yes" to the above, does the project require preparation of an
environmental document pursuant to the requirements of the National or State ? Yes ®No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1c- If you answered "yes" to the above, has the document review been finalized by the
State Clearing House? (If so, attach a copy of the NEPA or SEPA final approval
letter.) ? Yes ? No
Comments: A Programmatic Categorical Exclusion (PCE) was completed for this
project
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 Welland Standards, ? Yes ® No
or Riparian Buffer Rules (15A NCAC 2B.0200)?
2b. Is this an after-the-fact permit application? ? Yes ® No
2c. If you answered "yes° to one or both of the above questions, provide an explanation of the violation(s):
3. Cumulative Impacts (DWQ Requirement)
3a. Will this project (based on past and reasonably anticipated future impacts) result in ? Yes ® No
additional development, which could impact nearby downstream water quality?
3b. If you answered "yes" to the above, submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWQ policy. If you answered "no," provide a short narrative description.
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.
n/a
Page 10 of 11
PCN Form - Version 1.3 December 10, 2008 Version

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NCIDOT
DIVISION''-OF HIGHWAYS
VICINITY PAR COUNTY
?( J? PROJE OJECT:B-4594
?-, W BS NUMBER:42287.1.1
- S REPI,ACE BRIDGE 744
- ON NC 364 OVER
JONES BAY
SHEET OF 7 1CI9f09
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DIVISION OF HIGHWAYS
PAMLICO COUNTY
TOPO MAP PROJECT: 11-4594
WES NUMBER: 42287.11
SCALE: I"= 1500' REPLACE BRIDGE 1$44
ON NC 304 OVER
q JONES BAY
- SHEET 9 OF 7 / 1/19/09

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. LEGEND

-',!LB WETLAND BOUNDARY PROPOSED BRIDGE
?L
?.!L WETLAND
PROPOSED BOX CULVERT
DENOTES FILL IN
WW 4!E TLAND
I PROPOSED PIPE CULVERT
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DENOTES FILL IN (DASHED LINES DENOTE PIPES
® SURFACE WATER EXISTNG STRUCTURES) 54'PIPES
& ABOVE
DENOTES FILL '
® SURFACE WATER
R
. (POND) ' SINGLE TREE

Pw DENOTES TEMPORARY
_ FILL IN WETLAND rnt WOODS LINE
DENOTES EXCAVATION
IN WETLA14D DRAINAGE INLET
DENOTES TEMPORARY
® FILL 114 SURFACE
WATER ROOTIJAD
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FLOW DIRECTION ADJACENT PROPERTY OWIJER
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--- EDGE OF WATER
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F PROP.LIMIT OF FILL LEVEL SPREADER (LS)
- - PROP. RIGHT OF WAY

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_
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- L - PROPERTY LINE
- TOE - TEMP. DRAINAGE DENOTES IMPACTS TO
EASEMENT BUFFER ZONE 1
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- EAB - EXIST. ENDANGERED
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X x x x x LIVE STAKES DIVISION OF HIGHWAYS
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PAMLICO COUNTY
c2D BOULDER
B
-4594
PROJECT:
--- CORE F113ER ROLLS WBS NUMBER: 42287.1.1
REPLACE BRIDGE a44
" ON NC 304 OVER
xG' JONES BAY
DENOTES AREA TO BE EXCAVATED
SHEET OF 1/19609

PROJECT No B-4594 'ROSS SECTION
WBS N0.42287.1.1 OF BRIDGE No. 44
DATE. 1-19-2009 EXISTING BRIDGE
I @ 17'-11"

ROAD: NC 304 1 @ 16'40-
ROAD NAME: NC 304 OVER I @ IT-8"
JONES BAY 22' CLEAR ROADWAY
COUNTY: PAMLICO

52'-5° I
NOT TO SCALE
304.
PROPOSED 21" CONCRETE CORED SLAB
PROPOSED LENGTH.• 2 SPANS l @ 301 .1@
50'
33' CLEAR ROADWAY
NO DECK DRAINS ALLOWED
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NC 304
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Figure 1
Project Vicinity
B-5129 B through E, B-4594
Bridge Replacement Projects on INC 304
Pamlico County, North Carolina
B-51298 Bridge No. 31 over Vandemere Creek
B-5129C Bridge No. 35 over Little Vandemere Creek
B-5129D Bridge No. 40 over Bear Creek
B-5129E Bridge No. 42 over Gale Creek
8-4594 Bridge No. 44 over UT to Jones Bay
R°?M4j9
North Carolina
Department of Transportation
PROJECT LOCATION
Prepared For. B-4594 Figure
gym, Replace Bridge No. 44 oon NC 304 over UT to Jones Bay
A Pamlico County, North Carolina
'M1 £
3
4 0 0.25 0.5 1 Mdes
'b„ .d7 I 1 i 1 I i I 1 ? 1:24,000
°J USG ZS Mhute TaO gmphk Vandemem aW Joms Bay lCoi our Interval 5 Fmt)