20090461 Ver 1_Application_20090424

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STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
BEVERLY EAVES PERDUE
GOVERNOR
Mr. Rob Ridings
Wetlands/401 Unit
NC DENR Division of Water Quality
2321 Crabtree Blvd.
Raleigh, NC 27604-2260
(Seven Copies)
April 22, 2009
Nt4
Rrs?? Opp
EUGENE A. CoN-FL J7
SHCMARY
090461
Subject: Buffer Authorization Request, for the demolition and reconstruction of Bridge No.
164, SR. 1602 (Tanner Road) over Beaverdam Swamp, Halifax County. TIP No.
BK-5106
Dear Sirs:
Please find enclosed the Pre-Construction Notification for the above referenced project.
The existing bridge (41-feet long) will be replaced with a new bridge of approximately 102
feet in length on the existing alignment. Traffic will use an offsite detour during
construction. There are impacts to the buffers of waters of the U. S./State associated with
this project. The new bridge will completely span the creek and a much larger portion of
floodplain. The bridge replacement will result in a better hydraulic opening and provide
for increased wildlife passage beneath the future bridge. Beaverdam Swamp is located in
the Tar-Pamlico River Basin and is classified by the Division of Water Quality at this
bridge as C, Sw, NSW 28-79-30-1-1
The bridge will be removed by sawing the deck and lifting it out in sections. We will excavate
behind the end bents and fold them back, then remove them without dropping any components into
the creek. Timber piles from the existing bridge will be cut off at the mud line of the stream using a
hydraulic shear or other means that does not require construction equipment to get into the water.
Best Management Practices for the Protection of Surface Waters and for Bridge Demolition and
Removal will be strictly adhered to during the removal of the existing bridge.
[phone] x 3532 [e-mail]
Post Office Box 3165, Wilson, North Carolina 27895-3165

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FEDERALLY-PROTECTED SPECIES AND CULTURAL RESOURCES
The Fish and Wildlife Service (FWS) currently list two federally protected species for Halifax County
(Table 1).
Federal Habitat Biological
Common Name Scientific Name Status Present Conclusion
Red-cockaded
Picoides borealis
E N No Effect
Dwarf wedge mussel Alasmidonta heterodon E Y May Effect,
Not likely to
adversely affect
Tar soinv mussel Elliptio steinstansana E N No Effect
Written concurrence was received from Gary Jordan that conservation measures are not needed for
the Dwarf wedge mussel at this time. No element occurrences are listed on the NHP database
within one mile of the bridge. No pine trees suitable for RCW foraging or nesting are in, or
adjacent to, the bridge. This project is not likely to jeopardize the continued existence of any of the
federally protected species listed in Halifax County.
No sites eligible for listing on the National Register occur within the area of potential effect. This
project will not affect listed or eligible historic properties.
Regulatory Approvals
USACE Section 404 Permit: This project has no Waters of the US impacts.
NCDWQ Section 401 Certification: This project has no Waters of the US impacts.
NCDWQ Buffer Rules: As bridges are an allowable use they require written authorization from the
Division of Water Quality. Only Buffer Rule approval is sought in writing.
Please contact Chad Coggins at [phone] if you have any questions or need additional
information. Your time and effort are appreciated.
Respectfully Yours,
R.E. Greene, Jr., P
Division Engineer - Division 4
[phone] x 3532 [e-mail]
Post Office Box 3165, Wilson, North Carolina 27895-3165
0p?WA rF,
o1;ii? <
Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.3 Dec 10 2008
Pre-Construction Notification (PCN Form
A. Applicant 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: or General Permit (GP) number:
1c. Has the NWP or GP number been verified by the Corps? ? Yes [-I 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 megaton bank or in-lieu
fee program. ? Yes ® No
1g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1 In
below. ? Yes ® No
th. Is the project located within a NC DCM Area of Environmental Concern (AEC)? ? Yes ® No
2. Project Information
2a. Name of project: Replacement of Bridge # 164
2b. County: Halifax
2c. Nearest municipality / town: Heathsville
2d. Subdivision name: N/A
2e. NCDOT only, T.I.P. or state
project no: 42557.1.1
3. Owner Information
3a. Name(s) on Recorded Deed: N/A
3b. Deed Book and Page No. N/A
3c. Responsible Party (for LLC if
applicable): N/A
3d. Street address: N/A
3e. City, state, zip: N/A
3f. Telephone no.: N/A
3g. Fax no.: N/A
3h. Email address: N/A
Page 1 of 11
PCN Form - Version 1.3 December 10, 2008 Version
I
4. Applicant Information (if different from owner)
4a. Applicant is: ? Agent ® Other, specify: NCDOT
4b. Name: R.E. Greene, Division Endineer
4c. Business name
(if applicable):
Highway Division 4
4d. Street address: P.O. Box 3165
4e. City, state, zip: Wilson, NC 27895-3165
4f. Telephone no.: [phone]
4g. Fax no.: [phone]
4h. Email address: [e-mail]
5. Agent/Consultant Information (if applicable)
5a. Name: N/A
5b. Business name
(if applicable): N/A
5c. Street address: N/A
5d. City, state, zip: N/A
5e. Telephone no.: N/A
5f. Fax no.: N/A
5g. Email address: N/A
Page 2 of 11
PCN Form - Version 1.3 December 10, 2008 Version

B. Project Information and Prior Project History
1. Property Identification
la. Property identification no. (tax PIN or parcel ID): N/A
Latitude: N 36.2785 Longitude: - W
1b. Site coordinates (in decimal degrees): 77.7434
(DD.DDDDDD) (-DD.DDDDDD)
1c. Property size: N/A acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to Beaverdam Swamp
proposed project:
2b. Water Quality Classification of nearest receiving water: C;Sw, NSW
2c. River basin: Tar-Pamlico
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:
Rural residential, agricultural and silvicutural land applications observed in the project vicinity.
3b. List the total estimated acreage of all existing wetlands on the property:
N/A
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
N/A
3d. Explain the purpose of the proposed project:
The purpose of this project is to replace Bridge No. 164 Over Beaverdam Swamp in Halifax County because its
sufficiency rating of 46.9 out of 100 renders it functionally obsolete.
3e. Describe the overall project in detail, including the type of equipment to be used:
This project involves the replacement of Bridge #164, the rehabilition of the approaches to this bridge, and removal of a
portion of the existing fill slope in order to open up the floodplain at this crossing. Standard road and bridge construction
equipment will be used, including cranes and excavators.
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the

/
Corps or State been requested or obtained for this property

? 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:
Name (if known): 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
? Unknown
? Yes ® No
this project (including all prior phases) in the past?
5b. If yes, explain in detail according to "help file" instructions.
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.
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
W2 ? P ? T ? Yes ? Corps
? No ? DWQ
W3 ? P ? T ? Yes
? No ? Corps
? DWQ
W4 ? P ? T ? Yes ? Corps
? No ? DWQ
W5 ? P ? T ? Yes ? Corps
? No ? DWQ
W6 ? PEI T ? Yes ? Corps
? No ? DWQ
2g. Total wetland impacts 0
2h. Comments:
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-404, width (linear
Temporary (T) (INT)? other) (feet) feet)
S1 ? P ? T ? PER ? Corps
? INT ? DWQ
S2 ? P ? T ? PER ? Corps
? INT ? DWQ
S3 ? PEI T ? PER ? Corps
? INT ? DWQ
S4 ? PEI T ? PER ? Corps
? INT ? DWQ
SS ? P ? T ? PER ? Corps
? INT ? DWQ
S6 ? P ? T ? PER ? Corps
? INT ? DWQ
3h. Total stream and tributary impacts 0
3i. Comments:
Page 5 of 11
PCN Form - Version 1.3 December 10, 2008 Version

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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
02 ?P?T
03 ?P?T
04 ?P?T
4L Total open water impacts 0
4g. Comments:
5. Pond or Lake Construction
If and or lake construction proposed, then complete the chart below.
5a. 5b. 5c. 5d. 5e.
Wetland 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
SL Total
5g. Comments:
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 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) impact required?
137 ®P ? T Fill Beaverdam Swamp ® Nos 39 42
El Yes
B2 El PEI T ? No
s
?
B3 ?P?T
No
? No
61L Total buffer impacts 39 42
6i. Comments:
Page 6 of 11
PCN Form - Version 1.3 December 10, 2008 Version
D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
The replacement bridge has been designed so that no structural components or fill materials will be placed in the stream or
the adjacent wetlands.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
All construction equipment will be staged and operated from the existing roadway and associated uplands. DOT will also
install silt fencing to protect the stream and wetlands adjacent to this project, and safety fencing to delineate those
environmentally sensitive areas.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for
impacts to Waters of the U.S. or Waters of the State? ? Yes ® No
2b. If yes, mitigation is required by (check all that apply): ? DWQ ? Corps

2c. If yes, which mitigation option will be used for this

pro
project? ? Mitigation bank

El 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: 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.
Page 7 of 11
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
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:
69. 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 Fonn - Version 1.3 December 10, 2008 Version
E. Stor mwater Management and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Plan
Ia . Does the project include or is it adjacent to protected riparian buffers identified ® Yes ? No
within one of the NC Riparian Buffer Protection Rules?
1b . If yes, then is a diffuse flow plan included? If no, explain why.
Comments: There is no significant increase in impervious surface associated with ? Yes ® No
this project.
2. Stor mwater Management Plan
2a . What is the overall percent imperviousness of this project? %
2b . Does this project require a Stormwater Management Plan? ? Yes ® No
2c . If this project DOES NOT require a Stormwater Management Plan, explain why: There is not a significant increase in
impervious surface associated with this project.
2d . If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
? 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? Halifax County
? Phase II
? 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 ? No
attached?
4. DWQ Stor mwater Program 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
? 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 9 of 11
PCN Form - Version 1.3 December 10, 2008 Version
F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
la. Does the project involve an expenditure of public (federal/state/local) funds or the ® 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)?
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
? Yes
? No
letter.)
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 28 .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

i

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
®
Sc. 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 databases and an onsite mussel survey performed by NCDOT staff and concurred with
by USFWS staff.
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?
NCNHP GIS database and NCWRC concurrence.
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?
An inquiry through the State Historic Preservation Office (SHPO) determined that this project would not impact any
cultural or historic sites.
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? NC Flood Maps
4iz3r?y
Applicant/Agent's Printed Name Want/Agent's Si n ture
(Agent's signature is valid only if an autho4ation letter from the applicant Date
is provided.)
Page 11 of 11
PCN Form - Version 1.3 December 10, 2008 Version

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