20181291 Ver 1_PCN Form Submission_9/24/2018 10:46 AM

Action History (UTC-05:00) Eastern Time (US & Canada)
�brrrit by Anonymous User 9/24/2018 10:46:21 AM (Start Event)
Accept by Carpenter,Kristi 9/24/2018 4:41:13 PM (DOT Initial Review)
. The task was assigned to Carpenter,Kristi. The due date is: September 27, 2018 5:00 PM
9/24/2018 10:47 AM

�� �
6fvlslaa of Water Resources
Pre-Construction Notification (PCN) Form
For Nationwide Permits and Regional General Permits
(along with corresponding Water Quality Certifications)
January 31, 2018 Ver 2.3
*
Please note: fields marked with a red asterisk below are required. You will not be able to submit the form until all mandatory questions are ans�red.
Also, if at any point you wish to print a copy of the E-PCN, all you need to do is right-click on the document and you can print a copy of the form.
Below is a link to the online help file.
https://edocs. deq. nc.gov/WaterResources/0/edoc/624704/PCN%20Help%20File%202018-1-30. pdf
A. Processing Information
County(or Counties) where the project is located:*
Duplin
Is this project a public transportation project?*
�' Yes C' No
This is any publicly funded by rrunicipal,state or federal funds road, rail, airport transportation project.
Is this a NCDOT Project?*
�' Yes C' No
(NCDOT only) T.I.P. or state project number:
B-4501
WBS #
17BP.3. R.76
(for NCDOT use only)
1a. Type(s) of approval sought from the Corps:*
rJ Section 404 Permit (wetlands, streams and waters, Clean Water Act)
r Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)
1b. What type(s) of permit(s) do you wish to seek authorization?*
�J Nationwide Permit (NWP)
r Regional General Permit (RGP)
� Standard (IP)
This form may be Corps to initiate the standard/individual permit process. Please contact your Corps representative for submittal of standard permits.
All required items that are not provided in the E-PCN and be added to the miscellaneous upload located at the bottom of this form.
Nationwide Permit (NWP) Number: 03 - Maintenance
NWP Number Other:
List all MN nurrbers you are applying for not on the drop dow n list.
1c. Type(s) of approval sought from the DWR:*

check all that apply
ri 401 Water Quality Certification - Regular r 401 Water Quality Certification - E�ress
r Non-404 Jurisdictional General Permit r Riparian Buffer Authorization
r Individual Permit
�
1d. Is this notification solelyfor the record because written approval is not required?
For the record only for DWR 401 Certification:
For the record only for Corps Permit:
�' Yes C•' No
C•' Yes C' No
1e. Is payment into a mitigation bank or in-lieu fee program proposed for mitigation of impacts?
If so, attach the acceptance letter from rritigation bank or in-lieu fee program
C' Yes �' No
1f. Is the project located in any of NC's twenty coastal counties?*
C' Yes �' No
1h. Is the project located in a designated trout watershed?*
C' Yes G No
Link to trout information: http://ww�.saw.usace.army.mil/Missions/Regulatory-Permit-Program/Agency-Coordination/Trout.aspx
B. Applicant Information
1a. Who is the Primary Contact?*
Sean Farrell
1b. Primary Contact Email:*
[e-mail]
1c. PrimaryContact Phone:*
(xxx)xxx-xxxx
[phone]
1d. Who is applying for the permit?
� Owner � Applicant (other than owner) r AgenUConsultant
(Check all that apply)
2. Owner I nformation
2a. Name(s) on recorded deed:
North Carolina Department of Transportation
2b. Deed book and page no.:
f�UA
2c. Responsible party:
(for Corporations)
Karen E. Collette, P.E.
2d.Address
Street Address
5501 Barbados Boulevard
Address Line 2
��
Castle Hayne
Fbstal / Zip Code
28429
State / FYovince / F�gion
NC
Country
USA

2e. Telephone Number:
(xxx)xxx-xxxx
[phone]
2f. Fax Number:
[phone]
(xxx)xxx-xxxx
2g. Email Address:*
ke co I I e tte @ n cd o t. g o v
3. Applicant Information (if different from owner)
3a. Applicant is:
�' Agent
C�' Other Division 3 Environmental Unit
If other please speciFy.
3b. Name:
Sean Farrell
3c. Business Name:
(if applicable)
North Carolina Department of Transportation
3d.Address
Street Address
5501 Barbados Boulevard
Address Line 2
aty
Castle Hayne
Fbstal / Zip Code
28429
3e. Telephone Number:
[phone]
(xxx)xxx-xxxx
3f. Fax Number:
[phone]
(xxx)xxx-xxxx
3g. Email Address:*
i [e-mail]
State / R-ovince / F�gion
NC
Country
USA
C. Project Information and Prior Project History
1. Project Information
1a. Name of project:*
B-4501 Duplin County Bridge 325 Replacement
1b. Subdivision name:
(if appropriate)
wa
1c. Nearest municipality/town:*
Mount Olive

1d. Driving directions*
If it is a new project and can not easily be found in a GPS rrapping system Rease provide directions.
Take I-40 to 117 Faison Mvy. Turn Right onto E. Main St. Turn right onto E James St and continue onto Rones Chapel Rd. (SR 1004).
2. Project Identification
2a. Propertyldentification Number:
(tax RN or parcel ID)
� wa
2b. Propertysize:
(in acres)
� wa
2c. Project Address
Street Address
Address Line 2
�Y
Fbstal / Zip Code
2d. Site coordinates in decimal degrees
State / Rovince / F�gion
Country
Please collect site coordinates in decimal degrees. Use between 4-6 digits (unless you are using a survey-grade GPS device) after the decimal place as
appropriate, based on howthe location was determined. (For e�cample, most mobile phones with GPS provide locational precision in decimal degrees to
map coordinates to 5 or 6 digits after the decimal place.)
Latitude:* Longitude:*
35.186186 -78.048787
ex: 34.208504 -77.796371
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
Northeast Cape Fear River
3b. Water Resources Classification of nearest receiving water:*
C; Sw
Surface Water Lookup
3c. What river basin(s) is your project located in?*
Cape Fear
RiverBasin Lookup
4. Project Description
4a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this application:*
I The project study area and vicinity consists primarily of agricultural area and undeveloped forested communities.
The proposed project and associated impacts are within and immediately adjacent to existing NCDOT right-of-way.
4b. Attach an 8 1/2 X 11 excerpt from the most recent version of the USGS topographic map indicating the location of the project site. (for
DWR)
C7ick the upload button or drag and drop files here to attach docurrent
USGS.pdf 493.93KB
Fle type rrust be pdf

4c. Attach an 8 1/2 X 11 excerpt from the most recent version of the published County NRCS Soil Survey map depicting the project site.
(for DWR)
aick the upload button or drag and drop files here to attach docurrent
SR1004_USDA_Soil_Map.pdf 414.79KB
Fle type rrust be pdf
4d. List the total estimated acreage of all existing wetlands on the property:
0.40
4e. List the total estimated linear feet of all existing streams on the property:
I (interrritterrt and perennial)
250
4f. Explain the purpose of the proposed project:*
The purpose of the project is to improve the safety and mobility of the traveling public by replacing the existing
bridge No. 325 and widening the approach roadway on either side.
4g. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
Bridge No. 325 is proposed to be replaced on the e�sting alignment. Traffic will be detoured offsite during the
construction period. Typical bridge demolition and construction equipment will be used including cranes, pile
drivers, backhoes, excavators, graders, pavers, rollers, and concrete mixers. All equipment will be stored on high
ground within the NCDOT R/W. NCDOT Standard Erosion Control measures will be implemented.
4h. Please upload project drawings for the proposed project.
Clickthe upload button or drag and drop files here to attach docurr�nt
Permit Drawings.20180921.pdf 2.41 MB
Fle type rrust be pdf
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the propertyor proposed impact areas?*
G Yes C' No f" Unknown
Comments:
5b. If the Corps made a jurisdictional determination, what type of determination was made? *
C' Preliminary C' Approved C' Unknown C' f�UA
Corps AID Number:
I 6carrple: SAV�2017-99999
SAW-2015-00991
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known):
Agency/Consultant Company:
Othe r:
Heather Smith
Ecological Engineering, LLP
5d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
Signed by Brad Shaver on 07/07/2015
5d1. Jurisdictional determination upload
C1ick the upload button or drag and drop files here to attach docurrent
B-4501 signed PJD tearsheet final.pdf 48.17KB
Fig3_Jurisdictional Features_B4501_Duplin.pdf 2.15MB
Fle type rrust be FDF
6. Project History

6a. Have permits or certifications been requested or obtained for this project (including all prior phases) in the past?*
C' Yes �' No f" Unknown
7. Future Project Plans
7a. Is this a phased project?*
C' Yes �' No
Are any other NWP(s), regional general permit(s), or individual permits(s) used, or intended to be used, to authorize any part of the
proposed project or related activity? This includes other separate and distant crossing for linear projects that require Department of the
Army authorization but don't require pre-construction notification.
I No
D. Proposed I m pacts I nventory
1. Impacts Summary
1a. Where are the impacts associated with your project? (check all that apply):
ri Wetlands r Streams-tributaries r Buffers
r% Open Waters r Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
2a. Site #- Reason for impact* 2b. Impact type * 2c. Type of wetland * 2d. Wetland name *2e. 2f. Type of 2g. Impact
Forested* Jurisdicition* area*
Site # 1: 13+g0 TO 15+85-L-LT P
Roadway Fill F2rrranent (� or
IV�p label (e.g. Finad Qossing 1- Qilvert, Terrporary (�
dewatering, etc)
Site # 1: 14+70 TO 15+90-L- P
RT Drainage Ditch r�rrrenent (�j or
fV�p label (e.g. f�ad Qossing 1- Qalvert, Terrporary (�
dewatering, etc)
Site # 1: 16+20 TO 19+00-L-LT P
Roadway Fill F2rrranent (� or
N�p label (e.g. Fd�ad Qossing 1- CLlvert, Terrporary (�
dewatering, etc)
Site #1: 18+55 TO 19+38-L-RT P
i Roadway Fill F�rrrenent (Fj or
fV�p label (e.g. Finad Qossing 1- Qalvert, Terrporary (�
dewatering, etc)
Site # 1: 13+90 TO 15+85-L- T
I Hand Clearing F2rrranent(�or
N�p label (e.g. Fd�ad Qossing 1- CUlvert, Terrporary (�
dewatering, etc)
Site #1: 18+55 TO 19+38-L-RT T
Hand Clearing f�rrranent(F�jor
N�p label (e.g. Finad Qossing 1- Qalvert, Terrporary (�
dewatering, etc)
2g. Total Temporary Wetland Impact
0.025
2g. Total Permanent Wetland Impact
0.091
2g. Total Wetland Impact
0.116
Bottomland Hardwood WB Yes Both 0.010
Forest (404,10)orD�/�R(401, (acres)
other)
Bottomland Hardwood WA
Forest
Bottomland Hardwood WB
Forest
Bottomland Hardwood WA
Forest
Bottomland Hardwood WB
Forest
Bottomland Hardwood WA
Forest
Yes
Yes
No
Yes
Yes
Both 0.010
(404, 10) or C/J�R(401, (acres)
other)
Both 0.070
(404, 10) or D✓�iR(401, (acres)
other)
Both 0.001
(404, 10) or [7✓UR(401, (acres)
other)
Both 0.018
(404, 10) or DJ�R(401, (acres)
other)
Both 0.007
(404, 10) or D✓�R(401, (acres)
other)

2h. Comments:
I Proposed fill impacts are 2,657 sq. ft. (0.061 acre). Proposed excavation impacts are 211 sq. ft. (0.005 acre).
Proposed mechanized clearing impacts are 1211 sq. ft. ( 0.028 acre). Proposed hand clearing temporary impacts
are 1122 sq. ft.(0.026 acre).
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. Site #- Reason for 4b. Impact type * 4c. Name of waterbody*
impact *
Site # 1: 15+85-L- Bridge P
Abutme nt F2rrranent (� ar
fV�p label (e.g. Fd�ad Qossing 1) Terrporary (�
4g. Total temporary open water Impacts:
0.00
4g. Total permanent open water impacts:
0.01
4g. Total open water impacts:
0.01
4h. Comments:
Branch of NE Cape Fear
River
(if applicable)
10 sq. ft. of permanent impact within existing scour area for bridge abutment.
E. Impact Justification and Mitigation
1. Avoidance and Minimization
4d.Activitytype* 4e.Waterbodytype*4f.lmpact
area*
Stabilization Other 0.01
(acres)
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:*
The proposed bridge replacement will be constructed as closely as possible within the footprint of the ebsting
bridge. Wetlands and stream impacts have been minimized as much as possible, with use of hand clearing instead
of inechanized clearing in wetlands wnere possible.
1b. Specificallydescribe measures taken to avoid or minimize the proposed impacts through construction techniques:*
All in stream work will be done in the dry. All necessary sediment and erosion control BMPs will be installed and
maintained through construction. Disturbed areas will be restored and stabilized with permanent vegetative cover.
i NCDOT Best Management Practices will be implemented throughout construction.
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?
C' Yes
C•' No
2b. If this project DOES NOT require Compensatory Mitigation, explain why:
Total proposed wetland losses do not exceed 1/10 of an acre. Total proposed permanent wetland impacts for project = 0.094 acre.
F. Stormwater Management and Diffuse Flow Plan (required by DWR)
�"� Recent changes to the stormwater rules have required updates to this section .*'�
1. Diffuse Flow Plan

1a. Does the project include or is it adjacent to protected riparian buffers identified within one of the NC Riparian Buffer Protection
Rules?
f Yes C•' No
For a list of options to meet the diffuse flow requirements, click here.
If no, explain why:
Not located within an NC Riparian Buffer Zone.
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?*
r Yes C' No
G. Supplementary Information
1. Environmental Documentation
1a. Does the project involve an expenditure of public (federal/state/local) funds or the use of public (federal/state) land?*
C' Yes C' No
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 (North Carolina) Environmental PolicyAct (NEPA/SEPA)?*
C' Yes C•' No
Comments:*
Project qualifies a a Non-Major Action under Category 9 of the Minimum Criteria Rule.
' 2. Violations (DWR Requirement)
2a. Is the site in violation of DWR Water Quality Certification Rules (15A NCAC 2H .0500), Isolated Wetland Rules (15A NCAC 2H .1300), or
DWR Surface Water or Wetland Standards or Riparian Buffer Rules (15A NCAC 2B .0200)? *
C' Yes C•' No
2b. Is this an after-the-fact permit application?*
C' Yes �' No
3. Cumulative Impacts (DWR Requirement)
3a. Will this project (based on past and reasonably anticipated future impacts) result in additional development, which could impact
nearby downstream water qualit�i?*
C' Yes �' No
3b. If you answered "no," provide a short narrative description.
I This project qualifies as a minimum criteria under Title 19A NCAC 02F.0102(9). As such, the project falls within 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 (DWR Requirement)
4a. Is sewage disposal required by DWR for this project? *
C' Yes C' No r f�/A
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?*
C' Yes C•' No
5b. Have you checked with the USFWS concerning Endangered Species Act impacts?*
� C' Yes �' No
5d. Is another Federal agency involved?*
C' Yes C•' No
Se. Is this a DOT project located within Division's 1-8?*
C•' Yes C' No
�' Unknown
Sj. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
NCNHP Records Reviewand onsite evaluation by Ecological Engineering, LLP.
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as an Essential Fish Habitat?*
C' Yes C•' No
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat?*
NOAA Fishery Maps
http://�wwv. habitat. noaa.gov/protection/efh/efhmapper/
NCDMF Fish Nursery Area Maps
http://portal.ncdenr.org/web/mf/primary-nursery-areas
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
Link to the State Historic Preservation Office Historic Properties Map (does not include archaeological data: http://gis.ncdcr.gov/hpoweb/
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 status (e.g., National Historic Trust designation or properties significant in North Carolina historyand archaeology)?*
C' Yes �' No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?*
A Historic Architecture and Cultural resources reviewwas conducted by NCDOT in January 2015 and December
2016 respectively. A determination of No Survey Required was the result of both reviews.
7c. Historic or Prehistoric Information Upload
Click the upload button or drag and drop files here to attach docurrent
Historic and Prehistoric.pdf 507.44KB
Fle rrust be FDF
8. Flood Zone Designation (Corps Requirement)
Link to the FEMAFIoodplain Maps: https://msc.fema.gov/portal/search
8a. Will this project occur in a FEMA-designated 100-year floodplain?*
G Yes C' No
8b. If yes, explain how project meets FEMA requirements:
No FEMA permit required.
8c. What source(s) did you use to make the floodplain determination?*
https://msc. fema. g ov/po rta I/search
Nnnnv.ncfloodmaps.com
fris.nc.gov

Miscellaneous
Miscellaneous attachments not previously requested.
C7ick the upload button or drag and drop files here to attach docurrEnt
B-4501 _StormwaterManagementPlan. pdf 123.74KB
Duplin Bridge 325 Courtesy Notification.pdf 80KB
Fle rrust be FDF or IWP
Signature
r% By checking the box and signing below, I certify that:
■ I have given true, accurate, and complete information on this form;
■ I agree that submission of this PCN form is a"transaction" subject to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic
Transactions AcY');
■ I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic
Transactions AcY');
■ I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written signature; AND
■ I intend to electronically sign and submit the PCN form.
I Full Name:*
Sean Colm Farrell
Signature
�ll�.' �l1 � •t�l
Date Submitted:
9/24/2018
Initial Review
Is this project a public transportation project? *(?)
C� Yes C' No
Change only if needed.
Has this project met the requirements for acceptance in to the review process?*
C� Yes
C' No
BIMS # Assigned*
20181291
Version#*
1
Reviewing Office *
Wilmington Regional Office - [phone]
Select Project Reviewer*
Joanne Steenhuis:eads\jhsteenhuis
Is a payment required for this project?*
C' No payment required
�' Fee received
C' Fee needed - send electronic notification