20190175 Ver 1_PCN Form Submission_20190207

D1�VR
�irlslan af Water Resources
Initial Review
Pre-Construction Notification (PCN) Form
September 29, 2018 Ver 3
Has this project met the requirements for acceptance in to the review process?*
F Yes
C' No
Is this project a public transportation project?"
� Yes r No
Change only rf needed.
BIMS # Assigned *
20190175
Is a payment required for this project?*
f No paymentrequired
� Fee received
f Fee needed - send electronic notification
Select Project Reviewer"
Garcy Ward:eads\gpward
Information for Initial Review
1a. Name of project:
Bridge No. 6 over Big Swamp on SR 1422 (Market Street Extension)
1a. Who is the PrimaryContact?*
Heather C. Lane, P.E.
1b. PrimaryContact Email:*
[e-mail]
Date Submitted
2/7/2019
Nearest Body of Water
Big Swamp
Basin
Tar-Pamlico
Water Classification
aass c, swamp waters (sw), (Nsw)
Site Coordinates
Latitude:
35.650220
A. Processing Information
County (or Counties) where the project is located:
Beaufort
Is this project a public transportation project?*
r Yes r No
Is this a NCDOT Project?*
G Yes r No
(NCDOT only) T.I.P. or state project number:
B-4427
WBS # (�)
17BP.2.R.89
1a. Type(s) of approval sought from the Corps:
Longitude:
-77.029311
Ve rsion# *
1
Reviewing Office *
Washington Regional Office - [phone]
1c. PrimaryContact Phone:*
[phone]
::

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?
fJ Nationwide Permit (NWP)
r Regional General Permit (RGP)
r Standard (IP)
1c. Has the NWP or GP number been verified bythe Corps?
C' Yes r No
Nationwide Permit (NWP) Number:
03 - Maintenance
NWP Numbers (for multiple NWPS):
1d. Type(s) of approval sought from the DWR:
fJ 401 Water Quality Certification - Regular
r' Non-404 Jurisdictional General Permit
r Individual Permit
1e. Is this notification solelyfor the record because written approval is not required?
Forthe record onlyfor DWR401 Certification:
For the record onlyfor Corps Permit:
1f. Is this an after-the-fact permit application?*
� Yes r No
1g. Is payment into a mitigation bank or in-lieu fee program proposed for mitigation of impacts?
C' Yes r No
1g. Is payment into a mitigation bank or in-lieu fee program proposed for mitigation of impacts?
� Yes r No
Acceptance LetterAttachment
1h. Is the project located in any of NC's twenty coastal counties?
� Yes r No
1i. Is the project located within a NC DCM Area of Environmental Concern (AEC)?
� Yes r No r Unknown
1j. Is the project located in a designated trout watershed?
C' Yes r No
B. Applicant Information
1d. Who is applying for the permit?
fJ Owner rJ Applicant (other than owner)
1e. Is there an Agent/Consultant for this project?
C' Yes r No
2. Owner Information
2a. Name(s) on recorded deed:
NCDOT
2b. Deed book and page no.:
2c. Responsible party:
2d. Address
Street Address
1037 W.H. Smith Blvd.
Address Line 2
P.O. Box 1587
�Y
Greenville
Fbstal / Zip Code
27835
r 401 Water Quality Certification - E�ress
rJ Riparian Buffer Authorization
State / Rovince I f�gion
NC
Country
United States
x
C' Yes R No
C' Yes G No

2e. Telephone Number:
[phone]
2g. Email Address:*
[e-mail]
3. Applicant Information (if different from owner)
3a. Name:
NCDOT
3b. Business Name:
3c.Address
Street Address
1037 W.H. Smith Blvd.
Address Line 2
P.O. Box 1587
ary
Greenville
Postal / Zip Code
27835
3d. Telephone Number:
[phone]
3f. Email Address:"
[e-mail]
C. Project Information and Prior Project History
1. Project Information
1b. Subdivision name:
(rf appropriate)
1c. Nearest municipality I town:
Washington
2. Project Identification
2a. Propertyldentification Number:
WA
2c. Project Address
SVeet Address
WA
Address Line 2
�Y
Fbstal I Zip Code
3. SurFace Waters
3a. Name of the nearest body of water to proposed project:*
Big Swamp
3b. Water Resources Classification of nearest receiving water:*
Class C, Swamp Waters (Sw), (NSW)
3c. What river basin(s) is your project located in?*
Tar-Pamlico
3d. Please provide the 12-digit HUC in which the project is located.
030201030506
4. Project Description and History
2f. Fax Number:
S[ate / Awince / Region
NC
Country
United States
3e. Fax Number:
2b. Propertysize:
N/A
S[ate / Rwince I Region
Country
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:*
The area around the bridge is rural and flat with some agriculture and a few modular homes located at the intersections north and south of the bridge.
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?*
� Yes r No � Unknown
�;
�

4d. Attach an 8 1/2 X 11 excerpt from the most recent version of the USGS topogrephic map indicating the location of the project site. (for DWR)
Topo B-4427. pdf 2.01 MB
4e. 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)
Soils B-4427.pdf 782.75KB
4f. List the total estimated acreage of all existing wetlands on the property:
3.79 acres within the study area
4g. List the total estimated linear feet of all existing streams on the property:
266 feet within the study area using desktop GIS analysis
4h. Explain the purpose of the proposed project:*
The purpose of the proposed project is to replace the bridge. Bridge No. 6 was built in 1971 and NCDOT Bridge Management Unit records indicate Bridge No. 6 has a sufficiency rating
of 67.87 out of a possible 100 for a new structure. The bridge is approaching the end of its useful life. Replacement of the bridge will result in safer traffic operations.
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
Ebsting 6-span (1 @15'-10", 1@14'-10", 1@15'-4", 1@14'-10", 1@15', 1@15'-10") rc floor on timberjoists bridge on SR 1422 (Market St. Ext. North) spans Big Swamp. Ebsting bridge
will be replaced while Ihe road is closed (no detour bridge). The replacement bridge is a 2-span (1 @55', 1@45') 21" CSU with 4' end bent caps. The proposed bridge has no deck
drains to minimize direct discharge into the stream. The stream is classified as swamp water, nutrient sensitive water, and class C. Drainage is collected at lower end of bridge
(southeast quadrant) and lower side of roadway (upstream side) and discharged into a rip rap pad at outlet outside of the buffer at non erosive velocities. The approach drainage
ditches on the south end of the project discharge into the floodplain +/_ 400 feet from the stream outside of the project limits. There are no ditches on the North end of
the project and all of the water sheet flows across the grass shoulder and slopes into the floodplain.
4j. Please upload project drewings for the proposed project.
B-4427 Beaufort 6 WetPrm Dwgs.pdf
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
� Yes r No
Comments:
Jay Johnson, Division 2 DEO, flagged wetlands
Sb. If the Corps made a jurisdictional determination, what type of determination was made?*
C' Preliminary r Approved C' Not Verified C' Unknown r WA
Corps AID Number:
Sc. If 5a is yes, who delineated the jurisdictional areas?
Name (if known):
Agency/Consultant Company:
Other:
Sd1. Jurisdictional determination upload
6. Future Project Plans
6a. Is this a phased project?*
� Yes
Jay Johnson
NCDOT
r No
4.21 MB
r Unknown
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 activit�R
D. Proposed Impacts Inventory
1. Impacts Summary
1a. Where are the impacts associated with your project? (check all that apply):
CJ Wetlands r Streams-tributaries
� Open Waters � Pond Construction
2. Wetland Impacts
Site #" (') II2a7 Reason (?) I�2b. Impact type"(') I�2a Type of W.
�J Buffers
W.name
Forested" �f. Type of 2g. Impact
Jurisdicition*(') area*
Swamp Forest W1 Yes Corps 0.050
(acres)

W2 Fill P Riverine Swamp Forest W2 Yes Corps 0.010
(acres)
W3 Fill P Riverine Swamp Forest W3 Yes Corps 0.030
(acres)
W4 Fill P Riverine Swamp Forest W4 Yes Corps 0.040
(acres)
2g. Total Temporary Wetland Impact
0.000
2g. Total Wetland Impact
0.130
2h. Comments:
6. Buffer Impacts (for DWR)
6a. Project is in which protect basin(s)?
Check all that apply.
r Neuse
r Catawba
� Goose Creek
r Other
2g. Total Permanent Wetland Impact
0.130
I7 Tar-Pamlico
� Randleman
� Jordan Lake
6h. Total buffer impacts:
Total Temporary impacts:
Zone 1
0.00
Zone 2
0.00
Total Permanent impacts:
Total combined buffer impacts:
6i. Comments:
Supporting Documentation
B-4427 Beaufort 6 BufPrm Dwgs.pdf
Zone 1
4S 1.00
Zone 1
481.00
Zone 2
660.00
Zone 2
660.00
424MB
E. Impact Justification and Mitigation ^
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
The bridge was designed to retain the existing alignment as much as possible to minimize additional impacts resulting from the bridge replacement. In
addition, an off-site detour will be utilized to minimize temporary impacts that would be introduced with an omsite detour.
1b. Specificallydescribe measures taken to avoid or minimize the proposed impacts through construction techniques:
Replacement end bents will be constructed behind e�tisting end bents, with new center bent located offset from middle of creek. Turbidity curtain will
encompass center bent toward end bent 1 side of creek, w�th another turbidity curtain along end bent 2 side of creek. See Erosion Control plans for
additional measures.
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 r No
2b. If this project DOES NOT require Compensatory Mitigation, explain why:

wetland impacts are less than 1 acre. Mitigation is not required.
F. Stormwater Management and Diffuse Flow Plan (required by DWR)
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?
� Yes r No
What type of SCM are you providing?
r Level Spreader
rJ Vegetated Conveyance (lower SHWT)
� Wetland Swale (higher SM/VT)
� Other SCM that removes minimum 30 % nitrogen
r Proposed project will not create concentrated stormwater flow through the buffer
Diffuse Flow Documentation
B-4427 EC Plans.pdf
B-4427 EC Special Provisions.pdf
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?*
G Yes f No
Comments:
G. Supplementary Information
1. Environmental Documentation
2.43MB
567.54KB
1a. Does the project involve an expenditure of public (federallstate/local) funds or the use of public (federallstate) land?*
G Yes �' No
"I
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 r No
Comme nts: *
The proposed project qualifies as a minimum criteria project.
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)? *
f Yes r No
3. Cumulative Impacts (DWR Requirement)
3a. Will this project result in additional development, which could impact nearby downstream water qualit�/?*
� Yes r No
3b. If you answered "no," provide a short narrative description.
The bridge is being replaced with a wider structure at the same location. The replacement of the structure is not in conjunction with any other roadway
improvements. The existing bridge does not act as a"bottle neck," and changes in the patterns of residential or commercial development and/ or land
uses in the vicinity of the bridge project wnuld not be anticipated as stemming from the bridge's replacemenL This type of project is not anticipated to
alter the existing land uses or increase accessibility to adjacent parcels.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
C' Yes r No C' fWA
5. Endangered Species and Designated Critical Habitat (Corps Requirement)
Sa. Will this project occur in or near an area with federally protected species or habitat? *
F Yes r No
Sb. Have you checked with the USFWS concerning Endangered Species Act impacts?"
� Yes r No
Sd. Is another Federal agency involved?"

r Yes
Se. Is this a DOT project located within Division's 1-8?
F Yes r No
r No
C' Unknown
S. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
The programmatic determination for NLEB for the NCDOT program is "May Affect, Likely to Adversely AffecY'. The PBO provides incidental take
coverage for NLEB and will ensure compliance with Section 7 of the Endangered Species Act for five years for all NCDOT projects with a federal nexus
in Divisions 1-8, which includes Beaufort County, where TIP B-4427 is located.
A review of the April 2015 NCNHP database on May 20, 2015, indicates no known occurrences of any federally protected species within 1.0 mile of the
study area.
Consultation Documentation Upload
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as an Essential Fish Habitat?*
C' Yes r No
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat?*
National Oceanic and Atmospheric Administration. National Marine Fisheries Service. Essential
Fish Habitat Mapper http:Uwww.habitat.noaa.gov/protection/efh/efhmapper/index.html.
(Accessed February 19,2015)
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 status?*
C' Yes r No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?*
A map review and site file search was conducted at the Office of State Archaeology (OSA) on February 19,
2015. Review of HPO quad maps, relevant background reports, historic designations roster, and indexes undertaken on May 17, 2017.
7c. Historic or Prehistoric Information Upload
AR15-02-0030noelig iblesites_revised. pdf
Historic Architecture 15-02-0030NHPA.PDF
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain?*
G Yes r No
3.5MB
1.49 MB
Sb. If yes, explain how project meets FEMA requirements:
The NCDOT Hydraulics Unit will coordinate with the NC Floodplain Mapping Program (FMP) to determine status of the project with regard to the
applicability of NCDOTs Memorandum of Agreement, or approval of a Conditional Letter of Map Revision (CLOMR) and subsequent final Letter of
Map Revision (LOMR). The NCDOT Division shall submit sealed as-built construction plans to the Hydraulics Unit upon completion of project
construction, certifying that the drainage structure(s) and roadway embankment that are located within the 100-year floodplain were built as shown in
the construction plans, both horizontally and vertically.
Sc. What source(s) did you use to make the floodplain determination?*
https �//msc.fema. gov/porta Vsearch#search resultsa nchor
Miscellaneous
Comments
Miscellaneous attachments not previously requested.
MCDC Beaufort 6.pdf
B-4427 NRTR.PDF
B4427_UO-2.pdf
B4427_UC_90 Perce nt_Waterline_1-17-19. pdf
Signature
*
�7 By checking the box and signing below, I certify that:
2.84MB
6.89MB
453.4KB
4.39MB
• 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, Artide 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 AcP');
• 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.
�
�
Full Name:
David Z. Keiser

Signature
p�ll�Z. f(LLdGL
Date
2/7/2019