20190328 Ver 1_PCN Form Submission_20190307

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 *
20190328
Is a payment required for this project?*
f No paymentrequired
� Fee received
f Fee needed - send electronic notification
Select Project Reviewer"
Joanne Steenhuis:eads\jhsteenhuis
Information for Initial Review
1a. Name of project:
17BP.6.R.75 Bridge No. 250141 over UT to South River
1a. Who is the PrimaryContact?*
James Rerko, Division 6 Environmental Program Supervisor, NCDOT
1b. PrimaryContact Email:*
[e-mail]
Date Submitted
3/7/2019
Nearest Body of Water
South River 18-68-12-(0.5)
Basin
Cape Fear
Water Classification
C; SW
Site Coordinates
Latitude:
35.1629
Longitude:
-78.6595
A. Processing Information
County (or Counties) where the project is located:
Cumberland
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:
SF-250141
WBS # (�)
17BP.6.R.75
1a. Type(s) of approval sought from the Corps:
Ve rsion# *
1
Reviewing Office *
Wilmington Regional Office - [phone]
1c. PrimaryContact Phone:*
(910)364-OS34
::

�J 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:
14 - Linear transportation
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?
F 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?
C' Yes r No
1j. Is the project located in a designated trout watershed?
� Yes r No
B. Applicant Information
1d. Who is applying for the permit?
fJ Owner r Applicant (other than owner)
1e. Is there an Agent/Consultant for this project?
f Yes r No
2. Owner Information
2a. Name(s) on recorded deed:
North Carolina Department of Transportation
2b. Deed book and page no.:
IWA
2c. Responsible party:
fWA
2d. Address
Street Address
500 Transportation Drive
Address Line 2
�Y
Fayetteville
Fbstal / Zip Code
28301
2e. Telephone Number:
[phone]
2g. Email Address:*
r 401 Water Quality Certification - E�ress
r Riparian Buffer Authorization
State / Aovince I F�gion
North Carolina
Country
United States
2f. Fax Number:
[phone]
x
C' Yes R No
C' Yes G No

[e-mail]
C. Project Information and Prior Project History "
1. Project Information
1b. Subdivision name:
(rf appropriate)
1c. Nearest municipality/town:
Wade
2. Project Identification
2a. Propertyldentification Number:
N/A-NCDOT Linear Transportation Project
2c. Project Address
Street Address
5759 Stewart Rd
Address Line 2
�Y
Wade
Fbstal I Zip Code
28395
3. SurFace Waters
3a. Name of the nearest body of water to proposed project:*
South River 18-68-12-(0.5)
3b. Water Resources Classification of nearest receiving water:*
C; SW
3c. What river basin(s) is your project located in?*
Cape Fear
3d. Please provide the 12-digit HUC in which the project is located.
030300060105
4. Project Description and History
2b. Property size:
2.58
State / Rovince I f�gion
North Carolina
Country
United States
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 site is located on Stewart Road (SR 1819) at the bridge crossing of an unnamed tributary to South River—approximately 1.5 miles upstream of the confluence of South River. The
Project Study Area contains 0.37 acre of bottomland hardwood forest wetlands and 175 linear feet of perennial stream channel (unnamed tributary to South River). The surrounding
land use is primarily agricultural fields and pasture, as well as some silviculture and scattered rural development.
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?*
C' Yes r No r Unknown
4d. 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)
Div6_Bridges_75_Cu mberla nd_Topo_ePCN. pdf 4.15 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)
Div6_Bridges_75_Cumberland_Soils_ePCN.pdf 472MB
4f. List the total estimated acreage of all existing wetlands on the property:
0.37 acres within "Permit Area"
4g. List the total estimated linear feet of all existing streams on the property:
165 linear feet within "Permit Area"
4h. Explain the purpose of the proposed project:*
The project consists of replacing Bridge No. 250141 on Stewart Road (SR 1819) over an unnamed tributary to South River in Cumberland County, NC. According to the most recent NC
Department of Transportation Structure Safety Report, Structure Number 250141 received a Present Condition rating of "Poor" with Priority Maintenance repairs listed for joist, spans,
and bents. Details from this report additionally list a transverse crack in the north approach as well as decayed wingwalls in the southeast, southwest, and northeast corners.
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
This project is part of the North Carolina Department of Transportation's Low Impact Bridge Replacement program. The bridge is to be replaced at the ebsting location over an
unnamed tributary to South River with an off site detour to maintain access to Stewart Road. Erosion and sedimentation measures will be installed. Track hoes, heavy equipment,
sandbags and various hand tools will be used.
4j. Please upload project drawings for the proposed project.
VBP.6.R75_Permit Drawings_190304.pdf
1.24 MB
5. Jurisdictional Determinations

Sa. Have the wetlands or streams been delineated on the propertyor proposed impact areas?*
r Yes r No C' Unknown
Comments:
PJD package included in this submittal
5b. If the Corps made a jurisdictional determination, what type of determination was made?*
C' Preliminary r Approved r Not Verified C' Unknown C' WA
Corps AID Number:
Sc. If Sa is yes, who delineated the jurisdictional areas?
Name (if known): Ben Cogdell
Agency/Consultant Company: Atkins North America, Inc.
Other:
Sd1. Jurisdictional determination upload
EMracted_JD_package. pdf
11.SSMB
6. Future Project Plans
6a. Is this a phased project?"
� Yes r 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 activit�I?
No.
D. Proposed Impacts Inventory
1. Impacts Summary
1a. Where are the impacts associated with your project? (check all that apply):
fJ Wetlands IJ Streams-tributaries r Buffers
� Open Waters � Pond Construction
2. Wetland Impacts
2a. Site #* (�) 2a7 Reason (?) 2b. Impact type *(�) 2a Type of W. * 2d. W. name * 2e. Forested * Zf. Type of 2g. Impact
Jurisdicition*(') area*
� Fill P Bottomland Hardwood Forest WC, WD No Corps 0.005
(acres)
1 Excavation P Bottomland Hardwood Forest WC, WD No Corps 0.001
(acres)
1 Hand Clearing T Bottomland Hardwood Forest WC, WD No Corps 0.030
(acres)
2 Hand Clearing T Bottomland Hardwood Forest WA No Corps 0.001
(acres)
2g. Total Temporary Wetland Impact 2g. Total Permanent Wetland Impact
0.031 0.006
2g. Total Wetland Impact
0.037
2h. Comments:
Permanent Fill at Site 1 is 205.73 square feet (represented in the table above as 0.005 acres). Permanent Excavation at Site 1 is 9.95 square feet
(represented in the table above as 0.001 acres). Temporary Hand Clearing at Site 2 is 6.9195 square feet (represented in the table above as 0.001
acres)..
3. Stream Impacts
Reason for impact (?) 3b.lmpact type" 3a Type of impact" 3d. S. name" 3e. Stream Type" 3f. Type of 3g. S. width" 3h. Impact
(?) Jurisdiction* length*
id crossing/bridge Permanent Culvert UT to South River Perennial Both 20 45
acement nverage(feet) pinearfeet)

gy Dewatering Temporary Dewatering UT to South River Perennial Both 20 40
Average (feet) Qinear feet)
S3 Road crossing/bridge Permanent Rip Rap Fill UT to South River Perennial Both 20 35
replacement nverage(feet) (�inearfeet)
Dewaterin Tem orar Dewaterin UT to South River Perennial Both 20 22
S4 9 P Y 9
Average(feet) (linearfeet)
3i. Total jurisdictional ditch impact in square feet:
0
3i. Total permanent stream impacts:
80
3i. Total stream and ditch impacts:
142
3i. Total temporary stream impacts:
62
3j. Comments:
The actual culvert is 45 linear feet in length. The impacts calculated goes beyond the culvert. Mitigation will only be for the length of culvert (45 feet).
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:
Design refinements have been developed in an effort to further minimize wetland impacts associated with this bridge replacemenL These iterative
design refinements associated with the narrowing of slope stakes contribute to total permanent wetland impacts of less than 0.01 acre, and permanent
impacts to surface waters of 80 linear feet.
1b. Specificallydescribe measures taken to avoid or minimize the proposed impacts through construction techniques:
Design refinements have been developed in an effort to further minimize wetland impacts associated with this bridge replacement. These iterative
design refinements associated with the narrowing of slope stakes contribute to total permanent wEtland impacts of less than 0.01 acre, and permanent
impacts to surface waters of 80 linear feet.
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 r No
2c. If yes, mitigation is required by (check all that apply):
CJ DWR �J Corps
2d. If yes, which mitigation option(s) will be used for this project?
� Mitigation bank 117 Payment to in-lieu fee r Permittee Responsible
program Mitigation
4. Complete if Making a Payment to In-lieu Fee Program
4a. Approval letter from in-lieu fee program is attached.
� Yes r No
4b. Stream mitigation requested:
(linear feet)
90
4d. Buffer mitigation requested (DWR only):
(square feet)
0
4f. Non-riparian wetland mitigation requested:
(acres�
0
4c. If using stream mitigation, what is the stream temperature:
warm
4e. Riparian wetland mitigation requested:
(aores)
0
4g. Coastal (tidal) wetland mitigation requested:
(acres)
0
4h. Comments
2:1 mitigation has been offered for the 45-foot culvert length for a total of 90 linear feet of stream mitigation requested.
6. Buffer mitigation (State Regulated Riparian Buffer Rules) - required by DWR
6a. Will the project result in an impact within a protected riparian buffer that requires buffer mitigation? If yes, you must fill out this entire form - please contact DWR for more
information.
f Yes
r No
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?
C' Yes r No
If no, explain why:
The Cape Fear River basin does not fall within the North Carolina Riparian Buffer Protection Program.
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?*
F Yes r No
Comments:
See Miscellaneous upload section for project-specific stormwater plan.
G. Supplementary Information
1. Environmental Documentation
1a. Does the project involve an expenditure of public (federal/state/local) funds or the use of public (federallstate) land?*
� Yes r 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)
Environme ntal Policy Act (NEPAISEPA)? *
C' Yes r• No
Comments:
*
Approval from State Clearing House is not required as a Minimum Criteria Design Checklist has been produced and submitted.
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)? *
� Yes r No
3. Cumulative Impacts (DWR Requirement)
3a. Will this project result in additional development, which could impact nearby downstream water quality? *
C' Yes r No
3b. If you answered "no," provide a short narrative description.
Due to the minimal transportation impact resulting from this bridge replacement, this project will neither influence nearby land uses nor stimulate
growth. Therefore, a detailed indirect or cumulative effects study will not be necessary.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
C' Yes r No � 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?"
� Yes r No
r Unknown
Se. Is this a DOT project located within Division's 1-8?
G Yes �' No
Sj. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
North Carolina Natural Heritage Database (NCNHP); site specific surveys conducted while evaluating jurisdictional features. The US Fish and Wildlife
Service designated Critical Habitat within Cumberland County does not occur within the project area.
On July 19, 2017, August 1, 2017, and February 21, 2018, Atkins biologists conducted visual surveys to identify suitable habitat for all Threatened
and Endangered species listed for Cumberland County. For those species where appropriate habitat was identified, detailed surveys v�,2re undertaken
where seasonably appropriate. A reviewof the of the NCNHP database for the listed Threatened or Endangered species listed in Cumberland County
revealed no known occurrences of these species within 1.0 mile of the Project Study Area.
The Biological Condusions for the eight Threatened or Endangered species in Cumberland County is "No Effect" with the exception of American
alligator, which does not require a Biological Conclusion. The American alligator is listed due to the similarity of appearance to the American crocodile,
which does not have a range that eMends into North Carolina.
Consultation Documentation Upload
Cumberland_TE_Memo_FINAL_07102018.pdf 22.15MB

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?*
N/A-There are no marine or estuarine communities within Cumberland County, North Carolina.
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 status9*
f Yes r No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?*
A"No Archaeological Survey Required Form" was provided by the NCDOT Archaeologist dated March 23, 2018 stating that, "reviewof the site maps
and files archived at the North Carolina Office of State Archaeology was conducted on August 23, 2017. As noted in the original review, no previous
recorded archaeological resources are located within the proposed APE, nor are any archaeological site recorded within -.5 mile of Bridge No. 141. An
examination of the data presented on the North Carolina State Historic Preservation Office HPOWEB GIS Service (http:\\gis.ncdnr.gov\hpoweb\)
reveals no historic properties within 0.5 mile of Bridge No. 141. No previously recorded cemeteries fall within that same radius."
7c. Historic or Prehistoric Information Upload
F 7a. No_su rvey_requ ired. pdf
8. Flood Zone Designation (Corps Requirement)
Sa. Will this project occur in a FEMA-designated 100-year floodplain?*
F Yes r No
8b. If yes, explain how project meets FEMA requirements:
A memorandum of agreement (MOA) is attached in the Miscellaneous submittals
Sc. What source(s) did you use to make the floodplain determination?*
DFIRM Map
Miscellaneous
3.65MB
Comments
Included as a"Miscellaneous attachmenY' is the North Carolina Department of Transportation Stormwater Management Plan and NCFMP and NCDOT MOA.
Miscellaneous attachments not previouslyrequested.
17 BP.6. R75_HYD_SMPv207_(20180104). pdf
Project_Approva I_Recommendation_SF-250141 _20181009. pdf
Signature
*
�J By checking the box and signing below, I certify that:
113.71 KB
147.22KB
• 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 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:
Gregory W. Price
Signature
�t��rtJ ��/� ���tim
^ �
Date
3/7/2019