20190426 Ver 1_PCN Form Submission_20190405

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 *
20190426
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:
NCDOT STIP B-4433
1a. Who is the PrimaryContact?*
Michael Aman
1b. PrimaryContact Email:*
[e-mail]
Date Submitted
4/5/2019
Nearest Body of Water
Durham Creek
Basin
Tar-Pamlico
Water Classification
C; NSW
Site Coordinates
Latitude:
35.3186
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-4433
WBS # (�)
17BP.2.R.93
1a. Type(s) of approval sought from the Corps:
Ve rsion# *
1
Reviewing Office *
Washington Regional Office - [phone]
1c. PrimaryContact Phone:*
[phone]
Longitude:
-76.8812
::

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 Division 2
2b. Deed book and page no.:
2c. Responsible party:
Michael Aman
2d. Address
Street Address
1037 W.H. Smith Blvd.
Address Line 2
�ty
Greenville
Postal / Zip Code
27834
r 401 Water Quality Certification - E�ress
rJ Riparian Buffer Authorization
S[ate / Awince I Region
NC
Country
United States of America
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:
Michael Aman
3b. Business Name:
NC Department of Transportation
3c.Address
Street Address
1037 W.H. Smith Blvd.
Address Line 2
�Y
Greenville
Fbstal / Zip Code
27534
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/town:
Edward, NC
2. Project Identification
2a. Propertyldentification Number:
multiple parcels
2c. Project Address
Street Address
Address Line 2
ary
Fbstal I Zip Code
3. SurFace Waters
3a. Name of the nearest body of water to proposed project:*
Durham Creek
3b. Water Resources Classification of nearest receiving water:*
C: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.
03020104
4. Project Description and History
2f. Fax Number:
State / Rovince I F�gion
NC
Country
United States of America
3e. Fax Number:
2b. Property size:
6.S
State / Aovince 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 project is an e�sting two-lane road and bridge. The vicinity is a rural landscape with forested areas to the south and agriculture to the north.
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?*
f Yes �' No r 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)
B-4433_USGSMap. pdf 447.31 KB
n

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)
B-4433_SoilMap.pdf 41528KB
4f. List the total estimated acreage of all existing wetlands on the property:
0.68
4g. List the total estimated linear feet of all existing streams on the property:
207
4h. Explain the purpose of the proposed project:"
Replace Bridge No. 40 on SR 1932 (Mary's Chapel Church Road) over Durham Creek Tributary in Beaufort County, North Carolina.
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
Replacement of Bridge No. 060040 on SR 1932 (Mary's Chapel Church Road) over Durham Creek Tributary in Beaufort County, NC. The proposed 85' long by 30' wide twv-span
bridge would replace the existing 61' long by 26' wide two-span bridge. The proposed grade mnll be about 1' above ebsting ground within the vicinity of the bridge and roughly matching
existing ground outside of the bridge.
Bridge No. 060040 is within the Tar-Pamlico River Drainage Basin and shall adhere to the Tar-Pamlico Buffer Rules. The proposed bridge will have no direct discharge into Durham
Creek Tributary. Stormwater runoff from the proposed bridge is to flowto tv�n traffic bearing grated inlets at the north end of the bridge wfiere it will be diffused with a riprap pad at the
proposed pipe outlet. All proposed runoff is discharged as far away from the stream and at the lowest velocities as practicable. The proposed deck runoff will outlet outside of buffers.
Equipment to be used includes cranes, excavators, dump trucks, and paving equipment.
4j. Please upload project drawings for the proposed project.
B-4433_Permit Drawings_2015-12-17.pdf 2.32MB
B4433_P1_Sheet.pdf 333.09KB
5. Jurisdictional Determinations
Sa. Have the wetlands or streams been delineated on the property or proposed impact areas?*
F Yes �' No C' Unknown
Comments:
Sb. If the Corps made a jurisdictional determination, what type of determination was made?*
C' Preliminary �' Approved G Not Verified C' Unknown C' WA
Corps AID Number:
Sc. If 5a is yes, who delineated the jurisdictional areas?
Name (if known):
Agency/Consultant Company: Carolina Ecosystems, Ina (CEI)
Other: Preliminary JD submitted February 2018
Sd1. Jurisdictional determination upload
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 activity?
No
� D. Proposed Impacts Inventory
1. Impacts Summary
1a. Where are the impacts associated with your project? (check all that apply):
fJ Wetlands r Streams-tributaries rJ Buffers
r Open Waters I� Pond Construction
2. Wetland Impacts

2g. Total Temporary Wetland Impact
0.000
2g. Total Wetland Impact
0.010
2h. Comments:
permanent wetland impacts (mechanized dearing) _<0.01 acres
6. Buffer Impacts (for DWR)
6a. Project is in which protect basin(s)?
Check all that apply.
� Neuse
� Catawba
r Goose Creek
r Other
6h. Total buffer impacts:
Total Temporary impacts:
Total Permanent impacts:
Total combined buffer impacts:
Zone 1
0.00
Zone 1
905.00
Zone 1
905.00
6i. Comments:
total buffer impacts = 0.04 acres
Buffer impact drawings and impact table included in permit drawings
Supporting Documentation
E. Impact Justification and Mitigation
1. Avoidance and Minimization
2g. Total Permanent Wetland Impact
0.010
CJ Tar-Pamlico
r Randleman
r Jordan Lake
Zone 2
0.00
Zone 2
590.00
Zone 2
590.00
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
Bridge runoff is discharged outside the riparian buffer mne and at the lowest velocity practicable.
1b. Specificallydescribe measures taken to avoid or minimize the proposed impacts through construction techniques:
Construction activities inside environmentally sensitive areas have been limited to the maximum eu[ent practicable and will be contained inside
safety/silt fencing Erosion control plans are attached under the Diffuse Flow Plan
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:
Proposed mechanized clearing in the wetland will not result in the placement of dredge or fill material in the wetland. Proposed riparian buffers impacts are allowable under the Table of
Uses.
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?

r Yes r No
What type of SCM are you providing?
r Level Spreader
r Vegetated Conveyance (low�r SHWT)
r Wetland Swale (higher SMNT)
r Other SCM that removes minimum 30 % nitrogen
CJ Proposed project will not create concentrated stormwater flow through the buffer
Diffuse Flow Documentation
B-4433_Erosion Control Plans_2019-01-14.pdf
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?*
r Yes r No
Comments:
Stormwater Management Plan is included in the permit drawings
I G. Supplementary Information
1. Environmental Documentation
221MB
1a. Does the project involve an expenditure of public (federallstate/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 (NEPA/SEPA)? *
F Yes r No
1c. If you answered "yes" to the above, has the document review been finalized bythe State Clearing House?*
� Yes r No
NEPAor SEPAFinal Approval Letter
B-4433 Approved 06-21-17.pdf
2. Violations (DWR Requirement)
9.86MB
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.
Per the "Cumutative Impacts and the 401 Water Quality Certification and Isolated Wetland Permit Programs (April 1 Q 2004, Version 2.1)" document,
the proposed bridge replacement does not meet any of the "growth stimulating" or "downstream impacts" criteria.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
r Yes r No r WA
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? *
G Yes r No
Sb. Have you checked with the USFWS concerning Endangered Species Act impacts?*
� Yes r No
Sc. If yes, indicate the USFWS Field Office you have contacted.
Raleigh
Sd. Is another Federal agency involved?*
f Yes r No
5e. Is this a DOT project located within Division's 1-8?
� Yes r No
r Unknown
S. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?

1. US Fish & Wildlife Endangered Species, Threatened Species, Federal Species of Concern, and Candidate Species for Beaufort County, North
Carolina (Updated: 10-10-2018)
2. NOAA National Marine Fisheries Service
3. Threatened and endangered species survey performed by Carolina Ecosystems
Consultation Documentation Upload
Fish-WildlifeComments.pdf 1.71 MB
NCDCM Scoping B-4414 B-4433 B-4709.pdf 42.21 KB
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as an Essential Fish Habitat?*
� Yes r No
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat?*
NOAA Essential Fish Habitat Mapper
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*
C' Yes r No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?*
NC State Historic Preservation Office data (http://gis.ncdcr.gov/hpoweb/)
Scoping comments from NC State Historic Preservation Office and NCDOT Archaeology
7c. Historic or Prehistoric Information Upload
15-02-0002 NoSu rveyReq-Arch itecture. pdf
AR15-02-0002effects. pdf
8. Flood Zone Designation (Corps Requirement)
Sa. Will this project occur in a FEMA-designated 100-year floodplain?*
r Yes r No
Sb. If yes, explain how project meets FEMA requirements:
Approved as MOA Type 1 by NC Flood Plain Mapping Program
8c. What source(s) did you use to make the floodplain determination?*
DFIRM Panel 6537
Miscellaneous
Comments
Miscellaneous attachments not previouslyrequested.
B-4433_90%_UC Plans.pdf
B4433_Ub0_Plans.pdf
STIP B-4433 PCN Cover Letter.pdf
Signature
*
fJ By checking the box and signing below, I certify that:
2.81 MB
3.94MB
1.3SMB
811.SKB
189.61 KB
• 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 Act");
. 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:
Kimberly Hamlin
Signature
(�iirL�'tl/ � ll.��✓lif
� �
�
Date
4/5/2019