20190466 Ver 1_PCN Form Submission_20190410

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 *
20190466
Is a payment required for this project?*
f• No payment required
f Fee received
f Fee needed - send electronic notification
Select Project Reviewer"
Garcy Ward:eads\gpward
Information for Initial Review
1a. Name of project:
Bridge 35 Replacement in Hyde County
1a. Who is the PrimaryContact?*
Paul Williams
1b. PrimaryContact Email:*
pcwill iams2@ncd ot. gov
Date Submitted
4/10/2019
Nearest Body of Water
UT to Slade Creek (Stream Index: 29-34-40 )
Basin
Tar-Pamlico
Water Classification
SA;HQW,NSW
Site Coordinates
Latitude:
35.4626
A. Processing Information
County (or Counties) where the project is located:
Hyde
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:
Ve rsion# *
1
Reviewing Office *
Washington Regional Office - [phone]
1c. PrimaryContact Phone:*
[phone]
Longitude:
-76.4903
::
WBS # (�)
17BP.1.R.83
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?
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?
r 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 Right-of-Way SR 1143 Sladesville-Credle Road in Hyde County
2b. Deed book and page no.:
2c. Responsible party:
Paul Williams
2d. Address
Street Address
113 Airport Dr.
Address Line 2
�ty
Edenton
Postal / Zip Code
27932
r 401 Water Quality Certification - E�ress
r Riparian Buffer Authorization
S[ate / Awince I Region
NC
Country
USA
x
C•' Yes C' No
C' Yes G No

2e. Telephone Number:
[phone]
2g. Email Address:*
pcwill [e-mail]
3. Applicant Information (if different from owner)
3a. Name:
Paul Williams
3b. Business Name:
NC Department of Transportation
3c.Address
Street Address
113 Airport Dr.
Address Line 2
�Y
Edenton
Fbstal / Zip Code
27932
3d. Telephone Number:
[phone]
3f. Email Address:*
pcwill iams2@ncd ot. gov
C. Project Information and Prior Project History
1. Project Information
1b. Subdivision name:
(rf appropriate)
1c. Nearest municipality/town:
Scranton
2. Project Identification
2a. Propertyldentification Number:
2c. Project Address
Street Address
Sladesvill-Credle Road, 400 ft. S of SR 1142 Lynnsburg Rd.
Address Line 2
�Y
Scranton
Fbstal I Zip Code
27875
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
UT to Slade Creek (Stream Index: 29-34-40 )
3b. Water Resources Classification of nearest receiving water:*
SA;HQW,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.
030201040603
4. Project Description and History
2f. Fax Number:
[phone]
State / Rovince I F�gion
NC
Country
USA
3e. Fax Number:
[phone]
2b. Property size:
1
State / Aovince I F�gion
NC
Country
USA
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:*
Project area consists of NCDOT Hyde County SR 1143 and Bridge #35. The general land use in the vicinity is wooded, rural residential, and agricultural.
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?*
C' Yes r No C' Unknown
n

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)
Hyde35_location_map.pdf 1.35MB
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)
Soil_Map.pdf 608.33KB
4f. List the total estimated acreage of all existing wetlands on the property:
0.6
4g. List the total estimated linear feet of all existing streams on the property:
500
4h. Explain the purpose of the proposed project:*
Replace deteriorating Bridge #35 and maintain a stabile road way along SR 1143 for the safety of the traveling public.
4i. Describe the overell project in detail, including indirect impacts and the type of equipment to be used:*
The existing 51 fL X 26 ft. 3-span timber bridge will be removed and replaced with the proposed 83 ft. X 30 R 2-span concrete cored slab bridge. The project will result in <0.01 acre
(135.9 Sq. Ft.) of fill in Coastal Wetlands, <0.01 acre (69.6 Sq. Ft.) of excavation in Coastal Wetlands, <0.01 acre (782 sq. ft.) of temporary hand clearing in Coastal Wetlands, <0.01
acre of surface water impacts, and 140 linear feet of stream impacts. U[ility relocations for this project consist of the pov�r line (aerial) and water line (directional bore), and neither will
have any jurisdictional impacts. This v,nrk will be accomplished using cranes, track excavators, backhoes, and dump trucks. This water body has been designated as a Primary Nursery
Area, and an in-water vYnrk moratorium will be observed from April 1- September 30.
4j. Please upload project drawings for the proposed project.
470035_Permit Drawings_20190115.pdf 1.64MB
470035_Permit Drawings_BUFFER_190115.pdf 653.44KB
5. Jurisdictional Determinations
Sa. Have the wetlands or streams been delineated on the property or proposed impact areas?"
� Yes r No r Unknown
Comments:
Delineations updated by SEPI
Sb. If the Corps made a jurisdictional determination, what type of determination was made?"
� Preliminary r Approved � Not Verified � Unknown r WA
Corps AID Number:
Sc. If 5a is yes, who delineated the jurisdictional areas?
Name (if known): Bob Lepsic
Agency/Consultant Company: SEPI Engineering and Construction
Other:
5d1. Jurisdictional determination upload
Hyde 35 data forms.pdf
531.33KB
6. Future Project Plans
6a. Is this a phased project?*
C' 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?
D. Proposed Impacts Inventory
1. Impacts Summary
1a. Where are the impacts associated with your project? (check all that apply):
,r! Wetlands I17 Streams-tributaries r Buffers
,r! Open Waters I� Pond Construction
2. Wetland Impacts
2a. Site #* (?) 2a1 Reason (') 2b. Impact type *(?) 2c. Type of W. * 2d. W. name * 2e. Forested * 2f. Type of 2g. Impact
Jurisdicition*(') area*
� Bridge approach fills P Salt/Brackish Marsh Coastal Marsh No Corps 0.003
(acres)
� Excavation P Salt/Brackish Marsh Coastal Marsh No Corps 0.002
(acres)

2g. Total Temporary Wetland Impact
0.000
2g. Total Wetland Impact
0.005
2h. Comments:
135.9 sq. ft. of fill, 69.9 sq. ft. of excavation, and 78.2 sq. ft. of hand clearing.
3. Stream Impacts
3i. Total permanent stream impacts:
140
3i. Total stream and ditch impacts:
140
3j. Comments:
Steel sheeting for roadway shoulder and riprap for bridge stabilization.
4. Open Water Impacts
2g. Total Permanent Wetland Impact
0.005
3i. Total temporary stream impacts:
0
4g. Total open water impacts:
0.02
4h. Comments:
3227 sq.ft.oftotalsurface waterimpacts
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:
NCDOT minimized the roadway width by narrowing the shoulders and bridge width to the minimal amount allowable with the design speed, roadway
geometry, and using steel sheeting. There are no deck drains located on the bridge. The existing bridge demolition will follow NCDOT BMP's for bridge
demolition work. Erosion and Sediment control plans have been designed and will be followed to retain any runoff from construction activities. An off-
site detour is being utilized to eliminate any additional wetland and surface water impacts.
1b. Specificallydescribe measures taken to avoid or minimize the proposed impacts through construction techniques:
U[ilizing BMPs for bridge demolition will capture all components of the old structure. Erosion and Control measures will be placed along the entire
project area to reduce soil runoff. A turbidity curtain can be utilized along the banks to capture any siltation that may occur during project construction.
The utilization of precast concrete materials, reduces the potential for uncured concrete entering the adjacent waters.
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
2b. If this project DOES NOT require Compensatory Mitigation, explain why:
Impacts are belowthe threshold requiring mitigation.
F. Stormwater Management and Diffuse Flow Plan (required by DWR)
.
1. Diffuse Flow Plan
3i. Total jurisdictional ditch impact in square feet:
615
4g. Total temporary open water Impacts: 4g. Total permanent open water impacts:
0.00 0.02

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 r No
What type of SCM are you providing?
r Level Spreader
rJ Vegetated Conveyance (lowar SHWf)
r Wetland Swale (higher SMNf)
r Other SCM that removes minimum 30 % nitrogen
r Proposed project will not create concentrated stormwater flow through the buffer
Diffuse Flow Documentation
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:
NCDOT will follow best management practices for soil and erosion control in compliance w�th N.C. Sediment and Pollution Control Act and NCDOT NPDES permit. Erosion control
devices will be installed and maintained during the project. No deck drains will be located over surface waters.
G. Supplementary Information
1. Environmental Documentation
1a. Does the project involve an expenditure of public (federallstate/local) funds or the use of public (federallstate) land?*
r 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)
Environmental PolicyAct (NEPAISEPl�?"
� Yes r No
Comments:"
Activity and impacts covered by Minimum Criteria Checklist or PCE.
2. Violations (DWR Requirement)
2a. Is the site in violation of DWR Water Quality Certification Rules (15A NCAC 2H .0500), Isolated Wetland Rules (15ANCAC 2H .1300), or DWR Surface Water or Wetland Standards or
Riparian Buffer Rules (15A NCAC 2B .0200)? *
C' Yes r No
3. Cumulative Impacts (DWR Requirement)
3a. Will this project result in additional development, which could impact nearby downstream water quality?"
� Yes r No
3b. If you answered "no," provide a short narrative description.
Project replaces an existing bridge with a bridge.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
C' Yes r No G 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? *
� 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?*
� Yes r No
Se. Is this a DOT project located within Division's 1-8?
G Yes �' No
r Unknown
Sj. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
NC Natural Heritage Data 6cplorer Website

Consultation Documentation Upload
20180820_letter_Service to NCDOT_Bridge 470035.pdf
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?"
National Marine Fisheries Database
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
29.64KB
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?*
r Yes r No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?*
NCDOT Cultural Resources Unit
7c. Historic or Prehistoric Information Upload
16-08-0034 EffectsConcForm. pdf
Archae_AR16-08-0034 noel ig i blesites. pdf
Hyde35 Need Su rvey_Historic. pdf
8. Flood Zone Designation (Corps Requirement)
Sa. Will this project occur in a FEMA-designated 100-year floodplain?*
� Yes r No
Sb. If yes, explain how project meets FEMA requirements:
FEMA Approved
Sc. What source(s) did you use to make the floodplain determination?"
NC DOT Hydraulics Unit
Miscellaneous
4.73MB
225MB
247MB
Comments
This water body has been designated as a Primary Nursery Area, and an in-water �nrork moratorium will be observed from April 1— September 30.
Miscellaneous attachments not previouslyrequested.
NCDMF_moratorium. pdf
Signature
*
�J By checking the box and signing below, I certify that:
286.6KB
• 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:
Paul Collins Williams, Jr.
Signature
. i��.d! ;�'/r>.�• �/.7/r�.r. �. � '/r.
Date
4/10/2019