20191084 Ver 1_PCN Form Submission_20190814

DWR
IDIOM n of Water Resources
Pre -Construction Notification (PCN) Form
September 29, 2018 Ver 3
21nitial Review
Has this project met the requirements for acceptance in to the review process?*
r Yes
r No
Is this project a public transportation project?*
G Yes r No
Change only if needed.
BIMS # Assigned
20191084
Is a payment required for this project?*
r No payment required
r Fee received
r Fee needed - send electronic notification
Select Project Reviewer*
Rob Ridings:eads\rgridings
Information for Initial Review
1a. Name of project:
Replacement of Bridge 135 over Fishing Creek on SR 1609 (Powells Mill Road)
1a. Who is the Primary Contact?*
Chris Murray
1b. Primary Contact Email:*
[e-mail]
Date Submitted
8/14/2019
Nearest Body of Water
Fishing Creek
Basin
Tar -Pamlico
Water Classification
Index Number: 28-79-(1); Class C NSW
Version# *
1
Reviewing Office*
Central Office - [phone]
1c. Primary Contact Phone:*
[phone]
Site Coordinates
Latitude: Longitude:
36.33912-78.12879
FA. Processing Information U
County (or Counties) where the project is located:
Warren
Is this project a public transportation project?*
r Yes r' No
Is this a NCDOT Project?*
r Yes r No
(NCDOT only) T.I.P. or state project number:
WBS # (?)
17BP.5.R.88
1a. Type(s) of approval sought from the Corps:

W Section 404 Permit (wetlands, streams and waters, Clean Water Act)
r Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)
1b. What types) of permit(s) do you wish to seek authorization?
W Nationwide Permit (NWP)
r-' Regional General Permit (RGP)
r-' Standard (IP)
1c. Has the NWP or GP number been verified by the Corps?
f Yes r No
Nationwide Permit (NWP) Number: 03 - Maintenance
NWP Numbers (for multiple NWPS):
1d. Type(s) of approval sought from the DWR:
rJ 401 Water Quality Certification - Regular
r Non-404 Jurisdictional General Permit
r Individual Permit
le. 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:
r 401 Water Quality Certification - Express
W Riparian Buffer Authorization
1f. Is this an after -the -fact permit application?*
r Yes r No
1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
r Yes r No
1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
r Yes r No
Acceptance Letter Attachment
17BP.5.R.88 DMS acceptance letter.pdf
1h. Is the project located in any of NC's twenty coastal counties?
r Yes r No
1j. Is the project located in a designated trout watershed?
r Yes r No
B. Applicant Information
1d. Who is applying for the permit?
W Owner r Applicant (other than owner)
le. Is there an Agent/Consultant for this project?
r Yes r No
2. Owner Information
2a. Name(s) on recorded deed:
North Carolina Department of Transportation
2b. Deed book and page no.:
2c. Responsible party:
2d. Address
Street Address
2612 N. Duke Street
Address Line 2
city
State / Rovince / Region
Durham
NC
Petal / Zip Code
Country
27704
USA
2e. Telephone Number: 2f. Fax Number:
[phone]
74.88KB
*
r Yes r No
r Yes r No

2g. Email Address:*
[e-mail]
C. Project Information and Prior Project History
1. Project Information
1b. Subdivision name:
(i appropriate)
1c. Nearest municipality/town:
Warrenton
2. Project Identification
2a. Property Identification Number:
Parcel 1: 2954329780; Parcel 2:
2954637054; Parcel3: 2954631478; Parcel
2b. Property size:
4:2954722906 and Parcel 5: 2954646434
1.6
2c. Project Address
Street Address
301 Powells Mill Road
Address Line 2
C1ty
State / Rovince / Region
Warrenton
NC
Postal / Zip Cade
Country
27589
USA
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
Fishing Creek
3b. Water Resources Classification of nearest receiving water:*
Index Number: 28-79-(1); Class 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.
030201020302
4. Project Description and History
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:*
Existing bridge is a 1 @ 20'-8" timber floor on 1-beams with timber caps on masonry abutments. General land use is wooded with a church to the north of the existing bridge. The existing
masonry abutments have failed and the bridge/roadway is closed.
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?*
r 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)
17BP.5.R.88 USGS map.pdf 1.38MB
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)
17BP.5.R.88 soil survey map.pdf 1.61 MB
4f. List the total estimated acreage of all existing wetlands on the property:
0.03 ac
4g. List the total estimated linear feet of all existing streams on the property:
225feet
4h. Explain the purpose of the proposed project:*
The existing bridge has a sufficiency rating of 65.69 as of November 2017 and is functionally obsolete. The existing masonry abutments have failed and the bridge/roadway is closed.
41. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
Replacement of existing bridge with a 42 ft x 10 ft concrete arch bottomless structure that is 52 feet long.
4j. Please upload project drawings for the proposed project.
17BP.5.R.88_Warren_135_Final_STR.pdf 663.38KB
920135 Final Roadway Plans.pdf 3.06MB
5. Jurisdictional Determinations

5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
r Yes r No
Comments:
5b. If the Corps made a jurisdictional determination, what type of determination was made?*
r Preliminary r Approved r Not Verified r Unknown r N/A
Corps AID Number:
SAW-2017-00852 dated October 4, 2017
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known):
Agency/Consultant Company:
Other:
David Cooper
Ecological Engineering (nowVHB)
r Unknown
5d. List the dates of the Corp jurisdiction determination or State determination if a determination was made by the Corps or DWR
Field inspection by Eric Alsmeyer on May 3, 2017.
5d1. Jurisdictional determination upload
17-09-11_Fig1_Jurisdictional Features _Warren135_USACE Reviewed.pdf 1.52MB
17-10-04_NCDOT_Warren BR 135_SR1609_PowellsMillRd_PJD Form.pdf 316.28KB
17-10-04_NCDOT_Warren BR 135_SR1609_PowellsMillRd_PJD.pdf 119.87KB
6. Future Project Plans
6a. Is this a phased project?*
r 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
la. Where are the impacts associated with your project? (check all that apply):
W Wetlands 9 Streams -tributaries
F Open Waters r Pond Construction
2. Wetland Impacts
W Buffers
2a1 Reason (?)
2b. Impact type * (?)
2c. Type of W. *
2d. W. name *
2e. Forested*
2f. Type of
2g. Impact
Jurisdicition*(?)
area*
Site 2
Excavation
P
Headwater Forest
Wetland C
Yes
Both
0.010
(acres)
Site 2
Mechanized Clearing
P
Headwater Forest
Wetland C
Yes
Both
0.010
(acres)
Site 3
Fill
P
Headwater Forest
Wetland B
Yes
Both
0.010
(acres)
ff�]
Mechanized Clearing
P
Headwater Forest
B
Yes
Both
0.010
____]Wetland
(acres)
2g. Total Temporary Wetland Impact 2g. Total Permanent Wetland Impact
0.000 0.040
2g. Total Wetland Impact
0.040
2h. Comments:
See summary sheet for impact totals which result in total wetland impact of somewhere less than 0.03 ac.
3. Stream Impacts
❑ 3a. Reason for impact (?) 3b.lmpact type * 3c. Type of impact* r�i name * 3e. Stream Type * 3f. Type of 3g. S. width * 3h. Impact
(?) Jurisdiction* length*

S1
S2
Site 1
Site 1
Permanent
Permanent
Culvert
Bank Stabilization J
Fishing Creek
FishingCreek
Perennial
Perennial
Both
Both
2Average(feet)
25
Average (feet)
SQinearfed)
99
(linear fed)
S3
Site 1
Temporary
Dewatering
Fishing Creek
Perennial
Both
25
Average (feet)
176
(linearfeat)
31. Total jurisdictional ditch impact in square feet:
0
3i. Total permanent stream impacts: 3i. Total temporary stream impacts:
151 176
3i. Total stream and ditch impacts:
327
3j. Comments:
Note that Temporary Impacts of 176 linear feet are mostly concurrent in Permanent Stream Impacts.
6. Buffer Impacts (for DWR)
6a. Project is in which protect basin(s)?
Check all that apply.
r Neuse W Tar -Pamlico
r Catawba r Randleman
r Goose Creek (— Jordan Lake
r Other
b. Impact Type 6c. Per or Temp 6d. Stream name 6e. Buffer mitigation required? 6f. Zone 1 impact 6g. Zone 2 impact
oad Crossing Allowable P Fishing Creek No 6,782 6,806
6h. Total buffer impacts:
Zone 1
Total Temporary impacts: 0.00
Zone 1
Total Permanent impacts: 6,782.00
Zone 1
Total combined buffer impacts: 6,782.00
6i. Comments:
Supporting Documentation
920135_Permit_Drawings_20190726.pdf
920135_ Permit _ Drawings_ Buffer_20190726.pdf
E. Impact Justification and Mitigation
1. Avoidance and Minimization
Zone 2
0.00
Zone 2
6,806.00
Zone 2
6,806.00
2.07MB
1.11MB
la. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
Replacement structure of concrete arch bottomless structure effectively avoids permanent impacts to the streambed but does result in permanent loss
of streambanks as the stream will effectively fill the structure Width.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Contractor will install impervious dikes (a temporary impact) to construct the following: 1. Removal of masonry abutment, 2. Installation of structure
footings and 3. Installation of rip rap bank stabilization.
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?
r: Yes r No
2c. If yes, mitigation is required by (check all that apply):
r DWR fat Corps

2d. If yes, which mitigation option(s) will be used for this project?
F- Mitigation bank W Payment to in -lieu fee F 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.
r Yes r No
4b. Stream mitigation requested:
(1inearfeet) 4c. If using stream mitigation, what is the stream temperature:
52 warm
4e. Riparian wetland mitigation requested:
4d. Buffer mitigation requested (DWR only): (acres)
(square feet) 0.03
4f. Non -riparian wetland mitigation requested: 4g. Coastal (tidal) wetland mitigation requested:
(acres) (acres)
4h. Comments
See DMS mitigation acceptance letter dated February 12, 2019.
F. Stormwater Management and Diffuse Flow Plan (required by DWR)
1. Diffuse Flow Plan
la. 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?
F' Level Spreader
R Vegetated Conveyance (lower SHWT)
F' Wetland Swale (higher SHWT)
F Other SCM that removes minimum 30 % nitrogen
F_ Proposed project will not create concentrated stormwater flow through the buffer
Diffuse Flow Documentation
920135 SWMP.pdf 1.11 MB
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:
G. Supplementary Information
1. Environmental Documentation
la. Does the project involve an expenditure of public (federal/state/local) funds or the use of public (federal/state) 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 Policy Act (NEPA/SEPA)? *
r Yes r No
1c. If you answered "yes" to the above, has the document review been finalized by the State Clearing House?*
r Yes r No
Comments:*
Document is a Minimum Criteria Determination Checklist that does not need to be sent to the State Clearing House.
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)?*
r Yes r No
3. Cumulative Impacts (DWR Requirement)
3a. Will this project result in additional development, which could impact nearby downstream water quality?*

r Yes r No
3b. If you answered "no," provide a short narrative description.
Project involves replacement of failed bridge structure with a new structure on ebsting alignment. The new structure and roadway activities mirror the
ebsting footprint.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
r Yes r- No r N/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?
r Yes r No
5b. Have you checked with the USFWS concerning Endangered Species Act impacts?*
r Yes r No
5c. If yes, indicate the USFWS Field Office you have contacted.
Raleigh
5d. Is another Federal agency involved?*
r Yes r No r- Unknown
5e. Is this a DOT project located within Division's 1-8?
r Yes r No
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
Extensive coordination with the USFWS. NCDOT provided a Biological Assessment to the USFWS dated April 5, 2019. The USFWS provided a
Biological/Conference Opinion for the project dated July 16, 2019.
Consultation Documentation Upload
20190717_Biological Opinion FINAL_ Bridge920135.pdf 1.42MB
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as an Essential Fish Habitat?*
r^ Yes r No
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat?*
EFH is not located in Division 5.
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?*
r Yes r No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?*
Coordination with NCDOT Cultural Resources Unit
7c. Historic or Prehistoric Information Upload
17BP.5.R.88 Arch NoSitesPresent.pdf 1.81VIB
17BP.5.R.88 Arch SurveyRequired.pdf 2.2MB
17BP.5.R.88 Hist Str NHPA.pdf 2.46MB
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA designated 100-year floodplain?*
r Yes r- No
8b. If yes, explain how project meets FEMA requirements:
Project has been designed by PEF and was studied using Limited Detailed methods.
8c. What source(s) did you use to make the floodplain determination?*
Information on stornmeter management plan.
Miscellaneous
Comments
See attached pdf file for USACE that provides a summary of issues associated with this project.
Miscellaneous attachments not previously requested.
Environmental summary for USACE for Warren 135.pdf 122.67KB

Signature
v
m 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 Act");
• 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:
Christopher A. Murray
Signature
ma's 4410 '
Date
8/14/2019