20191252 Ver 1_PCN Form Submission (2)_20190920

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 * Version#*
20191252 1
Is a payment required for this project?*
r No payment required
r Fee received Reviewing Office*
r Fee needed - send electronic notification Wilmington Regional Office - [phone]
Select Project Reviewer*
Joanne Steenhuis:eads\jhsteenhuis
Information for Initial Review
1a. Name of project:
Bridge 9 over South River Overflow on US 13 (B-4635) Central
1a. Who is the Primary Contact?*
NCDOT
1b. Primary Contact Email:*
[e-mail]
Date Submitted
9/20/2019
Nearest Body of Water
South River
Basin
Cape Fear
Water Classification
C,Sw
Site Coordinates
Latitude:
35.155671
Longitude:
-78.639754
1c. Primary Contact Phone:*
[phone]
FA. Processing Information U
County (or Counties) where the project is located:
Sampson
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:
B-4635
WBS#M
38446.1.2
1a. Type(s) of approval sought from the Corps:

W Section 404 Permit (wetlands, streams and waters, Clean Water Act)
F Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)
1b. What types) of permit(s) do you wish to seek authorization?
F Nationwide Permit (NWP)
rJ Regional General Permit (RGP)
F' Standard (IP)
1c. Has the NWP or GP number been verified by the Corps?
r Yes r- No
Regional General Permit (RGP) Number:
RGP Numbers (for multiple RGPS):
1d. Type(s) of approval sought from the DWR:
rJ 401 Water Quality Certification - Regular
F Non-404 Jurisdictional General Permit
F Individual Permit
198200031 - NCDOT Bridges, Widening Projects 2015
F 401 Water Quality Certification - Express
r- Riparian Buffer Authorization
*
le. Is this notification solely for the record because written approval is not required?
For the record only for DWR 401 Certification: r Yes r No
For the record only for Corps Permit: r Yes r No
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
B-4635 - RW - CF 06.pdf 67.65KB
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 F 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:
NCDOT
2b. Deed book and page no.:
2c. Responsible party:
2d. Address
Street Address
1000 Birch Ridge Drive
Address Line 2
qry
Sate / Province / Region
Raleigh
NC
Rbstal / Zip Code
(ountry
27610
USA
2e. Telephone Number: 2f. Fax Number:
[phone]

2g. Email Address:*
[e-mail]
C. Project Information and Prior Project History
1. Project Information
1b. Subdivision name:
(i appropriate)
1c. Nearest municipality/town:
Falcon
2. Project Identification
2a. Property Identification Number:
2c. Project Address
Street Address
Address Line 2
Oty
Fbstal / Zip QDde
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
South River
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:
State / Frovince / Pagion
O�untry
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:*
Land use in the project vicinity is primarily forestland interspersed with agricultural areas and residential development along roadways.
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)
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)
4f. List the total estimated acreage of all existing wetlands on the property:
4.9 acres
4g. List the total estimated linear feet of all existing streams on the property:
0
4h. Explain the purpose of the proposed project:*
To replace a functionally obsolete and structurally deficient bridge.
41. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
This project involves replacing the 137-foot, 8-span bridge with a 169-foot, 3-span bridge on eAsting alignment using an on -site detour. Standard road building equipment, such as
trucks, dozers, and cranes will be used.
4j. Please upload project drawings for the proposed project.
B4635 utilities combined.pdf 1.36MB
B4635_Permit Drawings_20190828.pdf 5.33MB
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
r Yes r No r Unknown
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:
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known): Tina Sekula
Agency/Consultant Company: EEE Consulting (nowVHB)
Other:
5d1. Jurisdictional determination upload
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?
D. Proposed Impacts Inventory
1. Impacts Summary
la. Where are the impacts associated with your project? (check all that apply):
P Wetlands r Streams -tributaries r Buffers
r Open Waters r Pond Construction
2. Wetland Impacts
2a1 Reason ()
2b. Impact type * (')
2c. Type of W.
2d. W. name *
2e. Forested*
2f. Type of
Jurisdicition*M
2g. Impact
area*
WB
Roadway Fill
P
Riverine Swamp Forest
WB
Yes
Both _]
0.100
(acres)
WA
Roadway Fill
P
Riverine Swamp Forest
WA
Yes
Both
0.080
(acres)
WE
Roadway Fill
P
Riverine Swamp Forest
WE
Yes
Both
0.210
(acres)
WF
Roadway Fill
P
Riverine Swamp Forest
WF
Yes
Both
0.020
(acres)
WB
Impervious Dike
T
Riverine Swamp Forest
WB
Yes
Both
0.020
(acres)
WA
Impervious Dike
T
Riverine Swamp Forest
�WA
Yes
Both
0.020
(acres)
WE
Temp. Fill
T
Riverine Swamp Forest
WE
Yes
Both
0.140
(acres)
WF
Temp. Fill
T
Riverine Swamp Forest
WF
Yes
Both
0.070
(acres)
WE
Excavation
P
Riverine Swamp Forest
WE
Yes
Both
0.020
(acres)
WF
Excavation
P
Riverine Swamp Forest
WF
Yes
Both
0.090
(acres)
2g. Total Temporary Wetland Impact 2g. Total Permanent Wetland Impact
0.250 0.520
2g. Total Wetland Impact
0.770
2h. Comments:
There will be 0.3 acre of hand clearing in wetlands for the replacement structure and onsite detour. There will be an additional 1.15 acres of hand
clearing due to relocation of electrical transmission lines, however much of this area is not forested. No stream was identified at the bridge crossing.
There vdll be 0.06 acre of temporary fill in the hand clearing areas for erosion control measures.
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 replacement bridge Will be approAmately 32 feet longer, the proposed bridge Will have 3 spans as opposed to the 8 spans the current bridge has.
The detour bridge Was lengthened to reduce impacts to wetland. The bridge is being replaced on existing alignment to avoid greater permanent
Wetland impact.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
NCDOT Best Management Practices for Construction and Maintenance Activities will be implemented. Slopes in wetlands will be at 3:1.
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):
W DWR W Corps
2d. If yes, which mitigation option(s) will be used for this project?
r Mitigation bank W 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.
r Yes r No
4b. Stream mitigation requested:
(linear feet)
0
4d. Buffer mitigation requested (DWR only):
(square feet)
0
4f. Non -riparian wetland mitigation requested:
(acres)
0
4h. Comments
4c. If using stream mitigation, what is the stream temperature:
4e. Riparian wetland mitigation requested:
(acres)
0.52
4g. Coastal (tidal) wetland mitigation requested:
(acres)
0
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.
r 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:
This project is not within a protected buffer basin.
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
1a. Does the project involve an expenditure of public (federal/state/local) funds or the use of public (federal/state) land?*
r Yes r No
J

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
NEPAor SEPAFinal Approval Letter
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 (15ANCAC 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.
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?*
r Yes r Nor 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?
N.C. Natural Heritage Program database; USFWS-Raleigh Field Office website;biological surveys for protected species listed for Sampson County,
which include red -cockaded woodpecker and pondberry. Habitat for pondberry exists within the study area, however no specimens were observed
during surveys updated on June 4, 2019. All other species received biological conclusions of "No Effect", due to habitat not being present. There were
no bald eagles nests observed within 660 feet of the project area on 9/15/2017.
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?*
r Yes r No
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat?*
NMFS county index
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?*
SEPA documentation
7c. Historic or Prehistoric Information Upload
8. Flood Zone Designation (Corps Requirement)

8a. Will this project occur in a FEMA-designated 100-year flood plain?"
r Yes
r No
8b. If yes, explain how project meets FEMA requirements:
NCDOT Hydraulics Unit coordination with FEMA.
8c. What source(s) did you use to make the floodplain determination?"
FEMA maps
Miscellaneous
Comments
Miscellaneous attachments not previously requested.
Signature
W 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:
Mack Christopher Rivenbark III
Signature
J" C. A&Wah,111
Date
9/20/2019