20191301 Ver 1_PCN Form Submission_20190930

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#*
20191301 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 25 over Beaver Dam Creek on NC242, Cumberland County (BR-0014 Central)
1a. Who is the Primary Contact?*
NCDOT
1b. Primary Contact Email:*
[e-mail]
Date Submitted
9/30/2019
Nearest Body of Water
Beaverdam Creek
Basin
Cape Fear
Water Classification
Qsw
Site Coordinates
Latitude:
34.876654
Longitude:
-78.529632
1c. Primary Contact Phone:*
[phone]
FA. Processing Information U
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?*
r Yes r No
(NCDOT only) T.I.P. or state project number:
BR-0014
WBS # (?)
67014.1.1
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?
W Nationwide Permit (NWP)
F' Regional General Permit (RGP)
F' Standard (IP)
1c. Has the NWP or GP number been verified by the Corps?
r Yes r No
Nationwide Permit (NWP) Number: 14 - Linear transportation
NWP Numbers (for multiple NWPS):
1d. Type(s) of approval sought from the DWR:
rJ 401 Water Quality Certification - Regular r 401 Water Quality Certification - Express
F Non-404 Jurisdictional General Permit F Riparian Buffer Authorization
F' Individual Permit
*
le. Is this notification solelyfor 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
BR-0014 - RW - CF 06.pdf 67.5KB
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:
NCDOT
2b. Deed book and page no.:
2c. Responsible party:
2d.Address
Street Address
1000 Birch Ridge Drive
Address Line 2
aty
State / Rovince / Region
Raleigh
NC
Fbstal / Zip Code
Country
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:
Roseboro
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:*
Beaverdam Creek
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.
030300060204
4. Project Description and History
2b. Property size:
State / ftovince / 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 vicinity is rural, wooded, agriculture and light residential.
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?*
r Yes 6 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:
4.67 ac.
4g. List the total estimated linear feet of all existing streams on the property:
465 linear feet
4h. Explain the purpose of the proposed project:*
The purpose of this project is to replace the structurally deficient Bridge No. 25 with a new bridge.
41. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
The project involves replacing the existing three span, 76-foot bridge with a two span, 110-foot bridge on the existing alignment. Traffic will be maintained on an off -site detour. Standard
road building equipment, such as trucks, dozers, and cranes will be used.
4j. Please upload project drawings for the proposed project.
BR-0014_permit _combined.pdf 2.5MB
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the propertyor proposed impact areas?*
F Yes r No C Unknown
Comments:
JD request package submitted with permit app.
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): Rob Crowther
Agency/Consultant Company: Carolina Ecosystems
Other:
5d1. Jurisdictional determination upload
BR_0014_PJD_Request _05142019.pdf 22.33MB
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):
W Wetlands W 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 2g. Impact
Jurisdicition*(?) area*
Site 1 Fill P Bott
omland Hardwood Forest
WA,WB,WC,WD,WE
Yes
Both
0.210
(acres)
Site 1
Excavation
P
Bottomland Hardwood Forest
WA,WB,WC,WD,WE
Yes
Both
0.001
(acres)
2g. Total Temporary Wetland Impact 2g. Total Permanent Wetland Impact
0.000 0.211
2g. Total Wetland Impact
0.211
2h. Comments:
There will be 0.34 ac. of hand clearing due to project construction. Additionally, there will be 0.05 ac of temporary fill in hand clearing areas for erosion
control devices.
3. Stream Impacts
F
3a. Reason for impact (?) 3b.lmpact type * 3c. Type of impact* 3d. S. name* 3e. Stream Type * 3f. Type of 3g. S. width * 3h. Impact
(?) Jurisdiction* length*
S1
Site 1
Permanent
Bank Stabilisation
ffyerdam Creek
Perennial
Cars
p
70
Average (feet)
50
(linear feet)
S2
Site 1
Tem ora
p ry
Bank Stabilisation
Beaverdam Creek
Perennial
Cars
p
70
Average (feet)
62
(lirxarfeet)
3i. Total jurisdictional ditch impact in square feet:
0
3i. Total permanent stream impacts: 3i. Total temporary stream impacts:
50 62
3i. Total stream and ditch impacts:
112
3j. Comments:
There will be a 126 square feet of surface water impact due to the bridge bents in Beaverdam Creek.

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 bridge will be replaced on the existing alignment. The new bridge Will have no deck drains or direct discharge into Beaverdam Creek. See the
stornrvvater management plan for additional minimization measures. 3:1 slopes will be used in wetlands.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
An off -site detour will be used during construction. Best Management Practices for Construction and Maintenance Activities will be implemented.
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 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)
0.21
4g. Coastal (tidal) wetland mitigation requested:
(acres)
0
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
If no, explain why:
This project is not located within one of the protected riparian buffer basins.
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
Comments:
A State Minimum Criteria Determination Checklist was prepared.

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.
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
5e. Is this a DOT project located within Division's 1-8?
r Yes r No
C Unknown
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 Cumberland County,
which include American alligator, Cape Fear shiner, red -cockaded woodpecker (RCW), Saint Francis satyr butterfly, American chaffseed, MIChau)es
sumac, pondberry and rough -leaved loosestrife. All species, except American alligator, Michaux's sumac, pondberry and rough -leaved loosestrife
received biological conclusions of "No Effect", due to no habitat being present. A biological conclusion for American alligator is not required due to its
listing as Threatened Due to Similarity of Appearance. Habitat for Michaux's sumac, pondberry and rough -leaved loosestrife are present in the study
area, but a survey of the suitable habitat was conducted on September 7, 2018 and no specimens were observed. There were no water bodies large
enough or sufficiently open to be considered potential feeding sources for the bald eagle, so no survey for the species was required. Concurrence for
the NLEB was met through the PBO.
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 floodplain?*
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.
u
Signature v
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
Hick C. Rlwmk,111
Date
9/30/2019