20191466 Ver 1_PCN Form Submission_20191029

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?*
C Yes r No
Change only if needed.
BIMS # Assigned
20191466
Is a payment required for this project?*
r No payment required
r Fee received
r Fee needed - send electronic notification
Select Project Reviewer*
April Norton:eads\arnorton
Information for Initial Review
1a. Name of project:
Replace bridge 780168 on NC 14/87 over the Smith River
1a. Who is the Primary Contact?*
NCDOT
1b. Primary Contact Email:*
[e-mail]
Date Submitted
10/29/2019
Nearest Body of Water
Smith River
Basin
Roanoke
Water Classification
WS-IV
Site Coordinates
Version# *
1
Reviewing Office*
Central Office - [phone]
1c. Primary Contact Phone:*
[phone]
Latitude: Longitude:
36.528054-79.767988
FA. Processing Information u
County (or Counties) where the project is located:
Rockingham
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-0044
WBS # (?)
67044.1.1
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: 14 - Linear transportation
NWP Numbers (for multiple NWPS):
1d. Type(s) of approval sought from the DWR:
fJ 401 Water Quality Certification - Regular
F Non-404 Jurisdictional General Permit
F 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
F Riparian Buffer Authorization
1f. Is this an after -the -fact permit application?*
C 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?
C Yes r No
Acceptance Letter Attachment
1h. Is the project located in any of NC's twenty coastal counties?
C Yes r No
1j. Is the project located in a designated trout watershed?
C Yes r No
FB. Applicant Information
1d. Who is applying for the permit?
rJ Owner r- Applicant (other than owner)
le. Is there an Agent/Consultant for this project?*
C Yes r No
2. Owner Information
2a. Name(s) on recorded deed:
WA
2b. Deed book and page no.:
2c. Responsible party:
2d.Address
Street Address
1598 Mail Service Center
Address Line 2
City
Raleigh
Postal / Zip Code
27699-1598
2e. Telephone Number:
[phone]
2g. Email Address:*
State / Ftovince / fbgion
NC
Country
us
2f. Fax Number:
*
C Yes r No
C Yes r No

[e-mail]
C. Project Information and Prior Project History U
1. Project Information
1b. Subdivision name:
(d appropriate)
1c. Nearest municipality/ town:
Eden
2. Project Identification
2a. Property Identification Number:
2c. Project Address
Street Address
Address line 2
City
Fbstal / Zip 03de
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
Smith River
3b. Water Resources Classification of nearest receiving water:*
WS-IV
3c. What river basin(s) is your project located in?*
Roanoke
3d. Please provide the 12-digit HUC in which the project is located.
030101030807
4. Project Description and History
2b. Property size:
State / ftovince / Fbgion
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:*
Undeveloped woodlands, pastureland, and some residences. A private park is on the west side of the river south of the highway.
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?*
f 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:
0.02
4g. List the total estimated linear feet of all existing streams on the property:
785
4h. Explain the purpose of the proposed project:*
The purpose of the proposed project is to replace a deficient bridge. Bridge No. 168 is considered structurally deficient with a sufficiency rating of 69.08 out of 100. Being structurally
deficient does not mean that the bridge is unsafe, but does mean the bridge is in need of repair or replacement. As a bridge ages, the cost of repairs and continued maintenance
eventually necessitate the need for replacement. The current bridge was constructed in 1966 and is reaching the end of its useful life.
41. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
A new bridge will be constructed to the north of the existing bridge, and traffic will be maintained on the existing bridge during construction. Following construction of the new bridge, the
existing bridge would be removed. The proposed replacement bridge would be constructed approximately 10 feet north of the existing bridge and will be approximately 520 feet in length
with two, 12-foot lanes and 4-foot paved shoulders. Project construction will extend approximately 1,000 feet to the west and 1,000 feet to the east from the replacement bridge along
NC 14/87. Typical road building equipment such as trucks, dozers, and cranes will be used to construct the bridge.
4j. Please upload project drawings for the proposed project.
BR-0044_Permit Drawings.pdf 6.61 MB
BR-0044 DMS Mitigation Letter.pdf 68.46KB
BR-0044 Cover Letter.pdf 183.03KB
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
R Yes r No C Unknown

Comments:
Fieldwork by NCDOT consultant: April 19 and June 6, 2018.
5b. If the Corps made a jurisdictional determination, what type of determination was made?
r Preliminary r Approved r Not Verified r Unknown r NIA
Corps AID Number:
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known): Chris Inscore, Paul Masten
Agency/Consultant Company: AECOM
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):
r Wetlands W Streams -tributaries
r Buffers
r Open Waters r Pond Construction
3. Stream Impacts
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
❑
M
Jurisdiction*
length*
S1
Pipe Edension
Permanent
Relocation
SA - UT to Smith River
Perennial
Both
3
80
Average (feet)
(linear feet)
gp
Pipe Edension
Temporary
Dewatering
SA - UT to Smith River
Perennial
Both
3
10
Average (feet)
(linear feet)
S3
Stream Bank Stabilization
Permanent
Bank Stabilization J
SA - UT to Smith River
Perennial
Both
3
10
Average (feet)
(linear feet)
Sq
Bridge Construction
Temporary
Workpad/Causeway J
Smith River
Perennial
Both
150
280
Average (feet)
(linear feet)
31. Total jurisdictional ditch impact in square feet:
0
31. Total permanent stream impacts:
90
31. Total stream and ditch impacts:
380
3j. Comments:
E. Impact Justification and Mitigation
1. Avoidance and Minimization
3i. Total temporary stream impacts:
290
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
Impacts to a small wetland was avoided in the design process. The proposed bridge deck drainage is collected by 6" diameter deck drains @ 12'
spacings over the floodplain.No deck drains discharge directly over Smith River. Roadway drainage on the east and west sides of the bridge is
collected by a system of grated inlets discharging into a riprap pad, which then dissipates into Smith River floodplain. Away from the bridge, surface
runoff is collected in grass and rip -rap lined ditches and conveyed to natural outfalls. NCDOT will adhere to Design Standards in Sensitive
Watersheds.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques

Best Management Practices will be adhered to. Temporary work pads will be used for construction and demolition but will not impede more than 50
of the Smith River.
Proposed Conservation Measures from the BA to avoid and minimize impacts to the Smith River:- Clearing and Grubbing
• Clearing and Grubbing
In areas identified as Environmentally Sensitive Areas, the Contractor may perform clearing operations, but not grubbing operations until immediately
prior to beginning grading operations as described in Article 200-1 of the Standard Specifications. Only clearing operations (not grubbing) shall be
alloyed in this buffer zone until immediately prior to beginning grading operations. Erosion control devices shall be installed immediately following the
clearing operation.
• Grading
Once grading operations begin in identified Environmentally Sensitive Areas, work shall progress in a continuous manner until complete. All
construction Wthin these areas shall progress in a continuous manner such that each phase is complete and areas are permanently stabilized prior to
beginning of next phase. Failure on the part of the contractor to complete any phase of construction in a continuous manner in Environmentally
Sensitive Areas will be just cause for the Engineer to direct the suspension of work in accordance with Article 108-7 of the Standard Specifications.
• Seeding and Mulching
Seeding and mulching shall be performed in accordance with Section 1660 of the Standard Specifications and vegetative cover sufficient to restrain
erosion shall be installed immediately following grade establishment. Seeding and mulching shall be performed on the areas disturbed by construction
immediately following final grade establishment. No appreciable time shall lapse into the contract time without stabilization of slopes, ditches and other
areas Wthin the Environmentally Sensitive Areas.
• Stage Seeding
The work covered by this section shall consist of the establishment of a vegetative cover on cut and fill slopes as grading progresses. Seeding and
mulching shall be done in stages on cut and fill slopes that are greater than 20 feet in height measured along the slope, or greater than 2 acres in
area. Each stage shall not exceed the limits stated above.
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
V 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:
(Inmr feet)
80
4d. Buffer mitigation requested (DWR only):
(square feet)
4f. Non -riparian wetland mitigation requested:
(acres)
4h. Comments
The 10' of bank stabilization does not require mitigation therefore 80' of mitigation is requested
4c. If using stream mitigation, what is the stream temperature:
warm
4e. Riparian wetland mitigation requested:
(acres)
4g. Coastal (tidal) wetland mitigation requested:
(acres)
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:
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
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:
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.
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?
As of February 22, 2019 the USFWS lists three protected species for Rockingham County - Roanoke logperch, James spinymussel and smooth
coneflower. Smooth coneflower habitat is present within the project area, however, surveys of suitable habitat in June 2018 did not find any
populations or plants. Informal Concurrence was submitted to the USFWS on 10/29/2019.
Consultation Documentation Upload
BR-0044 Section 7 Concurrence Request.pdf 3.1MB
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?*
See attached BR-0044 MCDC
7c. Historic or Prehistoric Information Upload

2018-01-16 Historic Architecture No Survey Required.pdf
2.05MB
2018-01-24 Archaeology Survey Required Form.pdf
1.99MB
2018-08-14 Archaeology No Sites Present Form.pdf
7.15MB
2018-11-15 Historic Architecture No Survey Required - Expanded Area.pdf
2.94MB
2018-11-26 Archaeology No Survey - Expanded Study Area.pdf
8.1 MB
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:
8c. What source(s) did you use to make the floodplain determination?"
FEMA Flood maps
[Miscellaneous
Comments
Miscellaneous attachments not previously requested.
BR-0044 MCDC.pdf 5.11 MB
Signature
17 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:
Michael Turchy
Signature
Ilc v� %iy
Date
10/29/2019