20121106 Ver 1_Application_20121207

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STATE OF NORTH CAROLINA 4''4
DEPARTMENT OF TRANSPORTATION ���111 4' 1141��y
BEVERLY PURDUE P O Box 25201, Raleigh, NC 27611 -5202 EUGbiQNTI, JR
GOVERNOR PHONE [phone] SECRORkY
December 7, 2012
Mr Monte Matthews
U S Army Corps of Engineers
Raleigh Regulatory Field Office 2 0 1 2 1 1 6
3331 Heritage Trade Drive, Suite 105
Wake Forest, NC 27587
Subject Nationwide Permit #14
Replace Bridge #244 on SR 1137 with CSPA
Watauga County, North Carolina
Protect Number- 17BP.11 R 27 (DWQ Permit Fee: $240)
Dear Mr Matthews
The North Carolina Department of Transportation is scheduled to replace existing Bridge #244
with a corrugated steel pipe arch This road dead ends in a subdivision with no other state road
into or out of the development so maintaining traffic is an important requirement of this
operation As a result, pipes are needed to reopen the road quickly
The existing structure is a 12 5' long single lane low water tunber bridge with vertical abutments
Stream slope is 6 2% so we will have 1' tall buried sills at the inlet, outlet and multiple sills in
the middle of the culvert to eliminate head cutting and help retain natural stream alluvium
Mitigation will be provided through EEP An on -site detour was not allowed by the adjacent
property owners Stream impacts are tabulated below
Stream Impacts-
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12 5' long
114 "x 77 "x 55'
Bridge #244
bride
CSPA
1 40
30
1 125
Perm Fi1URiprap Impacts =
85 feet
Total Project Impacts =125
feet
P O Box 250 N WILKESBORO, NC 29659
PHONE [phone] FAX [phone]

Mr Monte Matthews
Bridge #244 on SR 1137
Page 2
December 7, 2012
The replacement of the existing bridge with the proposed new pipe will require temporary
dewatering An impervious sandbag dike will be constructed approximately 20 feet upstream of
the new pipe to create a small pool Clean water will temporarily be pumped around or piped
through the construction area and will be discharged downstream Any duty water located inside
the construction area will be pumped into a silt bag if necessary Once the new structure is in
place, the impervious dike will be removed and preconstruction streambed elevations will be
restored
Construction of this project will require impacts to waters of the United States in the Watauga
River Basin The existing bridge crosses Clark Creek (Class C) This project was reviewed for
the presence of threatened and endangered species in September 2012 The subject project will
have no effect on any federally listed endangered plant or animal species Historic compliance
work has already been completed with a no effect finding
The project impacts are not significant in nature and should not alter the best usage for this
stream All appropriate BMPs will be used during construction Attached is a Preconstruction
Notification Form, plan sheets, a marked county map and a marked topography map
By copy of this electronic letter, it is requested that Mrs Marla Chambers with the North
Carolina Wildlife Resources Commission comment directly to you concerning the 404
Nationwide Permit application with a copy sent to me
By copy of this electronic letter, it is requested that the Division of Water Quality, 401/Wetlands
Unit, issue the appropriate permit for construction of this project It is requested that any
comments related to the 401 certification be forwarded directly to me with a copy sent to the US
Army Corps of Engineers
We would like to begin construction as soon as possible If further information is required,
please let me know Your early review and consideration will be appreciated
Sincerely,
lae�e
Heath Slaughter
Division Environmental Officer
Enclosures
cc Monte Matthews, US Army Corps of Engineers
Marla Chambers, NCWRC
Amy Chapman, Division of Water Quality

Mr Monte Matthews
Bridge #244 on SR 1137
Page 3
December 7, 2012
Amy Euliss, Division of Water Quality
Mike Pettyjohn, PE, Division Engineer
David Wayne, PE, Bridge Maintenance Engineer
Jami Guynn, Division Bridge Program Manager
Heath Slaughter, Division Environmental Officer
Neil Tnvette, Roadside Environmental Field Operations Engineer

oc'oF W A LIZA a
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305: O r
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Office Use Only
Corps action ID no
DWQ protect no
Form Version 1 3 Dec 10 2008
Page 1of10
PCN Form — Version 1 3 December 10, 2008 Version
Pre - Construction Notification (PCN) Form
A Applicant Information
1
Processing
1 a
Type(s) of approval sought from the
Corps
® Section 404 Permit ❑ Section 10 Permit
1 b Specify Nationwide Permit (NWP) number 14 or General Permit (GP) number
1c
Has the NWP or GP number been verified by the Corps?
❑ Yes
® No
1d
Type(s) of approval sought from the DWQ (check all that apply)
® 401 Water Quality Certification — Regular ❑ Non -404 Jurisdictional General Permit
❑ 401 Water Quality Certification — Express ❑ Riparian Buffer Authorization
le
Is this notification solely for the record
because written approval is not required?
For the record only for DWQ 401
Certification
❑ Yes ® No
For the record only for Corps Permit
❑ Yes ® No
1f
Is payment into a mitigation bank or in -lieu fee program proposed for mitigation
of impacts? If so, attach the acceptance letter from mitigation bank or in -lieu
fee program
® Yes
❑ No
1g
Is the protect located in any of NC's twenty coastal counties If yes, answer 1 h
below
❑ Yes
® No
1h
Is the protect located within a NC DCM Area of Environmental Concern (AEC)?
❑ Yes
® No
2
Project Information
2a
Name of protect
Bridge #244 on SR 1137
2b
County
Watauga
2c
Nearest municipality / town
Foscoe
2d
Subdivision name
2e
NCDOT only, T I P or state
protect no
176P 11 R 27
3
Owner Information
3a
Name(s) on Recorded Deed
NCDOT
3b
Deed Book and Page No
3c
Responsible Party (for LLC if
3d
Street address
801 Statesville Road
3e
City, state, zip
North Wilkesboro, NC 28659
3f
Telephone no
336 - 903 -9202
3g
Fax no
336 -667 -4549
3h
Email address
hslaughter @ncdot gov
Page 1of10
PCN Form — Version 1 3 December 10, 2008 Version

4 Applicant Information (if different from owner)
4a Applicant is
❑ Agent ❑ Other, specify
4b Name
4c Business name
(if applicable)
4d Street address
4e City, state, zip
4f Telephone no
4g Fax no
4h Email address
5 Agent/Consultant Information (if applicable)
5a Name
5b Business name
(if applicable)
5c Street address
5d City, state, zip
5e Telephone no
5f Fax no
5g Email address
Page 2 of 10
PCN Form — Version 1 3 December 10, 2008 Version

B Project Information and Prior Project History
1 Property Identification
la Property identification no (tax PIN or parcel ID)
lb Site coordinates (in decimal degrees)
1c Property size
Latitude 36 17926 Longitude - 81 77987
(DD DDDDDD) ( DD DDDDDD)
0 1 acres
2 Surface Waters
2a Name of nearest body of water (stream, river, etc ) to
proposed project
Clark Creek
2b Water Quality Classification of nearest receiving water
C
2c River basin
Watauga
3 Project Description
3a Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this
application
Substandard bridge to be replaced in a rural area
3b List the total estimated acreage of all existing wetlands on the property
0 acres
3c List the total estimated linear feet of all existing streams (intermittent and perennial) on the property
60 linear feet
3d Explain the purpose of the proposed project
Upgrade substandard stream crossing
3e Describe the overall project in detail, including the type of equipment to be used
See attached cover letter
4 Jurisdictional Determinations
4a Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
project (including all prior phases) in the past?
Comments
❑ Yes ® No ❑ Unknown
4b If the Corps made the jurisdictional determination, what type
of determination was made?
❑ Preliminary ❑ Final
4c If yes, who delineated the jurisdictional areas?
Name (if known)
Agency /Consultant Company
Other
4d If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation
— 5 -- Project - History-------- - -- - -- - -- — - - - -- — — — -
5a Have permits or certifications been requested or obtained for
this project (including all prior phases) in the past?
❑ Yes ® No ❑ Unknown
5b If yes, explain in detail according to "help file" instructions
6 Future Project Plans
6a Is this a phased project?
❑ Yes ® No
6b If yes, explain
Page 3 of 10
PCN Form — Version 1 3 December 10, 2008 Version

C Proposed Impacts Inventory
1 Impacts Summary
la Which sections were completed below for your project (check all that apply)
❑ Wetlands ® Streams - tributaries ❑ Buffers
❑ Open Waters ❑ Pond Construction
2 Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted
2a
Wetland impact
2b
2c
2d
2e
Type of jurisdiction
2f
number —
Type of impact
Type of wetland
known)
Forested
(Corps - 404, 10
DWQ — non 404, other)
Area of impact
(acres)
Permanent (P) or
(if
Temporary T
❑ Yes
❑ Corps
W1 ❑ P ❑ T
❑ No
❑ DWQ
❑ Yes
❑ Corps
W2 ❑ P ❑ T
❑ No
❑ DWQ
❑ Yes
❑ Corps
W3 El P [:1 T
❑ No
❑ DWQ
❑ Yes
❑ Corps
W4 E] P El
❑ No
❑ DWQ
❑ Yes
❑ Corps
W5 ❑ P ❑ T
❑ No
❑ DWQ
❑ Yes
❑ Corps
W6 ❑ P ❑ T
❑ No
❑ DWQ
2g Total wetland impacts
2h Comments
3 Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this
question for all stream sites impacted
3a
Stream impact
3b
Type of impact
3c
Stream name
3d
Perennial
3e
Type of jurisdiction
3f
Average
3g
Impact
length
number -
(PER) or
(Corps - 404, 10
stream
width
(linear
Permanent (P) or
intermittent
(INT)?
DWQ — non -404,
(feet)
feet)
Temporary (T)
other)
S1 ®P ®T
CSPA, Riprap &
Dewatenng
Clark Creek
® PER
❑ INT
® Corps
® DWQ
12
125
❑ PER
❑ Corps
S2 ❑ P F1
❑ INT
❑ DWQ
❑ PER
❑ Corps
S3 ❑ P ❑ T
❑ INT
❑ DWQ
—
-- - - - - --
❑ PER
❑ Corps
S4 ❑ P E:1 T
❑ INT
❑ DWQ
[:1 PER
[] Corps
S5 ❑ P ❑ T
❑ INT
❑ DWQ
❑ PER
❑ Corps
S6 ❑ P ❑ T
❑ INT
❑ DWQ
3h Total stream and tributary impacts
125
31 Comments 40 linear feet of the impacts are temporary -
Page 4 of 10
PCN Form — Version 1 3 December 10, 2008 Version

4 Open Water Impacts
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of
the U S then individually list all open water impacts below
4a 4b 4c 4d 4e
Open water Name of waterbody
impact number – (if applicable) Type of impact Waterbody type Area of impact (acres)
Permanent (P) or
Temporary T
01 ❑P
02 ❑P
03 ❑P ❑T
04 ❑P ❑T
4f Total open water impacts
4g Comments
5 Pond or Lake Construction
If pond or lake construction proposed, the complete the chart below
5a
Pond ID
5b
Proposed use or purpose
5c
Wetland Impacts (acres)
5d
Stream Impacts (feet)
5e
Upland
(acres)
Flooded
Filled
Excavated
Flooded
Filled
Excavated
Flooded
number
of pond
P1
P2
5f Total
5g Comments N/A
5h Is a dam high hazard permit required
❑ Yes No If yes, permit ID no
51 Expected pond surface area (acres)
5j Size of pond watershed (acres)
5k Method of construction
6 Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer, then complete the chart below If yes, then individually list all buffer impacts
below If any impacts require mitigation, then you MUST fil l out Section D of this form
6a
❑ Neuse ❑ Tar - Pamlico ❑ Other
Project is in which protected basin?
❑ Catawba ❑ Randleman
6b
6c
6d
6f
69
--Buffer-impact-
number -
Permanent (P) or
Tem ora T
- -� -- — - –
Stream name
-
LBuff r
ation
red?
Zone 1 impact
(square feet)
- --
Re ason
for
im act
Zone 2 impact
(square feet)
B1 ❑P ❑T
❑Yes
❑ No
B2 ❑P ❑T
❑ Yes
[I No
B3 ❑ P E] T
❑Yes
❑ No
6h Total buffer impacts
61 Comments
Page 5 of 10
PCN Form – Version 1 3 December 10, 2008 Version

D Impact Justification and Mitigation
1 Avoidance and Minimization
la Specifically describe measures taken to avoid or minimize the proposed impacts m designing protect
The pipe length is the minimum needed to improve safety at this location
1 b Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques
All appropriate BMPs will be used during construction
2 Compensatory Mitigation for Impacts to Waters of the U S or Waters of the State
2a Does the protect require Compensatory Mitigation for
impacts to Waters of the U S or Waters of the State2
® Yes ❑ No
2b If yes, mitigation is required by (check all that apply)
❑ DW Q ® Corps
2c If yes, which mitigation option will be used for this
protect
❑ Mitigation bank
® Payment to in -lieu fee program
❑ Permittee Responsible Mitigation
3 Complete if Using a Mitigation Bank
3a Name of Mitigation Bank
3b Credits Purchased (attach receipt and letter)
Type
Quantity
3c Comments
4 Complete if Making a Payment to In -lieu Fee Program
4a Approval letter from in -lieu fee program is attached
❑ Yes
4b Stream mitigation requested
55 linear feet
4c If using stream mitigation, stream temperature
❑ warm ❑ cool ®cold
4d Buffer mitigation requested (DWQ only)
square feet
4e Riparian wetland mitigation requested
acres
4f Non - riparian wetland mitigation requested
acres
4g Coastal (tidal) wetland mitigation requested
acres
4h Comments
5 Complete if Using a Permittee Responsible Mitigation Plan
5a If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan
Page 6 of 10
PCN Form — Version 1 3 December 10, 2008 Version

6 Buffer Mitigation (State Regulated Riparian Buffer Rules) — required by DWQ
6a Will the project result in an impact within a protected riparian buffer that requires
❑ Yes Z No
buffer mitigation?
6b If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation Calculate the
amount of mitigation required
Zone
6c
Reason for impact
6d
Total impact
Multiplier
6e
Required mitigation
(square feet)
(square feet)
Zone 1
3 (2 for Catawba)
Zone 2
1 5
6f Total buffer mitigation required
6g If buffer mitigation is required, discuss what type of mitigation is proposed (e g , payment to private mitigation bank,
permittee responsible riparian buffer restoration, payment into an approved in lieu fee fund)
6h Comments
Page 7 of 10
PCN Form — Version 1 3 December 10, 2008 Version

E Stormwater Management and Diffuse Flow Plan (required by DWQ)
1
Diffuse Flow Plan
1 a
Does the project include or is it adjacent to protected riparian buffers identified
within one of the NC Riparian Buffer Protection Rules?
❑ Yes ® No
❑ Yes ❑ No
lb If yes, then is a diffuse flow plan included? If no, explain why
Comments
2
Stormwater Management Plan
2a
What is the overall percent imperviousness of this project?
%
2b
Does this project require a Stormwater Management Plan?
❑ Yes ® No
2c
If this project DOES NOT require a Stormwater Management Plan, explain why
2d
If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan
❑ Certified Local Government
2e
Who will be responsible for the review of the Stormwater Management Plant
❑ DWQ Stormwater Program
❑ DWQ 401 Unit
3
Certified Local Government Stormwater Review
3a
In which local government's jurisdiction is this project?
❑ Phase II
3b
Which of the following locally - implemented stormwater management programs
apply (check all that apply)
❑ NSW
❑ USMP
❑ Water Supply Watershed
❑ Other
3c
Has the approved Stormwater Management Plan with proof of approval been
❑ Yes ❑ No
attached?
4
DWQ Stormwater Program Review
❑ Coastal counties
4a
Which of the following state - implemented stormwater management programs apply
(check all that apply)
❑ HQW
❑ ORW
❑ Session Law 2006 -246
❑ Other
❑ Yes ❑ No
4b Has the approved Stormwater Management Plan with proof of approval been
attached?
5
DWQ 401 Unit Stormwater Review
5a
Does the Stormwater Management Plan meet the appropriate requirements?
❑ Yes ❑ No
5b Have all of the 401 Unit submittal requirements been met?
❑ Yes ❑ No
Page 8 of 10
PCN Form — Version 1 3 December 10, 2008 Version

F
Supplementary Information
1
Environmental Documentation (DWQ Requirement)
1 a
Does the project involve an expenditure of public (federal /state /local) funds or the
® Yes
❑ No
use of public (federal /state) land?
1 b
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
❑ Yes
® No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1c
If you answered "yes" to the above, has the document review been finalized by the
State Clearing House? (If so, attach a copy of the NEPA or SEPA final approval
❑ Yes
❑ No
letter)
Comments
2
Violations (DWO Requirement)
2a
Is the site in violation of DWQ Wetland Rules (15A NCAC 2H 0500), Isolated
Wetland Rules (15A NCAC 2H 1300), DWQ Surface Water or Wetland Standards,
❑ Yes
® No
or Riparian Buffer Rules (15A NCAC 213 0200)?
2b
Is this an after - the -fact permit application?
❑ Yes
® No
2c
if you answered "yes" to one or both of the above questions, provide an explanation of the violation(s)
3
Cumulative Impacts (DWQ Requirement)
3a
Will this project (based on past and reasonably anticipated future impacts) result in
❑ Yes
® No
additional development, which could impact nearby downstream water quality?
3b
If you answered "yes" to the above, submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWQ policy If you answered "no," provide a short narrative description
4
Sewage Disposal (DWQ Requirement)
4a Clearly detail the ultimate treatment methods and disposition (non discharge or discharge) of wastewater generated from
the proposed project, or available capacity of the subject facility
N/A
Page 9 of 10
PCN Form — Version 1 3 December 10, 2008 Version

5 Endangered Species and Designated Critical Habitat (Corps Requirement)
5a Will this project occur in or near an area with federally protected species or ❑ Yes ® No
habitat
5b Have you checked with the USFWS concerning Endangered Species Act
❑ Yes ® No
impacts?
❑ Raleigh
5c If yes, indicate the USFWS Field Office you have contacted
❑ Asheville
5d What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
GIS and visual observation
6 Essential Fish Habitat (Corps Requirement)
6a Will this project occur in or near an area designated as essential fish habitat?
❑ Yes ® No
6b What data sources did you use to determine whether your site would impact Essential Fish Habitat?
W RC will comment
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
❑ Yes ® No
status (e g , National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
7b What data sources did you use to determine whether your site would impact historic or archeological resources?
Project was submitted to OHE Project has no effect finding
8 Flood Zone Designation (Corps Requirement)
8a Will this project occur in a FEMA - designated 100 -year floodplain'?
❑ Yes ® No
8b If yes, explain how project meets FEMA requirements
8c What source(s) did you use to make the floodplain determination? ncfloodmaps
- - -- J Heath Slaughter - - ^- -
- /hature �- -AppllcanUAgent's
Printed Name
Date
pplicanUAgent's nature
(Agents s valid only if an authcOkation letter from the applicant
is provided
Page 10 of 10
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Watauga Bridge #244 over Clark Creek
Downstream view

Upstream view
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