20220552 Ver 1_ePCN Application_20220407

DWR
Division of Water Resources
Pre-Construction Notification (PCN) Form
For Nationwide Permits and Regional General Permits
(along with corresponding Water Quality Certifications)
December 6,2021 Ver 4.2
Initial Review
Has this project met the requirements for acceptance in to the review process?*
Yes
No
Is this project a public transportation project?*
Yes No
Change only if needed.
BIMS#Assigned* Version#*
20220552 1
Is a payment required for this project?*
No payment required Reviewing Office*
Fee received Winston-Salem Regional Office-(336)776-
Fee needed-send electronic notification 9800
Select Project Reviewer*
Dave Wanucha:eads\djwanucha
Information for Initial Review
1a.Name of project:
Replacement of Bridge 80 over UT North Deep Creek on SR 1512.
la.Who is the Primary Contact?*
NCDOT
lb.Primary Contact Email:* 1c.Primary Contact Phone:*
[e-mail] [phone]
Date Submitted
4/7/2022
Nearest Body of Water
North Deep Creek
Basin
Yadkin-PeeDee
Water Classification
C
Site Coordinates
Latitude: Longitude:
36.208231 -80.684100
A. Processing Information
County(or Counties)where the project is located:
Yadkin
Is this a NCDMS Project
Yes No
Is this project a public transportation project?*
Yes No
Is this a NCDOT Project?*
Yes No
(NCDOT only)T.I.P.or state project number:
BR-0109

WBS#(')
67109.1.1
la.Type(s)of approval sought from the Corps:
Section 404 Permit(wetlands,streams and waters,Clean Water Act)
Section 10 Permit(navigable waters,tidal waters,Rivers and Harbors Act)
Has this PCN previously been submitted?*
Yes
No
lb.What type(s)of permit(s)do you wish to seek authorization?
Nationwide Permit(NWP)
Regional General Permit(RGP)
Standard(IP)
lc.Has the NWP or GP number been verified by the Corps?
Yes No
Regional General Permit(RGP)Number: 201902350-Work associated with bridge construction,widening,replacement,and
interchanges
RGP Numbers(for multiple RGPS):
Id.Type(s)of approval sought from the DWR:
401 Water Quality Certification-Regular 401 Water Quality Certification-Express
Non-404 Jurisdictional General Permit Riparian Buffer Authorization
Individual 401 Water Quality Certification
le.Is this notification solely for the record because written approval is not required?
For the record only for DWR 401 Certification: Yes No
For the record only for Corps Permit: Yes No
lf.Is this an after-the-fact permit application?*
Yes No
1g.Is payment into a mitigation bank or in-lieu fee program proposed for mitigation of impacts?
Yes No
1g.Is payment into a mitigation bank or in-lieu fee program proposed for mitigation of impacts?
Yes No
lh.Is the project located in any of NC's twenty coastal counties?
Yes No
1j.Is the project located in a designated trout watershed?
Yes No
B. Applicant Information
ld.Who is applying for the permit?
Owner Applicant(other than owner)
le.Is there an Agent/Consultant for this project?*
Yes No
2.Owner Information
2a.Name(s)on recorded deed:
n/a
2b.Deed book and page no.:
2c.Contact Person:

2d.Address
Street Address
1598 Mail Service Center
Address Line 2
City State/Province/Region
Raleigh NC
Postal/Zip Code Country
27699 US
2e.Telephone Number: 2f.Fax Number:
[phone]
2g.Email Address:*
[e-mail]
C. Project Information and Prior Project History
1.Project Information
1 b.Subdivision name:
(if appropriate)
1c.Nearest municipality I town:
Boonville
2.Project Identification
2a.Property Identification Number: 2b.Property size:
2c.Project Address
Street Address
Address Line 2
City State/Province/Region
Postal/Zip Code Country
3. Surface Waters
3a.Name of the nearest body of water to proposed project:*
North Deep Creek
3b.Water Resources Classification of nearest receiving water:*
C
3c. What river basin(s)is your project located in?*
Yadkin-PeeDee
3d.Please provide the 12-digit HUC in which the project is located.
030401011102
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:*
Undeveloped woods and agricultural land.
4b.Have Corps permits or DWR certifications been obtained for this project(including all prior phases)in the past?*
Yes No Unknown
4f.List the total estimated acreage of all existing wetlands on the property:
0.08
4g.List the total estimated linear feet of all existing streams on the property:
707
4h.Explain the purpose of the proposed project:*
The purpose of the proposed project is to replace a functionally obsolete bridge due to its narrow lanes and insufficient load-carrying capacity.NCDOT Structure Management Unit records
indicate Bridge 80 has a sufficiency rating of 55.46 out of 100.
4i.Describe the overall project in detail,including indirect impacts and the type of equipment to be used:*
The NCDOT proposes to replace Bridge 80 on Abraham Road(SR 1512)over UT to North Deep Creek in Yadkin County on existing alignment while detouring traffic offsite during
construction.The existing structure is 26 feet long and 20 feet wide.NCDOT proposes to construct a single-span bridge 60 feet long and 30 feet wide.
5. Jurisdictional Determinations
5a.Have the wetlands or streams been delineated on the property or proposed impact areas?*
Yes No Unknown

Comments:
5b.If the Corps made a jurisdictional determination,what type of determination was made?*
Preliminary Approved Not Verified Unknown N/A
Corps AID Number:
5c.If 5a is yes,who delineated the jurisdictional areas?
Name(if known): Jim Mason,PWS
Agency/Consultant Company: Three Oaks Engineering
Other:
6.Future Project Plans
6a.Is this a phased project?*
Yes 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):
Wetlands Streams-tributaries Buffers
Open Waters Pond Construction
2.Wetland Impacts
2a.Site#*(?) 2a1 Reason(?) 2b.Impact type*CO 2c.Type of W.* 2d.W.name* 2e.Forested* 2f.Type of Jurisdicition*2g.Impact
(?) area*
1 roadway fill P Headwater Forest WD Yes Corps 0.007
(acres)
2g.Total Temporary Wetland Impact 2g.Total Permanent Wetland Impact
0.000 0.007
2g.Total Wetland Impact
0.007
2i.Comments:
This is a mechanized clearing impact to this wetland.
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
?) Jurisdiction* length*
S1 Bank Stabilization Permanent Bank Stabilization SB Perennial Both 40 10
Average(feet) (linear feet)
S2 Impervious dike Temporary Dewatering SB Perennial Both 40 101
Average(feet) (linear feet)
S3 Roadway widening Permanent Fill SA Perennial Both 5 95
Average(feet) (linear feet)
S4 Roadway widening Temporary Fill SA Perennial Both 5 13
Average(feet) (linear feet)
3i.Total jurisdictional ditch impact in square feet:
0
3i.Total permanent stream impacts: 3i.Total temporary stream impacts:
105 114
3i.Total stream and ditch impacts:
219

3j.Comments:
Si and S2 are impacts at Site 1.
S3 and S4 are impacts at Site 2.
E. Impact Justification and Mitigation
1.Avoidance and Minimization
la.Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
The proposed bridge will be more than double the length of the current bridge,completely spanning UT to North Deep Creek,thus increasing hydraulic
connectivity to the overall system.
The bridge will be replaced on existing location.
There will be no direct discharge into UT to North Deep Creek,as bridge drainage will be directed to a riprap pad.
lb.Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Best Management Practices for Surface Waters will be used during all phases of construction.
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?
Yes No
2c.If yes,mitigation is required by(check all that apply):
DWR Corps
2d.If yes,which mitigation option(s)will be used for this project?
Mitigation bank Payment to in-lieu fee program Permittee Responsible Mitigation
4. Complete if Making a Payment to In-lieu Fee Program
4a.Approval letter from in-lieu fee program is attached.
Yes No
4b.Stream mitigation requested:
(linear feet) 4c.If using stream mitigation,what is the stream temperature:
95 warm
4e.Riparian wetland mitigation requested:
4d.Buffer mitigation requested(DWR only): (wren)
(square feet) 0.01
4f.Non-riparian wetland mitigation requested: 4g.Coastal(tidal)wetland mitigation requested:
(acres) (acres)
4h.Comments
Mitigation is proposed for the 95 If of fill/loss of water impacts.Mitigation is not proposed for the 10 If of bank stabilization as there will be no"loss of
waters"of the US for this impact.
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?
Yes 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?*
Yes 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?*
Yes No

lb.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)?*
Yes No
1c.If you answered"yes"to the above,has the document review been finalized by the State Clearing House?*
Yes No
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)?*
Yes No
3. Cumulative Impacts (DWR Requirement)
3a.Will this project result in additional development,which could impact nearby downstream water quality?*
Yes No
3b.If you answered"no,"provide a short narrative description.
Due to the minimal transportation impact resulting from this bridge replacement project,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?*
Yes No 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?*
Yes No
5b.Have you checked with the USFWS concerning Endangered Species Act impacts?*
Yes No
5c.If yes,indicate the USFWS Field Office you have contacted.
Asheville
5d.Is another Federal agency involved?*
Yes No Unknown
5e.Is this a DOT project located within Division's 1-8?
Yes No
5f.Will you cut any trees in order to conduct the work in waters of the U.S.?
Yes No
5g.Does this project involve bridge maintenance or removal?
Yes No
5g(1).If yes,have you inspected the bridge for signs of bat use such as staining,guano,bats,etc.?
Yes No
If you answered"Yes"to 5g(1),did you discover any signs of bat use?
Yes No Unknown
5h.Does this project involve the construction/installation of a wind turbine(s)?*
Yes No
Si.Does this project involve(1)blasting,and/or(2)other percussive activities that will be conducted by machines,such as jackhammers,mechanized pile drivers,etc.?
Yes No
5j.What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
IPaC,Natural Heritage Program(NHP)Biotics database,field survey.
NLEB:4(d)Memo(attached).
Schweinitz's sunflower:field surveys(Memo attached).
6. Essential Fish Habitat(Corps Requirement)
6a.Will this project occur in or near an area designated as an Essential Fish Habitat?*
Yes 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?*
Yes No
7b.What data sources did you use to determine whether your site would impact historic or archeological resources?*
NEPA Documentation,and attachments(Archaeology Memo,Historic Architecture Memo,and Tribal Coordination letter).
8. Flood Zone Designation (Corps Requirement)
8a.Will this project occur in a FEMA-designated 100-year floodplain?*
Yes No
8c.What source(s)did you use to make the floodplain determination?*
FEMA Floodmap.
Miscellaneous
Please use the space below to attach all required documentation or any additional information you feel is helpful for application review.Documents should be combined into one file when
possible,with a Cover Letter,Table of Contents,and a Cover Sheet for each Section preferred.
Click the upload button or drag and drop files here to attach document
BR-0109_Permit Drawings.pdf 4.01 MB
BR-0109 Archaeology.pdf 381.29KB
BR-0109 Historical Architecture.pdf 220.7KB
BR-0109 Tribal Response_Catawba Indian Nation_2020-193-84.pdf 482.11KB
BR-0109 Twiman Mitigation Site.pdf 51.83KB
BR-0109_CE_Signed May 2020.pdf 3.86MB
BR-0109 Cover Letter.pdf 242.99KB
BR-0109 2021-11-29 Sunflower Memo.pdf.pdf 1.78MB
BR-0109 2019-09-12 NLEB 4(d)Memo.pdf 401.84KB
File must be PDF or KMZ
Comments
BR-0109 will encroach into the conservation easement boundaries of the proposed Twiman Mitigation Site which abuts the existing ROW on both sides of the bridge.The Twiman
Mitigation Site has been constructed,but it is presently in monitoring and has not been closed out by the Interagency Review Team(IRT).NCDOT presented the proposed design for BR-
0109 to the IRT on December 8,2020,for review.The IRT determined that the proposed encroachment would result in a loss of mitigation credits from the mitigation bank.However,
because the mitigation project had not been closed out,it was decided that the proposed encroachment was allowable,and that the affected credits would be subtracted from the available
credits of the mitigation bank at close out.NCDOT will be responsible for compensating the mitigation bank developers for the value of any lost credits.Due to encroachment of the project
into the Twiman Mitigation Site,there will be 10.6 Stream Mitigation Units(SMUs)of credit which requires compensation.Information attached.
Signature
By checking the box and signing below,I certify that:
• The project proponent hereby certifies that all information contained herein is true,accurate,and complete to the best of my knowledge and belief';and
• The project proponent hereby requests that the certifying authority review and take action on this CWA 401 certification request within the applicable reasonable period of time.
• 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
Ilcr��cL 7-605
Date
4/7/2022