20221364 Ver 1_ePCN Application_20221002

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Pre-Construction Notification (PCN) Form
For Nationwide Permits and Regional General Permits
(along with corresponding Water Quality Certifications)
April 13,2022 Ver 4.3
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.
Pre-Filing Meeting Date Request was submitted on:
4/20/2022
BIMS#Assigned" Version#"
20221364 1
Is a payment required for this project?*
No payment required
Fee received Reviewing Office"
Fee needed-send electronic notification Asheville Regional Office-[phone]
Select Project Reviewer"
Kevin Mitchell:eads\rkmitchell
Information for Initial Review
1a.Name of project:
B-5989:Replace Bridge 71 over Big Laurel Creek on Walnut Road(SR 1395)
1a.Who is the Primary Contact?"
Erin Cheely
1 b.Primary Contact Email:" 1c.Primary Contact Phone:*
[e-mail] [phone]
Date Submitted
10/2/2022
Nearest Body of Water
Big Laurel Creek
Basin
French Broad
Water Classification
C;Tr:ORW
Site Coordinates
Latitude: Longitude:
35.9104 -82.6485
A. Processing Information
County(or Counties)where the project is located:
Madison
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:
B-5989
WBS#M
47845.1.1
1a.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
1 b.What type(s)of permit(s)do you wish to seek authorization?
Nationwide Permit(N W P)
Regional General Permit(RGP)
Standard(IP)
1c.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):
50
1d.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
1f.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
1 h.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
1d.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:
NC Department of Transportation
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 NO
Postal/Zip Code Country
27699 USA
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:
Marshall
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:
Big Laurel Creek
3b.Water Resources Classification of nearest receiving water:*
C;Tr:ORW
3c. What river basin(s)is your project located in?*
French Broad
3d.Please provide the 12-digit HUC in which the project is located.
06010105
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:*
Surrounding land use is primarily forested interspersed with some residential.
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:
0.05
4g.List the total estimated linear feet of all existing streams on the property:
1,860
4h.Explain the purpose of the proposed project:
The purpose of the proposed project is to replace a structurally deficient bridge.NCDOT Structures Management Unit records indicate Bridge No.560071 currently has a sufficiency rating
of 33.84 out of a possible 100 for a new structure.The bridge is considered structurally deficient due to a substructure condition appraisal of 4 out of 9 according to Federal Highway
Administration standards.
4i.Describe the overall project in detail,including indirect impacts and the type of equipment to be used:
This project is the replacement of NCDOT Structure Bridge#560071.The existing bridge length is 150 feet long,3 span(1@49.8',1@50',and 1@49.8')with a reinforced concrete floor
and 1-beams.The proposed bridge will be a 2 span(1@80',1 @50')45 inch girder bridge with an out-to-out deck width of 32.25 feet.The bridge will be replaced on the existing alignment
with traffic utilizing an on-site detour to the west of the existing bridge during construction.Standard road building equipment such as trucks,dozers,and cranes will be used.
5. Jurisdictional Determinations

5a.Have the wetlands or streams been delineated on the property or proposed impact areas?*
Yes No Unknown
Comments:
Three perennial streams,one intermittent stream,and one small wetland were identified in the study
area.
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): Nathan Howell and Paige Green
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?
No.
D. Proposed Impacts Inventory
1. Impacts Summary
1a.Where are the impacts associated with your project?(check all that apply):
Wetlands Streams-tributaries Buffers
Open Waters 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
(?) Jurisdiction* length*
S1 Site 1:Headwall construction Temporary Dewatering �FUT
to Big Laurel Creek Intermittent Both 10
for nearby pipe extension Average(feet) near feet)
S2 Site 2:Pipe Extension Permanent Culvert SA-UT to Big Laurel Creek Perennial Both 33
Average(feet) (linear feet)
S3 Site 2:Pipe Extension Temporary Culvert SA-UT to Big Laurel Creek Perennial Both 5 45
Average(feet) pinear feet)
S4 Site 3:Temporary Detour Temporary Other Big Laurel Creek Perennial Both 60 23
Bridge Average(feet) Qinear feet)
SS Site 4:Temporary Work Temporary Workpad/Causeway Big Laurel Creek Perennial Both 60 40
Bridge Average(feet) pinear feet)
3i.Total jurisdictional ditch impact in square feet:
0
31.Total permanent stream impacts: 3i.Total temporary stream impacts:
33 118
31.Total stream and ditch impacts:
151
3j.Comments:
Total acreage of temporary impacts is 0.007 acre.
E. Impact Justification and Mitigation u
1.Avoidance and Minimization
la.Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
The proposed replacement will span the river and maintain the existing level of service.The existing structure has deck drains,and the proposed bridge
will not have deck drains.The onsite detour bridge will also not have deck drains.The onsite detour allows the bridge to be replaced in the existing
location.Rip rap outlet pads will be utilized to dissipate flow and minimize erosion.The existing ditch will be retained with toe protection.

1 b.Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
While the trout moratorium was waived by WRC for this project,Design Standards for Sensitive Watersheds will be adhered to.NCDOT will also adhere
to Best Management Practices for Construction and Maintenance Activities.Numerous other measures to protect bats during construction are outlined in
the September 2022 Biological Opinion.
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
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 including mitigation credits generated.
See cover letter.66 If of stream mitigation credit will be debited from the Puncheon Fork Mitigation Site(PO Number 7700002203).
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?
Yes No
If no,explain why:
No buffered resources within project area.
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 U
1. Environmental Documentation
la.Does the project involve an expenditure of public(federallstatellocal)funds or the use of public(federal/state)land?
Yes No
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(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,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
5i.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?
Please see the attached September 2022 Biological Opinion with regard to impacts to listed bats.There are no other federally Endangered or
Threatened species listed within the project area per IPaC,last checked 9/21/22.
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?*
Historic Architecture and Archaeology reviews(documented in the CE)and Tribal coordination(attached).
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?*
FEMA Maps
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
B-5989 Madison October 3 2022.pdf 10.25MB
File must be PDF or KMZ
Comments
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
XIW4 r
Date
10/2/2022