20230179 Ver 1_ePCN Application_20230202

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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:
2/1/2023
BIMS # Assigned"
20230179
Is a payment required for this project?
No payment required
Fee received
Fee needed - send electronic notification
Select Project Reviewer"
Dave Wanucha:eads\djwanucha
Information for Initial Review
1a. Name of project:
Allegheny bridge 122 replacement
1a. Who is the Primary Contact?"
NCDOT Kevin Hining
1b. Primary Contact Email:"
[e-mail]
Date Submitted
2/2/2023
Nearest Body of Water
Big Pine Creek
Basin
New
Water Classification
C;Tr
Site Coordinates
Latitude:
36.497444
A. Processing Information
County (or Counties) where the project is located:
Allegheny
Is this a NCDMS Project
Yes No
Is this project a public transportation project?*
Yes No
Longitude:
-80.955157
Version#"
1
Reviewing Office"
Winston-Salem Regional Office - (336) 776-
9800
1c. Primary Contact Phone:*
[phone]
Is this a NCDOT Project?"
Yes No

(NCDOT only) T.I.P. or state project number:
WBS # (1)
11B.200311
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 (NWP)
Regional General Permit (RGP)
Standard (IP)
1c. Has the NWP or GP number been verified by the Corps?
Yes No
Nationwide Permit (NWP) Number: 03 - Maintenance
NWP Numbers (for multiple NWPS):
1d. Type(s) of approval sought from the DWR:
401 Water Quality Certification - Regular
Non-404 Jurisdictional General Permit
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:
For the record only for Corps Permit:
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:
NCDOT
2b. Deed book and page no.:
2c. Contact Person:
401 Water Quality Certification - Express
Riparian Buffer Authorization
Yes No
Yes No

2d.Address
Street Address
801 Statesville Rd
Address Line 2
City
North Wilkesboro
Postal / Zip Code
28659
State / Province / Region
NC
Country
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:
(if appropriate)
1c. Nearest municipality I town:
Ennice, INC
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 Pine Creek
3b. Water Resources Classification of nearest receiving water:*
C'Tr
3c. What river basin(s) is your project located in?*
New
3d. Please provide the 12-digit HUC in which the project is located.
050500010405
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:
Wooded, near agriculture fields, next to Blue Ridge Parkway
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
4g. List the total estimated linear feet of all existing streams on the property:
100
4h. Explain the purpose of the proposed project: *
NCDOT proposes to replace existing bridge (Allegheny #122) in kind with concrete abutments and 30' 14" steel beams and wooden deck and wooden rails. The existing bridge is
structurally deficient and poses a safety hazard. All work will be completed within the existing footprint of the current bridge and roadway, so no new grading/clearing/tree cutting required.
The visible portions of the new bridge should be similar in appearance to the existing bridge, with wooden deck, wooden handrails, and ABC/gravel driving surface. The two main
differences between the existing bridge and the new bridge will be the replacement of the wooden abutments with concrete abutments, and the new bridge will be 10' longer (same width
as existing bridge). This longer length will allow us to build the new abutments further back from the stream edge (the existing bridge is right on the stream edge and subject to scour from
the stream). The use of concrete abutments will lengthen the life of the new bridge and further reduce any possible issues from flood events.
41. Describe the overall project in detail, including indirect impacts and the type of equipment to be used: *
All work will be done in the dry, using sandbags to dewater the bents before removal. No new permanent impacts will occur from the project. Equipment needed to do the work include an
NCDOT excavator, backhoe, generator, tool truck, dump truck, flat bed trucks, pickups. Concrete truck will be used to provide concrete for the two bridge bents/supports. Only certain
pieces of equipment/vehicles will be on site at any given time. On most days, only 3-5 vehicles/pieces of equipment will be present.

5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
Yes No
Comments:
Only one stream
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): Kevin Hining
Agency/Consultant Company: NCDOT
Other:
6. Future Project Plans
Unknown
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
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 (?l
3b.lmpact type*
3c. Type of impact*
3d. S. name*
3e. Stream Type*
(?)
3f. Type of
Jurisdiction*
3g. S. width
3h. Impact
length*
S1
old bridge removal
Temporary
Dewatering ]FZe
frennial:::]Both
h;;;J�:]
31. Total jurisdictional ditch impact in square feet:
0
31. Total permanent stream impacts:
0
3i. Total stream and ditch impacts:
30
3j. Comments:
E. Impact Justification and Mitigation
1. Avoidance and Minimization
3i. Total temporary stream impacts:
30
la. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
All work will be done in the dry, and no direct discharge of sediment will occur into Big Pine Creek.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
All Best Management Practices will be adhered to.
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
2b. If this project DOES NOT require Compensatory Mitigation, explain why:
No permanent impacts to stream

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
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250? *
Yes No
Comments:
NPDES inspections and reports will be conducted weekly and within 24 hours of any 1" rain event. Reports will be housed on site for review.
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?*
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.
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
5d. Is another Federal agency involved?*
Yes No
What Federal Agency is involved?
USACE and Blue Ridge Parkway/Dept of Interior
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
Unknown

51. 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
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?
NOAA
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?*
NCDOT Human Dimensions team and SHPO
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain?*
Yes No
Be. What source(s) did you use to make the floodplain determination?
FRIS
Miscellaneous
U
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
Allegheny 122 PCN letter.pdf
151.56KB
Alleghany 122 Sec 106 Information.pdf
9.71MB
Allegheny 122 Structure Plans.pdf
434.57KB
NCWRC - No Moratorium Required.pdf
141.2KB
Alleghany 122 MCDC.pdf
367.37KB
File must be PDF or KMZ
Comments
Included with this PCN is a:
1)Summary letter with Sec 7 info
2)Sec 106 review (Historic Architecture, Archaeology, Tribes)
3)Bridge details and structure plans
4)NCWRC email stating no moratorium
5)MCDC
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:
Kevin Hining
Signature
Date
2/2/2023