HomeMy WebLinkAbout20231521 Ver 1_ePCN Application_20231108DW R
Division of Water Resources
Pre -Construction Notification (PCN) Form
For Nationwide Permits and Regional General Permits
(along with corresponding Water Quality Certifications)
October 2, 2023 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:
6/30/2023
Does this project involve maintenance dredging funded by the Shallow Draft Navigation Channel Dredging and Aquatic Weed Fund or involve the distribution or transmission of energy or
fuel, including natural gas, diesel, petroleum, or electricity?
Yes No
BIMS # Assigned *
20231521
Is a payment required for this project?*
No payment required
Fee received
Fee needed - send electronic notification
Select Project Reviewer*
Kevin Mitchell: kevin. mitchell
Information for Initial Review
1a. Name of project:
Haywood County Bridge 248 & 249
1a. Who is the Primary Contact?*
Patrick J. Breedlove
1b. Primary Contact Email: *
pjbreedlove@ncdot.gov
Date Submitted
11/8/2023
Nearest Body of Water
Beaverdam Creek
Basin
French Broad
Water Classification
Class C
Site Coordinates
Latitude:
35.555744
A. Processing Information
Is this project connected with ARPA funding?
Yes No
County (or Counties) where the project is located:
Haywood
Longitude:
-82.830924
Version#*
1
Reviewing Office*
Asheville Regional Office - (828) 2964500
1c. Primary Contact Phone: *
(828)508-7397
O
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:
HB-0002
WBS # (1)
49622.1.1
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
1b. 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: 14 - Linear transportation
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
1h. 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 Division 14
2b. Deed book and page no.:
401 Water Quality Certification - Express
Riparian Buffer Authorization
Yes No
Yes No
2c. Contact Person:
2d. Address
Street Address
345 Toot Hollow Road
Address Line 2
City
Bryson City
Postal / Zip Code
28713
2e. Telephone Number:
(828)508-7397
2g. Email Address:*
pjbreedlove@ncdot.gov
C. Project Information and Prior Project History
1. Project Information
1b. Subdivision name:
(If appropriate)
1c. Nearest municipality I town:
Canton
2. Project Identification
2a. Property Identification Number
2c. Project Address
Street Address
Address Line 2
City
Postal / Zip Code
3. Surface Waters
3a. Name of the nearest body of water to proposed project:
Beaverdam Creek
3b. Water Resources Classification of nearest receiving water:
Class C
3c. What river basin(s) is your project located it *
French Broad
3d. Please provide the 12-digit HUC in which the project is located.
060101060105
4. Project Description and History
State / Province / Region
North Carolina
Country
United States
2f. Fax Number:
2b. Property size:
State / Province / Region
Country
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:
Existing conditions is Haywood County Bridges No. 248 and 249 on 1-40 over
SR1613 (Beaverdam Road). Bridge No. 248 is 174 feet long and Bridge No. 249 is 164 feet
long. Property along Interstate 40 at the bridge site is agriculture fields, agriculture center and residential housing with narrow strips of forested areas.
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:
1.20
4g. List the total estimated linear feet of all existing streams on the property:
2168
4h. Explain the purpose of the proposed project:*
The purpose of project is to construct replacement structure and will be a culvert/tunnel approximately 200 feet long on SR 1613(Beaverdam Road). The precast arch culvert/tunnel will
include two 11-foot lanes with a 6-foot offset on the right and 8-foot offset on the left along SR 1613 (Beaverdam Road). The precast culvert/tunnel length is based on design information.
The minimum vertical clearance for the
precast arch culvert/tunnel will be 16-foot. The typical section along 1-40 will provide two 12-
foot lanes in each direction along with 14-foot outside paved shoulders (17-foot total) and 6-foot
inside paved shoulder (9-foot total). The approach roadway along 1-40 will extend approximately
1,300 feet from the west end of the new tunnel and 1,500 feet from the east end of the new
tunnel. SR 1613 (Beaverdam Road) will be closed during construction of the tunnel while traffic
is detoured using SR 1631 (Freedom Drive) and SR 1004 (Newfound Road). At least two lanes
of traffic in each direction will be maintained on 1-40 during construction utilizing temporary
onsite detours. The roadway will be designed as an Interstate Route with a 70 mile per hour
design speed.
41. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:
NCDOT contractor will install erosion and sediment control measures. NCDOT contractor will install diversion. Contractor will remove the existing bridge unit and construct half of the
concrete arch tunnel culvert. Traffic will be placed on the newly constructed arch tunnel culvert structure and the remainder of the arch tunnel culvert will be constructed. Riprap bank
stabilization materials will be permanently installed once final grading allows. Diversion device will be removed. The proposed arch culvert will be constructed utilizing the following
equipment: crane, excavator, dump trucks, pumps, paving equipment and various hand tools.
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?
Yes No O 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):
Agency/Consultant Company:
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
1a. Where are the impacts associated with your project? (check all that apply):
Wetlands Streams -tributaries Buffers
Open Waters Pond Construction
2. Wetland Impacts
WJ
2a1 Reason(?)
7�
2b. Impact type*(?)
2c. Type of W.*
2d. W. name
2e. Forested*
f. Type of Jurisdicition
t?)
2g. Impact area
Site #4
Pad Boring Landing
T
Bottomland Hardwood Forest
and E
Yes
]
Both
]
0.010
)
2g. Total Temporary Wetland Impact
0.010
2g. Total Wetland Impact
0.010
2i. Comments:
2g. Total Permanent Wetland Impact
0.000
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
Culvert Extension (Site #1)
Permanent
Culvert
Stream A
Perennial
Both
97
Averege (feet)
(linear feet)
S2
Rip -Rap (Site #1A)
Permanent
Bank Stabilization J
Stream A
Perennial
Both
33
Averege (feet)
(linear feet)
S3
Dewatering (Site #1 B)
Temporary
Dewatering
Stream A
Perennial
Both
10
Average (feet)
(linear feet)
S4
Culvert Extension (Site #2)
Permanent
Culvert
Stream A
Perennial
Both
17
Averege (feet)
(linear feet)
S5
Culvert Relocation (Site #2A)
Permanent
Culvert
Stream A
Perennial
Both
70
Average (feet)
(linear feet)
S6
Rip -Rap (Site #26)
Permanent
Bank Stabilization J
Stream A
Perennial
Both
35
Average (feet)
(linear feet)
S7
Dewatering (Site #2C)
Temporary
Dewatering
Stream A
Perennial
Both
10
Averege (feet)
(linear feet)
gg
Rip -Rap (Site #2D)
Permanent
Bank Stabilization J
Beaverdam Creek
Perennial
Both
11
17
Average (feet)
(linear feet)
gg
Rip -Rap (Site #3)
Permanent
Bank Stabilization
Beaverdam Creek
Perennial
Both
11
19
Averege (feet)
(linear feet)
S10
Dewatering (Site #3A)
Temporary
Dewatering
Beaverdam Creek
Perennial
Both
11
51
Averege (feet)
(linear feet)
S11
Rip -Rap (Site #3B)
Permanent
Bank Stabilization
Beaverdam Creek
Perennial
Both
11
44
Average (feet)
(linear feet)
S12
Pipe Boring Landing Pad
Temporary
Workpad/Causeway
Beaverdam Creek
Perennial
Both
11
83
(Site #4)
Averege (feet)
(linear feet)
�3�Temporary
Culvert (Site #5)
Temporary
Culvert
Stream B
Perennial
Both
65
Average (feet)
(linear feet)
S14
Dewatering (Site #5A)
Temporary
Dewatering
Stream B
Perennial
Both
3
20
Averege (feet)
(linear feet)
31. Total jurisdictional ditch impact in square feet:
0
3i. Total permanent stream impacts:
332
31. Total stream and ditch impacts:
571
3j. Comments:
E. Impact Justification and Mitigation
1. Avoidance and Minimization
31. Total temporary stream impacts:
239
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
The existing bridge is being replaced with a pre -cast tunnel arch structure that is adequate for the traffic needs in the same disturbed location. The
extension of the existing culverts, temporary culvert installation and culvert location change were designed for the minimum length necessary to address
fill slopes needed for new approaches to pre -cast tunnel arch structure and temporary traffic needs.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
The on -site stream (Beaverdam Creek) and UT's to Beaverdam Creek, will be diverted/dewatered while the existing culverts are extended, installed and
location changed, and the riprap bank stabilization is installed. Erosion and sediment control measures will be installed prior to ground disturbance. Both
of these measures will aid in the prevention of sediment into downstream habitats.
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
O
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)
114
4d. Buffer mitigation requested (DWR only):
(square feet)
4f. Non -riparian wetland mitigation requested
(acres)
4h. Comments
4c. If using stream mitigation, what is the stream temperature:
cold
4e. Riparian wetland mitigation requested:
(acres)
4g. Coastal (tidal) wetland mitigation requested:
(acres)
6. Buffer mitigation (State Regulated Riparian Buffer Rules) - required by DWR
6a. Will the project result in an impact within a protected riparian buffer that requires buffer mitigation? If yes, you must fill out this entire form - please contact DWR for more information.
Yes No
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:
Project is not located within a N.C. Riparian Buffer Protection 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
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
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)?*
Yes No
1c. If you answered "yes" to the above, has the document review been finalized by the State Clearing House?
Yes No
Comments: *
FHWA Type 1A CE Completed.
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.
The project only involves the replacement of the existing bridge unit due to deterioration and does not increase the capacity of roads in the area. Project
is not a road widening or improvement project.
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
What Federal Agency is involved?
FHWA
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
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?
USFWS 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 - Essential Fish Habitat.
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 Culture Resource Specialist.
8. Flood Zone Designation (Corps Requirement)
Be. Will this project occur in a FEMA-designated 100-year floodplain?"
Yes No
8b. If yes, explain how project meets FEMA requirements:
FEMA - NCDOT MCA
8c. What source(s) did you use to make the floodplain determination?"
N.C. Flood Maps - Flood Risk information System.
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
HB-0002 - Haywood
County - NWP 14 Permit Cover Letter.pdf
53.73KB
HB-0002 - Haywood
County - GIS Map (WOTUS).pdf
1.71 MB
HB-0002 - Haywood
County - GIS Map.pdf
1.01 MB
HB-0002 - Haywood
County - USGS Topo Map.pdf
2.38MB
HB-0002 - Haywood
County - Vicinity Map.pdf
533.24KB
HB-0002 - Haywood
County - Mitigation Service Approval.pdf
230.36KB
HB-0002 - Haywood
County - INC Hertiage Program (2023).pdf
3.94MB
HB-0002 - Haywood
County - Bat Survey (2022).pdf
42.12KB
HB-0002 - Haywood
County - Botanical Survey (2022).pdf
100.86KB
HB-0002 - Haywood
County - Archaeology Survey Required (2021).pdf
6.59MB
HB-0002 - Haywood
County - Archaeology Effects Required (2022).pdf
63.9MB
HB-0002 - Haywood
County - Archaeology No Adverse Effect Determination (2022).pdf
283.67KB
HB-0002 - Haywood
County - Historic Architecture No Survey Required (2021).pdf
326.07KB
HB-0002 - Haywood
County - PJD Packet.pdf
5.48MB
HB-0002 - Haywood
County - Permit Drawings FINAL (8.30.2023).pdf
4.97MB
HB-0002 - Haywood
County - NRCS Soil Survey.pdf
476.19KB
HB-0002 - Haywood
County - NRCS Farmland Classification.pdf
492.95KB
HB-0002 - Haywood
County - NCWRC Scoping Comments.pdf
386.11KB
HB-0002 - Haywood
County - NCDWR Scoping Comments.pdf
551.85KB
HB-0002 - Haywood
County - CE Final (3.27.2023).pdf
4.15MB
HB-0002 - Haywood County - Tribal Response (CIN) 9.8.2022.pdf
File must be PDF or KMZ
150.89KB
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 INC 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:
Patrick Jeremy Breedlove
Signature
Date
11/8/2023
0