20151071 Ver 1_Application_20151014

Coi•ps Si�bmittal Cover Sheet
Please provide the follo�ving info:
1. Project Name Replace Bridge No. 135 on SR 1740 (�loses Creek Road)
2. Name of Property Owner/Applicant: NC Department of Transportation
3. N�me of Constiltaut/Agent: N/A
�Agent authorization needs to be nttnched.
4. Related/Previous Action ID number(s): N/A
5. Site Address: N/A
6. SuUdivision Name: N/A
7. City: Cullowhee
8. County: Jackson
9. Lat: 35.325222° N Long: -83.107152 ° W (Appros. Project Center)
10. Quadrangle Name: Tuckase�ee (35083-C1-TF-024)
11. Water�vay: Moses Creek (WS-III Tr)
12. R�atershed: Little Temiessee River (06010203)
13. Requested Action:
X Natiomvide Permit # 3
Geueral Permit #
_ Jurisdictional Deterniination Request
Pre-Application Request
The following infonnation will be coinpleted by Corps office:
AID:
Prepare File Folder Assign number in ORM Begin Date
Authorizltion: Section 10 Section 404
Project Descriptioi�/ Nature of Activity/ Project Purpose:
Site/Waters Name:
Keywords:

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STATE OP NORTH CAROLINA
DEPARTN�NT OF TRANSPORTAT'ION
October 14, 2015
Ms. Lori Beck�vith, NCDOT Regulatory Project Manager
U. S. Army Coips of Engineers
151 P�tton Avem�e, Room 208
Asheville, NC 28801-2714
NICHOI,AS J. TBNNYSON
SECRETARI'
Subject: Nationwide 3 Permit Application
Replace Bridge No. 135 on SR 1740 (Moses Creek Road) over Moses Creek
Jackson Count��
State Project No. 17BP14.R.62
Dear Ms. Beckwitli:
Tlie North Carolina Department of Transportation (NCDOT) is proposing to replace tlie subject
bridge. Tlie existing 20.5' L x 18' W timber bridge needs to be replaced due to deterioration and
insufficient width. Tlie proposed replacement stil�cture will be a 40' L s 24' W x 21" D cored
slab bridge ou esisting location. Two 36" x 35' CMPs will be placed in Moses Creek
downstream of the existing bridge to provide a temporary detour in order to inaiutain h�aftic on
this dead-end road during construction.
Enclosed are a PCN application, preliminairy jurisdictional form, SHPO forms, plau sheets
showing the proposed �vork, a USGS quad map, photograpl�s, and odier supporting project
inform�tion.
Threatened s�nd Endangered Species
The North Carolina Natural Heritage Program database was checked for records oY ttu�eatened
and endangered species. There are 63 species with federal status that are known in Jackson
County fi•om cun�ent or historical records. Of these, eiglit species, Carolina northern flying
squin�el (Glaacomys snbrnras colorrrtiis), Indiana bat (Myo(is sodnlis), Appalachian elktoe
(A(nsnridonla r�rvenelrrmn), spil�ce-fir moss spider (i�ficrol�extu•n �nontirngn), small whorled
pogonia (Isofrin nre�leoloides), swamp pink (Helonrns badlnia), rock gnome lichen (Gynmo�fe�•r�ia
linem•e), and nortliern long-eared bat (Myotis septe»Iriona(is, NLEB), are listed as eitlier
threatened oi endangered. Jackson Couuty is uocv considered occupied suuuuer �nd �vinter
l�abitat for NLEB and Indiana bats.
Appaladiia�� elktoe are fowid in some well-osygenated streams with moderate to fast flowiug
�vater and stable, mixed substrates of silt, sand, gravel, and/or cobble. Streams that support this
founccnth Division ORice
'felephone: (828) 53G-2141 253 R'ebsier Road. Sylva, nbrth C'arolina 2877) Pae: (82R) SR6-40d3

Bridge No. 135 — Jackson County Page 2 October 14, 2015
mussel are typically mucl� larger and warmer than Moses Creek. The only records in Jackson
County 1re fi•om the Tuckasegee River. Tl�e bridge is over 10 miles upstream of the design�ted
critical habitat for Appalacliian elktoe mussels in the river.
NLEBs and Indiana bats winter in caves or mines witli staUle, but not freezing cold,
temperatures. This project only involves a small bridge replaceuient, so construction work will
not extend far fiom tl�e existing roadway into areas where caves could occur. There are no caves
or mines visible in tlie forest that surrounds dle bridge; however, accordiug to USGS data, there
is or was an underground cave about 0.1 mile fi•om the bridge. Despite this prosimit��, the
construction work should not disturb the present or hisroric mine location because there will be
no blastiug ui�dertaken.
In sununer, NLEBs and Iudiana bats may roost iu structures, but they generally prefer to roost
under the loose bark of trees, either dead with peeling bark or cavities, or live trees with shaggy
bark sucli as white oak, maples, sycamore and hickories. There are several large yellow poplar
and other trees near tlie bridge tliat must be cleared for the temporaiy detour and the new bridge.
Any tree removal will be completed fiom OctoUer 15 to April I S(winter clearing) to avoid tlie
seasons �vlien either species of bat may be roosting in hees. Also, we conducted a survey of tlie
bridge on September 18, 2015 and did not observe roosting bats or any evidence of bat usage (i.e.
staining or guano). Tl�is bridge is only a 3-4 feet above the water surface and veiy cool
underneath. Witli winter tree clearing, ��ve reconunend a"may affect, not likely to advei•sel,y
affecP' detennination for NLEB and Indiana bat.
Small whorled pagonia generally occurs in open, diy, deciduous woods �vith acid soil, thougl�
habitats can include slopes along streams and mesic forest with white pine and rhododendron.
Habitat near the bridge is likely too shaded by trees and rhododendron cover to support small
whorled pagoni�.
The Carolina northern flying squirrel, rock gnome lichen, and spruce-fir moss spider are found in
spruce-Yir forests and other isolated higli elevation loc�tions in western North Carolina.
I-Iowever, rock gnome lichen is an occasional exception because it cau be found at lo�ver
elevations in deep river gorges witli liigh humidity or on some vertical rock faces tliat are
periodically wet. The bridge site has au elevation of only 2,600 feet and lacks rock faces and
other liabitat couditions required by these species.
Wedattd habitat for swamp pink is lacking at the site.
The project is liinited in scope to a bridge replacement on the esistiug road�vay aligiunent.
Erosion and sedimentation control rneasures will be implemented to minimize adverse effects of
the work on aquatic liabitats. Habitats for listed species appear lackiug at the project site and
none of tfiese species were observed during field visits. For these reasous and those discussed
above, �ve reco�mnend that a detemiination of "no effect" on listed species apply to tliis project,
escept for NLEB and Indiana bat.
This project was reviewed by NCDOT's Hum�n Enviromnent Unit in 2012 for potential effects
on historic architecture and archeology. Suiveys were not required and it �vas determiued tliat
tliere would be "no effect" on historic structures and archeological resources (see attached
forins).

Bridge No. 135 — Jlckson County Page 3 October 14, 2015
NCDOT best management practices will be used to minimize and control sedimentation aud
erosion on this project. The consttliction foreman will review all erosion control measures daily
to eusure sedimentation and erosion controls are being effectively controlled. Ifthe devices are
not fimctioning as intended, they will be replaced immediately with better devices.
Impacts to Waters of the United States
Moses Creek (DWQ Class: WS-III Tr) is sl�own on the USGS topographic map as a perennial
streaui. Tlie chamiel is approximately 15 feet in width and well defined with a substrate of
boulders, cobble, gravel, and sand/silt. Tlie stream has sufficient flow to support fisli, iucludiug
trout, and other aquatic life. Moses Creek flows to Caney Fork Creek, �vhich tl�eu flows to the
Tuckasegee River. The Tuckasegee River meets tl�e definitiou of a Traditional Navigable Water
(T`NW). For these reasais, we believe Moses Creek is a Relatively Permanent Water (RPW) and
is uiider tlte jurisdiction of the U.S. Army Corps of Engineers. In order to construct the project, it
will be necessa�y to impact �vaters of tlie Uuited States in tite Little Temiessee Rivei• B�sin (CU
06010203). Specitically, NCDOT is requesting to replace Bridge No. 135 with a cored slab
bridge on esisting locatio��. Listed Uelo��� is a suuuuary of the proposed impacts.
Net
Site No. ��isting Coudition Proposed Condition Lupacts
(feet)
1 2O.S' L x l8' W 4O'L s ZS'W s ZP'D �
Timber Bridge Cored Slab Bridge
Impervious Dike and Flow
lA Free Flowing Stream 50
Diversion
� B Old Bridge Abutmeuts and Rip Rap Bank Stabilization 35
Road Fill
2 Free Flo�ving Stream Z� 36" x 35' CMP's 35
Temporary Detour Culverts
2A Free Flowiug Stream Impervious Dike and Flow 60
Diversion
Total Perinanent Stre�m and Tributaiy Impacts for Bi•idge 0'
Total Peruianent Stream Impact for Bank Stabilization 35'
Total Temporaiy Stream Impacts fm• Ousite Detow• — Culverts 35'
Total Tempora�y Sh�e�m Impacts for Impeivious Dikes and Flow Diversim�s 110'
Permits Requested
NCDOT is hereby requesting authorization under Section 404 of the Clean W�ter Act to proceed
with tlie construction project outliued above. By copy of this letter, I am asking Ms. Marl�
ChamUers, Western NCDOT Revie�a� Coordi��ator, of tlie North Carolina Wildlife Resources
Conmiission (NCWRC) to comment directly to you concerning the 404 Nationwide Permit
request.

Bridge No. 135 — Jackson County Page 4 October 14, 2015
A courtesy copy of this application is provided to North Caroliva Deparhnent of Enviromnental
Quality (NCDEQ), Division of Water Resources (DWR). In addition, I am asking Ms.
Chauibers and Mr. Ben DeWit, EI, Roadside Environmental Field Operations Engineer
(NCDOT), to conunent directly to me conceruing this permit request.
If you have any questions or need additional infonnation, please contact Mr. Josh Deyton at
[phone] or me at [phone]. Yotu� e�rly review and consideratio�� will be gready
appreciated.
Sincerely,
'�j��� �'�n�./
Mark S. Davis
Division 14 Enviromnental Supeivisor
Endosures
cc: Ms. Amy Chapuian, Division of Water Resources —NCDEQ, Raleiglt
Ms. Kristi Catpenter, Division of Water Resources —NCDEQ, Raleigl�
Mr. Kevin Barnett, Division of Water Resources —NCDEQ, Asheville
Mr. Jason Mays, Biologist, US Fisl� &Wildlife Seivice, Asl�eville
Ms. Marla Chambers, Western NCDOT Review Coordinator, NCWRC, Albemarle
Mr. Josh Deyton, PE, Division 14 Bridge Program Manager, NCDOT, Bryson City
Mr. Ben DeWit, EI, Roadside Environmental Field Operations Engineer, NCDOT

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Offce Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.3 Dec 10 2008
Pre-Construction Notification (PCN) Form
A. Applicant Information
1. Processing
1 a. Type(s) of approval sought from lhe
Corps: � Section 404 Permit ❑ Section 10 Permit
1 b. Specify Nationwide Permit (NWP) number: 3 or General Permit (GP) number:
1c. Has lhe NWP or GP number been verifed by lhe Corps? � Yes ❑No
1 d. Type(s) of approval sought from the DWQ (check all that apply):
� 401 Water Quality Certification — Regular ❑ Non-404 Jurisdictional General Permil
❑ 401 Water Qualily Certificalion — Express ❑ Riparian Buffer Authorization
1 e. Is lhis notification solely for the record For lhe record only for DWQ 401 For the record only for Corps Permit:
because written approval is not required? Certificalion:
� Yes ❑ No ❑ Yes � No
1f. Is payment into a miligation bank or in-lieu fee program proposed for mitigalion � Yes � No
of impacts? If so, attach the accep�ance letter from mitigation bank or in-lieu
fee program. (NC Division of Mitiyation Services)
1g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1h ❑ Yes � No
below.
1 h. Is the project located within a NC DCM Area of Environmental Concem (AEC)? ❑ Yes � No
2. Project Information
2a. Name of project: Replace Bridge No. 135 on SR 1740 (Moses Creek Road) over Moses Creek
2b. County: Jackson
2c. Nearest municipality / town: Cullowhee
2d. Subdivision name: N/A
2e. NCDOT only, T.I.P. or State 17BP.14.R.62
Project No:
3. Owner Information
3a. Name(s) on Recorded Deed: North Carolina Department of Transportation
3b. Deed Book and Page No. N/A
3c. Responsible Party (for LLC if Mark S. Davis, Division 14 Environmental Supervisor
applicable):
3d. Slreet address: 253 Webster Rd.
3e. City, state, zip: Sylva, NC 28779
3f. Telephone no.: 828-586-2141
3g. Fax no.: 828-586-4043
3h. Email address: markdavis(a�ncdot.qov
Page 1 of 10
PCN Form — Version 1.3 December 10, 2008 Version

4. Applicant Information (if different from owner)
4a. Applicant is: ❑ Agent ❑ Other, specify:
4b. Name: N/A
4c. Business name N/A
4d. Street address: N/A
4e. Cily, state, zip: N!A
4f. Telephone no.: N/A
4g. Fax no.: N/A
4h. Email address: N/A
5. Agent/Consultant Information (if applicable)
5a. Name: N/A
5b. Business name N/A
,:� ___�.__��_..
5a Street address: N/A
5d. City, state, zip: N/A
5e. Telephone no.: N/A
5f. Fax no.: N/A
5g. Email address: N/A
Page 2 of 10

B. Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID): N/A
1b. Site coordinales (in decimal degrees): Latitude: 35.325222 Longitude: -53.107152
1 c. Property size: N/A acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to Moses Creek
proposed project:
2b. Water Qualily Classificalion of nearest receiving water: WS-III Tr
2c. River basin� Little Tennessee River Basin (HUC 06010203)
3. Project Description
3a. Describe ihe existing conditions on the site and the general land use in lhe vicinity of the project at the time of this
applicalion:
The site includes a timber bridge on a gravel forest road. Landscape is entirely US Forest Service managed forests.
3b. List lhe total estimaled acreage of all existing wetlands on the property:
N/A
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
200
3d. Explain lhe purpose of the proposed project:
To replace the exisling substandard limber bridge with a 40' L x 24' W x 21" D cored slab bridge on existing location.
3e. Describe the overall project in detail, including the type of equipment to be used:
Erosion and sedimentalion measures will be installed. Temporary flow diversions will be placed to isolate excavation and
other disturbance from the stream. A temporary detour will be constructed downslream of the existing bridge using 2@
36" x 35' CMP's in Moses Creek in order to mainlain traffc on lhis dead-end road during conslruclion. Once the old
bridge is removed and the new bridge completed, the detour will be removed and stream banks restored and stabilized.
Track hoes, dump tnicks, bulldozers, cranes, paving equipment, water pumps, sandbags, diversion pipe and various
hand tools will be used to accomplish lhe work.
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or slream determinations by the
Corps or State been requested or obtained for this property /
project (including all prior phases) in the past? ❑ Yes � No ❑ Unknown
Comments: N/A
4b. If the Corps made the jurisdictional delermination, what type
of determination was made? ❑ Preliminary ❑ Final
4c. If yes, who delineated the jurisdictional areas? Agency/Consultant Company: N/A
Name (if known): N/A Other: N/A
4d. If yes, list the dates of the Corps jurisdiclional determinations or State determinations and altach documentation.
N/A
5. Project History
Sa. Have permits or cerlifications been requested or obtained for � Yes � No ❑ Unknown
this project (including all prior phases) in the past?
5b. If yes, explain in detail according to "help fle" instnictions.
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
1 a. Which sections were completed below for your project (check all that apply):
❑ Wetlands � S�reams - tributaries ❑ Buffers
❑ Open Waters ❑ Pond Construclion
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete lhis question for each wetland area impacled.
2a. 2b. 2c. 2d. 2e. 2f.
Wetland impact Type of jurisdiction
number — Type of impact Type of welland Forested (Corps - 404, 10 Area of impact
Permanent (P) or (if known) DWQ — non-404, other) (acres)
Tem ora T
W1 ❑ P❑ T N/A N!A ❑ Yes ❑ Corps N/A
❑ No ❑ DWQ
WZ � P� T ❑ Yes ❑ Corps
❑ No ❑ DWQ
W3 ❑ P❑ T ❑ Yes ❑ Corps
❑ No ❑ DWQ
W4 ❑ P❑ T ❑ Yes ❑ Corps
❑ No ❑ DWQ
W5 ❑ P❑ T ❑ Yes ❑ Corps
❑ No ❑ DWQ
W6 ❑ P❑ T ❑ Yes ❑ Corps
❑ No ❑ DWQ
2g. Total wetland impacts N/A
2h. Comments: N/A
3. Stream Impacts
If there are perennial or intermittent slream impacts (including temporary impacts) proposed on the site, then complete lhis
question for all stream sites impacted.
3a. 3b. 3c. 3d. 3e. 3f. 3g.
Stream impact Type of impact Stream name Perennial Type of jurisdiction Average Impact
number - (PER) or (Corps - 404, 10 siream length
Permanent (P) or intermittent DWQ — non-404, width (linear
Temporary (T) (INT)? olher) (feet) feet)
S1 � p� T 40' L x 24' W x 21 "D Moses Creek � PER � Corps � 5 0
Cored Slab Bridge ❑ INT � DWQ
S1A ❑ P� T Impervious Dike and Moses Creek � PER � Corps 15 50
Flow Diversion ❑ INT � DWQ
S1 B� P❑ T Bank Stabilization Moses Creek � PER � Corps 15 35
❑ INT � DWQ
S2 ❑ P� T 2@ 36" x 35' CMP's Moses Creek � PER � Corps 15 35
Temporary Detour ❑ INT � DWQ
S2A ❑ P� T Impervious Dike and Moses Creek � PER � Corps 15 60
Flow Diversion ❑ INT � DWQ
3h. Total Permanent Stream and Tributnry Imp;icis fm• Bridge 0'
Total Permanent Strenm Impact for Bnnlc Stnbilizfltion 35'
Tofnl Tempm�nry Strenm Impac[s for Onsite Detow� — Culverts 35'
Totnl Tempornr,y Sh�enm Imp�cts for Impervious Dikes and Flo�v Diversions I10'
3i. Comments:
Page 4 of 10

4. Open Water Impacts
If lhere are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Allantic Ocean, or any other open water of
the U.S. then individuall list all o en water im acts 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
Tem ora T
01 ❑ P❑ T N/A N/A N/A N/A
02 ❑P❑T
03 ❑P❑T
04 ❑P❑T
4f. Total open water impacts N/A
4g. Comments: N/A
5. Pond or Lake Construction
If ond or lake construction ro osed, then com lete the chart below.
5a. 5b. 5c. 5d. 5e.
Wetland Impacts (acres) Sfream Impacts (feet) Upland
Pond ID Proposed use or purpose of (acres)
number pond Floode
d Filled Excavated Flooded Filled Excavated Flooded
P1 N/A N/A N/A N/A N/A N/A N/A N/A
P2
Sf. Total N/A N/A N/A N/A N/A N/A N/A
5g. Comments: N/A
5h. Is a dam high hazard permit required?
❑ Yes � No If yes, permit ID no: N/A
Si. Expected pond surface area (acres): N/A
5j. Size of pond watershed (acres): N/A
5k. Method of construclion: N/A
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 an im acts re uire miligation, then ou MUST fill out Section D of this form.
6a.
❑ Neuse ❑ Tar-Pamlico ❑ Other:
Project is in which protected basin? N/A ❑ Calawba ❑ Randleman
6b. 6c. 6d. 6e. 6f. 6g.
Bufferimpact
number — Reason Buffer Zone 1 impact Zone 2 impact
Permanent (P) or for Stream name mitigation (square feet) (square feet)
Tem orar T im act re uired?
B1 ❑ P❑ T N/A N/A ❑ Nos N/A N/A
62 ❑P❑T ❑Yes
❑ No
63 ❑P❑T ❑Yes
❑ No
6h. Total buffer impacts N/A N/A
6i. Comments: N/A
Page 5 of 10

D. Impact Justification and Mitigation
1. Avoidance and Minimization
1 a. Specifically describe measures laken to avoid or minimize the proposed impacts in designing project.
Moses Creek is a fairly steep gradient, high qualiry lrout stream, so a bridge is the preferable structure for this stream
crossing. The bridge is designed to meet lhe hydraulic needs and roadway constraints of lhe site. The bridge will not
impair aquatic life passage.
1 b. Specifically describe measures taken to avoid or minimize lhe proposed impacts through construction techniques.
All instream work will be performed in a dry work area using an impervious dike and Flow diversion lo divert the water
around the project site. Appropriate BMPs according to lhe approved erosion and sedimentation control plan will be
installed on lhe project prior to culvert installation and bridge work.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mifigation for ❑Yes � No
impacts to Waters of the U.S. or Waters of the State?
2b. If yes, mitigation is required by (check all thal apply): ❑ DWQ ❑Corps
❑ Mitigalion bank
2c. If yes, which mitigalion option will be used for lhis
project? ❑ Payment to in-lieu fee program (NCDMS)
❑ Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank: N/A
3b. Credits Purchased (attach receipt and letter) Type N/A Quantity N/A
3a Comments:
4. Complete if Making a Payment to In-lieu Fee Program
4a. Approval letter from in-lieu fee program is atlached. ❑ Yes
4b. Slream mitigation requested: N/A linear feet
4c. If using stream mitigalion, stream temperature: ❑ warm ❑ cool ❑ cold
4d. Buffer mitigation requested (DWQ only): N/A square feet
4e. Riparian welland mitigation requested: N/A acres
4f. Non-riparian wetland mitigation requested: N/A acres
4g. Coaslal (lidal) wetland mitigation requested: N/A acres
4h. Comments: N/A
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.
N/A
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 lhe project result in an impact wilhin a protected riparian buffer lhat requires ❑ Yes � No
buffer mitigation?
6b. If yes, then identify the square feet of impact to each zone of the riparian buffer lhat requires mitigation. Calculate lhe
amount of mitigation required.
6c. 6d. 6e.
Zone Reason for impact Total impact Multiplier Required mitigation
(square feet) (square feet)
Zone 1 N/A N/A 3(2 for Catawba) N/A
Zone 2 1.5
6f. Total buffer mitigation required: N/A
6g. If buffer mitigation is required, discuss what lype of mitigation is proposed (e.g., payment lo private mitigation bank,
permittee responsible riparian buffer restoration, payment into an approved in-lieu fee fund).
N/A
6h. Comments: N/A
Page 7 of 10

E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Plan
1 a. Does the projecl include or is it adjacent to protected riparian buffers identified � Yes � No
wilhin one of the NC Riparian Buffer Prolection Rules?
1 b. If yes, then is a diffuse Flow plan included? If no, explain why.
Comments: N/A ❑ Yes ❑ No
2. Stormwater Mana ement Plan
2a. What is the overall percent imperviousness of this project? N/A
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, narralive descriplion of the plan:
Project is covered by NCDOT Individual NPDES Permit No. NCS000250.
❑ Certified Local Government
2e. Who will be responsible for the review of the Stormwater Management Plan? ❑ DWQ Stormwater Program
� DWQ 401 Unit
3. Certified Local Govemment Stormwater Review
3a. In which local government's jurisdiclion is lhis project? N/A
❑ Phase II
3b. Which of the following locally-implemented stormwater management programs ❑ NSW
apply (check all that apply): ❑ USMP
❑ Water Supply Watershed
❑ Other:
3c. Has the approved Stormwater Management Plan with proof of approval been ❑ Yes ❑ No
attached?
4. DWQ Stormwater Pro ram Review
❑ Coastal counties
❑ HQW
4a. Which of the following state-implemented stormwater management programs apply � ORW
(check all that apply): ❑ Session Law 2006-246
❑ Other:
4b. Has the approved Stormwater Management Plan with proof of approval been
attached? ❑ Yes ❑ No
5. DWQ 401 Unit Stormwater Review
5a. Does the Stormwater Management Plan meet the appropriate requirements? � Yes ❑ No
5b. Have all of lhe 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 lhe 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)?
1 c. If you answered "yes" to lhe above, has the document review been finalized by the
State Clearing House? (If so, aitach a copy of the NEPA or SEPA final approval
leiter.) ❑ Yes ❑ No
Comments:
2. Violations (DWQ 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 WeUand Standards, ❑ Yes � No
or Riparian Buffer Rules (15A NCAC 2B .0200)?
2b. Is lhis an after-ihe-fact permit application? ❑ Yes � No
2c. If you answered "yes" to one or both of the above quesiions, provide an explanation of the violation(s): N/A
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.
This is a rural secondary road that accesses US Forest Service lands. The bridge is being upgraded to standard load
limits and width to improve safety for the traveling public. The bridge upgrade is not anlicipated to have any significant
impact on future development.
4. Sewage Disposal (DWQ Requirement)
4a. Clearly detail the ultimate lreatment methods and disposition (non-discharge or discharge) of wastewater generated from
lhe proposed project, or available capacity of the subject facility.
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 � Yes ❑ No
habitat?
5b. Have you checked wilh lhe 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 lo determine whether your site would impact Endangered Species or Designated Critical
Habitat?
North Carolina Natural Heritage Database and site specific surveys conducted during lhe bridge scoping process.
Page 9 of 10

6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habital? ❑ Yes � No
6b. What data sources did you use lo determine whelher your site would impact Essential Fish Habitat?
N/A—There are no marine or estuarine communities within the Blue Ridge Physiographic Province.
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
7a. Will lhis project occur in or near an area ihat the state, federal or tribal
governmenls have designated as having historic or cultural preservation � Yes � No
status (e.g., National Historic Trust designation or properties signi(icant in
North Carolina hislory and archaeology)?
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?
The bridge project was reviewed by NCDOT's Human Environment Unit in 2012 and lhere will be "no effecP' on historic
architecture or archaeological resources. These findings have been approved by ihe State Historical Preservation Office
(SHPO) through MOA with NCDOT (see attached forms).
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: FEMA requiremenls were taken into consideration by the NCDOT
Hydraulics Unit during the design of lhe bridge (see attached Hydraulic Report in lhe plan sheets).
8c. What source(s) did you use to make lhe floodplain determinalion? NC Floodplain Mapping Program
Mark S. Davis
Division 14 Environinental Supervisor � �� �� j/%-/�i"/S
ApplicanUAgenPs Signature Date
AppllCanUAgent�s Pfinted Name (AgenPs signature is valid only if an authorization lelter from the
applicant is provided.)
Page 10 of 10

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Name: TUCKASEGEE Location: 035.3255765° N 083.1087406° W NAD 27
Date: 10/14/2015 Caption: Bridge No. 135 on SR 1740 over Moses Creek
Scale: 1 inch equals 1000 feet Jackson Counly
� 35083-C1-TF-024
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ATTACHMENTA
PRELIMINARY JURISDICTIONAL DETERMINATION FORM
BACKGROUNDINFORMATION
A. REPORT COMPLETION DATE FOR PRELIMINARY JURISDICTIONAL
DETERMINATION (JD):9-�8-ZO�S
B. NAME AND ADDRESS OF PERSON REQUESTING PRELIMINARY JD:
NC Department of Transportation, Mark S.Davis, Division 14 Environmenlal O�cer
253 Webster Road, Sylva, NC 28779
C. DISTRICT OFFICE, FILE NAME, AND NUMBER:
D. PROJECT LOCATION(S) AND BACKGROUND INFORMATION:
Replace Bridge No. 135 on SR 1740 (Moses Creek Road) in Jackson County
(USE THE ATTACHED TABLE TO DOCUMENT MULTIPLE WATERBODIES AT DIFFERENT
SITES)
State: NC County/parish/borough: �a�kso� City: syi�a
Center coordinates of site (IaUiong in degree decimal format):
La{. 35.325222 °N; Long. -es.�o�isz °�/�/.
Universal Transverse Mercator: ssssss.a,asoss�z.i zo�e n
Name of nearest waterbody: Moses c�eek
Identify (estimate) amount of waters in the review area:
Non-wetland waters:
zoo linear feet: 75 width (ft) and/or acres.
Cowardin Class: R3u6�
Stream Flow:
Wetlands: Na acres.
Cowardin Class: �ia
Name of any water bodies on the site that have been identified as Section 10
waters:
Tidal: n�a
Norl-Tldal: n�a

E. REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALL THAT
APPLY):
� Office (Desk) Determination. Date: 9-�8-zois
� Field Determination. Date(s):
SUPPORTING DATA. Data reviewed for preliminary JD
(check all that apply - checked items should be included in case file and,
where checked and requested, appropriately reference sources below):
� Maps, plans, plots or plat submitted by or on behalf of the
applicanUconsultant: Ncoor
❑ Data sheets prepared/submitted by or on behalf of the
appl�nUconsultant.
Office concurs with data sheets/delineation report.
� Office does not concur with data sheets/delineation report.
❑ Data sheets prepared by the Corps:
❑ Corps navigable waters' study:_
❑ U.S. Geological Survey Hydrologic
� USGS NHD data
� USGS 8 and 12 digit HUC maps
❑✓ U.S. Geological Survey map(s). Cite scale & quad name: � ZQkT��kasesee
❑ USDA Natural Resources Conservation Service Soil Survey.
Citation:
❑ National wetlands inventory map(s). Cite name:
❑ State/Local wetland inventory map(s):
❑ FEMA/FIRM maps:
� 100-year Floodplain Elevation is:
(National Geodectic Vertical Datum of 1929)
❑ Photographs: ❑ Aerial (Name & Date): or
� Other (Name & Date):
� Previous determination(s). File no. and date of response letter:
� Other information (please specify):
2

1. The Corps of Engineers believes that there may be jurisdictional waters of the
United States on the subject site, and the permit applicant or other affected party
who requested this preliminary JD is hereby advised of his or her option to
request and obtain an approved jurisdictional determination (JD) for that site.
Nevertheless, the permit applicant or other person who requested this
preliminary JD has declined to exercise the option to obtain an approved JD in
this instance and at this time.
2. In any circumstance where a permit applicant obtains an individual permit, or
a Nationwide General Permit (NWP) or other general permit verification requiring
"pre-construction notification" (PCN), or requests verification for a non-reporting
NWP or other general permit, and the permit applicant has not requested an
approved JD for the activity, the permit applicant is hereby made aware of the
following: (1) the permit applicant has elected to seek a permit authorization
based on a preliminary JD, which does not make an official determination of
jurisdictional waters; (2) that the applicant has the option to request an approved
JD before accepting the terms and conditions of the permit authorization, and
that basing a permit authorization on an approved JD could possibly result in less
compensatory mitigation being required or different special conditions; (3) that
the appiicant has the right to request an individual permit rather than accepting
the terms and conditions of the NWP or other general permit authorization; (4)
that the applicant can accept a permit authorization and thereby agree to comply
with all the terms and conditions of that permit, including whatever mitigation
requirements the Corps has determined to be necessary; (5) that undertaking
any activity in reliance upon the subject permit authorization without requesting
an approved JD constitutes the applicanYs acceptance of the use of the
preliminary JD, but that either form of JD will be processed as soon as is
practicable; (6) accepting a permit authorization (e.g., signing a proffered
individual permit) or undertaking any activity in reliance on any form of Corps
permit authorization based on a preliminary JD constitutes agreement that all
wetlands and other water bodies on the site affected in any way by that activity
are jurisdictional waters of the United States, and precludes any challenge to
such jurisdiction in any administrative or judicial compliance or enforcement
action, or in any administrative appeal or in any Federal court; and (7) whether
the applicant elects to use either an approved JD or a preliminary JD, that JD
will be processed as soon as is practicable. Further, an approved JD, a proffered
individual permit (and all terms and conditions contained therein), or individual
permit denial can be administratively appealed pursuant to 33 C.F.R. Part 331,
and that in any administrative appeal, jurisdictional issues can be raised (see 33
C.F.R. 331.5(a)(2)). If, during that administrative appeal, it becomes necessary
to make an official determination whether CWA jurisdiction exists over a site, or
to provide an official delineation ofjurisdictional waters on the site, the Corps will
provide an approved JD to accomplish that result, as soon as is practicable.

This preliminary JD finds that there "may be" waters of the United States on the
subject project site, and identifies all aquatic features on the site that could be
affected by the proposed activity, based on the following information:
IMPORTANT NOTE: The information recorded on this form has not
necessarilv been verified bv the Corps and should not be relied upon for
later iurisdictional determinations.
Signature and date of
Regulatory Project Manager
(REQUIRED)
� i✓ ✓. . � , �'/S'�.S
Signature and date of
person requesting preliminary JD
(REQUIRED, unless obtaining
the signature is impracticable)

Estimated
amount of
aquatic Class of
resource in aquatic
Site Number Latitude Longitude Cowardin Class review area resource
1 35.325222 -83.107152 R3U61 200 linear feet Non Section 10
— non-wetland

NO 5URVEY 12�QUIR�D TORM
PROJF.CT INrORMATION
Project No:
{VBS No.•
P.A. No.•
17BP.14.R.62
N/A
I'edern! (USACG) Peru�it Reqr�oe�!?
Projec! Trncking No. (br(ernn! Use)
._ ._.._.___ . ..
12-08-0076
Co�oity: Jacksou
Doctniient: MCGAttechment G
P�at�ti�ig: � Stnte ❑ Federal
� Yes ❑ No Periur[ Ty�ie: TVA Permit
Projec! Descriptiori • Repince Bridge No. 135 on SR 1740 (Moses Crcek Rd) over Moses Creek with a
concrete corcd slnb structure on existing lacntion.
SUMMARY Or CULTURAL R�SOURC�S R�VILW
Brief�lescr•iptiar ofrerieiv nclivitres, restdts of�r•evie�v, and co�icl��sio�i,s:
Review of HYO quad maps, HPO GIS iuform�tion, historic designations rosta�, and indexes was
undertaken on August I5, 2012. Based on this review, there nre no existing NR, SL, LD, DE, or SS
proper[ies in the Aren of Poteutial Effects, which is 50' from the centerline each tv�y and 200' fi•om eacli
end of the bridge. Tliere nre no structures within the APE based on aerial im�gery �nd no survey is
rcquired. In eddition, Bridge No. 13S is uuder fifty years of nge nnd is not �vithin the NCDOT Historic
Bridge Iuventory. If design plaivs chnnge, additionnl review will be required.
Brief E.��Inn�rlion of 1vlry 1i1e nvnilnGle i� fa�nm[ion provides n relrnble basis for rensonnbly predicling
!{�a! tGere nre no aiiidentrfied hrsta�ic proyerlie,s in (he APE.•
HPO quad maps and G[S inform�tion recarding NR, SL, LD, DL, 1ud SS properties for the Jackson
County survey and Google M�ps �re considered valid for the purposes of determining the likelihood of
historic resources being present. There are no Nationnl Register listed or eligible properties withiu ihe
APE Tnd no sorvey is required.
SUPPORT DOCUM�NTATION
See attnched: M�ps.
rINDING BY NCDOT CULTURAL RRSO�IR6 'Is�S'-1-'R �ESSIONAL NO SURVGY REpUIRED
ARCHAEOLOGY ISTORICARCHITECTURG ) (CIRCLGONE�
�
Resom ces
"No Srin�ay Requirzd"Jorn�/ar M1/lnm'7rmitpoilnliou Pra%eut nt Qunlified iu IGe 7009 /'rogrmuxinlic Agrremer�l.
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NO SURV�Y I2�QUIR�D rORM
PROJ�CT INFORMATION
Projecl No: Structure 490135
D�'BS No.
P'.A. No:
17BP.14.R.62
N/A
!'edernl (USACE) Perntit Reqrrn�ed?
Projecl 7Y'ncking No. (br(zrno! UseJ
12-�8-��%6
Co�rnt��: Jackson
Docimreiit: MCGAttacluneut G
Fmrding: � State ❑ Federal
� Yes ❑ No Permit Tj�l�e: TVA, NWP 14, 401 WQC
Projec! Descriplior�: Replace Bridge No. 135 on SR 1740 (Moses Creek Road) over Moses Creek with a
concrete cored slab structure on esisting location. The existiug bridge �vas built in 1963 and is considered
to be structurally deficient and functionally obsolete. The Area of Potential Elfects (APE) measures
appro�imately 200 feet fiom either end of the bridge and SO feet to either side of tl�e road's ceuterline.
SUMMARY OP' CULTURAL R�SOURCES REVI�W
BrieJ descrrptroir ofrevre�v nctiritres, restJts ofr•evietiv, nild co�rcla�sio�rs:
A map review and site file search was conducted at the Office of State Archaeology (OSA) on Monday,
August 20, 2012. A comprehensive archaeological suivey at this particular brictge location has never
been conducted; l�owever, one (1) archaeological site has been recorded within one-half (1/2) mile of the
proposed project. Digit�l copies of IIPO's maps (Tuckasegee Quadrangle) as well as the HPOWEB GiS
Service (http://gis.ncdcr.gov/hpoweb� were last reviewed on Friday, August 31, 2012. There are no
known historic architectural resources located �vithin the project arca that may have int�ct
archaeological deposits witt�in the footprint of the proposed project. In addition, topographic maps,
l�istoric maps (NCMaps website), USDA soil swvey maps, and aerial phorographs �vere utilized and
inspected lo gauge environmental factois that may have contributed to liistoric or prehistoric settlement
within the project liuilts, nnd to assess the level of modern, slope, agriculhnal, hydrological, and other
erosive-type disturUances witliin and surrounding tl�e archaeological APE.
BriefL.�pl�uinlion ofirhy Ihe nvailable ii fornrntio�t proi�ides a relrnble basis fa• r•ensonnbl�� pre�(rcliilg
1/r�! lhere nre iro ru�ide�7lrJied hisloric properties i�r Ihe APL:
This is a State-funded projech, however, various Federal permits �vill be requirecl, and additional ROW
may be required. In addition, both sides of SR 1740 (Moses Creek Road) covsists of US Porest Service
Property, being a part of the Nantahala National Forest. The entire APE coiisists of Cullasaja-
Tuckasegee comples soils, I 5-30% slopes, stony (CuD), which �re typically %und on fans,
drainageways, and mountain coves. This particular soil type is composed of coUbly and stony colluvium
derived from i�ieous and metamorphic rock, an tmsorted mixture of weatliered rock in a matris of some
kind of sediment. Colluvial deposits generally consist of hvo units: an upslope unit consisting of sm�ll
boulders in a matrix of sediment eroded from upland areas, and a downslope unit containing large
masses of bedrock slumped off the valley walls in a matrix of fine-grained sediment. Despite the
presence of a�� historic fai�mstead (31JK410/410"�) located upsh�eam and outside of tl�e projecPs APE
(determined to be not eligible for the National Register of Historic Places [NRHP]), the topography, soil
conditions, and meandering stream channel at this pa�4iculac location would not be conducive for any
form of occupation; therfore, the project corridor is unlikely to contain significant archaeological
resources. Based on the information above, tliere shoidd be no archaeological survey required for this
project. If desigi plans change, or are made available, prior to construction, then additional consultation
"Nu Sun•2v Re9�nmd"fonn/orWinor 7'ranspm�afiau /YoJecn as O¢ol�ed in IGe I001 Progiammu�ir dgrreurenr.
NCDOT Ar. frneo/og� R� Hismric AreAirrU�ne G�nup.v

regarding archaeology will be required. At this time, no ftu4her arcl�aeological work is recommeuded.
SUYPO1tT DOCUM�NTATION
See attached: � Map(s) ❑ Previous Su�vey Info
❑ Photocopy of County Survey Notes
❑ Pliotos ❑Correspondence
rINDING 13Y NCDOT CULTURAL R�SOURC�S PROI'�SSIONAL - NO SURVEY REOUIltED
Archaeology Historic Architechue (Circle One)
I /�� /' ���� August 31, 2012
NCDOT
Date
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