20181346 Ver 1_PCN Form Submission_20181005

Action History (UTC-05:00) Eastern Time (US & Canada)
�brrrit by Anonymous User 10/5/2018 2:46:07 PM (Start Event)
Accept by Carpenter,Kristi 10/8/2018 12:12:35 PM (DOT Initial Review)
. The task was assigned to Carpenter,Kristi. The due date is: October 10, 2018 5:00 PM
10/5/2018 2:47 PM

D1�VR
�irlslan af Water Resources
Pre-Construction Notification (PCN) Form
September 29, 2018 Ver 3
Initial Review
Has this project met the requirements for acceptance in to the review process?*
F Yes
C' No
Is this project a public transportation project?"
� Yes r No
Change only rf needed.
BIMS # Assigned *
20181346
Is a payment required for this project?*
f No paymentrequired
� Fee received
f Fee needed - send electronic notification
Select Project Reviewer"
Kevin Barnett:eads\khbarnett
Information for Initial Review
1a. Name of project:
Bridge 100037, SR 2786 Morgan Hill Road
1a. Who is the PrimaryContact?*
Yates Allen
1b. PrimaryContact Email:*
[e-mail]
Date Submitted
10/5/2018
Nearest Body of Water
Rush Branch; UT to Rush Branch
Basin
Broad
Water Classification
Class Q Tr
Site Coordinates
Latitude:
35.51140
A. Processing Information
County (or Counties) where the project is located:
Buncombe
Is this project a public transportation project?*
r Yes r No
Is this a NCDOT Project?*
G Yes r No
(NCDOT only) T.I.P. or state project number:
17BP.13.R.2
WBS # (�)
17BP.13.R.2
1a. Type(s) of approval sought from the Corps:
Longitude:
-8228016
Ve rsion# *
1
Reviewing Office *
Asheville Regional Office - (S28) 296-4500
1c. PrimaryContact Phone:*
(82S)251-6171

fJ Section 404 Permit (wetlands, streams and waters, Clean Water Act)
r Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)
1b. What type(s) of permit(s) do you wish to seek authorization?
fJ Nationwide Permit (NWP)
r Regional General Permit (RGP)
r Standard (IP)
1c. Has the NWP or GP number been verified bythe Corps?
F Yes r No
Nationwide Permit (NWP) Number:
NWP Numbers (for multiple NWPS):
1d. Type(s) of approval sought from the DWR:
fJ 401 Water Quality Certification - Regular
r' Non-404 Jurisdictional General Permit
r Individual Permit
14 - Linear transportation
1e. Is this notification solelyfor the record because written approval is not required?
Forthe record onlyfor DWR401 Certification:
For the record onlyfor Corps Permit:
r 401 Water Quality Certification - E�ress
r Riparian Buffer Authorization
1f. Is this an after-the-fact permit application?*
� Yes r No
1g. Is payment into a mitigation bank or in-lieu fee program proposed for mitigation of impacts?
F Yes r No
1g. Is payment into a mitigation bank or in-lieu fee program proposed for mitigation of impacts?
� Yes r No
Acceptance LetterAttachment
SR 2786 - Bridge 100037 - Division 13 - STR - BD 05 (cold) (002).pdf
1h. Is the project located in any of NC's twenty coastal counties?
C' Yes r No
1j. Is the project located in a designated trout watershed?
� Yes r No
B. Applicant Information
1d. Who is applying for the permit?
fJ Owner r Applicant (other than owner)
Is there an AgentlConsultant for this project?
� Yes r No
2. Owner Information
2a. Name(s) on recorded deed:
NC Department of Transportation
2b. Deed book and page no.:
2c. Responsible party:
2d. Address
Street Address
55 Orange Sheet
Address Line 2
PO Box 3279
ary
Asheville
Postal / Zip Code
28802
2e. Telephone Number:
[phone]
State / Rovince / Region
NC
Country
USA
2f. Fax Number:
66.S8KB
x
C' Yes R No
C' Yes G No
�,

2g. Email Address:*
[e-mail]
C. Project Information and Prior Project History " I
1. Project Information
1b. Subdivision name:
(rf appropriate)
1c. Nearest municipality/town:
Black Mountain
2. Project Identification
2a. Property Identification Number:
2c. Project Address
Street Address
Address Line 2
ary
Postal I Zip Code
3. SurFace Waters
3a. Name of the nearest body of water to proposed project:*
Rush Branch; UT to Rush Branch
3b. Water Resources Classification of nearest receiving water:*
Class C; Tr
3c. What river basin(s) is your project located in?*
Broad
3d. Please provide the 12-digit HUC in which the project is located.
030501050301
4. Project Description and History
2b. Property size:
State / Aovince / 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 single span timber bridge on paved SR 2786 surrounded by lowdensity housing, agriculture, and forests
4b. Have permits or certifications been requested or obtained for this project (including all prior phases) in the past?*
C' Yes r No r Unknown
4d. Attach an 8 1/2 X 11 excerpt from the most recent version of the USGS topographic map indicating the location of the project site. (for DWR)
Bridge 37 topo.pdf
833.9KB
4e. Attach an 8 1/2 X 11 excerpt from the most recent version of the published County NRCS Soil Survey map depicting the project site. (for DWR)
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:
Rush Branch--400 LF; UT--100 LF
4h. Explain the purpose of the proposed project:"
Replace the ewsting timber bridge with a corrugated aluminum alloy box culvert (CAABC)
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
We propose to replace the existing single span 18' 6" timber bridge with a single barrel CAABC (25' Y' �nnde x 6' 2" high x 36' long). The culvert will be buried T deep. It will have lowflow
sills at the entrance, middle, and ext. The sills will have weirs to encourage stream meander and the weirs will be 7' wide to maintain the exsting low flow channel dimension. Stream
slope at the site is 2.3%; the proposed culvert slope is 2.4%. Culvert installation will result in a permanent impact to 36 linear feet (LF) of Rush Branch. Bank stabilization/floodplain
benches will result in 43 LF of permanent impact. Temporary impacts to 45 LF of the stream are necessary for dewatering/diversion during construction. The stream is approximately 10'
wide and 4° deep with a predominately sand, gravel, and large cobble substrate. Rush Branch is classified as Class C, Trout. One unnamed tributary (UT) to Rush Branch is present.
The UT is an estimated 6' wide and 3" deep with a sand and large cobble substrate. Sixteen linear feet of the lff will be permanently impacted by the construction of the culverYs
wingwall and another 23 LF will be impacted by the placement of bank stabilization/floodplain benches. Approximately 20 LF of the UT will be temporarily impacted by dewatering during
construction. Equipment w�ll include trackhoes, dump trucks, and, possibly, a crane.
4j. Please upload project drawings for the proposed project.
100037 SWMP page 1.pdf 31.01 KB
100037 SWMP page 2.pdf 30.02KB
Corrected plan sheets.pdf 1.14MB
Impact table corrected.pdf 339.91K6

5. Jurisdictional Determinations
Sa. Have the wetlands or streams been delineated on the propertyor proposed impact areas?*
F Yes r No
Comments:
Site visit by NC DOT personnel September 25, 2018
Sb. If the Corps made a jurisdictional determination, what type of determination was made?*
f Preliminary f Approved f Not Verified f Unknown G WA
Corps AID Number:
Sc. If Sa is yes, who delineated the jurisdictional areas?
Name (if known): Yates Allen
Agency/Consultant Company: NC DOT
Other:
5d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
5d1. Jurisdictional determination upload
�' Unknown
6. Future Project Plans
6a. Is this a phased project?*
C' Yes r No
Are any other NWP(s), regional generel 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):
r Wetlands fJ Streams-tributaries
r Open Waters � Pond Construction
3. Stream Impacts
r Buffers
Reason for impact (') 3b.lmpact type * 3a Type of impact* 3d. S. name * 3e. Stream Type * 3f. Type of 3g. S. width* 3h. Impact
(?) Jurisdiction* length*
�ert installation
k stabilization/benches
rt wingwall
sta b i I i za t i o n/ b e n c h e s
Stabilization
Stabilization
�h Branch
�h Branch
�h Branch
to Rush Branch
to Rush Branch
to Rush Branch
Perennial
Perennial
Perennial
Perennial
Perennial
Perennial
3i. Total jurisdictional ditch impact in square feet:
0
3i. Total permanent stream impacts: 3i. Total temporary stream impacts:
0 0
3i. Total stream and ditch impacts:
183
3j. Comments:
42 LF of permanent impacts due to culvert in Rush Branch and culvert wingwall in the UT fall within footprint of 65 LF of temporary impacts for
dewatering
1� 36
Average(feet) Qinearfeet)
1� 43
Average(feet) Qinearfeet)
1� 45
Average(feet) (linearfeet)
�16
Average(feet) (linearfeet)
� 23
Average(feet) (linearfeet)
� 20
Average(feet) (linearfeet)

E. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
Culvert length has been minimized to meet design and safety standards
1b. Specificallydescribe measures taken to avoid or minimize the proposed impacts through construction techniques:
Erosion control measures will be installed. Site will be dewatered. Excavation will be kept to minimum to install culvert.
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?
r Yes r No
2c. If yes, mitigation is required by (check all that apply):
r DWR rJ Corps
2d. If yes, which mitigation option(s) will be used for this project?
r Mitigation bank 117 Payment to in-lieu fee I� Permittee Responsible
program Mitigation
4. Complete if Making a Payment to In-lieu Fee Program
4a. Approval letter from in-lieu fee program is attached.
rJ Yes
4b. Stream mitigation requested:
Qinear feet)
36
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)
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?*
r Yes r No
Comments:
G. Supplementary Information
1. Environmental Documentation
1a. Does the project involve an expenditure of public (federallstate/local) funds or the use of public (federal/state) land?*
� Yes r 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 PolicyAct (NEPA/SEPA)?*
f Yes r No
Comments:
x
Falls �nnthin State Minimum Criteria Checklist (MCCL)
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)? *
f Yes � No
3. Cumulative Impacts (DWR Requirement)
3a. Will this project result in additional development, which could impact nearby downstream water quality?*
C' Yes r 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?*
f Yes r No � WA
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?*
r Yes r No
Sb. Have you checked with the USFWS concerning Endangered Species Act impacts?*
C' Yes r No
Sd. Is another Federal agency involved?*
C' Yes r No
Se. Is this a DOT project located within Division's 1-8?
� Yes r No
Sf. Will you cut anytrees in order to conduct the work in waters of the U.S.?
r Yes r No
Sg. Does this project involve bridge maintenance or removal?
� Yes r No
Sg(1). If yes, have you inspected the bridge for signs of bat use such as staining, guano, bats, etc.?
r Yes r No
If you answered "Yes" to Sg(1), did you discover any signs of bat use?
� Yes r No � Unknown
Sh. Does this project involve the construction/installation of a wind turbine(s)?*
C' Yes r No
r Unknown
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 r No
S. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
https://www.fws. gov/raleig h/species/cntylisUbu ncombe. html
Consultation Documentation Upload
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as an Essential Fish Habitat?*
C' Yes r No
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat?*
Current maps/databases
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? *
f Yes r No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?*
http://gis. ncdcr. gov/h poweb/
Consultation with NC DOT Archaeology & Historic Architecture Group
7c. Historic or Prehistoric Information Upload
12-10-0031 _NoSu rveyReq. pdf 2.36 MB
AR12-10-0031 effects.pdf 911.37KB

8. Flood Zone Designation (Corps Requirement)
Sa. Will this project occur in a FEMA-designated 100-year floodplain? *
f Yes r No
Sc. What source(s) did you use to make the floodplain determination?"
https://fris.nc.gov/fris/Index.aspx?FIPS=021&ST=NC&user-General Public
Miscellaneous
Comments
Miscellaneous attachments not previously requested.
signed Corps cover letter.pdf
Signed PJD.pdf
Bridge 37 Buncombe Corps Cover SheeLpdf
Bridge 37 photos.pdf
Signature
*
CJ By checking the box and signing below, I certify that:
239.51 KB
1.15MB
13.19KB
1.1MB
• 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 AcY');
• I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions AcP');
• I understand that an electronic signature has the same legal effect and can be enforced in the same v✓ay as a written signature; AND
. I intend to electronically sign and submit the PCN form.
Full Name:
Yates Allen
Signature
Sign
Date
10/5/2018
n �