20190888 Ver 1_PCN Form Submission_20190703

DWR
MOM— of Water Resources
Pre -Construction Notification (PCN) Form
September 29, 2018 Ver 3
21nitial Review
Has this project met the requirements for acceptance in to the review process?*
r Yes
r No
Is this project a public transportation project?*
G Yes r No
Oange only if needed.
BIMS # Assigned
20190888
Is a payment required for this project?*
r No payment required
r Fee received
r Fee needed - send electronic notification
Select Project Reviewer*
Kevin Barnett:eads\khbarnett
Information for Initial Review
1a. Name of project:
Turtle Pond Creek - Culvert Replacement
1a. Who is the Primary Contact?*
Patrick J. Breedlove
1b. Primary Contact Email:*
[e-mail]
Date Submitted
7/3/2019
Nearest Body of Water
Turtle Pond Creek
Basin
Little Tennessee
Water Classification
Class C; Tr.
Site Coordinates
Version# *
1
Reviewing Office*
Asheville Regional Office - [phone]
1c. Primary Contact Phone:*
[phone]
Latitude: Longitude:
35.037592-83.255526
FA. Processing Information U
County (or Counties) where the project is located:
Macon
Is this project a public transportation project?*
r Yes r' No
Is this a NCDOT Project?*
r Yes r No
(NCDOT only) T.I.P. or state project number:
WBS # (?)
15314.1056012
1a. Type(s) of approval sought from the Corps:

W Section 404 Permit (wetlands, streams and waters, Clean Water Act)
r Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)
1b. What types) of permit(s) do you wish to seek authorization?
W Nationwide Permit (NWP)
r' Regional General Permit (RGP)
r' Standard (IP)
1c. Has the NWP or GP number been verified by the Corps?
t' Yes r No
Nationwide Permit (NWP) Number: 03 - Maintenance
NWP Numbers (for multiple NWPS):
1d. Type(s) of approval sought from the DWR:
fJ 401 Water Quality Certification - Regular
F Non-404 Jurisdictional General Permit
F Individual Permit
le. Is this notification solelyfor the record because written approval is not required?
For the record only for DWR 401 Certification:
For the record only for Corps Permit:
r 401 Water Quality Certification - Express
r Riparian Buffer Authorization
1f. Is this an after -the -fact permit application?*
r Yes r No
1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
r- Yes r No
1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
r Yes r No
Acceptance Letter Attachment
1h. Is the project located in any of NC's twenty coastal counties?
r- Yes r No
1j. Is the project located in a designated trout watershed?
r Yes r No
F. Applicant Information
1d. Who is applying for the permit?
[J Owner r Applicant (other than owner)
le. Is there an Agent/Consultant for this project?
f Yes r- No
2. Owner Information
2a. Name(s) on recorded deed:
NCDOT Division 14
2b. Deed book and page no.:
2c. Responsible party:
2d. Address
Street Address
253 Webster Road
Address Line 2
city
Sylva
Postal / Zip Code
28779
2e. Telephone Number:
[phone]
2g. Email Address:*
State / Frwinre / R�gion
North Carolina
Q�untry
United States
2f. Fax Number:
*
r Yes r No
r Yes r No

[e-mail]
C. Project Information and Prior Project History U
1. Project Information
1b. Subdivision name:
(d appropriate)
1c. Nearest municipality/ town:
Franklin
2. Project Identification
2a. Property Identification Number: 2b. Property size:
2c. Project Address
Street Address
Address line 2
City State / ftovince / Fbgion
Fbstal / Zip Oxle Oxuntry
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
Turtle Pond Creek
3b. Water Resources Classification of nearest receiving water:*
Class C, Tr.
3c. What river basin(s) is your project located in?*
Little Tennessee
3d. Please provide the 12-digit HUC in which the project is located
060102020201
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:*
Existing land use is a NCDOT roadway (NC 106) through a rural residential community with a commercial facility parking lot adjacent to project area. A small pond is directly upstream of
project area.
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?*
r 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)
Turtle Pond Creek - Culvert Replacement - Topo Map.pdf 1.17MB
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)
Turtle Pond Creek - Culvert Replacement - NRCS Soil Map.pdf 464.48KB
4f. List the total estimated acreage of all existing wetlands on the property:
0.30
4g. List the total estimated linear feet of all existing streams on the property:
200
4h. Explain the purpose of the proposed project:*
Project is to replace an existing obsolete, deteriorating and partially collapsed 30" x 75' corrugated metal pipe with a double 48" x 75' welded steel pipe in the same disturbed location.
41. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
NCDOT contractor will install erosion and sedimentation control measures. NCDOT contractor will install 38' of temporary pipe onto existing culvert to dewaater active directional bore
construction area. Temporary work pad will be installed. Direction bores will be completed. Stream will be placed into newsteel pipe and obsolete existing culvert will be filled in place.
Temporary work pad materials will be removed from wetland area and impacts will be restored. Bank stabilization materials will be installed once final grading allows. The culvert will be
installed utilizing the follow equipment: directional borer, dump trucks, excavator, pumps and hand tools.
4j. Please upload project drawings for the proposed project.
Turtle Pond Creek - Culvert Replacement - Permit Design Plans.pdf 2.25MB
Turtle Pond Creek - Culvert Replacement - Structure Recommendation (Revised).pdf 41.16KB
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
r Yes r No 9 Unknown

Comments
5b. If the Corps made a jurisdictional determination, what type of determination was made?*
r Preliminary r Approved r Not Verified r Unknown r NIA
Corps AID Number:
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known):
Agency/Consultant Company:
Other:
5d1. Jurisdictional determination upload
Turtle Pond Creek - Culvert Replacement - PJD (Final).pdf 358.01 KB
6. Future Project Plans
6a. Is this a phased project?*
r Yes r 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?
[Proposed Impacts Inventory
1. Impacts Summary
la. Where are the impacts associated with your project? (check all that apply):
W Wetlands W Streams -tributaries r Buffers
r Open Waters r Pond Construction
2. Wetland Impacts
2a1 Reason(?) 2b. Impact type * (?) 2c. Type of W. 2d. W. name * 2e. Forested* 2f. Type of 2g. Impact
Jurisdicition*(?) area*
Site 3 Work Pad T ffornland Hardwood Forest not named Yes Both 0.020
(acres)
2g. Total Temporary Wetland Impact
0.020
2g. Total Wetland Impact
0.020
2h. Comments:
3. Stream Impacts
2g. Total Permanent Wetland Impact
0.000
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
Permanent
Culvert
Turtle Pond Creek
Perennial
Both
3
75
Average (feet)
(linear feet)
S2
Site 2
Tem orar
p y
Culvert
Turtle Pond Creek
Perennial
Both
3
38
Average (feet)
(linear feet)
S3
Site 4
Permanent
Bank Stabilization J
Turtle Pond Creek
Perennial
Both
3
15
Average (fee[)
(linear feet)
�
Site 5
Permanent
Bank Stabilization J
Turtle Pond Creek
Perennial
Both
3
15
Average (feet)
(linearfeet)
31. Total jurisdictional ditch impact in square feet:
0
3i. Total permanent stream impacts:
105
3i. Total temporary stream impacts:
38

31. Total stream and ditch impacts:
143
3j. Comments:
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:
The eAsting culvert is being replaced with an adequate sized culvert for hydraulic needs. Without culvert replacement the epsting culvert will collapse.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
The on -site stream (Turtle Pond Creek) will be diverted while the directional bores occur and bank stabilization materials are installed. Erosion and
sedimentation 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?
r Yes r No
2b. If this project DOES NOT require Compensatory Mitigation, explain why:
Proposed impacts do not required mitigation.
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?
r Yes r 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?*
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?*
r 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 Policy Act (NEPA/SEPA)? *
r Yes r No
1c. If you answered `yes" to the above, has the document review been finalized by the State Clearing House?*
r Yes r No
Comments:*
FHWA CE Completed.
2. Violations (DWR Requirement)
2a. Is the site in violation of DWR Water Quality Certification Rules (1 SA 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)? *
r Yes r No
3. Cumulative Impacts (DWR Requirement)
3a. Will this project result in additional development, which could impact nearby downstream water quality?*
r Yes r No
3b. If you answered "no," provide a short narrative description.

The project is only to replace the existing culvert due to deterioration and does not increase the capacity of roads in the area. The proposed project is
not a road widening or improvement project
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
f Yes r Nor 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?*
r Yes r No
5b. Have you checked with the USFWS concerning Endangered Species Act impacts?*
r Yes r No
5c. If yes, indicate the USFWS Field Office you have contacted.
Asheville
5d. Is another Federal agency involved?*
r Yes r No
What Federal Agency is involved?
Federal Highway Administration
5e. Is this a DOT project located within Division's 1-8?
f Yes r No
5f. Will you cut anytrees in order to conduct the work in waters of the U.S.?
r Yes r No
5g. Does this project involve bridge maintenance or removal?
r Yes r No
5h. Does this project involve the construction/installation of a wind turbine(s)?*
C Yes r No
r 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.?
C Yes r No
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
U.S. Fish &Wildlife - ECOS - Online Mapper
Consultation Documentation Upload
Turtle Pond Creek - Culvert Replacement - USFWS Concurrence Letter (Final).pdf 160.96KB
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as an Essential Fish Habitat?*
r^ Yes r No
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat?*
NOAA - Essential Fish Habitat v 3.0
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?*
r Yes r No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?*
NCDOT Culture Resource Specialist
7c. Historic or Prehistoric Information Upload
Turtle Pond Creek - Culvert Replacement - Archaeological Screening.pdf
Turtle Pond Creek - Culvert Replacement - Architecture Screening.pdf
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year flood plain?*
r Yes r No
8c. What source(s) did you use to make the floodplain determination?*
N.C. Flood Maps - Flood Risk Information System
Miscellaneous
732.31 KB
2.92MB
U
Comments

Miscellaneous attachments not previously requested.
Turtle Pond Creek - Culvert Replacement - FHWA CE (Signed).pdf
440.51 KB
Turtle Pond Creek - Culvert Replacement - NCDNCR.pdf
3.47MB
Turtle Pond Creek - Culvert Replacement - Site Photos.pdf
1.88MB
Turtle Pond Creek - Culvert Replacement - GIS Map (Impacts).pdf
157.14KB
Turtle Pond Creek - Culvert Replacement - NWP 3 Cover Letter.pdf
416.48KB
Signature
By checking the box and signing below, I certify that:
• 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:
Patrick Jeremy Breedlove
Signature
Date
7/3/2019