20191362 Ver 1_PCN Form Submission_20191007

DWR
IDIOM n 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
Change only if needed.
BIMS # Assigned
20191362
Is a payment required for this project?*
r No payment required
r Fee received
r Fee needed - send electronic notification
Select Project Reviewer*
Donna Fbod:eads\drhood
Information for Initial Review
1a. Name of project:
Replacement of Bridge #830162 over Hardy Creek
1a. Who is the Primary Contact?*
Larry Thompson
1b. Primary Contact Email:*
[e-mail]
Date Submitted
10/7/2019
Nearest Body of Water
Hardy Creek
Basin
Yadkin-PeeDee
Water Classification
C
Site Coordinates
Version# *
1
Reviewing Office*
Mooresville Regional Office - [phone]
1c. Primary Contact Phone:*
[phone]
Latitude: Longitude:
35.214515-80.171824
FA. Processing Information U
County (or Counties) where the project is located:
Stanly
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 # (?)
17BP.10.R.133
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?
f Yes r No
Nationwide Permit (NWP) Number: 03 - Maintenance
NWP Numbers (for multiple NWPS):
1d. Type(s) of approval sought from the DWR:
rJ 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
SR 1923 - Bridge 830162 - Division 10 - STIR - YID 05.pdf
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
B. Applicant Information
1d. Who is applying for the permit?
W Owner r Applicant (other than owner)
le. Is there an Agent/Consultant for this project?
r Yes r No
2. Owner Information
2a. Name(s) on recorded deed:
NCDOT Division 10
2b. Deed book and page no.:
2c. Responsible party:
2d.Address
Street Address
716 Main Street
Address Line 2
aty
Albemarle
Rbstal / Zip Code
28001
2e. Telephone Number:
[phone]
Sate / Province / Region
NC
( ountry
USA
2f. Fax Number:
[phone]
67.53KB
*
r Yes r No
r Yes r No

2g. Email Address:*
[e-mail]
C. Project Information and Prior Project History
1. Project Information
1b. Subdivision name:
(i appropriate)
1c. Nearest municipality/town:
Norwood
2. Project Identification
2a. Property Identification Number:
2b. Property size:
WA
4.9
2c. Project Address
Street Address
SR 1923 (Old Cottonville Road)
Address Line 2
CKY
State / Rovince / Pegim
Albemarle
NC
Rstal / Zip Oide
Country
USA
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
Hardy Creek
3b. Water Resources Classification of nearest receiving water:*
3c. What river basin(s) is your project located in?*
Yadkin-PeeDee
3d. Please provide the 12-digit HUC in which the project is located.
030401050707
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 conditions include SR 1923 (Old Cottonville Road), agricultural land, residential property, undeveloped forest, and the disturbed/maintained right-of-way.
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?*
r Yes r No F 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)
R_133_Bridge162_Figure1 _USGSMap. pdf
3.56MB
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)
R_133_Bridge 162_Figure2_SoilsMap.pdf 3.22MB
4f. List the total estimated acreage of all existing wetlands on the property:
4g. List the total estimated linear feet of all existing streams on the property:
865
4h. Explain the purpose of the proposed project:*
To remove Bridge #830162 and replace with a new, modern bridge structure
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
Erosion and sedimentation control measures will be installed. Bridge demolition will include the removal of the bridge deck and the removal of the top portion of the bridge abutments,
leaving the footer and approximately one foot of the masonry abutment to match the excavation elevation and temporary impacts to 175 linear feet to Hardy Creek may result.
Overlapping temporary impacts of 19 linear feet to Hardy Creek Will result from the dewatering and open cut through Hardy Creek for the relocation of the existing water line. Bridge
replacement construction using heavy equipment from the upland roadway approaches. Permanent impacts of 77 linear feet will result from the minor realignment/relocation of the
unnamed intermittent tributary to Hardy Creek around the bridge abutment, and approximately 8 linear feet of permanent impacts to Hardy Creek will result from the bank stabilization
required around the east bridge abutment. No deck drains are proposed on the bridge and runoff from the bridge will be routed to a concrete flume located to the northeast of the
bridge and discharged to the stream floodplain upstream of the bridge. The proposed bridge will be built on the same alignment with a temporary off -site detour.
4j. Please upload project drawings for the proposed project.
Copy of(SF-830162)_HYD_SMPv2.08_(20180727) (Apr 2018).pdf 136.44KB
R.133_Permit_Plans _2019-05-28.pdf 1.86MB

5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
r Yes r No
Comments:
See attached Stream Forms, Wetland Determination Form, Photographs, NCSAM Form and Waters
Map
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:
Sd1. Jurisdictional determination upload
R_133_Bridge 162_Figure3_WatersMap. pdf
NCDWQ RPW A- Hardy Cr. pdf
NCDWQ sRPW B - UT to Hardy Cr.pdf
R133 DP 1 Upland data sheet.pdf
NCSAM Stream B R133.pdf
R.133 Photopages.pdf
6. Future Project Plans
Brandon Phillips, CHMM
STV Engineers, Inc.
3.97MB
72.98KB
73.1 KB
397.47KB
209.06KB
19.44MB
r Unknown
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?
D. Proposed Impacts Inventory
1. Impacts Summary
la. Where are the impacts associated with your project? (check all that apply):
r Wetlands W Streams -tributaries r Buffers
r Open Waters r Pond Construction
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
❑
M
Jurisdiction*
length*
3t
Bridge replacement
9 p
Permanent
Bank Stabilization
Hard Creek
y
Perennial
Both
25
8
Average (feet)
(linear feet)
S2
Bridge replacement
9 P
Permanent
Relocation
U.T. to Hard Creek
y
Intermittent
Both
5
77
Avenge(fee[)
(linear feet)
S3
Bridge replacement
Temporary
Other
Hardy Creek
Perennial
Both
25
175
Average (feet)
(linearfeet)
Water Line
Tem ora
p ryg
Dewaterin
y
Hard Creek ::Iff::]
Both
t�T�J
3i. Total jurisdictional ditch impact in square feet:
0
3i. Total permanent stream impacts:
85
3i. Total stream and ditch impacts:
279
3j. Comments:
31. Total temporary stream impacts:
194

Temporary impacts to approximately 19 linear feet of Hardy Creek will result from the dewatering associated with the relocation of the water line.
Additional temporary impacts may result from the demolition of the existing bridge and the construction of the proposed bridge. Permanent impacts are
associated with the riprap bridge abutment protection that will impact a portion of Hardy Creek and the slight realignment/relocation of the NCSAM
rated Low Quality unnamed intermittent tributary to Hardy Creek.
E. Impact Justification and Mitigation
1. Avoidance and Minimization
fa. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
Replace bridge in -place was incorporated to minimize impacts. The bridge span length was extended to avoid impacts. Riprap protection of the bridge
abutments is being placed outside of the jurisdictional stream boundary of the perennial stream (a.k.a., Hardy Creek) where possible to avoid impacts.
Work will be conducted from the upland roadway approaches.
f b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
NCDOT Best Management Practices for Construction and Maintenance Activities will be employed. Demolition and construction methods from the
upland roadway approaches will be used to minimize potential temporary demolition related impacts and avoid construction related impacts.
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):
W DWR
W Corps
2d. If yes, which mitigation options) will be used for this project?
r Mitigation bank W Payment to in -lieu fee r 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.
r Yes r No
4b. Stream mitigation requested:
(linear feet)
85
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:
warm
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.
4 Yes r No
F. Stormwater Management and Diffuse Flow Plan (required by DWR)
1. Diffuse Flow Plan
la. 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 located in the Yadkin -Pee Dee River Basin and is not subject to NC Riparian Buffer Protection Rules.
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:
Stormwater runoff from the proposed bridge will be routed to a concrete flume located on the northeast side of the bridge. No deck drains on the bridge will be required. Please see
attached Stormwater Management Plan for details on the minimization of water quality impacts.
G. Supplementary Information v

1. Environmental Documentation
1a. Does the project involve an expenditure of public (federal/state/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
Comments:
Bridge replacement project that will require the preparation of a Minimum Criteria Determination Checklist.
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 (15ANCAC 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.
Project involves the replacement of an existing bridge and is not anticipated to affect future development.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
r- 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
5e. Is this a DOT project located within Division's 1-8?
r- 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
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 5g(1), did you discover any signs of bat use?
r- Yes r No r- Unknown
5h. Does this project involve the construction/installation of a wind turbine(s)?*
r Yes r No
r 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.?
r- Yes r No
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
USFWS IPaC and NCNHP data and site specific surveys. See Supplemental Information attached under Miscellaneous for threatened and endangered
species write-ups and biological conclusions.
Consultation Documentation Upload
NCNHP_project_report_division_10_bridge_162_01022019.pdf 818.33KB
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 EFH Mapper
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?*
An intensive shovel testing archaeological survey was conducted within the study area. See attached "No National Register of Historic Places Eligible
or Listed Archaeological Sites Present Form" and "Historic Architecture and Landscapes No Survey Required Form."
7c. Historic or Prehistoric Information Upload
R.133 Historic Architecture NoSurveyReq.pdf
R.133 NoSitesPresent Archaeological Form.pdf
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain?*
r Yes r No
8b. If yes, explain how project meets FEMA requirements:
NCDOT Hydraulics Unit Coordination with FEMA.
8c. What source(s) did you use to make the floodplain determination?*
FEMA FIRM maps
Miscellaneous
2.36MB
8.13MB
Comments
Additional Miscellaneous attachments include Supplemental Information regarding the Threatened and Endangered Species that are listed in Stanly County.
Miscellaneous attachments not previously requested.
T&E Supplemental info for R133 ePCN Form.pdf
Signature
*
W By checking the box and signing below, I certify that:
87.21 KB
• 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:
Larry Thompson
Signature
Date
10/7/2019