20190089 Ver 1_PCN Form Submission_20191014

DWR
IDIOM— of 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?*
r Yes
r No
Is this project a public transportation project?*
r Yes r No
Change only if needed.
BIMS # Assigned
20190146
Is a payment required for this project?*
r No payment required
r Fee received
r Fee needed - send electronic notification
Select Project Reviewer*
Dave Wanucha:eads\djwanucha
Information for Initial Review
la. Name of project:
Replace Watauga Bridges #46, #47 & #48
la. Who is the Primary Contact?*
Heath Slaughter
1b. Primary Contact Email:*
[e-mail]
Date Submitted
2/1 /2019
Nearest Body of Water
Grassy Creek
Basin
New
Water Classification
Ws - IV+
Site Coordinates
Latitude: Longitude:
36.26523-81.59912
A. Processing Information
County (or Counties) where the project is located:
Watauga
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#M
17BP.11.R.173
la. Type(s) of approval sought from the Corps:
Version# *
1
Reviewing Office*
Winston-Salem Regional Office - (336) 776-
9800
1c. Primary Contact Phone:*
[phone]

rJ Section 404 Permit (wetlands, streams and waters, Clean Water Act)
F_ Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)
1b. What types) of permit(s) do you wish to seek authorization?
F Nationwide Permit (NWP)
j7 Regional General Permit (RGP)
F_ Standard (IP)
1c. Has the NWP or GP number been verified by the Corps?
f Yes r No
Regional General Permit (RGP) Number:
RGP Numbers (for multiple RGPS):
1d. Type(s) of approval sought from the DWR:
W 401 Water Quality Certification - Regular
F Non-404 Jurisdictional General Permit
F Individual Permit
198200031 - NCDOT Bridges, Widening Projects 2015
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:
F 401 Water Quality Certification - Express
F 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 t No
Acceptance Letter Attachment
Mitigation Bridges 46 47 48 - STIR - NW 01.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?
rJ Owner F 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
2b. Deed book and page no.:
2c. Responsible party:
2d.Address
Street Address
801 Statesville Road
Address Line 2
aty
State / Province / Region
North Wilkesboro
NC
Postal / Zip Code
Country
28659
USA
2e. Telephone Number: 2f. Fax Number:
[phone]
73.42KB
*
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:
(if appropriate)
1c. Nearest municipality/town:
Boone
2. Project Identification
2a. Property Identification Number:
2c. Project Address
Street Address
Address Line 2
aty
Fbstal / Zip Code
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
Grassy Creek
3b. Water Resources Classification of nearest receiving water:*
WS-IV +
3c. What river basin(s) is your project located in?*
New
3d. Please provide the 12-digit HUC in which the project is located.
050500010203
4. Project Description and History
2b. Property size:
State / Rovince / Edon
Oxintry
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:*
Old bridges to be replaced in a rural area on a paved secondary road. Land use in the area is farming and rural residential.
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?
r' Yes c 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)
Bridges 46_47_48 Topo.pdf 1 99MB
4e. Attach an 8 112 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:
400
4h. Explain the purpose of the proposed project:*
Replace old bridges.
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
See attached cover letter.
4j. Please upload project drawings for the proposed project.
Watauga 46_47_48 Final Permit Dravrings.pdf 7.1 MB
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
6 Yes C No r 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 N/A
Corps AID Number:
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known):
Agency/Consultant Company: RK&K
Other:
5d1. Jurisdictional determination upload
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?
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 f Buffers
F 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
3h. Impact
(?)
]3g.S.width*
Jurisdiction*
length*
S1
Replace Bridge #46
Temporary
Dewatering
Grassy Creek
Perennial
Both
1Aveage(feet)
20inearfee)
S2
Replace Bridge #46
P 9
Permanent
Bank Stabilization
Gras Creek
s Y
Perennial
Both
10
47
Average (feet)
(inearfeet)
S3
Replace Bridge #46
P 9
Permanent
Culvert
Grass Creek
Y
Perennial
Both
10
26
Average (feet)
(linear feet)
S4
Replace Bridge #46
P 9
Permanent
Relocation
UT to Grass Creek
Y
Perennial
Both
3
27
Average (feet)
(linear feet)
S5
Replace Bridge #46
Temporary
Dewatering �Fo
Grassy Creek
Perennial
Both
3
10
Average (feet)
(linear feet)
S6
Replace Bridge #47
Temporary
Dewatering
Grassy Creek
Perennial
Both
10
20
Average (feet)
(ir�rfeet)
S7
Replace Bridge #47
P 9
Permanent
Bank Stabilization
Grass Creek
Y
Perennial
Both
10
75
Average (feet)
(Gr�earfeet)
S8
Replace Bridge #47
9
Permanent
Culvert
Grass Creek
Y
Perennial
Both
10
29
Average (feet)
(Gr�rfeet)
S9
Replace Bridge #48
Temporary
Dewatering
Grassy Creek
Perennial
Both
10
20
Average (feet)
(linearfeet)
Replace Bridge #48
9
Permanent
Bank Stabilization :Iffsy
Creek
Perennial
BothS10
Average (feet)
(fr�rfeet)
H
Replace Bridge #48
Permanent
Culvert
Grassy Creek
Both
1Average
1(kt�rfeet)
-Iff::]
(feet)
3i. Total jurisdictional ditch impact in square feet:
0
3i. Total permanent stream impacts:
278
3i. Total stream and ditch impacts:
348
3j. Comments:
31. Total temporary stream impacts:
70

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:
Replacing bridges with bottomless culverts.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
All appropriate BMPs will be used during construction.
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):
F DWR V Corps
2d. If yes, which mitigation option(s) will be used for this project?
F Mitigation bank V Payment to in -lieu fee F 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.
F Yes r No
4b. Stream mitigation requested:
(linear feet)
27
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?
C Yes s 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?*
t: Yes r 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 C 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)?*
C Yes r• No
Comments:
MCDC
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)? *
r Yes c No
3. Cumulative Impacts (DWR Requirement)
3a. Will this project result in additional development, which could impact nearby downstream water quality?*
C Yes (-- No
3b. If you answered "no," provide a short narrative description.
Replacing existing structures. No additional capacity added.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
I Yes r' No s 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 r' No
5b. Have you checked with the USFWS concerning Endangered Species Act impacts?*
C Yes o No
5d. Is another Federal agency involved?*
r Yes No
5e. Is this a DOT project located within Division's 1-8?
C Yes s No
5f. Will you cut any trees in order to conduct the work in waters of the U.S.?
(-- Yes C No
5g. Does this project involve bridge maintenance or removal?
r• Yes C No
5g(1). If yes, have you inspected the bridge for signs of bat use such as staining, guano, bats, etc.?
(-- Yes C No
If you answered "Yes" to 5g(1), did you discover any signs of bat use?
C Yes r•' No r Unknown
5h. Does this project involve the construction/installation of a wind turbine(s)?*
r Yes (-- No
C 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.?
C Yes rr No
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
NHP database and visual observation.
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 (-- No
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat?*
NOAA
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 c No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?*
Project was reviewed by HEU.
7c. Historic or Prehistoric Information Upload

94004614-06-0011_NoSurveyReq.pdf
940046 AR14-06-0011 No Historic Properties.pdf
94004714-06-0012_NoSurveyReq.pdf
940047 AR14-06-0012 No Historic Properties form.pdf
94004814-06-0013_NoSurveyReq.pdf
940048 AR14-06-0013 No Historic Properties.pdf
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain?*
r Yes
r No
8c. What source(s) did you use to make the floodplain determination?*
Attached link.
Miscellaneous
Comments
Miscellaneous attachments not previously requested.
Bridges 46_47_48, Letter.pdf
NHP project _report _replace _wtauga_bridges _46_47_48.pdf
Watauga #46 47 48 Location Map.pdf
Signature
*
W By checking the box and signing below, I certify that:
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• 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:
Heath Slaughter
Signature
Xil�c ��i'� tlyr$la&
Date
211 /2019