20191555 Ver 1_PCN Form Submission (2)_20191112

DWR
Olrlslon 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?*
6 Yes
r No
Is this project a public transportation project?*
G Yes r No
Change only if needed.
BIMS # Assigned
20191555
Is a payment required for this project?*
r No payment required
6 Fee received
r Fee needed - send electronic notification
Select Project Reviewer*
Kevin Mitchell:eads\rkmitchell
Information for Initial Review
1a. Name of project:
Cherokee County Bridge 36
1a. Who is the Primary Contact?*
Patrick J. Breedlove
1b. Primary Contact Email:*
pj breed love@n cdot. oov
Date Submitted
11/12/2019
Nearest Body of Water
Webb Creek
Basin
Fiwassee
Water Classification
Class C; Tr.
Site Coordinates
Latitude:
35.217178
A. Processing Information
County (or Counties) where the project is located:
Cherokee
Is this project a public transportation project?*
IT Yes r No
Is this a NCDOT Project?*
IT Yes r No
(NCDOT only) T.I.P. or state project number:
WBS # (?)
17BP.14.R.61
1a. Type (a) of approval sought from the Corps:
Longitude:
-83.861017
Version#*
1
Reviewing Office*
Asheville Regional Office - [phone]
1c. Primary Contact Phone:*
[phone]
V

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 type(s) 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?
r Yes r No
Nationwide Permit (NWP) Number: 14 - Linear transportation
NWP Numbers (for multiple NWPS):
1d. Type(s) of approval sought from the DWR:
W 401 Water Quality Certification - Regular
r Non-404 Jurisdictional General Permit
r Individual Permit
le. Is this notification solely for the record because written approval is not required?
For the record only for DWR401 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
B. Applicant Information
1d. Who is applying for the permit?
V 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:
Eastern Band of Cherokee Indians - NCDOT Division 14 ROW
2b. Deed book and page no.:
2c. Responsible party:
2d.Address
Street Address
253 Webster Road
Address Line 2
City
Sylva
Rstal / Zip Code
28779
2e. Telephone Number:
[phone]
2g. Email Address:*
State / Province / Rion
North Carolina
Country
United States
2f. Fax Number:
[phone]
r Yes r No
r Yes r No

[e-mail]
C. Project Information and Prior Project History U
1. Project Information
1b. Subdivision name:
ff appropriate)
1c. Nearest municipality/ town:
Andrews
Project Identification
2a. Property Identification Number:
2c. Project Address
Street Address
Address Line 2
City
Postal / Zip Code
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
Webb Creek
3b. Water Resources Classification of nearest receiving water:*
Class C; Tr.
3c. What river basin(s) is your project located in?*
Hiwassee
3d. Please provide the 12-digit HUC in which the project is located.
060200020402
4. Project Description and History
2b. Property size:
State / Bovine / Pegion
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:*
Emsting land use is an ebsting 20' 6" L x 12' W timber floor on timber joist bridge on a secondary road. Site in located north of agriculture fields in a rural forested residential 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)
B36 - Cherokee County - Topo Map.pdf 1.38MB
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)
B36 - Cherokee County - NRCS Soil Map.pdf 460.96KB
4f. List the total estimated acreage of all existing wetlands on the property:
0.00
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 obsolete and deterioration wood floor, wood joist bridge structure.
41. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
NCDOT contractor will install erosion and sediment control measures. NCDOT contractor will install diversion/de-watering device. Contractor will be utilizing staged construction for the
bridge structure. Contractor will remove a portion of the wasting bridge structure and construct half of the new bridge structure. Traffic will be placed on the newly constructed bridge
structure and the remainder of the bridge structure will be constructed. Bank stabilization material will be permanently installed once final grading allows. The diversion/de-watering
device will be removed any the stream will be restored to pre -construction conditions. The proposed bridge structure will be constructed utilizing the following equipment: crane,
excavator, dump truck, paving equipment, pumps and hand tools.
4j. Please upload project drawings for the proposed project.
B36 - Cherokee County - Permit Plans.pdf 3.26MB
B36 - Cherokee County - Hydro Report.pdf 1.51 MB
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 N/A
Corps AID Number
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known):
Agency/Consultant Company:
Other:
5d1. Jurisdictional determination upload
B36 - Cherokee County - JD (Final).pdf
6. Future Project Plans
6a. Is this a phased project?*
r Yes r No
258.69KB
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):
[ Wetlands W Streams -tributaries F 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
❑
(?) 11
Jurisdiction*
length*
S1
Arch Bride
9
Permanent
Other
Webb Creek
Perennial
Corps
P
8
0
gverage (feet)
(lin�rfeet)
S2
Bank Stabilization
Permanent
Bank Stabilization
Webb Creek
Perennial
Corps
P
8
25
Average (feet)
(linearfeet)
S3
Bank Stabilization
Permanent
—]
Bank Stabilization J
Webb Creek
Perennial
Corps
15
Average (feet)
(lin�rfeet)
H
De-Watering
Temporary
Dewatering
Webb Creek
Perennial
Corps
8
105
Average (feet)
(lir�rfeel)
31. Total jurisdictional ditch impact in square feet:
0
31. Total permanent stream impacts:
40
31. Total stream and ditch impacts:
145
3j. Comments:
31. Total temporary stream impacts:
105
E. Impact Justification and Mitigation u
1. Avoidance and Minimization
la. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
The epsting bridge is being replaced with a structure that is adequate for traffic needs in the same disturbed location. the aluminum arch bridge was
designed for the minimum size to ensure conveyance of traffic on the current secondary road.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
The on -site stream (Webb Creek) will be diverted Wfiile the staged detour is constructed and while the epsting bridge is removed and replaced with an
aluminum arch bridge. Erosion and sediment 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:
Project impacts (rip -rap for bank stabilization) does not require 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 (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 (NEPAUSEPA)? *
r Yes r No
1c. If you answered "yes" to the above, has the document review been finalized bythe State Clearing House?*
r Yes r No
Comments:*
MCDC Attached & Bureau of Indians Affairs CE/ESA Document
2. Violations (DWR Requirement)
2a. Is the site in violation of DWR Water Quality Certification Rules (15ANCAC 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 an eAsting bridge due to deterioration and does not increase the capacity of roads in the area. The project is not a road
widening or road improvement project.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
r Yes r No r 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 f No
What Federal Agency is involved?
Eastern Band of Cherokee Indians
Se. Is this a DOT project located within Division's 1-8?
r Yes r No
5f. Will you cut any trees 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
5g(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
If yes, please provide details to include type of percussive activity, purpose, duration, and specific location of this activity on the property.
B36 - Cherokee County - NWP 14 Cover Letter (Final).pdf 403.25KB
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
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 v3.0
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 & EBCI THPO Archaeologist
7c. Historic or Prehistoric Information Upload
B36 - Cherokee County - Archaeology Clearance EBCI THPO.pdf
B36 - Cherokee County - Archaeology Clearance.pdf
B36 - Cherokee County - Architectural Clearance.pdf
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-yearfloodplain?*
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
Comments
Miscellaneous attachments not previously requested.
388.67KB
772.99KB
2.28MB

B36 - Cherokee County - MCDC (Signed).pdf
2.55MB
B36 - Cherokee County - NC Flertiage Program.pdf
1.37MB
B36 - Cherokee County - Vicinity Map.pdf
569.61 KB
B36 - Cherokee County - Bat Assessment Form.pdf
37.43KB
B36 - Cherokee County - Site Photos.pdf
984.87KB
B36 - Cherokee County - GIS Map.pdf
730.66KB
B36 - Cherokee County - BIA CE Document.pdf
62.85KB
B36 - Cherokee County - BIA ESA Survey.pdf
102.78KB
B36 - Cherokee County - BIA Timber Permit.pdf
532.37KB
B36 - Cherokee County - 401 General Conditions (EBCI).pdf
187.18KB
B36 - Cherokee County - Erosion Control Form EBCI Approved.pdf
286.31 KB
B36 - Cherokee County - F and W Comments EBCl.pdf
68.62KB
B36 - Cherokee County - F and W Comments For Bats EBCl.pdf
430.06KB
Signature
l^U
® 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
11112/2019