20191658 Ver 1_PCN Form Submission_20191206

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
20191658
Is a payment required for this project?*
r No payment required
6 Fee received
r Fee needed - send electronic notification
Select Project Reviewer*
Dave Wanucha:eads\djwanucha
Information for Initial Review
1a. Name of project:
Replace bridge 040008 on NC 194 over the North Fork New River
1a. Who is the Primary Contact?*
NCDOT
1b. Primary Contact Email:*
[e-mail]
Date Submitted
12/6/2019
Nearest Body of Water
North Fork New River
Basin
New
Water Classification
C; ORW
Site Coordinates
Latitude: Longitude:
36.466428-81.511051
A. Processing Information
County (or Counties) where the project is located:
Ashe
Is this project a public transportation project?*
IT Yes r No
Is this a NCDOT Project?*
Is Yes r No
(NCDOT only) T.I.P. or state project number:
BR-0002
WBS#M
67009.1.1
1a. Type (a) of approval sought from the Corps:
Version#*
1
Reviewing Office*
Winston-Salem Regional Office - (336) 776-
9800
1c. Primary Contact Phone:*
[phone]
U

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
BR-0002 DIMS Acceptance Letter.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 Yec r Nn
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:
N/A
2b. Deed book and page no.:
2c. Responsible party:
2d.Address
Street Address
1598 Mail Service Center
Address Line 2
city
Raleigh
Postal / Zip Code
27699-1598
2e. Telephone Number:
[phone]
2g. Email Address:*
State / Rwince / FLgion
NC
Country
us
2f. Fax Number:
67.46KB
r Yes r No
r Yes r No

[e-mail]
C. Project Information and Prior Project History U
1. Project Information
1b. Subdivision name:
(if appropriate)
1c. Nearest municipality/ town:
Warrensville
2. Project ctct Identification
2a. Property Identification Number: 2b. Property size:
2c. Project Address
Street Address
Address Line 2
(Sty State / Province / Region
Postal / Zip Code Country
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
North Fork New River
3b. Water Resources Classification of nearest receiving water:*
C; ORW
3c. What river basin(s) is your project located in?*
New
3d. Please provide the 12-digit HUC in which the project is located.
050500010106
4. Project Description and History
4a. Describe the existing conditions on the site and the general land use in the vicinityof the project at the time of this application:*
Rural residential, undeveloped land, Ashe County Middle School is located on the southwest quadrant of the bridge.
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)
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:
0.03
4g. List the total estimated linear feet of all existing streams on the property:
1,326
4h. Explain the purpose of the proposed project:*
The purpose of the proposed project is to replace a deficient bridge. Bridge No. 168 is considered structurally deficient with a sufficiency rating of 44.85 out of 100. Being structurally
deficient does not mean that the bridge is unsafe, but does mean the bridge is in need of repair or replacement. As a bridge ages, the cost of repairs and continued maintenance
eventually necessitate the need for replacement. The current bridge was constructed in 1954 and is reaching the end of its useful life.
41. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
Replace Ashe County Bridge No. 8 on NC 194 over the North Fork New River. The new bridge will utilize staged construction. A portion of the new bridge will be built on the eastern side
of the eAsting bridge. Traffic will be shifted into a one -lane two-way pattern on the new portion of the bridge. The old bridge will be removed, and the remainder of the new bridge will be
completed. Project will replace eAsting 6 span bridge with a 3 span 54" pre -stressed concrete girder bridge with 4' deep caps with 1.5:1 spill through abutments. The span arrangement
will be 1 @ 85', 1 @ 110' and 1 @ 85'. Proposed bents will be located outside of the stream and the eAsting bents will be removed from the stream. Deck drains will be placed on the
bridge where they do not discharge over water. Typical road building equipment such as trucks, dozers, and cranes will be used to construct the bridge.
4j. Please upload project drawings for the proposed project.
BR0002_hyd_PERMIT DRAWINGS_20191014.pdf 9.56MB
BR-0002 PCN Cover Letter.pdf 190.41 KB
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
r Yes r No O 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): Jennifer Harrod
Agency/Consultant Company: Calyx1N1V 5
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
r Open Waters r Pond Construction
3. Stream Impacts
r Buffers
u
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
F
(?) 11.1uriscliction*
length*
S1
Base Ditch excavation
Permanent
Excavation
SA- LIT to Buffalo Creek
Perennial
Both
1
22
Average (feet)
(lir�rfeet)
S2
Base Ditch excavation
Tem orar
P Y
Dewaterin 9
SA- LIT to Buffalo Creek
Perennial
Both
1
16
Average (feet)
(lir�rfeel)
S3
Outlet Protection
Permanent
RipRap Fill
P
Buffalo Creek
Perennial
Both
40
18
Average (feet)
(lir�rfeet)
S4
Outlet Protection Installation
Tem orar
P Y
Rip Rap Fill
P P
Buffalo Creek
Perennial
Both
40
11
Average (feet)
(linearfeet)
S5
Temporary Causeway
Temporary
Workpad/Causeway
North Fork New River
Perennial
Corps
80
81
Average (feet)
(linearfeet)
S6
Headwall
Permanent
Culvert
SD -UT to N. Fork New River
Perennial
Both
2
1
Average (feet)
(lir�rfeet)
S7
Headwall Installation
Temporary
P Y
Culvert
SD -UT to N. Fork New River
Perennial
Both
2
15
Average (feet)
(linearfeet)
3i. Total jurisdictional ditch impact in square feet:
0
3i. Total permanent stream impacts:
41
31. Total stream and ditch impacts:
164
3j. Comments:
E. Impact Justification and Mitigation
3i. Total temporary stream impacts:
123
1. Avoidance and Minimization

1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
Emsting drainage patterns will be maintained. 2:1 roadway fill slopes are used to minimize footprint of the overall project. Ditches will be vegetated
where possible. Riprap pads are used at pipe outlets to dissipate energy and prevent erosion. A retaining wall was included to prevent significant
impacts to Buffalo Creek (10-2-20) which is a NCDWQ Trout Stream. Permanent impacts were reduced to 18 feet and limited to bank stabilization.
Deck drains will be placed on the bridge where they do not discharge over water. NCDOT will adhere to Design Standards in Sensitive Watersheds.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Best Management Practices will be adhered to. A temporary causeway will be used for construction and demolition but will not impede more than 50%
of the North Fork New River.
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 9 Corps
2d. If yes, which mitigation option(s) will be used for this project?
F 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)
41
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?
r Yes r 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 (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
1c. If you answered "yes" to the above, has the document review been finalized bythe State Clearing House?*
r Yes r No
Comments:*
Minimum Criteria Determination Checklists (MCDCs) are not required to be sent to the State Environmental Review Clearinghouse.

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 21-1.1300), 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 f• 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?*
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
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 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
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.?
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.
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
USFWS county list, Bat Memo (attached) A small amount of habitat for this species exists along the confluence of Buffalo Creek and North Fork New
River but most of the area is mowed. A survey was conducted by NCDOT biologists on May 24, 2018 with no specimens found.
Consultation Documentation Upload
BR-0002 bat memo.pdf 117.25KB
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?*
NMFS County Index
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 Cultural Resources personnel
7c. Historic or Prehistoric Information Upload

Ashe 8 No Survey form.pdf
17-12-0011 NoHistProps.pdf
1.27 MB
3.36MB
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:
8c. What source(s) did you use to make the floodplain determination?*
FEMA Flood maps
Miscellaneous
Comments
Miscellaneous attachments not previously requested.
Signature
*
W 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:
Michael Turchy
Signature
xL Tway
Date
12/6/2019