20191732 Ver 1_PCN Form Submission (3)_20191217

DWR
mrlslon 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
20191732
Is a payment required for this project?*
r No payment required
6 Fee received
r Fee needed - send electronic notification
Select Project Reviewer*
Donna Hood:eads\drhood
Information for Initial Review
1a. Name of project:
Replacement of Bridge 219 on SR 1892 in Iredell County
1a. Who is the Primary Contact?*
NCDOT
1b. Primary Contact Email:*
[e-mail]
Date Submitted
12/17/2019
Nearest Body of Water
Olin Creek
Basin
Yadkin-PeeDee
Water Classification
C
Site Coordinates
Latitude:
35.944257
A. Processing Information
County (or Counties) where the project is located:
Iredell
Is this project a public transportation project?*
/: Yes r No
Is this a NCDOT Project?*
IT Yes r No
(NCDOT only) T.I.P. or state project number:
WBS # (?)
17BP.12.R.51
1a. Type (a) of approval sought from the Corps:
Longitude:
-80.867713
Version#*
1
Reviewing Office*
Mooresville Regional Office - [phone]
1c. Primary Contact Phone:*
[phone]
L.1

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: 03 - Maintenance
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:
NC Department of Transportation
2b. Deed book and page no.:
2c. Responsible party:
Mark Stafford
2d.Address
Street Address
1710 East Marion Street
Address Line 2
PO box 47
aty
State / Province / l?gion
Shelby
NC
Postal / Zip Code
(buntry
28151
USA
2e. Telephone Number:
2f. Fax Number:
[phone]
r Yes r No
r Yes r No

2g. Email Address:*
[e-mail]
C. Project Information and Prior Project History U
1. Project Information
1b. Subdivision name:
(if appropnate)
1c. Nearest municipality/ town:
Statesville
Project Identification
2a. Property Identification Number: 2b. Property size:
2c. Project Address
Street Address
Address Line 2
(Sty State / Province / legion
Foetal / Zip Code Country
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
Olin 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.
030401020105
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:*
Existing 133' long by 20' wide four span bridge. Land use around the project is mostly agriculture/forested. Bridge is on paved
secondary road.
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?*
t^ Yes r No t^ 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)
TopoMap.pdf
138.64KB
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)
Soil_Map.pdf 324.57KB
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:
550
4h. Explain the purpose of the proposed project:*
NCDOT Bridge Management Unit records indicate Bridge No. 219 has a sufficiency rating of 39 out of a possible 100 for a newstructure. The bridge is considered structurally deficient
due to a structural evaluation rating of 4 out of 9 according to Federal Highway Administration (FF-WA) standards. Bridge No. 219 has a seventy year old timber substructure which has
a typical life expectancy between 40 to 50 years due to the natural deterioration rate of wood. Rehabilitation of a timber structure is generally practical only when a few members are
damaged or prematurely deteriorated. However, past a certain degree of deterioration, timber structures become impractical to maintain and upon eligibility are programmed for
replacement. Bridge No. 219 is approaching the end of its useful life and therefore the purpose of the proposed work is to replace the deteriorating bridge for the safety of the travelling
public.
41. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
NCDOT proposes to replace Bridge No. 219 on SR 1892 (Jennings Road) over Olin Creek in Iredell County north of Statesville. The wasting 133' long by 20' vide four span bridge is to
be replaced with a 140' long by 30' wide three span bridge. The proposed bridge will have no direct discharge into the water. The bridge will not have any bents placed in the water but
bank stabilization will be added to both banks under bridge. There are two unnamed tributaries located adjacent to Bridge 219. S1 has eroded it's banks toward the roadway side slope
and for safety NCDOT will add rip rap bank stabilization on the banks to prevent further erosion. Rip rap bank stabilization will also be added to S2 at the confluence and tied in to bank
stabilization under Bridge 219.
All Best Management Practices will be utilized during the course of the project. The project will be constructed using typical heavy equipment (trackhoe, backhoe, etc).
4j. Please upload project drawings for the proposed project.

SKM_C754e19121711470.pdf
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
r Yes r No
Comments:
Division 12 Environmental Office
5b. If the Corps made a jurisdictional determination, what type of determination was made?*
r Preliminary r Approved r Not Verified r Unknown f N/A
Corps AID Number:
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known):
Agency/Consultant Company: Division 12 Environmental Office
Other:
5d1. Jurisdictional determination upload
746.07KB
C Unknown
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
1a. Where are the impacts associated with your project? (check all that apply):
r Wetlands 9 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*
Type of
3gSwidth *
3h. ImpactM
❑
�[3f.
urisdiction*
length*
�11_-
10+56 to 10+65 (S2)
Permanent
Bank Stabilization J
Ut to Olin Creek (S2)
Intermittent
Both
4
27
Average (feet)
(linearfeet)
10+65
Permanent
Bank Stabilization
Olin Creek
Perennial
Both�]_L-Average
(feet)
(lir�rfeet)
S3
-L- 10+65
Temporary
Workpad/Causeway
Olin Creek
Perennial
Both
23
29
Aver�e(feet)
(lir�rfeet)
E[L-
11+20 to 12+41 S1
( )
Permanent
Bank Stabilization
Ut to Olin () Creek S1
Perennial
Both
6
130
Average (feet)
(lir�rfeet)
3i. Total jurisdictional ditch impact in square feet:
0
3i. Total permanent stream impacts:
232
3i. Total stream and ditch impacts:
261
3j. Comments
E. Impact Justification and Mitigation
1. Avoidance and Minimization
3i. Total temporary stream impacts:
29
la. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:

The bridge will be replaced on the existing alignment. An offsite detour will be used to maintain traffic during construction. No bents will be located
within the stream banks. Deck drains only outside Top of Bank. Drainage has been designed to maintain existing drainage patterns and have as little
environmental and surface water impacts as possible. Class II rip rap will be used to stabilize the banks under the proposed bridge and along S1 and
S2.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Minimization of impacts by installing appropriate erosion control measures. Minimal impact to stream during old
bridge removal.
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:
The NCDOT does not propose mitigation for the bank stabilization and temporary causeway impacts related to this project. These impacts do not require permanent fill in the stream
bed and, therefore, under Section 404 of the Clean Water Act, do not constitute Loss of Waters of the U.S. and are not subject to compensatory 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:
Outside any buffered basin and not on the main stem Catawba.
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:*
The project is listed as a type and class of activity which qualifies as a Non -major action under the Minimum criteria
rules; therefore, a minimum criteria checklist has been completed for the bridge replacement project. Funding may change from state to federal
funded during the course of the project therefore a Categorical Exclusion (CE) is being prepared.
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 a Minimum criteria/CE project with little anticipated future impacts.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
r Yes r No r WA

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?
USACE
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
Sh. Does this project involve the construction/installation of a wind turbine(s)?*
r Yes r No
r Unknown
Si. 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?
NC Natural Heritage Program database and on -site surveys (see TE document attached). Division 12 is located in the white nose syndrome area;
however, there are no known hibernacula or roosting trees in the Division 12 counties; therefore, a NLEB consultation from was completed (see
attached).
Consultation Documentation Upload
Bat form 4d.pdf 97.75KB
Bat Habitat Assessment Form.pdf 50.82KB
TE.pdf 74.71 KB
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?*
Per Natural Heritage database no salt marshes, oyster reefs, or seagrass beds located in vicinity of project.
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?*
Cultural resources review conducted 2012
7c. Historic or Prehistoric Information Upload
Hist.pdf 657.35KB
Arch.pdf 738.11 KB
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 maps

Miscellaneous
Comments
Miscellaneous attachments not previously requested.
cover_letter.pdf
96.11 KB
flood.pdf
343.78KB
Hazardous Spill Checklist.pdf
4.36KB
JD Form.pdf
56.9KB
StudyAreaMap.pdf
1.58MB
DS Looking US.pdf
4.41 MB
S2-2.pdf
743.63KB
Under bridge.pdf
4.04MB
US Looking DS.pdf
686.46KB
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:
Jeffrey L. Wyatt
Signature
C% Iewpwr
Date
12/17/2019