20200046 Ver 1_PCN Form Submission_20200108

DWR
Dlrlslon 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?*
G Yes r No
Change only if needed.
BIMS # Assigned
20200046
Is a payment required for this project?*
r No payment required
r 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 pipe #301 with Culvert over unnamed tributary to Little Bear Creek
1a. Who is the Primary Contact?*
Larry Thompson
1b. Primary Contact Email:*
[e-mail]
Date Submitted
1/8/2020
Nearest Body of Water
Little Bear Creek
Basin
Yadkin-PeeDee
Water Classification
C (13-17-31-5-1)
Site Coordinates
Latitude: Longitude:
35.3968271-80.3857081
A. Processing Information
County (or Counties) where the project is located:
Cabarrus
Is this project a public transportation project?*
IT Yes r No
Is this a NCDOT Project?*
r Yes r No
(NCDOT only) T.I.P. or state project number:
SF-120301
WBS # (?)
17BP.10.C.6
1a. Type (a) of approval sought from the Corps:
Version#*
1
Reviewing Office*
Mooresville 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: 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?
r Owner W 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:
North Carolina Department of Transportation
2b. Deed book and page no.:
not applicable
2c. Responsible party:
not applicable
2d.Address
Street Address
716 W. Main Street
Address Line 2
City
Albemarle
Rostal / Zip Code
28001
2e. Telephone Number:
[phone]
2g. Email Address:*
State / Province / Rion
North Carolina
Country
USA
2f. Fax Number
r Yes r No
r Yes r No

[e-mail]
3. Applicant Information (if different from owner)
3a. Name:
Larry Thompson
3b. Business Name:
not applicable
3c.Address
Street Address
716 W. Main Street
Address Line 2
city
Albemarle
Postal / Zip Code
28001
3d. Telephone Number:
[phone]
3f. Email Address:*
[e-mail]
State / Rovince / Region
NC
Country
USA
3e. Fax Number:
C. Project Information and Prior Project History O
[Project Information
1b. Subdivision name:
(d appropriate)
1c. Nearest municipality/town:
Mt Pleasant (Concord)
2. Project Identification
2a. Property Identification Number:
not applicable
2c. Project Address
Street Address
not applicable
Address Line 2
not applicable
city
not applicable
Postal / Zip Code
not applicable
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
Little Bear Creek
3b. Water Resources Classification of nearest receiving water:*
C (13-17-31-5-1)
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.
030401050404
4. Project Description and History
2b. Property size:
not applicable
State / Province / legion
not applicable
(buntry
not applicable
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:*
6dsting structure is described as 2@112" x 75" Arch CMP. Cover is soil and rip rap. Project area is out of frame in the Cabarrus County future land use plan but is in the vicinity of
areas and presumed to be zoned as single family agricultural or single family residential. Land cover can be observed in the natural resources technical report (figure 4. terrestrial
communities map).
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)

NC_Mou nt_Pleasant_20190727_17 BP.10. C.6. pdf
93.03MB
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)
Cabarrus_NRCS_C6.pdf 161.9KB
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:
319
4h. Explain the purpose of the proposed project:*
The existing pipes and associated materials have reached the end of their usable life. Taking no action would result in eventual road closure. Due to the soil cement and pipe
construction, rehabilitation of existing structure is essentially equivalent to replacing the structure.
41. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
17BP.10.C.6 is a culvert replacement project that involves removing existing Cabarrus County Pipe #301 on SR 2608 (Hahn Road) over Unnamed Tributary to Little Bear Creek. The
existing pipes are 2 @ 112" x 75" Arch CMPs and will be replaced with 2 @ 10' x 8' RCBC. The proposed culvert inverts Wil be buried 1' belowtheh stream channel bed and will have a
lowflowand high flow barrel. Sills will be constructed in each end of the proposed box culvert with floodplain benches installed up and downstream. Another jurisdiction stream flows
parallel to the roadway and fill slopes will avoid impacts to this stream. 2:1 fill slopes have been used to minimize the proposed culvert length and associated stream impacts.
4j. Please upload project drawings for the proposed project.
17BP10C6_Permit Package Wetland_20190607.pdf 1.14MB
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
r Yes r No C Unknown
Comments:
5b. If the Corps made a jurisdictional determination, what type of determination was made?*
C Preliminary r Approved C Not Verified r Unknown C N/A
Corps AID Number:
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known): Joseph Sullivan
Agency/Consultant Company: KCI associates of NC.
Other: Per Natural Resources Technical Report
5d1. Jurisdictional determination upload
6. Future Project Plans
6a. Is this a phased project?*
C 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 projector 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*
Type of
3gSwidth *
3h. ImpactM
❑
�[3f.
urisdiction*
length*
S1
Temporary Channel
Temporary
Other Jnnamed
Stream
Perennial
Both
6
34
Average (feet)
(linearfeet)
S2
Bank Stabilization
Permanent
Bank Stabilization
Unnamed Stream
Perennial
Both
6
37
Average (feet)
(liriearfeet)
S3
Temporary Channel
Temporary
Other
Unnamed Stream
Perennial
Both
12
47
Average (feet)
(lin�rfeet)

Sq Bank Stabilization Permanent Bank Stabilization Unnamed Stream Perennial Both 12 30
Average(feet) i (lirearfeet)
31. Total jurisdictional ditch impact in square feet:
0
3i. Total permanent stream impacts: 3i. Total temporary stream impacts:
67 81
3i. Total stream and ditch impacts:
148
3j. Comments:
E. Impact Justification and Mitigation n)
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
2:1 roadway side slopes were utilized to minimize culvert length. Slopes also chosen to avoid impacting stream that runs parallel to roadway (-L- RT
17+85 to 19+21). Sills utilized in proposed overflow culvert to minimize change to existing floodplain bench.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Erosion Control BMP's utilized during construction to minimize sediment introduced into stream.
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:
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 within a watershed that requires Riparian Buffer Protection.
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
Comments:
A minimum criteria determination checklist was prepared
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 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.
According to "cumulative impacts and teh 401 Water Quality Certification and Isolated Wetland Permit Programs - Division of water Quality Internal
Policy NC Division of Water Quality" Policy I., Section A. "Generic description of water quality impacts", bridge replacement projects typically don't add
much impervious area to the watershed.
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
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
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
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
17BP.10.C.6 Natural resources technical report.
Consultation Documentation Upload
CabarrusPipe301_NRTR_Final_Submittal_20191220.pdf 2.1 MB
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?*
1713P.10.C.6 Natural Resources Technical Report
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?*
No National Register of Historic Places Eligible or Listed Archaeological Sites Present of Affected Form for Project (Project Tracking No. 18-09-0095)
7c. Historic or Prehistoric Information Upload
AR18-09-0095NoSitesPresent.pdf 6.43MB
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?*
176P.10.C.6 approved CSR, NCFRIS (no floodway shown within DFIRM panel 5680 at project site).

Miscellaneous
Comments
Miscellaneous attachments not previously requested.
CabarrusPipe30l _NRTR_Final_Submittal_20191220. pdf
17BP.10.C.6_MCDC_Pipe _301_Cabarrus_FINAL (signed). pdf
2.1 MB
1.13MB
Signature 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:
Larry Thompson
Signature
Date