20200200 Ver 1_PCN Form Submission_20200206

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
20200200
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 318 over UT to South Fork Mitchell River on SR 1319 (Abe Mayes Road)
1a. Who is the Primary Contact?*
NCDOT
1b. Primary Contact Email:*
[e-mail]
Date Submitted
2/6/2020
Nearest Body of Water
South Fork Mitchell River
Basin
Yadkin-PeeDee
Water Classification
C
Site Coordinates
Latitude: Longitude:
36.374648-80.876527
A. Processing Information
County (or Counties) where the project is located:
Surry
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:
BR-0123
WBS # (?)
48832.1.1
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]
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:
NC Department of Transportation
2b. Deed book and page no.:
2c. Responsible party:
2d.Address
Street Address
1598 Mail Service Center
Address Line 2
city
Raleigh
Fbstal / Zip Code
27699
2e. Telephone Number:
[phone]
2g. Email Address:*
State / Rovince / Rion
NC
Country
USA
2f. Fax Number
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:
Thurmond
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:*
South Fork Mitchell River
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.
030401010502
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:*
Surrounding land use is primarily agricultural and residential, with patches of forested areas and tree -lined streams.
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:
1,272
4h. Explain the purpose of the proposed project:*
The replacement of bridge 318 is part of the Growing Rural Economy and Agriculture through Transportation and Technology Enhancement or Replacement in North Carolina
(GREATTER-NC) Project under the United States Department of Transportation's 2018 Better Utilizing Investments to Leverage Development (BUILD) Grant Program. The purpose is to
provide transportation infrastructure to support economic development and improve physical and digital connectivity in rural communities in North Carolina. The current posted weight
restriction on Bridge 318 prohibits large or heavy vehicles from using the bridge, which must detour approximately 3.5 miles to avoid the bridge. Replacing this bridge will eliminate
posted weight limits by providing a safe crossing for all legal loads and will make accommodations for broadband installation in order to support economic competitiveness.
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
The proposed project will replace the existing 26 foot -long, two-lane bridge with a new 37 foot -long, two-lane bridge in the same location. Traffic will be detoured off -site during
construction. Standard road building equipment such as trucks, dozers, and cranes will be used.
4j. Please upload project drawings for the proposed project.
BR-0123 Permit Drawtngs.pdf 2.98MB
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:

Of the delineated areas, only one perennial stream is impacted by this project.
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:
Sd1. 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?
No.
D. Proposed Impacts Inventory
1. Impacts Summary
1a. Where are the impacts associated with your project? (check all that apply):
[ Wetlands W Streams -tributaries
[ 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 *
(?) IIJurisdiation
3f. Type of
*
3g. S. width *
3h. Impact
length*
S1
Site 1 - Temporary
impervious dikes for bridge
replacement
Temporary
Other
SC
Perennial
Both
23
Average (feet)
89
(li �rfcet)
S2
Site 1 - Ditch outlet bank
stabilization 7l::]
Permanent
Stabilization
tc
ff
Both
23
Average (feet)
15
(linearfeet)
31. Total jurisdictional ditch impact in square feet:
0
3i. Total permanent stream impacts:
15
31. Total stream and ditch impacts:
104
3i. Total temporary stream impacts:
89
3j. Comments:
Temporary impacts total 0.02 acre (also, there are an additional 15' of temporary impacts, but they overlap with the 15' of bank stabilization).
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:
The proposed replacement bridge will be on the same alignment as the existing bridge, will be longer, and will span the stream. Overall drainage
patterns will be maintained. On the right side of SR 1318 immediately past the intersection of SR 1319, a traffic bearing grated drop inlet with double
frame and grates (2GI) will be placed on the right side of the roadway in the shoulder berm gutter to pick up runoff. Class II rip rap abutment protection
on both banks of the stream will also be used to prevent future erosion and stream migration.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
NCDOT will adhere to Best Management Practices for Construction and Maintenance Activities.
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 temporary and bank stabilization impacts related to this project. These impacts do not require permanent fill in the stream bed,
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) C^U
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:
No buffered resources within project 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 (NEPAISEPA)?*
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
NEPAor SEPA Final Approval Letter
BR-0123 CE 2019-08-06.pdf
2. Violations (DWR Requirement)
11.06MB
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 r No
3b. If you answered "no," provide a short narrative description.
Due to the minimal transportation impact resulting from this bridge replacement, this project will neither influence nearby land uses nor stimulate
growth. Therefore, a detailed indirect or cumulative effects study will not be necessary.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
r Yes r Nor NIA
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 r Unknown

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
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?
As of November 13, 2019, the USFWS lists five protected species for Surry County. A biological conclusion for bog turtle is not required, though no
suitable habitat is present within the project footprint. Surveys for SchweiniL, s sunflower were conduced on 10/18/19, and no individuals of this
species were found. Small whorled pogonia is listed as historic for Surry County, and per guidance from USFWS since completion of the NRTR, it has
been determined that surveys are not required for historic listings. A memo stating that NCDOT is in compliance with 4(d) with regard to northern long-
eared bat was sent to USFWS (Claire Ellwanger) on 116/2020. The bridge was assessed for gray bat habitat on 1/9/2020, and there was no habitat
nor evidence of bats (see attached NLEB/MYGR memo).
Consultation Documentation Upload
BR-0123 NLEB 4(d) MYGR Surry.pdf 234.67KB
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?*
NEPA Documentation
7c. Historic or Prehistoric Information Upload
BR-0123 Response From Catawba.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?*
FEMA Maps
Miscellaneous
Comments
Miscellaneous attachments not previously requested.
449.97KB
BR-0123 2020-02-06 Cover Letter. pdf 368.41 KB
Signature n)
*
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 Anthony Turchy
Signature
Ac"I ,I-Fhopy Tac$(
Date
2/6/2020