20200215 Ver 1_PCN Form Submission_20200210

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?*
r Yes
r No
Is this project a public transportation project?*
G Yes r No
Change only if needed.
BIMS # Assigned
20200215
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 Bridge W. 480166 on SR 1595 (Coolbrook Road) over Rocky Creek
1a. Who is the Primary Contact?*
NCDOT
1b. Primary Contact Email:*
[e-mail]
Date Submitted
2/10/2020
Nearest Body of Water
Rocky Creek
Basin
Yadkin-PeeDee
Water Classification
C
Site Coordinates
Latitude: Longitude:
36.014070-81.003658
A. Processing Information
County (or Counties) where the project is located:
Iredell
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-0115
WBS # (?)
48824.1.1
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:
Nationwide Permit (NWP) Number:
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
13 - Bank Stabilization
33 - Temporary Construction
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?
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:
NCDOT
2b. Deed book and page no.:
2c. Responsible party:
2d.Address
Street Address
1598 Mail Service Center
Address Line 2
City
State / Rmince / Region
Raleigh
INC
Postal / Zip Code
Country
27699
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:
Union Grove
2. Project ctct 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:*
Rocky 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.
030401020104
4. Project Description and History
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:*
Undeveloped woods, agriculture land, and some residences.
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?*
F Yes G No F 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:
4g. List the total estimated linear feet of all existing streams on the property:
787
4h. Explain the purpose of the proposed project:*
The replacement of Bridge No. 480166 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 of
the grant and this bridge replacement project is to provide transportation infrastructure to support economic development and improve physical and digital connectivity in rural
communities in North Carolina. The posted weight restriction on Bridge No. 480166 prohibits large or heavy vehicles, typically used in transporting agricultural and manufactured
products, from using the bridge. Vehicles above the posted weight must detour 7 miles to avoid the bridge. Replacing the epsting 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. NCDOT Structures Management Unit records
indicate Bridge No. 480166 has a sufficiency rating of 58.87 out of a possible 100. Bridge No. 480166 is considered structurally deficient due to a superstructure condition appraisal of 4
out of 9 according to Federal Highway Administration (FHWA) standards. The bridge is approaching the end of its useful life. The existing bridge also has a posted weight limit and the
proposed project has been designed to meet the legal load rating.
* This bridge will serve as a detour route for NCDOT project BR-0114, which proposes the replacement of Bridge No. 480165 on SR 1601 (Branton Road) over Rocky Creek. Since
Bridge No. 480165 is currently a posted bridge, it will need to be constructed prior to the BR-0114 bridge replacement.
41. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
The existing 107', 3 span bridge over Rocky Creek on SR 1595 (Coolbrook Road) is being replaced with 3 span bridge with a span arrangement of 1@30' (21" Cored Slab), 1@70' (24"
Cored Slab), and 1 @35' (21" Cored Slab). The bridge will have 1.5:1 sloping abutments. The bridge will be superelevated with a 3 % slope and with 10' travel lanes with 3'11" to the right
and 3'11" to the left shoulders, 27'-10" clear width and 30' OTO width. The existing bridge structure will be removed.
Standard road building equipment, such as trucks, dozers, and cranes will be used.
4j. Please upload project drawings for the proposed project.

BR-0115_Permit Drawings.pdf
4.6MB
5. Jurisdictional Determinations
Sa. Have the wetlands or streams been delineated on the property or proposed impact areas?*
r Yes r No f Unknown
Comments:
No wetlands in project study area. Only one stream (Rocky Creek).
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): Jim Mason
Agency/Consultant Company: Three Oaks Engineering
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?
No
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 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*
Type of
3gSwidth *
3h. Impacturisdiction*
❑
�[3f.
length*
S1
Bank stabilization
Permanent
Bank Stabilization J
Rock Creek
y
Perennial
Both
45
104
Average (feet)
(lir�rfeet)
gy
Impervious dikes
Temporary
Dewatering
Rocky Creek
Perennial
Both
45
11
Average (feet)
(lir�rfeet)
S3
work pad / causeway
Temporary
Workpad/Causeway
Rocky Creek
Perennial
Both
45
0
Average (feet)
(linearfeet)
3i. Total jurisdictional ditch impact in square feet:
0
3i. Total permanent stream impacts: 3i. Total temporary stream impacts:
104 11
3i. Total stream and ditch impacts:
115
3j. Comments:
S2 Comment: Of the 115 linear feet of temporary stream impacts from the Impervious dikes, 104 If are within the streambank impact. As such, 11 If of
temporary stream impacts for the Impervious dike are listed.
S3 comment: All of the 84 linear feet of temporary stream impacts from the temporary causeway are within the length of the streambank impacts. As
such, 0 If of temporary stream impacts for the temporary causeway are listed.
The temporary work pad / causeway will not cross more than half of the stream (Rocky Creek)
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 bridge is 31 feet longer than the existing bridge.
The proposed bridge will span Rocky Creek, with no pilings in the stream.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Overall drainage patterns will be maintained. There are roadside ditches that flowtowards the bridge on both sides of the project. On the end side of
the bridge, a traffic bearing grated drop inlet with double frame and grates (2GI) was placed on the right side of the roadway in the shoulder berm
gutter to pick up runoff from the bridge. Class -II rip rap abutment protection on both banks of the stream is also proposed to prevent future erosion
and stream migration. Deck drains will be required to meet spread criteria but the drains will not discharge directly above water. Impervious dikes will
be used around existing abutments to prevent sediment from entering the stream during the removal of existing bridge and will be dewatered as
needed.
Best Management Practices for Surface Waters will be used during all phases of construction.
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:
NCDOT does not propose mitigation for the 104 linear feet of bank stabilization impacts, as bank stabilization does not require fill in the streambed and therefore, under Section 404 of
the Clean Water Act, does not constitute Loss of Waters of the U.S. and is 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:
not located within a Buffer Basin.
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:
see attached Permit Drawings
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
NEPAor SEPA Final Approval Letter
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.
NCDOT does not propose mitigation for the 104 linear feet of bank stabilization impacts, as bank stabilization does not require fill in the streambed
and therefore, under Section 404 of the Clean Water Act, does not constitute Loss of Waters of the U.S. and is not subject to compensatory
mitigation.

4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR forth is 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
5c. If yes, indicate the USFWS Field Office you have contacted.
Asheville
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?
IPAC, USFWS website, NCNHP website, and on -site pedestrian surveys.
As of November 13, 2019, the USFWS lists three protected species for Iredell County: bog turtle, northern long-eared bat (NLEB), and dwarf -flowered
heartleaf (DFHL).
Bog turtle: does not require a Biological Conclusion.
NLEB: NCDOT has determined that the proposed action does not require separate consultation on the grounds that the proposed action is consistent
with the final Section 4(d) rule, codified at 50 C.F.R. § 17.40(o) and effective February 16, 2016.
DFHL: Biological Conclusion of No Effect. Habitat is present for dwarf -flowered heartleaf; however, no individuals of this species were identified during
surveys conducted at the project site. Additionally, reviewof NCNHP database indicates no known DFHL occurrences within 1.0 mile of the study area.
Consultation Documentation Upload
BR-0115 Iredell 4(d) NLEB.pdf 236.77KB
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
61b. 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?*
N/SEPA Documentation
7c. Historic or Prehistoric Information Upload
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 (Panels 3710480200J and 3710480300K)
Miscellaneous
Comments
Miscellaneous attachments not previously requested.
BR-0115 Application Cover Letter.pdf 169.61 KB
Signature u
f7 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
Il 4f iw"
Date
2/10/2020