20200260 Ver 1_PCN Form Submission_20200218

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
20200260
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
Version#*
1
Reviewing Office*
Winston-Salem Regional Office - (336) 776-
9800
1a. Name of project:
BR-0124: Replace Bridge 166 over West Prong Roaring River on SR 1745 (Shumate Mountain Road)
1a. Who is the Primary Contact?*
NCDOT
1b. Primary Contact Email:* 1c. Primary Contact Phone:*
[e-mail] [phone]
Date Submitted
2/18/2020
Nearest Body of Water
West Prong Roaring River
Basin
Yadkin-PeeDee
Water Classification
C
Site Coordinates
Latitude:
36.294244
A. Processing Information
County (or Counties) where the project is located:
Wilkes
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-0124
WBS # (?)
48833.1.1
1a. Type (a) of approval sought from the Corps:
Longitude:
-81.096802
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: 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:
ff appropriate)
1c. Nearest municipality/ town:
Traphill
Project 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:*
West Prong Roaring 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.
030401010403
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 agricultural and residential interspersed with small to large patches of forested areas.
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:
0.02
4g. List the total estimated linear feet of all existing streams on the property:
2,383
4h. Explain the purpose of the proposed project:*
The replacement of bridge 166 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 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 166 prohibits large or heavy vehicles, typically used in transporting agricultural and manufactured products, from using the
bridge. Vehicles above the posted limit must detour 3.9 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 136 foot -long, two-lane bridge with a new 143 foot -long, two-lane bridge on the same alignment. Traffic will be detoured offsite 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-0124 Permit Drawings.pdf 3.64MB
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:
Of the delineated areas, only two perennial streams (West Prong Roaring River and a UT, Stream
SC) are 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 f N/A
Corps AID Number:
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known): Nathan Howell, Mary Frazer
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 anyother 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?
No.
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 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. ImpactM
❑
�[3f.
urisdiction*
length*
S1
Site 1 - Temporary turbidity
Temporary
Other
West Prong Roaring River
Perennial
Both
50
5
curtains for bridge
Average (feet)
(linearfeet)
replacement
S2
Site 1 - Bank stabilisation
Permanent
Bank Stabilization
West Pron Roaring River
9 9
Perennial
Both
50
51
under bridge
Average (feet)
(lir�rfeet)
S3
Site 2 - Bank stabilization
Permanent
Bank Stabilization
SC
::I
Perennial
Both
5
63
along pipe ouffall
Average (feet)
(lirrfeet)
31. Total jurisdictional ditch impact in square feet:
0
31. Total permanent stream impacts:
114
31. Total stream and ditch impacts:
119
31. Total temporary stream impacts:
5
3j. Comments:
Temporary impacts total 0.02 acre (which includes an additional 51' of temporary impacts, but these overlap with bank stabilisation impacts).
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 eAsting bridge, will be slightly longer, and will span the stream. Overall
drainage patterns will be maintained. On the end side of the bridge, a traffic bearing grated drop inlet with double frame and grates (2GI) will be
placed on both sides of the roadway in the shoulder berm gutter to pick up runoff from the bridge. Deck drains will not discharge directly above water.
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)
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
la. 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
BR-0124 CE.pdf
2. Violations (DWR Requirement)
17.72MB
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.
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 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(11). 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?
As of November 13, 2019, the USFWS lists four protected species for Wilkes County. A biological conclusion for bog turtle is not required, though no
suitable habitat is present within the project footprint. USFWS assumes the state is unoccupied by the rusty -patched bumblebee. 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 1/6/2020. The bridge was
assessed for gray bat habitat on 1/9/2020, and there was no evidence of bats (see attached NLEB/MYGR memo).
Consultation Documentation Upload
BR-0124 NLEB 4(d) MYGR Wilkes.pdf 240.21 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?*
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-0124 Catawba Indian Nation Response.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.
BR-0124 Cover Letter.pdf
Signature
459.85KB
340.16KB
U
*

R 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
Xt 1"-
Date
2/18/2020