20200462 Ver 1_PCN Form Submission (2)_20200407

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?*
6 Yes
r No
Is this project a public transportation project?*
G Yes r No
Change only if needed.
BIMS # Assigned *
Version#*
20200462
1
Is a payment required for this project?*
r No payment required
G Fee received
Reviewing Office*
r Fee needed - send electronic notification
Mooresville Regional Office - [phone]
Select Project Reviewer*
Donna Hood:eads\drhood
Information for Initial Review
1a. Name of project:
Replacement of Bridge #120239 over Adams Creek
1a. Who is the Primary Contact?*
Larry Thompson - NCDOT Division 10
1b. Primary Contact Email:* 1c. Primary Contact Phone:*
[e-mail] [phone]
Date Submitted
4/7/2020
Nearest Body of Water
Adams Creek
Basin
Yadkin-PeeDee
Water Classification
C
Site Coordinates
Latitude: Longitude:
35.387322-80.437994
A. Processing Information u
County (or Counties) where the project is located:
Cabarrus
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.10.R.139
1a. Type (a) of approval sought from the Corps:

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:
NCDOT Division 10
2b. Deed book and page no.:
2c. Responsible party:
2d.Address
Street Address
716 Main Street
Address Line 2
City
State / Rovince / Rion
Albemarle
NC
Rostal / Zip Code
Country
28001
USA
2e. Telephone Number:
2f. Fax Number:
[phone]
[phone]
2g. Email Address:*
r Yes r No
r Yes r No

[e-mail]
C. Project Information and Prior Project History U
1. Project Information
1b. Subdivision name:
frf appropriate)
1c. Nearest municipality/ town:
Mt. Pleasant
F-
2. Project Identification
2a. Property Identification Number:
2b. Property size:
N/A
2.11
2c. Project Address
Street Address
SR 1006 (Mount Pleasant Road)
Address Line 2
Oty
Slate / Province / Region
Mt. Pleasant
NC
Postal / Zip Code
Country
28124
USA
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
Adams Creek
3b. Water Resources Classification of nearest receiving water:*
C
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.
030401050304
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:*
Existing conditions include SR 1006 (Mt. Pleasant Road), agricultural land, residential property, undeveloped forest, and the disturbed/maintained right-of-way. This project was formerly
T.I.P. #B-5790.
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?*
r Yes r No B 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)
Figure 1_USGSMap.pdf
903.15KB
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)
R139 Figure2_SoilsMap.pdf 1.35MB
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:
148
4h. Explain the purpose of the proposed project:*
To remove Bridge #120239 and replace with a new, modern bridge structure; this project has been designated by NCDOT as an Emergency Bridge Replacement - the existing bridge
was closed on February 13, 2020 due to structural damage from a storm; an off -site detour is in place.
41. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
Erosion and sedimentation control measures will be installed. Bridge demolition will include the removal of the bridge deck and the bridge abutments. Bridge replacement construction
will take place using heavy equipment operating from the upland roadway approaches. Impervious dikes will be placed around the bridge abutment on the west side of the stream and
around the bridge abutment and proposed bridge piles on the east side of the stream. These areas will be dewatered to ensure all work is done in dry conditions. Approximately 127 If
of temporary dewatering impacts may result. Stream bank stabilization around the bridge abutments will result in approximately 123 If of permanent impact to the stream bank. Impacts to
the stream bed Will be avoided. No deck drains are proposed on the bridge and runoff from the bridge will be routed to a traffic bearing grated drop inlet located to the northeast of the
bridge and discharged to the stream floodplain upstream of the bridge. The proposed bridge will be built on the same alignment with a temporary off -site detour.
4j. Please upload project drawings for the proposed project.
R.139_PRM04062020. pdf
3.1MB
5. Jurisdictional Determinations

5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
r Yes r No
G Unknown
Comments:
See attached NRTR prepared by Three Oaks Engineering for information on the stream delineation
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): Nathan Howell
Agency/Consultant Company: Three Oaks Engineering
Other:
5d1. Jurisdictional determination upload
B-5790 NRTR Final.pdf
6. Future Project Plans
6a. Is this a phased project?*
r Yes r No
2.87MB
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
la. Where are the impacts associated with your project? (check all that apply):
F Wetlands W Streams -tributaries F Buffers
F 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 * 3f. Type of 3g. S. width * 3h. Impact
M Jurisdiction* length*
S1
Bridge replacement
g p
Permanent
Bank Stabilization
Adams Creek
Perennial
Both
25
Average (feet)
123
(linearfeet)
gy
Bridge replacement
Temporary
Dewatering
Adams Creek
Perennial
Both
25
Average (feet)
127
(linearfeet)
31. Total jurisdictional ditch impact in square feet:
0
31. Total permanent stream impacts:
123
31. Total stream and ditch impacts:
250
3i. Total temporary stream impacts:
127
3j. Comments:
Permanent impacts are associated with stabilization of the stream banks around the bridge abutments. Temporary impacts are associated with the
dewatering of portions of the stream around the bridge abutments and proposed bridge pier to ensure work is conducted in dry conditions.
E. Impact Justification and Mitigation
1. Avoidance and Minimization
la. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
Replace bridge in -place was incorporated to minimize impacts. Riprap protection of the bridge abutments is being placed/keyed into the stream banks
above the surveyed water surface elevation and no impacts to the perennial stream bed would occur; the riprap on the stream banks is to also deter
stream migration. Bridge abutment slopes are designed at 1.5:1; riprap stabilized stream bank slopes are 2:1. Work will be conducted from the upland
roadway approaches.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:

NCDOT Best Management Practices for Construction and Maintenance Activities will be employed, including the use of impervious dikes to facilitate
work in dry conditions. Demolition and construction methods from the upland roadway approaches will be used to minimize potential temporary
demolition related impacts and avoid construction related impacts.
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 proposed 123 linear feet of permanent impact to Adams Creek is proposed for bank stabilization around the bridge abutments and no part of the stream bed will be impacted.
Minimal temporary impacts of 127 linear feet to Adams Creek is proposed for dike construction for stream dewatering.
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 located in the Yadkin -Pee Dee River Basin and is not subject to NC Riparian Buffer Protection Rules.
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:
Stormwater runoff from the proposed bridge will be routed to a traffic bearing grated drop inlet located on the northeast side of the bridge. No deck drains are required; please see
attached Stormwater Management Plan for details on the minimization of water quality impacts.
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:*
Bridge replacement project that required the preparation of a Minimum Criteria Determination Checklist; please see signed MCDC under
Miscellaneous.
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.
Project involves the replacement of an eAsting bridge and is not anticipated to affect future development.
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.
Raleigh
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?
USFWS IPaC and NCNHP data and site specific surveys by Three Oaks Engineering and STV Engineers, Inc.; please see Supplemental Information
attached under Miscellaneous for threatened and endangered species write-ups and biological conclusions.
Consultation Documentation Upload
NCNHP_report_17bp10r139_bridge _239_09192019.pdf 1.05MB
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?*
NOAA EFH Mapper
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?*
See attached "No Archaeological Survey Required Form" and "Historic Architecture and Landscapes No Survey Required Form."
7c. Historic or Prehistoric Information Upload
PA 19-01-0006 No Archaeological Survey Required B-5790 Br No 239 on Mt Pleasant S Road Cabarrus.pdf 1.19MB
R.139 Architectural No Survey Required Form.pdf 2.78MB
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 FIRM maps
Miscellaneous C^U
Comments
Additional Miscellaneous attachments include Supplemental Information regarding the Threatened and Endangered Species that are listed in Cabarrus County.
Miscellaneous attachments not previously requested.
NRTR_SupplementalInformation_ R139_04062020.pdf
130.13KB
Signature U
*
fJ 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
4/7/2020