20191336 Ver 2_PCN Form Submission_20200413

DWR
Dlrlslon of Water Resources
Pre -Construction Notification (PCN) Form
April 11, 2020 Ver 3.1
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
20191336
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 57 on SR-1248 in Lincoln Co
1a. Who is the Primary Contact?*
NCDOT
1b. Primary Contact Email:*
[e-mail]
Date Submitted
4/13/2020
Nearest Body of Water
South Fork Catawba River
Basin
Catawba
Water Classification
WS-N
Site Coordinates
Latitude: Longitude:
35.438314-81.247887
A. Processing Information
County (or Counties) where the project is located:
Lincoln
Is this a NCDMS Project
r Yes r No
Is this project a public transportation project?*
r Yes r No
Is this a NCDOT Project?*
r Yes r No
(NCDOT only) T.I.P. or state project number
Version#*
2
Reviewing Office*
Mooresville Regional Office - [phone]
1c. Primary Contact Phone:*
[phone]
U

WBS # (?)
17BP.12.R.104
1a. Type(s) 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:
V 401 Water Quality Certification - Regular
r Non-404 Jurisdictional General Permit
r Individual Permit
to. Is this notification solely for the record because written approval is not required?
For the record only for DWR 401 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:
NC Department of Transportation
2b. Deed book and page no.:
2c. Responsible party:
Mark Stafford
2d.Address
Street Address
1710 East Marion Street
Address Line 2
PO box 47
(Sty
State / Rovince / Region
Shelby
NC
Postal / Zip Code
Country
28151
USA
r Yes r No
r Yes r No

2e. Telephone Number:
[phone]
2g. Email Address:*
[e-mail]
C. Project Information and Prior Project History
1. Project Information
1b. Subdivision name:
(d appropriate)
1c. Nearest municipality/ town:
Lincolnton
2. Project Identification
2a. Property Identification Number:
2c. Project Address
Street Address
Address tine 2
CRY
Rstal / Zip Code
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
South Fork Catawba River
3b. Water Resources Classification of nearest receiving water:*
WS-IV
3c. What river basin(s) is your project located in?*
Catawba
3d. Please provide the 12-digit HUC in which the project is located.
030501020504
4. Project Description and History
2f. Fax Number:
2b. Property size:
State / Rovince / Fbgion
Country
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:*
Since this is an after the fact permit application the existing conditions are a new four span 332' long by 33' wide bridge. The previous conditions were a deteriorating six span 330' long
by 28' wide bridge. Land use has not changed from mostly forested and bridge is on paved secondary road.
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?*
F Yes r 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)
Topo.pdf 152.61 KB
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)
Soil_Map.pdf 468.69KB
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:
300
4h. Explain the purpose of the proposed project:*
NCDOT Bridge Management Unit indicated Bridge No. 57 had a low sufficiency rating and was approaching the end of its useful life. Therefore the purpose of the work was to replace
the deteriorating bridge for the safety of the travelling public.
41. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
NCDOT has replaced Bridge No. 57 on SR 1248 (Southfork Road) over South Fork Catawba River in Lincoln County south of Lincolnton. The previous 330' long by 28' wide six span
deteriorating bridge was replaced with a 332' long by 33' wide four span bridge. The new bridge has no direct discharge into the water. As recommended by DWR the new bridge will
have Class II bank stabilization added to both banks under bridge.
All Best Management Practices will be utilized during the course of the project. The project will be constructed using typical heavy equipment (trackhoe, backhoe, etc).
4j. Please upload project drawings for the proposed project.
Permit Drawings.pdf 78.57KB

5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
r Yes r No
Comments:
Division 12 Environmental Office
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: Division 12 Environmental Office
Other:
5d1. Jurisdictional determination upload
r Unknown
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 projector related activity?
D. Proposed Impacts Inventory
1. Impacts Summary
1a. 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 * �3f. Type of] I
3g. S. width * 3h. Impact
(?) Jurisdiction* length*
____]Bank Stabilization Permanent Bank StabilizationJ�rk Catawba River Perennial Bth 30 651Average (feet) (linearfeet)
3i. Total jurisdictional ditch impact in square feet:
0
31. Total permanent stream impacts:
65
31. Total stream and ditch impacts:
65
3j. Comments:
E. Impact Justification and Mitigation
1. Avoidance and Minimization
31. Total temporary stream impacts:
0
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
The bridge was replaced on the wasting alignment. An offsite detour was used to maintain traffic during construction. Bents were located as close to
bank as possible. Deck drains only outside Top of Bank. Drainage was designed to maintain previous drainage patterns and have as little
environmental and surface water impacts as possible. Class II rip rap was used to stabilize the banks under the new bridge.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Minimization of impacts by installing appropriate erosion control measures. Minimal impact to stream during old bridge removal.
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 bank stabilization impacts related to this project. These impacts do not require permanent fill in the stream bed and, 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.
LF. 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:
Outside any buffered basin and not on the main stem Catawba River.
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 V
1. Environmental Documentation
la. Does the project involve an expenditure of public (federal/state/local) funds or the use of public (federallstate) 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:*
Project falls under NEPA/SEPA thresholds for requiring completion of an environmental document.
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
2b Provide an explanation of the violation(s):
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.
The project is a Minimum Criteria/CE project with little anticipated future impacts.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
r Yes r No r WA
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
What Federal Agency is involved?
UASCE
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
Sh. Does this project involve the construction/installation of a wind turbine(s)?*
r Yes r No
f- Unknown
5i. 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?
NC Natural Heritage Program database and on -site surveys (see TE document attached). Division 12 is located in the white nose syndrome area;
however, there are no known hibernacula or roosting trees in the Division 12 counties; therefore, a NLEB consultation from was completed (see
attached).
Consultation Documentation Upload
StreamlinedConsultationForm29Feb2016_(3).pdf 357.34KB
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?*
Per Natural Heritage database no salt marshes, oyster reefs, or seagrass beds located in vicinity of project.
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?*
Cultural resources reviewconducted 2017
7c. Historic or Prehistoric Information Upload
540057 NoSitesPresent.pdf
540057-16-11-0008_NoSurvey.pdf
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
Miscellaneous
Comments
Miscellaneous attachments not previously requested.
cover_letter.pdf
Figl .pdf
Fig2.pdf
Flood.pdf
Hazardous Spill Checklist.pdf
JD Form.pdf
NRTM.pdf
3.61 MB
2.72MB
190KB
128.39KB
648.02KB
544.92KB
4.41 KB
54.93KB
82.14KB

Signature
17 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:
Jeffrey Lee Wyatt
Signature
Date
4/13/2020