20201093 Ver 1_401 Application_20200902 (2)

Pre-Construction Notification (PCN) Form
For Nationwide Permits and Regional General Permits
(along with corresponding Water Quality Certifications)
April 11, 2020 Ver 3.1
1a. Name of proje ct:
1a. Who is the Primary Contact?
1b. Primary Contact Email:1c. Primary Contact Phone :
Site Coordinates
Latitude :Longitude :
County (or Countie s) where the proje ct is locate d:
Ne are st Body of Wate r
Is this a NCDM S Proje ct *
Is this project a public transportation project?
Is this a NCDOT Proje ct?
(NCDOT only) T.I.P. or state proje ct numbe r:
WBS #(?)
1a. Type (s) of approv al sought from the Corps:
1b. What type (s) of pe rmit(s) do you wish to se e k authorization?
1c. Has the NWP or GP numbe r be e n v e rifie d by the Corps?
Nationwide Pe rmit (NWP) Numbe r:
NWP Numbe rs (for multiple NWPS):
1d. Type (s) of approv al sought from the DWR:
1e . Is this notification sole ly for the re cord be cause writte n approv al is not re quire d?
Replace Bridge No. 132 on NC 73 over Dutch Buffalo Creek
NCDOT
[e-mail] [phone]
35.395927 -80.416077
A. Processing Information
Cabarrus
Yes No
Yes No
Yes No
B-5813
WBS No. 45767.1.1
Section 404 Permit (wetlands, streams and waters, Clean Water Act)
Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)
Nationwide Permit (NWP)
Regional General Permit (RGP)
Standard (IP)
Yes No
14 - Linear transportation
401 Water Quality Certification - Regular 401 Water Quality Certification - Express
Non-404 Jurisdictional General Permit Riparian Buffer Authorization
Individual Permit
For the re cord only for DWR 401 Ce rtification:
For the re cord only for Corps Pe rmit:
1f. Is this an afte r-the -fact pe rmit application?
1g. Is payme nt into a mitigation bank or in-lie u fe e program propose d for mitigation of impacts?
Acce ptance Le tte r Attachme nt
1h. Is the proje ct locate d in any of NC's twe nty coastal countie s?
1j. Is the proje ct locate d in a de signate d trout wate rshe d?
1d. Who is applying for the pe rmit?
1e . Is the re an Age nt/Consultant for this proje ct?*
2. Owner Information
3. Applicant Information (if different from owner)
Yes No
Yes No
Yes No
Yes No
B-5813 DMS Acceptance Letter.pdf 457.56KB
Yes No
Yes No
B. Applicant Information
Owner Applicant (other than
owner)
Yes No
2a. Name (s) on re corde d de e d:
2b. De e d book and page no.:
2c. Re sponsible party:
2d. Addre ss
2e . Te le phone Numbe r:2f. Fax Numbe r:
2g. Email Addre ss:*
N/A
City
Raleigh
State / Province / Region
NC
Postal / Zip Code
27699
Country
US
Street Address
N/A
Address Line 2
[phone]
[e-mail]
3a. Name :
3b. Business Name :
3c. Addre ss
3d. Te le phone Numbe r:3e . Fax Numbe r:
3f. Email Addre ss:
NCDOT
City
Raleigh
State / Province / Region
NC
Postal / Zip Code
27699-1598
Country
US
Street Address
1598 Mail Service Center
Address Line 2
[phone]
[e-mail]
1b. Subdivision name :
1c. Ne are st municipality / town:
2a. Prope rty Identification Numbe r:2b. Prope rty size :
2c. Proje ct Addre ss
3. Surface Waters
3a. Name of the ne are st body of wate r to propose d proje ct:
3b. Wate r Re source s Classification of ne are st re ce iv ing wate r:*
3d. Ple ase prov ide the 12-digit HUC in which the proje ct is locate d.
3c. What riv e r basin(s) is your proje ct locate d in?*
4. Project Description and History
4a. De scribe the e xisting conditions on the site and the ge ne ral land use in the v icinity of the proje ct at the time of this application:*
4b. Hav e Corps pe rmits or DWR ce rtifications be e n obtained for this project (including all prior phase s) in the past?*
4d. Attach an 8 1/2 X 11 e xce rpt from the most re ce nt v e rsion of the USGS topographic map indicating the location of the proje ct site . (for DWR)
4e . Attach an 8 1/2 X 11 e xce rpt from the most re ce nt v e rsion of the publishe d County NRCS Soil Surv e y map de picting the proje ct site . (for DWR)
4f. List the total e stimate d acre age of all e xisting we tlands on the prope rty:
4g. List the total e stimate d line ar fe e t of all e xisting stre ams on the prope rty:
4h. Explain the purpose of the propose d proje ct:*
4i. De scribe the ov e rall proje ct in de tail, including indirect impacts and the type of e quipme nt to be use d:*
4j. Ple ase upload proje ct drawings for the propose d proje ct.
5. Jurisdictional Determinations
C. Project I nformation and Prior Project History
1. Project Information
(if appropriate)
Mt. Pleasant
2. Project Identification
City State / Province / Region
Postal / Zip Code Country
Street Address
Address Line 2
Dutch Buffalo Creek
C
030401050304
Yadkin-PeeDee
Two lane, 190', 4 span, reinforced concrete bridge over Dutch Buffalo Creek. The bridge was constructed in 1920. The surrounding land use is agricultural, residential and fragmented
forest land.
Yes No Unknown
0.0
362
NCDOT Bridge Management Unit records indicate Bridge No. 132 has a sufficiency rating of 7.68 out of a possible 100 for a new structure. The bridge is considered structurally
deficient due to superstructure condition appraisal of 4 out of 9, a substructure condition appraisal of 4 out of 9, and a deck condition of 4 out of 9 according to Federal Highway
Administration (FHWA) standards, and is approaching the end of its useful life. The bridge also meets the criteria for functionally obsolete due to a deck geometry appraisal of 2 out of
9. Bridge No. 132 carries 8,200 vehicles per day with 10,800 vehicles per day projected for the future. Components of both the concrete superstructure and substructure have
experienced an increasing degree of deterioration that can no longer be addressed by maintenance activities. The bridge is approaching the end of its useful life. Replacement of the
bridge will also result in safer traffic operations by providing a left turn lane to SR 2604 (Dutch Rd).
The existing 190', 4 span bridge over Dutch Buffalo Creek on NC 73 is being replaced with a 2-span bridge with a span arrangement of 1@85' and 1@123' (63" Girder). The bridge will
be super elevated at 4% with 12' travel lanes, 4' shoulders and bridge railings on both sides of the travel lanes. The existing bridge will be removed, and the proposed bridge will be
placed about 50' upstream of the existing bridge alignment, keeping the existing bridge during construction as a detour bridge. The existing drainage patterns are being maintained in
the proposed condition. A proposed ditch will convey water in place of the existing channel (per directions from NCDOT) with a 9' base and 3:1 side slopes. All proposed ditches and the
channel change will flow towards and into Dutch Buffalo Creek. 6" vertical PVC pipe slots at 5' centers line the low end of the super-elevated bridge to convey runoff and meet the
requirement of 4' allowable spread. These deck drains will not discharge directly above the stream. The abutments of the bridge are protected by class II Riprap to prevent future
erosion and stream migration. Standard road and bridge building equipment such as trucks, dozers, and cranes will be used.
B-5813 Final Permit Drawings.pdf 7.09MB
B-5813 Permit Application Cover Letter.pdf 280.34KB
5a. Hav e the we tlands or streams be e n de line ate d on the prope rty or propose d impact are as?*
Comme nts:
5b. If the Corps made a jurisdictional de te rmination, what type of de te rmination was made ?*
Corps AID Numbe r:
5c. If 5a is ye s, who de line ate d the jurisdictional are as?
Name (if known):
Age ncy/Consultant Company:
Othe r:
5d1. Jurisdictional de te rmination upload
6. Future Project Plans
6a. Is this a phase d proje ct?*
Are any othe r NWP(s), re gional ge ne ral pe rmit(s), or indiv idual pe rmits(s) use d, or intende d to be use d, to authorize any part of the propose d project or re lated activ ity?
1. Impacts Summary
1a. Whe re are the impacts associate d with your proje ct? (che ck all that apply):
3. Stream Impacts
3a. Reason for impact *(?)3b.Impact type *3c. Type of impact *3d. S. name *3e . Stre am Type *
(?)
3f. Type of
Jurisdiction *
3g. S. width *3h. Impact
le ngth *
S1
S2
3i. Total jurisdictional ditch impact in square fe e t:
3i. Total pe rmane nt stre am impacts:3i. Total te mporary stre am impacts:
3i. Total stre am and ditch impacts:
3j. Comme nts:
1. Avoidance and Minimization
1a. Spe cifically de scribe me asure s take n to av oid or minimize the propose d impacts in de signing the proje ct:
1b. Spe cifically de scribe me asure s take n to av oid or minimize the propose d impacts through construction te chnique s:
Yes No Unknown
Preliminary Approved Not Verified Unknown N/A
Nathan Howell
Three Oaks Engineering
Yes No
D. Proposed Impacts Inventory
Wetlands Streams-tributaries Buffers
Open Waters Pond Construction
Temporary Construction Temporary Workpad/Causeway Dutch Buffalo Creek Perennial Both 21
Average (feet)
142
(linear feet)
Roadway Fill Permanent Fill UT to Dutch Buffalo Ck Perennial Both 7
Average (feet)
220
(linear feet)
0
220 142
362
Dewatering impacts are included in the temporary impacts for S1
E. Impact Justification and Mitigation
The new alignment shifts to the north to avoid taking two residences and a business on the south side of the road. The existing structure has two
mass concrete bents that control the edges of Dutch Buffalo Creek. These will be removed, and the new structure will not have bents at the water's
edge.The existing drainage patterns are being maintained in the proposed condition. A proposed ditch will convey water in place of the existing
channel with a 9' base and 3:1 side slopes. All proposed ditches and the channel change will flow towards and into the Dutch Buffalo Creek. 6" vertical
PVC pipe slots at 5' centers line the low end of the super-elevated bridge to convey runoff and meet the requirement of 4' allowable spread. These
deck drains will not discharge directly above the stream. Rip Rap outlet pads will be utilized to dissipate the flow and minimize erosion. Special stilling
basins placed on both sides of Dutch Buffalo Creek will help minimize sediment from passing into the stream.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Doe s the proje ct re quire Compe nsatory M itigation for impacts to Wate rs of the U.S. or Wate rs of the State ?
2c. If ye s, mitigation is re quire d by (che ck all that apply):
2d. If ye s, which mitigation option(s) will be use d for this proje ct?
4. Complete if Making a Payment to In-lieu Fee Program
4a. Approv al le tte r from in-lie u fe e program is attache d.
4b. Stre am mitigation re que ste d:
4c. If using stre am mitigation, what is the stre am te mpe rature :
4d. Buffe r mitigation re que ste d (DWR only):4e . Riparian we tland mitigation re que ste d:
4f. Non-riparian we tland mitigation re que ste d:4g. Coastal (tidal) we tland mitigation re que ste d:
4h. Comme nts
1. Diffuse Flow Plan
1a. Doe s the proje ct include or is it adjace nt to prote cte d riparian buffers ide ntifie d within one of the NC Riparian Buffe r Prote ction Rule s?
If no, e xplain why:
2. Stormw ater Management Plan
2a. Is this a NCDOT proje ct subje ct to compliance with NCDOT’s Indiv idual NPDES pe rmit NCS000250?*
Comme nts:
1. Environmental Documentation
1a. Doe s the proje ct inv olv e an e xpe nditure of public (fe de ral/state /local) funds or the use of public (fe de ral/state ) land?*
1b. If you answe re d “ye s” to the abov e , doe s the proje ct re quire pre paration of an e nv ironme ntal docume nt pursuant to the re quireme nts of the National or State (North Carolina)
Env ironme ntal Policy Act (NEPA/SEPA)?*
1c. If you answe re d “ye s” to the abov e , has the docume nt re v ie w be e n finalize d by the State Cle aring House ?*
NEPA or SEPA Final Approv al Le tte r
2. Violations (DWR Requirement)
2a. Is the site in v iolation of DWR Wate r Quality Ce rtification Rule s (15A NCAC 2H .0500), Isolate d We tland Rule s (15A NCAC 2H .1300), or DWR Surface Wate r or We tland Standards or
Riparian Buffe r Rule s (15A NCAC 2B .0200)?*
Best Management Practices will be adhered to.
Yes No
DWR Corps
Mitigation bank Payment to in-lieu fee
program
Permittee Responsible
Mitigation
Yes No
(linear feet)
220 warm
(square feet)(acres)
(acres)(acres)
F. Stormwater M anagement and Diffuse Flow Plan (required by DWR)
Yes No
Yes No
G. Supplementary Information
Yes No
Yes No
Yes No
B-5813 MCDC_signed.pdf 4.57MB
Yes No
3. Cumulative Impacts (DWR Requirement)
3a. Will this proje ct re sult in additional de v e lopme nt, which could impact ne arby downstre am wate r quality?*
3b. If you answe re d “no,” prov ide a short narrativ e de scription.
4. Sewage Disposal (DWR Requirement)
4a. Is se wage disposal re quire d by DWR for this proje ct?*
5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this proje ct occur in or ne ar an are a with fe de rally prote cte d spe cie s or habitat?*
5b. Hav e you che cke d with the USFWS conce rning Endange re d Spe cie s Act impacts?*
5d. Is anothe r Fe de ral age ncy inv olv e d?*
5e . Is this a DOT proje ct locate d within Div ision's 1-8?
5f. Will you cut any tre e s in orde r to conduct the work in wate rs of the U.S.?
5g. Doe s this proje ct inv olv e bridge mainte nance or re mov al?
5g(1). If ye s, hav e you inspe cte d the bridge for signs of bat use such as staining, guano, bats, e tc.?
If you answe re d "Ye s" to 5g(1), did you discov e r any signs of bat use ?
5h. Doe s this proje ct inv olv e the construction/installation of a wind turbine (s)?*
5i. Doe s this proje ct inv olv e (1) blasting, and/or (2) othe r pe rcussiv e activitie s that will be conducte d by machine s, such as jackhamme rs, me chanize d pile driv e rs, e tc.?
If ye s, ple ase prov ide de tails to include type of pe rcussiv e activ ity, purpose , duration, and spe cific location of this activ ity on the prope rty.
5j. What data source s did you use to de te rmine whe the r your site would impact Endange re d Spe cie s or De signate d Critical Habitat?*
Consultation Docume ntation Upload
6. Essential Fish Habitat (Corps Requirement)
6a. Will this proje ct occur in or ne ar an are a de signate d as an Esse ntial Fish Habitat?*
6b. What data source s did you use to de te rmine whe the r your site would impact an Esse ntial Fish Habitat?*
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
Yes No
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.
Yes No N/A
Yes No
Yes No
Yes No Unknown
Yes No
Yes No
Yes No
Yes No
Yes No Unknown
Yes No
Yes No
FWS Website
Schweinitz's sunflower - No Effect, habitat present, last survey 10/21/19
Carolina heelsplitter - No Effect, no habitat present, survey 10/25/18
Northern long-eared bat: 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. NCDOT may presume its
determination is informed by best available information and consider Section 7 responsibilities fulfilled for NLEB.
Approximately 0.47 acre of trees will be removed in the project footprint for construction purposes.
B-5813 Mussel Survey Report.pdf 8.93MB
B-5813 SLOPES Memo.pdf 235.3KB
Yes No
Review of on-line mapping sources
7a. Will this proje ct occur in or ne ar an are a that the state , fe de ral or tribal gov e rnme nts hav e de signate d as hav ing historic or cultural pre se rv ation status?*
7b. What data source s did you use to de te rmine whe the r your site would impact historic or arche ological re source s?*
7c. Historic or Pre historic Information Upload
8. Flood Zone Designation (Corps Requirement)
8a. Will this proje ct occur in a FEM A-designate d 100-ye ar floodplain?*
8b. If ye s, e xplain how proje ct me e ts FEM A require me nts:
8c. What source (s) did you use to make the floodplain de te rmination?*
Comme nts
M isce llane ous attachme nts not pre v iously re que ste d.
*
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 :*
Signature *
Date
Yes No
MCDC and Archaeology Memo.
B-5813 No Archaeology Survey Req.pdf 852.58KB
B-5813 Catawba Indian Nation Response 2020-01-16.pdf 273.92KB
B-5813 Tribal Coordination Letter to Catawba 2019-12-02.pdf 1.37MB
Yes No
Project was determined by NCDOT to be a Type 2A Project during NCFMP and NCDOT MOA Project Review
FEMA Flood Maps
M iscellaneous
Approximately 0.47 acre of trees will be removed in the project footprint for construction purposes.
Signature
By checking the box and signing below, I certify that:
Michael Anthony Turchy
9/2/2020