20201518 Ver 1_401 Application_20201030

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I I DWR
r i r
Dhislon of Waster 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?*
Yes
No
Is this project a public transportation project?*
Yes No
Change only if needed.
BIMS#Assigned* Version#
20201518 1
Is a payment required for this project?*
No payment required Reviewing Office*
Fee received Winston-Salem Regional
Office - [phone]
Fee needed - send electronic notification
Select Project Reviewer*
Dave Wanucha:eads\djwanucha
Information for Initial Review
la. Name of project:
BR-0048: Replace Bridge 103 over Mitchell River on NC 268
la. Who is the Primary Contact?*
NCDOT
1 b. Primary Contact Email:* 1c. Primary Contact Phone:
[e-mail] [phone]
Date Submitted
10/29/2020
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Nearest Body of Water
Mitchell River
Basin
Yadkin-PeeDee
Water Classification
C
Site Coordinates
Latitude: Longitude:
36.277359 -80.77069
A. Processing Information
County (or Counties) where the project is located:
Surry
Is this a NCDMS Project
Yes No
Is this project a public transportation project?*
Yes No
Is this a NCDOT Project?
*
Yes No
(NCDOT only) T.I.P. or state project number:
BR-0048
WBS #(?)
67048.1.1
1a. Type(s) of approval sought from the Corps:
Section 404 Permit (wetlands, streams and waters, Clean Water Act)
Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)
lb. What type(s) of permit(s) do you wish to seek authorization?
Nationwide Permit (NWP)
Regional General Permit (RGP)
Standard (IP)
1c. Has the NWP or GP number been verified by the Corps?
Yes No
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Nationwide Permit (NWP) 14 - Linear transportation
Number:
NWP Numbers (for multiple NWPS):
1d. Type(s) of approval sought from the DWR:
401 Water Quality Certification - Regular 401 Water Quality Certification - Express
Non-404 Jurisdictional General Permit Riparian Buffer Authorization
Individual Permit
1 e. Is this notification solely for the record because written *
approval is not required?
For the record only for DWR 401 Certification: Yes No
For the record only for Corps Permit: Yes No
1f. Is this an after-the-fact permit application?*
Yes No
1g. Is payment into a mitigation bank or in-lieu fee program proposed for mitigation of impacts?
Yes No
1g. Is payment into a mitigation bank or in-lieu fee program proposed for mitigation of impacts?
Yes No
Acceptance Letter Attachment
1h. Is the project located in any of NC's twenty coastal counties?
Yes No
1 j. Is the project located in a designated trout watershed?
Yes No
B. Applicant Information
1d. Who is applying for the permit?
Owner Applicant (other than owner)
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le. Is there an Agent/Consultant for this project?*
Yes 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 State/Province/Region
Raleigh NC
Postal/Zip Code Country
27699 USA
2e. Telephone Number:
[phone] 2f. Fax Number:
2g. Email Address:*
[e-mail]
C. Project Information and Prior Project History
1 . Project Information
1 b. Subdivision name:
(if appropriate)
1c. Nearest municipality/town:
Burch
2. Project Identification
2a. Property Identification Number: 2b. Property size:
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2c. Project Address
Street Address
Address Line 2
City State/Province/Region
Postal/Zip Code Country
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
Mitchell River
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.
030401010504
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:*
Surrounding land use is residential and forested interspersed with some agriculture.
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases)
in the past?*
Yes No 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
4g. List the total estimated linear feet of all existing streams on the property:
690
4h. Explain the purpose of the proposed project:*
Replace a deficient bridge that is approaching the end of its useful life to provide a safe crossing.
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4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be
used:*
This project is the replacement of NCDOT Structure Bridge #850103. The existing bridge length is 210
feet (1 @ 70', 1 @ 70', and 1 @ 70' RC Deck on I-beams) while the proposed bridge will be 215 feet (1
@ 55', 1 @ 105', and 1 @ 55' 63" MBT). The new bridge will be placed immediately north of the existing
structure and traffic maintained on the existing bridge 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-0048 Final Permit Drawings.pdf 3.29MB
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
Yes No Unknown
Comments:
Only two perennial streams identified (no wetlands), and
only one of those (Mitchell River) is impacted by this
project.
5b. If the Corps made a jurisdictional determination, what type of determination was made?*
Preliminary Approved Not Verified Unknown N/A
Corps AID Number:
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known): Erin Cheely, Jeff Hemphill
Agency/Consultant NCDOT
Company:
Other:
5d1. Jurisdictional determination upload
6. Future Project Plans
6a. Is this a phased project?*
Yes No
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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):
Wetlands Streams-tributaries Buffers
Open Waters Pond Construction
3. Stream Impacts
3a. Reason for 3b.Impact 3c. Type of 3d. S. name* 3e. 3f. Type of 3g. S. 3h.
impact(?) type* impact* Stream Jurisdiction width* Impact
Type*(?) length*
si Causeway Tempor Workpad/C Mitchell River Perenni Both 75 62
ary auseway al Average (linear
(feet) feet)
S2 Causeway Tempor Workpad/C Mitchell River Perenni Both 75 130
ary auseway al Average (linear
(feet) feet)
S3 Bank Perman Bank Mitchell River Perenni Both 75 12
Stabilization ent Stabilizatio al Average (linear
n (feet) feet)
3i. Total jurisdictional ditch impact in square feet:
0
3i. Total permanent stream impacts: 3i. Total temporary stream impacts:
12 192
3i. Total stream and ditch impacts:
204
3j. Comments:
Total acreage of temporary impacts from causeways is 0.12 acre.
E. Impact Justification and Mitigation
1 . Avoidance and Minimization
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1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the
project:
The existing bridge has 12" HDPE funnel drains on both ends of the bridge. The
proposed bridge will have deck drains on the right side that are outside top of banks
and not over the water. The roadway runoff will be discharged on to riprap pads
located as far away from the river as practicable. A shoulder berm gutter will be
placed at the beginning and end of the bridge on the right side to help guide the road
runoff to the two GIs.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through
construction techniques:
Temporary causeways will be used to remove existing abutments and set proposed
interior girders. Only one workpad will be placed at a time to maintain 50% of the
river width. Traffic will be maintained on the existing bridge during construction.
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?
Yes 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 associated
with 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?
Yes 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?*
Yes No
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Comments:
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?*
Yes No
lb. 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)?*
Yes No
1c. If you answered "yes" to the above, has the document review been finalized by the State Clearing
House?*
Yes No
NEPA or SEPA Final Approval Letter
BR-0048 MCDC.pdf 2.07MB
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)?*
Yes No
3. Cumulative Impacts (DWR Requirement)
3a. Will this project result in additional development, which could impact nearby downstream water
quality?*
Yes 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.
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4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
Yes No 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?*
Yes No
5b. Have you checked with the USFWS concerning Endangered Species Act impacts?*
Yes No
5d. Is another Federal agency involved?*
Yes No Unknown
5e. Is this a DOT project located within Division's 1-8?
Yes No
5f. Will you cut any trees in order to conduct the work in waters of the U.S.?
Yes No
5g. Does this project involve bridge maintenance or removal?
Yes No
5g(1). If yes, have you inspected the bridge for signs of bat use such as staining, guano, bats, etc.?
Yes No
If you answered "Yes" to 5g(1), did you discover any signs of bat use?
Yes No Unknown
5h. Does this project involve the construction/installation of a wind turbine(s)?*
Yes No
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.?
Yes No
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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 7/17/20, the USFWS lists five protected species for Surry County. See
attached memo for gray bat and NLEB info. Habitat is present for Schweinitz's
sunflower. Walking visual surveys of all areas of habitat were conducted by NCDOT
biologists and no individuals of this species were identified, therefore this project will
have no effect on Schweinitz's sunflower.
No habitat is present for the bog turtle, and small whorled pogonia is listed as
historical for Surry County, therefore surveys are not required.
Consultation Documentation Upload
BR-0048 Surry NLEB MYGR SLOPES.pdf 278.59KB
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as an Essential Fish Habitat?*
Yes 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?*
Yes No
7b. What data sources did you use to determine whether your site would impact historic or archeological
resources?
*
Tribal coordination
7c. Historic or Prehistoric Information Upload
BR-0048 Catawba Response 2019-193-36.pdf 597.75KB
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain?*
Yes No
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8b. If yes, explain how project meets FEMA requirements:
8c. What source(s) did you use to make the floodplain determination?*
FEMA Maps
Miscellaneous
Comments
There will be 1.4 acres of tree clearing on this project.
Miscellaneous attachments not previously requested.
BR-0048 Cover Letter.pdf 248.7KB
Signature
*
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
q
Date
10/29/2020
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