20201723 Ver 1_401 Application_20201112

I I DWR
Division of Water Resources
Pre-Construction Notification (PCN) Form
October 26,2020 Ver 3.3
Initial Review
Has this project met the requirements for acceptance in to the review process?*
6 Yes
✓ No
Is this project a public transportation project?*
0 Yes r No
Change only if needed.
BIMS#Assigned* Version#*
20201723 1
Is a payment required for this project?*
✓ No payment required Reviewing Office*
6 Fee received Winston-Salem Regional Office-(336)776-
✓ Fee needed-send electronic notification 9800
Select Project Reviewer*
Dave Wanucha:eads\djwanucha
Information for Initial Review
1a.Name of project:
Replace of Bridge No.8 on NC 704 over the Dan River
1a.Who is the Primary Contact?*
Amy Euliss
lb.Primary Contact Email:* 1c.Primary Contact Phone:*
[e-mail] [phone]
Date Submitted
11/12/2020
Nearest Body of Water
Dan River
Basin
Roanoke
Water Classification
Class C;Tr
Site Coordinates
Latitude: Longitude:
36.514535 -80.3030.46
Pre-Filing Meeting Information
ID# Version
Pre-fling Meeting or Request Date*
10/13/2020
Attach documentation of Pre-Filing Meeting Request here:*
Re_Br 704 over the Dan replacement Preapplication notice.pdf 170.87KB
A. Processing Information C^U
County(or Counties)where the project is located:
Stokes

Is this a NCDMS Project
✓ Yes r No
Is this project a public transportation project?*
✓ Yes r No
Is this a NCDOT Project?*
✓ Yes r No
(NCDOT only)T.I.P.or state project number:
WBS#(2)
17BP.9.R.72
1a.Type(s)of approval sought from the Corps:
fJ Section 404 Permit(wetlands,streams and waters,Clean Water Act)
r Section 10 Permit(navigable waters,tidal waters,Rivers and Harbors Act)
Has this PCN previously been submitted?*
✓ Yes
r No
lb.What type(s)of permit(s)do you wish to seek authorization?
fJ Nationwide Permit(NWP)
r Regional General Permit(RGP)
r Standard(IP)
1c.Has the NWP or GP number been verified by the Corps?
C Yes rNo
Nationwide Permit(NWP)Number: 13-Bank Stabilization
NWP Numbers(for multiple NWPS):
33
Id.Type(s)of approval sought from the DWR:
17 401 Water Quality Certification-Regular r 401 Water Quality Certification-Express
r Non-404 Jurisdictional General Permit r Riparian Buffer Authorization
r Individual Permit
le.Is this notification solely for the record because written approval is not required? *
For the record only for DWR 401 Certification: r Yes r No
For the record only for Corps Permit: r Yes r No
If.Is this an after-the-fact permit application?*
✓ Yes rNo
1g.Is payment into a mitigation bank or in-lieu fee program proposed for mitigation of impacts?
CYes rNo
1g.Is payment into a mitigation bank or in-lieu fee program proposed for mitigation of impacts?
✓ Yes rNo
Acceptance Letter Attachment
lh.Is the project located in any of NC's twenty coastal counties?
CYes rNo
1j.Is the project located in a designated trout watershed?
✓ Yes r No
B. Applicant Information
Id.Who is applying for the permit?
7 Owner r Applicant(other than owner)
le.Is there an Agent/Consultant for this project?*
✓ Yes r No
2.Owner Information
2a.Name(s)on recorded deed:
NCDOT Division 9

2b.Deed book and page no.:
2c.Responsible party:
2d.Address
Street Address
375 Silas Creek Parkway
Address Line 2
OtY State/Rovince/Region
Winston Salem NC
Postal/Zip Coyle Country
27106 USA
2e.Telephone Number: 2f.Fax Number:
[phone]
2g.Email Address:*
[e-mail]
....__.........
C. Project Information and Prior Project History
1. Project Information
1b.Subdivision name:
(if appropriate)
1c.Nearest municipality I town:
Francisco
2. Project Identification
2a.Property Identification Number: 2b.Property size:
2c.Project Address
Street Address
Address Line 2
atY State/Rovince/Ftgion
Postal/Zip Code Country
3.Surface Waters
3a.Name of the nearest body of water to proposed project:*
Dan River
3b.Water Resources Classification of nearest receiving water:*
Class C;Tr
3c. What river basin(s)is your project located in?*
Roanoke
3d.Please provide the 12-digit HUC in which the project is located.
030101030105
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:*
The project involves replacing the existing bridge(Bridge no.8)on NC 704 over the Dan River.The existing land use is rural,forested with sparse agriculture and residences.There is
also an existing WRC access point on the southeast side of the existing bridge which will be maintained in its current location.
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
4g.List the total estimated linear feet of all existing streams on the property:
550

4h.Explain the purpose of the proposed project:*
The North Carolina Department of Transportation(NCDOT)has proposed the replacement of Stokes County bridge#8 on NC 704 IiWY over Dan River.The proposed structure is a
1@80',2@110'39"box beam bridge with 4'end caps.The existing bridge is 3@58',1 @57',and 1 @56'concrete deck on concrete bents with concrete abutments.The new alignment
will be shifted slightly to the north.
4i.Describe the overall project in detail,including indirect impacts and the type of equipment to be used:*
No indirect impacts are anticipated.Standard road and bridge building equipment will be used.
4j.Please upload project drawings for the proposed project.
17BP9R72_Permit Package Wetland_20200324.pdf 2.51MB
5.Jurisdictional Determinations
5a.Have the wetlands or streams been delineated on the property or proposed impact areas?*
6 Yes r No r Unknown
Comments:
2 perennial streams are onsite.No USAGE or DWR field verification were requested.
5b.If the Corps made a jurisdictional determination,what type of determination was made?*
r Preliminary r Approved 6. 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:
Other:
5d1.Jurisdictional determination upload
6. Future Project Plans
6a.Is this a phased project?*
r Yes ( 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 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):
r Wetlands 17 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* 3f.Type of 3g.S.width* 3h.Impact
(?) Jurisdiction* length*
S1 Site 1:Rip rap at Permanent Bank Stabilization Dan River Perennial Both 50 124
embankment Average(feet) (linear feet)
82 Site 1:Temporary work pad Temporary Workpad/Causeway Dan River Perennial Both 50 10
Average(feet) (linear feet)
S3 Site 2:Riprap at Permanent Bank Stabilization Dan River Perennial Both 50 25
embankment Average(feet) (linear feet)
3i.Total jurisdictional ditch impact in square feet:
0
3i.Total permanent stream impacts: 3i.Total temporary stream impacts:
149 10
31.Total stream and ditch impacts:
159
3j.Comments:

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:
No deck drains will be used on the proposed structure educing stream pollution associated with highway runoff.Impacts to the river have been
minimized to the greatest extent practicable,minimizing the instream bents to one.An offsite detour was investigate.Due to the length of the potential
detour and longer response times for emergency vehicles,Stokes County emergency personnel did not support an offsite detour.Therefore,the
project will be constructed on a new alignment just to the north of the existing bridge.
lb.Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
The erosion control plan has been designed in accordance with NCDOT Design Standards in Sensitive Watersheds.The project has several other
additional commitments in the Biological Assessment for the James Spiny Mussel this include use of diapers when fueling equipment adjacent to the
river,submittal and approval of the bridge demolition plan,and preconstruction mussel surveys and relocations to name a few.A complete list can be
found in the attached Biological Assessment and Biological Opinion.
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 R No
2b.If this project DOES NOT require Compensatory Mitigation,explain why:
Permanent impacts are limited to bank stabilization,which are not considered mitigable impacts.
F. Stormwater Management and Diffuse Flow Plan (required by DWR)
1. Diffuse Flow Plan
la.Does the project include or is it adjacent to protected riparian buffers identified within one of the NC Riparian Buffer Protection Rules?
C Yes a No
If no,explain why:
The project is not in a NC riparian buffer basin.
2.Stormwater Management Plan
2a.Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?*
a Yes C No
Comments:
A stormwater management plan is attached.
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?*
6' Yes C 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(NEPAISEPA)?*
✓ Yes 6' No
Comments:*
A state Minimum Criteria Checklist was completed.
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 r: No
3. Cumulative Impacts(DWR Requirement)
3a.Will this project result in additional development,which could impact nearby downstream water quality?*
✓ Yes a No
3b.If you answered"no,"provide a short narrative description.
The project involves replacing an existing bridge.No new land will be opened to development as a result of the project.
4.Sewage Disposal(DWR Requirement)

4a.Is sewage disposal required by DWR for this project?*
C Yes allor 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?*
6 Yes C No
5b.Have you checked with the USFWS concerning Endangered Species Act impacts?*
(' Yes CNo
5c.If yes,indicate the USFWS Field Office you have contacted.
Asheville
5d.Is another Federal agency involved?*
C Yes f- No C Unknown
5e.Is this a DOT project located within Division's 1-8?
C Yes r No
5f.Will you cut any trees in order to conduct the work in waters of the U.S.?
6 Yes C No
5g.Does this project involve bridge maintenance or removal?
c Yes C No
5g(1).If yes,have you inspected the bridge for signs of bat use such as staining,guano,bats,etc.?
6 Yes C No
If you answered"Yes"to 5g(1),did you discover any signs of bat use?
C Yes a No C Unknown
5h.Does this project involve the construction/installation of a wind turbine(s)?*
C Yes f• No
Si.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.?
C 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 data
Consultation Documentation Upload
Dan River NC 704 Br 8 Biological Assessment Final.pdf 3.38MB
USACE BA submittal.pdf 58.94KB
16-432,Section 7 Concurrence for Stokes County Bridge 8 Replacement WBS No.17BP9.R.72.pdf 261.48KB
16-432_NC704_BridgeNo.8_BO_FINAL.pdf 758.94KB
Bridge 8 Grey Bat MANLAA.pdf 1.27MB
Section 7 Formal Consultation Initiation Letter(Bridge No.8---Stokes County).pdf 166.29KB
6. Essential Fish Habitat(Corps Requirement)
6a.Will this project occur in or near an area designated as an Essential Fish Habitat?*
C Yes f• No
6b.What data sources did you use to determine whether your site would impact an Essential Fish Habitat?*
NC Natural Heritage data
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?*
CYes allo
7b.What data sources did you use to determine whether your site would impact historic or archeological resources?*
NCDOT Cultural Resource staff reviews.See attached.
7c.Historic or Prehistoric Information Upload
2020-193-182.pdf 253.37KB
Tribal Coordination Br 8 Stokes.pdf 328.28KB
16-06-0043NoSurvey.pdf 1.66MB
Stokes 8 No Survey.pdf 627.96KB
8. Flood Zone Designation(Corps Requirement)
8a.Will this project occur in a FEMA-designated 100-yearfloodplain?*
aYes CNo
8b.If yes,explain how project meets FEMArequirements:

There are no increases in the 100-year water surface elevation and the maximum decrease(revised model minus corrected effective model)is 0.3'at
cross section 500052.MOA Type 2a,projects that result in a decrease greater than 0.1'but less than 0.5',should apply to this project.
8c.What source(s)did you use to make the floodplain determination?*
NC Floodplain Mapping
Miscellaneous
Comments
Miscellaneous attachments not previously requested.
Signature
*
fJ By checking the box and signing below,I certify that:
• The project proponent hereby certifies that all information contained herein is true,accurate,and complete to the best of my knowledge and belief;and
• The project proponent hereby requests that the certifying authority review and take action on this CWA 401 certification request within the applicable reasonable period of time.
• 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:
Amy Euliss
Signature
Date
11/12/2020