20190210 Ver 2_ePCN Application_20201113

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#*
20190210 2
Is a payment required for this project?*
✓ No payment required
6 Fee received Reviewing Office*
✓ Fee needed-send electronic notification Asheville Regional Office-[phone]
Select Project Reviewer*
Kevin Mitchell:eads\rkmitchell
Information for Initial Review
1a.Name of project:
A-11 Widening of NC 69
1a.Who is the Primary Contact?*
Dave McHenry
lb.Primary Contact Email:* 1c.Primary Contact Phone:*
[e-mail] [phone]
Date Submitted
11/13/2020
Nearest Body of Water
Hyatt Mill Creek,Blair Creek
Basin
Hiwassee
Water Classification
C
Site Coordinates
Latitude: Longitude:
35.009696 -83.825602
Pre-Filing Meeting Information
ID# Version
Pre-fling Meeting or Request Date*
11/16/2020
Attach documentation of Pre-Filing Meeting Request here:*
NC 69 Widening(A-0011C)401.pdf 3.58MB
A. Processing Information C^U
County(or Counties)where the project is located:
Clay

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:
A-11
WBS#(7)
32574.1.FD7
1a.Type(s)of approval sought from the Corps:
fJ Section 404 Permit(wetlands,streams and waters,Clean Water Act)
I—Section 10 Permit(navigable waters,tidal waters,Rivers and Harbors Act)
Has this PCN previously been submitted?*
✓ Yes
✓ No
Please provide the date of the previous submission.*
2/14/2019
lb.What type(s)of permit(s)do you wish to seek authorization?
I—Nationwide Permit(NWP)
17 Regional General Permit(RGP)
I—Standard(IP)
1c.Has the NWP or GP number been verified by the Corps?
✓ Yes r No
Regional General Permit(RGP)Number: 198200031-NCDOT Bridges,Widening Projects 2015
RGP Numbers(for multiple RGPS):
1d.Type(s)of approval sought from the DWR:
17 401 Water Quality Certification-Regular r 401 Water Quality Certification-Express
I—Non-404 Jurisdictional General Permit r Riparian Buffer Authorization
I— 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?*
C Yes ( No
1g.Is payment into a mitigation bank or in-lieu fee program proposed for mitigation of impacts?
✓ Yes rNo
1g.Is payment into a mitigation bank or in-lieu fee program proposed for mitigation of impacts?
✓ Yes C No
Acceptance Letter Attachment
A-0011 Revised-Division 14-STR-RW(cool cold)-HI 02.pdf 68.2KB
1 h.Is the project located in any of NC's twenty coastal counties?
✓ Yes rNo
1j.Is the project located in a designated trout watershed?
r Yes r No
B. Applicant Information
1d.Who is applying for the permit?
I—Owner fJ 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 14
2b.Deed book and page no.:
2c.Responsible party:
2d.Address
Street Address
253 Webster Road
Address Line 2
aty State/Rovince/Region
Sylva NC
Postal/Zip Code Country
28779 USA
2e.Telephone Number: 2f.Fax Number:
[phone]
2g.Email Address:*
[e-mail]
3.Applicant Information(if different from owner)
3a.Name:
NCDOT Division 14
3b.Business Name:
3c.Address
Street Address
253 Webster Road
Address Line 2
Oty State/Rovince/Region
Sylva NC
Fbstal/Zip Code Country
28779 USA
3d.Telephone Number: 3e.Fax Number:
[phone]
3f.Email Address:*
[e-mail]
C. Project Information and Prior Project History
1. Project Information
lb.Subdivision name:
()F appropriate)
1c.Nearest municipality/town:
Hayesville
2. Project Identification
2a.Property Identification Number: 2b.Property size:
2c.Project Address
Street Address
Address Line 2
at), State/Rovince/Region
Postal/Zip Code Country
3.Surface Waters
3a.Name of the nearest body of water to proposed project:*
Hyatt Mill Creek,Blair Creek
3b.Water Resources Classification of nearest receiving water:*
C

3c. What river basin(s)is your project located in?*
Hiwassee
3d.Please provide the 12-digit HUC in which the project is located.
060200020600
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:*
This project was permitted/certified in 2019 under*SAW-2019-00437 and*DWR 2019-0210.This request/application if for a RENEWAL OF THOSE AUTHORIZATIONS to finish the
project that is currently under construction.
The project involves widening the existing combination 2-lane with center turn lane road into a combination 5-lane and 4-lane with median divided road in a rural area of Clay County
from Hayesville south to the Georgia state line.
4b.Have Corps permits or DWR certifications been obtained for this project(including all prior phases)in the past?*
(77 Yes r No r Unknown
4c.If yes,please give the DWR Certification number or the Corps Action ID(exp.SAW-0000-00000).
SAW-2019-00437
DWR 2019-0210
Project History Upload
SAW-2019-00437 All NC 69 RGP 31.pdf 352.19KB
NC 69 Widening(A-0011C)401.pdf 3.58MB
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)
A-0011 Topo.pdf 793.92KB
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)
20190214_11315411603_63_Soil_Map.pdf 758.27KB
4f.List the total estimated acreage of all existing wetlands on the property:
0.65
4g.List the total estimated linear feet of all existing streams on the property:
13753
4h.Explain the purpose of the proposed project:*
The project purpose is to complete the improvements for mobility and safety on this road consistent with the intent of the Appalachian Regional Commission.
4i.Describe the overall project in detail,including indirect impacts and the type of equipment to be used:*
The project involves widening the existing combination 2-lane and 2-lane with center turn lane into a combination 5-lane and 4-lane with median divided road in rural area of Clay
County from Hayesville to the Georgia state line.Typical heavy equipment will be used for earth moving and heavy construction.
4j.Please upload project drawings for the proposed project.
A0011 C_Permit Drawings_20181221_Application.pdf 25.01MB
A0011 C_Permit Drawings_pages 44-45 table.pdf 32.67KB
Site 5 design_A-0011 C Fullsize_OSM_Plans_2.1.19.pdf 6.7MB
Site 12 plans_A0011C_Hyd_PSH2D-1 and PSH2D-2.pdf 1.14MB
5.Jurisdictional Determinations
5a.Have the wetlands or streams been delineated on the property or proposed impact areas?*
6' Yes r No C Unknown
Comments:
5b.If the Corps made a jurisdictional determination,what type of determination was made?*
6' Preliminary r Approved r Not Verified r Unknown r N/A
Corps AID Number:
SAW-2019-00437
5c.If 5a is yes,who delineated the jurisdictional areas?
Name(if known): Mary Frazer
Agency/Consultant Company: Three Oaks Engineering
Other:
5d.List the dates of the Corp jurisdiction determination or State determination if a determination was made by the Corps or DWR
7/12/2019
5d1.Jurisdictional determination upload
SAW-2019-00437 All NC 69 RGP 31.pdf 352.19KB

6. Future Project Plans
6a.Is this a phased project?*
C 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 project or related activity?
D. Proposed Impacts Inventory
1. Impacts Summary
la.Where are the impacts associated with your project?(check all that apply):
fJ Wetlands II Streams-tributaries n Buffers
r Open Waters 1 Pond Construction
2.Wetland Impacts
2a.Site#*(?) 2a1 Reason(?) 2b.Impact type*(?) 2c.Type of W.* 2d.W.name* 2e.Forested* 2f.Type of 2g.Impact
Jurisdicition*(?) area*
5A/WAA fill P Seep WAA No Both 0.060
(acres)
5B/WBB fill P Headwater Forest WBB Yes Both 0.010
(acres)
7/WDD fill P Seep WDD No Both 0.060
(acres)
10A/WC fill P Seep WC No Both 0.040
(acres)
10B/WD fill P Seep WD No Both 0.040
(acres)
2g.Total Temporary Wetland Impact 2g.Total Permanent Wetland Impact
0.000 0.210
2g.Total Wetland Impact
0.210
2h.Comments:
3.Stream Impacts
3a.Reason for impact(?) 3b.Impact type* 3c.Type of impact* 3d.S.name* 3e.Stream Type* 3f.Type of 3g.S.width* 3h.Impact
(?) Jurisdiction* length*
S1 culvert Permanent Culvert 1/SAA Perennial Both 2 106
Average(feet) (linear feet)
S2 dewater Temporary Dewatering 1/SAA Perennial Both 2 35
Average(feet) (linear feet)
S3 bank stabilization Permanent Stabilization 1/SAA Perennial Both 2 18
Average(feet) (linear feet)
S4 culvert Permanent Culvert 2/SCC Perennial Both 3 123
Average(feet) (linear feet)
S5 dewater Temporary Dewatering 2/SCC Perennial Both 3 39
Average(feet) (linear feet)
S6 bank stabilization Permanent Stabilization 2/SCC Perennial Both 3 15
Average(feet) (linear feet)
S7 culvert Permanent Culvert 3/Hyatt Perennial Both 3 20
Average(feet) (linear feet)
Sg dewater Temporary Dewatering 3/Hyatt Perennial Both 3 12
Average(feet) (linear feet)
S9 culvert Permanent Culvert 4/SEE Perennial Both 2 41
Average(feet) (linear feet)
S10 dewater Temporary Dewatering 4/SEE Perennial Both 2 17
Average(feet) (linear feet)
s11 bank stabilization Permanent Stabilization 4/SEE Perennial Both 2 15
Average(feet) (linear feet)

S12 channel change Permanent Relocation 5/Hyatt Perennial Both 8 605
Average(feet) (linear feet)
S13 culvert Permanent Culvert 6/Cole Hyatt Perennial Both 15 76
Average(feet) (linear feet)
S14 dewater Temporary Dewatering 6/Cole Hyatt Perennial Both 15 116
Average(feet) (linear feet)
S15 bank stabilization Permanent Stabilization 6/Cole Hyatt Perennial Both 15 44
Average(feet) (linear feet)
S16 culvert Permanent Culvert 8/SF Perennial Both 2 107
Average(feet) (linear feet)
617 devvater Temporary Dewatering 8/SF Perennial Both 2 5
Average(feet) (linear feet)
S18 bank stabilization Permanent Stabilization 8/SF Perennial Both 2 18
Average(feet) (linear feet)
S19 culvert Permanent Culvert 9/SD Perennial Both 1 62
Average(feet) (linear feet)
S20 bank stabilization Permanent Stabilization 9/SD Perennial Both 1 25
Average(feet) (linear feet)
S21 channel change Permanent Relocation 10/SB Perennial Both 2 547
Average(feet) (linear feet)
S22 culvert Permanent Culvert 11/SB Perennial Both 3 85
Average(feet) (linear feet)
S23 channel change Permanent Relocation 11/SB Perennial Both 3 115
Average(feet) (linear feet)
S24 dewater Temporary Dewatering 11/SB Perennial Both 3 106
Average(feet) (linear feet)
S25 channel change Permanent Relocation 12/SB Perennial Both 4 234
Average(feet) (linear feet)
S26 culvert Permanent Culvert 13/SB Perennial Both 4 11
Average(feet) (linear feet)
S27 dewater Temporary Dewatering 13/SB Perennial Both 4 33
Average(feet) (linear feet)
S28 bank stabilization Permanent Stabilization 13/SB Perennial Both 4 10
Average(feet) (linear feet)
S29 culvert Permanent Culvert 14/Blair Perennial Both 15 60
Average(feet) (linear feet)
S30 dewater Temporary Dewatering 14/Blair Perennial Both 15 210
Average(feet) (linear feet)
S31 bank stabilization Permanent Bank Stabilization 14/Blair Perennial Both 15 88
Average(feet) (linear feet)
S32 culvert Permanent Culvert 15/SA Perennial Both 8 57
Average(feet) (linear feet)
633 dewater Temporary Dewatering 15/SA Perennial Both 8 35
Average(feet) (linear feet)
S34 channel change Permanent Relocation 15/SA Perennial Both 8 126
Average(feet) (linear feet)
S35 bank stabilization Permanent Stabilization 15/SA Perennial Both 8 39
Average(feet) (linear feet)
S36 culvert Permanent Culvert 16/SA Perennial Both 4 180
Average(feet) (linear feet)
S37 dewater Temporary Dewatering 16/SA Perennial Both 4 55
Average(feet) (linear feet)
S38 channel change Permanent Relocation 17/SA Perennial Both 3 127
Average(feet) (linear feet)
S39 dewater Temporary Dewatering 17/SA Perennial Both 3 85
Average(feet) (linear feet)
S40 culvert Permanent Culvert 17A/SA Perennial Both 2 80
Average(feet) (linear feet)
S41 dewater Temporary Dewatering 17A/SA Perennial Both 2 51
Average(feet) (linear feet)
S42 bank stabilization Permanent Stabilization 17A/SA Perennial Both 2 15
Average(feet) (linear feet)
3i.Total jurisdictional ditch impact in square feet:

0
3i.Total permanent stream impacts: 3i.Total temporary stream impacts:
3,049 799
3i.Total stream and ditch impacts:
3848
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:
Efforts were made to avoid streams and wetlands and competing resources with horizontal alignment changes and slope steepening.Natural design
techniques were applied to stream relocation sites where practical.
lb.Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Dewatering will be used to avoid culvert extension work in the wet and bank plugs will be retained to do culvert relocations in the dry.Where rip rap is
used in streambed,it will be embedded into the channel bottom with heavy equipment to"choke-out"voids and expedite natural bed development and
sediment transport.
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?
6 Yes rNo
2c.If yes,mitigation is required by(check all that apply):
rJ DWR 17 Corps
2d.If yes,which mitigation option(s)will be used for this project?
r Mitigation bank 17 Payment to in-lieu fee r Permittee Responsible
program Mitigation
4. Complete if Making a Payment to In-lieu Fee Program
4a.Approval letter from in-lieu fee program is attached.
6 Yes r No
4b.Stream mitigation requested:
(linear feet) 4c.If using stream mitigation,what is the stream temperature:
1931 cold
4e.Riparian wetland mitigation requested:
4d.Buffer mitigation requested(DWR only): (acres)
(square feet) 0.21
4f.Non-riparian wetland mitigation requested: 4g.Coastal(tidal)wetland mitigation requested:
(acres) (acres)
4h.Comments
Note that 229 feet of the 1931 feet is actually cool water regime.
6. Buffer mitigation(State Regulated Riparian Buffer Rules)-required by DWR
6a.Will the project result in an impact within a protected riparian buffer that requires buffer mitigation?If yes,you must fill out this entire form-please contact DWR for more
information.
r Yes O No
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?
r Yes ( No
If no,explain why:
Not in Tar-Pam,Neuse,Catawba basins
2.Stormwater Management Plan
2a.Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?*
c Yes r No

Comments:
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?*
( Yes r 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 tc No
Comments:*
A Type III CE was prepared.
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)?*
✓ Yes ( No
3. Cumulative Impacts(DWR Requirement)
3a.Will this project result in additional development,which could impact nearby downstream water quality?*
✓ Yes (cNo
3b.If you answered"no,"provide a short narrative description.
The project does add lanes,but it will not provide new road service to areas without road service and the roadway improvements are not anticipated to
generated appreciable traffic increase.
4.Sewage Disposal(DWR Requirement)
4a.Is sewage disposal required by DWR for this project?*
✓ Yes rNor 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 r No
5c.If yes,indicate the USFWS Field Office you have contacted.
Asheville
5d.Is another Federal agency involved?*
6' Yes r No r Unknown
What Federal Agency is involved?
Federal Highway Administration
5e.Is this a DOT project located within Division's 1-8?
✓ Yes r No
5f.Will you cut any trees in order to conduct the work in waters of the U.S.?
( Yes r No
5g.Does this project involve bridge maintenance or removal?
✓ Yes r No
5g(1).If yes,have you inspected the bridge for signs of bat use such as staining,guano,bats,etc.?
( Yes r No
If you answered"Yes"to 5g(1),did you discover any signs of bat use?
✓ Yes r No r Unknown
5h.Does this project involve the construction/installation of a wind turbine(s)?"
✓ Yes a 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 r No
If yes,please provide details to include type of percussive activity,purpose,duration,and specific location of this activity on the property.

A-11 GP narrative.pdf 411.38KB
5j.What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
Available NHP data and field surveys by qualified staff.
Consultation Documentation Upload
16-307 TIP A-0011A Clay COunty Concurrence.pdf 207.8KB
6. Essential Fish Habitat(Corps Requirement)
6a.Will this project occur in or near an area designated as an Essential Fish Habitat?*
C Yes (' No
6b.What data sources did you use to determine whether your site would impact an Essential Fish Habitat?*
NMFS website
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 rNo
7b.What data sources did you use to determine whether your site would impact historic or archeological resources?*
PA screening by NC HEU staff,field surveys and coordination with NCHPO.
7c.Historic or Prehistoric Information Upload
16-08-0010Effects.pdf 11.79MB
AR16-08-0010noeligiblesites.pdf 3.06MB
16-08-0010EffectsUpdated.pdf 3.87MB
AR16-08-0010noeligiblesites_addendum.pdf 33.16MB
8. Flood Zone Designation(Corps Requirement)
8a.Will this project occur in a FEMA-designated 100-year floodplain?*
( Yes r No
8b.If yes,explain how project meets FEMArequirements:
The hydraulic analyses,modeling,and project design were coordinated with NC Floodplain Management under MOU.
8c.What source(s)did you use to make the floodplain determination?*
NC Floodmaps
Miscellaneous
Comments
Attached are an updated PERMIT RENEWAL NARRATIVE impact site photos,and stream relocation design and monitoring plan information.
Miscellaneous attachments not previously requested.
A-11_Clay_Permit Renewal Request Narrative.pdf 284.81KB
A-11_stream impact location photos_sites 5 thru 17A.pdf 5.2MB
A-11_stream monitoring plan for sites 10-12,15,17.pdf 22.59KB
NC 69 Plans as built in 1990s_8.3064122_plans not in order or complete.pdf 2.08MB
Site 5 design information_A-0011C_Hyatt_Mill_Ck_Technical_Memo_02.01.19.pdf 17.33MB
Site 5 design information_Eststing_ProposedConditions_Writeup_02.01.19.pdf 52.37KB
Site 5_Stream Relocation Monitoring Plan.pdf 1.55MB
Signature
*
w 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:
Dave McHenry
Signature W

Date
11/13/2020