20101004 Ver 1_Application_20101203

1

STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
Y EAVES PERDUE
GOVERNOR
EUGENE A. CONTI,
SECRETARY
November 29, 2010
Ms. Liz Hair 101004
Asheville Regulatory Field Office US Army Corps of Engineers
151 Patton Avenue, Room 208
Asheville, North Carolina 28801-5006
SUBJECT: Bridge #58 Replacement on SR 1405 (Jolly Cemetery Road), Alexander County
Dear Ms. Hair:
The North Carolina Department of Transportation requests authorization to replace an existing
bridge on SR 1405 (Jolly Cemetery Road) in Alexander County. NCDOT proposes to replace an
existing timber deck bridge with a 50-foot long, 28.7' x 93 aluminum box culvert with
associated riprap for structure stabilization. A knee-wall set to bankfull height will be
constructed in the center of the structure to maintain "normal" channel width inside the culvert.
The knee-wall is also being constructed in an effort to initiate natural creation of a bankfull
bench within the wide culvert during bankfull flows. Minor stream work will be necessary-at the
inlet to align the stream with the mainflow side of the culvert. A 50-floodplain bench will be
constructed at the culvert inlet which will extend from the kneewall to existing contours to allow
for bankfull flow events to access both sides of the culvert. The bank at the culvert outlet will
be excavated to bankfull elevation, which will also allow bankfull flow events to flow through
the culvert and back into the channel without causing additional bank erosion. A temporary
cofferdam pumping system will be used to divert the stream flow around the construction sites as
needed. Areas affected by temporary cofferdam system will be restored back to pre-project
conditions: The scope of the work will result in 110 feet of permanent impacts (50 feet of culvert
fill, 50 feet of upstream floodplain bench construction, 10 feet of riprap impacts at outlet) to
Muddy Fork Creek, which is classified as Class C waters by the Division of Water Quality.
The project area is not located within '/ mile of the critical watershed area nor is SR 1405 a rural
or urban arterial; therefore, hazardous spill basins are not required. Enclosed is the hazardous
spill basin checklist.
This office has conducted a GIS and field survey for the project for historical sites and
threatened/endangered species sites. No sites listed on the National Register of Historic Places
are located in the vicinity of the project nor did there appear to be any eligible structures. The
federally listed species for Iredell County (USFWS listed date September 22, 2010) include the
Dwarf-flowered heartleaf (Hexastylis nanrflora) and the Bog Turtle (Clenunys rnuhlenbergii).
Post Office Box 47 Shelby, North Carolina 28151-0047
r I
a
Bridge #58, SR 1405, Jolly Cemetery Road
Page 2
.November 29, 2010
The Natural Heritage Program records document the nearest dwarf-flowered heartleaf location
approximately 5 miles east of the proposed project. The heartleaf is usually found on dry to
moist ravine slopes (usually north facing and of the oak-hickory-pine forest type) and in boggy
areas near springheads. There is no potential habitat within the proposed project area, and no
species were observed. National Heritage Program records document the nearest bog turtle
location approximately 10.5 northwest of the proposed project area. Bog turtles are usually
found in bogs, marshes, and wet pastures. There is no suitable habitat located within the project
area. The proposed project will have a finding of "no effect" on the dwarf-flowered heartleaf
(Hexastylis iraiaiJlora) species'6r bog turtle (Clemnrys muldenbergii).
I have enclosed a pre-construction notification for a NW914, sketches of planned activities and
location maps relative to the project.
Project information for the 401 Automated Payment Procedure is as follows:
• Work order number: 150465-55120005-126.200211-3368
• TIP#: NA
• Project Category: $240.00 Fee
If you have any questions or concerns please feel free to contact me at [phone]. Thank you for
your time and consideration on this matter.
Respectfully yours,
M.L. Holder, P.E.
Division Engineer
Twelfth Division
BY:
Trish Simon
Division 12 Environmental Supervisor
Enclosures
Cc: Brian Wrenn, Division of Water Quality, Transportation Permitting Unit
Polly Lespinasse, Division of Water Quality, Mooresville Regional Office
1
Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.3 Dec 10 2008
Pre-Construction Notification PCN Form
A. Applicant Information
1.1 Processing
1 a . Type(s) of approval sought from the
Corps:
®Section 404 Permit E] Section 10 Permit
1 b. Specify Nationwide Permit (NWP) number: 14 or General Permit (GP) number:
1 c . Has the N WP or GP number been verified by the Corps? ? Yes ® No
1 d . Type(s) of approval sought from the DWQ (check all that apply):
® 401 Water Quality Certification - Regular ? Non-404 Jurisdictional General Permit
? 401 Water Quality Certification - Express ? Riparian Buffer Authorization
le! Is this notification solely for the record
because written approval is not required? rFor the record only for DWQ 401
rtification:
? Yes ® No For the record only for Corps Permit:

? Yes ® No
tf. Is payment into a mitigation bank or in-lieu fee program proposed for mitigation
of impacts? If so, attach the acceptance letter from mitigation bank or in-lieu
fee program. ? Yes ® No
1g : Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h
below. ? Yes N No
lh?. Is the project located within a NC DCM Area of Environmental Concern (AEC)? ? Yes ® No
2.1 Project Information
2a : Name of project: Bridge #58, SR 1405 (Jolly Cemetary Road)
2b . County: Alexander
2c . Nearest municipality / town: Taylorsville
2d ,. Subdivision name: NA
2e1 . NCDOT only, T.I.P. or state
project no: NA
3.1 Owner Information
3ai . Name(s) on Recorded Deed: NCDOT Right of Way
3b . Deed Book and Page No.
3c ! Responsible Party (for LLC i f
applicable):
3d . Street address:
3e . City, state, zip:
3f. I Telephone no.:
3g I Fax no.:
3h ( Email address:
Page I of 11
PCN Form - Version 1.3 December 10, 2008 Version
4. Applicant Information (if different from owner)
4a. Applicant is: ther, specify:
4b. Name:
4c. Business name
(if applicable): ransportation
=ofTransportation,
, Division 12
4d. Street address: reet
4e. City, state, zip:
4f. Telephone no.: 704-480-9020
4g. Fax no.: 704-480-5401
4h. Email address: [e-mail]
5. Agent/Consultant Information (if applicable)
5a. Name: Trish Simon
5b. Business name
(if applicable):
N.C. Department of Transportation, Division 12
5c. Street address: 1710 East Marion Street
5d. City, state, zip: Shelby, NC 28151
5e. Telephone no.: 704-480-9044
5f. Fax no.: 704-480-5401
5g. Email address: [e-mail]
Page 2 of 11
PCN Form - Version 1.3 December 10, 2008 Version
13.1 Project Information and Prior Project History
1. I Property Identification
1 a . Property identification no. (tax PIN or parcel ID): NA

1 Latitude: 35.9641509 Longitude: -
1b . Site coordinates (in decimal degrees): 81.1823617
1 (DD.DDDDDD) (-DD.DDDDDD)
1 cl Property size: 0.10 acres
2.1 Surface Waters
2a1 . Name of nearest body of water (stream, river, etc.) to Muddy Fork Creek
proposed project:
2b . Water Quality Classification of nearest receiving water: Class C
2c! River basin: Catawba
3. I Project Description
3a! Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this
application:
Existing timber bridge on paved secondary road. Landuse in vicinity of bridge is cropland/pasture
30 List the total estimated acreage of all existing wetlands on the property:
1 0
3c! List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
200
3d'. Explain the purpose of the proposed project:
To replace a deteriorating timber deck bridge for the safety of the traveling public.
3e: Describe the overall project in detail, including the type of equipment to be used,
NCDOT proposes to replace a timber deck bridge with a 50-foot long, 28.7 ft x 9.3 ft aluminum box culvert with
associated riprap for structure stabilization. A "kneewall" will be constructed inside the aluminum box culvert. The
kneewall height will be at bankfull elevation. Fifty foot long floodplain benches will be constructed upstream and
downstream of the high flow culvert cell.
4.1 Jurisdictional Determinations
4a . Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
project (including all prior phases) in the past? ? Yes ® No ? Unknown
Comments: Jurisdictional stream determination made by
Division 12 DEC.
41b'. If the Corps made the jurisdictional determination, what type
El Preliminary ? Final
of determination was made?
4c! If yes, who delineated the jurisdictional areas? Agency/Consultant Company:
Name (if known): Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
5. 1 Project History
5a 1. Have permits or certifications been requested or obtained for

Yes ®No El Unknown
El
I this project (including all prior phases) in the past?
5b . If yes, explain in detail according to "help file" instructions.
Page 3 of 11
PCN Form - Version 1.3 December 10, 2008 Version
S. Future Project Plans
6a. Is this a phased project? ? Yes ® No
6b. If yes, explain.
Page 4 of 11
PCN Form - Version 1.3 December 10, 2008 Version
C. Proposed Impacts Inventory
1. Impacts Summary
la! Which sections were completed below for your project (check all that apply):
? Wetlands ® Streams - tributaries ? Buffers
? Open Waters ? Pond Construction
2. I Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
2al 21b. 2c. 2d. 2e. 2f.
Wetland impact Type of jurisdiction
number- Type of impact Type of wetland Forested (Corps - 404, 10 Area of impact
Permanent (P) or (if known) DWQ - non-404, other) (acres)
Tem ora T
W1 El P F-1 T El Yes El Corps
I ? No ? DWQ
W 1 El P ? T ? Yes El Corps
? No ? DWQ
W3 El P F-1 T El Yes El Corps
I ? No ? DWQ
W4 El P F-1 T El Yes ? Corps
I ? No ? DWQ
W5 [:J P ? T El Yes El Corps
? No ? DWQ
WE! ? P ? T ? Yes El Corps
I ? No ? DWQ
2g.! Total wetland impacts
2hl Comments:
3. I Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this
question for all stream sites impacted.
3aj 3b. 3c. 3d. 3e. 3f. 3g.
Stream impact Type of impact Stream name Perennial Type of jurisdiction Average Impact
number- or
(PER)
(Corps - 404, 10
stream
length
Permanent (P) or intermittent DWQ - non-404, width (linear
Temporary (T) (INT)? other) (feet) feet)

S1
®P ? T Fill from culvert
Muddy Fork Creek ® PER ® Corps
11
50
construction ?INT ®DWQ
S2 ® P ? T Upstream Bench Muddy Fork Creek ® PER ® Corps 11 50
Construction ? INT ® DWQ
S3 ® P ? T Riprap Structure Muddy Fork Creek ® PER ® Corps 11 10
Stabilization ? INT ® DWQ
Impervious dike ® PER ® Corps
S4 ? P ® T for culvert Muddy Fork Creek
?INT
®DWQ 11 100
construction
S5 ? P ? T ? PER ? Corps
? INT ? DWQ
? ? PER ? Corps
S6 ? P
T ? INT ? DWQ
30 Total stream and tributary impacts '110
3i. ',Comments: 'Permanent Impacts
Page 5 of 11
PCN Form - Version 1.3 December 10, 2008 Version
4. Open Water Impacts
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of
the U.S. then individually list all open water impacts below.
4a. 4b. 4c. 4d. 4e.
Open water Name of waterbody
impact number - (if applicable) Type of impact Waterbody type Area of impact (acres)
Permanent (P) or
Temporary T
01 ?P?T
02 ?P?T
03 ?P?T
04 ?P?T
4f. Total open water impacts
4g. Comments:
5. Pond or Lake Construction
If and or lake construction proposed, then complete the chart below.
5a. 5b. 5c. 5d. 5e.
Wetland Impacts (acres) Stream Impacts (feet) Upland
Pond ID Proposed use or purpose (acres)
number of pond
Flooded Filled Excavated Flooded Filled Excavated Flooded
P1
P2
5f. Total
5g. Comments:
5h. Is a dam high hazard permit required?
? Yes ? No If yes, permit ID no:
5i. Expected pond surface area (acres):
5j. Size of pond watershed (acres):
5k. Meth od of construction:
6. Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer, then complete the chart below. If yes, then individually list all buffer impacts
below. If an impacts require mitigation, then you MUST fill out Section D of this form.
6a.
? Neuse ?Tar-Pamlico ? Other:
Project is in which protected basin? ? Catawba ? Randleman
61b. 6c. 6d. 6e. 6f. 6g.
Buffer impact
number- Reason Buffer Zone 1 impact Zone 2 impact
Permanent (P) or for Stream name mitigation (square feet)
(square feet)
Temporary T impact re uired?
B1 ?P?T ?Yes
? No
B2 ?P?T ?Yes
? No
B3 ?P?T ?Yes
? No
6h. Total buffer impacts
6i. Comments:
Page 6 of 11
PCN Form - Version 1.3 December 10, 2008 Version
D.I Impact Justification and Mitigation
1. I Avoidance and Minimization
la! Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
Kneewall construction in aluminum box culvert proposed to maintain a "normal" stream width in the culvert. Floodplain bench
to be constructed at inlet to maintain channel dimensions and existing bank at outlet will be excavated to bankfull elevation.
1 bj Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Minimization of impacts by installing appropriate erosion control measures.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
gal Does the project require Compensatory Mitigation for
impacts to Waters of the U.S. or Waters of the State? ? Yes ® No
2b. If yes, mitigation is required by (check all that apply): ? DWQ ? Corps

2c.
If yes, which mitigat ion option will be used for this

project? ? Mitigation bank

? Payment to in-lieu fee program

? Permittee Responsible Mitigation
3. I Complete if Using a Mitigation Bank
3al Name of Mitigation Bank:
i
3bl Credits Purchased (attach receipt and letter)
I Type Quantity
3cl Comments:
I
4. Complete if Making a Payment to In-lieu Fee Program
4a? Approval letter from in-lieu fee program is attached. ? Yes
4bi Stream mitigation requested: linear feet
4c If using stream mitigation, stream temperature: ? warm ? cool ?cold
4dl Buffer mitigation requested (DWQ only): square feet
4e l Riparian wetland mitigation requested: acres
4f. I Non-riparian wetland mitigation requested: acres
4g l Coastal (tidal) wetland mitigation requested: acres
4h l Comments:
5. I Complete if Using a Permittee Responsible Mitigation Plan
5a l If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
I
Page 7 of 11
PCN Form - Version 1.3 December 10, 2008 Version
6. Buffer Mitigation (State Regulated Riparian Buffer Rules) - required by DWQ
6a. Will the project result in an impact within a protected riparian buffer that requires
buffer mitigation? ? Yes ® No
6b. If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation. Calculate the
amount of mitigation required.

Zone 6c.
Reason for impact 6d.
Total impact
(square feet)
Multiplier 6e.
Required mitigation
(square feet)
Zone 1 3 (2 for Catawba)
Zone 2 1.5
6f. Total buffer mitigation required:
6g. If buffer mitigation is required, discuss what type of mitigation is proposed (e.g., payment to private mitigation bank,
permittee responsible riparian buffer restoration, payment into an approved in-lieu fee fund).
6h. Comments:
Page 8 of 11
PCN Form - Version 1.3 December 10, 2008 Version
E.I Stormwater Management and Diffuse Flow Plan (required by DWQ)
i

1. i
Diffuse Flow Plan
Does the project include or is it adjacent to protected riparian buffers identified
1 al
.
within one of the NC Riparian Buffer Protection Rules? ? Yes ® No
1 bl. If yes, then is a diffuse flow plan included? If no, explain why.
? Yes ? No
Comments:
I
2.1 Stormwater Management Plan
2a1. What is the overall percent imperviousness of this project? 0%
2bI Does this project require a Stormwater Management Plan? ? Yes ® No
2c1. If this project DOES NOT require a Stormwater Management Plan, explain why: Complies with NCDOT's individual
NPDES permit NCS000250.
I
2d. If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:

1 ? Certified Local Government
. Who will be responsible for the review of the Stormwater Management Plan?
2e ? DWQ Stormwater Program
? DWQ 401 Unit
3.1 Certified Local Government Stormwater Review
3a! In which local government's jurisdiction is this project? NA
? Phase II
? NSW
3b. Which of the following locally-implemented Stormwater management programs E] USMP
apply (check all that apply): ? Water Supply Watershed
? Other:
3c ! Has the approved Stormwater Management Plan with proof of approval been ? Yes ? No
I attached?
4. 1 DWQ Stormwater Program Review
? Coastal counties
? HQW
4a . Which of the following state-implemented stormwater management programs apply ? ORW
(check all that apply): ? Session Law 2006-246
? Other:
4b ?. Has the approved Stormwater Management Plan with proof of approval been
? Yes ? No
attached?
5. I DWQ 401 Unit Stormwater Review
5a ? Does the Stormwater Management Plan meet the appropriate requirements? ? Yes ? No
5b ?. Have all of the 401 Unit submittal requirements been met? El Yes El No
Page 9 of 11
PCN Form -Version 1.3 December 10, 2008 Version
F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
Ia. Does the project involve an expenditure of public (federal/state/local) funds or the ® Yes ? No
use of public (federal/state) land?
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 ? Yes N No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1c. If you answered "yes" to the above, has the document review been finalized by the
State Clearing House? (If so, attach a copy of the NEPA or SEPA final approval
letter.) ? Yes ? No
Comments:
2. Violations (DWQ Requirement)
2a. Is the site in violation of DWQ Wetland Rules (15A NCAC 2H .0500), Isolated
Wetland Rules (15A NCAC 2H .1300), DWQ Surface Water or Wetland Standards, ? Yes N No
or Riparian Buffer Rules (15A NCAC 2B .0200)?
2b. Is this an after-the-fact permit application? ? Yes N No
2c. If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s):
3. Cumulative Impacts (DWQ Requirement)
3a. Will this project (based on past and reasonably anticipated future impacts) result in Yes N No
additional development, which could impact nearby downstream water quality?
3b. If you answered "yes" to the above, submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWQ policy. If you answered "no," provide a short narrative description.
The project is classified as a minimum criteria checklist project which has low potential for cumulative/indirect impacts and
will not result in additional development which could impact water quality.
4. Sewage Disposal (DWQ Requirement)
4a. Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of wastewater generated from
the proposed project, or available capacity of the subject facility.
Page 10 of 11
PCN Form - Version 1.3 December 10, 2008 Version

5. 1
Elndangered Species and Designated Critical Habitat (Corps Requirement)
5i . Will this project occur in or near an area with federally protected species or
habitat?
El Yes ®No
5i . Have you checked with the USFWS concerning Endangered Species Act ? yes ® No
impacts?
i i
th
USFW El Raleigh
5c
. cate
. If yes, ind
e
S Field Office you have contacted. ? Ash
ill
ev
e
I
5d
. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
NC Natural Heritage Program database.
6.1 Essential Fish Habitat (Corps Requirement)
6aI Will this project occur in or near an area designated as essential fish habitat? ? Yes ® No
6bI What data sources did you use to determine whether your site would impact Essential Fish Habitat?
I No salt marshes, oyster reefs, or seagrass beds in the vicinity of the project.
7.I Historic or Prehistoric Cultural Resources (Corps Requirement)
7aI Will this project occur in or near an area that the state, federal or tribal
governments have designated as having historic or cultural preservation ? Yes ® No
status (e.g., National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
7b 1. What data sources did you use to determine whether your site would impact historic or archeological resources?
The National Register of Historic Places were reviewed for historic sites in the vicinity of the project; however, the bridge
replacement project occur within a previously impacted area (NC DOT Right of Way).
I
8. Flood Zone Designation (Corps Requirement)
I
8aI. Will this project occur in a FEMA-designated 100-year Floodplain? ? Yes ®No
8bi. If yes, explain how project meets FEMA requirements:
8c l What source(s) did you use to make the Floodplain determination? FEMA FIRM panal number: 3710385100J

Applicant/Agent's Printed Name Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant
is provided.)
Page 1 I of 11
PCN Form - Version 1.3 December 10. 2008 Version
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Vicinity Map
STATE OF NORTH CAROLINA Figure2
DEPARTMENT OF TRANSPORTATION SR-1405 Jolly Cemetery Road I Alexander County
Bridge #58 Replacement
SR 1405 (Jolly Cemetery Rd)
Alexander County
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NCDOT
HAZARDOUS SPILL BASIN CHECKLIST
Division: 19 County: Alexander Project ID: 1213.200211
River Basin: Catawba Bridge No: 58
Route: Bridge Replacement on SR 1405 (Jolly Cemetery Road)
Stream: Muddy Creek (Class C)
Water Quality Criteria:
Yes No
Stream Crossing Blue Line On USGS r. r
ORW F P-
WSI r F
WS 11,111 OR IV, Crossing Within 0.5mi of W.S. Critical Area r r
Roadway Criteri a:
Route Designation- Yes No
Arterial Urban r P
Arterial Rural r r
Additional Site Information:
Yes No
Is a Hazardous Spill Basin Required? F r
Criteria Based Upon NCDOT "Best Management Practices for the
Protection of Surface Waters" (March, 1997).