20201519 Ver 1_ePCN Application_20210111

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#*
20201519 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:
Replacement of Bridge No.960004 on SR 2418(South Windy Gap Road)over Little Hinting Creek
1a.Who is the Primary Contact?*
NCDOT
lb.Primary Contact Email:* 1c.Primary Contact Phone:*
[e-mail] [phone]
Date Submitted
1/11/2021
Nearest Body of Water
Little Hunting Creek
Basin
Yadkin-PeeDee
Water Classification
WS Ill
Site Coordinates
Latitude: Longitude:
36.10918 -80.96814
Pre-Filing Meeting Information
ID# Version
20201519 1
Pre-fling Meeting or Request Date*
9/28/2020
Attach documentation of Pre-Filing Meeting Request here:*
BR-0108 401 Pre-Filing Notification(Mass 12 MLL Request)2020-09-28.pdf 417.96KB
A. Processing Information C^U
County(or Counties)where the project is located:
Wilkes

Is this a NCDMS Project
C- Yes f No
Is this project a public transportation project?*
6 Yes r No
Is this a NCDOT Project?*
6 Yes r No
(NCDOT only)T.I.P.or state project number:
BR-0108
WBS#(2)
49216.1.1
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?*
C- Yes
6' 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?
(' Yes CNo
Nationwide Permit(NWP)Number: 14-Linear transportation
NWP Numbers(for multiple NWPS):
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: C' Yes 6 No
For the record only for Corps Permit: C' Yes 6 No
If.Is this an after-the-fact permit application?*
C- Yes f No
1g.Is payment into a mitigation bank or in-lieu fee program proposed for mitigation of impacts?
(' Yes C No
1g.Is payment into a mitigation bank or in-lieu fee program proposed for mitigation of impacts?
C- Yes r No
Acceptance Letter Attachment
BR-0108 DMS ACCEPTANCE LETTER.pdf 457.58KB
1h.Is the project located in any of NC's twenty coastal counties?
C- Yes C No
1j.Is the project located in a designated trout watershed?
C- Yes (- No
B. Applicant Information
Id.Who is applying for the permit?
✓Owner 17 Applicant(other than owner)
le.Is there an Agent/Consultant for this project?*
✓ Yes (- No
2.Owner Information
2a.Name(s)on recorded deed:
N/A

2b.Deed book and page no.:
2c.Responsible party:
2d.Address
Street Address
N/A
Address Line 2
(Sty State/Province/Region
N/A N/A
Postal/Zip Code Country
N/A N/A
2e.Telephone Number: 2f.Fax Number:
[phone]
2g.Email Address:*
[e-mail]
3.Applicant Information(if different from owner)
3a.Name:
NCDOT
3b.Business Name:
3c.Address
Street Address
1598 Mail Service Center
Address Line 2
City State/Bovine/Region
Raleigh NC
Postal/Zip Code Country
27699-1598 N/A
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:
(if appropriate)
1c.Nearest municipality/town:
Windy Gap
2. Project Identification
2a.Property Identification Number: 2b.Property size:
2c.Project Address
Street Address
Address Line 2
(Sty State/Bovine/Region
Postal/Zip Code Country
3.Surface Waters
3a.Name of the nearest body of water to proposed project:*
Little Hunting Creek
3b.Water Resources Classification of nearest receiving water:*
WS Ill
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.
030401020201
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:*
Replacing the existing 1@40'-6"timber deck with vertical timber abutments bridge over Little Hunting Creek.The bridge was constructed in 1960 and reconstructed in 1987.The
surrounding land use is agricultural,residential and fragmented forest land.
4b.Have Corps permits or DWR certifications been obtained for this project(including all prior phases)in the past?*
✓ 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:
0.60
4g.List the total estimated linear feet of all existing streams on the property:
1,976
4h.Explain the purpose of the proposed project:*
NCDOT Structure Management Unit(SMU)records indicate Bridge No.4 has a sufficiency rating of 48.41 out of a possible 100 for a new structure.The bridge is considered structurally
deficient due to insufficient load-carrying capacity and a superstructure condition rating of 4 out of a possible 9.The posted weight restriction(23 tons for single vehicle and 29 tons for
a truck/tractor/semitrailer)on Bridge No.4 prohibits large or heavy vehicles,typically used in transporting agricultural and manufactured products,from using the bridge.Vehicles above
the posted weight must detour approximately 1.3 miles to avoid the bridge.Replacing the existing bridge will eliminate posted weight limits by providing a safe crossing for all legal loads
and will make accommodations for broadband installation in order to support economic competitiveness.
41.Describe the overall project in detail,including indirect impacts and the type of equipment to be used:*
The North Carolina Department of Transportation(NCDOT)proposes to replace Bridge No.4 on South Windy Gap Road(S.R.2418)over Little Hunting Creek in Wilkes County.The
bridge will be replaced on the existing alignment while detouring traffic offsite during construction.Bridge No.4 was originally built in 1960 and reconstructed in 1987.The existing
structure is 41 feet long with a deck width of 25 feet.The structure is a timber floor on salvaged I-Beams with timber substructure.NCDOT proposes to construct a 70-foot long single
span core slab bridge with a deck width of 30 feet.The new structure will include 10-foot lanes and variable width shoulders that average 3-foot,11-inches.Standard road and bridge
building equipment such as trucks,dozers,and cranes will be used.
4j.Please upload project drawings for the proposed project.
BR-0108 Final Permit Drawings.pdf 14.01MB
BR-0108 Permit Application Cover Letter.pdf 354.82KB
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?*
✓ Preliminary r Approved Not Verified r Unknown r N/A
Corps AID Number:
5c.If 5a is yes,who delineated the jurisdictional areas?
Name(if known): Nathan Howell
Agency/Consultant Company: Three Oaks Engineering
Other:
5d1.Jurisdictional determination upload
6. Future Project Plans
6a.Is this a phased project?*
✓ 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?
D. Proposed Impacts Inventory
1. Impacts Summary

1a.Where are the impacts associated with your project?(check all that apply):
r Wetlands fJ Streams-tributaries ❑Buffers
r Open Waters r Pond Construction
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 Stream Bank Stabilization Permanent Bank Stabilization Little Hunting Creek Perennial Both 23 7
Average(feet) (linear feet)
32 Stream Bank Stabilization Temporary Bank Stabilization Little Hunting Creek Perennial Both 23 10
Average(feet) (linear feet)
S3 Temporary Construction Temporary Workpad/Causeway Little Hunting Creek Perennial Both 23 92
Average(feet) (linear feet)
S4 Roadway fill Permanent Fill UT to Little Hunting Creek Perennial Both 3 144
Average(feet) (linear feet)
S5 Roadway Fill Temporary Fill UT to Little Hunting Creek Perennial Both 3 14
Average(feet) (linear feet)
S6 Stream Bank Stabilization Permanent Bank Stabilization UT to Little Hunting Creek Perennial Both 3 6
Average(feet) (linear feet)
3i.Total jurisdictional ditch impact in square feet:
0
3i.Total permanent stream impacts: 3i.Total temporary stream impacts:
157 116
3i.Total stream and ditch impacts:
273
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:
Temporary construction impacts will be reduced at the bridge site by utilizing an offsite detour.The new bridge will completely span the creek.Existing
drainage patterns have been maintained.No direct discharge will occur in the stream.
1b.Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Best Management Practices will be adhered to.
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 f No
2c.If yes,mitigation is required by(check all that apply):
r DWR fJ Corps
2d.If yes,which mitigation option(s)will be used for this project?
r Mitigation bank fJ 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.
Yes r No
4b.Stream mitigation requested:
(linear feet) 4c.If using stream mitigation,what is the stream temperature:
144 warm
4d.Buffer mitigation requested(DWR only): 4e.Riparian wetland mitigation requested:
(square feet) (acres)
N/A 0
4f.Non-riparian wetland mitigation requested: 4g.Coastal(tidal)wetland mitigation requested:
(acres) (acres)

4h.Comments
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:
2.Stormwater Management Plan
2a.Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?*
t Yes r No
Comments:
G. Supplementary Information C^U
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 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 ( No
1c.If you answered"yes"to the above,has the document review been finalized by the State Clearing House?*
( Yes r No
NEPA or SEPA Final Approval Letter
BR-0108 CE 01.22.20_Final-Signed.pdf 304.4KB
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?*
r Yes ( No
3b.If you answered"no,"provide a short narrative description.
The project will not alter travel patterns,reduce travel time,affect access to properties in the area,or open areas for development or redevelopment.
Due to its minimal transportation impact-causing activities,this project will neither influence nearby land uses nor stimulate growth.Therefore,a
detailed indirect and cumulative effects study will not be necessary.
4.Sewage Disposal(DWR Requirement)
4a.Is sewage disposal required by DWR for this project?*
✓ Yes ( No r 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 6. No
5d.Is another Federal agency involved?*
(' Yes r No r Unknown
5e.Is this a DOT project located within Division's 1-8?
✓ Yes tz No

5f.Will you cut any trees in order to conduct the work in waters of the U.S.?
R Yes r No
5g.Does this project involve bridge maintenance or removal?
6 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 G No r Unknown
5h.Does this project involve the construction/installation of a wind turbine(s)?*
✓ Yes allo
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.?
6 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.
5j.What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
USFWS Website
This project was evaluated on August 13,2019.NCDOT biologists assessed Bridge No.04 for potential northern long-eared bat habitat.No shallow
vertical top sealed crevices or deep vertical unsealed crevices suitable for roosting were present on the structure.No evidence(bats,staining,and
guano)of bats was observed.Based on the type of bridge and lack of evidence of bats on the bridge,NCDOT recommends a biological conclusion of
No Effect for the northern long-eared bat.
On January 9,2020,NCDOT biologists assessed the bridge project footprint for potential MYGR habitat.No evidence of bats(bats,staining or guano)
was observed on this small,timber deck and steel beam bridge.No shallow vertical top sealed crevices or deep vertical unsealed crevices suitable for
roosting were present on the structure.No caves or mines are located within the project footprint or within line of sight of the bridge.Therefore,no
suitable roosting habitat for MYGR is present.Based on the lack of evidence of bats during the recent bridge inspection and the prior August 13 field
visit,the type of bridge(timber and steel)and lack of caves or mines in the project vicinity,the proposed project will have a biological conclusion of No
Effect for gray bats.
Consultation Documentation Upload
BR-0108 NLEB 4(d)MYGR Wilkes.pdf 270.26KB
6. Essential Fish Habitat(Corps Requirement)
6a.Will this project occur in or near an area designated as an Essential Fish Habitat?*
✓ yes GNo
6b.What data sources did you use to determine whether your site would impact an Essential Fish Habitat?*
Review of on-line mapping sources
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 letters were distributed on December 16,2019 to the Eastern Band of Cherokee Indians(EBCI),the Catawba Indian Nation,the
Cherokee Nation,and the United Keetoowah Band of Cherokee.Comments on the proposed project were requested by January 17,2020.NCDOT
received responses from the Cherokee Nation and the United Keetoowah Band of Cherokee;however,neither response indicated the presence of
any previously unknown resources.
7c.Historic or Prehistoric Information Upload
BR-0108 HIST ARCH NoSurvey.pdf 5.17MB
BR-0108 ARCHAEOLOGY Wilkes 4 No Survey form(1).pdf 5.17MB
8. Flood Zone Designation(Corps Requirement)
8a.Will this project occur in a FEMA-designated 100-yearfloodplain?*
6 Yes rNo
8b.If yes,explain how project meets FEMA requirements:
The Hydraulics Unit will coordinate with the NC Floodplain Mapping Program(FMP)to
determine status of the project with regard to applicability of NCDOT's Memorandum of
Agreement,or approval of a Conditional Letter of Map Revision(CLOMR)and subsequent
final Letter of Map Revision(LOMR).
8c.What source(s)did you use to make the floodplain determination?*
FEMA Floodmaps
Miscellaneous
Comments
Approximately 0.03 acre of trees will be removed in the project footprint for construction purposes.

Miscellaneous attachments not previously requested.
Signature U
17 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:
Michael Anthony Turchy
Signature
gdae(Txtedi5
Date
1/11/2021