20210209 Ver 1_401 Application_20210203

Pre-Construction Notification (PCN) Form
For Nationwide Permits and Regional General Permits
(along with corresponding Water Quality Certifications)
October 26, 2020 Ver 3.3
1a. Name of proje ct:
1a. Who is the Primary Contact?
1b. Primary Contact Email:1c. Primary Contact Phone :
Site Coordinates
Latitude :Longitude :
County (or Countie s) where the proje ct is locate d:
Ne are st Body of Wate r
Is this a NCDM S Proje ct *
Is this project a public transportation project?
Is this a NCDOT Proje ct?
(NCDOT only) T.I.P. or state proje ct numbe r:
WBS #(?)
1a. Type (s) of approv al sought from the Corps:
Has this PCN pre v iously be e n submitte d?*
1b. What type (s) of pe rmit(s) do you wish to se e k authorization?
1c. Has the NWP or GP numbe r be e n v e rifie d by the Corps?
Re gional Ge ne ral Pe rmit (RGP) Numbe r:
RGP Numbers (for multiple RGPS):
1d. Type (s) of approv al sought from the DWR:
Replacement of Bridge 237 Over Sorrell Creek
Kevin Barnett
[e-mail] [phone]
35.400930 -82.897735
A. Processing Information
Haywood
Yes No
Yes No
Yes No
17BP.14.R.177
Section 404 Permit (wetlands, streams and waters, Clean Water Act)
Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)
Yes
No
Nationwide Permit (NWP)
Regional General Permit (RGP)
Standard (IP)
Yes No
198200031 - NCDOT Bridges, Widening Projects 2015
Pre-Filing Meeting Information
1e . Is this notification sole ly for the re cord be cause writte n approv al is not re quire d?
For the re cord only for DWR 401 Ce rtification:
For the re cord only for Corps Pe rmit:
1f. Is this an afte r-the -fact pe rmit application?
1g. Is payme nt into a mitigation bank or in-lie u fe e program propose d for mitigation of impacts?
Acce ptance Le tte r Attachme nt
1h. Is the proje ct locate d in any of NC's twe nty coastal countie s?
1j. Is the proje ct locate d in a de signate d trout wate rshe d?
1d. Who is applying for the pe rmit?
1e . Is the re an Age nt/Consultant for this proje ct?*
2. Owner Information
3. Applicant Information (if different from owner)
401 Water Quality Certification - Regular 401 Water Quality Certification - Express
Non-404 Jurisdictional General Permit Riparian Buffer Authorization
Individual Permit
ID#Ve rsion
Pre -fling M e e ting or Re que st Date *
Attach docume ntation of Pre -Filing M e e ting Re que st he re :*
20210209 1
2/2/2021
PreMeetingNotice.DWR.pdf 162.29KB
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
B. Applicant Information
Owner Applicant (other than
owner)
Yes No
2a. Name (s) on re corde d de e d:
2b. De e d book and page no.:
2c. Re sponsible party:
2d. Addre ss
2e . Te le phone Numbe r:2f. Fax Numbe r:
2g. Email Addre ss:*
North Carolina Department of Transportation - Division 14
NCDOT - Div. 14
City
Sylva
State / Province / Region
NC
Postal / Zip Code
28779
Country
US
Street Address
253 Webster Road
Address Line 2
[phone] [phone]
[e-mail]
3a. Name :
Kevin Barnett
1b. Subdivision name :
1c. Ne are st municipality / town:
2a. Prope rty Identification Numbe r:2b. Prope rty size :
2c. Proje ct Addre ss
3. Surface Waters
3a. Name of the ne are st body of wate r to propose d proje ct:
3b. Wate r Re source s Classification of ne are st re ce iv ing wate r:*
3d. Ple ase prov ide the 12-digit HUC in which the proje ct is locate d.
3c. What riv e r basin(s) is your proje ct locate d in?*
4. Project Description and History
4a. De scribe the e xisting conditions on the site and the ge ne ral land use in the v icinity of the proje ct at the time of this application:*
4b. Hav e Corps pe rmits or DWR ce rtifications be e n obtained for this project (including all prior phase s) in the past?*
4d. Attach an 8 1/2 X 11 e xce rpt from the most re ce nt v e rsion of the USGS topographic map indicating the location of the proje ct site . (for DWR)
4e . Attach an 8 1/2 X 11 e xce rpt from the most re ce nt v e rsion of the publishe d County NRCS Soil Surv e y map de picting the proje ct site . (for DWR)
4f. List the total e stimate d acre age of all e xisting we tlands on the prope rty:
4g. List the total e stimate d line ar fe e t of all e xisting stre ams on the prope rty:
3b. Business Name :
3c. Addre ss
3d. Te le phone Numbe r:3e . Fax Numbe r:
3f. Email Addre ss:
City
Sylva
State / Province / Region
NC
Postal / Zip Code
28779
Country
US
Street Address
253 Webster Road
Address Line 2
[phone] [phone]
[e-mail]
C. Project I nformation and Prior Project History
1. Project Information
(if appropriate)
Cruso
2. Project Identification
City
Canton
State / Province / Region
NC
Postal / Zip Code
28716
Country
US
Street Address
2983 LITTLE EAST FORK RD
Address Line 2
Sorrell Creek
WSIII, Tr
060101060102
French Broad
This is a rural, residential area. The lane and a half wide timber bridge is functionally obsolete and needs replacing.
Yes No Unknown
USGS Topo.pdf 3.24MB
NRCS.Soil Map.pdf 905.28KB
0.0
130
4h. Explain the purpose of the propose d proje ct:*
4i. De scribe the ov e rall proje ct in de tail, including indirect impacts and the type of e quipme nt to be use d:*
4j. Ple ase upload proje ct drawings for the propose d proje ct.
5. Jurisdictional Determinations
5a. Hav e the we tlands or streams be e n de line ate d on the prope rty or propose d impact are as?*
Comme nts:
5b. If the Corps made a jurisdictional de te rmination, what type of de te rmination was made ?*
Corps AID Numbe r:
5c. If 5a is ye s, who de line ate d the jurisdictional are as?
Name (if known):
Age ncy/Consultant Company:
Othe r:
5d1. Jurisdictional de te rmination upload
6. Future Project Plans
6a. Is this a phase d proje ct?*
Are any othe r NWP(s), re gional ge ne ral pe rmit(s), or indiv idual pe rmits(s) use d, or intende d to be use d, to authorize any part of the propose d project or re lated activ ity?
1. Impacts Summary
1a. Whe re are the impacts associate d with your proje ct? (che ck all that apply):
3. Stream Impacts
3a. Reason for impact *(?)3b.Impact type *3c. Type of impact *3d. S. name *3e . Stre am Type *
(?)
3f. Type of
Jurisdiction *
3g. S. width *3h. Impact
le ngth *
S1
S2
3i. Total jurisdictional ditch impact in square fe e t:
3i. Total pe rmane nt stre am impacts:3i. Total te mporary stre am impacts:
3i. Total stre am and ditch impacts:
3j. Comme nts:
To replace a functionally obsolete timber bridge with a concrete cored slab bridge.
Traditional construction equipment will be utilized.
The existing bridge will have a crutch support placed under it and then be half removed, followed by construction of the first half of the new cored slab bridge. After traffic is rerouted
onto the cored slab bridge, the other half of the timber bridge will be removed and replaced with the remainder of the cored slab structure.
Temp dewatering will be utilized to create a dry work area.
17BP.14.R.177.HaywoodBridge237.PlanSheet.pdf 220.58KB
Yes No Unknown
Preliminary Approved Not Verified Unknown N/A
Haywood County - B237 - PJD (Final).pdf 234.36KB
Yes No
No other work is planned at this time.
D. Proposed Impacts Inventory
Wetlands Streams-tributaries Buffers
Open Waters Pond Construction
Site 1 Temporary Dewatering Sorrell Creek Perennial Both 4
Average (feet)
130
(linear feet)
Site 1 Permanent Bank Stabilization Sorrell Creek Perennial Both 4
Average (feet)
5
(linear feet)
0
5 130
135
4. Open Water Impacts
4a. Site #4a1. Impact Re ason 4b. Impact type 4c. Name of wate rbody 4d. Activ ity type 4e . Wate rbody type 4f. Impact are a
4g. Total te mporary ope n wate r Impacts:4g. Total pe rmane nt ope n wate r impacts:
4g. Total ope n wate r impacts:
4h. Comme nts:
1. Avoidance and Minimization
1a. Spe cifically de scribe me asure s take n to av oid or minimize the propose d impacts in de signing the proje ct:
1b. Spe cifically de scribe me asure s take n to av oid or minimize the propose d impacts through construction te chnique s:
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Doe s the proje ct re quire Compe nsatory M itigation for impacts to Wate rs of the U.S. or Wate rs of the State ?
2b. If this proje ct DOES NOT re quire Compe nsatory M itigation, e xplain why:
1. Diffuse Flow Plan
1a. Doe s the proje ct include or is it adjace nt to prote cte d riparian buffers ide ntifie d within one of the NC Riparian Buffe r Prote ction Rule s?
If no, e xplain why:
2. Stormw ater Management Plan
2a. Is this a NCDOT proje ct subje ct to compliance with NCDOT’s Indiv idual NPDES pe rmit NCS000250?*
Comme nts:
1. Environmental Documentation
1a. Doe s the proje ct inv olv e an e xpe nditure of public (fe de ral/state /local) funds or the use of public (fe de ral/state ) land?*
1b. If you answe re d “ye s” to the abov e , doe s the proje ct re quire pre paration of an e nv ironme ntal docume nt pursuant to the re quireme nts of the National or State (North Carolina)
Env ironme ntal Policy Act (NEPA/SEPA)?*
Comme nts:*
2. Violations (DWR Requirement)
2a. Is the site in v iolation of DWR Wate r Quality Ce rtification Rule s (15A NCAC 2H .0500), Isolate d We tland Rule s (15A NCAC 2H .1300), or DWR Surface Wate r or We tland Standards or
Riparian Buffe r Rule s (15A NCAC 2B .0200)?*
Site 2 Relocate Driveway P Unnamed ponmd adjacent to Sorrell
Creek
Fill Pond 0.15
0.00 0.15
0.15
E. Impact Justification and Mitigation
These are the minimum amount of impacts to waters in order to replace this obsolete bridge.
All construction will occur in the dry on Sorrell Creek to prevent unplanned for impacts. The fill in the adjacent pond shall be clean fill to prevent water
quality violations.
Yes No
Impacts are below regulatory limits for mitigation.
F. Stormwater M anagement and Diffuse Flow Plan (required by DWR)
Yes No
Yes No
G. Supplementary Information
Yes No
Yes No
Below SEPA threshold.
Yes No
3. Cumulative Impacts (DWR Requirement)
3a. Will this proje ct re sult in additional de v e lopme nt, which could impact ne arby downstre am wate r quality?*
3b. If you answe re d “no,” prov ide a short narrativ e de scription.
4. Sewage Disposal (DWR Requirement)
4a. Is se wage disposal re quire d by DWR for this proje ct?*
5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this proje ct occur in or ne ar an are a with fe de rally prote cte d spe cie s or habitat?*
5b. Hav e you che cke d with the USFWS conce rning Endange re d Spe cie s Act impacts?*
5c. If ye s, indicate the USFWS Fie ld Office you hav e contacte d.
5d. Is anothe r Fe de ral age ncy inv olv e d?*
5e . Is this a DOT proje ct locate d within Div ision's 1-8?
5f. Will you cut any tre e s in orde r to conduct the work in wate rs of the U.S.?
5g. Doe s this proje ct inv olv e bridge mainte nance or re mov al?
5g(1). If ye s, hav e you inspe cte d the bridge for signs of bat use such as staining, guano, bats, e tc.?
If you answe re d "Ye s" to 5g(1), did you discov e r any signs of bat use ?
5h. Doe s this proje ct inv olv e the construction/installation of a wind turbine (s)?*
5i. Doe s this proje ct inv olv e (1) blasting, and/or (2) othe r pe rcussiv e activitie s that will be conducte d by machine s, such as jackhamme rs, me chanize d pile driv e rs, e tc.?
5j. What data source s did you use to de te rmine whe the r your site would impact Endange re d Spe cie s or De signate d Critical Habitat?*
Consultation Docume ntation Upload
6. Essential Fish Habitat (Corps Requirement)
6a. Will this proje ct occur in or ne ar an are a de signate d as an Esse ntial Fish Habitat?*
6b. What data source s did you use to de te rmine whe the r your site would impact an Esse ntial Fish Habitat?*
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
7a. Will this proje ct occur in or ne ar an are a that the state , fe de ral or tribal gov e rnme nts hav e de signate d as hav ing historic or cultural pre se rv ation status?*
7b. What data source s did you use to de te rmine whe the r your site would impact historic or arche ological re source s?*
7c. Historic or Pre historic Information Upload
Yes No
There is little to no opportunity for development above this structure. The property upstream is either a private camp or national forest.
Yes No N/A
Yes No
Yes No
Asheville
Yes No Unknown
Yes No
Yes No
Yes No
Yes No
Yes No Unknown
Yes No
Yes No
Natural Heritage database which includes USFWS layers.
Haywood County - B237 - NC Hertiage Program (Formal Response).pdf 1.95MB
Haywood County - B237 - Bat Habitat Assessment.pdf 38.58KB
Yes No
NOAA Fisheries database.
Yes No
SHPO
8. Flood Zone Designation (Corps Requirement)
8a. Will this proje ct occur in a FEM A-designate d 100-ye ar floodplain?*
8c. What source (s) did you use to make the floodplain de te rmination?*
Comme nts
M isce llane ous attachme nts not pre v iously re que ste d.
*
· 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 :*
Signature
Date
Haywood County - B237 - Archaeological Screening.pdf 1.98MB
Haywood County - B237 - Architecture Screening.pdf 2.02MB
Yes No
County Floodplain Maps.
M iscellaneous
17BP.R177.430237_CWMTF_site_McHenry change June 3 2020.pdf 1.24MB
Haywood County - B237 - CE encroachment.pdf 838.24KB
Haywood County - B237 - Design Plans.pdf 9.21MB
Haywood County - B237 - Hydro Report.pdf 5.85MB
Haywood County - B237 - Open Water Fill.pdf 1.03MB
Haywood County - B237 - Site Photos.pdf 1.73MB
Signature
By checking the box and signing below, I certify that:
Kevin Barnett
2/3/2021