20120247 Ver 1_Application_20120307

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STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
BEVERLY PURDUE P O Box 25201 Raleigh, NC 27611 5202
GOVERNOR PHONE [phone]
February 29, 2012
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EUGENE CO
SECRETARY 1(,
Mr Monte Matthews
U S Army Corps of Engineers
Raleigh Regulatory Field Office
3331 Heritage Trade Drive Suite 105j G"p
Wake Forest, NC 27587
Subject Nationwide Permit # 13 & # 14
Replace Bridge 4192 on SR 1509 with Pipe
Watauga County, North Carolina
Project Number 11B 209511 (DWQ Permit Fee $240)
Dear Mr Matthews
The North Carolina. Department of Transportation is scheduled to replace existing Bridge # 192 with pipe at
the same location The existing bridge is a single lane and only 19 feet long The stream width under the
existing bridge is only 4 feet wide Site conditions should result in a successful pipe installation Multiple
tributaries prevent longer pipes No on site detour is proposed We also need to stabilize the roadway fill
dust upstream of the bridge where the stream parallels the roadway We are experiencing erosion and
instability there which we intend to address with armoring Stream unpacts are tabulated below
Stream Impacts
�.F- �+ � ' `L"
Station
Number
,i, z" x.✓'°'" �
Enshng
Structure Sized
w* wr ti�
Proposed Pipew,Temporary�
f Size �7
4� $7f 4-
e r
Dewaterm —
`k. c+.;, n
�Riprap�
ri
Im acts feet
§b° ,?/ 5.H
a Total Impacts at
this Stab - )
2 @30x95 x
Bndge#192
1 19 x 18 bridge
67 w/ HWs
1 80
50
160
Perm FilllRiprap Impacts =
80 feet
Total Project Impacts =160 feet
Both pipes will be buried 1 below streambed elevations to ensure that we have adequate cover
The western barrel will be isolated to carry stormwater only by installing 18 concrete sills on the
inlet and outlet ends Floodplams will be constructed to reduce channel width to an appropriate
number The Division 11 DEO will be contacted to assist with this activity
The replacement of the existing bridge with the proposed new pipe will require temporary dewatenng An
impervious sandbag dike will be constructed approximately 20 feet upstream of the existing structure to
create a small pool Clean water will temporarily be pumped around the construction area and will be
P O Box250 N WuKESBORO NC 28659
Pi oNE [phone] FAX [phone]

Mr Monte Matthews
Bridge #192 on SR 1509
Page 2
February 29 2012
discharged downstream Any dirty water located inside the construction area will be pumped into a silt bag
if necessary Once the new structure is in place, the impervious dike will be removed and preconstruction
streambed elevations will be restored
Construction of this project will require unpacts to waters of the United States in the New River Basin
The existing bridge crosses Pine Run Creek (Class C, Trout +) This project was reviewed for the presence
of threatened and endangered species on February 27 2012 The subject project will have no effect on any
federally listed endangered plant or anneal species Historic compliance work will be scheduled and
concurrence with the State Historic Preservation Office will be obtained if required
The project impacts are not significant in nature and should not alter the best usage for this stream All
appropriate BMPs will be used during construction Attached is a Preconstruction Notification Form, plan
sheets a marked county map and a marked topography map
By copy of this letter it is requested that Mr Dave McHenry, with the North Carolina Wildlife Resources
Commission comment directly to you concerning the 404 Nationwide Permit application with a copy sent to
me
By copy of this letter I am forwarding five (5) copies of this application package to Brian Wrenn,
NCDENR, Division of Water Quality 401/Wetlands Unit for his review It is requested that any
comments related to the 401 certification be forwarded directly to me with a copy sent to the US Army
Corps of Engineers
We would like to begin construction as soon as possible If further information is required, please let me
know Your early review and consideration will be appreciated
Sincerely,
A-td
Heath Slaughter
Division Environmental Officer
Enclosures
cc Monte Matthews, US Army Corps of Engineers (1 additional copy)
Dave McHenry, NCWRC
Brian Wrenn, Division of Water Quality (5 copies)
Amy Euliss Division of Water Quality
Mike PdrAohn, PE Division Engineer
David Wayne, PE Bridge Maintenance Engineer
Watauga County Bridge Supervisor
Heath Slaughter Division Environmental Officer
Scott Pipes PLS, Roadside Environmental Field Operations Technician

o�CF wArF9Qc
o -c
Office Use Only
Corps action ID no
DWQ project no
Form Version 1 3 Dec 10 2008
Page 1 of 10
PCN Form — Version 1 3 December 10 2008 Version
Pre - Construction Notification PCN Form
A Applicant Information
1
Processing
1 a
Type(s) of approval sought from the
Corps
® Section 404 Permit ❑ Section 10 Permit
1 b Specify Nationwide Permit (NWP) number 13 & 14 or General Permit (GP) number
1 c
Has the NWP 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
1 e
Is this notification solely for the record
because written approval is not required?
For the record only for DWQ 401
Certification
❑ Yes ® No
For the record only for Corps Permit
❑ Yes ® No
1f
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
1 g
Is the project located in any of NC s twenty coastal counties If yes answer 1 h
below
❑ Yes
® No
1h Is the project located within a NC DCM Area of Environmental Concern (AEC)?
❑ Yes
® No
2
Project Information
2a
Name of project
Replace Bridge #192 with Pipe
215
County
Watauga
2c
Nearest municipality / town
Deep Gap
2d
Subdivision name
2e
NCDOT only T I P or state
project no
11 B 209511
3
Owner Information
3a
Name(s) on Recorded Deed
NCDOT
3b
Deed Book and Page No
3c
Responsible Party (for LLC if
applicable)
3d
Street address
801 Statesville Road
3e
City state zip
North Wilkesboro NC 28659
3f
Telephone no
336 903 -9202
3g
Fax no
336 - 667 -4549
3h
Email address
hslaughter @ncdot gov
Page 1 of 10
PCN Form — Version 1 3 December 10 2008 Version

4 Applicant Information (if different from owner)
4a Applicant is
❑ Agent ❑ Other specify
4b Name
4c Business name
(if applicable)
4d Street address
4e City state zip
4f Telephone no
4g Fax no
4h Email address
5 Agent/Consultant Information (d applicable)
5a Name
5b Business name
(if applicable)
5c Street address
5d City state zip
5e Telephone no
5f Fax no
5g Email address
Page 2 of 10
PCN Form — Version 13 December 10 2008 Version

B Project Information and Prior Project History
1 Property Identification
1 a Property identification no (tax PIN or parcel ID)
1 b Site coordinates (in decimal degrees)
Latrtude 36 22401 Longitude 8159458
(DD DDDDDD) ( DD DDDDDD)
1 c Property size
0 1 acres
2 Surface Waters
2a Name of nearest body of water (stream river etc ) to
proposed project
Pine Run
2b Water Quality Classification of nearest receiving water
C Trout +
2c River basin
New
3 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
Substandard bridge to be replaced in a semi rural area
3b List the total estimated acreage of all existing wetlands on the property
0 acres
3c List the total estimated linear feet of all existing streams (intermittent and perennial) on the property
150 linear feet
3d Explain the purpose of the proposed project
Upgrade substandard stream crossing
3e Describe the overall project in detail including the type of equipment to be used
See attached cover letter
4 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 pasty
Comments
El Yes ®No El Unknown
4b If the Corps made the jurisdictional determination what type
of determination was made?
❑ preliminary ❑ Final
4c If yes who delineated the jurisdictional areas?
Name (if known)
Agency /Consultant Company
Other -
4d If yes list the dates of the Corps jurisdictional determinations or State determinations and attach documentation
5 Project History
5a Have permits or certifications been requested or obtained for
this project (including all prior phases) in the past?
F1 Yes ®No ❑ Unknown
5b If yes explain in detail according to help file instructions
6 Future Project Plans
6a Is this a phased project?
❑ Yes ® No
6b If yes explain
Page 3 of 10
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 Wetland Impacts
If there are wetland impacts proposed on the site then complete this question for each wetland area impacted
2a
2b
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)
Temporary
El Yes
El Corps
W1 E] P [:1 T
❑ No
❑ DWQ
❑ Yes
❑ Corps
W2 ❑ P ❑ T
❑ No
❑ DWQ
❑ Yes
❑ Corps
W3 ❑ P ❑ T
❑ No
❑ DWQ
❑ Yes
❑ Corps
W4 ❑ P ❑ T
❑ No
❑ DWQ
❑ Yes
❑ Corps
W5 ❑ P ❑ T
❑ No
❑ DWQ
❑ Yes
❑ Corps
W6 ❑ P ❑ T
❑ No
❑ DWQ
2g. Total wetland impacts
2h Comments
3 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
3a
3b
3c
3d
3e
3f
3g
Stream impact
Type of impact
Stream name
Perennial
Type of jurisdiction
Average
Impact
length
number
(PER) or
(Corps 404 10
stream
Permanent (P) or
intermittent
DWQ — non -404
width
(linear
feet)
Temporary (T)
(INT)?
other)
(feet)
S1 ®P ®T
Piping Riprap &
Dewatenng
Pine Run
® PER
❑ INT
® Corps
® DWQ
4
160
❑ PER
❑ Corps
S2 ❑ P ❑ T
[I INT
❑ DWQ
E] PER
❑ Corps
S3 ❑ P El T
❑ INT
❑ DWQ
❑ PER
❑ Corps
S4 ❑ P ❑ T
❑ INT
❑ DWQ
❑ PER
❑ Corps
S5 ❑ P ❑ T
❑ INT
❑ DWQ
❑ PER
❑ Corps
S6 ❑ P ❑ T
❑ INT
❑ DWQ
3h Total stream and tnbutary impacts
160
31 Comments 80 linear feet of the impacts are temporary
Page 4 of 10
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
impact number —
Name of waterbody
(if applicable)
Type of impact
Waterbody type
Area of impact (acres)
Permanent (P) or
Temporary
01 ❑P ❑T
02 ❑P
03 ❑P
04 ❑P ❑T
4f Total open water impacts
4g Comments
5 Pond or Lake Construction
If pond or lake construction proposed the complete the chart below
5a
5b
5c
5d
5e
Wetland Impacts (acres)
Stream Impacts (feet)
Upland
Pond ID
Proposed use or purpose
(acres)
Flooded
Filled
Excavated
Flooded
Filled
Excavated
Flooded
number
of pond
P1
P2
5f Total
5g Comments N/A
5h Is a dam high hazard permit required
❑ Yes No if yes permit ID no
51 Expected pond surface area (acres)
5j Size of pond watershed (acres)
5k Method of construction
6 Buffer Impacts (for DWO)
If project will impact a protected riparian buffer then complete the chart below If yes then individually list all buffer impacts
below If any 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
6b
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
impact
required?
❑Yes
131 ❑P ❑T
❑ No
❑ Yes
B2 ❑ P ❑ T
❑ No
El Yes
133 ❑P
❑ No
6h. Total buffer impacts
61 Comments
Page 5 of 10
PCN Form — Version 1 3 December 10 2008 Version

D Impact Justtfcation and Mitigation
1 Avoidance and Minimization
1 a Specifically describe measures taken to avoid or minimize the proposed impacts in designing project
The pipe length is the minimum needed to improve safety at this location Utilization does not warrant a bridge
1 b Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques
All appropriate BMPs will be used during construction
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 ❑ No
2b If yes mitigation is regmred by (check all that apply)
❑ DWQ ® Corps
2c If yes which mitigation option will be used for this
project?
❑ Mitigation bank
® Payment to in lieu fee program
❑ Permrttee Responsible Mitigation
3 Complete d Using a Mitigation Bank
3a Name of Mitigation Bank
3b Credits Purchased (attach receipt and letter)
TType
Quantity
3c Comments
4 Complete d Making a Payment to In lieu Fee Program
4a Approval letter from in lieu fee program is attached
❑ Yes
4b Stream mitigation requested
30 linear feet
4c If using stream mitigation stream temperature
❑ warm ® cool ❑cold
4d Buffer mitigation requested (DWQ only)
square feet
4e Riparian wetland mitigation requested
acres
4f Non - riparian wetland mitigation requested
acres
4g Coastal (tidal) wetland mitigation requested
acres
4h Comments
5 Complete if Using a Permrttee Responsible Mitigation Plan
5a If using a permittee responsible mitigation plan provide a description of the proposed mitigation plan
Page 6 of 10
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 7 of 10
PCN Form — Version 1 3 December 10 2008 Version

E
Stormwater Management and Diffuse Flow Plan (required by DWQ)
1
Diffuse Flow Plan
1 a
Does the project include or is it adjacent to protected riparian buffers identified
❑ Yes ® No
within one of the NC Riparian Buffer Protection Rules?
1 b
If yes then is a diffuse flow plan included? If no explain why
❑ Yes ❑ No
Comments
2
Stormwater Management Plan
2a
What is the overall percent imperviousness of this project?
%
2b
Does this project require a Stormwater Management Plan?
❑ Yes ® No
2c
If this project DOES NOT require a Stormwater Management Plan explain why
2d
If this project DOES require a Stormwater Management Plan then provide a brief narrative description of the plan
❑ Certified Local Government
2e
Who will be responsible for the review of the Stormwater Management Plan?
❑ DWQ Stormwater Program
❑ DWQ 401 Unit
3
Certified Local Government Stormwater Review
3a
In which local governments jurisdiction is this project?
❑ Phase 11
❑ NSW
3b
Which of the following locally implemented stormwater management programs
❑ USMP
apply (check all that apply)
❑ Water Supply Watershed
❑ Other
3c Has the approved Stormwater Management Plan with proof of approval been
❑ Yes ❑ No
attached?
4
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 El No
attached?
5
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?
❑ Yes ❑ No
Page 8 of 10
PCN Form — Version 1 3 December 10 2008 Version

F
Supplementary Information
1
Environmental Documentation (DWQ Requirement)
la
Does the project involve an expenditure of public (federaUstate /local) funds or the
® Yes
❑ No
use of public (federal/state) land?
1 b
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
® No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1 c
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
❑ Yes
❑ No
letter)
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
® No
or Riparian Buffer Rules (15A NCAC 2B 0200)?
2b
Is this an after the fact permit application?
❑ Yes
® 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
® 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
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
NIA
Page 9 of 10
PCN Form — Version 1 3 December 10 2008 Version

5 Endangered Species and Designated Critical Habitat (Corps Requirement)
5a Will this project occur in or near an area with federally protected species or
❑ Yes ® No
habitat?
5b Have you checked with the USFWS concerning Endangered Species Act
❑ Yes ® No
impacts?
❑ Raleigh
5c If yes indicate the USFWS Field Office you have contacted
❑ Asheville
5d What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
GIS and visual observation
6 Essential Fish Habitat (Corps Requirement)
6a Will this project occur in or near an area designated as essential fish habitat?
❑ Yes ® No
6b What data sources did you use to determine whether your site would impact Essential Fish Habitat?
WRC will comment
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
❑ Yes ® No
status (e g National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
7b What data sources did you use to determine whether your site would impact historic or archeological resources?
8 Flood Zone Designation (Corps Requirement)
8a Will this project occur in a FEMA designated 100 year floodplain?
❑ Yes ® No
8b If yes explain how project meets FEMA requirements
8c What source(s) did you use to make the floodplain determination? ncfloodmaps
J Heath Slaughter
2/29/12
Applicant/Agents Printed Name
Applicant/Agent s Signatu
Date
(Agents s ature is valid only d an at I er from the applicant
is provided
Page 10 of 10
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