20201934 Ver 1_ePCN Application_20210212

,
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?*
`' Yes
✓ No
Is this project a public transportation project?*
✓ Yes r No
Change only if needed.
BIMS#Assigned* Version#*
20201934 1
Is a payment required for this project?*
C No payment required
4' Fee received Reviewing Office*
✓ Fee needed-send electronic notification Mooresville Regional Office-[phone]
Select Project Reviewer*
Donna Hood:eads\drhood
Information for Initial Review
1a.Name of project:
Replacement of Culvert#120015 on SR 1616 over Mill Creek
la.Who is the Primary Contact?*
Larry Thompson,PWS
lb.Primary Contact Email:* 1c.Primary Contact Phone:*
[e-mail] [phone]
Date Submitted
2/12/2021
Nearest Body of Water
Mill Creek
Basin
Yadkin-PeeDee
Water Classification
WS-II;HOW
Site Coordinates
Latitude: Longitude:
35.501711 -80.698417
Pre-Filing Meeting Information
ID# Version
20201934 1
Pre-fling Meeting or Request Date*
12/10/2020
Attach documentation of Pre-Filing Meeting Request here:*
DWR Pre-Filing Meeting Request Form.pdf 50.56KB
A. Processing Information
County(or Counties)where the project is located:
Cabarrus

Is this a NCDMS Project
✓ Yes (' No
Is this project a public transportation project?*
✓ Yes r No
Is this a NCDOT Project?*
a Yes r No
(NCDOT only)T.I.P.or state project number:
WBS#(?)
17.BP.10.PE.4
1a.Type(s)of approval sought from the Corps:
17 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?*
✓ Yes
✓ No
lb.What type(s)of permit(s)do you wish to seek authorization?
17 Nationwide Permit(NWP)
r Regional General Permit(RGP)
r Standard(IP)
1c.Has the NWP or GP number been verified by the Corps?
C Yes R No
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
✓ 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 (7 No
For the record only for Corps Permit: r Yes ( No
If.Is this an after-the-fact permit application?*
✓ Yes ( No
1g.Is payment into a mitigation bank or in-lieu fee program proposed for mitigation of impacts?
6' Yes r No
1g.Is payment into a mitigation bank or in-lieu fee program proposed for mitigation of impacts?
✓ Yes r No
Acceptance Letter Attachment
lh.Is the project located in any of NC's twenty coastal counties?
✓ Yes 6 No
1j.Is the project located in a designated trout watershed?
✓ Yes No
B. Applicant Information
Id.Who is applying for the permit?
fJ Owner r Applicant(other than owner)
le.Is there an Agent/Consultant for this project?*
✓ Yes t No
2.Owner Information
2a.Name(s)on recorded deed:
NCDOT Division 10

2b.Deed book and page no.:
NSA
2c.Responsible party:
2d.Address
Street Address
706 W Main Street
Address tine 2
aty State/Rovince/legion
Albemarle NC
Postal/Zip Code Country
28001 USA
2e.Telephone Number: 2f.Fax Number:
[phone] [phone]
2g.Email Address:*
[e-mail]
C. Project Information and Prior Project History
1. Project Information
lb.Subdivision name:
(if appropriate)
lc.Nearest municipality/town:
Kannapolis
2. Project Identification
2a.Property Identification Number: 2b.Property size:
N/A 4.6
2c.Project Address
Street Address
SR 1616(Tuckaseegee Road)@ Mill Creek
Address Line 2
CRY State/Rovince/Fegion
Kannapolis NC
Postal/Zip Code Country
28081 USA
3.Surface Waters
3a.Name of the nearest body of water to proposed project:*
Mill Creek
3b.Water Resources Classification of nearest receiving water:*
WS-II;HQW
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.
030401050104
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:*
Existing conditions include SR 1616(Tuckaseegee Road),agricultural land,residential land,undeveloped forested areas,and the disturbed/maintained right-of-way.
4b.Have Corps permits or DWR certifications been obtained for this project(including all prior phases)in the past?*
r Yes r No 6' 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)
17BP10PE4_Figure1_USGSMap.pdf 751.41KB
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)
17BP1OPE4_Figure2_SoilsMap.pdf 681.34KB
4f.List the total estimated acreage of all existing wetlands on the property:
0

4g.List the total estimated linear feet of all existing streams on the property:
606
4h.Explain the purpose of the proposed project:*
To remove Pipe No.15 under SR 1616(Tuckaseegee Road)at Mill Creek and replace with new,modern 3-12'x 8'reinforced concrete box culverts.
4i.Describe the overall project in detail,including indirect impacts and the type of equipment to be used:*
Project 17.BP.10.PE.4(formerly 17.BP.10.C.4)proposes replacing the functionally obsolete existing culverts at this location with a series of 3-12'x 8'reinforced concrete box culverts
(RCBCs)of similar length.The roadway horizontal alignment has been maintained;a minor change in the vertical alignment will occur to improve design speed.The roadway
approaches would extend approximately 132 feet west and 216 feet east of the proposed culverts,respectively.The roadway approaches include two 11-foot wide travel lanes with 4-
foot paved shoulders.Additional improvements include a tie in to an existing unpaved driveway located approximately 140 feet east of the culverts.The total length of the project is
approximately 405 feet.
Erosion and sedimentation control measures will be installed at the outset.The culverts will be replaced using heavy equipment operating from the upland roadway approaches.The
construction sequence of the culvert installation will be completed in two phases.During Phase I,special stilling basins will be installed to reduce the velocity of flow and an impervious
dike will be installed in Mill Creek up-and downstream of SR 161(Tuckaseegee Road)within the creek.The impervious dike will divert flowthrough the existing culvert on the eastern
side of the stream.Clean water diversion will be installed to divert flow around the work area and channel excavation.Following installation of these measures,the contractor will
dewater the culvert construction area,excavate the accumulated sediment from within the channel and install the two western barrels of the new 12'x 8'RCBCs.Approximately 55 If of
accumulated sediment will be excavated downstream of SR 1616;48 If of the excavation will occur within the portion of Mill Creek subject to permanent stream impacts resulting in a'net'
channel excavation impact of 7 If.
During Phase II of the culvert installation,any accumulated sediment will be excavated,and the culvert construction area will be dewatered before removing the impervious dike.A new
impervious dike will be installed to direct Mill Creek into the newly installed western RCBCs.The culvert on the eastern side of Mill Creek will be removed by heavy equipment operating
from the upland roadway approaches and replaced with a 12'x 8'RCBC.A separate dike and 36"pipe will be placed in the unnamed intermittent tributary located south of SR 1616
prior to its confluence with Mill Creek in order to work in the dry.Following installation of the final culvert both impervious dikes will be removed from Mill Creek and the unnamed
intermittent tributary.
The two exterior high flow barrels will have two foot sills/baffles and the interior lowflow barrel will have one foot sills/baffles.The interior barrel will be buried belowthe channel bed to
provide continuous low flow and will be filled with native material excavated from the stream bed or flood bench.The two exterior high flow barrels will also be filled with native material
and additionally supplemented with riprap.Both sides of the stream will have a flood bench that matches the high flow barrels.Creation of the flood benches which will serve to direct Mill
Creek into the center culvert will result in permanent stream impacts of 100 If.Side slopes will be reinforced with Class-1 riprap and the flood benches will have coir fiber matting
installed.Additionally,Class-1 riprap will be placed for approximately 30 If along the unnamed intermittent tributary for bank stabilization.Temporary impacts to Mill Creek could occur
during culvert installation;temporary stream impacts totaling 123 If have been measured from the proposed up and downstream construction easement limits;only 16 If of estimated
temporary stream impacts extends beyond the permanent stream impact area.
An off-site detour will be utilized to facilitate construction.
4j.Please upload project drawings for the proposed project.
C-4_Permit Drawings.pdf 4.77MB
C-4_SWMP_2021-1-18.pdf 180.24KB
5.Jurisdictional Determinations
5a.Have the wetlands or streams been delineated on the property or proposed impact areas?*
r Yes (' No C Unknown
Comments:
Attached are stream forms for Mill Creek and Stream B,the intermittent unnamed tributary to Mill
Creek;a USAGE upland data form,photographs of the site,and a figure depicting the approximate
potential waters of the U.S.
5b.If the Corps made a jurisdictional determination,what type of determination was made?*
r Preliminary C Approved 6' Not Verified C Unknown C' N/A
Corps AID Number:
5c.If 5a is yes,who delineated the jurisdictional areas?
Name(if known): Joshua Kotheimer,PWS
Agency/Consultant Company: SN Incorporated
Other:
5d1.Jurisdictional determination upload
NCDWQ RPW A-Mill Cr.pdf 74.46KB
NCDWQ RPW B-UT to Mill Cr.pdf 73.07KB
USAGE upland data sheet Cabarrus 015.pdf 413.64KB
Cabarrus 015 Photopages.pdf 1.24MB
17BP10PE4_Figure3_WatersMap.pdf 921.97KB
6. Future Project Plans
6a.Is this a phased project?*
C' Yes s 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?
No.

D. Proposed Impacts Inventory
1. Impacts Summary
la.Where are the impacts associated with your project?(check all that apply):
r Wetlands 17 Streams-tributaries r Buffers
I— 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 Culvert Replacement Permanent Stabilization Stream B Intermittent Both 4 30
Average(feet) (linear feet)
S2 Culvert Replacement Permanent Rip Rap Fill Mill Creek Perennial Both 20 100
Average(feet) (linear feet)
S3 Culvert Replacement Temporary Other Mill Creek Perennial Both 20 16
Average(feet) (linear fee)
S4 Culvert Replacement Permanent Excavation Mill Creek Perennial Both 20 7
Average(feet) (linear feet)
3i.Total jurisdictional ditch impact in square feet:
0
3i.Total permanent stream impacts: 3i.Total temporary stream impacts:
137 16
3i.Total stream and ditch impacts:
153
3j.Comments:
Impact S4 involves excavating accumulated sediment from Mill Creek downstream of the existing culverts for a distance totaling 55 If,however,all but 7
If of the excavation impact occurs within the S1 permanent stream impacts.S3 temporary impacts to Mill Creek may occur during demolition,however,
all but 16 If of the potential temporary impact overlaps with the S1 and S4 permanent stream impacts.
E. Impact Justification and Mitigation ^�
1.Avoidance and Minimization
la.Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
The culvert lengths were minimized to reduce impacts.Roadway and horizontal and vertical alignments are largely unchanged.Riprap bank
stabilization along the unnamed intermittent tributary to Mill Creek is being placed only on the stream banks and will not disturb the stream bed.Work
will be conducted from the upland areas/roadway approaches to minimize impacts to the stream.
lb.Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
NCDOT Best Management Practices for Construction and Maintenance Activities will be employed.Demolition and construction methods from the
upland roadway approaches will be used to minimize potential temporary demolition related impacts and avoid construction related impacts.
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?
r: Yes C No
2c.If yes,mitigation is required by(check all that apply):
r DWR 17 Corps
2d.If yes,which mitigation option(s)will be used for this project?
r Mitigation bank I 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.
r Yes r No
4b.Stream mitigation requested:
(linear feet) 4c.If using stream mitigation,what is the stream temperature:
100 warm
4d.Buffer mitigation requested(DWR only): 4e.Riparian wetland mitigation requested:
(square feet) (acres)

4f.Non-riparian wetland mitigation requested: 4g.Coastal(tidal)wetland mitigation requested:
(acres) (acres)
4h.Comments
Stream mitigation is being requested for the 100 If of S1 permanent stream impacts;mitigation is not proposed for the 30 If of proposed bank
stabilization or the net 7 If of excavation/sediment removal located outside the S1 permanent stream impacts.
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?
✓ Yes F' No
If no,explain why:
Project is located in the Yadkin-Pee Dee River Basin and is not subject to NC Riparian Buffer Protection Rules.
2.Stormwater Management Plan
2a.Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?*
✓ Yes r No
Comments:
Please see attached Stormwater Management Plan for details on the minimization of water quality impacts.
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 C 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(NEPA/SEPA)?*
C Yes 6 No
Comments:*
A Minimum Criteria Determination Checklist was prepared for this culvert replacement project.
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?*
✓ Yes 6No
3b.If you answered"no,"provide a short narrative description.
The project involves the replacement of an existing culvert and is not anticipated to affect future development.
4.Sewage Disposal(DWR Requirement)
4a.Is sewage disposal required by DWR for this project?*
✓ Yes 6 No 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?*
6Yes rNo
5b.Have you checked with the USFWS concerning Endangered Species Act impacts?*
aYes CNo
5c.If yes,indicate the USFWS Field Office you have contacted.
Asheville
5d.Is another Federal agency involved?*
✓ Yes 6 No r Unknown
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.?
6 Yes f No
5g.Does this project involve bridge maintenance or removal?
✓ Yes 6' No
5h.Does this project involve the construction/installation of a wind turbine(s)?*
✓ Yes r 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
5j.What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
USFWS IPaC,NCNHP data,and site specific surveys.See supplemental information attached under Miscellaneous for threatened and endangered
species write-ups and biological conclusions.
Consultation Documentation Upload
NCNHP_report_01162020.pdf 941.2KB
6. Essential Fish Habitat(Corps Requirement)
6a.Will this project occur in or near an area designated as an Essential Fish Habitat?*
C Yes r No
6b.What data sources did you use to determine whether your site would impact an Essential Fish Habitat?*
NOAA EFH Mapper
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?*
See attached"No Archaeological No Survey Required Form"and"Architectural No Survey Required Form."
7c.Historic or Prehistoric Information Upload
17BP.10.C.4 No Archaeological No Survey form.pdf 798.61 KB
C.4 Architectural No Survey Required Form.pdf 4.01MB
8. Flood Zone Designation(Corps Requirement)
8a.Will this project occur in a FEMA-designated 100-year floodplain?*
✓ Yes CNo
8b.If yes,explain how project meets FEMA requirements:
NCDOT Hydraulics Unit Coordination with FEMA.
8c.What source(s)did you use to make the floodplain determination?*
FEMA FIRM Maps(3710469400K effective 6/16/2009)
Miscellaneous
Comments
Additional Miscellaneous attachments include Supplemental Information regarding the Threatened and Endangered Species that are listed in Cabarrus County.
Miscellaneous attachments not previously requested.
T&E Supplemental info for PE4 ePCN Form.pdf 140.1KB
Signature
*
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:
Larry Thompson
Signature

Date
2/12/2021