20210561 Ver 1_ePCN Application_20210312

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#*
20210561 1
Is a payment required for this project?*
✓ No payment required
6 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:
Emergency Bridge Replacement-Bridge No.136 on SR 1561(Liberty Hill Road)over South Yadkin River
1a.Who is the Primary Contact?*
Jeffrey L.Wyatt,Division 12 DEO
lb.Primary Contact Email:* 1c.Primary Contact Phone:*
jlwyatt©ncdot.gov [phone]
Date Submitted
3/12/2021
Nearest Body of Water
South Yadkin River
Basin
Yadkin-PeeDee
Water Classification
WS-h/
Site Coordinates
Latitude: Longitude:
35.88637 -80.99017
Pre-Filing Meeting Information
ID# Version
See Attached Memo NIA
Pre-fling Meeting or Request Date*
12/11/2020
Attach documentation of Pre-Filing Meeting Request here:*
NCDWR_Memo_for_BR136_on_SR1561_to_meet_30_prefiling_requirement.docx 1.pdf 276.46KB
A. Processing Information C^U
County(or Counties)where the project is located:
Iredell

Is this a NCDMS Project
✓ Yes r No
Is this project a public transportation project?*
✓ Yes r No
Is this a NCDOT Project?*
✓ Yes r No
(NCDOT only)T.I.P.or state project number:
N/A
WBS#(2)
DF17112.2049802
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?*
✓ Yes
r 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 r No
Nationwide Permit(NWP)Number: 03-Maintenance
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: r Yes r No
For the record only for Corps Permit: r Yes C No
If.Is this an after-the-fact permit application?*
✓ Yes r No
1g.Is payment into a mitigation bank or in-lieu fee program proposed for mitigation of impacts?
C Yes r No
1g.Is payment into a mitigation bank or in-lieu fee program proposed for mitigation of impacts?
✓ Yes rNo
Acceptance Letter Attachment
lh.Is the project located in any of NC's twenty coastal counties?
C Yes r No
1j.Is the project located in a designated trout watershed?
✓ Yes r No
B. Applicant Information
Id.Who is applying for the permit?
7 Owner r Applicant(other than owner)
le.Is there an Agent/Consultant for this project?*
✓ Yes r No
2.Owner Information
2a.Name(s)on recorded deed:
North Carolina Department of Transportation

2b.Deed book and page no.:
N/A
2c.Responsible party:
Mark Stafford,PE,Division 12 Engineer
2d.Address
Street Address
1710 East Marion Street
Address Line 2
PO Box 47
City State/Bovine/legion
Shelby NC
Fbstal/Zip code Country
28151-0047 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)
N/A
1c.Nearest municipality/town:
Statesville
2. Project Identification
2a.Property Identification Number: 2b.Property size:
N/A N/A
2c.Project Address
Street Address
N/A
Address Line 2
N/A
city State/Rovince/legion
N/A N/A
Postal/Zip Code Country
N/A N/A
3.Surface Waters
3a.Name of the nearest body of water to proposed project:*
South Yadkin River
3b.Water Resources Classification of nearest receiving water:*
WS-IV
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.
030401020103
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:*
The landscape in the project area is primarily deciduous forest and agricultural fields.Bridge No.136 was washed out on November 12,2020,during a major flood event.NCDOT
proposes to replace the old six span timber and steel bridge with a new 3 @ 90'L x 33'W x 33"D box beam structure on existing location.The project will also require 124 linear feet of
streambank stabilization/restoration that was lost during the flood event on the south side of the river.
4b.Have Corps permits or DWR certifications been obtained for this project(including all prior phases)in the past?*
r Yes ( 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)
Topo Map.pdf 3.12MB
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)

Soil Map.pdf 631.13KB
4f.List the total estimated acreage of all existing wetlands on the property:
N/A
4g.List the total estimated linear feet of all existing streams on the property:
-400 linear feet
4h.Explain the purpose of the proposed project:*
Emergency Design-Build Bridge Replacement Project.The purpose of the project is to replace Bridge No.136,which was destroyed by a major flood event on November 12,2020.
4i.Describe the overall project in detail,including indirect impacts and the type of equipment to be used:*
NCDOT proposes to replace the bridge with a 3 @ 90'L x 33'W x 33"D box beam structure on existing location.Appropriate BMP's will be installed and maintained according to the
approved NCDOT Erosion and Sedimentation Control Plan.Sections of the old bridge structure will be retrieved from the stream channel by accessing the floodplain benches(sand
bars)with a trackhoe and/or crane,utilizing crane mats to minimize potential impacts to the active stream channel.Streambank access points will be restored on a 2:1 slope,seeded
with appropriate vegetation and stabilized with coir fiber matting.The new bridge structure will have two interior bents,which should be out of the active stream channel upon project
completion.The interior bents will require small temporary causeways to construct the 4 drilled piers.Upon completion,the south streambank,which was eroded during the recent
flooding,will we restored to pre-existing conditions with soil,vegetation,and Class II rip rap,which will result in the interior bent being on high ground out of the active stream channel.
Some minor approach work will be required and the bridge and approaches will be paved.Typical construction equipment includes:trackhoes,bulldozers,dump trucks,cranes,pile
driving and drilling equipment,graders,roadway paving equipment,and various hand tools,etc.Attached to the permit drawings is a description of the construction sequence to be
implemented in the removal of the old bridge components and trees from the active stream channel.
4j.Please upload project drawings for the proposed project.
Iredell_136 Permit Drawings_REV2.pdf 4.69MB
5.Jurisdictional Determinations
5a.Have the wetlands or streams been delineated on the property or proposed impact areas?*
6 Yes r No 6 Unknown
Comments:
A PJD Package is attached to this permit application.
5b.If the Corps made a jurisdictional determination,what type of determination was made?*
r Preliminary r Approved 6 Not Verified r Unknown r N/A
Corps AID Number:
N/A
5c.If 5a is yes,who delineated the jurisdictional areas?
Name(if known): Jan Gay,LSS,CNRP,Ecologist
Agency/Consultant Company: Vaughn&Melton Consulting Engineers
Other:
5d1.Jurisdictional determination upload
Iredell 136-PJD Request Package-Final.pdf 4.09MB
6. Future Project Plans
6a.Is this a phased project?*
r Yes 6 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?
N/A
D. Proposed Impacts Inventory
1. Impacts Summary
1a.Where are the impacts associated with your project?(check all that apply):
r Wetlands 17 Streams-tributaries r Buffers
r Open Waters r Pond Construction
3.Stream Impacts
3a.Reason for impact(?) 3b.lmpact type* 3c.Type of impact* 3d.S.name* 3e.Stream Type* 3f.Type of 3g.S.width* 3h.Impact
(?) Jurisdiction* length*
S1 Bridge Replacement Temporary Workpad/Causeway South Yadkin River Perennial Both 80 41
Average(feet) (linear feet)
32 Bridge Replacement Temporary Workpad/Causeway South Yadkin River Jerennial Both 80 0
Average(feet) (linear feet)

S3 Bank Restoration Permanent Bank Stabilization South Yadkin River Perennial Both 80 124
Average(feet) (linear feet)
3i.Total jurisdictional ditch impact in square feet:
0
3i.Total permanent stream impacts: 3i.Total temporary stream impacts:
124 41
3i.Total stream and ditch impacts:
165
3j.Comments:
The south interior bent(drilled pier)will be constructed in the wet due to the widening of the stream channel following the flood event by using a small
temporary rock causeway.Following completion of the drilled pier,the south streambank will be restored/reconstructed back to the original contours,
which will leave Interior Bent 1 in the dry and/or at the edge of water.Construction of Interior Bent 2(drilled pier)will also require a small temporary
rock causeway;however,upon completion,Interior Bent 2 will be outside of the active stream channel.There will only be 41 linear feet of stream
impact for the temporary causeways and 0.06 acres of fill.
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 project was designed to minimize impacts to the South Yadkin River.The new bridge will be a 3 @ 90-foot box beam structure on existing location.
The two interior bents will be 42-inch drilled piers,which will be located outside the active stream channel once the south stream bank has been
restored to pre-flood contours.Appropriate sedimentation and erosion control measures will be installed and maintained as the project progresses
according to the approved NCDOT sedimentation and erosion control plan.
1b.Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Construction in jurisdictional areas will be limited to the maximum extent practical.Construction of the south interior bent may be constructed using a
small temporary causeway in the river to drill the piers;however,once the bent is completed,the south streambank will be restored/reconstructed to
pre-flood contours.The streambank will be restored on a 2:1 slope using soil,vegetation,and Class II rip rap,which will surround the south interior
bent leaving it on high ground out of the active stream channel.All disturbed ground will be stabilized(seeded,mulched,matted,and/or planted with
live stakes)to pre-existing conditions.
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 rNo
2b.If this project DOES NOT require Compensatory Mitigation,explain why:
Stream and Wetland Mitigation is not required due to the fact that all stream impacts are considered temporary,except for the restoration and/or re-establishment of the south
streambank,which was eroded during the recent flood event.The new bridge will be a 3 @ 90'L x 33'W x 33"D box beam spanning structure with the two interior bends being outside
or at the edge of the active stream channel.
F. Stormwater Management and Diffuse Flow Plan (required by DWR) L)
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 6. No
If no,explain why:
There are no Riparian Buffer Protection Rules for the Yadkin River Basin.
2.Stormwater Management Plan
2a.Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?*
✓ Yes r No
Comments:
See attached Stormwater Management Plan.
G. Supplementary Information 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 rNo
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(North Carolina)
Environmental Policy Act(NEPA/SEPA)?*
✓ Yes rNo
Comments:*

The project is classified at Categorical Exclusion.CE documentation is attached.
2.Violations(DWR Requirement)
2a.Is the site in violation of DWR Water Quality Certification Rules(15ANCAC 2H.0500),Isolated Wetland Rules(15A NCAC 2H.1300),or DWR Surface Water or Wetland Standards or
Riparian Buffer Rules(15A NCAC 2B.0200)?*
C' Yes f No
3. Cumulative Impacts(DWR Requirement)
3a.Will this project result in additional development,which could impact nearby downstream water quality?*
C Yes a No
3b.If you answered"no,"provide a short narrative description.
This project involves the replacement of an exsting bridge on existing location that was destroyed by a recent flood event.The road infrastructure is
not being upgraded;therefore,secondary and cumulative impacts would not be expected from this type of maintenance activity.
4.Sewage Disposal(DWR Requirement)
4a.Is sewage disposal required by DWR for this project?*
C Yes C- 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?*
6 Yes CNo
5b.Have you checked with the USFWS concerning Endangered Species Act impacts?*
G Yes f No
5c.If yes,indicate the USFWS Field Office you have contacted.
Asheville
5d.Is another Federal agency involved?*
6 Yes r No r Unknown
What Federal Agency is involved?
US Army Corps of Engineers Regulatory Field Office-Raleigh
5e.Is this a DOT project located within Division's 1-8?
✓ Yes a No
5f.Will you cut any trees in order to conduct the work in waters of the U.S.?
6 Yes C No
5g.Does this project involve bridge maintenance or removal?
C: Yes C- No
5g(1).If yes,have you inspected the bridge for signs of bat use such as staining,guano,bats,etc.?
6 Yes r No
If you answered"Yes"to 5g(1),did you discover any signs of bat use?
✓ Yes 6. No r Unknown
5h.Does this project involve the construction/installation of a wind turbine(s)?"
✓ Yes G 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.?
0' Yes CNo
If yes,please provide details to include type of percussive activity,purpose,duration,and specific location of this activity on the property.
Iredell 136 Percussive Activities.pdf 9.48KB
5j.What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
NCDOT Project Atlas,the North Carolina Natural Heritage Program Database,and the US Fish and Wildlife Service Threatened and Endangered
Species List for Iredell County(updated 6-17-20),as well as,onsite field investigations conducted on December 11,2020(see attached cover letter).
Consultation Documentation Upload
Bat2.pdf 34.37KB
6. Essential Fish Habitat(Corps Requirement)
6a.Will this project occur in or near an area designated as an Essential Fish Habitat?*
✓ Yes f•No
6b.What data sources did you use to determine whether your site would impact an Essential Fish Habitat?*
The NOAA-NMFS database.There are no marine or estuarine communities within the Piedmont Physiographic Province of North Carolina.

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?*
C Yes ( No
7b.What data sources did you use to determine whether your site would impact historic or archeological resources?*
The project was reviewed by NCDOT's Cultural Resources Unit in 2021.It was determined that no survey would be required for historic architecture
resulting in"no effect".A field reconnaissance survey was conducted on 2-9-21 for archaeological resources with a no archaeological survey required
determination resulting in"no effect"(see attached SHPO forms).
7c.Historic or Prehistoric Information Upload
21-01-0005 NoSurveyReq-Hist.pdf 214.18KB
21-01-0005 NoSurveyReq-Arch.pdf 3.38MB
8. Flood Zone Designation(Corps Requirement)
8a.Will this project occur in a FEMA-designated 100-year floodplain?*
r: Yes r No
8b.If yes,explain how project meets FEMA requirements:
NCDOT hydraulic coordination.The project will require the installation of a new 3 @ 90'L x 33'W x 33"D box beam structure on existing location.A
hydraulic analysis and Bridge Survey Report(BSR)was prepared to assess the potential impact to the base flood elevation(BFE)along the South
Yadkin River.
8c.What source(s)did you use to make the floodplain determination?*
NC Floodplain Mapping Program and Hydraulic Analysis preformed by Mr.Bradley Ridnour,PE,of Vaughn and Melton Consulting Engineers and final
approval by NCDOT Hydraulics Unit.
Miscellaneous
Comments
A construction sequence document is attached to the permit drawings describing the techniques to be used in removing the old bridge components and fallen trees from the active
stream channel.Potential stream impacts should be temporary and considered minor.Disturbed areas will be restored to pre-existing conditions to the maximum extent practical.
Miscellaneous attachments not previously requested.
Iredell 136 Photos.pdf 311.84KB
Iredell 136 Stormwater Management Plan.pdf 36.83KB
Iredell 136 Flood Map.pdf 122.09KB
USACE Permit Cover Sheet.pdf 12.58KB
Iredell_Bridge_No._136=_NW3_CL.pdf 368.82KB
EnvFeatFigl.pdf 158.42KB
VicFig2.pdf 131.85KB
Signature
*
Fl 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:
Jeffery L.Wyatt,Division 12 DEO
Signature
e*tte "yam
Date
3/12/2021