20120806 Ver 1_Application_20120827

q�1C2 V
STATE OF NOR I H CAROLINA
DEPARTMENT OF TRANSPORTATION Fyn
�y
Bhvl w Y EAVES PI -RDtJE EUGENEA CONTI JR
GO\ ER, \OR SrCRIT %R)
August 21 2012
Ms Loii Beck\Ntth NCDOT Regulatoiy Pioject Managei
US Army Corps of Engineers
151 Patton Avenue, Room 208 `�
Asheville, NC 28801 2714 J�
Subject Nationwide 3 Peimit Applicltion (After the Fact ind Futui a Wol k)
SR 1301 — Indian Creek Road — Flood Damage Repatts
Ila }wood County
WBS 14 204411 (DWQ Major Pei mrt Fee $570 00)
Dear Ms Beckwith
On the ex emng of July 19 and Jul) 20 2012 a flash flood occulted in the Indian Creek
watershed near Maggie Valley The flash flood resulted in Indian Creek overtopping its banks
and flowing across and down the subject road There was c \tetrstve damage along the road
shoulders dry ditches, as Nell as an adjacent channel (roadside ditch) for an unnamed trtbutat)
to Indian Creek There was less e \tensrve damage 1t several other points along the shoulder and
stteambank tntetface where the water tetutned to Indian Creek fiom SR 1301
On July 20, 2012, the North Carolma Department of Ztanspontatton ( NCDOT) worked to
coordination v%tth Hq)Niood Count) Emergent) Management and tetuuied Indian Creek back
into its original channel to restore access to tesrdents %Nho were cut oft fiom then homes clue to
this catastrophic flood event This letter and PCN application is to folloxN up on out repotting of
the subject events and to make a request to complete additional tepaus to the roadway that affects
jurisdictional areas
I vn enclosing a PCN application sketches of the proposed work photographs a marked county
map and a USGS quad map
The North Catoltna Natural Henrtage Database was checked for records of tlueatened and
endangered species There are no records of threatened or endangered species for the Indian
Creek watershed Additionally there are no records listed for the adjacent watersheds W)cle
and Carpenter creeks There ate no records doNNustieani in Jonathan Creek vNitllm five miles of
how Itenth Dn mon DJ)rce
0tone (b23)5b6 2141 253 11 ebste) Road Srha Almth Cmohna 28779 1 at [phone]

SR 1301 — Indian Creek Road 2 August 21 2012
the pioject site Indian Creek is 8 10 feet in «tdth and is a cold %Natei stream and is not
chaiacteiistic of habitat that would support mussels
The potential for impacts to cultural iesouices ate minimal The areas that will be affected b) the
toad x%oik have been sevetel) altered from the previous toad constructton residential
consttuctton and catastrophic flood damage
The best management piactrces will be used to minimize and control sedimentation and erosion
on this project Water will be diverted around the work aiea for iepan in the unnamed hibutaty
In other areas where water may conflict «rth consti uction, coffer dams (sandbags large Locks
and /oi Jersey banieis) will be used to direct watet dining backfillmg of rock installation along
banks The consttuctton foreman will ievie« all sedimentation control measures dieing
installation to ensure sedimentation is controlled effectively If the planned devices ate not
fu ncttonmg ,is intended they will be iepl iced immnmedritely with better devices The
sedimentation control devices Ni ill be to place pttoi to commencement of the different phases of
work and renmain in place until the respective NNoik is completed
Impacts to Witeis of the United States
Indian Creek (DWQ Class WS III Ti) is shoNNn on the USGS topographic map as a perennial
stream and has sufficient flow to support fish and other aquatic life The unnamed trtbutat) of
Indian Creek is not slioANn as a petenntal stream on the USGS topographic map but does support
aquatic insects and is considered perennial The runnanmeci tt ibutaty is appro \nriately one toot
NNide with a well defined channel and has a cobble, sand and gravel substtate The channel lacks
vegetation Indian Creek flows apptoxnnately 0 25 miles to Jonathan Creek Jonathan Creel.
flo«s --ippioxtmately 17 mules to the Pigeon Rivet The Pigeon Rivet meets the definition of a
ftaditional NaN igable Water Foi these reasons we believe that Indrin Creek and the UT to
Indian Creek ate Relatively Peinmatnetnt Waters and ate uncles theJtuisdietton of the U S Atnm)
Corps of Engineers In order to repair the flood damage it will be necessary to impact waters of
the United States in the French Broad River Basin (IIUC 06010106) Specificall) NCDOT is
requesting to make iepans within the Inds in Creek NNateislmed as listed in the table below
Existing Condition
Pi oposed Condition
Site No
No
�t lets
Imp-
Site 1
Dinmaged Stteanmbank
Rebuild stteanmbank and shoulder with
2 +62 to 3 +12
and Road Shoulder
laige cock and back till \\ith cobble and
3)
50
gravel total appiox 30 yd.
Site 2
Damaged Stneanmbank
Stabilize with Large Rock and backfill
5 +03 to 5 +93
and Road Shoulder
with cobble and gravel to restore
3)
90'
shoulder (total a io\ 30 yd
Site 3
Damaged Stteambank
Stabilize stteambank with large rock and
11 +15 to 11 +65
and Road Shoulder
back fill with cobble and gravel
3
50'
(total --i to\ 30 yd
Site 3A
Free Flonnmg clianmel
FlotiN DiNeision into old channel
75'

SR 1301 — Indian Creek Road
August 21, 2012
Site 4
Oveily wide and deep
Restore channel of large lock cobble Mind
11 +'79 to 14 +54
flood damaged
giaN el (total appiox 803d )
275
chancel
Site 4A
Ftee Flowing
Flo« DiNcision
300
Channel
C it istiophic
Enneigetncy iepaned bink and shoulder
Site 5
stieambank and
with stream io cobble and gravel (total
200
13 +00 to 15 +00
shoulder damzge
3k,
a ioa 300 d )
Total Sh a -im Impact in Lined Feet 665'
Tennpoi ary Innp -tct for Dikes in(] Flonn Din ei sion in Linezi feet 375'
Pei mits Requested
NCDOT is heieb) requesting authorization under Section 404 of the Clean Watel Act for the
construction pioJect outlined above By copy of this letter, I am asking Mi Dave McHeny,
Mountain Region Review Cooidinatoi, of the North Carolina Wildlife Resouices Commission
( NCWRC) to comment directly to you concerning the 404 NatiomNide Peimtt request
I am also iequestmg authoiization under Section 401 of the Clean Watei Act fioin the North Carolina
Depaitment of Environment and NatLiial Resources (DENR) Division of Watei Qualit) (DWQ) In
addition 1 am asking Mi McHeny and Mi Ed Ingle Roadside Environnental Field Operations
Engmeei ( NCDOT) to comment dnectl) to me concerning this permit request
If you have any questions of need additional infoinnation, please contact me at [phone] of
Mi Ait Haitzog at [phone]
Snnceiel)
Mai S Davis
Division Envinonnental Supenvison
Enclosuies
cc Mt David Wainwright DWQ DENR, Raleigh (4 copies)
Mi Mike Paiket DWQ DENR Asheville
Mi Dave McHenty, Mountain Region Cooidmatoi, NCWRC Waynesville
Mi Jason Ma) s Biologist, U S Fish and Wildlife Service, Asheville
Mi Maik Gibbs P E Division Maintenance Engineei
Mt Ait Haitzog, P E County Maintenance Engmeei
Mt E L Ingle Roadside Environmental Field Operations Engineer, NCDOT

o�pF W A TF9pG
9
Office Use Only
Corps action ID no
DWQ project no
Form Version 13 Dec 10 2008
Page 1 of 11
PCN Form — Version 1 3 December 10 2008 Version
Pi a -Consh action Notification PCN Foi in
A A lic-iint Li<foi m -itl.on
1
Processing
1a
Type(s) of approval sought from the
Corps
®section 404 Permit El Section 10 Permit
1 b Specify Nationwide Permit (NWP) number NW 3 or General Permit (GP) number
1c
Has the NWP or GP number been verified by the Corps?
❑ Yes
® No
1d
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
le
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
if
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
1g
Is the project located in any of NC s twenty coastal counties If yes answer 1h
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
SR 1301 Indian Creek Road Flood Damage Repair
2b
County
Haywood
2c
Nearest municipality / town
Maggie Valley
2d
Subdivision name
N/A
2e
NCDOT only T I P or state
project no
WBS 14 204411
3
Owner Information
3a
Name(s) on Recorded Deed
North Carolina Department of Transportation
3b
Deed Book and Page No
N/A
3c
Responsible Party (for LLC if
applicable)
N/A
3d
Street address
N/A
3e
City state zip
N/A
3f
Telephone no
N/A
3g
Fax no
N/A
3h
Email address
NIA
Page 1 of 11
PCN Form — Version 1 3 December 10 2008 Version

4
Applicant Information (if different from owner)
4a
Applicant is
❑ Agent ® Other specify Division Environmental Supervisor
0
Name
Mark S Davis
4c
Business name
(if applicable)
North Carolina Department of Transportation
4d
Street address
253 Webster Road
4e
City state zip
Sylva NC 28779
4f
Telephone no
828 586 2141
4g
Fax no
828 586 4043
4h
Email address
markdavis @ncdot gov
5
Agent/Consultant Information (if applicable)
5a
Name
N/A
5b
Business name
(if applicable)
N/A
5c
Street address
N/A
5d
City state zip
N/A
5e
Telephone no
N/A
5f
Fax no
N/A
5g
Email address
N/A
Page 2 of 11
PCN Form — Version 1 3 December 10 2008 Version

B Project Information and Prior Project History
1 Property Identification
la Property identification no (tax PIN or parcel ID)
N/A
lb Site coordinates (in decimal degrees)
Latitude 35 5194 Longitude 831328
(DD DDDDDD) (DD DDDDDD)
1c Property size
N/A acres
2 Surface Waters
2a Name of nearest body of water (stream river etc ) to
Indian Creek and UT to Indian Creek
proposed project
2b Water Quality Classification of nearest receiving water
WS III Tr
2c River basin I
French Broad River (HUC 06010106)
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
The land use at the site is rural residential Most of the watershed is forested but the areas adjacent to the road are
mostly open pasture land
3b List the total estimated acreage of all existing wetlands on the property
N/A
3c List the total estimated linear feet of all existing streams (intermittent and perennial) on the property
N/A
3d Explain the purpose of the proposed project
To repair streambanks shoulders and a small roadside channel after a catastrophic flash flood event
3e Describe the overall project in detail including the type of equipment to be used
The erosion control measures will be installed Water will be diverted The channel for the unnamed tributary will be
filled with rock cobble and gravel Streambanks will have large rock installed to reclaim the shoulders Water will be
diverted off of banks that need repair Rock will be installed and diversions will be removed Track hoes dump trucks
paving equipment water pumps diversion pipe various hand tools will be used to accomplish the work
4 Jurisdictional Determinations
4a Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
Yes ®No ❑
❑ Unknown
project (including all prior phases) in the pasty
Comments N/A
4b If the Corps made the jurisdictional determination what type
❑ Preliminary ❑ Final
of determination was made?
4c If yes who delineated the jurisdictional areas?
Agency /Consultant Company N/A
Name (if known) N/A
Other N/A
4d If yes list the dates of the Corps jurisdictional determinations or State determinations and attach documentation
N/A
b Project History
5a Have permits or certifications been requested or obtained for
❑ Yes ® No ❑ Unknown
this project (including all prior phases) in the past?
5b If yes explain in detail according to help file instructions
N/A
Page 3 of 11
PCN Form — Version 1 3 December 10 2008 Version

6 Future Project Plans
6a Is this a phased project? ❑ Yes ® No
6b If yes explain
N/A
Page 4 of 11
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 T
W1 ❑ P ❑ T
N/A
N/A
El Yes
[I No
El Corps
❑ DWQ
N/A
❑ Yes
❑ Corps
W2 ❑ P [IT
❑ No
❑ DWQ
❑ Yes
ElCorps
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
29 ToMI %ieti -ind imp -icts
N/A
2h Comments N/A
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
39
Stream impact
Type of impact
Stream name
Perennial
Type of jurisdiction
Average
Impact
number
(PER) or
(Corps 404 10
stream
length
Permanent (P) or
intermittent
DWQ — non 404
width
(linear
Temporary (T)
(INT)?
other)
(feet)
feet)
S1 ® P ❑ T
Streambank/Shoulder
Indian Creek
® PER
® Corps
®
10
50
Repair
❑ INT
DWQ
S2 ®P ❑ T
Streambank/Shoulder
Repair
Indian Creek
® PER
❑ INT
® Corps
®DWQ
10
90
S3 ®P ❑ T
Streambank/Shoulder
Repair
Indian Creek
® PER
❑ INT
® Corps
® DWQ
10
50
SM ❑ P ® T
Flow Diversion
Indian Creek
® PER
❑ INT
® Corps
® DWQ
10
75
S4 ® P ❑ T
Channel Repair
UT Indian Creek
® PER
❑ INT
® Corps
® DWQ
1
275
S4A ❑ P ®T
Flow Diversion
UT Indian Creek
® PER
❑ INT
® Corps
® DWQ
1
300
S5 ® P ❑ T
Emergency Repair
Streambank/Shoulder
Indian Creek
® PER
❑ INT
® Corps
® DWQ
10
200
3h Total pei minent sh a '1111 -ind ti ibuty ti impacts
665
31 Comments Total Temporary Impact for Impervious Dikes and Flow Diversion 375
Page 5 of 11
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
Open water
impact number
— Permanent
(P) or
Temporary T
4b
Name of waterbody
(if applicable)
4c
Type of Impact
4d
Waterbody type
4e
Area of impact (acres)
01 ❑ P ❑ T
N/A
N/A
N/A
NIA
02 ❑P ❑T
03 ❑P ❑T
04 ❑P ❑T
4f Totil open witei imp -icts
N/A
4g Comments N/A
5 Pond or Lake Construction
If pond or lake construction proposed then com lete the chart below
5a
Pond ID
number
5b
Proposed use or purpose of
pond
5c
Wetland Impacts (acres)
5d
Stream Impacts (feet)
5e
Upland
(acres)
Flooded
Filled
Excavated
Flooded
Filled
Excavated
Flooded
P1
NIA
N/A
N/A
N/A
N/A
N/A
N/A
N/A
P2
5f Totil
N/A
N/A
N/A
N/A
N/A
N/A
N/A
5g Comments N/A
5h Is a dam high hazard permit required?
❑ Yes ❑ No If yes permit ID no N/A
51 Expected pond surface area (acres)
N/A
5j Size of pond watershed (acres)
N/A
5k Method of construction
N/A
Page 6 of 11
PCN Form — Version 1 3 December 10 2008 Version

6 Buffer Impacts (for DWQ)
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)
for
Stream name
mitigation
(square feet)
(square feet)
or Temporary
impact
required?
B1 ❑ P ❑ T
N/A
N/A
El Nos
N/A
N/A
El Yes
B2 ❑ PEI T
❑ No
El Yes
B3 ❑P ❑T
❑ No
6h Tot -1 buffet imp acts
N/A
N/A
61 Comments N/A
D Impact Justification and Mitigation
1 Avoidance and Minimization
18 Specifically describe measures taken to avoid or minimize the proposed impacts in designing project
The road and associated infrastructure will be reconstructed to its original cross section There is no increase in width
1 b Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques
Appropriate BMPs according to the approved erosion and sedimentation control plan will be installed on the project prior to
culvert installation Stream flow will be diverted away from areas where there is potential for sedimentation As much as
possible native creek rock and gravel that was deposited by the flood flow will be used to restore the channel
2 Compensatory Mitigation for Impacts to Waters of the U S or Waters of the State
2a Does the project require Compensatory Mitigation for
❑ Yes ® No
impacts to Waters of the U S or Waters of the State?
2b If des Watts ,idon is redutre.d by (check -ill that ippl))
❑ DWQ ❑ Corps
❑ Mitigation bank
2c If yes which mitigation option will be used for this project?
❑ Payment to in lieu fee program
❑ Permittee Responsible Mitigation
3 Complete if Using a Mitigation Bank
3a Name of Mitigation Bank N/A
3b Credits Purchased (attach receipt and letter)
Type N/A
Quantity N/A
Page 7 of 11
PCN Form — Version 1 3 December 10 2008 Version

3c Comments N/A
4 Complete If Making a Payment to In lieu Fee Program
4a Approval letter from in lieu fee program is attached
❑ Yes
4b Stream mitigation requested
linear feet
4c If using stream mitigation stream temperature
❑ warm ❑ cool ®cold
4d Buffer mitigation requested (DWQ only)
N/A square feet
4e Riparian wetland mitigation requested
N/A acres
4f Non riparian wetland mitigation requested
N/A acres
4g Coastal (tidal) wetland mitigation requested
N/A acres
4h Comments N/A
6 Complete if Using a Permittee Responsible Mitigation Plan
5a If using a permittee responsible mitigation plan provide a description of the proposed mitigation plan
N/A
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
N/A
N/A
3 (2 for Catawba)
N/A
Zone 2
1 5
6f Total buffer mitigation required
N/A
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)
N/A
6h Comments N/A
Page 8 of 11
PCN Form — Version 1 3 December 10 2008 Version

E Stormwater Management and Diffuse Flow Plan (required by DWQ)
1
Diffuse Flow Plan
la
Does the project include or is it adjacent to protected riparian buffers identified
❑ Yes ® No
within one of the NC Riparian Buffer Protection Rules?
lb
If yes then is a diffuse flow plan included? If no explain why
❑ Yes ❑ No
Comments N/A
2
Stormwater Management Plan
2a
What is the overall percent imperviousness of this project?
N/A %
2b
Does this project require a Stormwater Management Plan?
® Yes ❑ No
2c
If this project DOES NOT require a Stormwater Management Plan explain why NIA
2d
If this project DOES require a Stormwater Management Plan then provide a brief narrative description of the plan
Project is covered by individual NPDES Permit NCS000250
❑ 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 government s jurisdiction is this project?
N/A
❑ Phase II
❑ 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 ❑ No
attached?
6
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 9 of 11
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 (fed eral /statelloca1) 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)?
1c 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 N/A
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) N/A
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
This project involves the reconstruction of a flood damaged dead end road The road is not being upgraded No
cumulative impact would be expected from this type maintenance activity
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
N/A
Page 10 of 11
PCN Form — Version 1 3 December 10 2008 Version

6 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'2
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?
NC Natural Heritage Program Database
6 Essential Fish Habitat (Corps Requirement)
6a WIII 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?
N/A There are no marine or estuarine habitats in the Blue Ridge Physiographic Province
7 Historic or Prehistoric Cultural Resources (Corps Requirement)
7a WIII 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?
The project is located within existing NCDOT right of way at a single stream crossing The construction area has been
previously Impacted by the road and scouring within the stream channel
8 Flood Zone Designation (Corps Requirement)
8a WIII this project occur in a FEMA designated 100 year fioodpiain?
❑ Yes ® No
8b If yes explain how project meets FEMA requirements
8c What source(s) did you use to make the floodpiain determination? NC Floodpiain Mapping Program
Mat k S Davis
21 Aug 2012
Applicant/Agents Printed Name
Applicant/Agent s Signature
Date
(Agents signature is valid only if an authorization letter from the applicant
is provided
Page 11 of 11
PCN Form — Version 1 3 December 10 2008 Version

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INDIAN CREEK
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ORDER 0 9804105
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Site 4
275' Channel Restoration 'o
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Various Size Cobble & Gravel
Approximately 80 yd 3
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Site 3
50' Large Rock Stabilization
Approximately 30 yd 3
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STREAPJ
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60•. Site 5 (After the Fact)
200'Shoulder/Bank
Restoration
Approximately 300 yd 3
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275' Channel Restoration 'o
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Approximately 80 yd 3
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STREAM BED
AREA
Site 3
50' Large Rock Stabilization
Approximately 30 yd 3
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AREA
60•. Site 5 (After the Fact)
200'Shoulder/Bank
Restoration
Approximately 300 yd 3

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Site 2
90' Large Rock Stabilization
Approximately 30 yd 3
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Site 1
50' Large Rock Stabilization
Approximately 10 yd 3
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SR 1301— Indian Creek Road
Haywood County
Site 1. Stabilize with la
raa rnrk and hack fill with creek cobble and eravel
Site 2. Stabilize with large rock and back fill with soil to restore shoulder
1 _
�. °.

Stabilize with large rock and backfill with creek cobble and
_.2.

Breach area and road on 7/20/2012 after m
'
artial repair
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1'
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Site 4 and 5 Overview from above breach area
Breach area at Site 5 Site 4 roadside perennial seep
Site 4. Roadside channel restoration with native stream materials
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Site 4. Looking downstream
Site S. After the fact shoulder and bank restoration.
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Site 5. Close up (after the fact area)