20210345 Ver 1_ePCN Application_20210319

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#*
20210345 1
Is a payment required for this project?*
✓ No payment required Reviewing Office*
6 Fee received Winston-Salem Regional Office-(336)776-
✓ Fee needed-send electronic notification 9800
Select Project Reviewer*
Dave Wanucha:eads\djwanucha
Information for Initial Review
fa.Name of project:
Replace the existing superstructure with a wider superstructure on Bridge 790003 and applying deck preservation treatment to Bridge 790008 on NC 8/NC 49 over Yadkin River and
Winston-Salem Southbound
la.Who is the Primary Contact?*
Jeff Hemphill
lb.Primary Contact Email:* 1c.Primary Contact Phone:*
[e-mail] [phone]
Date Submitted
3/19/2021
Nearest Body of Water
Yadkin River(Tuckertown Reservoir)
Basin
Yadkin-PeeDee
Water Classification
WS-IV,B;CA
Site Coordinates
Latitude: Longitude:
35.50777 -80.18526
Pre-Filing Meeting Information
ID# Version
20210345 1
Pre-fling Meeting or Request Date*
2/15/2021
Attach documentation of Pre-Filing Meeting Request here:*
DWR Pre-Filing Meeting Request Form.pdf 56.45KB
A. Processing Information
County(or Counties)where the project is located:

Rowan
Davidson
Stanly
Is this a NCDMS Project
✓ Yes r No
Is this project a public transportation project?*
( Yes r No
Is this a NCDOT Project?*
6. Yes r No
(NCDOT only)T.I.P.or state project number:
B-4626
WBS#(?)
38443.1.FS2
1a.Type(s)of approval sought from the Corps:
I7 Section 404 Permit(wetlands,streams and waters,Clean Water Act)
n 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?
I7 Nationwide Permit(NWP)
n Regional General Permit(RGP)
n Standard(IP)
1c.Has the NWP or GP number been verified by the Corps?
( Yes r No
Nationwide Permit(NWP)Number: 14-Linear transportation
NWP Numbers(for multiple NWPS):
Id.Type(s)of approval sought from the DWR:
fJ 401 Water Quality Certification-Regular n 401 Water Quality Certification-Express
n Non-404 Jurisdictional General Permit n Riparian Buffer Authorization
n 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 (: No
For the record only for Corps Permit: r Yes ( No
lf.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?
✓ Yes Na(z
1g.Is payment into a mitigation bank or in-lieu fee program proposed for mitigation of impacts?
✓ Yes rNo
Acceptance Letter Attachment
I h.Is the project located in any of NC's twenty coastal counties?
✓ Yes (c No
1j.Is the project located in a designated trout watershed?
✓ Yes G No
B. Applicant Information
1d.Who is applying for the permit?
r Owner fJ Applicant(other than owner)
le.Is there an Agent/Consultant for this project?*
✓ Yes ( No

2. Owner Information
2a.Name(s)on recorded deed:
N/A
2b.Deed book and page no.:
2c.Responsible party:
2d.Address
Street Address
N/A
Address Line 2
L7ty State/Rovince/Region
Postal/Zip Code Country
2e.Telephone Number: 2f.Fax Number:
[phone]
2g.Email Address:*
[e-mail]
3.Applicant Information(if different from owner)
3a.Name:
NCDOT
3b.Business Name:
3c.Address
Street Address
1598 Mail Service Center
Address Line 2
(Sty State/Province/Region
Raleigh NC
Postal/Zip Code Country
27699-1598 US
3d.Telephone Number: 3e.Fax Number:
[phone]
3f.Email Address:*
[e-mail]
C. Project Information and Prior Project History C^)
1. Project Information
lb.Subdivision name:
(if appropriate)
1c.Nearest municipality/town:
Richfield
2. Project Identification
2a.Property Identification Number: 2b.Property size:
2c.Project Address
Street Address
Address Line 2
(Sty State/Rovince/Fagion
Fbstal/Zip Code Country
3.Surface Waters
3a.Name of the nearest body of water to proposed project:*
Yadkin River(Tuckertown Reservoir)
3b.Water Resources Classification of nearest receiving water:*

WS-W,B;CA
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.
030401030604
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:*
Land use in the project vicinity consists primarily of the Yadkin River/Tuckertown Reservoir surrounded by forestland,including LWiarrie National Forest,with interspersed agricultural
and residential land use.
4b.Have Corps permits or DWR certifications been obtained for this project(including all prior phases)in the past?*
✓ Yes r 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)
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)
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:
355'
4h.Explain the purpose of the proposed project:*
The need of the proposed project is to improve public safety by replacing the structurally deficient,functionally obsolete,and fracture critical bridge(Rowan County Bridge No.3)from
the state's transportation infrastructure and maintaining Bridge 8 through deck preservation treatment.The purpose of the project is to construct a new superstructure that meets
current NCDOT bridge design standards.This new superstructure will also eliminate the fracture-critical nature of the structure.The bridge substructure(piers)are in good condition
and do not need to be replaced.
4i.Describe the overall project in detail,including indirect impacts and the type of equipment to be used:*
TIP project B-4626 involves the replacement of the eastbound lane bridge superstructure(Bridge 3)and deck preservation treatment to the westbound lane bridge(bridge 8)over
Yadkin River(Tuckertown Reservoir)and Winston-Salem southbound railroad and includes 1.136 miles of roadway improvement in Stanly,Rowan and Davidson Counties.
The proposed eastbound bridge(bridge 3)will have a superstructure that does not contain deck drains.All stormwater from the bridge and approaches will be collected by a storm
drainage system on the west side of the bridge and discharged into a bio-swale in the median.There is one roadside ditch on this project and is located from Sta.30+50 to 31+00 RT.
The existing westbound bridge(bridge 8)does not contain deck drains.All stormwater from the existing bridge and approaches will continue to be collected by a storm drainage system
on the west side of the bridge and discharge to the existing Hazardous Spill Basin(HSB).The outfall structure of the HSB will be retrofitted to include a new orifice plat and trash rack to
allow the HSB to provide stormwater detention.Cranes and standard construction equipment will be utilized.
4j.Please upload project drawings for the proposed project.
B-4626 Final Permit Drawings.pdf 11.05MB
B-4626 Permit Application Cover Letter.pdf 184.68KB
5.Jurisdictional Determinations
5a.Have the wetlands or streams been delineated on the property or proposed impact areas?*
✓ Yes r No O Unknown
Comments:
5b.If the Corps made a jurisdictional determination,what type of determination was made?*
✓ Preliminary r Approved 6 Not Verified r Unknown r N/A
Corps AID Number:
5c.If 5a is yes,who delineated the jurisdictional areas?
Name(if known):
Agency/Consultant Company:
Other:
5d1.Jurisdictional determination upload
6. Future Project Plans
6a.Is this a phased project?*
✓ Yes GNo
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?

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
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 Bank Stabilization Permanent Bank Stabilization Yadkin River Perennial Both 800 18
Average(feet) (linear feet)
S2 Temporary Construction Temporary Workpad/Causeway Yadkin River Perennial Both 800 224
Average(feet) (linear feet)
3i.Total jurisdictional ditch impact in square feet:
0
3i.Total permanent stream impacts: 3i.Total temporary stream impacts:
18 224
3i.Total stream and ditch impacts:
242
3j.Comments:
E. Impact Justification and Mitigation
1.Avoidance and Minimization
1a.Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
All stormwater from Eastbound Bridge 3 and approaches will be discharged into a bio-swale in the median.All stormwater from Westbound Bridge 8
and approaches will continue to discharge to the existing Hazardous Spill Basin(HSB).The outfall structure of the HSB will be retrofitted to include a
new orifice plat and trash rack to allow the HSB to provide stormwater detention.
No impacts from an onsite detour bridge will be necessary as each bridge will function as an onsite detour during the rehabilitation or deck
preservation application of the other.
lb.Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Best Management Practices will be adhered to.
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 6. No
2b.If this project DOES NOT require Compensatory Mitigation,explain why:
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?
r Yes f• No
If no,explain why:
2.Stormwater Management Plan
2a.Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?*
6 Yes r No
Comments:
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 rNo
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(NEPAISEPA)?*
( Yes rNo
1c.If you answered"yes"to the above,has the document review been finalized by the State Clearing House?*
( Yes rNo
NEPA or SEPA Final Approval Letter
B-4626 Type I Ground Disturbing CE Checklist.pdf 2.02MB
B-4626_Final CIA.pdf 2.43MB
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 ( No
3b.If you answered"no,"provide a short narrative description.
No notably adverse community impacts are anticipated with this project and no Environmental Justice populations appear to be affected;thus,impacts
to minority and low income populations do not appear to be disproportionately high and adverse.Benefits and burdens resulting from the project are
anticipated to be equitably distributed throughout the community,and no denial of benefit is expected.
4.Sewage Disposal(DWR Requirement)
4a.Is sewage disposal required by DWR for this project?*
✓ Yes ( No r 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?*
( Yes rNo
5b.Have you checked with the USFWS concerning Endangered Species Act impacts?*
✓ Yes No
5d.Is another Federal agency involved?*
✓ Yes ( No r Unknown
5e.Is this a DOT project located within Division's 1-8?
✓ Yes ( No
5f.Will you cut any trees in order to conduct the work in waters of the U.S.?
( Yes r No
5g.Does this project involve bridge maintenance or removal?
( Yes r No
5g(1).If yes,have you inspected the bridge for signs of bat use such as staining,guano,bats,etc.?
✓ Yes ( No
If you answered"Yes"to 5g(1),did you discover any signs of bat use?
✓ Yes r No ( Unknown
5h.Does this project involve the construction/installation of a wind turbine(s)?*
✓ Yes ( 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
If yes,please provide details to include type of percussive activity,purpose,duration,and specific location of this activity on the property.
5j.What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
FWS Website
Schweinitts sunflower-No Effect,habitat present,last survey 10/21/19
Eagle survey was conducted August 2017 with no nests or birds observed.Another survey will be conducted prior to construction.
Consultation Documentation Upload

B-4626_NLEB.pdf 343.78KB
6. Essential Fish Habitat(Corps Requirement)
6a.Will this project occur in or near an area designated as an Essential Fish Habitat?*
C Yes f No
6b.What data sources did you use to determine whether your site would impact an Essential Fish Habitat?*
Review of on-line mapping sources
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 f• No
7b.What data sources did you use to determine whether your site would impact historic or archeological resources?*
MCDC,Fstorical Architecture Final MOA and Archaeology Memo.
Historical Architecture:Through consultation with the NCHPO,it was determined that the undertaking will result in an adverse effect to Rowan County
Bridge No.3(RW2108).The undertaking will retain the substructure(piers and bents)of the existing bridge,but replace its superstructure and deck,
thereby removing the welded steel elements that define its NRHP-eligibility.
7c.Historic or Prehistoric Information Upload
B-4626 ArchNoSurveyRevised.pdf 4.2MB
B-4626_Tribal_Coordination_Letter_Catawba_12-06-2019.pdf 1.87MB
B-4626 Tribal Response.pdf 662.83KB
B-4626FinalMOA.pdf 281.7KB
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:
No FEMA study is needed as the new superstructure on Bridge 003 is being built on top of the existing interior bents.
8c.What source(s)did you use to make the floodplain determination?*
FEMA Flood Maps
M iscel Ianeous
Comments
A FERC permit will be required for this project.
This bridge replacements may involve some level of percussive activity in the disassembly of the existing superstructure of Bridge 0003.
Miscellaneous attachments not previously requested.
B-4626 Permit Application Cover Letter.pdf 252.74KB
Signature
*
pr 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:
Michael Anthony Turchy
Signature
r
otil
Date
3/19/2021