20210298 Ver 1_ePCN Application_20210324

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#*
20210298 1
Is a payment required for this project?*
✓ No payment required
6 Fee received Reviewing Office*
✓ Fee needed-send electronic notification Asheville Regional Office-[phone]
Select Project Reviewer*
Kevin Mitchell:eads\rkmitchell
Information for Initial Review
1a.Name of project:
James Chapel Road Widening Project
1a.Who is the Primary Contact?*
Kevin Barnett
lb.Primary Contact Email:* 1c.Primary Contact Phone:*
[e-mail] [phone]
Date Submitted
3/24/2021
Nearest Body of Water
UT Bald Creek
Basin
French Broad
Water Classification
C
Site Coordinates
Latitude: Longitude:
35.634091 -82.89243
Pre-Filing Meeting Information
ID# Version
20200298 1
Pre-fling Meeting or Request Date*
2/8/2021
Attach documentation of Pre-Filing Meeting Request here:*
30 DWR Meeting Request.mht 542.61KB
A. Processing Information C^U
County(or Counties)where the project is located:
Haywood

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:
WBS#(2)
14C.044181
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?
C Yes rNo
Nationwide Permit(NWP)Number: 13-Bank Stabilization
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 r No
If.Is this an after-the-fact permit application?*
✓ Yes rNo
1g.Is payment into a mitigation bank or in-lieu fee program proposed for mitigation of impacts?
CYes rNo
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?
CYes rNo
1j.Is the project located in a designated trout watershed?
✓ Yes r No
B. Applicant Information
Id.Who is applying for the permit?
r Owner 17 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:
NC Department of Transportation

2b.Deed book and page no.:
2c.Responsible party:
2d.Address
Street Address
253 Webster Road
Address Line 2
Oty State/Bovine/legion
Sylva NC
Postal/Zip Cade Country
28779 US
2e.Telephone Number: 2f.Fax Number:
[phone]
2g.Email Address:*
[e-mail]
3.Applicant Information(if different from owner)
3a.Name:
NC Department of Transportation
3b.Business Name:
3c.Address
Street Address
253 Webster Rd
Address Line 2
(DV State/Rovince/Region
Sylva NC
Fbstal/Zip Code Country
28779 US
3d.Telephone Number: 3e.Fax Number:
[phone]
3f.Email Address:*
[e-mail]
C. Project Information and Prior Project History
1. Project Information
lb.Subdivision name:
(if appropriate)
1c.Nearest municipality/town:
Canton
2. Project Identification
2a.Property Identification Number: 2b.Property size:
2c.Project Address
Street Address
James Chapel Road
Address Line 2
CRY State/Bovine/legion
Canton NC
Fbstal/Zip Code Country
US
3.Surface Waters
3a.Name of the nearest body of water to proposed project:*
UT Bald Creek
3b.Water Resources Classification of nearest receiving water:*
C

3c. What river basin(s)is your project located in?*
French Broad
3d.Please provide the 12-digit HUC in which the project is located.
060101060105
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:*
This is a road widening that will require rip-rap stabilization to-230 LF an intermittent stream channel that runs parallel to the road.
4b.Have Corps permits or DWR certifications been obtained for this project(including all prior phases)in the past?*
C Yes f No C 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)
SR 1506_Topo Vicinity.pdf 826.79KB
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:
0.0
4g.List the total estimated linear feet of all existing streams on the property:
230
4h.Explain the purpose of the proposed project:*
Road widening for safety
4i.Describe the overall project in detail,including indirect impacts and the type of equipment to be used:*
Road widening and rip-rap stabilization utilizing typical construction equipment.
4j.Please upload project drawings for the proposed project.
JAMES CHAPEL_streams and rip rap shown.pdf 1.13MB
5.Jurisdictional Determinations
5a.Have the wetlands or streams been delineated on the property or proposed impact areas?*
C Yes No r Unknown
Comments:
5b.If the Corps made a jurisdictional determination,what type of determination was made?*
C Preliminary f Approved C Not Verified C Unknown F 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?*
C Yes f 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 future work is planned for this road.
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 1 Buffers
'T Open Waters (` 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 Stabilization Permanent Bank Stabilization UT to Bald Creek Intermittent Both 1 230
Average(feet) (linear feet)
3i.Total jurisdictional ditch impact in square feet:
0
3i.Total permanent stream impacts: 3i.Total temporary stream impacts:
230 0
3i.Total stream and ditch impacts:
230
3j.Comments:
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:
As the stream is immediately adjacent to the expanded roadway,this is the only way to maintain stability.
1b.Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Stabilization is only for the area where the widened road is adjacent to top of bank.
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 P No
2b.If this project DOES NOT require Compensatory Mitigation,explain why:
Under thresholds
F. Stormwater Management and Diffuse Flow Plan (required by DWR)
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 ( No
If no,explain why:
No buffer rules in this area.
2.Stormwater Management Plan
2a.Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?*
✓ Yes r No
Comments:
G. Supplementary Information
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 r 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)?*
✓ Yes ( No
Comments:*
Under financial threshold for SEPA
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 t: 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.
This is a rural area with limited ability to develope.
4.Sewage Disposal(DWR Requirement)
4a.Is sewage disposal required by DWR for this project?*
✓ Yes r No 6 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 ( No
5b.Have you checked with the USFWS concerning Endangered Species Act impacts?*
✓ Yes r No
5c.If yes,indicate the USFWS Field Office you have contacted.
Asheville
5d.Is another Federal agency involved?*
✓ Yes r No r Unknown
5e.Is this a DOT project located within Division's 1-8?
✓ Yes 6 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 (' No
5h.Does this project involve the construction/installation of a wind turbine(s)?*
✓ Yes f 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 rNo
5j.What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
Online USFWS data Layer
Consultation Documentation Upload
18-05-0025_NoSurvey.pdf 7.5MB
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?*
NOAA map layers
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 f No
7b.What data sources did you use to determine whether your site would impact historic or archeological resources?*
Consultation to SHPO
7c.Historic or Prehistoric Information Upload
No National Register Eligible or Listed Archaeological Sites Present PA 18-05-0025.pdf 2.46MB
8. Flood Zone Designation(Corps Requirement)
8a.Will this project occur in a FEMA-designated 100-year floodplain?*
✓ Yes ( No
8c.What source(s)did you use to make the floodplain determination?*
Haywood County Map layer

Miscellaneous
Comments
Miscellaneous attachments not previously requested.
20180918_15545203084_50_Farmland_Classification.pdf 402.97KB
project_reportjames_chapel_paving_14345_14345.pdf 2.81MB
SR 1506 stream call sheet.pdf 72.25KB
SR 1506_Aerial Project Area.pdf 1.5MB
SR 1506_James Chapel_MCDDC_Final Signed.pdf 13.74MB
SR 1506_James Chapel_NRR.pdf 6.29MB
Signature
®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:
Kevin H Barnett
Signature
�avrr rf fr a/L,,rarr
Date
3/24/2021