20110196 Ver 1_Application_20121031

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OCT 3 1 >
2012
STATE OF NORTH CAROLINA ORTATION Trip A D sratZQA E lV
DEPARTMENT OF TRANSPORTATION R88"
BEVERLY PURDUE P 0 Box 25201 Raleigh NC 27611 5202 EUGENE CONTI JR H
GOVERNOR PHONE [phone] SECRETARY
October 24 2012
Mr Monte Matthews
U S Army Corps of Engineers Q / _
Raleigh Regulatory Field Office — Q _l v
3331 Heritage Trade Drive Suite 105
Wake Forest NC 27587
Subject Nationwide Permit#14
Replace Bridge#16 on SR 1166 with Culvert
Avery County North Carolina
Project Number 42568 1 1 (BK 5117) (DWQ Permit Fee $570)
Dear Mr Matthews
The North Carolina Department of Transportation is scheduled to replace Bridge #16 with a
double barreled box culvert on a new location The existing bridge is a two span structure
approximately 30 feet long by 18 feet wide and crosses Horse Creek near the intersection of SR
1166 and US 19E The new culvert will cross Little Horse Creek a few hundred feet north of the
existing bridge location Moving the new stream crossing to this location will substantially
improve the alignment of the intersection of SR 1166 SR 1157 and US 19E It will also
eliminate a scour problem along US 19E at the proposed culvert location Once the old bridge is
removed the streambanks will be sloped to 2 1 with seeding coir fiber matting and live stakes
An on site detour is proposed (see attached plans) The temporary detour will impact 0 04 acres
of wetlands Once the detour is removed the disturbed wetland area will be seeded with a
wetland seed mix and replanted with appropriate woody species Stream impacts are tabulated
below
Stream Impacts
r B` Lam' ^`-rGE ' i�lx� Yr..tK.`%`f�...1 ° ay,N" a`t"'w �°'.di*.r� .. ' Yw.`r"'q'`"'£."e )
Stahori ` 4 tistin m Proposed „ mpo azy� >�a i Tool mPactsiajt
`'�" � � '�'�` ���.
2 @12x7x65
13+50 None RCBC 80 85 230
Perm Fill/Riprap Impacts=
150 feet Total Project Impacts=230
feet
P 0 Box 250 N WILKESBORO NC 28659
PHONE [phone] FAx [phone]

Mr Monte Matthews
Bridge#16 on SR 1166 Avery
Page 2
October 24 2012
• Note in the plan sheets that five sills have been added to both barrels to aid in the
retention of natural stream material Natural stream material will be harvested from the
abated channel and placed inside the proposed base flow barrel before the top is placed on
the culvert
Construction of the new culvert will require temporary dewatering Flow will be diverted with
non earthen dikes as needed so that one barrel may be completed Water can then be diverted
into that barrel while the second barrel is constructed We would prefer to give our contractor
some leeway on the sequencing of this activity Floodplams will be constructed in fiont of the
western barrel with seeding coir fiber matting and live stakes Once the new structure is in
place the impervious dikes will be removed and preconstruction streambed elevations will be
restored
Construction of this project will require impacts to waters of the United States in the French
Broad River Basin The existing bridge crosses Horse Creek (Class WS V Trout) The
proposed culvert will be located in Little Horse Creek (Class WS V Trout) This project was
reviewed for the presence of threatened and endangered species in February of 2011 The subject
project will have no effect on any federally listed endangered plant or animal species Historic
compliance work has been conducted and no issues were identified
The project impacts are not significant in nature and should not alter the best usage for this
stream All appropriate BMPs will be used during construction Attached is a Preconstruction
Notification Form plan sheets a marked county map and a marked topography map
By copy of this letter it is requested that Marla Chambers with the North Carolina Wildlife
Resources Commission comment directly to you concerning the 404 Nationwide Permit
application with a copy sent to me We will be requestmg a variance for land disturbing
activities within the 25 foot trout buffer zone from stations 11+25 — 14+15 on the L line and
from 12+80— 14+22 on the detour(432 feet total)
By copy of this letter I am forwarding five (5) copies of this application package to Brian
Wrenn NCDENR Division of Water Quality 401 Wetlands Unit for his review It is requested
that any comments related to the 401 certification be forwarded directly to me with a copy sent to
the US Army Corps of Engineers
We would like to begin construction as soon as possible If further information is required
please let me know Your early review and consideration will be appreciated
Sincerely
41//I �' Aor

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Mr Monte Matthews
Bridge#16 on SR 1166 Avery
Page 3
October 24 2012
Heath Slaughter ,
Division Environmental Officer
Enclosures
cc Monte Matthews US Army Corps of Engineers (1 additional copy)
Marla Chambers NCWRC
Brian Wrenn Division of Water Quality(5 copies)
Mike Parker Division of Water Quality
Marella Buncick USFWS
Mike Pettyjohn PE Division Engineer
Ivan Dishman PE Division Bridge Project Manager
Heath Slaughter Division Environmental Officer
Scott Pipes Roadside Environmental Field Operations Technician
#
1

�oF WA9Q Office Use Only
Corps action ID no
l®' I 'o DWQ project no
Form Version 1 3 Dec 10 2008
Pre-Construction Notification (PCN) Form
A Applicant Information
1 Processing
1 a Type(s)of approval sought from the
®Section 404 Permit ❑ Section 10 Permit
Corps
1 b Specify Nationwide Permit(NWP)number 14 or General Permit(GP)number
1c Has the NWP or GP number been verified by the Corps'? ❑Yes ® No
1 d 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 For the record only for DWQ 401 For the record only for Corps Permit
because written approval is not required? Certification
❑Yes ® No ❑Yes ® No
if Is payment into a mitigation bank or in lieu fee program proposed for mitigation ®Yes ❑ No
of impacts? If so attach the acceptance letter from mitigation bank or in lieu
fee program
1g Is the project located in any of NC s twenty coastal counties If yes answer 1 h ❑Yes ® No
below
1 h Is the project located within a NC DCM Area of Environmental Concern(AEC)? ❑Yes ® No
2 Project Information
2a Name of project Bridge#16
2b County Avery
2c Nearest municipality/town Minneapolis
2d Subdivision name
2e NCDOT only T I P or state 42568 1 1 (BK 5117)
project no
3 Owner Information
3a Name(s)on Recorded Deed NCDOT
3b Deed Book and Page No
3c Responsible Party(for LLC if
applicable)
3d Street address 801 Statesville Road
3e City state zip North Wilkesboro NC 28659
3f Telephone no 336 903 9202
3g Fax no 336 667 4549
3h Email address hslaughter©ncdot gov
Page 1 of 10
PCN Form —Version 1 3 December 10 2008 Version

e
i
4 Applicant Information(if different from owner) C `
4a Applicant is ❑Agent ❑ Other specify
4b Name 1
4c Business name i
(if applicable)
4d Street address
s
4e City state zip
4f Telephone no
4g Fax no
4h Email address
5 Agent/Consultant Information(if applicable)
5a Name l
5b Business name
(if applicable) 1
5c Street address
5d City state zip
5e Telephone no
5f Fax no
5g Email address
1
s
t
7
i
6
Y
x
a
i
F
Page 2 of 10
PCN Form —Version 1 3 December 10 2008 Version s

B Project Information and Prior Project History
1 Property Identification
la Property identification no (tax PIN or parcel ID)
Latitude 3610247 Longitude 81 98635
1 b Site coordinates(in decimal degrees) (DD DDDDDD) (DD DDDDDD)
1 c Property size 1 acres
2 Surface Waters
2a Name of nearest body of water(stream nver etc)to Little Horse Creek
proposed project
2b Water Quality Classification of nearest receiving water WS V Trout
2c River basin French Broad
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
Substandard bridge replacement in the town of Minneapolis
3b List the total estimated acreage of all existing wetlands on the property
0 5 acres
3c List the total estimated linear feet of all existing streams(intermittent and perennial) on the property
450 linear feet
3d Explain the purpose of the proposed project
Upgrade substandard bridge
3e Describe the overall project in detail including the type of equipment to be used
See attached cover letter
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 past?
Comments
4b If the Corps made the jurisdictional determination what type
ow. Preliminary 0 Final
of determination was made?
4c If yes who delineated the jurisdictional areas? Agency/Consultant Company USACE
Name(if known) Heath Slaughter&Monte Matthews Other
4d If yes list the dates of the Corps jurisdictional determinations or State determinations and attach documentation
5 Project History
5a Have permits or certifications been requested or obtained for ❑Yes 0 N 0 Unknown
this project(including all prior phases)in the past?
5b If yes explain in detail according to help file instructions
6 Future Project Plans
6a Is this a phased project? ❑Yes ® No
6b If yes explain
Page 3 of 10
PCN Form —Version 1 3 December 10 2008 Version

i
f
C Proposed Impacts Inventory
1 Impacts Summary
s
1a Which sections were completed below for your project(check all that apply)
0 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)
I
Temporary(T)
W1 ❑ P®T Temp Detour Fill BHF ®Yes ® Corps 0 04
❑ No ® DWQ
W2 ❑ P❑T ❑Yes ❑ Corps
❑ No ❑ DWQ
W3 ❑ P❑T ❑Yes ❑ Corps
❑ No ❑ DWQ
W4 ❑ P❑T ❑Yes ❑ Corps Z
❑ No ❑ DWQ
Oyes ❑ Corps
W5 ❑ P❑T El No ❑ DWQ
❑Yes ❑ Corps
W6 ❑ P❑T 0 N ❑ DWQ
2g Total wetland impacts r
2h Comments Wetland fill impacts are temporary Area will be restored after the detour is removed
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 3g
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 Culvert Riprap& Little Horse Creek ® PER ® Corps 11 230
Dewatering ❑ INT ® DWQ
S2 ❑ P ❑T ❑ PER 0 Corps
❑ INT DDWQ
S3 ❑ PER ❑ Corps
❑ P❑T
❑ INT ❑ DWQ
S4 ❑ P❑T ❑ PER ❑ Corps
❑ INT ❑ DWQ
S5 ❑ P❑T ❑ PER ❑ Corps
❑ INT ❑ DWQ
S6 ❑ P❑T ❑ PER ❑ Corps
❑ INT ❑ DWQ
3h Total stream and tributary impacts 230 i
3i Comments 80 linear feet of the impacts are temporary
a
44
Page 4 of 10
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 4b 4c 4d 4e
Open water Name of waterbody
impact number— (if applicable) Type of impact Waterbody type Area of impact(acres)
Permanent(P)or
Temporary(T)
01 OPET
02 ❑ P❑T
03 ❑ P❑T
04 ❑ P❑T
4f Total open water impacts
4g Comments
5 Pond or Lake Construction
If pond or lake construction proposed then complete the chart below
5a 5b 5c 5d 5e
Wetland Impacts(acres) Stream Impacts(feet) Upland
Pond ID Proposed use or purpose (acres)
number of pond
Flooded Filled Excavated Flooded Filled Excavated Flooded
P1
P2
5f Total
5g Comments N/A
5h Is a dam high hazard permit required"
❑Yes ® No If yes permit ID no
5i Expected pond surface area(acres)
5j Size of pond watershed(acres)
5k Method of construction
6 Buffer Impacts(for DWG)
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 0 Tar Pamlico 0 Other
Project is in which protected basing ❑Catawba ❑ Randleman
r
6b 6c 6d 6e 6f 6g
Buffer impact
number— Reason Buffer Zone 1 impact Zone 2 impact
Permanent(P)or for Stream name mitigation (square feet) (square feet)
Temporary(T) impact required"
B1 ❑ P❑T ❑ Nos
❑Yes
B2 ❑ P 0 N
B3 ❑ P❑T ❑Yes
❑ No
6h Total buffer impacts
6i Comments
Page 5 of 10
PCN Form—Version 1 3 December 10 2008 Version

D Impact Justification and Mitigation
1 Avoidance and Minimization
1 a Specifically describe measures taken to avoid or minimize the proposed impacts in designing project
The culvert length is the minimum needed to improve safety at this location Proximity of US 19E makes a bridge impractical
1 b Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques
All appropriate BMPs will be used during construction
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 State9
2b If yes mitigation is required by(check all that apply) ❑ DWQ ®Corps
❑ Mitigation bank
2c If yes which mitigation option will be used for this ® Payment to in lieu fee program
project9
❑ Permittee Responsible Mitigation
3 Complete if Using a Mitigation Bank
3a Name of Mitigation Bank EEP
3b Credits Purchased(attach receipt and letter) Type Quantity
3c Comments
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 65 linear feet
4c If using stream mitigation stream temperature ❑warm ❑ cool cold
4d Buffer mitigation requested(DWQ only) square feet
4e Riparian wetland mitigation requested acres
4f Non riparian wetland mitigation requested acres
4g Coastal(tidal)wetland mitigation requested acres
4h Comments
)
5 Complete if Using a Permittee Responsible Mitigation Plan
5a If using a permittee responsible mitigation plan provide a description of the proposed mitigation plan
ti
Page 6 of 10
PCN Form —Version 1 3 December 10 2008 Version

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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 ❑Yes ® No �t
buffer mitigation'
r4
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
6c 6d 6e
Zone Reason for impact Total impact Multiplier Required mitigation t
(square feet) (square feet)
Zone 1 3(2 for Catawba)
Zone 2 1 5
6f Total buffer mitigation required
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)
6h Comments
r/
s l
f �
d
Page 7 of 10
PCN Form —Version 1 3 December 10 2008 Version

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E Stormwater Management and Diffuse Flow Plan(required by DWQ)
e
1 Diffuse Flow Plan t
1a Does the project include or is it adjacent to protected riparian buffers identified ❑Yes ® No
within one of the NC Riparian Buffer Protection Rules?
1 b If yes then is a diffuse flow plan included? If no explain why
❑Yes ❑ No
Comments t
E
2 Stormwater Management Plan
f
2a What is the overall percent imperviousness of this project? 0/
2b Does this project require a Stormwater Management Plan? ❑Yes ® No
2c If this project DOES NOT require a Stormwater Management Plan explain why , ,�
e
2d If this project DOES require a Stormwater Management Plan then provide a brief narrative description of the plan r
❑Certified Local Government
2e Who will be responsible for the review of the Stormwater Management Plan? ❑DWQ Stormwater Program
❑DWQ 401 Unit c
i f
3 Certified Local Government Stormwater Review t
3a In which local governments jurisdiction is this project?
t
❑ Phase II
3b Which of the following locally implemented stormwater management programs ❑NSW
apply(check all that apply) El USMP
❑Water Supply Watershed
❑Other
t
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
attached? ❑Yes ❑ No
t
5 DWQ 401 Unit Stormwater Review j
5a Does the Stormwater Management Plan meet the appropriate requirements? ❑Yes ❑ No
II {
5b Have all of the 401 Unit submittal requirements been met? ❑Yes ❑ No
Page 8 of 10
PCN Form —Version 1 3 December 10 2008 Version

F Supplementary Information
1 Environmental Documentation(DWQ Requirement)
1a Does the project involve an expenditure of public(federal/state/local)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
letter) ❑Yes ❑No
Comments
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)
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? r
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
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 t
4
t
Page 9 of 10
PCN Form —Version 1 3 December 10 2008 Version

I
i
5 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?
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?
GIS and visual observation
t
6 Essential Fish Habitat(Corps Requirement) i
6a Will this project occur in or near an area designated as essential fish habitat? ❑Yes ® No 4,
6b What data sources did you use to determine whether your site would impact Essential Fish Habitat?
WRC will comment
7 Historic or Prehistoric Cultural Resources(Corps Requirement) 1
7a Will this project occur in or near an area that the state federal or tribal i
governments have designated as having historic or cultural preservation ❑Yes 0 N
status(e g National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
i
7b What data sources did you use to determine whether your site would impact historic or archeological resources?
Reviewed by OHE
8 Flood Zone Designation(Corps Requirement)
8a Will this project occur in a FEMA designated 100 year floodplain? ❑Yes ® No
8b If yes explain how project meets FEMA requirements
8c What source(s)did you use to make the floodplain determination? ncfloodmaps corn
i
J Heath Slaughter 10/24/12
Applicant/Agents Printed Name r Applicant/Agent s Sig ure Date
(Agents s ature is valid only if an authorization letter from the applicant
is provided)
Page 10 of 10
PCN Form —Version 1 3 December 10 2008 Version

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1 Proposed culvert location and downstream view Note bank scour adjacent to US 19E
2 Culvert location and upstream view (Bridge#16 Avery)

WETLAND DATA FORM
(1987 COE Wetlands Delineation Manual)
Project/Site Bridge#16 on SR 1166 Date 2/18/11
Apphcant/Owner NC DOT County Avery
Investigator Heath Slaughter Monte Matthews State NC
Yes No
Do normal circumstances exist on the site? ® ❑ Community ID BHF
Is the site significantly disturbed? ® ❑
(A typical situation)? Transit ID
Is the area a potential problem area? ❑ ® Plot ID
(If needed explain on reverse)
VEGETATION
Dominant Plant Species Stratum Indicator Dominant Plant Species Stratum Indicator
1 Salix rugra Shrub OBL 9
2 Acer saccharmum tree FACW 10
3 Robmia pseudoacacia tree UPL 11
4 Prunus serotma tree FACU 12
5 Nyssa sylvatica tree FAC 13
6 14
7 15
8 16
Percent of dominant species that are OBL FACW or FAC(excludmg FAC ) 60%
Remarks
HYDROLOGY
❑ Recorded Data(describe m remarks) Wetland Hydrology Indicators
❑ Stream Lake or Tide Gauge Primary Indicators
❑ Aerial Photographs ❑ Inundated
❑ Other ® Saturated m Upper 12 Inches
® No Recorded Data Available ❑ Water Marks
❑ Drift Lmes
Field Observations ❑ Sediment Deposits
® Drainage Patterns m Wetlands
Depth of Surface Water N/A(m) Secondary Indicators (2 or more required)
❑ Oxidized Root Channels m
Depth to Free Water m Pit >12(m) Upper 12 Inches
® Water Stained Leaves
Depth to Saturated Soil 10(m) ® Local Soil Survey Data
® FAC Neutral Test
❑ Other(explain m remarks)
Remarks
WLdata frm

SOILS
Map Unit Name
(Series and Phase) Nikwasi loam Dramage Class Poorly drained
Field Observations
Taxonomy(Subgroup) mesic Cumuhc Humaquepts Confirm Mapped Type?Yes
Profile Description
Depth Matrix Color Mottle Colors Mottle Texture,Concretions,
(ms) Horizon (Munsell Moist) (Munsell Moist) Abundance/Contrast Structure etc
0 12 A 10 YR 2/1 N/A N/A loam
Hydric Soil Indicators
❑ Histosol ❑ Concretions
❑ Histic Epipedon ❑ High Organic Content m Surface Layer m Sandy Soil
❑ Sulfidic Odor ❑ Organic Streakmg m Sandy Soils
❑ Aquic Moisture Regime ❑ Listed on Local Hydric Soils List
❑ Reducmg Conditions ❑ Listed on National Hydric Soils List
® Gleyed or Low Chroma Colors ❑ Other(explain m remarks)
Remarks
Wetland Determination Yes No
(circle yes or no)
Hydrophytic Vegetation Present? ® ❑
Wetland Hydrology Present? ® ❑
Hydric Soils Present? ® ❑
Is This Samplmg Pomt Within a Wetland? ® ❑
Remarks
WLdata frm