20210344 Ver 1_ePCN Application_20210511

I I DWR
Division of Water Resources
Pre-Construction Notification (PCN) Form
April 4,2021 Ver 4
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#*
20210344 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
1a.Name of project:
Ashe Bridge 122 replacement
1a.Who is the Primary Contact?*
Kevin Hining
lb.Primary Contact Email:* 1c.Primary Contact Phone:*
[e-mail] [phone]
Date Submitted
5/11/2021
Nearest Body of Water
North Fork New River
Basin
New
Water Classification
Class C;ORW
Site Coordinates
Latitude: Longitude:
36.542605 -81.352043
A. Processing Information U
County(or Counties)where the project is located:
Ashe
Is this a NCDMS Project
✓ Yes G No
Is this project a public transportation project?*
6 Yes r No
Is this a NCDOT Project?*
6 Yes r No
(NCDOT only)T.I.P.or state project number:

WBS#(9)
17BP.11.R.131
Pre-Filing Meeting Information
Is this a courtesy copy notification?*
✓ Yes r No
ID# Version
20210344 1
Pre-fling Meeting or Request Date
2/13/2021
Attach documentation of Pre-Filing Meeting Request here:
Click the upload button or drag and drop files here to attach document
DWR Pre-Filing Meeting Request Form.pdf 52.08KB
Rle type oust be FCF
1a.Type(s)of approval sought from the Corps:
I7 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
✓ No
lb.What type(s)of permit(s)do you wish to seek authorization?
fJ Nationwide Permit(NWP)
✓Regional General Permit(RGP)
✓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
✓Non-404 Jurisdictional General Permit r Riparian Buffer Authorization
✓ Individual 401 Water Quality Certification
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 ( No
1g.Is payment into a mitigation bank or in-lieu fee program proposed for mitigation of impacts?
✓ Yes rNo
1g.Is payment into a mitigation bank or in-lieu fee program proposed for mitigation of impacts?
✓ Yes rNo
Acceptance Letter Attachment
1h.Is the project located in any of NC's twenty coastal counties?
✓ Yes r No
1j.Is the project located in a designated trout watershed?
r 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:
NCDOT
2b.Deed book and page no.:
2c.Contact Person:
2d.Address
Street Address
801 Statesville Rd
Address Line 2
Coy State/Province/tOgion
North Wilkesboro NC
Postal/Zip Code Country
28659 USA
2e.Telephone Number: 2f.Fax Number:
[phone]
2g.Email Address:*
[e-mail]
C. Project Information and Prior Project History
1. Project Information
lb.Subdivision name:
(if appropriate)
1c.Nearest municipality/town:
Jefferson
2. Project Identification
2a.Property Identification Number: 2b.Property size:
2c.Project Address
Street Address
Address Line 2
City State/Province/legion
Postal/Zip lode Country
3.Surface Waters
3a.Name of the nearest body of water to proposed project:*
North Fork New River
3b.Water Resources Classification of nearest receiving water:*
Class C;ORW
3c. What river basin(s)is your project located in?*
New
3d.Please provide the 12-digit HUC in which the project is located.
050500010109
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:*
General land use is rural,with moderate development and a fairly even mix of forest and agricultural lands.
Ashe 122 is a 261'long,single lane,wooden bridge in need of replacement.NCDOT Structures Management Unit records indicates No.122 has a sufficiency rating of 26.99 out of a
possible 100 for a new structure,and is considered structurally deficient according to Federal Highway Administration(FHWA)standards.The superstructure and substructure of Bridge
No.122 have timber elements that are 60 years old.Timber components have a typical life expectancy between 40 to 50 years due to the natural deterioration rate of wood.Timber
components of Bridge No.122 are experiencing an increasing degree of deterioration that can no longer be addressed by reasonable maintenance activities;therefore,the bridge is
approaching the end of its useful life.Replacement of the bridge will result in safer traffic operations.
4b.Have Corps permits or DWR certifications been obtained for this project(including all prior phases)in the past?*
C Yes G 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)
Ashe Bridge no.122 topo map.pdf 627.78KB
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:
4g.List the total estimated linear feet of all existing streams on the property:
4h.Explain the purpose of the proposed project:*
The purpose of this project is to replace Ashe County Bridge No.122 on SR 1549
(Garvey Bridge Road)over North Fork New River.The existing single lane bridge will be replaced with a two lane bridge.The replacement structure will be a bridge approximately 270
feet long,providing a minimum 27-foot,10-inch clear deck width.The bridge will include two 10-foot lanes and 3-foot,11-inch offsets on new
alignment to the south.The bridge length is based on preliminary design information and is set by hydraulic requirements.The roadway grade of the new structure will be approximately
the same as the existing structure.Traffic will be maintained on the existing bridge during construction and no offsite detour is required.
The approach roadway for the proposed replacement structure will extend approximately 30 feet from the west end of the new bridge and approximately 108 feet from the east end of
the new bridge.The approaches will be widened to include two 10-foot travel lanes and 3-foot shoulders(6-foot with guardrail).SR 1549 has a functional classification of a Local Rural
Route and will be designed using Sub-Regional Tier Guidelines with a 20 mile per hour design speed.Approximately 225 feet of SR 1550(E.Weavers Ford Road)will be widened to
provide two 8-foot
travel lanes and 3-foot shoulders(6-foot with guardrail).
4i.Describe the overall project in detail,including indirect impacts and the type of equipment to be used:*
The new bridge will be constructed while traffic is maintained on the old bridge.As a result,the new bridge will be just upstream of the existing bridge.Temporary causeways will be used
to construct the new bridge and remove the old bridge(135'of temporary impact form the causeways).At no time will the causeways block more than 50%of the flow.Causeways will be
installed when needed,and then immediately moved once the work in that area is done-the phasing of the causeways is shown in the permit drawings.
Following construction of the new bridge,the old bridge will be removed.The new bridge will result in 6'of new permanent fill,from the installation of two instream bents(3'wide each).
An additional 127'of bank stabilization(40'of temporary impacts from dewatering)will be installed to stabilize the banks beneath the new bridge,and where the old bridge abutments
were located.
Standard road and bridge building equipment will be used during the projects such as trucks,track hoes,and cranes.
Although the new bridge will be wider,it will only have two instream bents compared to the 4 currently supporting the old bridge(5 if you count the one on the waters edge).Also,the
banks in the general vicinity of the project are severely eroded.As a result,the new bridge and associated bank stabilization should improve water quality and aquatic habitat at this
location.
4j.Please upload project drawings for the proposed project.
040122 Preliminary Permit Drawings and impact summary.pdf 4.99MB
5.Jurisdictional Determinations
5a.Have the wetlands or streams been delineated on the property or proposed impact areas?*
✓ Yes 6. No r Unknown
Comments:
Only one potential water-North Fork New River
5b.If the Corps made a jurisdictional determination,what type of determination was made?*
✓ Preliminary r Approved r 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 r 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
D. Proposed Impacts Inventory u
1. Impacts Summary
la.Where are the impacts associated with your project?(check all that apply):

r Wetlands 17 Streams-tributaries ❑Buffers
r Open Waters r 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 Constructing and removing Temporary Workpad/Causeway North Fork New River Perennial Both 200 135
bridge bents Average(feet) (linear feet)
82 New bridge bents Permanent Fill North Fork New River Perennial Both 200 6
Average(feet) (linear feet)
S3 Bank Stabilization Permanent Bank Stabilization North Fork New River Perennial Both 200 127
Average(feet) (linear feet)
S4 Bank Stabilization Temporary Dewatering North Fork New River Perennial Both 200 40
Average(feet) (linear feet)
3i.Total jurisdictional ditch impact in square feet:
0
3i.Total permanent stream impacts: 3i.Total temporary stream impacts:
133 175
3i.Total stream and ditch impacts:
308
3j.Comments:
E. Impact Justification and Mitigation L)
1.Avoidance and Minimization
la.Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
The existing bridge will remain in place during construction,preventing the need for a detour.Temporary construction impacts from causeways will be
reduced so that no more than 50%of the river flow is diverted at any time.To help ensure this,the contractor will use 72"x44"CSP arch pipes in the
causeway.Portions of the causeway will only be installed when needed,and removed once that portion of the project is complete.All work will be done
in the dry,and no direct discharge of sediment will occur in the North Fork New River.
1b.Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Temporary impacts will be in place only as long as needed and then removed as soon as construction at that location is complete.All 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 G No
2b.If this project DOES NOT require Compensatory Mitigation,explain why:
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?
r Yes ( 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?*
s Yes r No
Comments:
All NPDES protocols will be followed and inspections will occur each week,and after any 1"rainfall event.
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?*
(n 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)?*
a Yes r No
1c.If you answered"yes"to the above,has the document review been finalized by the State Clearing House?*
( Yes C No
NEPA or SEPA Final Approval Letter
Ashe 122 MCDC 2021.03.19.pdf 2.29MB
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)?*
C Yes ( 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.
4.Sewage Disposal(DWR Requirement)
4a.Is sewage disposal required by DWR for this project?*
C Yes (' NoC 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 C No
5b.Have you checked with the USFWS concerning Endangered Species Act impacts?*
C Yes a No
5d.Is another Federal agency involved?*
C Yes (' No C Unknown
5e.Is this a DOT project located within Division's 1-8?
C Yes r No
5f.Will you cut any trees in order to conduct the work in waters of the U.S.?
(7 Yes C No
5g.Does this project involve bridge maintenance or removal?
a 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 C No
If you answered"Yes"to 5g(1),did you discover any signs of bat use?
C Yes ( No C Unknown
5h.Does this project involve the construction/installation of a wind turbine(s)?*
C 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.?
C Yes ( No
5j.What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
USFWS and NC Natural Heritage Program Data Explorer
Consultation Documentation Upload
6. Essential Fish Habitat(Corps Requirement)
6a.Will this project occur in or near an area designated as an Essential Fish Habitat?*
C Yes a No
6b.What data sources did you use to determine whether your site would impact an Essential Fish Habitat?*

NOAA
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?*
r Yes R No
7b.What data sources did you use to determine whether your site would impact historic or archeological resources?*
NCDOT Cultural Resources Staff,and sent a tribal coordination letter to the appropriate tribes(letter and responses attached below).No issues were
raised.
7c.Historic or Prehistoric Information Upload
16-02-0091_NoSu rvey.pdf 2.31MB
Ashe 122 No NRHP sites.pdf 1.45MB
Catawba notification-Ashe Bridge No.122,Ashe County,NC.pdf 1.59MB
Cherokee notification-Ashe Bridge No.122,Ashe County,NC.pdf 1.59MB
EBCI notification-Ashe Bridge No.122,Ashe County,NC.pdf 1.59MB
Muscogee notification-Ashe Bridge No.122,Ashe County,NC.pdf 1.59MB
UKBCI notification-Ashe Bridge No.122,Ashe County,NC.pdf 1.59MB
Catawba Nation Response-Ashe 122.pdf 50.55KB
Cherokee Nation Response-Ashe 122.pdf 215.29KB
Muscogee Nation Response-Ashe 122.pdf 146.04KB
8. Flood Zone Designation(Corps Requirement)
8a.Will this project occur in a FEMA-designated 100-year floodplain?*
a Yes C No
8b.If yes,explain how project meets FEMA requirements:
NCDOT Hydraulic Design Unit will coordinate with the NC Floodplain Mapping Program(FMP)to determine the status of the project with regard to
applicability of NCDOT'S Memorandum of Agreement,or approval of a Conditional Letter of Map Revision(CLOMR)and subsequent final Letter of
Map Revision(LOMR).
8c.What source(s)did you use to make the floodplain determination?*
FEMA Flood Maps
Miscellaneous u
Comments
National Wild and Scenic-The project is located 1/4 mile upstream of a Nationally Designated Wild and Scenic River-South Fork New River.While the project will divert some flow at
the project site,due to the necessary causeway,it should not reduce the river flow.However,if the project needs to be reviewed for possible impacts to the wild and scenic section and
NCDOT can assist with any additional correspondence,please let me know.
Paddler Safety-While pipes in the causeway pose a potential safety issue with recreational river users,there is very limited traffic on the North Fork New River.The closest public
access is approximately 8 miles upstream and their are no outfitters on the North Fork New River,so usage is low.While the South Fork New River is a popular floating area and is only
1/4 mile below Ashe 122,the likelyhood of paddlers venturing up the North Fork New River is extremely low due to the swift current and several riffles/drops in elevation between the
South Fork New River and Ashe 122.
Miscellaneous attachments not previously requested.
Ashe 122 PCN summary letter.pdf 182.88KB
Signature
*
CJ 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 Hining
Signature
Date
5/11/2021