20210992 Ver 1_ePCN Application_20210812

DWR
Division of Water Resources
Pre-Construction Notification (PCN) Form
For Nationwide Permits and Regional General Permits
(along with corresponding Water Quality Certifications)
June 1,2021 Ver4.1
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?*
R Yes r No
Change only if needed.
BIMS#Assigned* Version#*
20210992 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
la.Name of project:
Transylvania Bridge 63 over West Fork French Broad River
1a.Who is the Primary Contact?*
Kevin Barnett
1b.Primary Contact Email:* 1c.Primary Contact Phone:*
[e-mail] [phone]
Date Submitted
8/12/2021
Nearest Body of Water
West Fork French Broad River
Basin
French Broad
Water Classification
B;Tr
Site Coordinates
Latitude: Longitude:
35.158804 -82.877026
A. Processing Information L)
County(or Counties)where the project is located:
Transylvania
Is this a NCDMS Project
✓ Yes ( 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#(?)
17BP.14.R.183
Pre-Filing Meeting Information
Is this a courtesy copy notification?*
✓ Yes G No
ID# Version
Pre-fling Meeting or Request Date
6/7/2021
Attach documentation of Pre-Filing Meeting Request here:
Click the upbad button or drag and drop files here to attach docunsnt
DWR Pre-Filing Meeting Request Form.pdf 54.4KB
File type oust be FCF
1a.Type(s)of approval sought from the Corps:
[7 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?
r Nationwide Permit(NWP)
f7 Regional General Permit(RGP)
r Standard(IP)
1c.Has the NWP or GP number been verified by the Corps?
✓ Yes 6 No
Regional General Permit(RGP)Number: 201902350-Work associated with bridge construction,widening,replacement,and
interchanges
RGP Numbers(for multiple RGPS):
ld.Type(s)of approval sought from the DWR:
fJ 401 Water Quality Certification-Regular r 401 Water Quality Certification-Express
r Non-404 Jurisdictional General Permit r Riparian Buffer Authorization
r 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 t No
For the record only for Corps Permit: r Yes t 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 (' No
1g.Is payment into a mitigation bank or in-lieu fee program proposed for mitigation of impacts?
✓ Yes rNo
1h.Is the project located in any of NC's twenty coastal counties?
✓ Yes (' No
1j.Is the project located in a designated trout watershed?
6. Yes r No
B. Applicant Information
Id.Who is applying for the permit?
f7 Owner r Applicant(other than owner)
le.Is there an Agent/Consultant for this project?*
✓ Yes ( No

2.Owner Information
2a.Name(s)on recorded deed:
NC Department Of Transportation
2b.Deed book and page no.:
2c.Contact Person:
2d.Address
Street Address
253 Webster Road
Address Line 2
CRY State/Province/legion
Sylva North Carolina
Postal/Zip Cate Country
28779 US
2e.Telephone Number: 2f.Fax Number:
[phone] [phone]
2g.Email Address:*
[e-mail]
C. Project Information and Prior Project History C^U
1. Project Information
lb.Subdivision name:
(f apprgxiate)
1c.Nearest municipality/town:
Rosman
2. Project Identification
2a.Property Identification Number: 2b.Property size:
2c.Project Address
Street Address
Silversteen Road
Address Line 2
Oty State/Province/legion
Lake Toxaway North Carolina
Postal/Zip Code Country
28747 US
3.Surface Waters
3a.Name of the nearest body of water to proposed project:*
West Fork French Broad River
3b.Water Resources Classification of nearest receiving water:*
B;Tr
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.
060101050102
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:*
Transylvania 870063 Replace on SR1309 Over West Fork French Broad River
4b.Have Corps permits or DWR certifications been obtained for this project(including all prior phases)in the past?*
r Yes f No r Unknown
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:

200
4h.Explain the purpose of the proposed project:*
To replace a structurally deficient bridge
4i.Describe the overall project in detail,including indirect impacts and the type of equipment to be used:*
The existing Timber over Steel Beam bridge will be replaced with a modern cored slab concrete bridge.
5.Jurisdictional Determinations
5a.Have the wetlands or streams been delineated on the property or proposed impact areas?*
rz Yes r No r Unknown
Comments:
Reviewed by NCDOT staff
5b.If the Corps made a jurisdictional determination,what type of determination was made?*
✓ Preliminary r Approved (7 Not Verified r Unknown r N/A
Corps AID Number:
5c.If 5a is yes,who delineated the jurisdictional areas?
Name(if known): Kevin Barnett
Agency/Consultant Company: NCDOT
Other:
6. Future Project Plans
6a.Is this a phased project?*
✓ Yes 6- 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 further projects are expected at this time
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
IT 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 Dewatering Temporary Dewatering W.Fork French Broad Perennial Both 25 150
Average(feet) (linear feet)
S2 Riprap Permanent Bank Stabilization W.Fork French Broad Perennial Both 25 20
Average(feet) (linear feet)
3i.Total jurisdictional ditch impact in square feet:
0
3i.Total permanent stream impacts: 3i.Total temporary stream impacts:
20 150
3i.Total stream and ditch impacts:
170
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:
These are the minimum impacts necessary to construct the project and protect bank stability from collected stormwater drainage
1b.Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:

All bridge construction will take place outside waters.
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 ( No
2b.If this project DOES NOT require Compensatory Mitigation,explain why:
Impact less than threshold.
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 A' No
If no,explain why:
Thee are no Riparian Buffer Rules in this geographic location.
2.Stormwater Management Plan
2a.Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?*
F Yes C No
Comments:
No direct discharge of stormwater from this project.
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?*
6 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 r No
1c.If you answered"yes"to the above,has the document review been finalized by the State Clearing House?*
✓ Yes ( No
Comments:*
Below threshold for Clearing House
2.Violations(DWR Requirement)
2a.Is the site in violation of DWR Water Quality Certification Rules(15ANCAC 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 6 No
3. Cumulative Impacts(DWR Requirement)
3a.Will this project result in additional development,which could impact nearby downstream water quality?*
r Yes ( No
3b.If you answered"no,"provide a short narrative description.
This project is to improve traffic safety along the existing road network.No additional development will occur as a result of this project.
4.Sewage Disposal(DWR Requirement)
4a.Is sewage disposal required by DWR for this project?*
✓ Yes 6 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?*
r 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 G No r Unknown
5e.Is this a DOT project located within Division's 1-8?
✓ Yes r No
5f.Will you cut any trees in order to conduct the work in waters of the U.S.?
F 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.?
6 Yes r No
If you answered"Yes"to 5g(1),did you discover any signs of bat use?
✓ Yes r' No r Unknown
5h.Does this project involve the construction/installation of a wind turbine(s)?*
✓ Yes (- No
Si.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
5j.What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
IPAC website and onsite evaluations/surveys.
6. Essential Fish Habitat(Corps Requirement)
6a.Will this project occur in or near an area designated as an Essential Fish Habitat?*
✓ Yes (7 No
6b.What data sources did you use to determine whether your site would impact an Essential Fish Habitat?*
NOAA website
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?*
NC SHPO office
8. Flood Zone Designation(Corps Requirement)
8a.Will this project occur in a FEMA-designated 100-year floodplain?*
✓ Yes f• No
8c.What source(s)did you use to make the floodplain determination?*
FEMA Website.Map not printed for this area.
Miscellaneous U
Please use the space below to attach all required documentation or any additional information you feel is helpful for application review.Documents should be combined into one
file when possible,with a Cover Letter,Table of Contents,and a Cover Sheet for each Section preferred.
pick the upload button or drag and drop files here to attach document
Transylvania 63_Corps narrative_GP 50_Final.docx.pdf 378.52KB
Pre-filing done_July 8 2021.pdf 416.36KB
17BP.14.R.183 Transylvania 63_MCDC.pdf 8.17MB
NCDOT 17BP.14.R.183_Transylvania Bridge 63_Tribal Coordination Package.pdf 4.66MB
Trans63-VascularPalntSurvey.pdf 52.86KB
Polk63BatSurvey04.28.2021.pdf 722.53KB
DWR Pre-Filing Meeting Request Form.pdf 54.4KB
Transylvania 63_100 Percent Partial Plan Set_Permit Drawings.pdf 2.35MB
16-02-0099NoSurvey.pdf 2.06MB
Structure 870063 Transylvania No Archaeological Survey Required Form.pdf 4.01MB
Structure 870063 Transylvania No Archaeological Survey Required Form.pdf 4.01MB
Transylvania 63 Topo and vicinity.pdf 412.67KB
(SF-870063)_HYD_SMPv2.07_(Oct 2016).pdf 30.71KB
NCC.Updated.Trans63.pdf 439.33KB
87 0063 2017 SF-870063 WEST FORK FRENCH BROAD RIVER SR1309.pdf 3.73MB
Fle must be PT or IQv2
Comments

Signature
IW 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
16Vi:J h`3AfI E 1Y
Date
8/12/2021