20211749 Ver 1_401 Application_20211201

Staff Review
Does this application have all the attachments needed to accept it into the review process?*
Yes No
ID# *
20211749
Version* 1
Is this project a public transportation project?* Yes
• No
Reviewer List: * Kaylie Yankura:eads\kyankura
Select Reviewing Office: * Asheville Regional Office - [phone]
Submittal Type:* 401 Application
Does this project require a request for payment to be sent?*
Yes
No
How much is owed?* $240.00
$570.00

Project Submittal Form
Please note: fields marked with a red asterisk below are required. You will not be able to submit the form until all
mandatory questions are answered.
Project Type: * For the Record Only (Courtesy Copy)
New Project
Modification/New Project with Existing ID
More Information Response
Other Agency Comments
Pre -Application Submittal
Re-Issuance\Renewal Request
Stream or Buffer Appeal
Project Contact Information
Name: Terry E Allen
Who is submitting the information?
Email Address: [e-mail]
Project Information
Project Name: Stone Scour Apron at Waterdance Bridge Abutments
Is this a public transportation project?
Yes
No
Is the project located within a NC DCM Area of Environmental Concern (AEC)?
Yes No Unknown
County (ies)
Jackson
Please upload all files that need to be submited.
Click the upload button or drag and drop files here to attach document
PCN Form - NWP 3, Waterdance.pdf
346.21 KB
SIGNED PCN.pdf
1.65MB
C1 - 10-11-2021.pdf
314.3KB
C2 -- 10-11-2021.pdf
169.82KB
C3 - 10-11-2021.pdf
133.13KB
C4 -- 10-11-2021.pdf
234.04KB
C5 - 10-11-2021.pdf
119.98KB
DWR Pre -Filing Meeting Request Form.pdf
118.82KB
Only pdf or kmz files are accepted.

Describe the attachments or
comments:
This Project is to replace the armor stone at the foundation of the
existing Private Vehicular Bridge at the entrance to the Waterdance
Residential Development, Hwy 107 N, Tuchasegee, Jackson County.
The Waterdace Bridge is located on the West Fork Tuckasegee River.
This portion of the West Fork Tuckasegee River has a classification of
WS-III,B;Trout. The general land use is residential. The original scour
blanket has been lost to erosion during Tropical Storm Fred in August,
2021.
Sign and Submit
By checking the box and signing box below, I certify that:
• I, the project proponent, hereby certifies that all information contained herein is true, accurate, and complete to the
best of my knowledge and belief.
• I, 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 agree that submission of this online 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 online form.
Signature:
7 YF—ALL"
Submittal Date: Is filled in automatically.

o�pF vuarF9�G
y
Office Use Only:
Corps action ID no.
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
Corps:
®Section 404 Permit El Section 10 Permit
1b. Specify Nationwide Permit (NWP) number:
NWP-3-1 Repair, rehabilitation, or replacemencurrently serviceable structure or fill or General Permit (GP) number:
1c.
Has the NWP or GP number been verified by the Corps?
® Yes
❑ No
1d.
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
1 e.
Is this notification solely for the record
because written approval is not required?
For the record only for DWQ 401
Certification:
® Yes ❑ No
For the record only for Corps Permit:
❑ Yes ® No
1f.
Is payment into a mitigation bank or in -lieu fee program proposed for mitigation
of impacts? If so, attach the acceptance letter from mitigation bank or in -lieu
fee program.
❑ Yes
® No
1 g.
Is the project located in any of NC's twenty coastal counties. If yes, answer 1 In
below.
❑ Yes
® No
1 h.
Is the project located within a NC DCM Area of Environmental Concern (AEC)?
❑ Yes
® No
2.
Project Information
2a.
Name of project:
Stone Scour Apron at Waterdance Bridge Abutments
2b.
County:
Jackson
2c.
Nearest municipality / town:
Cashiers
2d.
Subdivision name:
Waterdance
2e.
NCDOT only, T.I.P. or state
project no:
3.
Owner Information
3a.
Name(s) on Recorded Deed:
WATER DANCE HOA INC
3b.
Deed Book and Page No.
3c.
Responsible Party (for LLC if
applicable):
3d.
Street address:
56 Waterdance Drive,
3e.
City, state, zip:
Tuckasegee, Jackson County, NC
3f.
Telephone no.:
[phone]
3g.
Fax no.:
3h.
Email address:
Page 1 of 12
PCN Form — Version 1.3 December 10, 2008 Version

4.
Applicant Information (if different from owner)
4a.
Applicant is:
❑ Agent ❑ Other, specify:
4b.
Name:
4c.
Business name
(if applicable):
4d.
Street address:
4e.
City, state, zip:
4f.
Telephone no.:
4g.
Fax no.:
4h.
Email address:
5.
Agent/Consultant Information (if applicable)
5a.
Name:
Terry Allen, PE
5b.
Business name
(if applicable):
T.E. ALLEN ENGINEERING, PC
5c.
Street address:
P.O. Box 103
5d.
City, state, zip:
Rosman, NC 28772
5e.
Telephone no.:
828-877-4883
5f.
Fax no.:
5g.
Email address:
[e-mail]
Page 2 of 12
PCN Form — Version 1.3 December 10, 2008 Version

B.
Project Information and Prior Project History
1.
Property Identification
1a.
Property identification no. (tax PIN or parcel ID):
7566-56-7342
1 b.
Site coordinates (in decimal degrees):
Latitude: 35.236846 Longitude: - 82.13419
(DD.DDDDDD) (-DD.DDDDDD)
1c.
Property size:
7.18 (from Jackson County GIS) acres
2.
Surface Waters
2a.
Name of nearest body of water (stream, river, etc.) to
proposed project:
West Fork Tuckasegee River (Little Glenville Lake)
2b.
Water Quality Classification of nearest receiving water:
WS-III,B;Tr
2c.
River basin:
Little Tennessee
Page 3 of 12
PCN Form — Version 1.3 December 10, 2008 Version

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:
This Project is to replace the armor stone at the foundation of the existing Private Vehicular Bridge at the entrance to the
Waterdance Residential Development, Hwy 107 N, Tuchasegee, Jackson County. The Waterdace Bridge is located on
the West Fork Tuckasegee River. This portion of the West Fork Tuckasegee River has a classification of WS-III,13 Jrout.
The general land use is residential. The original scour blanket has been lost to erosion.
3b.
List the total estimated acreage of all existing wetlands on the property:
none
3c.
List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
none
3d.
Explain the purpose of the proposed project:
This Project is to replace armor stone along the existing bridge foundation to prevent erosion. Approximately 40 Linear
Feet of large armor stone will be placed along the bridge abutment foundation on each side to the River Bank.
New work to be in accordance with Sheets C1 through C4.
The work will be performed "IN THE DRY" using silt curtains to isolate the work area and control turbidity.
All temporary Erosion Control Measures shall be in accordance with the latest edition of the NC EROSION and
SEDIMENT CONTROL PLANNING and DESIGN MANUAL. All Trout Buffer disturbance shall be repaired in accordance
with the NCDEQ-DLR Trout Buffer and Riparian Area planting requirements. See attached Sheet C3 for location of work.
3e.
Describe the overall project in detail, including the type of equipment to be used:
FOUNDATION. Work shall be performed during periods of "LOW FLOW". A coffer dam to create a dry work area may
be used if necessary. At a minmumim, three (3) rows of Turbitidy Curtains shall be used in to Isolate the work area and
control turbidity. addition to the Coffer Dam. To comply with Water Quality requirements, the work will be performed in
the dry. Where a coffer dam is used, the work area will be dewatered by pumping. All dewatering discharge shall have a
turbidity of not more than 10 NTUs above background or as otherwise specified in DWQ's Turbidity Standards (15A
NCAC 02B.0211(3.)(k.)). To satisfy the required turbidity limit, the dewatering pump discharge shall be filtered through a
Bag Filtration Unit equal to Model BF-400 from Rain -for -Rent with a 100 to 1 micron nominal rating (P.O.C. at Rain -for -
Rent is Jeremy at 704-393-3345). The turbidity level of all discharge shall be monitored with calibrated turbidity meters
and the filtration equipment shall be adjusted as necessary to insure compliance with Water Quality Standards. The
water around the dredging areas shall likewise be monitored with calibrated turbidity meters and the turbidity curtains
shall be adjusted as necessary to insure compliance with Water Quality Standards.
All temporary Erosion Control Measures shall be in accordance with the latest edition of the NC EROSION and
SEDIMENT CONTROL PLANNING and DESIGN MANUAL.
Uncured concrete shall not be allowed to come into direct contact with surface waters. This will be accomplished by
establishing a "dry work area" as described above. "High Early" cementious material shall be in the stone work to
minimize curing time.
Water Quality around the work areas shall be monitored with calibrated turbidity meters. The coffer dams and turbidity
curtains shall be adjusted as necessary to insure compliance with Water Quality Standards. Furnish and install multiple
layers of turbidity curtains as necessary to insure regulatory compliance.
No disturbance within existing Vegetated Trout Buffer. Provide Turbidity Curtains around work area to maintian water
quality.
Water Quality around the work areas shall be monitored with calibrated turbidity meters. The coffer dams and turbidity
curtains shall be adjusted as necessary to insure compliance with Water Quality Standards.
Page 4 of 12
PCN Form — Version 1.3 December 10, 2008 Version

4.
Jurisdictional Determinations
4a.
Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
El Yes ®No El Unknown
project (including all prior phases) in the past?
Comments:
4b.
If the Corps made the jurisdictional determination, what type
El Preliminary El Final
of determination was made?
4c.
If yes, who delineated the jurisdictional areas?
Agency/Consultant Company:
Name (if known):
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 ® No ❑ 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.
TROUT BUFFER. All disturbance within the Trout Buffer shall
be restored in accordance with the NCDEQ-DLR Trout
Buffer and Riparian Area planting requirements.
Page 5 of 12
PCN Form — Version 1.3 December 10, 2008 Version

C. Proposed Impacts Inventory
1. Impacts Summary
1 a. Which sections were completed below for your project (check all that apply):
❑ 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)
Temporary T
W1 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W2 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W3 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W4 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W5 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W6 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
2g. Total wetland impacts
2h. Comments:
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
❑ PER
❑ Corps
❑ INT
❑ DWQ
S2 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S3 ❑ P ❑ T
❑ PER
❑ Corps
❑ 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
3i. Comments:
Page 6 of 12
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
West Fork
Temporary Coffer Dam for
01 ❑ P ®T
Tuckasegee River
Boathouse Foundation 80 Linear
River
0.02 Acres
Ft (+/-)
West Fork
Temporary Turbidity Curtain to
02 ❑ P ®T
Tuckasegee River
Repair Seawall,
River
0.02 Acres
80 Linear Ft
03 ®P ❑ T
West Fork Tuckasegee River
Permanent Stone Scour Apron
River
0.06 Acres
04 ®P❑T
4f. Total open water impacts
0.10 Acres
4g. Comments: The work shall be performed during periods of "Low Flow".
1.0 At the Contractor's option, the work may be accomplished "in the dry" by installing a temporary Coffer Dam around the
proposed work area. Three (3) rows of Turbidity Curtains shall be installed in addition to the Coffer Dam. The dewatering
discharge will be filtered to DWQ Water Quality Standards prior to release. Turbidity Curtains to remain in place untll work is
complete and the turbidity in the work area is less than 10 NTUs above background.
2.0 Where the work is performed "IN THE WET" silt curtains shall be used to isolate the work area and control turbidity. All
temporary Erosion Control Measures shall be in accordance with the latest edition of the NC EROSION and SEDIMENT
CONTROL PLANNING and DESIGN MANUAL.
5. Pond or Lake Construction
If pond or lake construction proposed, the 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:
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:
Page 7 of 12
PCN Form — Version 1.3 December 10, 2008 Version

6. Buffer Impacts (for DWQ)
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 ❑ Tar -Pamlico ❑ Other:
Project is in which protected basin?
❑ Catawba ❑ Randleman
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
re uired?
B1 ❑P❑T
El Yes
❑ No
B2 ❑ P ❑ T
❑ Yes
❑ No
B3 ❑ P ❑ T
❑ Yes
❑ No
6h. Total buffer impacts
6i. Comments:
D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
1.0 The work shall be performed during periods of "LOW FLOW". The Contractor shall monitor the weather forecasts. When
severe weather and/or precipitation is forcasted, the Contractor shall stop work and stabilize and protect the work -in -progress
from damage by flood water.
2.0 At the Contractor's Option, the work may be accomplished "in the dry" by installing a temporary Coffer Dam around the
proposed work area. The dewatering discharge will be filtered to DWQ Water Quality Standards prior to release. Turbidity
Curtains to remain in place untll work is complete and the turbidity in the work area is less than 10 NTUs above background.
3.0 When the work is performed "in the wet", the Contractor shall install three (3) rows of turbidity curtains to isolate the work
area and control turbidity.
4.0 All temporary Erosion Control Measures shall be in accordance with the latest edition of the NC EROSION and
SEDIMENT CONTROL PLANNING and DESIGN MANUAL.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
To minimize disturbance during construction, the work will be accomplished with the smallest mechanical equipment
practicable.
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 State?
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
El Payment to in -lieu fee program
project?
❑ Permittee Responsible Mitigation
Page 8 of 12
PCN Form — Version 1.3 December 10, 2008 Version

3.
Complete if Using a Mitigation Bank
3a.
Name of Mitigation Bank:
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:
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.
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
buffer mitigation?
❑ Yes ❑ No
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.
Zone
6c.
Reason for impact
6d.
Total impact
(square feet)
Multiplier
6e.
Required mitigation
(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: Should project exceed 10% or 100' in 1000', a trout buffer waiver will be sought from NCDENR - Div of Land
Resources
Page 9 of 12
PCN Form — Version 1.3 December 10, 2008 Version

E.
Stormwater Management and Diffuse Flow Plan (required by DWQ)
1.
Diffuse Flow Plan
1 a.
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:
2.
Stormwater Management Plan
2a.
What is the overall percent imperviousness of this project?
%
2b.
Does this project require a Stormwater Management Plan?
❑ Yes ® No
2c.
If this project DOES NOT require a Stormwater Management Plan, explain why:
2d.
If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
❑ Certified Local Government
2e.
Who will be responsible for the review of the Stormwater Management Plan?
❑ DWQ Stormwater Program
❑ DWQ 401 Unit
3.
Certified Local Government Stormwater Review
3a.
In which local government's jurisdiction is this project?
❑ Phase II
3b.
Which of the following locally -implemented stormwater management programs
❑ NSW
❑ USMP
apply (check all that apply):
❑ Water Supply Watershed
❑ Other:
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
5.
DWQ 401 Unit Stormwater Review
5a.
Does the Stormwater Management Plan meet the appropriate requirements?
❑ Yes ❑ No
5b.
Have all of the 401 Unit submittal requirements been met?
❑ Yes ❑ No
Page 10 of 12
PCN Form — Version 1.3 December 10, 2008 Version

F.
Supplementary Information
1.
Environmental Documentation (DWQ Requirement)
1 a.
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)?
1 c.
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?
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.
Page 11 of 12
PCN Form — Version 1.3 December 10, 2008 Version

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?
6.
Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat?
❑ Yes ® No
6b.
What data sources did you use to determine whether your site would impact Essential Fish Habitat?
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
❑ Yes ® No
status (e.g., National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
7b.
What data sources did you use to determine whether your site would impact historic or archeological resources?
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?
KARL TAYLOR
for
WATER DANCE HOA INC
Date
Applicant/Agent's Signature
(Agent's signature is valid only if an authorization letter from the applicant
Applicant/Agent's Printed Name
is provided.)
Page 12 of 12
PCN Form — Version 1.3 December 10, 2008 Version

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?
LJ 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?
6. Essential Fish Habitat (Carps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat?
❑ Yes iNo
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
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
k' f
[] Yes No
status (e.g., National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?
8. Flood Zone Designation (Corps Requirement)
Ba. 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?
KARL TAYLOR
for
a
WATER DANCE HOA INC
Applicant/Agent's Anature
Date
(Agents signature is valid only if an auth ion letter from the applicant
Applicant/Agent's Printed Name
is provided.)
Page 12 of 12
PCN Form — Version 1.3 December 10, 2008 Version

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STONE SCOUR APRON for
PRIVATE VEHICULAR BRIDGE at
T.E. ALLEN ENGINEERING, P
Prepared for:
Karl Taylor
Waterdance HOA, Inc
FIRM # C-1997
n
WATERDANCE
PO Box 103
ROSMAN, NORTH CAROLINA 28772
P.O. Box 29
56 Waterdance Drive, HWY 107 North,
[phone]
Tuckasegee, NC 28783
Tuckasegee, Jackson County, NC,
MOBILE [phone]
[phone]
Oast.net
PIN 7566-56-7342
email : tealleneng®oomporium.net
kj aylo 5@c m9c

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STONE SCOUR APRON for
PRIVATE VEHICULAR BRIDGE at
T.E. ALLEN ENGINEERING, P
Prepared for:
Karl Taylor
Waterdance HOA, Inc
FIRM # C-1997
n
WATERDANCE
PO Box 103
ROSMAN, NORTH CAROLINA 28772
P.O. Box 29
�j
56 Waterdance Drive, HWY 107 North
[phone]
Tuckasegee, 28783
Tuckasegee, Jackson County, NC,
MOBILE [phone]
[phone]
9Oast.net
PIN 7566-56-7342
email : tealleneng®oomporium.net
kj aylo 5@c mc

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STONE SCOUR APRON for
PRIVATE VEHICULAR BRIDGE at
T.E. ALLEN ENGINEERING, P�
Prepared for:
Karl Taylor
Waterdance HOA, Inc
FIRM # C-1997
n
WATERDANCE
PO Box 103
ROSMAN, NORTH CAROLINA 28772
P.O. Box 29
56 Waterdance Drive HWY 107 North
[phone]
Tuckasegee, NC 2s783
Tuckasegee, Jackson County, NC,
MOBILE (82B) 553-3004
[phone]
[phone]
PIN 7566-56-7342
email : tealleneng®comporiummet
[e-mail]

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STONE SCOUR APRON for
PRIVATE VEHICULAR BRIDGE at
T.E. ALLEN ENGINEERING, P
Prepared for:
Karl Taylor
Waterdance HOA, Inc
FIRM # C-1997
n
IF
WATERDANCE
Po Box to3
ROSMAN, NORTH CAROLINA 28772
P.O. Box 29
T p
56 Waterdance Drive, HWY 107 North,
[phone]
Tuckasegee, NC 28783
Tuckasegee, Jackson County, NC,
MOBILE [phone]
[phone]
0ast.net
PIN 7566-56-7342
email : tealleneng®oomporium.net
kj aylo 5@c m9c

TURBIDITY CURTAIN SYSTEM
ANCHOR SYSTEM AND LAYOUT DETAILS
Work shall only be performed during periods of "Low Flow".
Where the work is performed "in the wet", furnish and install three
(3) rows of Turbidity Curtains around the work area. Remove at
completion of work, or when severe weather and/or precipitation
are forecasted.
TURBIDITY CURTAIN DETAIL
Not to Scale
STONE SCOUR APRON for
PRIVATE VEHICULAR BRIDGE at
T.E. ALLEN ENGINEERING, P
Prepared for:
Karl Taylor
Waterdance HOA, Inc
FlRM I C-1997
WATERDANCE
PO BOX 103
ROSMAN, NORTH CAROLINA 28772
P.O. Box 29
56 Waterdance Drive, HWY 107 North,
[phone]
Tuckasegee, NC 28783
Tuckasegee, Jackson County, NC,
MOBILE [phone]
[phone]
[phone]
PIN 7566-56-7342 11
[e-mail]

Contact Name*
Contact Email Address*
Project Owner*
Project Name*
Project County*
Owner Address:
Is this a transportation project?*
Terry E Allen
[e-mail]
WATER DANCE HOA INC
Stone Scour Apron at Waterdance Bridge Abutments
Jackson
Street Address
56 Waterdance Drive
Address Line 2
City
Tuckasegee
Postal / Zip Code
28783
Yes No
Type(s) of approval sought from the DWR:
401 Water Quality Certification - 401 Water Quality Certification -
Regular Express
Individual Permit Modification
Shoreline Stabilization
Does this project have an existing project ID#?*
Yes No
State / Province / Region
NC
Country
USA
Do you know the name of the staff member you would like to request a meeting with?
Please give a brief project description below and include location information.
This Project is to replace the armor stone at the foundation of the
existing Private Vehicular Bridge at the entrance to the Waterdance
Residential Development, Hwy 107 N, Tuchasegee, Jackson County.
The Waterdace Bridge is located on the West Fork Tuckasegee River.
This portion of the West Fork Tuckasegee River has a classification of
WS-III,B;Trout. The general land use is residential. The original scour
blanket has been lost to erosion during Tropical Storm Fred in August,
2021.
By digitally signing below, I certify that I have read and understood that per the Federal Clean Water Act Section
401 Certification Rule the following statements:
This form completes the requirement of the Pre -Filing Meeting Request in the Clean Water Act Section 401
Certification Rule.
1 understand by signing this form that I cannot submit my application until 30 calendar days after this pre -filing
meeting request.

1 also understand that DWR is not required to respond or grant the meeting request.
Your project's thirty -day clock started upon receipt of this application. You will receive notification regarding meeting
location and time if a meeting is necessary. You will receive notification when the thirty -day clock has expired, and you
can submit an application.
Signature*
70�Y JF_ A-LI nI
IF -
Submittal Date 10/18/2021