20210191 Ver 2_ePCN Application_20221213

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mrlsloa of ware. Resources
Pre -Construction Notification (PCN) Form
For Nationwide Permits and Regional General Permits
(along with corresponding Water Quality Certifications)
April 13, 2022 Ver 4.3
Initial Review
Has this project met the requirements for acceptance in to the review process?*
Yes
No
Is this project a public transportation project?*
Yes No
Change only if needed.
Pre -Filing Meeting Date Request was submitted on:
1 /27/2021
BIMS # Assigned"
20210191
Is a payment required for this project?
No payment required
Fee received
Fee needed - send electronic notification
Select Project Reviewer*
Amy Chapman:eads\aschapman:[e-mail]
Information for Initial Review
1a. Name of project:
Replace Bridge No. 035 on SR 1134 Millingport Road over Long Creek
1a. Who is the Primary Contact?*
Joel Howard
1 b. Primary Contact Email:
[e-mail]
Date Submitted
12/13/2022
Nearest Body of Water
Long Creek
Basin
Yadkin-PeeDee
Water Classification
C
Site Coordinates
Latitude: Longitude:
35.43991-80.274209
A. Processing Information
County (or Counties) where the project is located:
Stanly
Is this a NCDMS Project
Yes No
Is this project a public transportation project?*
Yes No
Version#*
2
Reviewing Office*
Mooresville Regional Office - [phone]
1c. Primary Contact Phone:*
[phone]
Is this a NCDOT Project?*
Yes No

(NCDOT only) T.I.P. or state project number:
WBS#M
17BP.10.PE.147
1a. Type(s) of approval sought from the Corps:
Section 404 Permit (wetlands, streams and waters, Clean Water Act)
Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)
Has this PCN previously been submitted?
Yes
No
Please provide the date of the previous submission.*
8/8/2021
1 b. What type(s) of permit(s) do you wish to seek authorization?
Nationwide Permit (N W P)
Regional General Permit (RGP)
Standard (IP)
1c. Has the NWP or GP number been verified by the Corps?
Yes No
Regional General Permit (RGP) Number:
RGP Numbers (for multiple RGPS):
1d. Type(s) of approval sought from the DWR:
401 Water Quality Certification - Regular
Non-404 Jurisdictional General Permit
Individual 401 Water Quality Certification
201902350 - Work associated with bridge construction, widening, replacement, and
interchanges
le. Is this notification solely for the record because written approval is not required?
For the record only for DWR 401 Certification:
For the record only for Corps Permit:
1f. 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 No
1 h. Is the project located in any of NC's twenty coastal counties?
Yes No
1j. Is the project located in a designated trout watershed?
Yes No
B. Applicant Information
1d. Who is applying for the permit?
Owner Applicant (other than owner)
le. Is there an Agent/Consultant for this project?
Yes No
2. Owner Information
2a. Name(s) on recorded deed:
NCDOT Division 10
2b. Deed book and page no.:
N/A
2c. Contact Person:
401 Water Quality Certification - Express
Riparian Buffer Authorization
Yes No
Yes No

2d.Address
Street Address
706 W Main Street
Address Line 2
City
Albemarle
Postal / Zip Code
28001
2e. Telephone Number:
[phone]
2g. Email Address:*
[e-mail]
C. Project Information and Prior Project History
1. Project Information
1 b. Subdivision name:
(if appropriate)
1c. Nearest municipality I town:
New London
2. Project Identification
State / Province / Region
NO
Country
USA
2f. Fax Number:
2a. Property Identification Number: 2b. Property size:
N/A 3.5
2c. Project Address
Street Address
SR 1134 (Millingport Road) @ Long Creek
Address Line 2
City State / Province / Region
Richfield NO
Postal / Zip Code Country
28127 USA
3. Surface Waters
3a. Name of the nearest body of water to proposed project:
Long Creek
3b. Water Resources Classification of nearest receiving water:
C
3c. What river basin(s) is your project located in?*
Yadkin-PeeDee
3d. Please provide the 12-digit HUC in which the project is located.
030401050402
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: *
Existing site conditions include SR 1134 (Millingport Road), Miller Road, agricultural land, residential land, forested land adjacent to Long Creek, and the disturbed/maintained right-of-way.
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?
Yes No Unknown
If yes, please give the DWR Certification number or the Corps Action ID (exp. SAW-0000-00000).
DWR # 2021-0191; SAW-2021-01702
4f. List the total estimated acreage of all existing wetlands on the property:
0
4g. List the total estimated linear feet of all existing streams on the property:
150
4h. Explain the purpose of the proposed project: *
The purpose of the project is to replace the structurally deficient SR 1134 bridge over Long Creek with a new bridge.

4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used: *
The North Carolina Department of Transportation, Division 10, plans to replace Bridge No. 035 carrying SR 1134 (Millingport Road) over Long Creek in Stanly County, North Carolina. The
existing bridge is an approximately 30-foot wide channel beam structure with two approximately 11-foot travel lanes and approximately 4-foot paved shoulders. The bridge is approximately
91 feet in length. The WBS for this project was formerly 17BP.10.R.147 and is now 17BP.10.PE.147.
The proposed project is state funded and proposes replacing the existing 3 span bridge with a 2 span cored slab bridge with a total length of 120 feet. The proposed bridge would be a 30-
foot wide structure with two 10-foot travel lanes and 4-foot shoulders. The proposed grade across the profile of the new bridge structure is approximately 5 feet higher than the existing
bridge profile in order to increase the design speed. The proposed approach roadway includes two 10-foot wide travel lanes with approximately 2-foot paved shoulders. The proposed
approach roadway extends approximately 700 feet from the western end of the new bridge and approximately 330 feet from the eastern end of the new bridge. The project also requires a
tie in at the intersection of SR 1134 (Millingport Road) and Miller Road located approximately 50 feet west of the proposed bridge structure. The tie-in to Miller Road would extend 120 feet
north of the intersection and would include two 10-foot travel lanes with 3-foot shoulders. The total length of the project is approximately 1,160 feet (0.2 mile).
An eight -mile off -site detour would be required for the full duration of construction. The detour route would take vehicles on SR 1134 (Millingport Road), SR 1449 (Sunnybrook Road), SR
1434 (Rogers Road), SR 1451 (Paul's Crossing Road), and SR 1447 (Frick Road).
Impervious dikes will be installed on the eastern and western banks of Long Creek to prevent sediment from entering the stream during the removal of the existing bridge and will be
dewatered as needed; these dikes will result in an additional 10 If of temporary impacts outside of permanent impacts. Permanent impacts of 93 If will result from bank stabilization of the
eastern and western banks of Long Creek.
Impervious dikes will additionally be constructed within Long Creek on the northern side of SR 1134 (Millingport Road) in order to install a water line; this will result in 20 If of temporary
impacts. A temporary pipe will be placed from the northern impervious dike to the southern impervious dike to allow flow to continue through the channel while the water line is installed.
Erosion and sediment control measures will be installed at the outset of construction. Overall drainage patterns will be maintained. There are proposed ditches that flow towards the stream
on both the begin and end sides of the downstream portion of the bridge and on the end side of the upstream portion of the bridge. On the begin side of the bridge, a traffic bearing grated
drop inlet will be placed to the left side of the roadway in the shoulder berm gutter to pick up runoff from the bridge. Class -II riprap abutment protection on both banks of the stream is also
proposed to prevent future erosion and stream migration.
The mechanized equipment to be used for construction will include track hoes, back -hoes, bulldozers and grading equipment.
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
Yes
Comments:
See Attachment B - Delineation Materials
No
5b. If the Corps made a jurisdictional determination, what type of determination was made?*
Preliminary Approved Not Verified Unknown N/A
Corps AID Number:
SAW-2021-01702
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known): Brandon Philips, CHMM
Agency/Consultant Company: STV Engineers, Inc
Other:
6. Future Project Plans
6a. Is this a phased project?*
Unknown
Yes 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?
Currently the project is authorized under a NWP 3; Division 10 has Let the project and utility relocations are commencing pursuant to the NWP 3 authorization. This application is being
resubmitted in the event that all authorized impacts cannot be completed prior to the expiration of the NWP 3 in March 2023.
D. Proposed Impacts Inventory
1. Impacts Summary
1a. Where are the impacts associated with your project? (check all that apply):
Wetlands Streams -tributaries Buffers
Open Waters Pond Construction
3. Stream Impacts
Sf
3a. Reason for impact (?)
Bridge Replacement
3b.lmpact type*
Permanent
3c. Type of impact*
Bank Stabilization
3d. S. name*
Long Creek
3e. Stream Type*
(?)
Perennial
3f. Type of
Jurisdiction*
Both
3g. S. width
20
Average (feet)
3h. Impact
length*
93
(linear feet)
Bridge Replacement Temporary Other Long Creek Perennial Both 20 20
Average (feet) Qinear feet)
Fl�

g;3 Bridge Replacement Temporary Other JLong Creek Perennial Both 20 El,
Avemge(feet) r (.ell
3i. Total jurisdictional ditch impact in square feet:
0
3i. Total permanent stream impacts: 3i. Total temporary stream impacts:
93 123
3i. Total stream and ditch impacts:
216
3j. Comments:
The temporary S3 impacts are associated with the impervious dikes and are overlapping with the S1 bank stabilization impacts. The S2 temporary
impacts will be caused by impervious dikes constructed within Long Creek north of SR 1134 (Millingport Road) associated with the water line. A
temporary pipe will be placed through the impervious dike to allow continuous flow through the channel.
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:
Riprap bank stabilization for protection of the bridge abutments is being placed only on the stream banks and will not disturb the stream bed. The bridge
replacement will be conducted from the upland areas/roadway approaches. Dewatering strategies, including impervious dikes, will be employed. A
temporary pipe will be placed through the impervious dike north of SR 1134 (Millingport Road) to minimize the disruption of flow.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
NCDOT Best Management Practices for Construction and Maintenance Activities will be employed. Demolition and construction methods from the
upland roadway approaches will be used to minimize potential temporary demolition related impacts and avoid construction related impacts.
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:
The S1 permanent stream impact associated with bank stabilization will only impact the stream banks, the stream bed will not be disturbed, and no loss of waters will result.
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:
Project is located in the Yadkin-PeeDee River Basin and is not subject to NC Riparian Buffer Protection Rules.
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?
Yes No
Comments:
Please see attached Stormwater Management Plan for details on the minimization of water quality impacts (See Attachment A); no deck drains will be utilized.
G. Supplementary Information
1. Environmental Documentation
1a. Does the project involve an expenditure of public (federallstatellocal) funds or the use of public (federal/state) land?
Yes No
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 (North Carolina)
Environmental Policy Act (NEPA/SEPA)?*
Yes No
Comments: *
A Minimum Criteria Determination Checklist was prepared for this bridge replacement project (See Attachment C)
2. Violations (DWR Requirement)
U

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 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.
Project involves the replacement of an existing bridge and is not anticipated to affect future development.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
Yes No 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 No
5c. If yes, indicate the USFWS Field Office you have contacted.
Asheville
5d. Is another Federal agency involved?*
Yes No
5e. Is this a DOT project located within Division's 1-8?
Yes No
5f. Will you cut any trees in order to conduct the work in waters of the U.S.?
Yes No
5g. Does this project involve bridge maintenance or removal?
Yes No
5g(1). If yes, have you inspected the bridge for signs of bat use such as staining, guano, bats, etc.?
Yes No
If you answered "Yes" to 5g(1), did you discover any signs of bat use?
Yes No Unknown
5h. Does this project involve the construction/installation of a wind turbine(s)?*
Yes No
Unknown
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 No
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
USFWS IPaC and NCNHP data and site -specific surveys (See Attachment E - T&E Supplemental Information).
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as an Essential Fish Habitat?
Yes No
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat?
NOAA EFH Mapper
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 No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?*
See Attachment E - "No Archaeological Survey Required Form" and "Historic Architecture and Landscapes No Survey Required Form."
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:
NCDOT Hydraulics Unit Coordination with FEMA
8c. What source(s) did you use to make the floodplain determination?*
FEMA FIRM maps (ID # 3710662100J eff. 9/3/2002)
Miscellaneous
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.
Click the upload button or drag and drop files here to attach document
Cover —Letter _and_Supporting_lnformation_Brg35_PE147 RGP50 (003).pdf 14.73MB
File must be PDF or KMZ
Comments
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:
Joel M. Howard
Signature
T,XL 4 OOVA/ A
Date
12/13/2022