20210145 Ver 2_ePCN Application_20221220

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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 /25/2021
BIMS # Assigned"
20210145
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. 329 on SR 1315 over East Fork Twelve Mile Creek
1a. Who is the Primary Contact?*
Joel Howard
1 b. Primary Contact Email:
[e-mail]
Date Submitted
12/20/2022
Nearest Body of Water
East Fork Twelve Mile Creek
Basin
Catawba
Water Classification
C
Site Coordinates
Latitude: Longitude:
34.983462-80.709704
A. Processing Information
County (or Counties) where the project is located:
Union
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 # (1)
17.BR10.PE.141
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.*
3/30/2021
1 b. What type(s) of permit(s) do you wish to seek authorization?
Nationwide Permit (NWP)
Regional General Permit (RGP)
Standard (IP)
1c. Has the NWP or GP number been verified by the Corps?
Yes No
Nationwide Permit (NWP) Number:
NWP Numbers (for multiple NWPS):
1d. Type(s) of approval sought from the DWR:
401 Water Quality Certification - Regular
Non-404 Jurisdictional General Permit
Individual 401 Water Quality Certification
14 - Linear transportation
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:
Waxhaw
2. Project Identification
2a. Property Identification Number:
N/A
2c. Project Address
Street Address
SR 1315 @ East Fork Twelve Mile Creek
Address Line 2
City
Waxhaw
Postal / Zip Code
28713
3. Surface Waters
3a. Name of the nearest body of water to proposed project:
East Fork Twelve Mile Creek
3b. Water Resources Classification of nearest receiving water:
C
3c. What river basin(s) is your project located in?*
Catawba
3d. Please provide the 12-digit HUC in which the project is located.
030501030202
4. Project Description and History
State / Province / Region
INC
Country
USA
2f. Fax Number:
2b. Property size:
2.1
State / Province / Region
INC
Country
USA
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 conditions include SR 1315 (New Town Road), agricultural land, residential land, 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).
NCDWR Project No. 20210145v.1; SAW-2021-00931
4f. List the total estimated acreage of all existing wetlands on the property:
0.09
4g. List the total estimated linear feet of all existing streams on the property:
209
4h. Explain the purpose of the proposed project: *
The purpose of the project is to replace the deficient SR 1315 bridge over East Fork Twelve Mile Creek with a new structure.

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. 329 carrying SR 1315 (New Town Road) over East Fork Twelve Mile Creek in Union County,
North Carolina. The existing bridge has two nine -foot lanes with two -foot shoulders and is an approximately 26-foot long channel beam structure constructed in 1968 with no existing
sidewalk or bicycle facilities. The existing right-of-way of SR 1315 (New Town Road) is approximately 60 feet in width. The WBS for this project was formerly 17BP.10.R.141 and is now
17BP.10.PE.141.
The proposed project is state funded. The length of the project is approximately 650 feet and proposes to replace the existing bridge while maintaining the horizontal alignment of the
roadway; an off -site detour will be used to facilitate construction. The replacement structure would be a 54' X 25'-5" X 10'-2" aluminum box culvert. A culvert is proposed to minimize the
construction timeframe and the resultant disruption of local school traffic. The proposed right-of-way would be 127 feet at its widest point.
Erosion and sediment control measures will be installed at the outset of construction. An existing 16" water line south of New Town Road will be rerouted and will require open -cutting a
portion of the stream channel. Work to install the 16" water line will be done in the dry utilizing impervious dikes, a pump around system, and a dewatering device. This portion of work will
be completed prior to culvert construction and the stream bed will be restored to natural conditions.
During the culvert installation phase of the project impervious dikes will be installed within the channel north and south of New Town Road. A pump around station will be utilized to divert
water from the northern side of the New Town Road to the southern side while construction is in progress. The existing bridge will be removed by heavy equipment operating from the
upland roadway approaches and replaced with a 54' x 25'-5" x 10'-2" aluminum box culvert; the culvert will result in 55 If of permanent impacts to the stream. Following installation of the
culvert, 45 If of stream will be excavated to make it even with the 1' sill inside the newly installed culvert. Additionally, side slopes will be reinforced with class-1 riprap and flood benches
will have geotextile fabric installed for approximately 11 If along the stream for bank stabilization.
A lateral "v" ditch will be created on the northwestern side of New Town Road, this will result in a permanent wetland impact of <0.01 acre. On the northeastern side of New Town Road,
<0.01 acre of wetlands will be permanently impacted by roadway fill and on the southeastern side of New Town Road 0.02 acre of wetlands will be permanently impacted by roadway fill
(See Attachment A - Permit Drawings with Stormwater Management Plan).
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 No
Comments:
See Attachment B - Delineation Materials
5b. If the Corps made a jurisdictional determination, what type of determination was made?*
Preliminary Approved Not Verified Unknown N/A
Corps AID Number:
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known): Hal Bain
Agency/Consultant Company: Rummel Klepper and Kahl LLP
Other:
6. Future Project Plans
6a. Is this a phased project?*
Yes No
Unknown
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
1. Impacts Summary
1a. Where are the impacts associated with your project? (check all that apply):
Wetlands Streams -tributaries Buffers
Open Waters Pond Construction
2. Wetland Impacts
J
2a1 Reason (?)
2b. Impact type* (?)
2c. Type of W.
2d. W. name
2e. Forested*
Type of Jurisdicition*
2g• Impact
�12f.
area *
W1
Excavation
P
Headwater Forest
WC
No
Both
0.010
W2
Fill
P
Headwater Forest
WB
No
Both
(acres)
0.010
acres)
W3
Fill
P
Headwater Forest
—A
WB
No
Both
]
0.020
acres)

2g. Total Temporary Wetland Impact
0.000
2g. Total Permanent Wetland Impact
0.040
2g. Total Wetland Impact
0.040
2i. Comments:
A lateral "v' ditch will be created on the northwestern side of New Town Road, this will result in a permanent wetland impact of <0.01 acre. On the
northeastern side of New Town Road, <0.01 acre of wetlands will be permanently impacted by roadway fill and on the southeastern side of New Town
Road 0.02 acre of wetlands will be permanently impacted by roadway fill.
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
7
Jurisdiction*
length*
S7
Bridge Replacement
Permanent
Culvert
East Fork of Twelve Mile
Perennial
Both
15
55
Creek
Average (feet)
(linear feet)
gy
Bridge Replacement
Permanent
Excavation
East Fork of Twelve Mile
Perennial
Both
15
45
Creek
Average (feet)
(linear feet)
S3
Bridge Replacement
Permanent
Bank Stabilization
East Fork of Twelve Mile
Perennial
Both
15
11
Creek
Average (feet)
pinear feet)
S4
Bridge Replacement
Temporary
Culvert
East Fork Twelve Mile Creek
Perennial
Both
15
17
Average (feet)
(linear feet)
31. Total jurisdictional ditch impact in square feet:
0
31. Total permanent stream impacts:
111
31. Total stream and ditch impacts:
128
3i. Total temporary stream impacts:
17
3j. Comments:
Permanent impacts are associated with bank stabilization of East Fork of Twelve Mile Creek, excavation, and culvert installation. Temporary impacts of
17 LF are outside of reported permanent impacts and are associated with the demolition of the existing bridge and the dewatering of the stream for the
construction of the proposed bridge replacement.
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:
Replacing the bridge with a culvert in -place was incorporated to reduce the construction timeframe and minimize impacts. The horizontal alignment of
the roadway was maintained and the culvert length was minimized to reduce impacts. Riprap bank stabilization for protection of the bridge abutments is
being placed only on the stream banks and will not disturb the stream bed. Work will be conducted from the upland areas/roadway approaches.
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 project was previously authorized under a NWP 14 and mitigation payment made to the NCDMS by the NCDOT for unavoidable permanent impacts (100 LF of stream impact and
0.04 acre of wetland impact) associated with the culvert installation.
F. Stormwater Management and Diffuse Flow Plan (required by DWR)
1. Diffuse Flow Plan
la. 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 Catawba River Basin but is not subject to NC Riparian Buffer Protection Rules because it is not part of the main stem of the Catawba River.
2. Stormwater Management Plan
v
u

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 on the minimization of water quality impacts (Attachment A).
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?*
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)
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
Sc. 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
51. 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. Mussel surveys were performed by the NCDOT Biological Surveys Group in June 2016 and
October 2018 and no bivalves were found during either of the surveys. Additionally, it was determined that there is not suitable habitat for Carolina
heelsplitter at the project location (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 D - "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 floodplairi
Yes No
8c. What source(s) did you use to make the floodplain determination?"`
FEMA FIRM maps
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.
Click the upload button or drag and drop files here to attach document
Cover_LetterSigned.pdf 13.96MB
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
yam 44 05VA�A
Date
12/20/2022