20150294 Ver 1_401 Application_20150315

a 'b
T.E. ALLEN ENGINEERING, P.C.
Post Office Box 103
Rosman, North Carolina 28772
Phone [phone] Firm # C -1997 Mobile [phone]
.-J ,
r Fa z'R zo1 S
SUBJECT Private Vehicular Bridge Replacement at Cashie Branch, Balsam Mountain
Preserve, East Clubhouse Road, Sylva, Jackson County, North Carolina
NC DWQ, 401 /Wetlands Unit
1650 Mail Service Center
Raleigh, NC 27699 -1650
Dear DWQ
Enclosed, please find five (5) copies of the 401/404 application (PCN form) A check
for the application review fee is also enclosed
This project is to replace the existing private Log and Timber Bridge at Cashie Branch
on East Clubhouse Road, Balsam Mountain Preserve Subdivision, Sylva, North Carolina
The existing bridge is in poor condition and requirements replacement The Bridge
Replacement Plan includes a choice of either Option 1 (concrete bridge) or Option 2
(steel & timber bridge) The bridge abutment walls and wing walls will be precast
concrete segmental block The streambank disturbance required to place the new bridge
abutment walls will be approximately 47 linear feet Cashie Branch has a Water Quality
Classification of "C" and the Stream Index is 2- 79 -39 -4
If you have any questions or require any additional information, please do not hesitate
to contact me at (828) 877 -4883 or email tealleneng_ncomporium net
Enclosures
Sincerely,
-11
Terry E Allen, P E
Consulting Engineer

Copy Furnish w/ attachment
401 PERMITTING
Mr Tim Fox 1 copy of 401/404 PCN Application Form
NCDENR Division of Water Resources and Sketches
2090 US Hwy 70
Swannanoa, NC 28778
828 - 296 -4500
NC FISH & WILDLIFE PERMITTING
NC Wildlife Res Commission I copy of 401/404 PCN Application Form
Attention Andrea Leslie and Sketches
645 Fish Hatchery Rd
Marion, NC 28752
USACE 404 PERMITTING
Mr David Brown
Asheville Regulatory Field Office
US Army Corps of Engineers
151 Patton Ave, Room 208
Asheville, NC 28801 -5006
1 copy of 401/404 PCN Application Form
and Sketches

o�oF wATFRQG Office Use Only
2 0 1 5 0 2 9 4 Corps action ID no
o c DWQ projec no _
Form Versio 1 3 Dec 1'0J008
Page 1 of 11
PCN Form —Version 1 3 December 10, 2008 Version
Pre - Construction Notification PCN Form
A. Applicant Information n ,_ _
1
Processing �t�nl1 -.�_R:-5 II ri
la
Type(s) of approval sought from the
t' r
® Section 404 Permit ❑ Section 10 Permit MAR 2 1'
Corps
1 b Specify Nationwide Permit (NWP) number 13 - for bank stabilization, DENR . WAI
or General Permit (GP) number 401 & BUFFER Pp`no �r S
1c
Has the NWP or GP number been verified by the Corps?
iVV
® Yes ❑ No
1 d
Type(s) of approval sought from the DWQ (check all that apply)
N 401 Water Quality Certification — Regular ❑ Non -404 Jurisdictional General Permit
❑ 401 Water Quality Certification — Express ❑ Riparian Buffer Authorization
le
Is this notification solely for the record
For the record only for DWQ 401
For the record only for Corps Permit
because written approval Is not required?
Certification
❑ Yes N No
❑ Yes ® No
1f
Is payment Into a mitigation bank or In -lieu fee program proposed for mitigation
❑ Yes ® No
of Impacts? If so, attach the acceptance letter from mitigation bank or in -lieu
fee program
1g
Is the project located In any of NC's twenty coastal counties if yes, answer 1 h
❑ Yes ® No
below
1h
Is the project located within a NC DCM Area of Environmental Concern (AEC)?
❑ Yes ® No
2
Project Information
2a
Name of project
Bridge Replacement at Cashie Branch, Balsam Mountain Preserve
2b
County
Jackson County
2c
Nearest municipality / town
Sylva
2d
Subdivision name
Balsam Mountain Preserve
2e
NCDOT only, T I P or state
project no
3
Owner Information
Balsam Mountain Group, LLC - David C Carille, Member /Manager
3a
Name(s) on Recorded Deed
(Balsam Mountain Preserve Community Association is financially responsible for the
Bridge Replacement - POC Michael Fulbright)
3b
Deed Book and Page No
Deed Reference 1984 / 190
3c
Responsible Party (for LLC If
Balsam Mountain Group, LLC - David Carille, Member /Manager
applicable)
Balsam Mountain Preserve Community Association - Michael Fulbright
3d
Street address
3888 Cabin Flats Road (and 81 Preserve Rd )
3e
City, state, zip
Sylva, NC 28779
David C Carille, 828 - 631 -1040 (Balsam Mountain Group, LLC)
3f
Telephone no
Michael Fulbright, 864- 616 -2161 (Balsam Mountain Preserve Community Assocaition)
3g
Fax no
3h
Email address
mfulbright @mfulbright16 @gmall corn
Page 1 of 11
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 E 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
tealleneng @comporium net
Page 2 of 11
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)
7672 -90 -6370
1 b Site coordinates (in decimal degrees)
Latitude 35 38620 Longitude - 82 117977
(DD DDDDDD) ( -DD DDDDDD)
1c Property size
3493 41 +/- acres
2 Surface Waters
2a Name of nearest body of water (stream, river, etc ) to
Cashie Branch
proposed project
2b Water Quality Classification of nearest receiving water
C
2c River basin
Little Tennessee
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 an existing Log & Timber Bridge at Cashie Branch on Clubhouse Road in the Balsam Mountain
Perserve Subdivision located near the Town of Sylva, Jackson County, NC This is a private bridge located in a private
residentail subdivision The general land use is residential The stream frontage impact is approximately 47 linear feet
See attached Sketches S -1 through S -7
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
greater that 5,000 linear feet
3d Explain the purpose of the proposed project
This project is to replace an existing private vehicular bridge with a new concrete or steel bridge
3e Describe the overall project in detail, including the type of equipment to be used
Remove the existing private Log & Timber Bridge and bridge abutment walls and install a new precast concrete bridge
(Option 1) of a new steel & heavy timber bridge (Option 2) Install new precast concrete abutment walls, and wing walls
on each side of Cashie Banch for the new bridge to bear See attached Sketches S -1 through S -7
4 Jurisdictional Determinations
4a Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
F-1 Yes No Unknown
project (including all prior phases) in the pasty
Comments
4b If the Corps made the jurisdictional determination, what type
❑ preliminary ❑ 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
Page 3 of 11
PCN Form — Version 1 3 December 10, 2008 Version

6 Future Project Plans
6a Is this a phased project? ❑ Yes ® No
6b If yes, explain
Page 4 of 11
PCN Form — Version 1 3 December 10, 2008 Version

C Proposed Impacts Inventory
1 Impacts Summary
la 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
❑ Yes
❑ Corps
W1 ❑ P ❑ T
❑ No
❑ DWQ
❑ Yes
❑ Corps
W2 ❑ P ❑ T
❑ No
❑ DWQ
W3 ❑ P ❑ T
❑ Yes
❑ No
❑ Corps
❑ DWQ
W4 ❑ P ❑ T
❑ Yes
❑ No
❑ Corps
❑ DWQ
W5 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W6 ❑ P ❑ T
❑ Yes
❑ No
❑ Corps
❑ 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
Bridge Abutment
Walls
Cashie Branch
® PER
❑ INT
® Corps
® DWQ
9
47
S2 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S3 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S4 ❑ P ❑ T
❑ PER
❑ INT
❑ Corps
❑ DWQ
S5 ❑ P FIT
❑ PER
❑ INT
❑ Corps
❑ DWQ
❑ PER
❑ Corps
S6 ❑ P ❑ T
❑ INT
❑ DWQ
3h Total stream and tributary impacts
47
31 Comments Work will be accomplished "in the dry" by used of snad bags
Page 5 of 11
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
01 ❑P ❑T
02 ❑P ❑T
03 ❑P ❑T
04 ❑P ❑T
417 Total open water impacts
4g Comments Work will be accomplished "in the dry" by used of coffer dam
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
51 Expected pond surface area (acres)
51 Size of pond watershed (acres)
5k Method of construction
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
Project is in which protected basin?
6b 6c 6d
Buffer impact
number — Reason
Permanent (P) or for
TemDOr2ry (T) imoact
HKEMEM
B2 ❑P ❑T
B3 ❑P ❑T
61 Comments
❑ Neuse ❑ Tar - Pamlico ❑ Other
❑ Catawba ❑ Randleman
6e I 6f I 6g
Buffer
Stream name mitigation
required?
❑ Yes
❑ No
❑ Yes
❑ No
❑ Yes
❑ No
6h Total buffer impacts
Zone 1 impact Zone 2 impact
(square feet) (square feet)
Page 6 of 11
PCN Form — Version 1 3 December 10, 2008 Version

D Impact Justification and Mitigation
1 Avoidance and Minimization
1a Specifically describe measures taken to avoid or minimize the proposed impacts in designing project
Work will be performed in the dry with sand bags around work area Hay bails, silt curtains or other devices will also be used
to minimize turbidity as necessary Shoreline Stabilization is minimum amount necessary to protect property
1b 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
impacts to Waters of the U S or Waters of the State?
❑ Yes ® No
2b If yes, mitigation is required by (check all that apply)
❑ DWQ ❑ Corps
2c If yes, which mitigation option will be used for this
projects
❑ Mitigation bank
E:1 Payment to in -lieu fee program
❑ Permittee Responsible Mitigation
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
Page 7 of 11
PCN Form —Version 1 3 December 10, 2008 Version

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
❑ Yes ❑ No
buffer mitigation?
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
6c
6d
6e
Zone
Reason for impact
Total impact
Multiplier
Required mitigation
(square feet)
(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 1 00' in 1000', a trout buffer waiver will be sought from NCDENR - Div of Land
Resources
Page 8 of 11
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 Plans
❑ DWQ Stormwater Program
❑ DWQ 401 Unit
3
Certified Local Government Stormwater Review
3a
In which local government's jurisdiction is this project?
❑ Phase II
❑ NSW
3b
Which of the following locally - implemented stormwater management programs
❑ 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
❑ Yes El No
attached'?
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 9 of 11
PCN Form — Version 1 3 December 10, 2008 Version

F
Supplementary Information
1
Environmental Documentation (DWQ Requirement)
la
Does the project involve an expenditure of public (federal /state /local) funds or the
❑ Yes
® No
use of public (federal /state) land?
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
❑ Yes
❑ No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1c
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
❑ Yes
El No
letter )
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
NA
Page 10 of 11
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?
Michael Fulbright,
Balsam Mountion Preserve
t Association
Commun ty
Applicant/Agent's Signature
Date
Applicant/Agent's Printed Name
(Agent's signature is valid only if an authorization letter from the applicant
is provided )
Page 11 of 11
PCN Form — Version 1 3 December 10, 2008 Version

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Community Association
- BRIDGE at EAST CLUB HOUSE PO Box 103 81 Preserve Rd
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