20210303 Ver 1_ePCN Application_20230823

DWR
Division of Water 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:
11 /21 /2017
BIMS # Assigned
20210303
Is a payment required for this project?*
No payment required
Fee received
Fee needed - send electronic notification
Select Project Reviewer's
Kevin Mitchell:[e-mail]
Information for Initial Review
la. Name of project:
Macon County Bridge 204
1a. Who is the Primary Contact?*
Patrick J. Breedlove
1b. Primary Contact Email:
[e-mail]
Date Submitted
8/23/2023
Nearest Body of Water
Walnut Creek
Basin
Little Tennessee
Water Classification
Class C : Tr.
Site Coordinates
Latitude:
35.152137
A. Processing Information
Is this project connected with ARPA funding?
Yes No
County (or Counties) where the project is located:
Macon
Is this a NCDMS Project
Yes No
Longitude:
-83.259267
Version#*
1
Reviewing Office*
Asheville Regional Office - [phone]
1c. Primary Contact Phone: x
[phone]
a
Is this project a public transportation project?*
Yes No

Is this a NCDOT Project?*
Yes No
(NCDOT only) T.I.P. or state project number:
WBS # (1)
17BP.14.R.159
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
1b. 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
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
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?
Yes No
B. Applicant Information
1d. Who is applying for the permit?
Owner Applicant (other than owner)
le. Is there an AgentlConsultant for this project?
Yes No
2. Owner Information
2a. Name(s) on recorded deed:
NCDOT Division 14
2b. Deed book and page no.:
2c. Contact Person:
401 Water Quality Certification - Express
Riparian Buffer Authorization
Yes No
Yes No

2d. Address
Street Address
345 Toot Hollow Road
Address Line 2
City
Bryson City
Postal / Zip Code
28713
2e. Telephone Number:
[phone]
2g. Email Address:*
[e-mail]
C. Project Information and Prior Project History
1. Project Information
1b. Subdivision name:
(If appropriate)
1c. Nearest municipality I town:
Franklin
2. Project Identification
2a. Property Identification Number
2c. Project Address
Street Address
Address Line 2
city
Postal / Zip Code
3. Surface Waters
3a. Name of the nearest body of water to proposed project:
Walnut Creek
3b. Water Resources Classification of nearest receiving water:
Class C : Tr.
3c. What river basin(s) is your project located in?*
Little Tennessee
3d. Please provide the 12-digit HUC in which the project is located.
0610120202
4. Project Description and History
State / Province / Region
North Carolina
Country
United States
2f. Fax Number:
2b. Property size:
State / Province / Region
Country
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 land use is an existing 20' W x 2 span @ 13' timber floor on steel I -Beam on a two-lane secondary road. Site is located in a rural residential area with forested areas adjacent to
project site and residential homes nearby.
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?
Yes No Unknown
4f. List the total estimated acreage of all existing wetlands on the property:
0.00
4g. List the total estimated linear feet of all existing streams on the property:
625
4h. Explain the purpose of the proposed project:*
Project is to replace a functionally obsolete and deteriorating wood floor on steel I -Beam bridge structure.
41. Describe the overall project in detail, including indirect impacts and the type of equipment to be used: *
NCDOT contractor will install erosion and sediment control measures. NCDOT contractor will install diversion. Contractor will remove the existing bridge unit and construct half of the
concrete box culvert. Traffic will be placed on the newly constructed box culvert structure and the remainder of the box culvert will be constructed. Riprap bank stabilization materials will be
permanently installed once final grading allows. Diversion device will be removed. The proposed box culvert will be constructed utilizing the following equipment: crane, excavator, dump
trucks, pumps, paving equipment and various hand tools.
5. Jurisdictional Determinations

5a. Have the wetlands or streams been delineated on the property or proposed impact areas?
Yes No Unknown
Comments:
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):
Agency/Consultant Company:
Other:
6. Future Project Plans
6a. Is this a phased project?*
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?
D. Proposed Impacts Inventory
1. Impacts Summary
1a. Where are the impacts associated with your project? (check all that apply):
Wetlands Streams -tributaries O Buffers
Open Waters Pond Construction
3. Stream Impacts
u
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
RCBC (Site #1)
Permanent
Culvert
Walnut Creek
Perennial
Both
12
104
Average (feet)
(linear feet)
gy
Dewatering/Diversion (Site
Temporary
Dewatering
Walnut Creek
Perennial
Both
12
134
#1 A)
Aveage (feet)
(linear feet)
S3
Bank Stabilization (Site #1 B)
Permanent
Bank Stabilization J
Walnut Creek
Perennial
Both
12
69
Average (feet)
(linear feet)
3i. Total jurisdictional ditch impact in square feet:
0
3i. Total permanent stream impacts: 3i. Total temporary stream impacts:
173 134
3i. Total stream and ditch impacts:
307
3j. Comments:
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:
The existing bridge is being replaced with a culvert structure that is adequate for the traffic needs in the same disturbed location. The reinforced concrete
box culvert was designed for the minimum size criteria to ensure conveyance of traffic on the existing secondary road.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
The on -site stream (Walnut Creek) will be diverted/dewatered while the existing bridge is removed, the new box culvert is constructed, and the riprap
bank stabilization is installed. Erosion and sediment control measures will be installed prior to ground disturbance. Both of these measures will aid in the
prevention of sediment into downstream habitats.
I
V
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
2c. If yes, mitigation is required by (check all that apply):
DWR Corps
2d. If yes, which mitigation option(s) will be used for this project?
Mitigation bank Payment to in -lieu fee program Permittee Responsible Mitigation
4. Complete if Making a Payment to In -lieu Fee Program
4a. Approval letter from in -lieu fee program is attached.
Yes No
4b. Stream mitigation requested:
(linear feet)
104
4d. Buffer mitigation requested (DWR only):
(square feet)
4f. Non -riparian wetland mitigation requested
(acres)
4h. Comments
4c. If using stream mitigation, what is the stream temperature:
cold
4e. Riparian wetland mitigation requested:
(acres)
4g. Coastal (tidal) wetland mitigation requested:
(acres)
6. Buffer mitigation (State Regulated Riparian Buffer Rules) - required by DWR
Ga. Will the project result in an impact within a protected riparian buffer that requires buffer mitigation? If yes, you must fill out this entire form - please contact DWR for more information.
Yes No
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 not located within a N.C. Riparian Buffer Protection Area.
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?
Yes No
Comments:
G. Supplementary Information
1. Environmental Documentation
1a. Does the project involve an expenditure of public (federal/state/local) funds or the use of public (federallstate) land?
Yes No
1b. 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
1c. If you answered "yes" to the above, has the document review been finalized by the State Clearing House?
Yes No
Comments: *
MCDC Completed.
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.
The project only involves the replacement of the existing bridge unit due to deterioration and does not increase the capacity of roads in the area. Project
is not a road widening or improvement project.
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
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.
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 - 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 status?
Yes No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?
NCDOT Culture Resource Specialist.
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 agreement with N.C. Floodplain Mapping.
8c. What source(s) did you use to make the floodplain determination?
N.C. Flood Maps - Flood Risk Information System.

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
Macon County - B204 - RGP 50 Permit Cover Letter.pdf
42.29KB
Macon County - B204 - Site Photos.pdf
1.39MB
Macon County - B204 - JS GIS Map.pdf
642.35KB
Macon County - B204 - USGS Topo Map.pdf
5.33MB
Macon County - B204 - Vicinity Map.pdf
1.94MB
Macon County - B204 - Mitigation Acceptance Letter.pdf
458.27KB
Macon County - B204 - NC Hertiage Program.pdf
3.99MB
Macon County - B204 - SMP (Final).pdf
3.73MB
Macon County - B204 - Bat Habitat Assessment Form (2021).pdf
231.4KB
Macon County - B204 - Bat Habitat Assessment Form (2023).pdf
71.12KB
Macon County - B204 - Botanical Survey (2023).pdf
47.84KB
Macon County - B204 - Historic Archaeological.pdf
2.5MB
Macon County - B204 - Historic Architecture. pdf
7.79MB
Macon County - B204 - Hydro Report.pdf
885.88KB
Macon County - B204 - PJD (Signed).pdf
233.42KB
Macon County - B204 - Permit Plans (Final).pdf
1.69MB
Macon County - B204 - NRCS Soil Survey.pdf
513.58KB
Macon County - B204 - Farmland Classification. pdf
530.39KB
Macon County - B204 - MCDC Final (2023).pdf
File must be PDF or KMZ
22.62MB
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:
Patrick Jeremy Breedlove
Signature
Date
8/23/2023
S