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HomeMy WebLinkAbout20210303 Ver 2_ePCN Application_20231025DW R Division of Water Resources Pre -Construction Notification (PCN) Form For Nationwide Permits and Regional General Permits (along with corresponding Water Quality Certifications) October 2, 2023 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: 11/6/2017 Does this project involve maintenance dredging funded by the Shallow Draft Navigation Channel Dredging and Aquatic Weed Fund or involve the distribution or transmission of energy or fuel, including natural gas, diesel, petroleum, or electricity? Yes No BIMS # Assigned * 20210303 Is a payment required for this project?* No payment required Fee received Fee needed - send electronic notification Select Project Reviewer* Kevin Mitchell: kevin. mitchell Information for Initial Review 1a. Name of project: Macon County Bridge 204 1a. Who is the Primary Contact?* Patrick J. Breedlove 1b. Primary Contact Email: * pjbreedlove@ncdot.gov Date Submitted 10/25/2023 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 Longitude: -83.259267 Version#* 2 Reviewing Office* Asheville Regional Office - (828) 2964500 1c. Primary Contact Phone: * (828)508-7397 O Is this a NCDMS Project Yes No 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) 1713P. 14.R.159 Ia. 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. 8/23/2023 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 Nationwide Permit (NWP) Number: 14 - Linear transportation 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 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 Agent/Consultant for this project? Yes No 2. Owner Information 2a. Name(s) on recorded deed: NCDOT Division 14 2b. Deed book and page no.: 401 Water Quality Certification - Express Riparian Buffer Authorization Yes No Yes No 2c. Contact Person: 2d.Address Street Address 345 Toot Hollow Road Address Line 2 city Bryson City Postal / Zip Code 28713 2e. Telephone Number: (828)508-7397 2g. Email Address:* pjbreedlove@ncdot.gov C. Project Information and Prior Project History 1. Project Information 1b. Subdivision name: (if appropriate) 1c. Nearest municipality / town: Franklin 2. Project Identification State / Province / Region North Carolina Country United States 2f. Fax Number: 2a. Property Identification Number: 2b. Property size: 2c. Project Address Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country 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 basins) 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 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 with a 104' L • 2 Barrel 12' W x 6' H Reinforced Concrete Box Culvert on a 30- degree skew. O 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 O 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 Buffers Open Waters Pond Construction 3. Stream Impacts O 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* Sf RCBC (Site #1) Permanent Culvert Walnut Creek Perennial Both 12 104 Average (feet) (linear feet) S2 Dewatering/Diversion (Site Temporary Dewatering Walnut Creek Perennial Both 12 134 #1A) Averege(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 0 `1 1a. 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. A bridge structure could not be utilized due to hydro constraints and compliance with the FEMA model. 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. 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 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 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 la. Does the project involve an expenditure of public (federal/state/local) funds or the use of public (federal/state) 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 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 PAC. 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 - NWP 14 Permit Cover Letter.pdf 43.58KB 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 - 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 C`��i�6C%t�tM(latr Date 10/25/2023 0