20201495 Ver 1_ePCN Application_20231117

i DWR
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:
1/23/2023
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 *
Version# *
20201495
1
Is a payment required for this project?*
No payment required
What amount is owed?*
Fee received
$240.00 $570.00
Fee needed - send electronic notification
$323.00 $767.00
Reviewing Office*
Select Project Reviewer*
Mooresville Regional Office - [phone]
Mary Plummer:mary.plummer
Information for Initial Review
1a. Name of project:
Pinedell Avenue Culvert Replacement
1a. Who is the Primary Contact?*
Sam Starnes - City of Monroe
1b. Primary Contact Email: *
[e-mail]
Date Submitted
11/17/2023
Nearest Body of Water
Dry Fork (NC stream index 13-17-36-6-3)
Basin
Yadkin-PeeDee
Water Classification
C
Site Coordinates
Latitude: Longitude:
35.016619-80.593093
A. Processing Information
Is this project connected with ARPA funding?
Yes No
County (or Counties) where the project is located:
Union
1c. Primary Contact Phone: *
[phone]
8
Is this a NCDMS Project
Yes No

Is this project a public transportation project?*
Yes No
Is this a NCDOT Project?*
Yes No
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
Nationwide Permit (NWP) Number: 14 - Linear transportation
NWP Numbers (for multiple NWPS):
14 or
1d. Type(s) of approval sought from the DWR:
401 Water Quality Certification - Regular
Non-404 Jurisdictional General Permit
Individual 401 Water Quality Certification
401 Water Quality Certification - Express
Riparian Buffer Authorization
le. Is this notification solely for the record because written approval is not required?
For the record only for DWR 401 Certification: Yes No
For the record only for Corps Permit: Yes No
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:
City of Monroe
2b. Deed book and page no.:
roadway right-of-way
2c. Contact Person:

2d. Address
Street Address
300 West Crowell Street, PO Box 69
Address Line 2
city
Monroe
Postal / Zip Code
28112
2e. Telephone Number:
[phone]
2g. Email Address:*
[e-mail]
4. Agent/Consultant (if applicable)
4a. Name:
Jason Hales
4b. Business Name:
CDM Smith Inc.
4c.Address
Street Address
5400 Glenwood Ave, Suite 400
Address Line 2
city
Raleigh
Postal / Zip Code
27612
4d. Telephone Number:
[phone]
4f. Email Address:*
[e-mail]
C. Project Information and Prior Project History
1. Project Information
1b. Subdivision name:
(if appropriate)
1c. Nearest municipality / town:
Monroe
2. Project Identification
2a. Property Identification Number:
roadway right-of-way
2c. Project Address
Street Address
1940 Pinedell Avenue
Address Line 2
City
Monroe
Postal / Zip Code
28110
3. Surface Waters
3a. Name of the nearest body of water to proposed project:
Dry Fork (NC stream index 13-17-36-6-3)
3b. Water Resources Classification of nearest receiving water:
C
3c. What river basins) is your project located it *
Yadkin-PeeDee
State / Province / Region
NC
Country
USA
2f. Fax Number:
State / Province / Region
NC
Country
USA
4e. Fax Number:
2b. Property size:
2.3
State / Province / Region
NC
Country
USA

3d. Please provide the 12-digit HUC in which the project is located.
030401050501
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:
The project area consists of paved roadways and right-of-way, a maintained power line easement, young pine plantation, young mixed hardwoods, residential yards, wetlands, and
streams.
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:
0.06
4g. List the total estimated linear feet of all existing streams on the property:
416
4h. Explain the purpose of the proposed project:"
There is currently a structurally deficient culvert that needs to be replaced and enlarged to safely pass the design storm flows for the roadway crossing. The roadway needs to be widened
to two travel lanes to meet city traffic standards.
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:
The project include replacement of the existing 8.3' x 6.7' x 16' reinforced concrete box culvert (RCBC) with a new double 10' x Tx 60' and 10' x 9' x 60' RCBC; replacement of an existing
15-inch sanitary sewer line; and the addition of another travel lane. Culvert information is shown on Sheets 5, C-1, C-2, C-3, and C-4 of the attached design plans. Sewer line replacement
information is shown on Sheets UC-1 and UC-2 of the attached design plans. The new double 10' x Tx 60' and 10' x 9' x 60' culvert will be placed in the same general alignment as the
existing culvert. Fill will be added to grade on the upstream and downstream ends of the culvert. Class A rip rap will be placed on the downstream end of the culvert for flow dispersion and
structure protection. Low stream flow will be isolated into the 10' x 9' x 60' barrel. The low flow barrel will be buried 1' below the stream bed and a 6-inch sill will be placed on the outlet end
to retain streambed material. The low flow barrel will be backfilled with material that is excavated from the stream or floodplain and may be supplemented with rip rap if needed to expedite
the establishment of a natural stream bed. The 10' x 7' x 60' barrel will function during high flow and will be approximately 1' above the existing streambed elevation. Floodplain benches
will be constructed of Class A rip rap at the inlet and outlet of the high flow barrel. A temporary bypass channel will be installed for the culvert replacement. Prior to installation of the
temporary bypass channel the 15-inch sewer line will be replaced using impervious dikes as shown on Sheet EC4 of the attached Erosion and Sedimentation Control Plans. These dikes
will also be used to install the bypass channel. The bypass channel will be lined with geotextile fabric and Class B rip rap. For the culvert replacement an additional dike will be installed
downstream of the culvert and the most upstream dike will be removed.
There are approximately 1.2 acres of ground disturbance planned. The construction period is estimated to be approximately 15 months, with temporary stream impacts in place for less
than 90 days. Each individual temporary impact would be limited to a short time, just enough to install the infrastructure. Standard construction and pipe installation equipment such as
cranes, excavators, dump trucks, and similar vehicles will be used for the project. Proper erosion and sedimentation control measures will be employed throughout the project. All work will
be done in the dry.
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?"
Yes
No
Comments:
Wetland delineation conducted within the project area on June 16th, 2022. PJD request attached.
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): Jason Hales
Agency/Consultant Company: CDM Smith Inc.
Other:
6. Future Project Plans
6a. Is this a phased project?"
Yes No
O 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?
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

3a. Reason for impact (?)
3b.lmpact type"
3c. Type of impact*
3d. S. name'
3e. Stream Type*
Type of
3g. S. width
3h. Impact
❑
?)
�3f.
Jurisdiction*
length*
S1
Dewatering, sewer line,
Temporary
Dewatering
SA (Dry Fork)
Perennial
Both
33
bypass
Averege (feet)
(linear feet)
S2
Dewatering, sewer line
Temporary
Dewatering
SB (UT to Dry Fork)
Intermittent
Both
83
Average (feet)
(linear feet)
S3
Rip rap
Permanent
Rip Rap Fill
SA (Dry Fork)
Perennial
Both
8
29
Averege (feet)
(linear feet)
S4
Culvert
Permanent
Culvert
SA (Dry Fork)
Perennial
Both
22
Average (feet)
(linear feet)
S5
Culvert
Permanent
Culvert
SA (Dry Fork)
Perennial
Both
10
18
Averege (feet)
(linear feet)
S6
Rip rap
Permanent
Rip Rap Fill
SA (Dry Fork)
Perennial
Both
12
40
Averege (feet)
(linear feet)
g7
Dewatering, bypass
Temporary
Dewatering
SA (Dry Fork)
Perennial
Both
34
Average (feet)
(linear feet)
3i. Total jurisdictional ditch impact in square feet:
3i. Total permanent stream impacts:
109
3i. Total stream and ditch impacts:
259
3j. Comments:
3i. Total temporary stream impacts:
150
There are 109-linear feet of proposed permanent stream impacts for the culvert replacement and sewer line installation. (Impact numbers S3, S4, S5,
and S6). The proposed permanent stream impacts are for culvert and rip rap protection/floodplain bench installation. There are a total of 162-linear feet
of proposed permanent stream impacts.
There are 190-linear feet of proposed temporary stream impacts for construction access, dewatering, and sewer line installation (Impact numbers S1,
S2, and S7). Following installation of the culvert and sewer line, temporarily impacted stream banks will be restored through regrading, seeding and
woven coir fiber mat (typical detail shown on sheet EC-3). The streambed in areas of proposed temporary stream impacts will be restored to pre -project
elevations and widths using natural stream bed material. Temporary stream impacts would be in place for less than 90 days.
E. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
The proposed stream impacts have been kept to the minimum possible to allow for the culvert and sewer infrastructure installation. Most of the planned
infrastructure replacement is within the currently maintained roadway, sewer, and power easements. The proposed impact amounts would be a
maximum of potential impacts to the features. The actual construction efforts to replace the infrastructure will likely require less than the proposed totals.
Land clearing will be the minimum necessary to install the infrastructure.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Across stream channels, stumps will be grubbed only as needed to install the infrastructure, and remaining stumps will be cut off at grade level.
Temporarily impacted stream banks will be restored through regrading, seeding and woven coir fiber mat. All work in or adjacent to streams will be
conducted so that the flowing stream does not come in contact with the disturbed area. There will be no change in pre -construction contours of waters of
the United States in temporarily impacted areas. Erosion control matting that incorporates plastic mesh and/or plastic twine will not be used along
streambanks. All mechanized equipment operated near surface waters shall be inspected and maintained regularly to prevent contamination of surface
waters from fuels, lubricants, hydraulic fluids, or other toxic materials.
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:
Mitigation is not proposed at present due to the limited nature of the proposed impacts and existing use of the roadway culvert and sewer system. The proposed impacts will be the
minimum necessary to replace the culvert and sewer line.
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
L
O
If no, explain why:
Located in the Yadkin-PeeDee basin.

2. Stormwater Management Plan
2a. Is this a NC DOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250? *
Yes No
2b. Does this project meet the requirements for low density projects as defined in 15A NCAC 02H .1003(2)?
Yes No
2c. Does this project have a stormwater management plan (SMP) reviewed and approved under a state stormwater program or state -approved local government stormwater program?
Yes No
N/A - project disturbs < 1 acre
3. Stormwater Requirements
3a. Select whether a completed stormwater management plan (SMP) is included for review and approval or if calculations are provided to document the project will not cause degradation of
downstream surface waters.*
Stormwater Management Plan Antidegradation Calculations
Comments:
City of Monroe
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
Comments:
not required
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.
Culvert replacement will not lead to a change in use of the surrounding area.
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 Unknown
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
5h. Does this project involve the construction/installation of a wind turbine(s)?*
Yes No
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?
A biological assessment for potential effects to endangered or threatened species was submitted to the US Fish and Wildlife Service (USFWS) Asheville
Field Office for review on April 6th, 2023. The biological assessment included a field reconnaissance survey for potential threatened and endangered
species and habitats conducted in the project area June 16th, 2022. A response was received from USFWS on May 23rd, 2023 (attached)
recommending tree clearing outside of the active season for tricolored bat from April 1st to October 15th. Additionally recommended is that the culvert be
inspected for evidence of bat use (guano, staining, live or dead bats) within 14 days prior to the replacement and notify the USFWS Ashville Field Office
of the findings. Although tricolored bat is "proposed for listing" and not currently afforded legal protection under the Endangered Species Act, these
impact minimization measures would support USFWS concurrence with a "may affect, not likely to adversely affect" determination should this species
become listed in the future.
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 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?
NC State Historic Preservation Office (NCSHPO) HPOWEB 2.0 mapper
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:
The FEMA impacts are for culvert replacement within a FEMA regulated stream. A No -Rise Certification has been completed and concluded that the
proposed culvert replacement will not cause an adverse impact to special flood hazard areas.
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
Pindell Culvert attachments.pdf 25.74MB
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:
Jason Hales
Signature
��JAY yyRl�1
U

Date
11 /17/2023