20190622 Ver 2_ePCN Application_20231207

1 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.
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# *
20190622 2
Is a payment required for this project?*
No payment required
Fee received
Fee needed - send electronic notification
Select Project Reviewer*
Mary Plummer:mary.plummer
Information for Initial Review
la. Name of project:
BP10.R049 Replacement of Bridge #030217 Over Lanes Creek
1a. Who is the Primary Contact?*
Joel Howard
1b. Primary Contact Email: *
[e-mail]
Date Submitted
12/7/2023
Nearest Body of Water
Lanes Creek
Basin
Yadkin-PeeDee
Water Classification
C
Site Coordinates
Latitude:
35.107759
A. Processing Information
Is this project connected with ARPA funding?
Yes No
County (or Counties) where the project is located:
Anson
Is this a NCDMS Project
Yes No
Longitude:
-80.182607
Reviewing Office*
Mooresville Regional Office - [phone]
1c. Primary Contact Phone:*
[phone]
Q
i1
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)
BP.10.R049
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.
5/9/2019
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 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. Proiect Information
1b. Subdivision name:
(if appropriate)
1c. Nearest municipality I town:
Ansonville
2. Project Identification
State / Province / Region
NC
Country
USA
2f. Fax Number:
2a. Property Identification Number:
2b. Property size:
N/A
14.3
2c. Project Address
Street Address
SR 1654 (Morton Road)
Address Line 2
City
State / Province / Region
Ansonville
NC
Postal / Zip Code
Country
USA
3. Surface Waters
3a. Name of the nearest body of water to proposed project:
Lanes Creek
3b. Water Resources Classification of nearest receiving water:
C
3c. What river basins) is your project located in?*
Yadkin-PeeDee
3d. Please provide the 12-digit HUC in which the project is located.
030401050604
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 conditions include SR 1654 (Morton Road), agricultural land, undeveloped forest, and 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
4f. List the total estimated acreage of all existing wetlands on the property:
0
4g. List the total estimated linear feet of all existing streams on the property:
674
4h. Explain the purpose of the proposed project: *
To remove Bridge #030217 and replace with a new, modern bridge structure. The project was formerly designated as B-5795 due to federal funding that was previously proposed and was
also formerly known as 17BP.10.R.140 when state funding was proposed.

4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used: *
Erosion and sedimentation control measures will be installed including impervious dikes around the bridge piers for dewatering. Bridge demolition will include the removal of the bridge
deck, the piers and bridge abutments, and footings. Estimated temporary impacts to Lanes Creek are 108 linear feet (LF), including 55 LF for dewatering, associated with demolition and
construction activities. Additional potential temporary impacts to the intermittent unnamed tributary (UT) to Lanes Creek of 74 LF are also anticipated. All totaled, anticipated temporary
impacts to streams are 182 LF. Permanent impacts of 12 LF to the UT to Lanes Creek will result from the riprap ouffall pad and an additional 16 LF of permanent stream impact will result
from excavation to the UT required for abutment protection; all totaled, permanent stream impacts encompass 28 LF.
The existing bridge is a 135.3' (1@45'2", 2@45'1") triple -span bridge with a steel plank deck on I -beams and mass concrete abutments and interior bents. The proposed structure will be a
170' long bridge with a span arrangement of 1@50' (21" cored slab), 1 @70' (24" cored slab) and 1 @50' (21" cored slab). The proposed roadway alignment over the bridge is the same as
the existing bridge alignment. Overall drainage patterns will be maintained. There are roadside ditches that flow towards the bridge on either side of the structure. The drainage pattern of
the ditches is being maintained and the drainage from the bridge is being discharged into the ditches. Deck drains will be needed for the proposed structure to prevent spreading inside the
travel lane. The deck drains will not discharge directly to the jurisdictional stream. Deck drains will be located over the floodplain bench area as shown in the BSR. Impervious dikes with
special stilling basins shall be used to contain the sediment laden water and prevent it from being discharged into the stream.
The proposed bridge will be built on the same alignment with a temporary off -site detour, that includes Lee Road, Rocky River Church Road, Morton Road, and Hough Road. Heavy
construction equipment and cranes will be used for the bridge demolition and construction with the work being conducted from upland roadway approaches.
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
Yes No O Unknown
Comments:
See NRTR (Attachment B) for waters of the U.S. delineation documentation.
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): Pete Stafford, PWS
Agency/Consultant Company: Rummel Klepper and Kahl, LLP
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
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
Ilength*
g1
Bridge replacement
Temporary
Other
Lanes Creek
Perennial
Both
60
108
Averege (feet)
(linear feet)
S2
Bridge replacement
Temporary
Dewatering
Lanes Creek
Perennial
Both
60
55
Averege (feet)
(linear feet)
S3
Bridge replacement
Temporary
Other
U.T. to Lanes Creek
Intermittent
Both
74
Average ((eet)
(linear feet)
S4
Bridge replacement
Permanent
Excavation
U.T. to Lanes Creek
Intermittent
Both
16
Averege (feet)
(linear feet)
SS
Bridge replacement
Permanent
Rip Rap Fill
U.T. to Lanes Creek
Intermittent
Both
12
Average (feet)
(linear feet)
3i. Total jurisdictional ditch impact in square feet:
0

3i. Total permanent stream impacts:
28
3i. Total temporary stream impacts:
237
3i. Total stream and ditch impacts:
265
3j. Comments:
The 108 LF of potential temporary demolition and construction impacts overlap the 55 LF of dewatering impacts in Lanes Creek; due to this overlap, total
temporary stream impacts, including the 74 LF associated with the intermittent UT to Lanes Creek, are 182 LF. Total temporary and permanent stream
impacts are 210 LF.
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:
Riprap bank stabilization for protection of the bridge abutments is being placed only on the stream banks and will not disturb the stream bed. The bridge
replacement will be conducted from the upland areas/roadway approaches. Dewatering strategies will be employed.
1b. 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:
Minimal permanent impacts of 28 LF and 74 LF of potential temporary impacts to the intermittent unnamed tributary to Lanes Creek are proposed. The proposed 108 LF of potential
temporary demolition and construction related impact to Lanes Creek will overlap the 55 LF of temporary dewatering impacts.
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 Yadkin -Pee Dee River Basin and is not subject to NC Riparian Buffer Protection Rules.
2. Stormwater Management Plan
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 for details on minimization of water quality impacts (See Attachment A).
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:*
A Minimum Criteria Determination Checklist was prepared for this bridge replacement project (See Attachment D)
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)
a
a
n

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
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 IPaC and NCNHP data and site -specific surveys (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 F - "No Archaeological Survey Required Form" and "Historic Architecture and Landscapes No Survey Required Form".
8. Flood Zone Designation (Corps Requirement)
Be. Will this project occur in a FEMA-designated 100-year floodplain?
Yes No
8b. If yes, explain how project meets FEMA requirements:
NCDOT Hydraulic Unit Coordination with FEMA
8c. What source(s) did you use to make the floodplain determination?
FEMA FIRM Maps
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
Draft_BP10R49_RGP50_Cover_ Letter _ and_Supporting_lnformation.pdf 11.41MB
NCDOT Letter to the Catawba Nation for BP10.R049.3 - Signed.pdf 68.92KB
File must be PDF or KMZ
Comments
Please see attached photo pages of the existing bridge over Lanes Creek and the surrounding study area.
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
,7ak M. New. #P
Date
12/7/2023