20240462 Ver 1_ePCN Application_20240325

DW R
DHlsloo 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# *
20240462 1
Is a payment required for this project?*
No payment required
Fee received
Fee needed - send electronic notification
Select Project Reviewer*
Rob Ridings: rob. ridings
Information for Initial Review
la. Name of project:
Polk County - Bridge 13
la. Who is the Primary Contact?*
Patrick J. Breedlove
1b. Primary Contact Email: *
[e-mail]
Date Submitted
3/25/2024
Nearest Body of Water
North Pacolet River
Basin
Broad
Water Classification
C, Tr
Site Coordinates
Latitude:
35.22593
A. Processing Information
Is this project connected with ARPA funding?
Yes No
County (or Counties) where the project is located:
Polk
Is this a NCDMS Project
Yes No
Longitude:
-82.24063
Reviewing Office*
Central Office - [phone]
1c. Primary Contact Phone:*
[phone]
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:
BP14.R042.3
W BS # (?)
BP14.R042.3
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
1e. 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)
Ile. 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.:
2c. Contact Person:
Patrick Breedlove (Division PDEA Engineer)
401 Water Quality Certification - Express
Riparian Buffer Authorization
Yes No
Yes No

2d. Address
Street Address
345 Toot Hollow Rd
Address Line 2
City
Bryson City
Postal / Zip Code
28713
2e. Telephone Number:
[phone]
2g. Email Address:*
[e-mail]
3. Applicant Information (if different from owner)
3a. Name:
Patrick Breedlove
3b. Business Name:
3c. Address
Street Address
345 Toot Hollow Road
Address Line 2
city
Bryson City
Postal / Zip Code
28713
3d. Telephone Number:
[phone]
3f. Email Address:*
[e-mail]
C. Project Information and Prior Project History
1. Project Information
1b. Subdivision name:
(if appropriate)
1c. Nearest municipality / town:
Tryon, NC
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:
North Pacolet River
3b. Water Resources Classification of nearest receiving water:
C. Tr
3c. What river basin(s) is your project located in?*
Broad
3d. Please provide the 12-digit HUC in which the project is located.
030501051201
4. Project Description and History
State / Province / Region
NC
Country
USA
2f. Fax Number:
State / Province / Region
North Carolina
Country
United States
3e. 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:*
The project is an existing two-lane road and bridge. The vicinity is rural landscape with agricultural fields in the northwest and northeast quadrants, rural residential in the southwest
quadrant, and pasture in the southeast quadrant.
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:
155
4h. Explain the purpose of the proposed project: *
Bridge 740013 was built in 1959 and is currently closed to traffic due to a undermined abutment. Replacement of the bridge will restore access over this section of North Pacolet River.
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used: *
The project involves the replacement of NCDOT Bridge 740013 on SR 1128 (Howard Gap Rd) over North Pacolet River in Polk County, NC. The proposed 100-foot long by 27-foot wide
(24" cored slab) two -span bridge would replace the existing 61'6"-foot long by 20-foot wide (timber deck on steel I-beam) two -span bridge at the existing location. The proposed roadway
grade of the new structure will be approximately the same as the existing grade.
Equipment to be used includes cranes, excavators, dump trucks, and paving equipment.
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
❑
S1
3a. Reason for impact (?)
Rip -Rap Bank Stabilization
(Site 1)
3b.lmpact type*
Permanent
3c. Type of impact*
Bank Stabilization
3d. S. name*
North Pacolet River
3e. Stream Type*
(?)
Perennial
3f. Type of
Jurisdiction*
Both
3g. S. width
35
Average (feet)
3h. Impact
length*
97
(linearfeet)
S2
Dewatering (Site 1A)
Temporary
Dewatering
North Pacolet River
Perennial
Both
35
Aveage (feet)
20
(linearfeet)
31. Total jurisdictional ditch impact in square feet:
0
3i. Total permanent stream impacts: 31. Total temporary stream impacts:
97 20

3i. Total stream and ditch impacts:
117
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:
Bridge No. 740013 will be replaced on the existing alignment with no proposed in -water bents. The current offsite detour will be utilized, avoiding impacts
from a temporary onsite crossing. Stormwater runoff from the proposed bridge will be discharged as far away from the river and at the lowest velocities
as practicable.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Standard demolition practices will allow removal of existing bridge with no debris in the water. Construction activities inside environmentally sensitive
areas have been limited to the maximum extent practicable and will be contained inside safety / silt fencing.
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:
Impacts due to bank stabilization don't require permanent fill in the stream bed. These impacts don't constitute Loss of Waters of the U.S., and are not subject to compensatory mitigation.
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:
Water resources in the project area are part of the Broad River basin and are not subject to riparian buffer rules.
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?
Yes No
Comments:
The Stormwater Management Plan is included in the attached Permit Drawings.
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:*
FHWA CE Completed (3.15.2024)
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
O
O

3b. If you answered "no," provide a short narrative description.
Project is not a road widening project and does not increase the traffic capacity in the 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
What Federal Agency is involved?
FHWA
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 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?"
NCDOT Human Environment Unit.
Historic Architecture and Landscapes Assessment of Effects.
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:
Approved as SFC Type B by NC Flood Plain Mapping Program
8c. What source(s) did you use to make the floodplain determination?
DFIRM Panel 0535
Miscellaneous O

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
Polk County - B13 - USACE RGP 50 Cover Letter (3.25.24).pdf
57.21 KB
Polk County - B13 - Project Maps.pdf
1.67MB
Polk County - B13 - NC Hertiage Program (3.7.24).pdf
1.07MB
Polk County - B13 - Bat Habitat Assessment Form (2023).pdf
78.58KB
Polk County - B13 - Botanical Survey (2023).pdf
59.99KB
Polk County - B13 - Archaeology No Survery Required.pdf
1.19MB
Polk County - B13 - Architecture Effects Required.pdf
313.92KB
Polk County - B13 - Architecture Effects Package (1.31.24).pdf
4.55MB
Polk County - B13 - Architecture Assessment of Effects (3.1.24).pdf
613.73KB
Polk County - B13 - Catawba Nation Response (9.25.23).pdf
184.79KB
Polk County - B13 - PJD Final.pdf
1.01 MB
Polk County - B13 - Final Permit Drawings (3.21.24).pdf
2.51 MB
Polk County - B13 - Hydro Report.pdf
4.9MB
Polk County - B13 - NRCS Soil Survey.pdf
325.22KB
Polk County - B13 - CE Final (3.15.24).pdf
1.35MB
Polk County - B13 - NCWRC Comment Letter (10.31.23).pdf
114.01KB
Polk County - B13 - Site Photos.pdf
File must be PDF or KMZ
1016.07KB
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
3/25/2024
L