20240526 Ver 1_ePCN Application_20240405

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.
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# *
20240526
1
Is a payment required for this project?*
No payment required
Fee received
Reviewing Office*
Fee needed - send electronic notification
Central Office - [phone]
Select Project Reviewer*
Ryan Conchilla:ryan.conchilla
Information for Initial Review
la. Name of project:
Bridge 87 over California Creek on SR 1347 Madison County
1a. Who is the Primary Contact?*
Yates Allen
1b. Primary Contact Email: *
[e-mail]
Date Submitted
4/5/2024
Nearest Body of Water
California Creek
Basin
French Broad
Water Classification
WS-II, HOW
Site Coordinates
Latitude: Longitude:
35.869429-82.516747
A. Processing Information
Is this project connected with ARPA funding?
Yes No
County (or Counties) where the project is located:
Madison
Is this a NCDMS Project
Yes No
Is this project a public transportation project?*
Yes No
1c. Primary Contact Phone:*
[phone]
O

Is this a NCDOT Project?*
Yes No
(NCDOT only) T.I.P. or state project number:
BP13.R023
W BS # (?)
BP13.R023
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:
NC Department of Transportation
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
55 Orange St
Address Line 2
City
Asheville
Postal / Zip Code
28801
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:
Mars Hill
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:
California Creek
3b. Water Resources Classification of nearest receiving water:"
WS-II. HOW
3c. What river basin(s) is your project located in? *
French Broad
3d. Please provide the 12-digit HUC in which the project is located.
06010105-0802
4. Project Description and History
State / Province / Region
NC
Country
USA
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 timber bridge on rural 2-lane paved road surrounded by forests, pastures, and scattered residences
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:
0.006
4g. List the total estimated linear feet of all existing streams on the property:
California Creek: 405 If; Chandler Creek: 414 If; UT to California Ck: 50 If
4h. Explain the purpose of the proposed project: *
To replace the existing single span timber bridge with a single span cored slab bridge
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used: *
Replace the existing single span 27' long by 32' wide timber bridge with a single span 40' long by 30' wide, 21" cored slab bridge. Permanent impacts include 66' of bank stabilization in
California Creek. Temporary impacts include 27' of dewatering of California Creek for bank stabilization installation and the relocation of a waterline, 62' of California Creek being piped for
a temporary detour, and 28' of the UT being relocated to a new channel draining to the upstream end of the temporary pipe. California Creek and its UT will be restored to preconstruction
conditions when the detour is removed. Equipment to be used include trackhoes, dump trucks, and a crane.
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): Kim Hamlin, N. Hernandez
Agency/Consultant Company: Sage Ecological Services
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*
31
bridge replacement
Permanent
Bank Stabilization J
California Creek
Perennial
Both
66
Average (feet)
(linear feet)
S2
bank stabilization
Temporary
Dewatering
California Creek
Perennial
Both
Average (feet)
(linear feet)
S3
waterline relocation
Temporary
Dewatering
California Creek
Perennial
Both
22
Averege (feet)
(linear feet)
S4
traffic detour
Temporary
Other
California Creek
Perennial
Both
62
Average (feet)
(linear feet)
S5
traffic detour
Temporary
Relocation
UT to California Creek
Perennial
Both
28
Averege (feeQ
(linear feet)
3i. Total jurisdictional ditch impact in square feet:
0
31. Total permanent stream impacts: 31. Total temporary stream impacts:
66 117
31. Total stream and ditch impacts:
183
3j. Comments
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:
Bridge and roadway were designed to meet current safety standards. California Creek and the UT will be restored when the detour is removed
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Erosion control measures will be installed. The site will be dewatered as needed. The site will be stabilized when construction is complete.
Q
`1

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:
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:
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 (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:'
Reviewed by Division staff
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.
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
O
O
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
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
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?
https://ipac.ecosphere.fws.gov
6. Essential Fish Habitat (Corps Requirement)
Ga. 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?
maps
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?
Coordination with NC DOT Cultural Resources staff
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 proposed grade of the bridge is -1' above existing grade
8c. What source(s) did you use to make the floodplain determination?"
https://fris.nc.gov/fris/index.aspx?FIPS=115&ST=NC&user=General % 20Public
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
21-12-0010NoHistoricPropsPresent.pdf
284.06KB
Bridge 560087 Madison Consultation Request.pdf
2.12MB
No NRHP Eligible or Listed Archaeological Sites Present PA 21-12-0010.pdf
4.9MB
BP13.RO23_MCDC.pdf
1.01 MB
BP13.R023_NRTR.pdf
4.07MB
BP13.R023_PJDPackage.pdf
1.04MB
Bridge 560087 Madison bat questionnaire.pdf
120.15KB
Bridge 560087 Madison cover letter.pdf
224.11 KB
Bridge 560087 Madison photos.pdf
1.78MB
Bridge 560087 Madison topo.pdf
257.39KB
SF-560087_Permit Drawings_20230927.pdf
1.51 MB
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:
Yates Allen
Signature
yars A/reti
Date
4/5/2024