20200235 Ver 2_ePCN Application_20240409

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# *
20200235
2
Is a payment required for this project?*
No payment required
Fee received
Reviewing Office*
Fee needed - send electronic notification
Mooresville Regional Office - [phone]
Select Project Reviewer*
Mary Plummer:mary.plummer
Information for Initial Review
la. Name of project:
BP10.R058 - Replacement of Bridge No. 145 on SR 2106
1a. Who is the Primary Contact?*
Joel Howard
1b. Primary Contact Email: *
[e-mail]
Date Submitted
4/9/2024
Nearest Body of Water
Little Richardson Creek
Basin
Yadkin-PeeDee
Water Classification
WS-IV
Site Coordinates
Latitude: Longitude:
34.925182-80.519249
A. Processing Information
Is this project connected with ARPA funding?
Yes No
County (or Counties) where the project is located:
Union
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:
WBS#M
BP10.R058
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)
le. Is there an Agent/Consultant 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]
4. Agent/Consultant (if applicable)
4a. Name:
Joshua Kotheimer
4b. Business Name:
4c. Address
Street Address
900 West Trade St, Suite 715
Address Line 2
city
Charlotte
Postal / Zip Code
28202
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:
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:
Little Richardson Creek
3b. Water Resources Classification of nearest receiving water:
WS-Iv
3c. What river basin(s) is your project located it *
Yadkin-PeeDee
3d. Please provide the 12-digit HUC in which the project is located.
030401050504
4. Project Description and History
State / Province / Region
NC
Country
USA
2f. Fax Number
State / Province / Region
North Carolina
Country
USA
4e. 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 conditions include SR 2106 (Macedonia Church Road), agricultural land, residential property, undeveloped forest, and the disturbed/maintained right-of-way. This project was
formerly known as T.I.P. #B-5515 and 17BP.10.R.151
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:
150
4h. Explain the purpose of the proposed project: *
The purpose of the project is to replace the structurally deficient SR 2106 bridge over Little Richardson Creek with a new bridge.
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 the installation of impervious dikes around the existing bridge abutments in order to work in dry conditions. Bridge
demolition will include the removal of the bridge deck and the removal of the top portion of the bridge abutments, leaving the Tooter and approximately three feet of the concrete abutment
to match the excavation elevation. Temporary construction and demolition -related impacts to 85 linear feet of Little Richardson Creek may result. Bridge replacement construction will
utilize heavy equipment operating from the upland roadway approaches. No deck drains are proposed on the bridge and runoff from the bridge will be routed to inlets located on both sides
of the road to the northeast of the bridge and discharged to the stream floodplain both upstream and downstream of the bridge. The proposed bridge will be built on the same alignment
with a temporary off -site detour that includes Pageland Highway, East Franklin Street, Wolf Pond Road, and Stack Road.
The existing 24.5' single -span bridge over Little Richardson Creek on SR 2106 (Macedonia Church Rd) is being replaced with a 60' single -span bridge. The bridge will have 1.5:1 sloping
abutments. The roadway typical section through the bridge will be normal crowned at 2 % with 10' travel lanes and 3'-11" shoulders, 27"-10" clear width and 30'-0" OTO width. The existing
bridge structure will be removed. The existing abutments will be cut off at elevation 540. Overall drainage patterns will be maintained. Existing roadside ditches will be replaced by
proposed roadside ditches which will be appropriately lined to prevent erosion. On the end side of the bridge, two traffic bearing grated drop inlets with double frame and grates (2GI) were
placed within the shoulder berm gutter to pick up runoff from the bridge. Class -II rip -rap abutment protection will be placed on both sides of the stream crossing. Deck drains are not
required. Rip -rap dissipator pads are proposed at the ends of the ditches where the ditches outfall towards the stream. Impervious dikes will be installed around the existing abutments to
prevent the sediment from washing into the stream during the removal of existing structure.
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
Yes No C-4 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): Josh Kotheimer, PWS
Agency/Consultant Company: STV Engineers, Inc.
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?
No.
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
Jurisdiction*
3g. S. width
3h. Impact
length*
S1
Bridge replacement
Temporary
Other
Little Richardson Creek
Perennial
Both
45
Average (reef)
85
(linear feet)

S2
Bridge replacement
Temporary
Dewatering
Little Richardson Creek
Perennial
Both
45
Average (feet)
69
(linear feet)
S3
Bridge replacement
Temporary
Dewatering
Little Richardson Creek
Perennial
Both
45
Average (feet)
75
(linear feet)
3i. Total jurisdictional ditch impact in square feet:
0
3i. Total permanent stream impacts:
0
31. Total stream and ditch impacts:
229
3i. Total temporary stream impacts:
229
3j. Comments:
Anticipated temporary impacts to Little Richardson Creek associated with the demolition of the existing bridge are estimated at 85 linear feet (S1). The
S2 and S3 temporary impacts associated with dewatering efforts during construction are contained within the 85 linear feet of temporary S1 impacts.
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:
Replacing the bridge in -place with an off -site detour was incorporated to minimize impacts. The bridge span length was extended to avoid impacts.
Riprap protection of the bridge abutments is being placed outside of the jurisdictional stream boundary to avoid impacts to the streambed.
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:
No permanent impacts are proposed. Minimal temporary impacts of 85 linear feet may occur to Little Richardson Creek from demolition activities and no part of the stream bed will be
impacted. The proposed 69 linear feet and 75 linear feet of dewatering impacts to Little Richardson Creek are contained within the 85 linear feet of potential demolition related temporary
impacts and will not require mitigation.
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:
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:
Stormwater runoff from the proposed bridge will be routed to inlets located on the northeast side of the bridge on both sides of the roadway. Please see attached Stormwater Management
Plan for details on the minimization of water quality impacts (Attachment A).
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
Comments: *
A Minimum Criteria Determination Checklist was prepared for this bridge replacement project (See Attachment C)
Q
V
O
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.
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 D - 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 E - "No Archaeological Survey Required Form" and "Historic Architecture and Landscapes No Survey Required Form."
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 Hydraulics 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_BP10R058_Cover_Letter_ With_ Supporting_Information.pdf 5.72MB
BP10.R058 Final Mussel Survey Report.pdf 1.26MB
Tribal Coordination Letter.pdf 242.05KB
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:
Joel M. Howard
Signature
Date
4/9/2024
O