20160254 Ver 1_Application_20160314

Carpenter,Kristi
From:
Sent:
To:
McHenry, David G
Monday, March 14, 2016 9:32 AM
Beckwith, Loretta A SAW; Barnett, Kevin
Cc: Andrew Henderson ([e-mail]); Chambers, Marla J; Dockery, Jacob
A; Davis, Mark S; Chapman, Amy; Carpenter,Kristi
Subject: RE: NCDOT NWP 3 Application for Culvert on SR 1135 in Clay County
Attachments: SR 1135_Clay_Culvert Replacement_NWP 3_Application Package_w401.pdf
Folks,
I neglected to request a 401 WQC for this project. So, please disregard the previous email (below) and discard the
permit application package it contained. Attached to this email is a corrected version.
I apologize for the oversight.
Please advise if you need further assistance.
Dave McHenry
Environmental Specialist
NC Department of Transportation/Division 14
828 586 2141 office
828 246 -7078 mobile
dqmchenrv(a�ncdot.qov
253 Webster Road
Sylva, NC 28779
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
Email correspondence to and from this sender is subject to the N.C. Public Records Law and may be disclosed to third parties.
From: McHenry, David G
Sent: Monday, March 14, 2016 8:08 AM
To: 'Beckwith, Loretta A SAW'
Cc: Barnett, Kevin; Andrew Henderson ([e-mail]); Chambers, Marla J; Dockery, Jacob A; Davis, Mark
S
Subject: NCDOT NWP 3 Application for Culvert on SR 1135 in Clay County

Lo r i,
Please accept the attached application and plans for a Nationwide 3 Permit to replace and extend a culvert under SR
1135 in Clay County. Please advise if you need additional information or clarification on the application.
Thank you for your assistance with this.
Dave McHenry
Environmental Specialist
NC Department of Transportation/Division 14
828 586 2141 office
828 246 -7078 mobile
dqmchenrv(a�ncdot.qov
253 Webster Road
Sylva, NC 28779
i 4 � � �Yy. �
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
Email correspondence to and from this sender is subject to the N.C. Public Records Law and may be disclosed to third parties.

� � 3 -/i- ic
Corps Submittal Covei• Sheet
Please provide the lollowing info:
1. Project Name SR 1135 (Setta�vig Roacil culvert re��lacement
2. Name of Property O�a�ner/Applicant: NC De�>artuient of Transportation
3. Name of Consultant/Agent: N/A
"Agent aulhorization needs [o be attached.
4. Related/Previous Action ID number(s): N/A
5. Site Address: N/A
6. Subdivision Name: N/A
7. City: Brasstown
8. County: Clay
9. LTt: 35.0549° N Long: -83.9352° W(Approa. Project Ceuters)
10. Quadraugle Name: Peachtree (35083-A8-TF-024)
1 l. Waterway: Suddawie Branch (WS-IV)
12. Watershed: Hi�a�assee River(06020002�
] 3. Reqtiested Action:
X Nationwide Permit # 3
Genei'al Permit #
Jurisdictional Determination Request
Pre-Application Reqaest
The followiug informltion will be completed by Corps oftice:
AID:
Prepare File Folder Assigii number iu ORM Begin Date
Authorization: Section 10 Section 404
Project Description/ Nature of Activity/ Yroject Purpose:
Site/Waters Name:
Keywords:

Transportation
M�rch 14, 2016
Ms. Lori Beck�vith, NCDOT Regulatory Project M�nager
U.S. Army Corps of Engineers
151 Patton Avenue, Rooni 208
Asheville,NC 28801-2714
PAT McCRORY
covrn,or
NICHOLASJ.TENNYSON
Srcrelnry
Subject: Nationwide3PermitApplication—CulvertReplacement
SR I 135 (Sette�vig Road) — Suddawig Branch
Cl�y County
State Project No. 14CR.2022111
De�r Ms. Beckwith:
The Noith Carolina Deparlment of Transportation (NCDOT) is proposing to replace and estend a
double culvert pipe crossing in Suddawig Branch under SR 1 l35 (Setta�vig Road) in Clay
County. The e�isting 2@ 60"x35`CMP is deteriaating and e hazard to motorists because the
upstream pipe ends are close to the edge of pavemenL A masonry heacl�vall that protrudes n
couple feet past the pipe inlets was conshucted in the past, but this did notfix the safery issue.
The replTcement sh�uchve will be 2@ 60"x 60`CMP �vith conerete heT<Iw�lls with ttie pipes
placed on a slightly sharper skew to better align with the stream chaunel upstream. The ne�v high
flow pipe will have floodplain benches at the inlet and outlet The new base flow culvert pipe
will have only a slight slope (�0.4%) and its inveit will be about one foot below the stream grade
unless bedrock is encouutered. We would like to complete tl�e work soon, preferably before
completion of a paving project th�t is currently unde��v�}� on this road.
Enclosed are a PCN applieation, prelimina�y jurisdictional detennination, photographs of fhe
project site, the culvert diagraiu, a m�rked vicinity map, a USGS topographic map, and other
supportiug inform�tion.
The North Caroliu� Natural 1 Ieritage Program lists 38 species for Clay County that have federal
status and that are kuown from current or historical records. Three species, the green pitcher
plant (Sm•rncenio oreophiln), rock gnome lichen (G7>>uonodernia linem•e), and the nortliern long-
eared b�t (NLEB, �ll��olis septenh•ronali.r) are kno�vn from current records and �re listed as
endangered ortlueatened.
'Chere are no records for listed species in the Suddawig Branch watershed. Wetlands aud damp
rock faces ueeded by green pitclier plant and rock gnome Iichen, respectively, are not preseut near
the site. For these reasons and due to the limited scope of the �vork, the project should have "no
effect" on tliese listed terrestrial species.
Clay County is considered oceupied h�bitat aud potential h�bitat for northern long-eared bTt
(NLEB, Mj�otis seplenh•ionnlis) and Indiana bat (�llyolis sodcrNs), respectively. These bats use
�Nothing Compares%�
S�a�eofNotlhCnmlina � DepanmemofTmnspotla�ion� Di�isionN
25? WcbslerRoad � Sylva,NorthComlinn28779
Phone [phone] I Fm R28-586d0A3

SR 1135, Clay Cowiry Page 2 March 14, 2016
caves and mines for winter hibernacula and, in the spring to early fall, they roost in sh•uchu'es or
ou trees widi Ioose bark or crevices. There are no caves or mines evident near the site, but there
are a few h'ees that may need removal. According to the USFWS Asheville Pield Office's
website, the project site does not f�ll within an area wliere pro�imity to NLEB hibernacula or
materuity roost sites might be a concern. Therefore, we believe that the project should qualify for
the e�ception from the incidental take prohibition for NLEB under the 4d rule that went into
effect on Rebruap� 16, 2016. A"mav �ffect, uot likcly to ndversely nffecP' detennination is
recoiumended for Indiana bat because �ny tree removal �vill occur during the winter (October 15
to April I S).
Tlie project only involves replacing a culvert and ground disturbance �vithin an esisting road
right-of-n�ay. Ancl, there �re no historic structures apparent near tl�e site based on a visual survey
and � review of NCHPO data (See Attachments). Therefore, ihere should be "no effect" of the
project on cidhu�al resources.
Erosion control devices �vill be installed and maintained as necessary during construction. Areas
of disturbed soil will be quickly seeded and covered with shaw. Seed and matting will be placed
along sheambanks to prevent erosion.
Impacts to Waters oS the Uuited States
Suddawig Branch (Class WS-IV) is shown ou the USGS topographic mTp es a pereunial stream
and has sufficient flo�v to support Tquatic life. Tlie channel is well defned, lacks rooted
vegetation, and is composed primarily of sand, gravel, and cobble. Suddawig Brancli flows
appro�imatelp 0.5 mile to the Hiwassee River, which meets the definition of a Traditional
Navigable Water (TNW). For these re�sons, we believe that Suddawig Branch is a Relatively
Permenent Water aud is under thejarisdiction of the U.S. Arnry Corps of Engiueers. In order to
complete the project, it will be necessa�y to impact Waters of tl�e United States in the Hiwassee
River Basin (I IUC 06020002). Specific�lly, NCDOT is requesting to replace aud estend double
culvert pipes in Suddawig Brancli as follo�vs:
Site No. Esistiug Coudition Proposed Cm�dition Net Impncts
2 rt 60"x 35` CMP with 2 n 60"x 60` CMP �vith
Site 1 Masonry I Ieadwall on Concrete Fle�chvalls 25
Inlet
Temporary Dike and Flow
Site 1 A Pree-flo�ving Channel Diversion through 100'
Esistiug D�y Pi �e
Site 1 B Pree-flowing Channel Rip rap and Floodplain � �,
Bench at Culvert Inlet
Site I C Free-flo�ving Chanuel Rip rap and Floodplain � 5,
Bench at Cuh�ert Outlet
Total Permauent Sh•enm Impact for New Culvert/ �stension 50'
and P'loodplain BencLes
Total Tempor�iy Stre�m Iiupact for Dilce �nd P'low Diversion 100'

SR 1135, Clay Counry Page 3 March 14, 2016
Permits Requested
NCDOT is hereby requesting authorizetion under Section 404 of the Clean Water Act to proceed
with the project outlined above. By cop}� of tliis letter, I am asking Mrs. Marl� Chambers,
Western NCDOT Review Coordinator with the North Carolina Wildlife Resources Commission
(NC W RC), to comment directly to you concerning the 404 Nationwide Permit request.
1 am also requesting authorization under Section 401 of the Clean Water Act from the Noith
Carolina Deparlment of Environmental Quality (DEQ), Divisiou of Water Resources.
If you have any questions or ueed �dditional infonnation, please cont�ct me at [phone].
Your early review and consideration of this request will be greaHy appreciated.
1
Sii e rely, /�
���%
Dave MeHemy
Division 14 Environment�l Speci�list
Enclosw es
cc: Ms. Anry Chepman, Division of Wnter Resow�ces, DEQ, Raleigh
Ms. Kristie Lynn Cerpenter, Division of Water Resourees, DEQ Raleigh
Mr. Kevin Barnett, Division of Water Resources — DEQ, Asheville
Mr. Andrew Hendersou, Biologist, US Fish & Wildlife Seivice, Asheville
Mrs. Marla Chambers, Western NCDOT Review Coordinator, NCWRC, Albemarle
Mr. Adam Dockery, PE, Divisio�t 14 County Maintenance Eugineer, NCDOT, Clay
Mr. Mark Davis, Division 14 Environmental Officer, NCDOT, Sylva

o����� W��a�T�q�G
o/� ; - .;'y
F
Offce Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.3 Dec 10 2008
Pre-Constrnction Notificatiou PC Forui
A. A licant L�form�tion
1. Processing
1 a. Type(s) of approval sought from lhe
Corps: � Section 404 Permit ❑ Seclion 10 Permit
1b. Specify Nalionwide Permit (NWP) number. 3 or General Permit (GP) number:
1 c. Has the NWP or GP number been verified by lhe Corps? ❑ Yes � No
1d. Type(s) of approval sought from lhe DWQ (check all that apply):
� 401 Water Quality Certifcation — Regular ❑ Non-404 Jurisdictional General Permit
❑ 401 Water Qualily Certification — Express ❑ Riparian Buffer Authorization
1 e. Is lhis notification solely for the record For the record only for DWQ 401 For the record only for Corps Permit:
because written approval is not required? Certification:
❑ Yes � No ❑ Yes � No
1f. Is payment into a mitigation bank or in-lieu fee program proposed for mitigation � Yes � No
of impacts? If so, attach the acceptance letter from mitigation bank or in-lieu
fee program.
1g. Is lhe project located in any of NCs twenty coastal counties. If yes, answer 1h ❑ Yes � No
below.
1 h. Is lhe project located within a NC DCM Area of Environmental Concern (AEC)? ❑ Yes � No
2. Project Information
2a. Name of project: SR 1135 Culvert Replacement
2b. County: Clay
2c. Nearest municipality / town: Brasstown
2d. Subdivision name: N/A
2e. NCDOT only, T.I.P. or State 14CR.20221.11
Project No:
3. Owner Information
3a. Name(s) on Recorded Deed: North Carolina Department of Transportalion
3b. Deed Book and Page No. N/A
3c. Responsible Party (for LLC if Dave McHenry, Division 14 Environmental Specialist
applicable):
3d. Street address: 253 Webster Road
3e. Cily, state, zip: Sylva, NC 28779
3f. Telephone no.: 828-586-2141
3g. Fax no.: 828-5£36-4043
3h. Email address: [e-mail]
Page 1 of 10
PCN Form — Version 1.3 December 10, 2008 Version

4. Applicant Information (if different from owner)
4a. Applicant is: ❑ Agent ❑ Other, specify:
4b. Name:
4c. Business name
(if applicable):
4d. Street address:
4e. City, state, zip:
4f. Telephone no.:
4g. Fax no.:
4h. Email address:
5. Agent/Consultant Information (if applicable)
5a. Name: N/A
5b. Business name N/A
(if applicable):
5c. Street address: N/A
5d. City, state, zip: N/A
5e. Telephone no.: N/A
5f. Fax no.: N/A
5g. Email address: N/A
Page 2 of 10 PCN Form — Version 1.3 December 10, 2008 Version

B. Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID): N/A
1 b. Site coordinates (in decimal degrees): Latitude:35.0549 Longitude: -83.9352
1 c. Property size: N/A acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to Suddawig Branch
proposed projecl:
2b. Water Quality Classification of nearest receiving water: WS-IV
2c. River basin: Hiwassee
3. Project Description
3a. Describe lhe exisling conditions on the site and the general land use in lhe vicinity of the project at the time of this
application:
The condition of the site is a culvert slream crossing under a secondary road. The general Iandscape is rural with a
mixture of farmland, forests, and single-family residenlial homes.
3b. List the total estimated acreage of all existing wetlands on the property:
N/A
3c. List lhe total estimated linear feet of all existing streams (intermittent and perennial) on the property:
100
3d. Explain lhe purpose of the proposed project:
The purpose of the project is to replace a deteriorating and unsafe culvert stream crossing on a secondary road.
3e. Describe the overall project in detail, including the type of equipment to be used:
Erosion and sedimentation control measures will be installed. The dual culvert pipes will be replaced in sequence. The
existing left side pipe (facing downstream) will serve as the temporary flow bypass while the new base flow pipe is
inslalled. Water will then be turned into the new base pipe while lhe new high flow pipe is placed and small floodplain
benches are constructed at the inlet and outlet. Track hoes and heavy equipment will be used to accomplish lhe work.
4. Jurisdictional Determinations
4a. Have jurisdiclional welland or stream determinations by the
Corps or State been requested or obtained for lhis properly / ❑ Yes � No ❑ Unknown
project (including all prior phases) in the past?
Comments: N/A
4b. If the Corps made the jurisdictional determination, what lype � preliminary ❑ Final
of delermination was made?
4c. If yes, who delineated the jurisdictional areas? Agency/Consultant Company: N/A
Name (if known): N/A Other: N/A
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and altach documenlation.
N/A
5. Project History
Sa. Have permits or certifications been requested or obtained for � Yes � No ❑ Unknown
this projecl (including all prior phases) in the past7
5b. If yes, explain in detail according to "help f le" instructions.
6. Future Project Plans
6a. Is this a phased project? ❑ Yes � No
6b. If yes, explain.
N/A
C. Proposed Impacts Inventory
Page 3 of 10 PCN Form — Version 1.3 December 10, 2008 Version

1. Impacts Summary
1 a. Which sections were completed below for your project (check all that apply):
❑ Wetlands � Streams - tributaries ❑ Buffers
❑ Open Waters ❑ Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on lhe site, then complete this question for each wetland area impacted.
2a. 2b. 2c. 2d. 2e. 2f.
Wetland impact Type of jurisdiction
number — Type of impact Type of wetland Forested (Corps - 404, 10 Area of impact
Permanent (P) (if known) DWQ — non-404, other) (acres)
or Tem ora T
W1 ❑ P❑ T N/A N/A ❑ Yes ❑ Corps N/A
❑ No ❑ DWQ
W2 � P� T ❑ Yes ❑ Corps
❑ No ❑ DWQ
W3 ❑ P � T ❑ Yes ❑ Corps
❑ No ❑ DWQ
W4 ❑ P❑ T ❑ Yes ❑ Corps
❑ No ❑ DWQ
2g. Total �vetland impacfs
2h. Comments: N/A
3. Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the sile, then complete this
question for all stream sites impacted.
3a. 3b. 3c. 3d. 3e. 3f. 3g.
Stream impact Type of impact Stream name Perennial Type of jurisdiction Average Impact
number - (PER) or (Corps - 404, 10 stream length
Permanent (P) intermittent DWQ — non-404, width (linear
or Temporary (T) (INT)? other) (feet) feet)
S1 � P❑ T Culvert Suddawig Branch � PER � Corps 5 25
replacemenUextension ❑ INT � DWQ
S1A ❑ P� T Dike and Flow Suddawig Branch � PER � Corps 5 100
Diversion ❑ INT � DWQ
S16 � P❑ T Floodplain Bench at Suddawig Branch � PER � Corps 5 10
Culvert Inlet ❑ INT � DWQ
S1C � P❑ T Floodplain Bench at Suddawig Branch � PER � Corps 5 15
Culvert Outlel ❑ INT � DWQ
3h.
Total Permanent Stream Impact for Culvert ReplacemenUExtension and Floodplain Benches 50'
Total Temporary Stream Impact for Dike and Flow Diversion 100'
3i. Comments:
Page 4 of 10 PCN Form — Version 1.3 December 10, 2008 Version

4. Open Water Impacts
If there are proposed impacts to lakes, ponds, estuaries, tribularies, sounds, the Allantic Ocean, or any other open water of
lhe U.S. then individually list all open water impacts below.
4a. 4b. 4c. 4d. 4e.
Open water Name of waterbody
impact number (if applicable) Type of impact Waterbody type Area of impact (acres)
— Permanent
(P) or
Tem ora T
01 ❑ P❑ T N/A N/A N/A N/A
02 ❑P❑T
03 ❑POT
04 ❑P�T
4E Total open water impacts N/A
4g. Commenls: N/A
5. Pond or Lake Construction
If ond or lake construction ro osed, lhen com lete the chart below.
5a. 5b. 5c. 5d. 5e.
Wetland Impacts (acres) Stream Impacts (feet) Upland
Pond ID Proposed use or purpose of (acres)
number pond
Flooded Filled Excavated Flooded Filled Excavated Flooded
P1 N/A N/A N/A N/A N/A N/A N/A N/A
P2
Sf. Total N/A N/A N/A N/A N/A N/A N/A
5g. Comments: N/A
5h. Is a dam high hazard permit required?
❑ Yes ❑ No If yes, permit ID no: N/A
5i. Expected pond surtace area (acres): N/A
5j. Size of pond watershed (acres): N/A
5k. Method of consiruction: N/A
Page 5 of 10 PCN Form — Version 1.3 December 10, 2008 Version

6. Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer, then complete the chart below. If yes, lhen individually list all buffer impacts
below. If an im acts re uire miti ation, then ou MUST fill out Section D of lhis form.
6a.
❑ Neuse ❑ Tar-Pamlico ❑ Other:
Project is in which protected basin? ❑ Catawba ❑ Randleman
6b. 6c. 6d. 6e. 6f. 6g.
Bufferimpact
number — Reason Buffer Zone 1 impact Zone 2 impact
Permanent (P) for impact Stream name miligation (square feet) (square feet)
or Temporary required?
B1 ❑ P � T N/A N/A � Nas N/A N/A
B2 ❑P❑T ❑Yes
❑ No
63 ❑P❑T ❑Yes
❑ No
6h. Total buffer impacts N/A N/A
6i. Comments: N/A
D. Impact Justification and Mitigation
1. Avoidance and Minimization
1 a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
The new culvert pipes will be placed on a slightly higher skew to belter align with the stream channel upstream. Floodplain
benches will be placed at the inlet and oullet of the high flow pipe to help ensure water deplh and aquatic liFe passage in the
low flow pipe, which also will have nearly no slope.
1 b. Specifically describe measures taken to avoid or minimize lhe proposed impacts through construclion techniques.
Excavation of lhe stream channel will be avoided by using the existing "dry" high flow culvert pipe as a temporary flow bypass
while the new base flow pipe is installed. Disturbed areas around the culvert iniets and outlets will be quickly stabilized.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for ❑ Yes � No
impacts to Waters of lhe U.S. or Waters of the State?
26. If yes, mitigation is required by (check alI Iha[ apply): ❑ DWQ ❑ Co�ps
❑ Mitigation bank
2c. If yes, which mitigalion option will be used for lhis project7 ❑ Payment to in-lieu fee program (Div. Mitig. Services)
❑ Permittee Responsible Mitigalion
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank: N/A
3b. Credits Purchased (al[ach receipt and lelter) Type N/A Quantity N/A
Page 6 of 10 PCN Form — Version 1.3 December 10, 2008 Version

3c. Comments: N/A
4. Complete if Making a Payment to In-lieu Fee Program
4a. Approval lelter from in-lieu fee program is altached. ❑ Yes
4b. Stream mitigation requested:
4c. If using stream mitigalion, stream temperature: ❑ warm ❑ cool ❑cold
4d. Buffer mitigation requested (DWQ only): N/A square feet
4e. Riparian weUand mitigation requested: N!A acres
4f. Non-riparian wetland miligation requested: N/A acres
4g. Coastal (tidal) wetland mitigation requested: N/A acres
4h. Comments: N/A
5. Complete if Using a Permittee Responsible Mitigation Plan
5a. If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
N/A
6. Buffer Mitigation (State Regulated Riparian Buffer Rules) — required by DWQ
6a. Will the project result in an impact within a protected riparian buffer that requires ❑ Yes � No
buffer miligation?
6b. If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation. Calculate the
amount of mitigation required.
6c. 6d. 6e.
Zone Reason for impact Total impact Multiplier Required mitigation
(square feet) (square feet)
Zone 1 N/A N/A 3(2 for Catawba) N/A
Zone 2 1.5
6f. Total buffer mitigation required: N/A
6g. If buffer mitigation is required, discuss what type of mitigation is proposed (e.g., payinent to private miligation bank,
permiltee responsible riparian buffer restoralion, payment into an approved in-lieu fee fund).
N/A
6h. Comments: N/A
Page 7 of 10 PCN Form — Version 1.3 December 10, 2008 Version

E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Plan
1 a. Does the project include or is it adjacent to prolected riparian buffers identified � Yes � No
wilhin one of fhe NC Riparian Buffer Protection Rules?
1 b. If yes, then is a diffuse flow plan included? If no, explain why.
Comments: N/A ❑ Yes ❑ No
2. Stormwater Mana ement Plan
2a. What is the overall percent imperviousness of this project? N/A %
2b. Does this project require a Stormwater Management Plan? � Yes ❑ No
2c. If this project DOES NOT require a Stormwater Management Plan, explain why: N/A
2d. If this project DOES require a Stormwater Management Plan, then provide a brief, narrative descriplion of the plan:
The plan is covered under the NCDOT General Slormwater Permit No. NCS000250
2e. Who will be responsible for lhe review of lhe Stormwater Management Plan? ❑ Certified Local Government
NCDOT ❑ DWQ Stormwater Program
� DWQ 401 Unit
3. Certified Local Government Stormwater Review
3a. In which local government's jurisdiclion is �his project? N/A
❑ Phase II
3b. Which of the following locally-implemented stormwater management programs ❑ NSW
apply (check all that apply): ❑ USMP
❑ Water Supply Watershed
❑ Other.
3c. Has the approved Stormwater Management Plan wilh proof of approval been ❑ Yes ❑ No
attached?
4. DWQ Stormwater Pro ram Review
❑ Coastal counties
❑ HQW
4a. Which of the following state-implemented stormwater management programs apply � ORW
(check all that apply): ❑ Session Law 2006-246
❑ Olher:
4b. Has the approved Stormwater Management Plan with proof of approval been
attached? ❑ Yes ❑ No
5. DWQ 401 Unit Stormwater Review
5a. Does the Stormwater Management Plan meet lhe appropriate requirements? ❑ Yes ❑ No
5b. Have all of lhe 401 Unit submittal requirements been met? ❑ Yes ❑ No
Page 8 of 10 PCN Form — Version 1.3 December 10, 2008 Version

F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
1 a. Does lhe project involve an expenditure of public (federal/state/local) funds or the � Yes ❑ No
use of public (federal/state) land?
1 b. 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 ❑ Yes � No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1 c. If you answered "yes" to the above, has the document review been finalized by the
State Clearing House? (If so, attach a copy of lhe NEPA or SEPA fnal approval
letter.) ❑ Yes ❑ No
Comments: N/A
2. Violations (DWQ Requirement)
2a. Is lhe site in violation of DWQ Wetland Rules (15A NCAC 2H .0500), Isolated
Wetland Rules (15A NCAC 2H .1300), DWQ Surface Water or Wetland Standards, ❑ Yes � No
or Riparian Buffer Rules (15A NCAC 2B .0200)?
2b. Is this an after-lhe-fact permit application? ❑ Yes � No
2c. If you answered "yes" to one or both of the above queslions, provide an explanation of the violation(s): N/A
3. Cumulative Impacts (DWQ Requirement)
3a. Will this project (based on past and reasonably anticipated future impacts) result in � Yes � No
addilional development, which could impact nearby downstream water quality?
3b. If you answered "yes" to the above, submit a qualitative or quanlitative cumulalive impact analysis in accordance with the
most recent DWQ policy. If you answered "no," provide a short narrative description.
This project consisls of replacing a slream crossing on a secondary road. The road infrastructure is not being upgraded.
The secondary and cumulative impacts from these rouline maintenance projects are expected to be insignifcant.
4. Sewage Disposal (DWQ Requirement)
4a. Clearly detail lhe ultimate treatment methods and disposition (non-discharge or discharge) of wastewater generated from
the proposed project, or available capacity of lhe subject facility.
N/A
Page 9 of 10 PCN Form — Version 1.3 December 10, 2008 Version

5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area wilh federally protected species or � Yes ❑ No
habitat?
5b. Have you checked with the USFWS concerning Endangered Species Act � Yes � No
impacts?
❑ Raleigh
5c. If yes, indicate the USFWS Field Offce you have contacted.
❑ Asheville
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
North Carolina Natural Heritage Program Database and site visits.
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essenlial fish habitat? ❑ Yes � No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat7
N/A--There are no marine or estuarine habitat within lhe Blue Ridge Physiographic Province
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
7a. Will this project occur in or near an area lhat lhe state, federal or lribal
governments have designated as having historic or cullural preservation � Yes � No
status (e.g., National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?
The work will be restricted to replacing a stream crossing within an exisling right-of-way. There are no historic properties
evident near the site (see attachments). For lhese reasons, there should be no adverse effects of the work on cultural
resources.
8. Flood Zone Designation (Corps Requirement)
8a. Will lhis project occur in a FEMA-designated 100-year floodplain? ❑ Yes � No
8b. If yes, explain how project meets FEMA requirements:
8c. What source(s) did you use to make lhe floodplain determination?
_�.
/ I
Dave McHem�y j '
Division 14 Enviroruuental � �
Specialist � ` 3 -�a `/G
ApplicanUAgenPs Signatu e Date
AppllCanf/Agent's Printed Name (AgenCs signature is valid only if an authorization letler from the applicant
is provided.)
Page 10 of 10 PCN Form — Version 1.3 December 10, 2008 Version

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SR 1135 — Settawig Road — Culvert Replaceuient
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ATTACHMENTA
PRELIMINARY JURISDICTIONAL DETERMINATION FORM
BACKGROUNDINFORMATION
A. REPORT COMPLETION DATE FOR PRELIMINARY JURISDICTIONAL
DETERMINATION (JD): a � ��
B. NAME AND ADDRESS OF PERSON REQUESTING PRELIMINARY JD:
NC DepaAment of Transportalion, Dave McHenry, Division 14 Environmenlal Specialist
253 Websler Road, Sylva, NC 28779
C. DISTRICT OFFICE, FILE NAME, AND NUMBER:
D. PROJECT LOCATION(S) AND BACKGROUND INFORMATION:
Replace culvert in Suddawig Branch under SR 1135 (Settawig Road) near Brasstown.
(USE THE ATTACHED TABLE TO DOCUMENT MULTIPLE WATERBODIES AT DIFFERENT
SITES)
State: NC County/parish/borough: ��av CIIjI: Brasstwon
Center coordinates of site (IaUlong in degree decimal format):
Lat. ae.osas °N; Long. -ss.saez °W.
Universal Transverse Mercator: Zazzs�,aaeaoi�.szo�e��
Nall'1@ Of Il@8f2St W8f2fbOdy: Suddawig Branch
Identify (estimate) amount of waters in the review area:
Non-wetland waters:
�oo linear feet: 5 width (ft) and/or acres.
Cowardin Class: R3uBi
Stream Flow:
Wetlands: �a acres.
Cowardin Class: Na
Name of any water bodies on the site that have been identified as Section 10
waters:
Tldal: ��a
Non-Tidal: �ia

E. REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALL THAT
APPLY):
� Office (Desk) Determination. Date: 3-�-Zo�s
� Field Determination. Date(s):
SUPPORTING DATA. Data reviewed for preliminary JD
(check all that apply - checked items should be included in case file and,
where checked and requested, appropriately reference sources below):
� Maps, plans, plots or plat submitted by or on behalf of the
applicanUconsultant: Ncoo-r
❑ Data sheets prepared/submitted by or on behalf of the
app�nt/consultant.
Office concurs with data sheets/delineation report.
� Office does not concur with data sheets/delineation report.
❑ Data sheets prepared by the Corps:
❑ Corps navigable waters' study:
❑ U.S. Geological Survey Hydrologic Atlas:
❑ USGS NHD data
� USGS 8 and 12 digit HUC maps
❑✓ U.S. Geological Survey map(s). Cite sca�e & quad name: � ZQk Pea�nr�ee
❑ USDA Natural Resources Conseivation Service Soil Survey.
Citation:
❑ National wetlands inventory map(s). Cite
❑ State/Local wetland inventory map(s):_
❑ FEMA/FIRM ma
� 100-year Floodplain Elevation is:
(National Geodectic Vertical Datum of 1929)
0 Photographs: � Aerial (Name & Date): or
QOther (Name & Date): seua����9 Roaa_No� n zois
� Previous determination(s). File no. and date of response letter:
� Other information (please
�

Estimated
amount of
aquatic Class of
resource in aquatic
Site Number Latitude Longitude Cowardin Class review area resource
1 35.0549 -83.9352 R3U61 100 linear feet Non Section 10
— non-wetland

Pirogrammatic A�reement Culhu•al Resoiu•ces Screeuin� Checiclist
TIP Project No.: N/A FA: N/A WBS:
Project Name: SR 1 135 Suddawig Brancli culvert replacement.
Couuty: Cl�y
Project Descriptimi: Replace and esteud a deteriorating cubert in Suddawig C3ranch uuder SR l 135 (Settawig Road)
near Brassto��at in Cla}� County.
Fuuding Sow•ce: State
Instructious
Permits Required: Natiomvide Permit No. 3
NCDO"I' Project Managers/Gngineers, should complete the following checklist b�sed upon your knowledge of the project site �nd
immediate vicinit}�. If you check "Unable to Determine", effa�ts shotdd be undertaken to acquire availeble inCormalion on the projecl.
If the answer to eny question is "Yes" or "Unable to Detennine," the project is subjecl to further historic preservation review, not
withstanding otlier determinations under state environmenlal review laws �od regulations. If the Tns�ver to all the questions is "No,"
the project ma}� be excluded fi'om further historic preservation reviea.
Yes No Un�ble to
Determine
A. Dozs Ihis prolect contain activities thal are �sspeeified in Appendi� C of the X
Nodh Caroline Progrnmmntic Agreement for nlinor "fr�nsportation Projcc�s? (Lisl
oCEsempt Activi�ies on rercrse)
I3. Is Ihis project directly reln�ed to o�her ac�ions �vi�h individually insignificnnt, but X
cumulatively signiticnn�, environmental eftects?
C. Are there propmties listed on or eligible for listing on �he Nntional Register of X
1-listoric Places in tlic projec� area?
D. Is this projec� queslioned by �he owner of n historic properly? X
F,. Is ihcrc kno�sn public controrersy bascd on historic preservation issues? Y
P'. Can this projec[ be classilied as anytliing o�her ihnn a°ca[egorical esclusion" (or X
state-equivalent) project
Ccrtific�tion
By my signahn�e, I certify that 1 hTve completed a site visit or am familinr �vith the specifics of Ihe project and that my ans�vers to the
ques[ions above are, to the best of my knowledge, correct. 1 also undersland Ihat no fiuther environmental anelysis is required
according lo Appendix C of ihe North Cm'olin� Prograuuna[ic Agreetnenf for Minor Transportalion Projects.
Dave \-IcI lenq-
�me
i
�Y VY���

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