20160648 Ver 1_Application_20160628

Carpenter,Kristi
From:
Sent:
To:
Cc:
Subject:
McHenry, David G
Tuesday, June 28, 2016 8:48 AM
Beckwith, Loretta A SAW; Barnett, Kevin; Chapman, Amy; Carpenter,Kristi; Andrew
Henderson ([e-mail]); Chambers, Marla J; DeWit, Benjamin J
Hill, Mark E; Deyton, Joshua B; Davis, Mark S
NCDOT Bridge 189 Replacement Polk County - Nationwide Permit 14 and 401
Application
Attachments: NCDOT_Bridge 189_Polk_404-401 Application Pkg.pdf; NCDOT_Bridge 189
_Polk_Plans.pdf
Follow Up Flag:
Flag Status:
Ladies and Gentlemen,
Follow up
Completed
Please accept the attached permit application and plans for your review, consideration, and comments. Please advise if
you have any questions or need additional information. I greatly appreciate your assistance with this request.
ThankYou
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
,M II �k �� ,
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
�mail correspondence to and from this sender is subject to the N.C. Public Records Law and may be disclosed to third partie>

Corps Submittal Cover Sheet
Please provide the following info:
1. Project Name Bridge 189 on SR 1 I S 1(Green River Cove Roadl
2. Name of Property Owner/Applicant: NC Department of Transnortation
3. Name of ConsultandAgent N/A
*Agent authorization needs lo be altached.
4. Related/Previous Action ID number(s): N/A
5. Site Address: N/A
6. Subdivision Name: N/A
7. City: Saluda
8. County: Polk
9. Lat: 35.288526° N Long: -82.291338° W (Approx. Project Center)
10. Quadrangle Name: Cliffield Mountain (35082-C3-TF-024�
11. Wateitivay: Gadd Creek (C Tr)
12. Watershed: Broad River (03050105)
13. Requested Action:
X Nationwide Permit # 14
General Permit #
_ Jurisdictional Determination Request
Pre-Application Request
The following information will be completed by Corps office:
AID:
Prepare File Folder Assign number in ORM Begin Date
Authorization: Section 10 Section 404
Project Description/ Nature of Activity/ Project Pwpose:
Site/Waters Name:
Keywords:

Transpo��tafion
June 28, 2016
Ms. Lari Beck�vith
U. S. Army Corps of Engincers
NCDOT Regulatory Project M�nager
l51 Patton Aveuue, Room 208
Asheville, NC 2 3 80 1-27 14
PAT McCRORY
Govrrnor
NICHOLAS J. TENNYSON
Srarrm�.
Subject: Natiomvide 14 Permit Application
Replace Bridge No. l89 on SR l I S I(Green River Cove Road) over Gadd Creek
Polk County, Noith Carolina
WBS �Icmcut No. 17BP.14.R1d2
Dear Ms. Beckwith:
The Noith Cnroli�ia Department of Transportation (NCDOT) is proposing to replace the subject
bridee. This bridge is a structurally deticienl 20' W x 26' L single span timber deck on steel
beam sh�ucture. Tlte new structure �aill be a 2�n 8' W x 8' H s 50' L reinforced concrete box
culvert on a 100° skew and 2.52% slope. The bridge removal and culvert work will be staged to
handlc traffic during construction. The culvert �vill be buried one foot below the sh�eam bed and
back filled with n�tive bed materiaL Also, 1' H sills will be placed at the inlet, outlet, and mid-
point of the low flo�v cell. The high tlow cell will have 2' H sills at the same points as �vell as
floodplain benches constructed at the inlet and outleL These features shoiild maintain a low Flow
channel morpholog}�, hold some bedload in the culvert while �Iso transporting inflowing
sediment, and facilitate Tquatic life passage through the crossing. Regarding fish passage, it is
notable that there is � waterfall a shoit distance upstreTin of the esisting bridge that likely
impedes or blocks upstream fish movements in the stream.
Please find enclosed a PCN application, preliminaryjurisdictional determination fonn, Division
of Mitig�tion Seivices acceptance letter, SHPO Concw�rence Porms, maps, plan sheets,
pltotographs, and other supportina project information.
The North Carolina Natural I Ieritage Program lists 20 species for Polk County that have federal
status aud thTt are knowu t'rom current records or were kno�an to occur in the county historically.
Three of the species, dwarf-flowered heartleaf (Hesas[plis ilmr�lorcr), white irisette (Srsyriirchitm�
dicholonrrnu), and northern long-eared b�t (NLEB,1Yfyotis septenh innolis) have current records
and are listed as threatened or endangered.
DwarGFlowered heaitleaf habitat is ch�racterized by the US Pish ancl Wildlife Seivice Ts "acidic
soils along blufYs and adjacent slopcs, in boggy areas ne�t to streams end creek heads, and along
the slopes of nearb�� hillsides and ravines." The dwarf-flowered heartleaf appears to prefer sandy
soils and is h'p�cally found on Pacolet or M�dison gravelly sandy loam or Musella fine sandy
loam. The soil at the bridge is loamy sand and extremely stony. Dwarf-flowered heartleaf plants
were not observed dm iitg site visits.
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Bridge No. 189 Page 2
June 28, 2016
White irisette habitat includes mid-elevation slopes with open dry to mesic oak-hickory forest,
typically on rocky steep terrain with shallow neutral to basic soils. This plant favors disturbed
areas such as road edges. A►though �vhite irisette is found �vithin a fe�v miles of the bridge site,
the known occun•ences are located at higher elevations. Also, the area near the bridge is poorly
suited for wliite irisette because it is not a slope with appropriate soil conditions. And, this plant
was not seen during site visits.
NLEB are known to roost in caves and mines in rvinter and, in summer, on trees with sloughing
bark or on structures, including concrete bridges that retain heat. The esisting bridge is a low
timber structure that should be too cool for bat roosting. During the field scoping and subsequent
site visits, we did not see any evidence that bats �vere using tlie bridge for roosting (i.e. staining or
guano). Also, there are no caves visible nearby and the closest known underground mine is over
1 L miles away (USGS data). This project will require the removal of approsimately l0 trees, but
none of the trees appear to be suitable for bat roosts. Moreover, there are no kno�vn NLEB
hibernacula or maternity roost sites in Polk County, so the project is consistent with exceptions
for incidental take outlined in tlie NLEB Fina14(d) rule.
The project is limited in scope to the replacement of a bridge with a culveit on an existing
road�vay alignment. Erosion and sedimentation control measures will be used to minimize
adverse effects of the work on aquatic habitats. Habitats for listed species are lacking at the
project site and none of these species were observed during field visits. For tliese reasons and
those discussed above, we recanmend that a determination of "no effecY' on listed species apply
to this project.
This project was reviewed by NCDOT's Human Environment Unit in 2012 for potential effects to
historical architecture and archaeology. Smveys were not required (see attaclied foims).
NCDOT best management practices will be used to minimize and control sedimentation and
erosion. The construction foreman will revie�v all measures daily to ensure erosion and
sedimentation are being effectively controlled. If the devices are not functioning as intended,
diey will be replaced quickly with better fiuictioning devices.
Impacts to Waters of the United States
Gadd Creek (DWQ Class: C Tr) is sliown ou the USGS topographic map as a perennial stream.
The channel is well defined and approsimately 8' wide with a cobble-boulder step-pool
morphology. Gadd Creek at the bridge is about 0,03 mile upstream of the Green River, which
then flows to Lake Adger and on to the Broad River (H[IC Q3050105), a total distance of about
32 miles. The Broad River meets the definition of a Traditional Navigable Water. For these
reasons, we believe Gadd C��eek is a Relatively Peimanent Water and is under the jurisdiction of
the U.S. Anny Corps of Engineers. Replacement of tlie bridge with a reinforced concrete box
culvert �vill result in impacts to waters of the United States as listed in tlie table below.
Site No. ��sting Cm�dition Proposed Conditim� Net
Station Im acts
20' W s 26' L single span 2@ 8+ W s 8' H x 50' L reinforced
Site 1 timber deck on steel concrete box culvert 50'
beam bridge

Bridge No. 189 Page 3 June 28, 2016
impeivious dike and temporary flow
Site lA free-flowing stream diversion l20'
Site 1 B streambed and banks constructed floodplain benches with rip 22,
rap (upstream of the culvert)
Site 1C streambed and banks constructed floodplain benches with rip 28,
rap (downstream of the culvert)
Total Permanent Sh•eam Impact for Culvert 50'
Total Tempora�y Sh•eam Impact for Impervious Dike and Flow Diversion 120'
Total Permanent Sh•eam Impact for Floodplaiu Benches and Rip Rap 50'
Permits Requested
NCDOT is hereby requesting authorization under Section 404 of the Clean Water Act to proceed
with the construction project outlined above. By copy of tl�is letter, 1 am asking Ms. Marla
Chambe�s, Western DOT Review Coordinator for the North Carolina Wildlife Resow•ces
Commission (NCWRC), to comment directly to you concerning the 404 Nationwide Permit
request.
I am also requesting auUiorization under Section 401 of the Clean Water Act from the North
Carolina Department of Environmental Quality, Division of Water Resources (DWR). In
addition, I am asking Ms. Cl�ambers and Mr. Ben DeWit, Roadside Environmental Field
Operations Engineer (NCDOT), to comment directly to me concerning this pennit request.
If you have any questions or need additional info�mation, please contact me at [phone] or
Mr. Josh Deyton, PE, at (828) 488-213 L Your early review and consideration will be greatly
apprecia[ed.
Sincerel �/� �
6�-'* �`�
Dave McHenry
Division I4 Environmental Specialist
Enclosures
cc: Ms. Amy Chapman, Division of Water Resources, DEQ, Raleigh
Ms. Kristie Lynn Carpenter, Division of Water Resources, DEQ Raleigh
Mr. Kevin Barnett, Division of Water Resources, DEQ, Asheville
Mr. Andrew Henderson, Biologist, US Fish & Wildlife Service, Asheville
Mrs. Marla Chambers, Western NCDOT Review Coordinator, NCWRC
Mr. Josh Deyton, PE, Division 14 Bridge Management Engineer, NCDOT
Mr. Ben DeWit, PE, 2oadside Environmental Field Operations Engineer, NCDOT

O2�FWATFROG
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O Y
OKce Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.3 Dec 10 2008
Pre-Construction Notification (PCN) Form
A. Applicant Information
7. Processfng
1a. Type(s) of approval sought (rom the
Corps: � Seclion 404 Permit ❑ Section 10 Permit
1b. Specify Nationwide Permit (NWP) number: 14 or General Permit (GP) number:
1c. Has the NWP or GP number been verified by the Corps? ❑ Yes �No
1 d. Type(s) of approval sought from the DWQ (check all that apply):
� 401 Water Quality Certification — Regular ❑ Non-404 Jurisdictional General Permit
❑ 401 Water Quality Certification — Express ❑ Riparian Buffer Authorization
1e. Is this notification solely for the record For the record only for DWQ 401 For lhe record only for Corps Permit:
because written approval is not required? Certification:
❑ Yes � No ❑ Yes � No
7f. 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. (NC Division of Mitigation Services)
1g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1h ❑ Yes � No
below.
1h. Is the project located within a NC DCM Area of Environmental Concem (AEC)7 ❑ Yes � No
2. Project Information
2a. Name of project: Replace Bridge No. 189 on SR 1151 (Green River Cove Road) over Gadd Creek
2b. County: Polk
2c. Nearest municipality / town: Saluda
2d. Subdivision name: N/A
2e. NCDOT only, T.I.P. or State 17BP.14.R.142
Project No:
3. Owner Information
3a. Name(s) on Recorded Deed: North Carolina Department of Transportation
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 Rd.
3e. C(ty, state, zip: Sylva, NC 25779
3f. Telephone no.: 828-586-2141
3g. Fax no.: 828-586-4043
3h. Email address: dqmchenrv cCilncdot.qov
Page 1 of 10
PCN Form — Version 1.3 December 10, 2008 Version

4. Applicant Information (1f different from owner)
4a. Applicant is: ❑ Agent ❑ Other, specify:
4b. Name: N/A
4c. Business name N/A
(if applicable):
4d. Street address: N/A
4e. City, state, zip: N/A
4f. Telephone no.: N/A
4g. Fax no.: N/A
4h. Email address: N/A
5. AgenNConsultant 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

B. Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID): N/A
1b. Site coordinates (in decimal degrees): Latitude: 35.288526 Longiiude: -82.291338
1 c. PropeRy size: N/A acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to Gadd Creek
proposed project:
2b. Water Quality Classification of nearest receiving water: C Tr
2c. River basin: Broad River Basin (HUC 03050105)
3. ProJect Description
3a. 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 site includes a timber bridge on a paved secondary road. Land use is primarily forested with some residences.
3b. List the total estimated acreage of all existing wetlands on the property:
N/A
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
150
3d. Explain the purpose of ihe proposed project:
To replace an obsolete 20' W x 26' L single span timber deck on steel beam bridge with a 2@ 8' W x 8' H x 50' L
reinforced concrete box culvert on and slighlly upstream of the existing location.
3e. Describe the overall project in detail, including lhe type of equipment to be used:
The stream will be temporarily dewatered around or through the bridge site to remove the bridge and construct the new
culvert. Sills will be installed in the culvert and floodplain benches constructed on ihe inlet and out ends of the high flow
barrel to maintain aquatic life passage. The culvert will be stage constructed to handle traffic during construction. Heavy
equipment, sandbags, diversion pipe and various hand tools will be used to accomplish lhe work.
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property / � yes � No ❑ Unknown
project (including all prior phases) in the past9
Comments: N/A
4b. If the Corps made the jurisdictional determination, what lype
of determination was made? ❑ Preliminary ❑ Final
4c. If yes, who delineated the jurisdictional areas? Agency/Consultant Company: NIA
Name (if known): N/A Other: N/A
4d. If yes, list lhe dates of the Corps jurisdictional determinations or Slate determinations and attach documentation.
N/A
5. Project History
5a. Have permits or ceAifications been requested or obtained for � Yes � No ❑ Unknown
this project (induding all prior phases) in the past?
5b. If yes, explain in detail according to'help file' instructions.
6. Future Project Plans
6a. Is this a phased project7 ❑ Yes � No
6b. If yes, explain.
Page 3 of 10
PCN Form — Version 1.3 December 10, 2008 Version

C. Praposed Impacts Inventary
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 the 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) or (if known) DWQ — non-404, other) (acres)
Tem ora
Wt ❑ P❑ T N/A N/A ❑ Yes ❑ Corps N/A
❑ No ❑ DWQ
Wz � P� T ❑ Yes ❑ Corps
❑ No ❑ DWQ
W3 � P 0 T ❑ Yes ❑ Corps
❑ No ❑ DWQ
Wa � P� T ❑ Yes ❑ Carps
❑ No ❑ DWQ
W5 ❑ P❑ T ❑ Yes ❑ Corps
❑ No ❑ DWQ
W6 ❑ P 0 T ❑ Yes ❑ Corps
❑ No ❑ DWQ
2g. Total wetland impacts N/A
2h. Commenls: N/A
3. Stream Impacts
It there are perennial or intermittent slream impacts (including temporary impacts) proposed on the site, then complete ihis
question for all stream sites impacted.
3a. 3b. 3c. 3d. 3e. 3f. 3g.
Stream impact Type of impact Stream name Perennial Type of jurisdiclion Average �mpact
number - (PER) or (Corps - 404, 10 stream lengih
Permanent (P) or intermittent DWQ — non-404, width (linear
Temporary (� (INn? other) (feet) feet)
S1 � P❑ T Culvert Installation Gadd Creek � PER � Corps g 50
❑ INT � DWQ
S1A ❑ P� T Impervious Dike and Gadd Creek � PER � Corps g 120
Flow Diversion ❑ INT � DWQ
S1 B� P❑ T FRip Raep (IBnlet End)d Gadd Creek 0 NT � DWQ $ zz
S1 C� P❑ T Floodplain Bench and Gadd Creek � PER � Corps $ 28
Rip Rap (Ouilet End) ❑ INT � DWQ
S2 ❑ P❑ T ❑ PER ❑ Corps
❑ INT ❑ DWQ
50'
3h. Total Permanent Stream and Tributary Impacts for Box Culvert ,
Total Permanent Stream and Tributary Impacts for Floodplain Benches and Bank Stabflization ,120,
Total Temporary Stream and Tributary Impacts for Impervious Dikes and Flow Dlversions
3i. Comments:
Page 4 of 10
PCN Form — Version 1.3 December 10, 2008 Version

4. Open Water Impacts
If lhere are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atiantic Ocean, or any olher open water of
the U.S. then individuall list all o en water im acts below.
4a. 4b. 4c. 4d. 4e.
Open water Name of walerbody
impact number — (if applicable) Type of impact Waterbody type Area of impact (acres)
Permanent (P) or
Tem ora
01 ❑ P❑ T N/A N/A N/A NIA
02 ❑P�T
03 ❑P❑T
04 ❑POT
4f. Total open water impacts N/A
4g. Comments: N!A
5. Pond or Lake Construction
If ond or lake construction ro osed then com lete the chart below.
5a. 5b. 5c. Sd. 5e.
Wetland Impacts (acres) Stream Impacts (feet) Upland
Pond ID Proposed use or purpose of (acres)
number pond Floode
d Filled Excavated Flooded Filled Excavated Flooded
P1 N/A N/A N/A N/A N/A N/A N/A N/A
P2
5f. 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 surface area (acres): N/A
5j. Size of pond watershed (acres): N/A
5k. Method of conslruction: N!A
6. Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer, then complete the chart below. If yes, then individually list all buffer impacts
below. If an im acts re uire miti ation, fhen ou MUST fill out Section D of lhis form.
6a.
❑ Neuse ❑ Tar-Pamlico ❑ Other:
Project is in which protected basin? N/A ❑ Catawba ❑ Randleman
6b. 6c. 6d. 6e. 6f. 6g.
Buffer impact
number— Reason Buffer Zone 1 impact Zone 2 impact
Permanent (P) or for Stream name mitigation (square feet) (square feet)
Tem ora im act re uired?
B1 ❑ P❑ T N!A N/A O Nas N/A N/A
B2 ❑ P 0 T ❑ Yes
❑ No
63 ❑ P O T ❑ Yes
❑ No
6h. Total buffer fmpacts N/A N/A
6i. Comments: N/A
Page 5 of 10

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 concrete box culvert was designed to meet ihe hydraulic needs of the crossing. The culvert will be on a 2.52% grade
and will be buried 1-foot into the slream substrate. Three (3) sills will be placed in the low flow barrel to reduce velocity
and maintain aquatic life passage during periods of low flow (see plan sheets). Floodplain benches and sills will be
installed on the inlet and outiet ends of the high flow barrel to maintain channel widih and stability.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts lhrough construction techniques.
All instream work will be performed in a"dry° work area using an impervious dike and flow diversion. Appropriate BMPs
according to the approved erosion and sedimentation control plan will be installed on the project prior to culvert
installation.
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?
2b. If yes, mitigation is required by (check all that apply): ❑ DWQ �Corps
❑ Mitigation bank
2c. If yes, which miligation option will be used for this � payment to in-lieu fee program (NCDMS)
project?
❑ Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank: N/A
3b. Credits Purchased (attach receipt and letter) Type N/A Quanlily N/A
3c. Gomments:
4. Complete if Making a Payment to In-lieu Fee Program
4a. Approval letter from in-lieu fee program is attached. � Yes
4b. Stream mitigation requested: 50 linear feet
4c. If using stream mitigation, stream temperature: ❑ warm ❑ cool � cold
4d. Buffer mitigation requested (DWQ only): N/A square feet
4e. Riparian wetland mitigation requested: N!A acres
4f. Non-riparian wetland mitigation 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
Page 6 of 10
PCN Form — Version 1.3 December 10, 2008 Version

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 mitigation?
6b. If yes, then identify ihe 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 mltigation required: N/A
6g. If buffer mitigation is required, discuss what type of mitigation is proposed (e.g., payment to private mitigation bank,
permittee responsible riparian buffer restoration, payment into an approved in-lieu fee fund).
N/A
6h. Comments: N/A
Page 7 of 10

E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Plan
1a. Does the project include or is it adjacent to protected riparian buffers identified � yes � No
within one of the NC Riparian Buffer Protection Rules?
1 b. If yes, lhen 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:
2d. If this project DOES require a Stormwater Management Plan, lhen provide a brief, narrative description of the plan:
Project is covered by NCDOT Individual NPDES Permit No. NCS000250.
❑ CeRified Local Government
2e. Who will be responsible for the review of the Stormwater Management Plan? ❑ DWQ Stormwater Program
� DWQ 401 Unit
3. Certified Locai Government Stormwater Review
3a. In which local governmenPs jurisdiction is this project? N/A
❑ Phase II
3b. Which of ihe following locally-implemented stormwater management programs ❑ NSW
apply (check all that apply): ❑ USMP
❑ Water Supply Watershed
❑ Other:
3c. Has the approved Stormwater Management Plan with proof of approval been ❑ Yes ❑ No
attached?
4. DWQ Stormwater Pro ram Review
❑ Coastal counlies
❑ HQW
4a. Which of the following state-implemented stormwater management programs apply � pRW
(check all that apply): ❑ Session Law 2006-246
❑ Other:
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 the appropriate requirements? ❑ yes ❑ No
5b. Have all of the 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. Envlronmental Documentation (DWQ Requirement)
1 a. Does the project involve an expenditure of public (federallstate/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 ihe requirements of the National or State ❑ Yes � No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1c. If you answered `yes' to the above, has the document review been finalized by lhe
State Clearing House? (If so, attach a copy of the NEPA or SEPA final approval
Ietter.) ❑ Yes ❑ No
Comments: N/A
2. Vfolations (DWQ Requirement)
2a. Is the site in violation of DWQ Wetiand Rules (75A NCAC 2H .0500), Isolated
Wetland Rules (15A NCAC 2H .1300), DWQ Surtace Water or Wetland Standards, ❑ Yes � No
or Riparian Buffer Rules (15A NCAC 2B .0200)?
2b. Is this an after-the-fact permit application? ❑ Yes � No
2c. If you answered "yes' to one or both of ihe above questions, provide an explanation of the violation(s): N!A
3. Cumulative Impacts (DWQ Requirement)
3a. Will this project (based on past and reasonably aniicipated future impacts) result in � yes � No
additional development, which could impact nearby downstream water quality7
3b. If you answered "yes' to the above, submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWQ policy. If you answered °no," provide a short narrative description.
This is a rural secondary road. The bridge is being upgraded to standard load limits and widlh to improve safety for the
lraveling public. The bridge (culvert) upgrade is not anticipated to have any significant impact on future development.
4. Sewage Disposal (DWQ Requirement)
4a. Clearly detail the 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
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 Office 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 Database and site specific surveys conducted during the bridge scoping process.
Page 9 of 10

6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat? ❑ Yes � No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
N/A—There are no marine or estuarine communities within the Blue Ridge Physiographic Province.
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 � yes � No
status (e.g., National Historic Trust designation or properties significant in
North Carolina history and archaeology)7
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?
The bridge project was reviewed by NCDOT's Human Environment Unit in 2012 and surveys for historic architecture or
archaeological resources were not required (see attached forms).
8. Flood Zone Designatfon (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: FEMA requirements were taken into consideration by the NCDOT
Hydraulics Unit during the design of the bridge (see attached Hydraulic RepoA in the plan sheets)
8c. What source(s) did you use to make the floodplain determinalion7 NC Floodplain Mapping Program
Dave McHeruy ! �i�e- / �� � - z� /�
Division 14 Environmental Specialist
ApplicanNAgenPs Signature Date
ApplicanUAgenYs P�inted Name (AgenPs signaWre is valid onty i( an authorization letter from the
applicanl is provided.)
Page 10 of 10

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Name: CLIFFIELD MT Location: 0352863000° N 082.2918660° W NAD 27
Date: 2/4/2016 Caption: Bridge No. 189 on SR 1151
Scale: 1 inch equals 2000 feet over Gadd Creek, Polk Co.
35082-C3-TF-024

Polk County Bridge rii89 on SR 1151 over Gadd Creek
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Polk County Bridge q189 on SR 1151 over Gadd Creek Photos taken December 16, 2015
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� ��`' �,:
I����
A?rtiGation Services
euviem:ne�,rniounu.v
June 15,2016
Mr. Dave McHenry
NCDOT Division 14 Environment�l Specialist
Norlh Cnroluta Department of Transporia�ion
253 Websler Road
Sylv�, Norlh Caroli�ia 28779
Dear D4r. McFIe�vy:
SubjecC Miligation Acceptance Letter:
PAT n4CCRORY
DOIYALll R. VAN DLR VAART
RECEIVED
1 U N 1 6 2016
DIVISION 14
Divisioi� 14 Project, Repl�ce Bridge l89 on SR ll51 (Green River Cove Road) over Gadd Creek,
Polk County; �VF3S Element 17BP.14.R.142
The puR�ose of iLis letter is to i�otify you Iha[ the Division of Mitigation Services (DMS) will provide the
compensatory slream mitigation for We subject project, Based on the information received a� June 10, 2016, Ihe
impacls arc located in CU 03050I05 of the Broad River basin in the Southem Piedmo��[ (SP) Lco-Region, and are as
follo�vs:
1Srond Stream Wetla��ds BufCer (Sq. Ft.)
03090105 Non- Coasfnl
Sn7 Cold Conl 1Vann 2iparian Zone 1 Zone 2
Riparian A�farsh
Impacls 50.0 0 0 0 0 0 0 0
(feeUncres)
This miligatiou aceeptnnce� ]etter replaces thc mitignfion aceeptnncc letter issued ou June 10, 2016.
Tl�is impacl and associated nritignfion need �vere under projected Uy ihe NCDOT in ihe 2016 impnet de�n. DMS will
commit (o implement su0icient compeusntory stream miligalion credi�s to offse[ ihe impTcts associated tvitli ll�is
project as detern�ined by �he regulatory agencies usiug ihe delivery timeline Iis�ed in Section P3.c.iii of tLe In-Lieu
Fee Inslrument daled July 2R, 2010. if the above referenced impact nmounls are revised, Uien �his mitigatiou
acceptm�ce letter wil] uo louger be valid and a new mitigation acceplance letter will be required &om Div1S.
8420.
If you Lnve any queslions or need additional informafion, please con�act Ms. 13e1B Hamion at 919-707-
Sincerely,
�,� � ��k�
Jame�B.'6tTnfill
Credit Ivf�nagemeuf Sapervisor
ce: Ms. Lori Beclavith, USACE — Asl�eville Regulatory Field Office
Mr. Josh De}non, P.E., NCDOT — Divisim� 14 Bridge Maintenance Engineer
Ms. Linda Filzpahick, NCDOT — PDEA
File: SR I151 —Bridge 189—Division 14
� FlsltofNorthCamlina Lm�i�onmenmlQuality� �lifigallonServlexs
. 1652MailServkeCenhr � 217{VJonesSVeet,Sui�e3000 � Raleigh.NC27609�i652
9197078976 T

ATTACHMENT A
PRELIMINARY JURISDICTIONAL DETERMINATION FORM
BACKGROUNDINFORMATION
A. REPORT COMPLETION DATE FOR PRELIMINARY JURISDICTIONAL
DETERMINATION (JD):2-4-zo�s
B. NAME AND ADDRESS OF PERSON REQUESTING PRELIMINARY JD:
NC DepaAmenl of Transpodation, Dave MCHenry, Division 14 Emironmenlal Spedalist
253 Webster Road, Sylva, NC 28779
C. DISTRICT OFFICE, FILE NAME, AND NUMBER:
D. PROJECT LOCATION(S) AND BAGKGROUND INFORMATION:
Replace bridge ,w. 189 on SR 1151 (Green River Cove Road) over Gadd Creek wilh concrele box culveri
(USE THE ATTACHED TABLE TO DOCUMENT MULTIPLE WATERBODIES AT DIFFERENT
SITES)
State: NC County/parish/borough: P�ik City: sa�uda
Center coordinates of site (lat/long in degree decimal format):
Lat. as.zaaszs °N; Long. -sz.zs�s3s °W.
Universal Transverse Mercator: 3azeis.i,sso�aoa.azo�e��
Name of nearest waterbody: caaa c�ek
Identify (estimate) amount of waters in the review area:
Non-wetland waters:
aee-� /�o linear feet: e width (ft) and/or acres.
Cowardin Class: Raua�
Stf0all'1 F�OW: PeRenial
Wef�2I1d5: Na acres.
Cowardin Class: �a
Name of any water bodies on the site that have been identified as Section 10
waters:
Tidal: �a
Non-Tidal: �+a

E. REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALL THAT
APPLY):
� Office (Desk) Determination. Date: 2-4-Zois
dField Determination. Date(s): /Z � /%-/�
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
applicant/consultant: Nc�oT
❑ Data sheets preparedJsubmitted by or on behalf of the
app�nUconsultant.
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 scale & quad name: +�ZQk crr�eia m��.
❑ USDA Natural Resources Conservation Service Soil Survey.
Citation:
❑ Nafional wetlands inventory map(s). Cite name:
❑ State/Local wetland inventory map(s):
❑ FEMA/FIRM maps:
� 100-year Floodplain Elevation is:
(National Geodectic Vertical Datum of 1929)
� Photographs: 0 Aerial (Name & Date): or
Q Other (Name & Date): B189, �2-�s-zo�s
� Previous determination(s). File no. and date of response letter:
� Other information (please specify):

1. The Corps of Engineers believes that there may be jurisdictional waters of the
United States on the subject site, and the permit applicant or other affected party
who requested this preliminary JD is hereby advised of his or her option to
request and obtain an approved jurisdictional determination (JD) for that site.
Nevertheless, the permit applicant or other person who requested this
preliminary JD has declined to exercise the option to obtain an approved JD in
this instance and at this time.
2. In any circumstance where a permit applicant obtains an individual permit, or
a Nationwide General Permit (NWP) or other general permit verification requiring
"pre-construction notification" (PCN), or requests verification for a non-reporting
NWP or other general permit, and the permit applicant has not requested an
approved JD for the activity, the permit applicant is hereby made aware of the
following: (1) the permit applicant has elected to seek a permit authorization
based on a preliminary JD, which does not make an official determination of
jurisdictional waters; (2) that the applicant has the option to request an approved
JD before accepting the terms and conditions of the permit authorization, and
that basing a permit authorization on an approved JD could possibly result in less
compensatory mitigation being required or different special conditions; (3) that
the applicant has the right to request an individual permit rather than accepting
the terms and conditions of the NWP or other general permit authorization; (4)
that the applicant can accept a permit authorization and thereby agree to comply
with all the terms and conditions of that permit, including whatever mitigation
requirements the Corps has determined to be necessary; (5) that undertaking
any activity in reliance upon the subject permit authorization without requesting
an approved JD constitutes the applicant's acceptance of the use of the
preliminary JD, but that either form of JD will be processed as soon as is
practicable; (6) accepting a permit authorization (e.g., signing a proffered
individual permit) or undertaking any activity in reliance on any form of Corps
permit authorization based on a preliminary JD constitutes agreement that all
wetlands and other water bodies on the site affected in any way by that activity
are jurisdictional waters of the United States, and precludes any challenge to
such jurisdiction in any administrative or judicial compliance or enforcement
action, or in any administrative appeal or in any Federal court; and (7) whether
the applicant elects to use either an approved JD or a preliminary JD, that JD
will be processed as soon as is practicable. Further, an approved JD, a proffered
individual permit (and all terms and conditions contained therein), or individual
permit denial can be administratively appealed pursuant to 33 C.F.R. Part 331,
and that in any administrative appeal, jurisdictional issues can be raised (see 33
C.F.R. 331.5(a)(2)). If, during that administrative appeal, it becomes necessary
to make an official determination whether CWA jurisdiction exists over a site, or
to provide an official delineation of jurisdictional waters on the site, the Corps will
provide an approved JD to accomplish that result, as soon as is practicable.

This preliminary JD finds that there "may be" waters of the United States on the
subject project site, and identifies all aquatic features on the site that could be
affected by the proposed activity, based on the following information:
later jurisdictional determinations.
Signature and date of
Regulatory Project Manager
(REQUIRED)
4
i/ Gn'� / ""'�/'�" 6 -%� ���s
Signature and date o
person requesting preliminary JD
(REQUIRED, unless obtaining
the signature is impracticable)

Estimated
amount of
aquatic Class of
resource in aquatic
Site Number Latitude Longitude Cowardin Ciass review area resource
� o Non Section 10
1 35.288526 -82.291338 R3UB1 �869inearfeet _ non-wetland

NO SURVEY I2EQUIR�D FORM
PROJECT INFORMATION
Project No.
�VBS No.
BD-5114AI
45360.1.35
County: POIk
Docuntent:
ProjeNTrackingNo. (!n(emal UaeJ
(HA)12-OS-0044
SEP 1 7 101T
F.A. No: Fundi�eg.• X State Federa�IV'5/0� q�
d
Federal (USACL) Per�nit Req:�ired? X Yes ❑ No Permr[ Type: AttaChment G
Project Description: Replace Bridge No. 189 on SR 1151(Green River Cove Road) over
Gadd Creek (presumed no off-site detour)
SUMMARY OF CULTURAL RESOURCES REVIEW
Brief descriptiwJ oJreview nc�ivities, results a,%revieiv, and carcli�sians: HPOWeb reviewed on 5
Septem6er 2D12 and yielded no NR, SL, LD, DE, or SS properties in the Area of Potential Effects (APE).
Polk County current GIS mapping, aerfal photography, and tax information indicated a mostly wooded
APE w(th several unexceptional mid-to-late-twentieth-century buildings (viewed 5 September 2012).
Constructed in 1960 and widened and strengthened in 1995, Bridge No. 189 is a 26-foot-long, single-
span, steel, stringer/multi-beam bridge and is not eligible for the National Register acmrding to the
NCDOT Historic Brfdge Survey as ft is not historically, architecturally, or technologicaliy significant.
Google Maps "Street View" confirmed absence of critical historic structures/landscapes in APE (viewed 5
September 2012).
No architectural survey is required for the project as currentiy defined.
BriejExplanatron ojwhy the availab/e iirformntion provides a reliable basis for rensarably predicting
�hnt there m•e no t+nidentified hisroric properties in the dPE: APE extends 300 feet from efther end of the
existing bridge (SW-NE) and 100 feet to either side of the SR 1151 (Green River Cove Road) centeriine
(NW-SE) to encompass proposed construction activities. County GIS/tax materials and other visuals
support the absence of significant architedural resources. No National Register-Iisted or other critical
properties are located within the APE, including the Federal permit area.
Should any design elements, including detour improvements, of the project change, please
notify NCDO7 Hfstoric Architecture as additional review may 6e necessary.
SUPPORT DOCUMENTATION
See attached: location map
FINDING BY NCDOT CULTiJRAL RESOURCES PROFESSIONAL
NO SURVEY REQUIRED — Historic Structures
Cultural Resources
"Ab Soney RegrrinA"fom�%rAf/noi7mmpo�lMion Pmjeas osQiml feAin O�e 1007 PiogmmmolicAgrzrnieul.
A'CUOTArcharology h HirlmicArchiletlureGrouys
0�0
Date

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NO SURVEY REQUIR�D FORM
PROJECT INFORMATION
Projec� No; BD-S l 14AI
LVBSNo: 45360.134
ProjeclTmckingNo. (htlenml (/.reJ
Caxuty: Polk
Doctnnent: MCC/Attachment G
12-08-0044
REC�,�/ED
FEB 1 B 10�3
T A. No. Purrdi»g.• � State ❑ Fede
Federnf (USACE) Permrt Requirer(? � Yes ❑ No Perniit Type: Attachment G �����'o� � r
Project Descrrplion: Replace Bridge 189 mt SR I I S I over Gadd Crcek with a 35'-21 Cored Slab Bridge
on existing location.
SUMMARY OF CULTURAL RF.SOURCES REVIEW
BrreJdescriplion ofreview actrvi(res, residls ofrevietv, and cwrcli�aions:
Review of HPO quad maps was undertaken on 8(14/2012. Based on this review, there are no existing NR
properties in the Area of Potential Effects. No archaeological sites wcre uoted in the vicinity of the
proposed project.
Ilrief Lxplanntran of wiry !he nvni(nble injor•inntiaf provides a reliable Gasis for reasonab/y predictrng
(hnl 7here are no rotidenitfrerf historic/�roper�ies i�r the APG� The proposed project calls for no work
beyond the existing Right of Way. An aerial photograpl� reveals driveways and a landscaped lawn in the
northwest quadrant near the current bridge (Figure I). The southwest quadrant also reveals extensive
modificatiou between SR l I S I and the Green River. Based upon this evidence no further investigation is
warranted.
SUPPORT DOCUMENTATION
See attached: Maps and aerial
FINDING BY NCDOT CULTURAL RESOURCES PROFESSIONAL NO SURVEY REQUIRED
ARCHAEOLOGY FIISTORIC ARCHITECI'URC (CIRCLE ON6)
NCDOT Cultural
"No Srmey 2e�vircJ"(ome farAliimr hmuposmilan ProjeNe m Qml�nlin �he 1007 Pmgmmma�ie Agreemerrl.
NCOOTArchneolopy & NiilorlcArthlletldre Gruupt
Date

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-L- CUf7VE DATA DESC. NORiH FAST EtEVAtION �E��� A ��� � onen e
PlSfo 12+0/.47 PlSla /4i6533 PIS�o 15+6393 `�^.��`v -i,; °""',�,:}. `�'
P �= 5Z33'43b'(RT1 �= 6O'24.3'271 �= 0'4Y/9.3'(LT/ Bl-I 576,0-06.971fi 1,Oq,7992559 1010.31 �', -� ? lu•E�•• /L�L
m D= I526'37A' D= 453'495' D= I'00'00.0' ei-2 576,230.6936 1,018,0425002 im2.05 " � C �
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L - 34035' L = /28.45' � _ ���� BL-3 516,308.12P8 1,018,1fi6.0060 1009.72 � �t '�J �T�
T= 18321' T= 6429' T- 34.44' -� o .
R= 37/.�' R= 1170A0' R= 572958' . - .-„o,,,a.o
SE = OA4 SE = 0.04 SE = OA4 '' } s, ryo
RO = 69' RO � 345' RO 69' - � ���� �� r �u�r �.i
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L �� - � � -F �� � O/ERTOPPI6G ELEVATlO.'I = IOIIA FT '�
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- 10+00 11+00 12+00 13+00 14+00 15+00 16+00 17+00

8M "1: RR SPIKE IN BASE OF OAK, 27.9' RIGHT OF -L- STA, l3+qq.63
N 576248.28, E 1018005.79,EL.1016.49
NqD 8 SRS 2011
4400D5
axaR
CULVERT
CRFF�
� K �j
\
+
\
\
EkISTI�G
9ftIDGE
PROP. GIIARORAIL
IROAOIYAY DETAIL
Y. PAY ITEldI
(TYPJ
rv000s
crpu ro cuavE�
�4� ..__._.___ __
-_______-'____--
GA�DS CREEK 7� _-
CLASS II RIP RAP
�6EE BENCH OEiAIL
SHEET 7 OF 101
W
L ��\ \ �\ ]IH.I]+91.IU -L- � �
- a �\ �i M
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\�t� \ \�
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FOR UiILITY INFORlAATION,SEE IITILITY PLANS AN� SPECIAL PROVISIONS
LOCATION SKETCH
-L-
I
i
. 20,_0„ . 24,_Y, 25'-10" . 45•_0,•
__"_'_
__"_"__
�002.,5.
1001.54 *-
1000.89�
FLONI
999.76±
PROFILE ALONG � CULVERT
NOTES:
wssu�neo �rvE �ono ----------H�-93
�ESIGN FILP-- IAAX. = 4.090' lAIN. = 3.992'
FOR OTHER OESIGN OATA AN� NOTES SEE STANDARD NOTE SHEET.
3"� IYEEP HOLES IN�ICATED i0 BE IN ACCORDANCE 17ITH
THE SPECIFICATI0�5.
CONCRETE IN CULVERTS TO 9E POl1RED IN THE FOLL01'lING OR�ER (SEE A�SO
'STAGIUC DIAGRAIA", SHEET 5-31:
L FOR STAGE IA.1'lING FOOTINGS AN� FLOOR SLAB INCLUDING 4"
OF ALL VERTICAL 1'IALLS.
2 THE REEIAINING PORTIONS OF THE IYALIS ANO YIINGS OF STACE lA,FUL�
HEIGH7, FOLLOIYE� 8Y HOOF SLA9 AN� HEAD44ALL5.
3. PEPEAT SEOUENCE ABOVE FOR STAGES 1& 2A, Ak� 28.
THE RESIDENT ENGINEER SHALL CHECK THE LENGTH OF CULVERT OEFORE
STAKING IT Ol1T TO l.IARE CEftTAIN THAT IT YIILI PROPERLY TAKE CARE
OF THE FILL.
DIIAENSIONS FOR 'NING LAYOUT AS 17ELL AS ADDIiIONAL REINFORCING STEEL
E�!BE�OE� IN BARREL Af7E SH01'IN ON 4'lING SHEET.
AT THE CONTRACTOR'S OPTION,HE MAY SPLICE THE VERTICAL REINFORCING SiEEL
IN THE INTERIOR FACE OF E%TEftIOR I4ALL Ak0 BOTH FACES OF INTERIOR YIALLS
AB04E LOIYER YIhLL CONSTRl1CTI0N JOINT.iHE SPLICE LENGTH SHALL BE AS PROVIDED
IN THE SPLICE LENCTH CHART SH017N ON THE PLANS EXTRA YIEIGHi OF STEEL DUE
TO THE SPLICES SHALL BE PAID FOR BY THE CONTRACTOR.
NO PRECAST ftEIkFORCEO BOX CULVERT OPTION I4ILL BE ALLO'NEO.
FOR Cl1LVERT OIVERSION �ETAILS AND PAY ITElAS.SEE EROSION CONTRO� PLANS.
CRADE DATA
GRp�E POINT ELEV.(J STA.13+qp,�0 -L- = 1013.56x
BEO ELEV. fil 13tq7,7p -L- = 1001.54!
ROAOYIAY SLOPES 2:1
HYDRAULIC DATA
DESIGN DISCHARGE = 650 LFS
DESIGN FREOUENCY = 25 Yft5
�ESIGN HW ELEVATION = 1008.30 FT
BASE DISCHARGE = 950 CFS
BASE FREOUENCY = 100 YRS
BASE HW ELEVATION = 1009.30 FT
ORAINAGE AREA = 1.92 SO.MI.
W.S. ELEVATION = 1004.20 FT
AT DATE OF SllI7VEY
(4/17/20131
OVERTOPPING FLOOD DATA
OVERTOPPING �ISCHAftGE = 1530 CPS
OVERTOPPING FREOUENCY = 500+ YflS
OVERTOPPINC ELEVATION = 1011.00 FT
ExcavnrE ouE Foor aE�avi THE aorrar.+ aF cu�vEar nNo wiNc FooriNc
ELEVATIONS.REPLACE YfITH FOIIN�ATION COR�ITIONING IAATERIAL IN
ACCORDANCE IYITH ARiICLE A14-4 OF THE STANDARD SPECIFICATIONS.
FOR Sl19GffTTAL OF YIORKINC DRAVYINGS.SEE SPECIAL PROVISIONS.
FOR FALSEI'IOR'6 Ak� FORldYlORK, SEE SPECIAL PROVISIONS.
FOR CRANE SAFETY,SEE SPECIAL PflOVISIONS.
FOR GROUT FOR STftUCTURE5.5EE SPECIAL PROVI40N5.
FOR ASBESTOS ASSESSMENT fOR BRI�GE �E!dOLITION AN�
RENOVATION ACTIVITIES,SEE SPECIAL PROVISIONS.
AFTER SERVING AS A TBdPORARY SiRUCTURE THE EXISTING STRUCTURE
CONSISTINC OF A SINGLE SPAN,26A FOOT LONG AN� 10'-l�/6"WIDE 9RIDCE
V4ITH TIl.IBER FLOOR ON STEEL I-6EAId5 0� TIl.19ER A9UTIAENiS
GN� LOCATE� AT THE PROPOSE STRUCTURE SHALL BE REl.10VE0. THE
E%ISiING BRIDGE IS PRESENTLY POSTE� PoR LOA� LIIAIL SHOUL�
THE STftUCTURAL INTEGRITY OF THE �RIOGE OETERIORATE DURING
CONSTftUCTION OF THE PROPOSED 9ftIDGE,A LOAD �Il.IIT l.IAY �E POSTE�
AN� IdAY 9E PEDIJCED AS FOl1ND NECESSARY �t1RING THE LIFE OF THE
PROJECT.
REldOVAL OF THE E%ISTING 9RIDGE SHALL 9E PEPFORIAED SO AS NOT TO
ALLOYI DEBRIS TO FALL INTO THE V4ATER.THE CONTRACTOR SHALL REl.IOVE
THE BRIDGE AND SUBI.IIT PLANS FOR OE1.!OLITION IN ACCORDANCE YIITH
ARTICLE 402-2 OF THE STAN�ARO SPECIFICAiI0N5.
INASAIIJCH AS THE PAINT SYSTEl.1 ON THE EXISTING STRUCTURAL STEEL
COuiAINS LEAD,THE CO�TRACTOR'S ATTENTION IS �IRECTE� TO ARTICLE
I0�-1 OF THE SiANDAR� SPECIFICATIONS,ANY COSTS RESULTING FROId
W.`.1PLIANCE 1'lITH APPLICABLE SiATE Oft FE�ERAL REGIILATIONS
PERTAINIfvG TO HAN�LINC OF IAATERIALS CONTAINI�G LEAD 9ASE� PAINT
SHALL BE INCW�EO IN THE BID PRICE FOR 'REMOVAL aF EXISTIRG
STRUCTURE AT STATION I3+47.70 -L-.
A 3 F00T STRIP OF FILTER FhBRIC SHALL 9E AITACHE� TO THE FILL
FACE OF THE VING COVERING THE ENTIRE LENGiH OF THE E%PAN40N JOINi.
TOTAL STRUCTURE OUANTITIES
CLASS A CO4CRETE
BARREL Cil 1.90 CY/FT 95.2 C.Y.
VYING ETC. 30.I C.Y.
TOTA� 1253 C.V.
REIUFORCINC STEEL
6ARREL 15,53I L65.
IYINGS ETC. 1547 L�S.
TOTa� i7.o�e �es.
CULVERT EXCAVAiION W".1P SlllA
FOUR�ATION CO�DIiIONING 65 TONS
lAATERIAL
REl.IOVAL OF EXISTING Wl.IP S111A
SiRl1CTURE
CHANNEL SU65TRATE I.IATERIAL 72 TONS
RIP-RAP,C�A55 II 127 TONS
oocur.�ENr r:or covsioEREo
FINAL Ui\'LESS ALL
SIGNATURES C01.1PLETEO
.`��tH ,C4R�(�'•,
�Z�o4E55ioy q';
' =a SEAL �= __
= : ?Oiii - _
*, sq e.xirvEEe' .h3
�,,, aay ���.,,w"';.a<
� �d�„
va� �����
YaughodMellon -
<...v�,. �...: . o
Ps�ev �
n ago'�a
oaav�N er: av�w onre: vzois
CHECKEO BY: H�CI DAiE:3/2015
�ES. EGR. OF RECORD: ftTS OAi6 3/206
HORIZ CURVE DATA
PI STA. = 14+6533
4 = 6° li' 243"ILTI
o = a� s3� a9.s°
� = ize.ns
T = 64.29'
ft = I,R0.00'
sE = o.oa
RO = 34.5
PROJECT N0. 17BP.14.R.142
COUNTY
STATION: 13+47.70 -L-
SHEET 1 OF IO REPLACE 9RIDGE No.189
5141E (n �)]Ix Ce��.� ryp
DEPARTMENT OF TRANSPORTATION
a�E�
BARREL STANDARD
DOUBLE 8 FT, X 8 FT.
CONCRETE BOX CULVERT
105° SKEW ___
REVR'-0NS � SF:EEi
�TT.� s �
STD. N0. CB222A

PROI.REFERENCE NO. SME� ND.
� TEIdPORARY PAVE6IENT nea.ta.a.ia2 intP-3
� V'IORK AREA
6uo PLAGE SIGN (LEFT)
soao wo�c AT -L- STA 5+00 h1AINTAIN ACCE55 TO DRIVEVYAYS
e;o PLACE SI�N (RIGHT)
cro-s n ���o �. � DURING CONSTRUCTION po,u wozR
ae��x ze�� s3 , cg� 30 15 0 30 60 G o-1 p AT - L- STA 21+50
,9 5'ps2o, SEE SHEET Ph1-1 FOR TEIi1PORARY ae"x�a-
PLAGE SIGN (RIGHT) / PAVEAIENT MARKING SCHEDULE SCALG 1"=30'
.a�
A,�� AT -L- STA 5+p0 f01 PLACE SIGN (LEFT)
<a zo-ae�� �� AT -L- STA 21+50
w:o-�
dB'% d8"
�'��'�E PLACE SIGN (RIGHT)
�a�o
µ� AT -L- STA 6+00 pfl��� e a:ew:E pLACE SIGN (LEFT)
ae-'x°�a'e" A 20' SPNCII;G R�� AT -L- STA 20+50
�20 vna-i A lF1AX.) e qe!x�a.�
xa^ x za„
B �0 �nri
' za��x ae�.
� PLACE SIGN (RIGHT) .�
O AT -L- STA 8+00 •' ���c'nu aso n_i �
e� �:" � P E IGN (LEFT)
C
ea��zee�� - ._ _-.-___- :• - . -- A ACL-SSTA 16+50
_— _ —_ a '____ _. _ . '\'�a �wU aso p,7 ae x ae
l��j�� \'l30
; , , � .. T
>au aso n- � '
T ': a (
M � � -
�� «
�i � ��-- ----_ » -- '"� �� .s.
� ��� i — -- `w° ��� ,�. — _
z
� -.....--.. � --
� TEbIPOFARV � «
/� SHOPII:G N0. 1 � L- i
/ "L STA. 13t22 TEFIPOIiAFY ��� � �
M � TO 13+38 SHORING t:0. 2 ��� «� �
� � / -L- STA. 13+62 �� —
TO 13�]8 ��
��__
END PROJECT 17BP.14.R.142
BEGIN PROIECT 178P.14.R.142 -L- STA. 16+00.00
-L- STA. 10+15.00
SECTION A-A SECTION B-B SECTION C-C
-L- STA 12+00 -L- STA 13+50 -L- STA 14+50
� -L-
i�wiNTniN
� -L- Two-wnr � -L-
TR4FFIC
ON EXISTI�G
BRIOGE
h1AIN7AIN TEI�1P PVh1T
EXISTING ROADVYAY 7}'�0-V7AV � i t
7RNFPIC ii ii EXISTING ROADYIAY ��w[NTAIt!
„ f�__"____________li � Tl'i0-YIAY
___` \ \ ,. � �___________'_____'� TRAFFIC
�. a �
\�' a t
- -_fl
�� ' ;1j___� I_______ ______1__________________.\ I L
` / ______"__ ____________'__ _ . - _______ _______ ____________ � `______.
'� _"______ . _'_—
I
,�_ ___.-- ` I �
_ /
'___'___
� PROPOSED
CONSTRUCTION
PROPOSED
PROPOSED CONSTRUCTION
CONSTRUCTION
ovrxovEo�. oarE:_ oN °F H'c
s` �,�}
�5'^ ,o°�x ceNo(�,.. �,' D ,�`�N
��� :=�eoEs=�oy 9-: ���� �° P HAS E 1
��� _ '> SEAL �- = s � o �
SEAL a - owas� € _ ° �°
•�':;`HcixEEe.±4.p.: 'f .F e 2
,po����il�"A`: S�h r �an"se G
-- F oiRAFF��'

Eao PLACE SIGN (LEFT)
aono vroix qT -L- STA 5+00
G20 2 A
ee"x ¢�^
�" PLACE SIGN (NIGHT)
��" AT -L- STA 5+00
eru�
rrzo-i
�0' % d8"
�'<`u'�� PLACE SIGN (RIGHT)
fO1D AT -L- STA 6+00
Ati9
vaw
ae x ae-
20 n�i
za x a<^
� PLACE SIGN (RIGHT)
AT -L- STA 8+00
W }3
48" % d8" .
+
S10P I
�uD @ -L- STA 11+10
@ -L- STA. 10+25
SECTION A-A
-L- STA 12+00
� -L-
OtlE-LANE
nvo-wnv
THAFFIC
10'
s
PROPOSED
CONSTRUC
ranFFcc
SIG'lAL
R11-2
48" x 30"
ROAD
CLOSED
ncE cii annntCnoE
B END TEIdPORHFlV
c�r� tEx�POAnav e cunaoaai�
GUAFDPAIL -�- STA iqi10
L- STA 12+85 .
SMOFlI;G I10. 1 /
-L STA. 13+15 � TEFIPOPPFY
TO 13+38 SHOFIIlG 110. 2
-L- STA. 13�5]
TO 13+80
� TEGiPORARY PAVEIAENT
� h'�ORK AREA
1,1AINTAIN ACCESS TO ORIVELYAYS
DURING CONSTRUCTION
SEE SHEET P!d-1 FOR TEIdPORARY
PAVEh1ENT f�1ARKING SCHEDULE
L oRu�i
20' SPACII:G
( F'� )
SECTION 6-B
-L- STA 13+50
or,E-�aNE
nvo-wnv
TflAFFIC
o�
� L-
__________
_________' _
PROPOSED
CONSTRUCTION
TflAFFIC
SIG:IAL
SFAL
SiOP I
@ -L- STA 15+50
�•o�H��UflO�"..
<'�+OQ.oE55i'Q'ti p";
_ 'a SEAL F_ :
_ ; o�a<s� _ _
":,,iiel xtf'Q',�c�e;°
:�'°5q� �se
PROI.PFFEFFNCE NO. SHEEi NO.
176P.14.F.142 ThIP-4
e+o PLACE SIGN (RIGHT)
xonownz� AT -L- STA 27+50
G30.2 A
ae z zr.
kwn pLACE SIGt! (LEFT)
��� AT -L- STA 21+50
AXY➢
W30.1
ee" x ae"
o�.Eu+e pLACE SIGN (LEFT)
�ro_u AT -L- STA 20+50
Ar o
rvzw
ee'x �a^
20 �»�,
za^ x za.•
OPLACE SIGN (LEFT)
AT -L- STA 18+50
W13
48" % 48"
30 15 0 30 60
SCALE 1"=30'
SECTION C-C
-L- STA 14+50
� -L-
ONE-LANE
nvo-nnr
TfiAFFIC
10'
s
PROPOSED
CONSTRUCTION
V V Ic
PHASE 2

�
+
+
LENGTH OF CULVERT = 50'-0"
CULVERT SILL LAYOUT
TY10 LAYERS OF 30" ROOFING
END ELEVATION
LOOKING OOWNSTflEA1A
LAYERS OF 30' ROOFING
TO PREVENT BOND
SECTION "A-A"
OOWELS AIAY 9E PUSHEO INTO GREEN CONCRETE
AFTER SLAB HAS BEEN FLOATED.
SILL DETAILS
'b VL VVIIGL>
7T
�
fffaff5Y91uEfffu
snsa�visss»»v
usssoc:nuvasuusunsv�v
HfN5EP11eoEHif
NOTES
NATIVE lAATERIAL CONSISTS OF lAATERIAL THAT IS EXCAVATEO FROl.1 THE STREAlA BEO OF FLOODPLAIN
AT THE PflOJECT SITE DURING CULVERT CONSTRIICTION.ONLY ldATERIA� THAT IS EXCAVATED FROld
THE STREAM BED I.IAY BE 115E� TO LINE THE LOW FLOY! CULVERT BARREL.RIP RAP MAY BE USED TO
SUPPLElAENT THE NATIVE IAATERIAL IN THE HIGH FL04Y CULVERT BARREL IF RIP RAP IS USED TO
LINE THE HIGH FLOY! CULVERT BARREL.NATNE AIATERIAL SHOULO BE PLACED ON TOP TO FILL
VOIDS ANO PROVIOE A FLAT SIIRFACE FOR ANIlAAL PASSAGE. NATIVE lAATERIAL IS Sl1BJECT TO APPROVAL
BY THE ENCINEER AND CIAY BE SIIBJECT TO PERlAIT CO��ITIONS.
THE STOCKPILED NATIVE lAATERIAL SHALL BE PLACED AS SHOYIN IN THE 'PLAN OF FLOOR SILL LAYOUT 'SKETCH TO
PROVIDE A 1'-0"DEPTH LOW FLOW CHANNEL BETWEEN LOYI FL0Y1 SILLS,AND SHALL BE PLACED TO A DEPTH OF 2'-0"
BETWEEN HIGH FL0Y1 SILLS.
SUPPL@AENTAL STONE OF SIlAILAR CHARACTERISTIC OF THE NATIVE MATERIAL lAAY BE USE� AS NECESSdRY 47ITH
APPROVAL BY ENGINEER.
THE ENTIRE COST OF V70RK REOOIRED TO PLACE THE EXCAVATED 61ATERIAL SHALL BE INCW�ED IN THE CONTRACT
PRICE BID FOR CHANNEL SUBSTRATE IAATERIAL.
THE ENTIRE COST OF VYORK REOUIRED TO CONSTRUCT THE SILLS SHALL BE INCWOEO IN THE VARIOl15 PAY ITEA15.
TOP OF LOYI FLOW SILLS SHOULD lAATLH STREAIA BE� ELEVATION IN LOW PLOW CHANNEL OF STREAAI. (THALIYEC)
�0 NOT SET ELEVATION OF HIGH SILL ABOVE BANK Fll�.
NUTABER OF SILLS DETERl.ffNE� 8Y THE ENGINEER.
LFYtHJ Uh 30' HUUh1NG
�.LT TO PREVENT BONO
SECTION 'B-B"
DOWELS AIAY BE PUSHEO INTO GREEN CONCRETE
AFTER SLAB HAS BEEN FLOATED.
�
CLA
CLAS`.
INLET CHANNEL
& FLOODPLAIN BENCH PROFILE
(LOOKING UPSTREAMI
XI
'RAP
EL
OIJTLET CHANNEL
& FLOODPLAIN BENCH PROFILE
fL00KING DOV4NSTREAM)
,,, PROJECT N0. 17BP.14.R.142
..�optHmC�RO(i „s
;s;FE'ss;o.9-; POLK COUNTY
= 3a SEAL �� �:
° : zm„ ; STATION: 13+47.70 -L-
' f P„
�=5'e.NClNfip Y..e
�'••°q0y"i"���„a' SHEET 7 OF ]0
�� ° • .
YaugW 6Mellon
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� u��n rrn � � . .
�. n� �.�' � v�.� »n .,� u� n�
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ORAYIN BY: RWV'I DATE:
CHECKE� BY: HLN �ATE:
OES.EGR.OF RECORD:RTS �ATE;
s�.�E ar nx�x cw�an.
DEPARTMENT OF TRANSPORTATION
x�i¢a
DOUBLE 8 FT. X 8 FT,
CONCRETE BOX CULVERT
105° SKEW
aevis�.m�s

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ADDITIONAL INFORAMTION AND COMPUTATIONS I ay�e NN __. _�.9z �x�. _ � uws wunu.a �cumw uuwnewl e NLVERT SURVEY & HYDRAULIC DESIGN REPORT R'�1"
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