20170150 Ver 1_Wilkes #317 Permit Application_20170130

Carpenter,Kristi
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Cc:
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Attachments:
Follow Up Flag:
Flag Status:
Steve,
Slaughter, Johnathan H
Monday, January 30, 2017 3:46 PM
Kichefski, Steven L SAW; Marella Buncick ([e-mail]); Chambers, Marla J;
Carpenter,Kristi; Wanucha, Dave
Fuchs, Eileen A; Greg Purvis; Guynn, Jami C; Johnson, Mark G; Hiatt, Todd M; Souther, Zachary S
Wilkes Bridge #317 Permit Application
Wilkes #317 Permit Application.pdf; 960317 Permit Drawings.pdf; Bridge #317 Topo jpg
Follow up
Flagged
See attached permit application for Wilkes #317. Call if you have questions.
Email correspondence to and from this sender is subject to the N.C. Public Records Law and may be disclosed to third parties.

STATE OF NQ�RTH CAROLIIVA
DFPARTN�[ENT (]F "TRANSPORTATTOI�
Rt�Y CQOPER
GovExrro�
7anuary 30, 2017
11�r. Steve Kichefski
Asheville Regulatory Field Office
151 Patton Avenue, Raom 2Q8
Asheville, NC 28801-5046
JAM[�5 H. T�.OGz�o1v, III
SECRETARY
Subject: Nationwide Pertnit #14
Replaee Bridge #317 with RCBC
Wilkes County, Narth Caralina
Project Nurnber: 17BP.11.R 12Q (DWI� Pex-�naiit Fee $240)
Dear Mr. Kichefski:
The 1�Tarth Carolina Department of Transportation is scheduled to replace Bridge #317
with a triple barreled box culvert at the same lacation. The existixzg sta�ucture is a 20'
wide x 31' long single span bridge. The praposed structure is a triple barreled I�CBC - 3
@ 10' wide x 6' high x 43' long. The proposed culvert will be placed on a 0.22% grade
�vith no sills added ta either of the base flow barrels. We will install 2' tall sills on tl�e
inlet and outlet of the single stormwater barre� to isalate base flow. The entire culvert
will be buried 1' into the streambed. Floodpiains will be constructed up axzd downsirea�
of the new culvert {see details in plans). An aff-si�e detou�r is proposed. Stream impacts
are tab�alated below.
Stream Impacts:
Station E:�isting Pxopased Temgvrary RipraP Total Impacts af
Number Structure Size +�ulvert Size Der�vatering Tmp�ets �his Stat�on
20' wide x 31' 3@ 14'x 6'x
Bridge #317 long brid e 43' RCBC 138' 72' 253'
• Note that native streambed material excavated for the c�lvert insta.11atiQn will be
placed inside the proposed base flow barrels befc�re the top zs placed on the
culvert.
tLlatlltag Address' 7`elephone: [phone] Locntron:
NC DEPARTMENT OF TRANSPOATATION Fax. (336) 6fi7-4549 ADDRESS 2
DNISION 11 Customer Service: 1-877-368-4968 CITX, NC ZIF
861 STATESVII,LE ROAD
NORTH WILKESBORO, NC 28b59 Website: www.ncdot.gov

Mr. Steve �ichefski
Bridge #317, Wilkes
7anuary 3U, �017
Construction af the new culvert wiIl require temporary dev�ratering. Flaw will be diverted
with nan-earthen dilces into a fabric lined diversion as shawn in the "CuJvert Canstructi+�n
Sequence". �nce the new structure and floodpl�.ins are in place, the irngervious dik�s
wiIl be remaved and precanstz-uctian streambed elevations will be restored.
Construetion of this project will require impacts to waters of the Unxted States in the
Yadkin River Basin. The existing bxidge crosses the West Prong Roaxing River (Class:
C}. No endangered s�ecies were identified at the project location but it is requested that
the Corps coordinate with USFWS regarding any potential bat issues.
kIisto�c compliance wark has been completed. No archaeological issues and na historic
properties were identified.
The praject iznpacts are nat significant in nature and s�ould nat alter the best usage for
this stream. All apprflpriaie BMPs will be used during construction. Attached is a
Preconstruction Notification Form, plan sheets, a marked topography map and
photographs_
By copy of this electronic letter, it is requested that the Division of Water Resaurces,
401/Wetlands Unit, issue the appropriate permit for construction of this project. It is
requested that any comments related to the 401 certification be electronically farwarded
directly to me with a copy sent to the US Army Corps af Engineers.
By copy of this letter, it is requested that Mrs. Marla Chambers, Moi�ntain Region
Coordinator, with the North Carolina Wildlife Resources Comz�zssian camment directly
to you concerning the 4041`�ationwide Permit application with a copy sent to me.
We would like to begin construction as soon as possible. If further information is
required, please let me know. Your early review and eansideration will be appreciated.
Sincerely,
6���
Heath Slaughter
Divisian Environmental Officer
Enclosures
cc: Marla Chambers, PICWRC
Aamy Chapman, Division of Water Resources
Dave Wanucha, Division of Water Resources
Marella Buncick, USFWS
Mike Pettyjohn, PE, Division Engineer
Jami Guynn, Division Bridge Program Manager
Heatb Slaughter, Division Environmental Officer
Todd Hiatt, PE, Roaciside Environmental Fielc� OperatiQns Engineer

Office Use Only_
Corps action iQ no.
DWQ praject no_
Form Version 9.3 Dec 1D 2008
Pre-Construction Notification PC Form
A. A licant Inforntafion
1. Processing
1 a. Type(s) af appro�al sought from the
Carps: � Section 404 Perznit ❑ Section 10 Permit
1 b. Specify NatEonwide P�rmii (NWP} r�umber: 14 or General Permit (GP) number:
1c. Has the NWP or GP number been verified by the Corps? ❑ Yes � No
1d. Type(s} ofi approval sought from tfie �WQ (check all that apply):
� 401 Water Quality Certification — Regular ❑ Non-404 Jurisdictional General Permit
❑ 401 Water Quality Certification — Express ❑ Riparian Buffer Authorization
'! e. 1s this noiification soEely far tha rec4rd For the record only for DWQ 401 For the record only for Corps Permi#:
because uvritten approval is no# required? Certifrcation:
❑ Yes � Na ❑ Yes � No
'[f. is payment into a mitigatian ba�k or in-lieu fee program proposed far mitigation � Yes ❑ No
af impacts? If so, attach the acceptance letter from mitigation bank or in-lieu
fee program_
1 g. Is the project located in any of NC's twenty coastal counties. If yes, answer 4 h ❑ Yes � No
6elpw.
1 h. Is the project located within a NC DCM Area afi Environmental Concern {AEC)? ❑ Yes � No
2. Project Information
2a. Name of project: Replace Bridge #337 with RCBC
2b. Caunty: Wilkes
2c. Nearest municipality / tawn: Dehart
2d. Sulodivision name;
2e. NCI]OT only, T.I,P. or state �7BP.11.R.1Zd
projeet no:
3. Owner Information
3a. Name(s) an Recorded Deed: NCDDT
3b. Deed Book and Page Na.
3c. Responsible Party (for LLC if
appiicable):
3d. Street acfdress: 80'i Statesville Road
3e_ City, state, zip: North Wilkesboro, hIC 28659
3f. Telephone na.: 336-903-92a2
3g. Fax no.: 336-667-4549
3h. Email adcfress: [e-mail]�
Page l of 10
PCN Form — Version 1.3 December 1 D, 2008 Version

4�. Applicant Information (if different from owner)
4a. Applicant is: ❑ Agent ❑ Other, specify:
4b. Name_
4c. Business name
(if applicab�e):
4d. Street address:
4e. City, state, zip:
4f. Telephone no._
4g. Fax no.:
4h. Email address:
5. Agent/Consultant Infnrrnation (if applicable)
5a. Name:
5b. Business name
{if applicable):
5c. Street address:
5d. City, state, zip:
5e. Telepf�one no.:
5f. Faac nv.:
5g. Email address:
Page � of 1 Q
PCN FQrm — Versian 1.3 December 1 D, 2008 Version

B. Project Information and Prior Praject History
1. Property Identifcatian
1a. Property identificatian no. (fiax PIN ar parcef !D):
9 b. Site coordinates (irt decimal degrees): Latitude: 36.301fi5 Longitude: - 81.12717
(DD.DDD�DD) (-DD.DDDDDD)
1 c. Property size: 0.5 �cres
2. SurFace Wa#ers
2a. lVame af nearest body of water (skream, ri�er, etc.) to West Prong Roaring Ri�er
proposed project:
2b. Water Quality Classification af nearest receiuing water: C
2c. River basin: Yadkin
3. Praject Description
3a_ Describe ihe existing conditions on the site and the general land use in the vicinity of the project at the time of this
application:
Substandard bridge ta be replaced in a rural area
3b. List the tota! estimat�d acreage of al1 existing we#fands on the property:
0 acres
3c. List the #otal estimated linear feet of all existing streams (intermittent and perennial) on the property:
2Q0 linear feet
3d. Explain the purpose of the proposed project:
Upgrade substandard stream crossing
3e. Describe the overall project in detail, including the type of equipment to be used:
See attached cover letter.
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property I
project (including all prior phases) in the past? � Y�S � Nn [] Unknown
Gommen#s:
4b. If the Corps made the jurisdictianal determination, what #y��
of determination was made? ❑ Preliminary ❑ Final
4c, If yes, who delineated tF�e jurisdictional areas? Agency/Consuitant Company:
Name (if known)� Other:
4d. If yes, Eist the dates of the Corps jurisdictional determinations or 5iake dete�rninations and attach docume�tation_
5. Project History
5a. Have permits or certificatians been requested or obtained for � Yes � No ❑ Unknawn
this project (including all prior phases} in the past?
5b. If yes, explain in detail accarding to "he�p file" instructions.
6. Future Project P1ans
6a. Is this a phased praject? ❑ Yes � No
6b. If yes, explain.
Page 3 0# ifl
I'CN Form — Version 1.3 December 1 q, 2D08 Version

C. Proposed Irnpac#s Inventory
1. impacts Summary
1 a. Which sections were completed below for your praject (check all that apply):
❑ Wetlands � Streams - #ributaries ❑ BufFers
❑ Open Waters ❑ Pond Canstruction
2. Wetland Impacts
If there are wetland impacts proposed on the site, then camplete this questian for each wetland area impacted.
2a. 2b. 2c. 2d. 2e. 2f.
Wetland impact Type of jurisdiction
number — Type of impact Type of wetland Forested (Cprps - 404, 1 D Area af impa�t
Permanent (P) or (if known} DWQ — non-4Q4, other) (aeres)
Tem ora
W1 ❑ P 0 T ❑ Yes ❑ Gorps
❑ No ❑ DWQ
W,2 � P� T ❑ Yes ❑ Corps
❑ No ❑ DWQ
W,� � � � �. ❑ Yes ❑ Corps
❑ No ❑ DWQ
�� � P ❑ T ❑ Yes ❑ Corps
❑ No ❑ DWQ
W5 ❑ P[] T ❑ Yes ❑ Corps
❑ No ❑ DWQ
W6 ❑ P ��T ❑ Yes ❑ Corps
❑ �lo ❑ DWQ
2g. Total wetland impacts
2h. Comments;
3. Stream Impacts
If #here are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this
question for all stream sites impacted.
3a. 3b. 3c. 3d. 3e. 3f_ 3g.
Stream impact Type of impact Stream name Perenniai Type of jurisdictian Average Impact
number - (PER) or (Corps - 404, 10 stream tength
Permanent {P) or infermittent DWQ — non-404, width (linear
Temporary ("f) {INTy? other) (feet) feet)
Fill, Bank West Prong � PER � Carps
51 � P� T Stabilization & 2D 253
Dewatering Roaring Ri�er ❑ fNT � DWQ
S2 ❑ P❑ T ❑ PER ❑ Corps
❑ INT ❑ f]WQ
S3 ❑ P[] T ❑ PER ❑ Corps
❑ IMT ❑ DWQ
S4 ❑ P[] T ❑ PER ❑ Corps
❑ iNT ❑ DWQ
S5 ❑ P❑ T ❑ PER ❑ Corps
❑ INT ❑ DWQ
S6 ❑ P ❑ T ❑ ��R ❑ Corps
❑ IN� ❑ DWQ
3h. TotaE stream and tributary impacts 253
3i. Comments: 43' fill, 72" bank stabilization & 1381inear feet of dewatering
Page 4 af 10
�CN Form — Version 1.3 December 10, 2008 Version

4. Open Water Impacts
If there are proposed impacts to lakes, pands, estuaries, tributaries, saunds, the Atlantic Ocean, or any other open water of
the U.S. then individually list alf open water impacts below,
4a. 4b. 4c. 4d. 4e.
Qper� water Name of waterbody
impact number — {ii applicable) Type of impaci Waterbody type Area vf irnpact (aeres}
Permanent (P) ar
Tem ara
d1 ❑P�7
02 ❑P❑T
03 ❑POT
04 ❑P❑T
4f. Total open water impacYs
4g. Comrnents:
5. Rond or Lake Construction
Ifi ond or lake constructian ro osed, then com lete ti�e chart belaw.
5a. 5b. 5c. 5d_ 5e_
Wetland Impacts (acres) 5#ream fmpa�ts {feet) Upland
Pond I❑ Proposed use ar purpase (acres)
number of pand
Floaded Fifled Exca�ated �laoded Filled Excav�ted Flaaded
P1
P2
Sf, Total
5g. Comrnents: NIA
5h. fs a dam high hazard permit required?
❑ Yes � No If yes, permit ID no:
5i. Expected pond surtace area (acres}:
5j. Size of pond watershed (acres}:
5k. Method of construction:
6. Buffer ImpaGts (for DWQ)
1f project will impact a protected ripanan buffer, then complete the chart belaw_ If yes, then individually list all buffer impacts
below. If any im{�acts re uire miti atian, then vu MUST fiiE out Section � of this form.
6a.
❑ Neuse ❑ Tar-Pamlico ❑ Other:
Project is in which pratected basin? ❑ Catawba ❑ Randleman
6b. 6c. 6d. 6e. 6f. 6g.
Buffer impact
number— Reason Buffer Zt�ne 1 impact Zone 2 impact
Permanent (P) or for 5tream narr�e mitigation (square feet) (square feet}
T�m ora im act re uired?
B1 ❑P❑7 ❑Yes
❑ Na
B2 ❑P❑T ❑Yes
❑ No
B3 ❑P❑T ❑Yes
❑ No
61L Total buffer impacts
fii. Comments
Page 5 of 10
PCN Form — Version 1.3 �ecerrtber 1 Q, 2�08 Version

D. Impact Justi�ca#ion and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing praject.
Sills and floodplains have been added to the design to provide adeqate function.
1b_ Specifically describe measures taken to avoid or minimize the propased impacts through canstruction techniques.
All appropriate BMPs will be used during Construction
2. Compensatory Mitigation for trr�pacts to Waters vf the U.S. or Waters of the State
2a. Does the project require Compensatary Mitigation for � Yes ❑ No
impacts to Waters of #he U.S. or Waters of the State?
2b. If yes, mitigation is required hy {check all that apply): ❑ DWQi � Corps
❑ Mitigaiion bank
2c. If yes, which mitigation option wif! be used for this � Payment io in-lieu fee program
project .
❑ Permittee Respansible Mitigation
3. Complete if Usin�g a Mitigatlon Bank
3a. Name ofi Mitigation Bank:
3b. Credits Purchased {attach receipt and fetter) Type Quantity
3c. Camments:
4. Complete if Making a Payment to In-lieu Fee Program
4a. Approval letter from in-lieu fee program is attached. ❑ Yes
4b. Strearn mitigation requested: 86 linear feet
4c. If using stream mitigation, stream temperature: ❑ warm � cool ❑cold
4d. Buffer mitigation requested (DWQ only): square feet
4e. Riparian wetfanci mitigation requested: acres
4f. fVon-riparian wetland mitigation requ�ested: acres
4g. Coastal (tidal) wetland mitigation requested: acres
4h. Camments:
5. Camplete if Using a Permittee Responsible Mitigation Plan
5a. If using a permittee responsible mitigation plan, pro�fde a description of the pro�osed mitigation plan.
Page6of10
PGN Form — Version 1.3 December 10, 2�08 Version

6. Buffer Mitigation (State Regulated Riparian Buffer Rules) — required by DWQ
6a. Will the project result in an impact within a pratected riparian buffer that requires fl Yes � No
buffer mitigatia�?
Eb. If yes, then identify+ the square feet of impact io each zone of the riparian buffer that requires mitigation. Galculate the
amount of mifigation required.
6c. 6d. 6e.
Zone Reason for impact Total impact Multiplier Required mitigation
(square feet) (square feet}
Zone 1 3(2 for Catawba)
Zone 2 1.5
6f. Total buffer mitigation required:
6g. lf bufFer mitigation is required, discuss what type of mitigation is proposed {e.g., payment to pri�ate mitigation tsank,
permittee respansibie riparian buff�r restoratian, payrnent into an appro�ed in-lieu fee fund)_
6h. Comments:
Page 7 of 10
PCN Form — Versian 1.3 December 'I0, 20a8 Version

E. Stormwater Management and Diffuse Flow Plan (required by DWQ}
1. Diffuse Fiow Plan
1 a. Does the project include ar is it adjacent to protected riparian buffers identified � Yes � No
within one of the NC Riparian Bu#fer Pro#ection Rules?
1 b. !f yes, then is a diffuse flow pfan incEuded? li no, explain why.
Comments: ❑ Yes ❑ No
2. Stormwater Mana ement Plan
2a. What is the overalE percent imperviousness af this praject? %
2b. Does this project require a Stormwater Managerrtent Plan? ❑ Yes � No
2c. If #his projec# DOES NOT require a Stormwater Management Plan, explain why: Disturbing less that 1 acre.
2d. If this praject DOES require a 5tormwater Management Pian, then pravide a brief, narrative description of the plan:
❑ Certified Local Go�emment
2e. Who will be responsible for the review of the Starmwater Manac�ernen# Plan? ❑ DWQ Stormwater Program
❑ DWQ 4Q1 Unit
3. Certifieci Local Government Starmwater Re�iew
3a. In which local government's jurisdiction 9s this project?
❑ Phase If
3b. Which ofi the foliowing locally-implemented storrnwater management programs ��SW
apply (check all that apply): ❑ USMP
❑ Water Supply Watershed
❑ �ther.
3c. Has the appro�ed Stormwater Management Pfan with proof of appro�al been ❑ Yes ❑ IVo
attached?
4. �WQ Stormwater Pro ram Review
❑ Coastal counties
❑ HQW
4a. Which of the fallowing state-implemented stormwater management programs apply � p�W
(check all that apply):
❑ 5ession Law 2D06-246
❑ Other:
4b. Has the appraved Stormwater Management Plan with proof of appro�al been
attached? ❑ Yes ❑ No
5. []WQ 407 Unit Stormwater Review
5a. Does the Stormwater Management Plan meet the apprapriate requirements? ❑ Yes ❑ No
5b. Ha�e all of #he 401 Unit submittal requiremer�ts been met? ❑ Yes ❑ No
Page$of10
PCN Form — Versian 1.3 December 1 Q, 2008 Version

F. Supplementary Informatian
1. En�ironmental []vcumentation (dWQ Requirement)
� a_ Does the project involve an expenditure of public (federallstatellacal} funds or the � Yes ❑ No
use of public (federallstate) land?
1 b. If yau ar�swered "yes" to the abor�e, does the project require preparation af an
environm�ntal document pursuant to the requirements of the National Qr State ❑ Yes � No
(North Carolina} En�ironmenial Rolicy Act (NEPA/SEPA}?
1c. If you answered "yes° to the above, has the document re�iew f�een finalized by the
State Clearing House? {If so, altach a copy of the N�PA or SEPA final appro�al
letter.) ❑ Yes ❑ IVo
Gamments:
2. Violations (DWQ Requiremer�t)
2a. Is the site in �iolation of DWQ Wetland Rules (15A NCAC 2H .05D0), fsola#ed
Wetland Rules (15A NCAG 2H .1300), DWQ SurFace Water or Wetland Standards, ❑ Yes � No
ar Riparian Buffer Rules (15A NCAC 2B .Q200)?
2b. Is this an after-the-fact permit application? ❑ Yes � No
2c. If you answered ayes" to one or both of the above questions, pro�ide an explanatian of the yiolation(s):
3, Cumulative Impacts (DWQ Requirerr�ent)
3a. Will this project (based on past and reasonably anticipated future impacts) result in � Yes � No
additianal development, which couEd impact nearby downstream wa#er quaiity?
3b. If you answered "yes" ta the above, submit a qu�l�tative or quantitati�e cur�ulative impact analysis in accordance with the
most recent DWQ policy. If yau answered "no," provide a short narrati�e description.
4. Sewage �isposal (DWQ Requirement)
4a. Clearly detail the ultimate treatment methocls and disposition (non-discharge or discharge) of wastewater geRerated from
the praposed project, or available ca�aeity of the subject facility.
NIA
Page 9 of 1 D
PCN Form — Version 7.3 December 1 D, 2008 Version

5. Endangered Species and Designated Critical Habitat (Corps Requirementj
5a. Wlf this project occur in or near an area with federally protected species or � Y�s ❑ No
habitat?
5b. Have you ehecked with the USFWS conceming Endangered 5pecies Act � Yes � No
impacts?
❑ Raleigh
5c. If yes, indicate khe USFWS Field Office yau ha�e cantacted.
❑ Ashe�ilfe
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habftat?
GIS and �isua! abservation
6. Essential Fish Habitat (Corps Requirernent)
6a. Will this project oc�cur in or near an area designated as essential fish habitak? ❑ Yes � No
6b. What data sources did you use to determine w�ether your site would impac# Essential �ish Habitat?
WRC will comment
7. Historic or Prehistflric Gultural Resources (Carps Requirement}
7a. Will this praject accur in or near an area tha# the state, federal or tribal
go�ernmer�ts have designated as having historic or cul#ural presenration � Yes � No
s#atus {e.g., National Historic Trust designation or properties significant in
IVorth Carolina history and archaeology}?
7b. Wha# data sources did you use to determine wheth�r your site would impact histonc or archeological resources?
Project was revieuved by our HEU.
8, Fbod Zone Designation (Corps Requirementy
8a, Wifl this project occur in a FEMA-designated 1 DO-year floodplain? � Yes ❑ No
8b. If yes, explain how project meets FEMA requirements: Project has been re►riewed by NCDOT Hydraulics Unit.
8c. What source(s) did you use tv make tY�e flavdplain determination? ncflaodmaps
J. Heath Slaughter � 1/30117
Applicant/Agent's Printed Name Applic�nt/P�q Signature Date
(Agent's signature is valid only if an thorizaiion letter irom the applicant
is rovided_
Page 10 of 10
PCN Form — Version 1.3 December 10, 20Q8 Versian