20170352 Ver 1_Bridge 99 Yancey PCN_20170328 (2)

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. y yc Corps action ID no.
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Fortn Version 1.3 Dec 10 2008
Pre-Construction Notification (PCN) Form
A. Appiicant Information
1. Processing
1 a. Type(s) of approval sought from the X Section 404 Permit ❑ Section 10 Pertnit
Corps:
1 b. Specify Nationwide Permit (NWP) number: 14 or Generai Permit (GP) number:
1c. Has the NWP or GP number been verified by the Corps? X Yes ❑ No
1d. Type(s) af approval sought from the DWQ (check all that apply):
X 401 Water Quality Certification — Regular ❑ Non-404 Jurisdictional Generel 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 the record only for Corps Permit:
because written approval is not required? Certiflcation:
❑ Yes X No ❑ Yes X No
1f. Is payment into a mitigation bank or in-lieu fee program proposed for mitigation X Yes ❑ No
of impacts? If so, attach the acceptance letter from mitigation bank or in-lieu
fee program.
1g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1h ❑ Yes X No
below.
1 h. Is the project located within a NC DCM Area of Environmental Concem (AEC)? ❑ Yes X No
2. Project Informatlon
2a. Name of project: Bridge 990099, SR 1355
2b. County: Yancey
2c. Nearest municipality / town: Bumsville
2d. Subdivision name: N/A
2e. NCDOT only, T.I.P. or state ��gp �3.R.75
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 N/A
applicable):
3d. Street address: N/A
3e. City, state, zip: N/A
3f. Telephone no.: N/A
3g. Fax no.: N/A
3h. Email address: N/A
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4. Applicant information (If different from owner)
4a. Applicant is: NoKh Caro�ina Department of Transportation
4b. Name: J.J. Swain, Jr., P.E., Division Engineer
4c. Business name N.C. Department of Transportation
(if applicable):
4d. Street address: 55 Orange Street, P.O. Box 3279
4e. City, state, zip: Asheville, NC 28802
4f. Telephone no.: 828-251-B171
4g. Fax no.: 828-251-6394
4h. Email address: rdbrvanCc�ncdot.aov
5. AgentlConsulWnt Information (if applicable)
5a. Name: N/A
5b. Business name N�A
(if applicable):
5c. Street address: N/A
5d. City, state, zip: NIA
5e. Telephone no.: N/A
5f. Fau no.: N/A
5g. Email address: N/A
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B. Project Information and Prior Project History
1. Properly Identiflcation
1a. Property identification no. (tax PIN or parcel ID): N/A
1 b. Site coordinates (in decimal degrees): Latitude: 35.96395° N Longitude: - 82.33154° W
1c. Propertysize: 0.1 acres
2. Surtace Waters
2a. Name of nearest body of water (stream, river, etc.) to Bailey Branch
proposed project:
2b. Water Quality Classification of nearest receiving water: Class C
2c. River basin: French Broad
3. ProJect Descriptlon
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:
Existing bridge on SR 1355 surrounded by low density residential area, farmland, and forest.
3b. List the total estimated acreage of all existing wetlands on the property:
0
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
200
3d. Explain the purpose of the proposed project:
Replace the existing 18' wide x 16' long timber bridge with a double barrel reinforced concrete box culvert (5' x 5' x 72')
with low flow sills/baffles.
3e. Describe the overall project in detail, including the type of equipment to be used:
A permanent impact to 187 linear feet (LF) of Bailey Branch will be necessary: 72 LF for culvert installation; 115 LF
for floodplain bench/stabilization/cross vanes activities. A temporary detour will impact 42 LF. A temporary impact
to 200 LF will be necessary for an impervious dike/diversion to dewater the work area during construction.
Equipment used will include excavator, crane, and trucks.
4. Jurisdictional Determinatlons
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property / X Yes ❑ No ❑ Unknown
project (including all prior phases) in the past7
Comments: prelim JD form attached to PCN
4b. If the Corps made the jurisdictional determination, what type � preliminary ❑ Final
of determination was made?
4c. If yes, who delineated the jurisdictional areas? Agency/Consultant Company: NC DOT
Name (if known): Yates Allen Other: N/A
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
PJD completed by NC DOT on March 27, 2017 and submitted with this permd application.
6. ProJect History
5a. Have permits or certifications been requested or obtained for � Yes X No ❑ Unknown
this project (including all prior phases) in the past7
5b. If yes, explain in detail according to "help file" instructions.
6. Future ProJect Plans
6a. Is this a phased project? ❑ Yes X No
6b. If yes, explain.
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Proposed Impacts Inventory
1. Impacts Summary
1 a. Which sections were completed below for your proJect (check all that apply):
❑ Wetlands X 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
W� � P� T ❑ Yes ❑ Corps
❑ No ❑ DWQ
W2 ❑ P 0 T ❑ Yes ❑ Corps
❑ No ❑ DWQ
W3 ❑ P❑ T ❑ Yes ❑ Corps
❑ No ❑ DWQ
W4 ❑ P❑ T ❑ Yes ❑ Corps
❑ No ❑ DWQ
WS ❑ P � T ❑ Yes ❑ Corps
❑ No ❑ DWQ
W6 ❑ P❑ T ❑ Yes ❑ Corps
❑ No ❑ DWQ
2g. Total wetland impacts
2h. Comments:
3. Stream Impacts
If there 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 Perennial Type of jurisdictlon Average Impact
number - (PER) or (Corps - 404, 10 stream length
Permanent (P) or intermittent DWQ — non-404, width (linear
Temporary (� (INn? other) (feet) feet)
S1 ❑ P X T Impervious gailey Branch X PER X Corps 3 200
Dike/Dewatering ❑ INT X DWQ
S1 ❑ P X T Detour Bailey Brench X PER X Corps 3 42
❑ INT X DWQ
Reinforced X PER X Corps
S1 X P � T Concrete Box Bailey Branch � INT X DWQ 3 �2
Culvert
FloodplainBench/ X PER XCorps
S1 X P❑ T Stabilization/Cros Bailey Branch � INT X DWQ 3 115
s Vanes
S2 ❑ P❑ T ❑ PER ❑ Corps
❑ INT ❑ DWQ
S3 ❑ P 0 T ❑ PER ❑ Corps
❑ INT ❑ DWQ
3h. Total stream and tributary impacts 200
3i. Comments: 72 feet of permanent culvert impact, 115 feet of permanent floodplain bench, 42 feet for temporary detour, and
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200 feet of temporary impacts for dewatering. The total project footprint is 200 linear feet.
4. Open Water Impacts
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other 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 waterbody
impact number — (if applicable) Type of impact Waterbody type Area of impact (acres)
Permanent (P) or
Tem ora
Ot ❑P❑T
02 ❑P�T
03 ❑P❑T
04 ❑P�T
4E Total open water Impacts
4g. Comments:
5. Pond or lake Constructlon
If ond or lake construction ro osed then com lete the chart below.
5a. 5b. 5c. 5d. Se.
Wetland Impacts (acres) Slream Impacts (feet) Upland
Pond ID Proposed use or purpose (acres)
number of pond
Flooded Filled Excavated Flooded Filled Excavated Flooded
P1
P2
Sf. Total
5g. Comments:
5h. Is a dam high hazard permit required?
❑ Yes ❑ No If yes, permit ID no:
5i. Expected pond surFace area (acres):
5j. Size of pond watershed (acres):
5k. Method of construction:
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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, then ou MUST fill out Section D of this form.
8a.
❑ Neuse ❑ Tar-Pamlico ❑ Other:
Project is in which protected basin7 ❑ Catawba ❑ Randleman
6b. Bc. 6d. Be. 6f. Bg.
Buffer impact
number— Reason Buffer Zone 1 impact Zone 2 impact
Permanent (P) or for Stream name mitigation (square feet) (square feet)
Tem ra im act re uired?
B1 ❑P❑T ❑Yes
❑ No
62 ❑ P � T ❑ Yes
❑ No
B3 ❑P❑T ❑Yes
❑ No
8h. Total buffer Impacts
Bi. Comments:
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D. Impact Justiflcatlon and Mitigation
1. Avoldance and Mlnimizatlon
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
Minimized length of culvert and has low flow sills to maintain natural stream channel bottom within the structure.
Floodplain bench and cross vanes will be constructed to maintain stream channel stability.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
N/A
2. Compensatory Mltlgatlon for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for X Yes ❑ No
impacts to Waters of the U.S. or Waters of the State7
2b. If yes, mitigation is required by (check all that apply): ❑ DWQ X Corps
❑ Mitigation bank
2c. If yes, which mitigation option will be used for this X Payment to in-lieu fee program
project?
❑ Permittee Responsible Mitigation
3. Complete if Using a Mftigatlon Bank
3a. Name of Mitigation Bank:
3b. Credits Purchased (attach receipt and letter) Type Quantity
3c. Comments:
4. Complete if Making a Payment to In-Ileu Fee Program
4a. Approval letter from in-lieu fee program is attached. X Yes
4b. Stream mitigation requested: 72 linear feet
4c. If using stream mitigation, stream temperature: ❑ warm ❑ cool X cold
4d. Buffer mitigation requested (DWQ only): square feet
4e. Riparian wetland mitigation requested: acres
4f. Non-riparian wetland mitigation requested: acres
4g. Coastal (tidal) wetland mitigation requested: acres
4h. Comments:
5. Complete if Using a Permittee Responsible Mitigatlon Plan
5a. If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
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6. Buffer Mitlgatlon (State Regulated Riparlan Buffer Rules) — requlred by DWQ
6a. Will the project result in an impact within a protected riparian buffer that requires ❑ Yes X No
buffer mitigation7
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.
8c. 8d. 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 mitigatlon required:
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).
8h. Comments:
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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 protected riparian buffers identified � Yes X No
within one of the NC Riparian Buffer Protection Rules?
1 b. If yes, then is a diffuse flow plan included7 If no, explain why.
Comments: ❑ 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? X 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, then provide a brief, narrative description of the plan:
The project will use BMP's to the Maximum Eutent Practicable (MEP) in compliance with NCDOT's NPDES Permit No.
000250 Post Construction Stormwater Program
❑ Certified Local Govemment
2e. Who will be responsible for the review of the Stormwater Management Plan? X DWQ Stormwater Program
❑ DWQ 401 Unit
3. Certifled Local Government Stormwater Review
3a. In which local govemmenYs jurisdiction is this project? N/A
❑ Phase II
3b. Which of the following locally-implemented stormwater management programs ❑ NSW
apply (check all that apply): ❑ USMP
❑ Water Suppiy Watershed
X Other: N/A
3c. Has the approved Stormwater Management Plan with proof of approval been N/A
attachedl
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
X Other: N/A
4b. Has the approved Stormwater Management Plan with proof of approval been
attached? N/A
5. DWQ 401 Unit Stormwater Revlew
5a. Does the Stormwater Management Plan meet the appropriate requirements? N/A
5b. Have all of the 401 Unit submittal requirements been met? N/A
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F. Supptementary Information
1. Environmental Documentation (DWQ Requirement)
ta. Does the project involve an expenditure of public (federal/state/local) funds or the � yes ❑ No
use of public (federal/state) land7
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 the NEPA or SEPA final approval
letter.) ❑ Yes ❑ No
Comments:
2. Vlolatlons (DWQ Requlrement)
2a. Is the site in violation of DWQ Wetland Rules (15A 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)4
2b. Is this an after-the-fact permit application? ❑ Yes � No
2c. If you answered "yes° to one or both of the above questions, provide an explanation of the violation(s):
3. Cumulative Impacts (DWQ Requirement)
3a. Will this project (based on past and reasonably anticipated future impacts) result in � Yes � No
addiHonal development, which could impact nearby downstream water qualily?
3b. If you answered "yes° to the above, submit a qualitative or quantitative cumulative impact analysis in accordance witn the
most recent DWQ policy. If you answered "no," provide a short narrative description.
4. Sewage Disposal (DWQ Requtrement)
4a. Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of wastewater generated from
the proposed project, or available capacity of the subject facility.
N/A
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5. Endangered Species and Designated Crltical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or � Yes ❑ No
habitat?
5b. Have you checked with the USFWS conceming 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
Habitat9
Field survey of the project area and evaluation of current distribution data. Nhth regards to NoRhem long-eared bats, the
project is located outside of a red HUC. The bridge could not be surveyed for bat presence/usage due to proximity to
water level. One tree will be removed during construction.
6. Essentlal Flsh Habitat (Corps Requfrement)
6a. Will this project occur in or near an area designated as essential flsh habitat? ❑ Yes � No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
Current MapslDatabase
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
7a. Will this project occur in or near an area that the state, federal or tribal
govemments have designated as having historic or cultural preservation � Yes � No
status (e.g., National Historic Trust designation or properties significent in
North Carolina history and archaeology)7
7b. What data sources did you use to determine whether your site would impact historic or archeological resources7
Coordination with NC DOT Cultural Resources personnel per 2007 Programmatic Agreement
8. Flood Zone Designation (Corps Requlrement)
Sa. Will this 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 the floodplain determination7 http://www.ncfloodmaps.com/
Roger D. Bryan 3/27/2017
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ApplicanUAgenYs Printed Name ApplicanU g Ps Sjgnature Date
(Agenfs signature is valtd only'rf an uthorization letterirom the appUcant
Is rovided.
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