20170401 Ver 1_Bridge #262 Application_20170405

STATE OF NORTH CAROLINA
DEPARTMENT OF TR�1'�TSPORTATION
ROY COOPEIt
GovE�uvoa
Apri14, 20 r 7
Mr. l'vlonte Matthews
U. S. Arnly Corps of Engineers
Raleigh Regula#ory Field O�fice
3331 Heriiage Trade Drive, Suite 1fl5
Wake Forest, NC 27587
JAMEs H. TROGr�ON, III
SECR�TARY
Subject: Nationwide Permit #3
Replace Sridge #262 an SR � l 07 aver Gunpowder Creek (Old Mill Pond)
Calciwell +County, North Carolina
Project Number: 17BP.11.R. i 35 (DWR Permit Fec $S74)
Dear Mr. Matthews:
The North Carolina Department of Transpartatian is scheduled io replace Bridge #262 �n
SR 1107 with a new bridge in the same location. The existing bridge is closed due to
crushed creosote timber supports wk�ch Ied to sagging in the bridge deck. This is an
�nsafe emergency situation with accelerated desi� and construction times. The bridge is
in a residential area witb high traffic volumes sQ �there are quite a Few folks
inconvenienced by the bridge failure_ As a result, we ask that this permit request be
processed as soon as possible.
The bridge crosses Old Mi11 Pond, which is a danuned up section of Gunpowder Creek
(Class: WS-N) on the easiern edge of Grariite Falls. As a result af the daan, water depths
will be appraximately 1 S feet in the middle of the pond. Removal of the entire causeway
will be nearly impQssible siznply due to visibility issues. I have consulted with WRC and
#hey have agreed that retai�in� the lorver one �aot of the causewa_y may well divexsify the
iish habitat without creatuxg an aquatic life passage barrier. As a result, we are listing the
causeway "impacts" as permanent in the applicatian.
The Dam is owned by Mr. Oc�ell White. Mr. Wh�te periodically pumgs water from the
pond to irrigate his nearby golf cvurse. Our contractor will contact Mr. White and inquire
about the passibility of releasing some of the water frnm the pond �o minimi�e the size a�
our causeway. This permit request assumes that pond water levels will remain
unchanged. The propased bank stabilizatian is actually a paratlei impact to the causeway
so impacts were not doubte eounted. The new bridge will have fewer interior bents and
tb.ey will fall within #he footprint c�f the retained lower portion of the causeway.
N1ailing Address.�
NC DEPAR'I1vIENT OP "fTtANSPOIiTATION
DIVTSIOAi 11
801 STATESVILLE ROAD
NORTH WILKESBORO, NC 28659
Telephone: (336) b67-911 i
Fax: [phone]
Cusfamer Sers�rce: 1-877-358-4968
Website: vuww.ncdot.gov
Locatron,-
ADDRESS 2
C1TY. NC ZIP

Mr_ Monte Matthews
Bridge #262, CaldweIl
Apri14, 2017
Stream/�pen Water �inpacts:
Station Existing Proposed �auseway/
Number Structure Size St�ucfure Size B�°k
Stabilizatiqn
�oo.s' x 2�_s' 400' x 40' i 9� feet or
Sridge #262 12-SPAN BRIDGE 4-SPAN BRIDGE 0.77 acres
I spoke to Marella Buncick with the USFWS concerning enda�gered species at the
project location. No concer�s were raised. A visual inspection was canducted as well as
a review of Natural Heritage Prograrn database (see attachment) with no element
o�etxrrences observed. This is a sta.te funded project and is not located within or near a
NLEB red HLJC. The subject proj�ct wzll have no effect on any federally listed
endangered plant ar animal species. It will likel� be necessary ta cut a few trees near the
new abutments but clearing will be <0.1 acres.
This project has been r�viewed for culturaI resources. No surveys were required (see
attachment�).
The project impacts are not signaficant in nature anc� should not alter the best usage for
this stream. All approp�iate BMPs will be used during constructi�n_ I have a.ttached a
Preconstz�a.ction Notification Foz�m, plan sheets, a marked topography map, photographs
and other rel�vant documents for your review.
By copy of tllis letter, it is requested that Mrs. Maria Chatnbers, Ma�tairi Regzon
Coordinator, wt.th the Nflrth Carolina Wildlife Resouzces Commission comment directly
to you conceming the 404 Natioz�wide Permit application wi#h a copy sent to me. Be
advised that there is a WRC boating acce�s point in the northeast quadrant of this praject.
Most of the boating tr�c on this pond is limited to canoes and kayaks. The boating
access will not be negatively impacted by this projeet. I have discussed the access point
with Marla aiready s4 everyone is aware of its presence.
We would like to begin constructian as soon as possible. If further information is
rec�uired, please let rz�e l�now. Your early review and consideration wi11 be appreciated.
Sincerely,
/��'"_
He�th �laughter
Divisian Environmenta.l Officex
Enclosures

Mr. Monte Matfihews
B�idge #262, Caldwell
Apri14, 2a 17
cc: Marla Chaxx�bers, Western Piedmonr Reg�on Coardinator, NCWRC
Atn.y Chapman, Division of Water Resources
Dave Wanucha, Division of Water Resoure�:s
Mike Pettyj�hn, PE, Division Engineer
Ja�ai Guynn, Division Brkdge Program Manager
He�.tli Slaughter, Division Envizonmental Officer
Zack Souther, Raa�iside Environmental Field Operations Technician

0��� W •4 TERQG
Vj 9
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Offce Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.3 Dec tp 2QQ8
Pre-Construction No�ification C Form
A, A licant Infarmation
1. Pro�essing
1a. Type(s} of approval saught from the
CorpS: � Section 40� Permit ❑ Section 10 Permit
1 b. Specify Nationwide Permit (NWPj number: 3 or Generaf Permit {GP) number_
1 c. Has the NWP or GP number peen verifred by the Gorps? ❑ Yes � No
1 d. Type(s) af apprnval sought from #he DWQ (check aEl that apply}:
� 401 Water Quality Certification — Regular ❑�lon-404 Jurisdictional General Permit
❑ 401 Wa#er Quality Certification — Express ❑ Riparian BufFer Authorization
1 e. Es this notification solely for the recard For the record only for DWQ 401 Far the record vnly far Carps Permit:
because wriiten approual is not required? Certification:
❑ Yes � No ❑ Yes � No
1f. Is payment into a mitigation bank or in-lieu fee prog�am prapased for mitigatinn � Yes � No
of impacts? If so, attach the acceptance letter from mitigation banlc ar in-lieu
fee pragram_
1g. Is the project located in a�y of NC's twenty coastal counties. kf yes, a�swer 1h ❑ Yes � No
below.
9 h. Is the project located within a NC DCM Area of Environmental Concern (AEC)? ❑ Yes � No
2. Project Information
2a. Name of project: Bridge #262
2b. County: Cafdwell
2c� Nearest municipality / town: Granite Falls
2d. Subdivision name;
2e. NCDOT only, T.I.P. or s#ate 17BP.11.R.135
project no:
3. �nrner Information
3a. Name{s) on Recorded Deed: NCdOT
3b. Deed Book and Page No.
3c. Respansible Parky (fior LLC if
applicable}:
3d. Street adctress: 801 States�ille Road
3e. City, state, zip: Nor#h Wilkesbaro, NC 28659
3f. Telephane no.: 336-903-9202
3g. Fax no.: 336-667-4549
3h. Email address; [e-mail]�
Page 1 of '! 0
PCN Form — Versian 1_3 December 1fl, 2008 Version

4. Applicant Information {if different from owner)
4a. Applicant is: [] Agent ❑ Other, specify:
4b. Name:
4c. Business name
{if appiicable):
4d. Street address:
4e. Gity, state, zip:
4f. Telephane no.:
4g. Fax na-_
4h. Email address:
5. AgenUCansuitant Informatiora (if apPlicable)
5a. Name:
5b. Business name
(if applieable):
Sc. Street address:
5d. City, state, zip_
5e. Telephone no.:
5f. Fax no,:
5g. Email address:
Page 2 of 10
PCIV Form — Version 1.3 December 10, 2008 Version

B. Project Infvrmatian and Prior Project History
1. Property Identifcation
1 a. Proparty identificatian no_ (tax PIN flr parcel ID}:
1 b. 5ite coardinates (in decimal degrees): Latitude: 35.8Q4�i4 Longitude: - 81.41299
t�o.000��o� (-DD.DDDDDD)
1 c. Property size: 12 acre5
2. Surface Waters
2a. Mame of nearest body of water (stream, ri�er, etc.) to Gunpowder Creek (Old Mill Pond}
proposed pro�ect:
2b. Water Quality Classification of nearest receiving water: WS-IV
2c. River basin: Catawba
3. Praject Description
3a. Describe the exisiing conditions on the site and the general land use ir► the �icinity of the project at the time of this
application:
Closed bridge in a residentiai area.
3b. List the total estimated acreage of all existing wetlands on the property:
0 acres
3e. List the total estimated linear feet of ali existing streams {intermittent and perennial) on the property:
200 linear feet
3d. Explain the purpose of the proposed project:
Upgrade substandard strearn crossing
3e. Describe the o�eralf project in deiail, including the fiype of equipment to be used:
See attached cover letter.
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream de#erminations by the
Corps or State been requested or obiairoet! for this property /
ro ect includin afl nor hases in the ast? ❑ Y�es � No ❑ Unknown
P 1 C 9 P p }� P
Comments:
4b. If the Gorps made the }urisdictional determina#ion, what type
af determination was made? ❑ Preliminary ❑ Final
4c. If yes, who delinea#ed the jurisdicfional areas? Agency/Consultant Company:
Name (if kno+nm}: Other:
4d. If yes, list #he dates of the Corps jurisdictiona! determinations or 5tate determinations and attac�r documentation.
5. Project History
5a_ Have parmits or certifications been requested or abtained far � y�s � Mo ❑ Unknown
this project (including afl prior phases) in the pas#?
5b. If yes, explain in detail according to "help file" instructions.
6. Future Project Plans
6a, Is this a phased project? ❑ Yes � No
6b. !f yes, explain.
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i'CN Form — Version 1.3 December 1Q 2008 Version

G. Proposed Irr�pacts Inventory
1. Impacts 5ummary
1 a. Which sections were completed below for your project (check ali tF�at appfy):
❑ Wetlands � Streams - tributaries ❑ BufFers
� Open Waters ❑ Pond ConS#ructior�
2. Wetland impacts
If there are wetland impacts proposed an the sike, then camplete 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 - 4�4, 10 Area af impact
Permanent {P) or (ifi known} DWQ — non-444, other) {acres)
Tem ora T
W1 ❑ P 0 T ❑ Yes ❑ Corps
❑ No ❑ DWQ
W2 � P[� T ❑ Yes ❑ Corps
❑ No ❑ DWQ
W3 ❑ P❑ T ❑ Yes ❑ Gorps
❑ No ❑ DWQ
W4 ❑ P � T ❑ Yes ❑ Corps
❑ Na ❑ DWQ
W5 ❑ P j] T ❑ Yes ❑ Corps
❑ No ❑ DWQ
W6 ❑ P � T ❑ Yes ❑ Corps
❑ Na ❑ DWQ
2g. Total wetland impacts
2h. Comments:
3. Stream Impacts
ff there are perennial ar 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 af itnpact Stream narr3e F'erennial Type of jurisdiction Arrerage Impact
nurr�ber - {PER} or (Corps - 404, 10 stream tength
Permanent �P) ar intermittent DWQ — non-4Q4, width {linear
Temporary (T) (INij? ather) (feet) feet)
�,� ��❑ T Rack Fill 1 Bank Gun�owder Creek � PER � Corps 40D 192
Stabilization I Old Mil! Pond ❑ INT � DWQ
S2 ❑ P[] T ❑ PER ❑ Gorps
❑ INT ❑ DWQ
S3 ❑ P❑ T ❑ PER ❑ Corps
. ❑ INT ❑ DWQ
54 ❑ P❑ T ❑ PER ❑ Corps
❑ CNT ❑ DWQ
S5 ❑ P � T ❑ PER ❑ Gorps
❑ INT ❑ pWQ
S6 ❑ R � i ❑ PER ❑ Corps
❑ INT ❑ DWQ
3h. Total stream and tributary impacts 192
3i. Comments:
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PCN F4rm — Version 1.3 Deeember 10, 20a8 'Version

4. Open Water Impacts
If there are proposed impacts io lakes, pands, estuaries, trilautaries, sounds, the Atlantic Ocean, or any other open water of
the EJ.S. then individualiy list all open water impacts below.
4a. 4b. 4c. 4d� 4e.
Open water Name of waterbady
impact number — (if applicable) Type of impact Waterbody type Area of impact (acres)
I'ermanent (P) or
Tem ara T
f71 � P❑ T �unpswder Creek 1 Rock Fill Pond with stream � 77
Old Mil1 Pond running through it
02 ❑P[]T
03 ❑P[]T
04 ❑P❑T
4f Total apen water impacts 0.77
4g. Comments:
5. Pond or Lake Construction
If and or lake construction ro osed, the� com lete the chart below.
5a. 5b. 5c. 5d. 5e-
Wetiand Impacts {acres) Stream Impacts (feet) Upland
Pond ID Proposed use or purpose (acres)
number of pond
Floaded Filled Excavated Flooded Filled �xcavateci Flooded
P1
PZ
Sf. Total
5g. Camrnents: N/A
5h. Is a dam high hazard peronit required?
❑ Yes � �to If yes, permit ID no:
5i. �xpected pond surface area (acres):
5j. Size of pond watershed (acres}:
5k. Methad of canstruction:
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I'C!V Form — Version 1.3 Decerrzber 10, 20Q8 Version

6. Buffer Impacts (for DWQ)
If project will impact a protected riparian buf€er, then complete the chart beiaw. If yes, then indi�idually lisi alf buffer impacts
below. If an im acts r uire miii atian, then ou MUST fill out Section D of this form.
62.
❑ Neuse ❑ Tar-Pamlico ❑ Other
Project is in which prvtec#ed basin? ❑ Catawba ❑ Randleman
6b. 6c. 6d. 6e. 6f. Bg_
Buffer impact
number— Reason BufFer Zone 1 impact Zone 2 irr�pact
Permanent (P) ar for 5trearr� name mitigation (square feetj (square feet)
Tem ora T im act re uired?
B1 ❑P❑T ❑Yes
❑ No
B2 ❑ P 0 T ❑ Yes
❑ hlo
B3 ❑P❑T ❑���
❑ No
6h. Total baffer impacts
6i. Comments:
D. Impact Justificatian and Mitigation
'I. Avoidance and Minimization
1 a. Specifically describe measures ta�Cen to avoid or minimize the proposed impacts in designing project.
Replacing bridge with another bridge. Number of interior bents reduced by 8_
1 b. Specifically descrik�e measures taken to a�oid ar minimize the proposed impacts through construction technigues.
All appropriate BMPs will be used during constructian
2. Campensatory Mitigation for 1r»pacts to Waters of the U.3. ar Waters of the State
2a. Does the project require Compensatory Mitigation for ❑ Yes � No
impacts to Waters of the U_S. ar 1Naters of the State?
2b. If yes, mitigation is required by {check all Yhat apply)_ ❑ QWQ ❑ Gorps
0 Mitigatian bank
Zc. If yes, which mitigation option will be used for this
�ra���� ❑ Payment to in-lieu fee pragram
❑ Permittee Responsible Mitigation
3. Complete if Using a M�tigatian Bank
3a. Mame of Mitigation Bank:
3b. Credits Purchased {attach receipt and letter) Type Quantity
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PCN Form — Version 1_3 December 10, 2008 Version

3c. Comments:
4. Complete if Making a Payment to In-lieu F'ee Program
4a. Approval fetter from [n-lieu fee program is attached. ❑ Yes
4b. Skream mitigation requested: linear feet
4c. ff using stream mitigation, stream temperature: ❑ warm ❑ cool ❑cold
4d. BufFer mitigatian requested (DW+Q onfy}: square feet
4e. Riparian wetland mitigation requested: acres
4f. Non-riparian we#iand mitigation requested: acres
4g. Caastal (tidal) wetland mitigation requested; acres
4h. Comments:
5. Complete if Using a PermEttee Responsible Mitigation Plan
5a. If using a permittee responsible mitigafiion plan, pro�ide a description of the proposed mitigation plan.
6. Buffer Mitigation (State Regulated Riparian B�ffer Rules) — required by DWQ �
8a. Will #he project result in an impact within a protected riparian buffer that requires ❑ Yes � Na
buffer mitigation?
6h. If yes, then identify #he square feet of impact to each zone ofi the riparian buffer ihat requires mitigation. Calculate the
amount of mitigation required.
6c. 6d. 6e.
Zone Reason for impact Total irnpact Multiplier Required mitiga#ion
(square fee#) (square feet)
Zone 1 3(2 for Catawba)
Zone 2 1.5
6f. 7otal buffer mrtiga#ion required.
6g. If buffer rnitigation is required, discuss what type of mitigatiort is propos�d {e.g., payment ta private mitigation bank,
permittee responsible ri�arian buffer restoration, payment into an appror►ed in-lieu fee fund).
6h. Comments:
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PCN Form — Versian 1.3 December 1 Q, 2008 Version

E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Pian
1a. Does the project include or is it adjacent to prokected nparian buifiers identified � Yes � No
within one of th� NC Riparian Buffer Pratection Rules?
1 p. If yes, then is a diffuse flow plan included? If no, explain why.
Comments: ❑ Yes ❑ No
2. Stormwater Mana ement Plan
2a. What is the averall percent imperviousness of this praject? �/o
2b. Dves this projeet require a Stormwater Management P(an? � Yes ❑ No
2c. If this project DOES NOT require a Stormwater Management i�lan, explain why:
2d. Ef this project DOES require a Stormwater Managemenk Plan, ihen pravide a brief, narrative descnption of the plan_
5ee attached.
❑ Certified Locaf Go�ernment
2e. Who wrill be responsible for the reView af the Stormwater Management Pian? ❑ DWQ Starmwater Program
j� DWQ 401 Unit
3. Certified Locai Go�ernment Stormwater Review
3a. In which local government's jurisdiction is this project?
❑ Phase II
3b. Which of the following locally-implemented stormwatar management programs ���W
apply (checic all that apply); ❑ USMP
❑ Water Supply Watershed
❑ Other:
3c. Has the appro�ed Stormwater Management Plan with proof of appro�a( been ❑ Yes 0 No
attached?
4. DWQ Stormwater Pra ram Review
❑ Goastal caunties
❑ HQW
4a. Which of the folEowing state-implemented starmwater managernent programs apply � ORW
(chec� alE that apply):
❑ Session Law 2Ci06-246
❑ Other:
4b. Has the approved Stormwater Management Plan with proof of appro►ial been
attached? ❑ Yes ❑ No
5. DWQ 401 Unit Stormwater Review
5a. Does the Stormwaier Management Plan meet the appropriate requirements? ❑ Yes ❑ No
5b. Have all of the 401 Unit submittal requirements been met� ❑ Yes ❑ No
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PCN Form — Version 1.3 December 1 Q, 2Qfl8 Versian

F. Supplementary lnformation
7. �nvironmental Documentation (DWQ Requirementj
1 a. Does the project involve an expenditure of public (iederal/state/local} funds or the � yes ❑ No
use of public (federal/state} land?
1 b. If you answered "yes" to the abo�e, does the project require preparation of an
environmental dacument pursuant to the requirements of the Natio�al or State ❑ Yes � No
(Narth Carolina) Environmental Policy Act (NEPAISEPA}?
1 c. If you answered "yes" to the above, has the document re�iew been finalized hy the
State Cfeanng House? (ff sa, attacfi a copy of the NEPA or SEPA final appra�al
letter.) ❑ Yas ❑ No
Comments:
2. Vioia#ions (�WQ Requirement)
2a. Is the siie in vialation of DWQ Wetland Rules (15A NCAC 2M .0500), �solated
We#land Rules (15A NCAC 2H .1300), DWQ Surface Water ar Wetland Standards, ❑ Yes � No
ar Riparian Buffer Rules (15A NCAC 2B .d200}?
2b. Is this an after-#he-fact permit application? ❑ Yes � No
2c. I# you answered "yes" ta one or both of the abo�e quesiions, pror►ide an expfanation of the violation(s):
3. Cumulative impacts (DWQ Requirement�
3a. Will ihis prflject {based on past and reasonably anticipated future impacts) result in � Yes � No
additional deveiopm�nt, which could impact nearby downstream water quality?
3b. If you answered "yes" to the aba►re, submit a qualitati�e or quantitative cumulati�e impact analysis in accordance with the
most recent DWQ policy. If you answered "no," provide a short narrative description.
4= Sewage Dispasal (DWQ Requirement)
4a. Clearly detail the ultimate treatment methods and disposition (non-discE�arge or discharge) of wastewater generated from
the propased praject, or available capacity of #he subject facility.
NIA
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PCN Form — Version 1.3 December 10, 2008 Version

5. Endangered 5pecies and Designated Critical Habitat (Corps Requirement}
5a. Will thPs project occur in or near an area wikh federally protected species or � Y�S ��o
habita#?
5b. Ma�e yau checked with t�te USFWS concerning Endangered Species Aci � Yes ❑ Na
impacts?
❑ Raleigh
5c. if yes, indicate the USFWS Field Qffice you ha�e contacted.
� Ashevill�
5d. What data sources did you use to determine uvhether your site wauld impact Endangered Species or Designated Critical
Habitat?
NHP, GIS and visual observation.
S. 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 yat� use to deterrr�ine whether your site would irnpact Essential Fish Habitat?
NOAA
7, Historic or Prehistoric Cultural Resources [Corps Requirement)
7a. Will this project occur in or near an area that the stat�, federal or tribal
governments have designated as having histaric or cultural preservafion � Yes � No
status (�.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 ynur site would impaci histor+c or archeological resources?
Project was reviewed by the NCDOT HEU. No surveys were required.
8. Fload Zone Designation (Corps Reguirementj
8a. Will this project occur in a FEMA-designated 100-year flaodplain7 � Yes ❑ No
Sb. If yes, explain how project meets FEMA requirements: Project was designed by a PEF and routed through the NCDOT
Hyclraulics Unit far review and approval.
8c. What source(s) did you use to make the floodplain determination? ncfloodmaps
J. Heath Slaughter 414/17
ApplicantlAgent's Printed Name AppiicantlAg s Signature Date
{AgenYs s gnaiure is Va1id oNy if a u#horization Ieiter fram the applicant
is provided.)
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PCN Form — Version 1.3 December 10, 2D08 Version