20170740 Ver 1_NC 18 Bank Stabilization Application_20170615

STATE OF NORTH �AROLIl�TA
DEPARTNI�;l��' �F TRAI4TSPORTAT`�ON
ROY GOOPER
GovE�uvox
Jut�e 15, 2017
Mr. Eric Alsmeyer
U. S. .f�rmy Corps of Engineers
Raleigh Regulatory Field OfFce
33�1 Heritage Trad�e Drive, Suite 1D5
Wal�e Forest, NC 27587
Subject: l�ationiwide Permit #13
NC 18 Shou�der Failure
Alleghany County, North Carolzna
Project Num%er: 11.1U�31� {DWR Pexx�m�t Fee $240)
Dear Mr. Aismeyer:
JAMES H. TROGDON, III
SECRE"IARY
The NC Department of Transpvrtation is experiencing a shoulder failure adjacent to the
sub1ect route. Very little shoulder remains at this location and the situation ne�ds to be
corrected soan. We are �1T4�1OS1)lg �O construct a 130 foot long Pez�maShzeld Wail
adjacent to T�1C 18 to reestablish the shoulder of this heavily traveled NC route. The
stream in question zs a UT ta Laurel Fork {Class: B; Trout +} in the New River Basin.
Tl�e proposed wall construction will require temporary dewatering. An impervious
sandbag dik� will be installed upstrearn af the construction area. Clean water will be
pumped around the operation while any dirty water locaied inside of the conshuction area
will be pumped into a silt bag if necessary. Preconsiructi�n streambed elevations will be
restored once tha work is camplete. Dewatering impacts will tatal 40 linear feet.
Tl�'rs project was reviewed for the presence of tlareatened and endangered species in the
field �.nd in GIS resaurces (see attached report from NHP}. This project is very limited in
scope and will have no eff�ct on any federally iisted endangered plant or animal species.
This project is exempt from Historic Architecture and Archaeology review.
The project impacts are not significant in nature and should improve water quality by
elirninating the ongoing erosion issue. �ownstream water quality stai�dards will be
protected by utilizing appropriate BMPs during construction.
Attached is a Precon.struction Notification Form, a marked topography rnap and
phc�tographs.
MrrilingAdn'ress: Telephvne: {336) 567-9111 I.ocation:
NC DEPART'MENT OF TRANSPORTATION Frrx: [phone] AllDRE55 2
DIVTSION 11 Custorner Service_ 1-877-368-4968 CITY, NC ZIP
801 STATES'VILLE RC7AD
NORTF3 WII.KESBORO, NC 28559 Website: www.ncdot.gov

Mr. Eric Alsmeyer
NC 18 Shoulder Faiturc
Ju�e 15, 2Q17
By copy of �trtzs electronic letter, it is requested that Mrs. Marla Chamhers with the North
Carolina Wilc�life Resources Commission comment directly to you concerning the 404
Nationwide Pexznit application with a copy sent to me.
By copy of this electranic letter, it is requested that the Division of Water Resources,
401/Wetlands Unit, issue the approp�iate pernut for construction of this project. It is
requested that any comxnents xelated to the 4Q1 certificatiQn be electronically forwarded
c�irectly to me with a copy sent to the US Army Corps a� Engi�eers.
We wauld like to begin cc�nstructian as soon as passible. If ftirther information is
required, piease let me know. Your ear�y review and consi�eration will be appreciated.
Sincerely,
�
�
Heath Slaughter
Division Environmental Officer
Enclosures
cc: Marla Cha�nbers, NCWRC
Amy Chaprnan, Division of Wa�er Resources
Dave Wan�cha, Division of Water Resawces
IViatt Gantt, PE, Divisian of Land Resources
Jason Joyce, County Maintenance Engineer
Zack Souther, Roadside EnvirQnmental Fie�d Operatio�s Techniciar�

`Q��F W ATF9QG
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�ffice Use �n1y:
Gorps action ID no.
DWQ project no.
Form Version 1.3 Dec 1 U 2008
Pre-Construction Notificatian C Form
A. A licant Information
1. Processing
1 a. Type(s) af approva[ sought from the
Corps: �I Section 404 Permit ❑ Section 10 Permit
1 b. Specify Nationwide Permit (NWP) nurnber: t3 ar General Permit (GP) number.
1c. Has the NWP or GP number been verified by the Corps? ❑ Yes � No
1cf. Type(s} af apprfl�al sough# from the DWQ (check al! that appiy):
� 4�1 Water Quaiity Certification — Regufar ❑ Non-4C?4 Jurisdictional General Permi#
❑ 407 Water Quality Certification — Express ❑ Riparian Buffer Authorization
1 e. ls this notificatian sofely far the reoord For the recard only for DWQ 40'f For the record only for Corps Per�nit:
because written approval is not required? Gertifcation:
❑ Yes � Na ❑ Yes � No
1f. Is payment into a mitigation bank or in-lieu fee program propased for mitigation � Yes � No
af impacts? If so, attach t1�e acceptance let�er from mi#igation bank or in-lieu
fee program.
1 g. Is the project lacated in any of NC's twenty cnastal counfies. if yes, answer 1 h ❑ Yes � No
below.
1h. Is the project locatec! within a NC DCM Area of En�ironmental Concern (AEC}? ❑ Yes � No
2. Praject Information
2a. Name of praject: IVC 18 Shoulder Failure
2b. Coun#y: Alleghany
2c. Nearest municipality / town: Whi#ehead
2d. Subdivision name:
2e. NCD07 only, TJ.P. ar state ��.100391
project na:
3. Uwner Information
3a_ Name(s) on Recorded Deed: NCDOT
3b. Deed Baok and Page No.
3c. Responsible Rarty (far LLC if
applicabEe):
3d. S#reet address: 801 Statesvilie Road
3e. City, state, zip: Nor#h Wilkesboro, NC 286b9
3f. Telephone no.: 336-903-9202
3g. Fax no.: 336-667-4549
3h. Email address: [e-mail]�
Page 1 af '10
PCN Form — Version 1.3 December 1�, 200$ Version

4. Applicant In#Qrmatian (if differen€ from owner)
4a. Applicant is: ❑ Agen# ❑ �ther, specify:
4b. Name;
4e. Business narne
(if applicable): '
4d. Street address:
4e. City, state, zip:
4f, 'ielepharte nQ.:
4g. Fax no.:
4h. Email address:
5. Agent/Consultant Informatiqn (if applica6le)
�a. IVame:
5b. Business name
(ifi a�plicable};
5c. Street address:
5d. City, 5tate, zip:
5e. Telephone no..
5f. Fax na.:
5g. Email address:
Page24fifl
PCN F'orrn — VersiQn 1.3 Decernber 10, 2a08 Version

B. Project Information and Rriar Project History
1. Property Identiflcation
1a. Property identification no. (tax P(N ar parce� 1D):
1b. Site coordinates (in decimal degrees): Latiiude: 36.37151 Langitude: - 81.2�4156
(DD.DD��D�) (-DQ.DDDDDD)
1 c. Property size: 0.1 acres
2_ Surtace Waters
2�a. Name of nearest body of water (stream, ri�er, etc.) to UT to L�urel Fork
proposed project:
2b. Water Quality Classification of nearest receiving water: B; Trout +
2c. River basin: New
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 af ttiis
application:
Pa�ed road with grassecf shoulders in a rural setting along a NC route.
3b. List the total estimated acreage of al1 existing wetlands on the property:
fl acres
3c. List the total estimated linear feet af all existing streams {intermitient and perennial} on the property:
strea�n parallefs road
3d. Explain the purpose of the praposed project:
Stabilize sho�lder
3e. Describe the overall prvject in detail, including the type pf equipment to be used:
See attached cover letter.
4. Jurisdictional Det�rminaiions
4a. Have jurisdictional wetland or stream determinations by the
Gorps or State been requestecf ar obtained fo�r this properiy / Q Yes � No ❑ Unknown
project (including all prior phases) in the pas# _
Comments:
4b. If the Corps made the junsd[ctional de#ermination, what type
of determination was made? ❑ Preliminary ❑ Final
4c. If yes, who delineated the jurisdictiana[ areas? AgencylConsultant Company:
Name {if known): Other:
4d. If yes, list the dates of the Corps jurisdictianaf determinations nr Sta#e determina#ions and attach documeniation.
5. F'roject History
5a. Have permits or certifications been requested or obtained far � Yes � No ❑ Unknawn
this praject (including all priar phases) in the past?
5b. If yes, explain in detail according to "help file" instructions.
B. Future Project Plans
fia. ls this a phased projec:t? ❑ Yes � Na
6b. If yes, expkain.
P�ge 3 of 10
PCN Form — Version 1.3 Deo�mber 10, 2008 Version

C. Propased lmpacts In�entory
1. Impacts Summary
1 a. Which sectior�s were carnpleted below far your project (ch�ck all that apply);
❑ Wetlands � Streams - tributarie� ❑ Buffers
❑ Open Waters ❑ Pand Cnnstruetion
2. Wetland Impacts
If there are wetland impacts pro�osed an the site, #hen complete this question tor each weiland area impacied.
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 — nen-4Q4, other) (acresj
Tem ora
W1 0 P � T ❑ Y�s ❑ Corps
❑ No ❑ DWQ
�� � �, � T ❑ Yes ❑ Corps
❑ No ❑ DWQ
W3 ❑ P[] T ❑ Yes ❑ Corps
❑ fVa ❑ DWQ
W4 ❑ P[] T ❑ Yes ❑ Corps
❑ No ❑ a1NQ
W5 � �, 0 �. ❑ Yes ❑ Corps
❑ No ❑ DWQ
W� ��, � T ❑ Yes ❑ Corps
❑ No ❑ DWQ
2g. Total wetland impacts
2h. Comments:
3. Stream Impacts
If there are perennial dr intermittent stream irrtpacts (including iemporary impacts) proposed on the site, then complete this
question for all stream sites impacted.
3a. 3b. 3c. 3d. 3e. 3f. 3g.
5tream impacfi Type of impact Siream name Perennial 7ype of jurisdiction Averaye Impact
number - (PER) ar (Corps - 404, 10 stream length
Permanent (P) or intermitient DWQ — non-4Q4, width (linear
Temporary (T} {INT}? other) (feet) feet)
51 � P� T PermaShield Wall UT to Laurel Foric � PER � Corps 3 'I74
& �ewatering ❑ INT � DWQ
S� � �, ❑ T ❑ PER ❑ Corps
❑ fNT [] DWQ
S3 ❑ P � T ❑ P�R ❑ Corps
❑ INT ❑ DWQ
S4 ❑ P❑ T ❑ PER ❑ Carps
❑ !NT ❑ QWQ
$� � P �.� � PER ❑ Corps
❑ iNT ❑ DWQ
S6 ❑ P j] T ❑ p�R ❑ Corps
❑ INT ❑ DW+Q
3h. Total stream and tributary impacts 170
3i. Cammen#s: 40 linear f�e# of the impacts are temporary dewater�r�g, 13U foot retair�ing wall
Page 4 of 1 D
PCN Form — Uersion 1.3 December 10, 2008 Version

4. Open Water Impacts
If there are proposed impacts to lakes, ponds, estuaries, tributaries, saunds, the Atlantic Ocean, or any ather open water o#
the U.S. then individually list all open w�ter impaets below.
4a. 4b. 4c. 4d. 4e.
Open water Name of waterbady
impact number — (f applicable) iype of impact Waterbvdy type Area of impact (acres}
Permanent (P) or
Tem ora 7
01 ❑P�T
02 ❑P[jT
03 ❑P�T
04 ❑P�T
4f. Total open water impacts
4g. Comments:
5. Pnnd ar Lake Construction
if and or lake construction ro osed, then com fe#e the chart beiow.
5a. 5b. Sc. 5d. 5e.
Wetland Impacts (acres) Stream Impacts (#eet) Upland
Pond ID proposed use or purpose (acres)
number of pond
Flooded Filled Exca�ated Flavded Filled Exca�ated Fboded
P1
P2
Sf. Total
5g. Comments: NIA
5h. Is a darn high hazard permit required?
❑ Yes � No If yes, permit ID no:
5i. Expected pond surface area (acres):
Sj. Size of pond watershed (acres):
5k. Method of construction:
6. Buffer Impacts (for DWQ�
If projed will impact a protected riparian b�ffer, then complete the chart below. ff yes, then individually list afl buffer impacts
belaw. If an im acts re uire miti ation, then ou MUST fili out Section D of this form.
6a.
❑ Neuse ❑ Tar-Pamlico ❑ Other:
Project is in which protected basin? ❑ Ca#awba ❑ Randleman
6b. 6c. 6d. 6e. 6f. fig.
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 ❑Yes
❑ No
B2 ❑P❑i ❑Yes
❑ No
63 ❑ P ❑ T ❑ Yes
❑ Na
bh. Total huffer impacts
�i, Gomments:
Page S of 10
PCN Form — Version 1_3 December 10, 2D08 Version

D. Impact Justiflcation and Mitigatian
1. Avoidance and Minimization
1 a. 5pecifcally describe meas€�res taken to a�oid or minimize the prapcssed impacts in designing project.
Wall length is the minimum needed io reestablish an adequafe width shoulder.
1 b. Specificalfy describe measures taken #o a�oid ar minimize the praposed impacts through construction techniques.
All appropriat� BIUIPs will be used during constrt3ction
2. Compensatory Mitigatian for lmpacts to Waters of the U.S. or Waters af the State
2a. Does the project require Gomper+satory Mitigation for ❑ Yes � Na
impacts to Waters flf #he iJ.S. or Waters of the S#ate?
2b. If yes, mitigation is required by (check all that apply): ❑ DWQ ❑ Corps
❑ Mitigatinn bank
2c. If yes, which mitigation op#�on wiil be used for this [! payment to in-lieu fee program
praject?
❑ Permittee Responsibie Mitigation
3. Camplete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
3b. Credits Purchased {attach receipt and letter) Type Quantity
3c. Comments:
4. Com��ete ifi Making a Payment ta In-fieu Fee Program
4a. Approval letter frorx� 9n-lieu fee �rograrn is attached. ❑ Yes
4b. Stream miiigation requested: linear feet
4c. If using stream mitigation, stream temperature: ❑ warm ❑ cool ❑cold
4d. Buffer mitigation requested (DWQ only): square feet
4e. Riparian wetland mitiga#ion requested: acres
4f. Non-riparian wettand mi#igation requested: acres
4g. Coastal (tidal) wetland rnitigation requested: acres
4h. Comments:
a. Complete if Using a Permittee Responsibie Mitigation Plan
6a. If using a permittee responsible mitigation pEan, pro�ide a desc�iption of the propased mitigation plan.
Page 6 of 1 Q
PCN Form — Version 1.3 Decsmber 10, 2008 Version

6. Bu�fer Mitigatian (5tate Regulated Ripar�an BufFer Rules) -- req�ired by D►iNQ
6a. Will the project result in an impact within a protected riparian bufFer that requires ❑ Yes � No
b�affer mitigativn?
6b. ff yes, then identify the square feet of impact #o each zone of th+e riparian buffer that requires mitig�tion. Calculate the
amount of mitigation required.
6c. Bd. 6e.
Zon�e Reason for impact Totaf impact Multiplier Required mitigation
(square feet) (square feet)
one 1 3(2 for CatawEaa}
�one 2 1.5
Cf. �`atal buffer mitigation required:
6g. If i�uffer mitigatian is required, discuss what f}►pe af miiigation is proposed (e.g., �ayment to pr�vate mitigation bank,
permitEee responsible riparian #�uffer restoration, payment inta an appraved in-li�u fee fund).
6h, Comments:
Page 7 af 1 U
PCN Form -- VeE`sion 1.3 �ecernber 1Q 2008 Version

E. Stormwater Management and Diffuse �low Plan [reyuired by DWQ)
1. Diffuse Flow Plan
1 a. Does the project include or is it adjaCent to pratected ripanan buffers identified � y�s � No
within one of the NC Riparian Buffer Protection R�les?
1 b. If yes, then is a di#Fuse flow plan included? If no, explain why.
Comments: ❑ Yes ❑ Na
2. Stormwater Mana ement �'[an
2a. What is the o�erali percent imperviousness o# this proj�ect? °�
2b. Does this project require a 5tormwater Managem�nt Plan? ❑ Yes � IVo
2c. If this projeet DQES NQT require a Siormwater Managemen# Pian, explain why: Not affecting roaci drainage.
2d. If this project L10ES require a Stormwater Management Plan, then pror►ide a brief, narrakive descriptian af the pEan:
0 Certi#ied Local Go�ernment
2e. Who will be responsible for the re�iew o# the Stormwat�r Management Plan? ❑ DWQ Stormwater Program
❑ DWQ 401 Unit
3. Certified �ocal Govemment Stormwater Reaiew
3a. In which locai govemment's jurisdiction is this project?
❑ Phase il �
3b. WhFch of the following locally-implemenfed stormwater management programs ❑ NSW
apply (check all that appfy): ❑ USMP
❑ Water Supply Watershed
❑ Other:
3c. Has the approved Stormwater Managernent Plan with proof of approval been ❑ Yes ❑ No
attached?
4. DWQ Stormwa#er Pro ram Re�iew
❑ Caastal caunties
❑ HQw
4a. Which oi the falfowing state-impEemented starrnwater management programs apply � ORW
(check ali that apply):
❑ 5ession Law 2p08-246
❑ Othar:
4b. Has the approved Stormwater Manageme�t Plan with proof of appraval been
at#ached? ❑ Yes ❑ No
5. DWQ 401 Unit Stormwater Re�iew
5a. Does the 5tormwater Managemer�i Plan meet the appropriate requirements? ❑ yes ❑ No
5b. Have all of the 401 Unit submittak requirements been met? ❑ Yes ❑ Na
Page 8 of 10
PCN Form — Version 1.3 December 1Q, 20d8 Version

F. Supplementary Infarmation
1. Environmental Documentation {DWQ Requirementj
1 a. Does the project in�oi�e an expenditure of public (federalfstatellocal) funds ar the � Yes ❑ No
use vf pubiic {federaVsiate) land?
1 b. if you answersd "yes° ta the above, does #he project require preparatior� of an
environr�enta[ document pursuant to the requirements af the Natianal or State ❑ Yes � No
(North Caro[ina} Environmer�tal Policy Act (fVERAJSEPA)?
1 c. If yQu answered "yes" to the abo�e, has the document review been �na(ized by the
State Cfearing House? (If sa, aftach a ca�y"of the NEPA or SEPA final approval
l�tter.} ❑ Yes ❑ No
Gommen#s:
2. Vialations (DWQ Requirement}
2a. !s the site in violatian of DWQ Wetland Rules (15A NCAC 2H .050Q), Isalated
Wetland Rules (45A NCAC 2H .�l300), DWQ SurFace Water or Wetland Standards, ❑ Yes � Alo
or Riparian BufFer Rules (15A NCAC 2B _020D)?
2b. Is this an after the-fact permit application? ❑ Yes � Na
2c. If you answered "yes° to one or bath of the above questions, provide an explanatian of the violatian(s):
3. Ct�mulative fmpacts (DWQ Requirerr�entj
3a. Wi[I this projeci (based on past and reasanably anticipated future impacts) result in ��es � f�o
additional development, which could impact neariay downstream water quality?
3b. If you answered "yes" to the abo�e, submit a qualitati�e or quantitative cumulative impact analysis in accordance with the
most recent DWQ policy_ if you answered "no,° prorride a short narrati�e description.
4. Sewage Disposal (DWQ Requirerr�en#?
4a. Clearty detail the ul#imate treatment methods and disposition (non-discharge ar discharg�) of wastewater generated from
the proposed project, or available capaci#y of the subject facility.
NIA
Page 9 of 10
PCN Form — Version 1.3 December 10, 2Q08 Version

6. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Wili this project occur in or near an area with federally protected speci�s or � Yes � No
habitat?
5b. Have yo� ehecked with the USF'WS concerning En�angered Species Act [� Yes � No
impacts .
❑ Raleigh
5c. If yes, indicate the USFV�JS Field Office you have contaeted.
[] Ashevilie
5d. Wh�t data sources did yau use to determine wiiether your site woufd impact Endangered Species or Designated Critical
Habitat?
GIS and visual observation
6. Essential Fish Ha6itat (Carps Requirement)
6a. Wil! this project occur in ar near an area designatecf as essential fish habitat? ❑ Yes � No
6b. What data saurces did you use to determane whether your site would impact Essential Fish Habita#?
NOAA
7. Historic or Prehistoric Gultural Resources (Carps Requirement)
7a. Will this project occur in or near an area that the state, federal or tribal
governments have designated as ha�ing historic or culiural preservatFon � Yes � No
s#atus (e.g., National �iistoric Trust cl�25ignation ar properties significant in
North Carafina history and arehaeolagy)?
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?
Prpject is exempt.
8. Flood Zone �esignation (Corps Requirement)
8a. Will #his proj�ct occur in a FEMA-designa#ed 1U0-yearfloadplain? ❑ Yes � No
8b. If yes, explain how project meets FEMA requirements:
$c. Wha# source(s) did you use to make the floodplain determinatidn? ncfloodmaps
J. Heath Slaughter � 6115117
AppficantlAgent's Printed Name Applicant/Ager� ignature Date
(Agenk's gna#ure is valid only ff an �y arization letter from the appficant
is ravided.
Page 10 of 10
PCM Form — Versian 1.3 December 10, 2008 Version