20170852 Ver 1_Bridge #244 Application_20170710

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STATE �F NQRTH CAROLINA
DEPARTMENT OF TRA��SPO►RTATT�7iV
Ro� CoO�Ez�
Cr�V£RNOR
J�� �, �a i �
Mr. Eric Alsmeyer
U_ S_ A��rmy Corps afEngineers
Raleigh Regulatnry Field Office
3331 Heritage Trade Drive, Suite 105
Wake Forest, NC 27587
J��s H. Ti�ocDorr, III
SECRETARY
Subject: Na�ionwide Permit #3
Replace Bridge #24� on SR 1422
Alleghany County, North Carolina
Project Number: 17BP11.R124 (No T1WR Permit Fee R+equired)
Dear Mr. Alsmeyer:
The North Carolina Department of Transportation is scheduled to replace Bridge #244
vvith a new bridge at the same location. The existing three span concrete bridge has
significant levels af deterioratian and wil� be replaced with a new single spaxn concrete
bridge. Izlnpacts incIud� 8linear feet of bank stabilization and 47 linear feet of tem or
dew____.._ _at. erin� far intexior hent removal and riprap piacement. No on-site detour is prapased.
As you knc�w, the northeastert� quadrant of this bridge falls w�ithin the edge of the
conservation easement for the Glade Creek II Mitigation Site. We have obtained
approval from the TRT to praceed wiih the replacernent. Owr Locations and Surveys Unit
is currently drafting the docurnents necessary for the 5tate Property Off ce to release the
small arxzaunt of the easement needed to demolish and recanstxuct the bridg�. We will
not proceed until all of those right-of-way issues are resalved.
Construction of this praject will require i�ripacts to waters of the United Sta.tes in the New
River Basin. The exisfir�g b�ridge crosses G�ade Creek {Class: C; Trout} and is located in
a trout watershed. This project daes not dra�in to designated critieal habitat for the elk ioe
mussel.
This project was reviewed for the presence o�' threatened and enc�angered species in the
field and I have aiso included a query of the NCI`1HP database. Based an the project area
mapped with m.y request, the clatabas� search indicates that there are no xecords of any
fedexaliy listed tl�reatened or endangered species, zznpflrtant natural communities Qr
Mr�iling tiddress:
NC DEPAA'TMENT OF "1'RANSPOR'FATION
DIVISION 1 i
801 STATESVII.LE ROAD
NQItTH WII.KESBOkO, NC 28659
7'elephone: (336) &b7-911 I
Far: (33b) 667-4549
CustomerService: ]-877-368-4968
Gt�ebsite.- wwvr.nedat.gav

Mr_ Eric Alsmeyer
Alleghany Bridge #2�44
June 9, 2017
natural areas within the proposed project boundary. There wiIl be appro�mately 0.1
acres of iree cuttzng at the project location due to cut and fiIl work. The NLEB is lisied as
a pratected species in this county but t�e project does not fall within 0.25 miles of any red
HUC identif ed in the SLOPES spelled out in the Nationwide Permit Regional
Canditinns. We do nat antici�aate aaiy impact to any other federally listied species.
Cultural resource cornpliance work ha� been compI�ted. No archaeological resources or
historic properties will be affected by this praject (see attached). .
The project impacts are nc�t sigaiificant in nature a.nd should not remove or degrade
e�isting water quality uses. Starmwater will be routed through grass or rock linec�
datche�, depending an the ditch line slope. Pipe si�es used will be the minirnum
necessary to create a safe roadway. By utilizing the erosion coz�trol measures autlined in
the attachments to tnis application, downstream water quality standards will be prnteeted.
AlI appropriate BMPs will be used during construction.
Attached is a Precanstruction Notification FQnn, plari sheets with proposed erosion
control measures, a marked county map and a marked tapography xa�.ap.
By copy of this el�ct�onac letter, it is requested that Mrs. Mar1a Chaxnbers with the North
Garolina Wildlzfe Resources Commissian comment c�irectly to you concerning the 4f�4
Natic�nwide Permit a�plication wzth a copy sent to me.
We would like ta begin CCIIlSi�'UCtlOf1 as soon as possible. If further information is
required, piease l�t me know. Your early review and consideration will be appreciated.
5incerely,
Heath Slaughte
Division Environment.�.1 4fficer
Enclosures
cc: Marla Chambers, NCV�RC
IVlark Johnson, Division Bridge Program Technician
Zack Souther, Roadside Environmental Field �peratians Technician

C��ce Use Only:
C41"E]S flC�1011 I�I f10.
aWQ pfOJ� f10.
Form Version 1.3 Dec 1 Q 2008
Pre�Construction Notification C Form
A. A Iicant Informatian
1. Processing
1 a. Fype(s} of approval sought ftom the
Corps: � Section 404 Permit ❑ 5ection 1 D Permit
1 b. Specifiy Nationwide Parmit (NWP) number: 3 or General Permit (GP) number:
9c. Has #he NWP or GP number been verified by the Corps? ❑ Yes � No
1 d. T}Ipe(s} of appro�aE sought from the DWQ (check al! that apply):
❑ 401 Water Quality Certi#ication — Regular ❑ Non-404 Jurisdictional Genera! Permit
❑ 409 Water Quali#y Cer#ification — Express ❑ Riparian BufFer Auihorization
1 e. Is th[s noti#ication solely for the record Far #he record only for DWQ 4�1 For the record only for Corps f'ermi#:
because written approval is not required? Certifcatian:
� Yes ❑ No ❑ Yes � No
1f. Is paym�nt inta a mitigation bank or in-lieu fee program proposed #or mitigation � Y� � Nfl
of impacts? If so, attach the acceptance letter from mitigation bank ar in-lieu
fee program.
1g. Is the project locatecf in any of NC's twenty coastal counties. if yes, answer 1h ❑�"es � No
below.
i h. Is the project located vuithin a 1VC DGM Area of E�wironmental Concern (A�C)7 ❑ Yes � No
2. Project Information
2a. Name of project: Bridge #244 an SR 1422
2b. County: Alleghany
2c. Nearest munic�pality / #own: Sparta
2d. 5ubdivisian name: �
2e. NCDOT only, T.I.P. or state 17BP.11.R.124
project no:
3. Owner Informatian
3a. Name{s) on Recordec! Deecf: NCDOT
3b. Deed Book and Page No.
3e. Responsible Party (for LLC if
applicabl�e):
3d. S#reet address: 801 S#atesviile Road
3e. City, state, zip: f�orth Wilkest�oro, NC 28659
3f. Telephone no_: 338-903-9202
3g. Fax no.: 336-6G7-4549
3h. Email address: hsfaugh#er r[�Dncdot.gov
Page 1 of 10
E'CN Form — Version 1.3 Deeember 90, 2008 Version

4. Applicant Inforination (if difFerent from nwr�er}
4a. ApplRcan# is: ❑ Agent ❑ Clther, specify:
4b. Name:
4c. Brasiness name
(if applicable):
4d. Streei address:
4e. City, state, zip:
4f. Te�ephane na.:
4g. Fax no.:
4h. Email address:
5. AgentlConsu�tant Inforntation tif appficablej
5a. Name:
5b, Business narne
(i# applicablej:
5c. Street address:
5d. Ci#y, state, zip:
5e. Telephone no.:
5f. Fax no.:
5g. Email adclr�ss:
Page 2 of 10
PCN Form -- Version 1.3 December 10, 2008 Version

B. Project Information and Prior Project History
1. Properly IdentiFcation
1a. Property identifcatian no. (tax PIN or parcel ID):
1 b. Site caordina#es (in decimal degree5); Latitude: 36.47643 Longitude: - 81 A6123
(DD.dDDdDD) {..�p.DDdU17D)
1c. Property size: 0.9 acres
2. Surtace waters
2a. Name of nearest body of water {stream, river, e#c.) to �lade Creek
proposed project:
2b. Water QuaEity Classification of nearest raceiving water: C; Trout
2c. River basin: New
3. Project Description
3a. Describe the existing conditions on the site and the generaf land use ir� the yciniry of the projec# at the time of this
application:
Substandard bridge ta be replaced with new bridge in a rura[ area
3b. Lfst the totaf estimated acreage of a11 existing wetlands on the property:
0 acres
3c, �Est the totat estima#ed linear feet of all existing streams {intermittent and perennia!) on the property:
100 finear f�e#
3d. Expfain the purpose of the �Oropased �ro3ect:
LJpgrade substandard stream crossing
3e. Oescribe the overall praject in detail, inc4uding the type of equipment ta he used:
See attached couer letter.
4. JurisdiCtianal Determ9nations
4a. Have }urisdictional wetl�nd or stream determinations by the
Corps or Sfa1e been reques#ed or obtained for this property 1
ra ect �ncludin all nor hases m the ast? ❑ Yes � No ❑ Unknown
P J i� 9 P� P )� p
Comments:
4b. If the Corps made the jurisdictianal determinatir�n, what type
of determination was made? ❑ Prefiminary ❑ Final
4c. If yes, who rJelineated the jurisdictional areas? AgencyfConsultant Campany:
Name (if known): Other:
4d. If yes, list the dates af khe Corps jurisdictional deterrr�inations or State de#erminations and attach documentation.
5. Projeci History
5a. Have permits or certifrcations been requested or obtained for � Yes � Na ❑ Unknown
this project (inclucfing all prior phases) in the pas#?
5b. If yes, explain in detail according to "help file" instructians_
6. Future Project Plans
6a. Is this a phased project? ❑ Yes � IVo
6b. If yes, explain.
Page 3 af 10
PCN Form — Version 1_3 December 1 d, 2�08 V�rsion

C. Proposed Impacts Inventory
1. Impacts 5ummary
1 a. Which sections were completed b�low for yc�ur project {check a11 that appiy):
❑ Wetlands � Streams - tribuiaries ❑ Suffers
❑ Open Waiers ❑ Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on the site, then camplete this question for each wetland area impacted.
2a. 2b. 2c. 2d. 2e. 2f.
We#land impac� �'ype of jurisdiction
numher — Type of impact Type of wetland Forested (Corps - 40�4, 10 Area of impact
Permanent (P) or (if k�own) DWQ — nan-�4�U4, ot#ier} (acrEs)
Tem ora
W1 ❑ P❑ T ❑ Yes ❑ Corps
❑ No ❑ DWQ
� � �, 0 T ❑ Yes ❑ Gorps
❑ No ❑ �WQ
�� � P � T ❑ Yes ❑ Corps
❑ No ❑ DWQ
W4 ❑ P❑ T ❑ Yes ❑ Corps
❑ No ❑ DWQ
�� � �, 0 T ❑ Yes ❑ Corp5
[j Na ❑ DWQ
W6 ❑ P � T ❑ Yes ❑ Carps
❑ No ❑ DWQ
2g. Total wetland impacts
2h. Camments:
3. Stream Impact�s
If there are perennia! or intermitten# stream impacts (inc�uding temporary impacts) proposed on the site, then complete this
question for all s#ream sites impacted.
3a. 3b. 3c. 3d. 3e. 3f. 3g.
Stream impact Type af impac# Stream narrae Perennial Type of jurisdiction A�eraga lmpact
number - (PER) or {Corps - 404, 10 stream length
Permanent (P) or intermittent
TemporarY i� (I��� �WQothe � -404, �fi �t j (lin �ar
feet
$� � P � T Riprap & �lade Creek � �'ER � Corps �� ��
Dewatering ❑ lNT � DWQ
S2 ❑ P❑ T ❑ FER ❑ Corps
❑ 1hIT ❑ �WL2
S3 ❑ P 0 T ❑�'E� [�] Corps
❑ II�T ❑ DWQ
�4 ❑ �, ❑ � ❑ PER ❑ Corps
❑ !NT ❑ DWQ
S5 ❑ P[] T ❑ P�� � Corps
❑ INT ❑ �WQ
56 ❑ P � T ❑ PER ❑ Corps
❑ INT ❑ DWQ
3h. Total stre��n and tributary impacts ��
3i. Comments: 47 feet dewatering, 8 bank hardeninglriprap
Page4of10
PCN Form — Version 1.3 �ecember 10, 20U8 Version

4. Open Water Irr�pacts
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sour�ds, the Atlantic �cean, or any other open water of
the lJ.S. then indi�idually list ali open water impacts below.
4a. 4b_ 4c. 4d. 4e.
Op�n water Name of waterbody
i►npact number -- (if applicable) Type of impact Wateri�ody type Area of impact {aeres)
Permanent {P) or
Tem ora
O'! ❑P�T
t72 ❑P❑T
�3 ❑P❑T
04 ❑P�T
4f. Total open water impac#s
4g. Comments:
5. Pond or Lak+� Constructiun
If ond or lake cnnstruction ro osed, then com lete khe chart below.
5a. 5f�. 5c. 5d. 5e_
Wetl�nd Impacts (acres} Stream Impacts (f�ei) Upland
Pond ID Proposed use or pur{�ose (acres)
number of pond
Flooded Filled Exeavaied Flooded Filled Excav�ated Flooded
P1
P2
Sf. Tatal
5g. Comments: NIA
5h. Is a dam high hazard permit required?
❑ Yes � No If yes, permit !D no:
5i. F�cpected pond surface area (acres):
5j. 5ize of pan�i watershed (acres):
5k. Method of construction:
6. Buffer Impacts (for DWi,�)
If project wiil impact a protected riparian bufFer, then complete the chart beEow. If y�es, then individually list ail buffer impacts
below. If an im acts re uire miti ation, then au MUST fill aut Sectian 1] af this farm.
6a.
❑ Neuse ❑ Tar-Pamlico ❑ Other:
Praject is in which protectecE basin? ❑ Catawba ❑ Randleman
6b. fic. 6d. 6e. 6f. Bg.
Buffer impact
number — Reasnn Buffer Zone 1 impact Zone 2 irnpact
Permanent (P} or for Stream name mitigation (square feet) (square feet}
Tem ora im act re uired?
B1 ❑P[]T ❑Yes
❑ No
B2 ❑ P ❑ T ❑ Yes
Q No
B3 ❑POi ❑Yes
❑ Na
6h. Total baifer impacts
6i. Gomments:
Page 5 of 'E 0
PCCV Forin — Versian 1.3 �ecember 10, 2008 Version

D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Speci�icafly describe measures taker� ta avoid or minimize the proposed impacts in designing project.
Stream crossing is being repiaced with another spanning structure with no interior bents.
1b. Specifically describe measures taken ta avoid or minimiz� the p�oposed impacts through construction techniques.
All appropriate BMPs will be used durinq construction
2. Compensatory Mitigation for Impact9 to Waters af t�e U,S. ar Water� of the State
2a. Does ti�e project require Compensatory Mitiga#ion for
impacts to Wat�rs of the 11.S. or Waters of the State?
2b. If yes, mitigation is required by (check all ihat apply):
2c. !f yes, which mitigation option will be used for this
project?
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation 8ank:
3b. Credifis Purchased (attach receipt and letter}
3c. Camments:
4. Complete if Making a Payment to In-lieu �ee Pragram
❑ Yes � No
❑ DWQ ❑ Corps
❑ Mitigation bank
[� Payme�t to in-lieu fee pragram
❑ Permittee Respansible Mitigation
Type
4a. ApproVa! letter from in-lieu fee program is attached. ❑ Yes
Quantity
4b. Stream mitigatian reques#ed: linear feet
4c. If using stream mitigation, stream temperature: ❑ warm �] cool
4d. Buffer mitigation requested (DWQ only):
4e. Riparian wetland mitigation requested:
4f. Non-r�parian wetland mitigation requested:
4g. Coastal (tidal) wefland mitigatian requested:
4h. Comments:
5. Camptete if Using a Permittee Responsible Mitigation Plan
square feet
acres
acres
acres
�coid
5a_ If using a permittee respansible mitigation pEan, provide a description af #he proposed mitigation plan.
Page 6 of 10
PCEV Farm — Version 1.3 December 10, 200$ Version

6. Buffer Mitigation (5fi.�te Regutated Ripar�ar� Buffer Rules) — required by DWQ
6a. Will the projeck result in �n impact within a pro#ected riparian buff�r that requir�s ❑ Yes � No
buffer mitigation?
6b. I� yes, then identify the square feet vf impact to each zor�e af the riparian bufFer that requires m�tigation. Calculate the
amount of mitigation required.
Gc. 6d. 6e.
ZQ�� Reason for irnpact 7otal impact Multiplier Required mitigation
(square feet) {square feetj
Zone 1 3{2 for Catawba)
Zane 2 �.g
6f. Total buffer mitigatian r�quired:
�g. If buffer mi#igatian is required, discuss what type of mitigation is praposed (e.g., payment ta private mitigaiior� bank,
perrr�ittee respansible riparian buffer r�stoeatian, paymer�t into an appro�ed in-lieu fee fund).
6h. Comments:
Page 7 of 10
PCN Farm — Version 1.3 December 1 Q, 2E}08 Versivn

E. Stormwater Management and Diffuse Ffow Plan [required by DWQ)
1. Diffuse Flow Plan
1a. Does the project include or is it acijacent to prntected riparian buf�ers iden#ified � Yes � IVo
within one af the NC REparian Buffer Pratection Rules?
1 b. If yes, then is a difFuse flow plan incfuded? If no, explain why.
Comments:
❑ Yes ❑ Na
2. Stormwater Mana ement pian
2a. WFiat is ihe overall percent imperviousness of this project? 40 �/a
2b. Does this project require a Stormwater Management Plan� � Yes ❑ No
2c_ if this praject E?OE5 [dOT require a Stormwater Managerneni Pfan, expla�n why:
2d. If this projeci DOES require a 5tarmwater Mar�agement Plan, then pro�ide a brief, narrafive description of the plan:
❑ Certified Local Go�ernment
2e. Who will he responsible for the re►riew of the Stormwater Management Plan? ❑ DWQ Stormwater Program
� DWQ 4D1 Unit
3. Certified Local Government Starmwater Rev7ew
3a. In which lacak government's jurisdiction is this praject?
❑ Phase II
3b. Which of the folfowing focally-implemented stormwater management p�ograms ❑ NSW
appfy (check a[[ that appfy): ❑ USMP
❑ Waier Supply Watershed
❑ Qther:
3c. Has the approved Stormwater Management Plan wittr proof of appro�al been ❑ Yes ❑ PVo
attached7
4. DWQ Stormwater Pro ram Review
0 Coastal caunties
❑ HQW
4a. Which of the foilowing state-impfernented stvrmwater management programs apply � pR�
(check al( that apply}:
❑ S�ssion Law 2006-248
❑ Other:
4b. Mas the appro+red Stormwater Managertient Plan with proof of approval been
aftached? ❑ Yes ❑ No
5. DWQ 40'1 Unit Stormwaber Review
5a. Does the 5tormwater Management Plan meet the appropriate requirements? � y�� ❑ No
5b. Fia�e all of the 401 Unit s�bmittaE requirements been rr�et? ❑ Yes ❑ No
Page 8 ofi 10
PCN �orm — Version 1.3 December 1fl, 2008 Version

F. Supplementary fnformation
1. Env�ronmentaE Documentation (DWQ Requireenent)
1 a. Does the project in�ol�e an expenditure of public (federal/state/lacal} funds or the � Y�S ❑ No
use of public (federallstate) land?
1 b. ff you answer�d "yes° to the above, does the praject require preparation of an
environrnental document pursuant ta the requirements of the Na6anal or State ❑ Yes � No
(North Carofir�a} Environmentaf Policy Aci (NEPAIS�PA}?
9 c. If you answered "yes" to the abo�e, has the document re�few been finalized by tlie
State Clearing hlause? (If so, attach a cnpy of the NEPA or SEPA finaE approval
letter.) ❑ Yes ❑ �o
Comments:
2. Violations {DWQ Fiequirement)
2a. fs the site in violation of DWQ Wetland Rules (15A NCAC 2H .0500), Isolated
We#land Rules (15A NGAC 2H .1300), DWQ Surtac�e Water or Weilanci Standards, ❑ Yes � No
or Ri�arian Buffer Rules (15A NCAC 2B .0200)?
2b. Is this an after-the-fact permit appfication? 0 Yes � No
2c. !f yau answered "yes° ta ane ar both of the above questians, pro�ide an explanation of the violation(s):
3. Cumuiative Impacts (DWQ Requirement)
3a. �II this project (based on past and reasonabiy anticipatEd future impacts} resuli in � Yes � No
additional de�elopmee�t, which could impaet nearby downstream wa#er quali#�
3b_ If yau answered "yes" to the above, submit a qualitatiwe or quantitative eumulati�e impact analysis in accordance w�th the
most recent DWC� policy. If you answered "na,�' pravide a short narrati�e descriptian.
4. Sewage Disposal tDWQ Ftequirement)
4a. Clearly detail the ultimate treatment methocis and disposition (non-discharge or discharge) of wastewater genera#ed from
th� proposed project, or availabie capacity of the subject facility.
N/A
Page9of10
PCN �orm — Version 1.3 december 10, 20Q8 Versian

5. Endangered Species and Designated Critical Habitat (Carps Requirementj
5a. Will this projec# occur in or ne�r an area with federally prs�teeted species or ❑ Yes � No
habitat?
5b. Ha�� you checked with the USFWS concerning Endangered Species Ac# � Y�s � fVo
impacts?
❑ Raleigh
5c. If yes, indicate the USFlNS Field Office you have contacted.
❑ Ashevill�
5d. What data saurces did you use to cletermine wMether your site would irr�pact Endangered Species or C?esignaied Criticai
Habita#?
GIS and �isual observation and Natura! Heritage Program
6. Essential Fish Mabitat (Gvrps 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 d�termine wf3ether your site would impact Essential Fish Habitat?
NOAA
7, Historic or Prehistoric Cultural Resources (Corps Requiremeni�
7a. Wiil this pro�ect accur in or near an area tha# the state, federaf or tribal
governments ha�e designatec� as having histonc or cultural preservation � Yes � No
status {e.g., National Historic Trus# designation or proper#ies significant in
North Carolina history and archaealogyj?
7b. What data sources did you use #o determine whether your site wat�ld impact historic or archeoiogical resources?
Project was reviewed by the OFtE. Project was deterrriined ts� ha�e na effect.
8. Flood 2one Designation (Corps Requirement)
8a. �II this project occur in a F'EMA-designated 100-year floodplain? ❑ Yes � No
Sb. ff yes, explain how project meets FEMA requirements:
8c. What source(s) did you use tv make the floodplain determEnation? FRIS
�. Heath Slaughter �� 6/9/17
ApplicantlAgent's Printed Name Applicant/Ag� t's Signature Date
(Agent's si nature is vaGd onfy if d authorization letter from the applicant
is rovideci_)
Page 10 of 10
PCN Form — Version 1.3 December 10, 20{38 Versian