20171283 Ver 2_PCN Form Submission_20180509

Action History (UTC-05:00) Eastern Time (US & Canada)
�brrrit by Anonymous User 5/9/2018 3:23:35 PM (Start Event)
Accept by Carpenter,Kristi 5/9/2018 5:25:38 PM (DOT Initial Review)
. The task was assigned to Carpenter,Kristi. The due date is: May 14, 2018 5:00 PM 5/9/2018 3:24 PM

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�ivislan af Water Resour�es
Pre-Construction Notification (PCN) Form
For Nationwide Permits and Regional General Permits
(along with corresponding Water Quality Certifications)
January 31, 2018 Ver 2.3
*
Please note: fields marked with a red asterisk beloware required. You will not be able to submit the form until all mandatory questions are ans�red.
Also, if at any point you wish to print a copy of the E-PCN, all you need to do is right-click on the document and you can print a copy of the form.
Below is a link to the online help file.
https://edocs.deq. nc.gov/WaterResources/0/edoc/624704/PCN%20Help%20File%202018-1-30.pdf
A. Processing Information
County (or Counties) where the project is located:*
Transylvania
Is this project a public transportation project?*
C Yes l' No
lhis is any publicly funded by rrunicipal,state or federal funds road, rail, airport transportation project.
Is this a NCDOT Project?*
f• Yes r No
(NCDOT only) T.I.P. or state project number:
B-4823
WBS #
38593.1.2
(for �ICDOT use only)
1a. Type(s) of approval sought from the Corps:*
fJ Section 404 Permit (wetlands, streams and waters, Clean Water Act)
r Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)
1b. What type(s) of permit(s) do you wish to seek authorization?*
fJ Nationwide Permit (NWP)
r Regional General Permit (RGP)
r Standard (IP)
This form may be Corps to initiate the standard/individual permit process. Please contact your Corps representative for submittal of standard permits.
All required items that are not provided in the E-PCN and be added to the miscellaneous upload located at the bottom of this form.
Nationwide Permit (NWP) Number
Nationwide Permit (NWP) Number
Nationwide Permit (NWP) Number
13 - Bank Stabilization
23 - Categorical Exclusions
33 - Temporary Construction
NWP Number Other:
List all MN nurrbers you are applying for not on the drop dow n list.

1c. Type(s) of approval sought from the DWR:*
check all that apply
fJ 401 Water Quality Certification - Regular r 401 Water Quality Certification - Express
r Non-404 Jurisdictional General Permit r Riparian Buffer Authorization
r Individual Permit
*
1d. Is this notification solelyfor the record because written approval is not required?
For the record onlyfor DWR 401 Certification: C' Yes f' No
For the record onlyfor Corps Permit: C' Yes f• No
1e. Is payment into a mitigation bank or in-lieu fee program proposed for mitigation of impacts?
IF so, attach the acceptance letter from rritigation bank or in-lieu fee program
C Yes r No
Acceptance Letter Attachment
C7ick the upload button or drag and drop files here to attach docurrent
B-4823 DMS Acceptance.pdf 61.75KB
RLE NFE MJST BE FDF
1f. Is the project located in anyof NC's twentycoastal counties?*
l' Yes r No
1h. Is the project located in a designated trout watershed?*
f• Yes r No
Link to trout information: http://w�wv.saw.usace.army.mil/Missions/Regulatory-Permit-Program/Agency-Coordination/Trout.aspx
B. Applicant Information
1a. Who is the Primary Contact?*
NCDOT
1b. PrimaryContact Email:*
[e-mail]
1c. PrimaryContact Phone:*
(xxx)xxx-xxxx
[phone]
1d. Who is applying for the permit?
r Owner r Applicant (other than owner) r Agent/Consultant
(Check all that apply)
2. Owner I nformation
2a. Name(s) on recorded deed:
2b. Deed book and page no.:
2c. Responsible party:
(for Corporations)
2d. Address
SYreet Address
Address Line 2
a�y
Rxstal / Zip Code
State / Rovince / F�gion
Country

2e. Telephone Number:
(xxx)xxx-xxxx
2f. Fax Number:
(xxx)xxx-xxxx
2g. Email Address:*
[e-mail]
C. Project Information and Prior Project History
1. Project Information
_ _ _
1a. Name of project:*
Replacement of Bridge 12 over Hogsed Creek on SR 1538
1b. Subdivision name:
(if appropriate)
1c. Nearest municipality/town:*
Brevard
1d. Driving directions*
IF it is a new project and can not easily be found in a GPS mapping system Rease provide directions.
35.204695, -82.715079
2. Project Identification
2a. Propertyldentification Number:
(tax RN or parcel ID)
2b. Propertysize:
(in acres)
2c. Project Address
Street Address
Address Line 2
Qty
Fbstal / Zip Code
State / FYovince / Fdegion
Country
2d. Site coordinates in decimal degrees
Please collect site coordinates in decimal degrees. Use between 4-6 digits (unless you are using a survey-grade GPS device) after the decimal place as
appropriate, based on how the location was determined. (For example, most mobile phones with GPS provide locational precision in decimal degrees to
map coordinates to 5 or 6 digits after the decimal place.)
Latitude: *
35.204695
ex:34.208504
3. Surface Waters
Longitude:*
-82.775079
-77.796371
3a. Name of the nearest bodyof water to proposed project:*
Hogsed Creek
3b. Water Resources Classification of nearest receiving water:*
C; Tr
Surface Water Lookup

3c. What river basin(s) is your project located in?*
French Broad
RiverBasin Lookup
4. Project Description
4a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this application:*
Land use within the vicinity of this project consists of about 50% forest land, 35% cultivated land (agricultural fields
and pastures), and 15% developed or disturbed lands.
4b. Attach an 8 1/2 X 11 excerpt from the most recent version of the USGS topographic map indicating the location of the project site. (for
DWR)
Qick the upload button or drag and drop files here to attach docurrent
Fle type rrust be pdf
4c. Attach an 8 1/2 X 11 excerpt from the most recent version of the published County NRCS Soil Survey map depicting the project site.
(for DWR)
C7ick the upload button or drag and drop files here to attach docurrent
Fle type rrust be pdF
4d. List the total estimated acreage of all existing wetlands on the property:
0
4e. List the total estimated linear feet of all existing streams on the property:
(interrrittent and perennial)
335
4f. Explain the purpose of the proposed project:*
The purpose of this project is to replace a functionally obsolete bridge (deck geometry rating 2 of 9).
4g. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
The proposed project involves replacing a 26-foot, single-span bridge with a triple-barrel 11'�' reinforced
concrete box culvert slightly west of the existing alignment. Traffic will be detoured on-site during construction.
Standard road building equipment, such as trucks, dozers, and cranes will be used.
4h. Please upload project drawings for the proposed project.
aick the upload button or drag and drop files here to attach docurrent
B-4823 Roadway Plans.pdf 1.88MB
B-4823 Final Permit Drawings.pdf 1.83MB
Fle type rrust be pdF
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
l•' Yes C' No �' Unknown
Comme nts:
Only two perennial streams identified in the study area - Hogsed Creek and
a UT. No JD site visit was held.
5b. If the Corps made a jurisdictional determination, what type of determination was made?*
f' Preliminary �' Approved C•' Unknown f' f�UA
Corps AID Number:
6carrple: SAV�2017-99999
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known): Erin Cheely

Agency/Consultant Company:
Othe r:
NCDOT
5d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
5d7. Jurisdictional determination upload
aick the upload button or drag and drop files here to attach docurrent
Fle type mist be FDF
6. Project History
6a. Have permits or certifications been requested or obtained for this project (including all prior phases) in the past? *
f• Yes C' No l" Unknown
6b. If yes, please give the DWR Certification number or the Corps Action ID (exp. SAW-0000-00000).
SAW-2017-02435, NCDWR #2017-1283
Project History Upload
C7ick the upload button or drag and drop files here to attach docurrent
Fle type rrust be F�F
7. Future Project Plans
7a. Is this a phased project?*
C' Yes C•' No
Are any other NWP(s), regional general permit(s), or individual permits(s) used, or intended to be used, to authorize any part of the
proposed project or related activit�/? This includes other separate and distant crossing for linear projects that require Department of the
Army authorization but don't require pre-construction notification.
D. Proposed Impacts Inventory
1. Impacts Summary
1a. Where are the impacts associated with your project? (check all that apply):
r Wetlands r% Streams-tributaries r Buffers
r Open Waters r Pond Construction
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. Reason for impact*3b.lmpact 3c. Type of impact*3d. Stream name *
type *
S1 1- 3@ 11'x6' RCBC P Fill Hogsed Creek
N�p label (e.g. Fd�ad CYossing F2rrranem (Fj or
1) Terrporary (�
g2 1- Bank Stabilization P Stabilization Hogsed Creek
N�p label (e.g. f3�ad C7ossing F2rrranent (P) or
1) Terrporary (�
3e. Stream 3f. Type of
Type* Jurisdiction*
Perennial Both
F2rennial (� or
interrritter�t (IIVT)
Perennial Both
F�rennial (� or
interrritterd (If�
S3 1- Impervious dike T Dewatering Hogsed Creek Perennial Both
N�p label (e.g. fZ�ad Qossing F2rrrenent (Fj or F2rennial (Fff2) or
1) Terrporary (lj interrrittent QfVn
�' All Perennial or Intermittent streams must be verified by DWR or delegated local government.
3i. Total jurisdictional ditch impact in square feet:
3g. Stream 3h. Impact sqfe�
width * length *
72 42 5
Average (linearfeet) 0
(feet) 4
12 65 7
Average (linearfeet) $
(feet) 0
12 58 6
Average (linearfeet) g
(feet) 6

0
3i. Total permanent stream impacts:
107
3i. Total temporary stream impacts:
58
3i. Total stream and tributary impacts:
165
3j. Comments:
E. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:*
The proposed replacement triple-barrel, 11'x6' reinforced concrete box culvert (RCBC) will be constructed just
west of the alignment of the ebsting bridge. The center lo�flow barrel will closely mimic the exiting stream
characteristics in both width and slope. The outer, high-flow barrels will have floodplain benches at the inlet and
outlet ends, which will be covered with coir fiber matting and side slopes lined with Class I rip-rap for bank
stabilization. The proposed RCBC will be buried 1.0 ft and have 1.0 ft sills at the inlet and outlet of the low flow
barrel with 2.0 ft sills at the inlet and outlet of the outer high flow barrels.
An e�asting ditch at the beginning of the project (SW quadrant) will be relocated to accommodate the new roadway
alignment. Temporary matting will be used until permanent vegetation is established in this ditch. Coir fiber matting
will be utilized to protect the ditch along the NE quadrant of the project from Mill Cove Road to the end of the
project. An undersized 15" CMP under Mill Cove Road will be replaced with an 18" drainage pipe. The existing
ditch from Mill Cove Road to Hogsed Creek will be regraded to accommodate the wider roadway and lined with
class I rip-rap. All ditch outlets will have class I rip-rap at embankments.
See (Amended) Biological Opinion (BO) for additional measures to protect Appalachian elktoe populations.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:*
Impervious dikes will be constructed to dewater the work area and a temporary stilling basin will be utilized during
dewatering. Design Standards in Sensitive Watersheds will be utilized during construction to reduce the
stormwater impacts to the receiving streams due to erosion and runoff. A trout moratorium from October 15 — April
15 will be adhered to in order to protect reproducing trout.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for impacts to Waters of the U.S. or Waters of the State?
r Yes �' No
2c. If yes, mitigation is required by (check all that apply):
r DWR rJ Corps
2d. If yes, which mitigation option(s) will be used for this project?
r Mitigation bank �J Payment to in-lieu fee program r Permittee Responsible Mitigation
4. Complete if Making a Payment to In-lieu Fee Program
4a. Approval letter from in-lieu fee program is attached.
� Yes
4b. Stream mitigation requested:
(linear feet)
42
4c. If using stream mitigation, what is the stream temperature:
cold

4d. Buffer mitigation requested (DWR only):
(square feet)
0
4e. Riparian wetland mitigation requested:
(acres)
0
4f. Non-riparian wetland mitigation requested:
(acres)
0
4g. Coastal (tidal) wetland mitigation requested:
(acres)
0
4h. Comments
The NCDOT does not propose mitigation for the 65 linear feet of bank stabilization or the 0.02 ac (58 linear feet)
of temporary impacts from dewatering. These impacts do not require permanent fill in the stream bed and,
therefore, under Section 404 of the Clean Water Act, do not constitute Loss of Waters of the U.S. and are not
subject to compensatory mitigation.
F. Stormwater Management and Diffuse Flow Plan (required by DWR)
*** Recent changes to the stormwater rules have required updates to this section ."*
1. Diffuse Flow Plan
1a. Does the project include or is it adjacent to protected riparian buffers identified within one of the NC Riparian Buffer Protection
Rules?
f Yes l•' No
For a list of options to meet the diffuse flow requirements, click here.
If no, explain why:
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250? *
G Yes r No
G. Supplementary Information
1. Environmental Documentation
1a. Does the project involve an expenditure of public (federal/state/local) funds or the use of public (federal/state) land?*
G Yes �' No
1b. 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 (North Carolina) Environmental PolicyAct (NEPAISEPA)?�
C Yes l" No
1c. 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
NEPAor SEPAfinal approval letter.)*
G Yes C' No
NEPAor SEPAFinal Approval Letter
C7ick the upload button or drag and drop files here to attach docurrent
RLE NFE M.6T BE F�F

2. Violations (DWR Requirement)
2a. Is the site in violation of DWR Water Quality Certification Rules (15A NCAC 2H .0500), Isolated Wetland Rules (75A NCAC 2H .7300), or
DWR Surface Water or Wetland Standards or Riparian Buffer Rules (15A NCAC 2B .0200)?*
f Yes �' No
2b. Is this an after-the-fact permit application?*
f Yes C•' No
3. Cumulative Impacts (DWR Requirement)
3a. Will this project (based on past and reasonably anticipated future impacts) result in additional development, which could impact
nearby downstream water qualit�/?*
C' Yes r No
3b. If you answered "no," provide a short narrative description.
Due to the minimal transportation impact resulting from this bridge replacement, this project will neither influence
nearby land uses nor stimulate growth. Therefore, a detailed indirect or cumulative effects study will not be
necessary.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
f Yes C No C' N/A
5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or habitat?'�
C Yes f" No
5b. Have you checked with the USFWS concerning Endangered Species Act impacts?*
C•' Yes �' No
5c. If yes, indicate the USFWS Field Office you have contacted.
Asheville
5d. Is another Federal agency involved?*
f Yes C' No
5e. Is this a DOT project located within Division's 1-8?*
C' Yes C No
5f. Will you cut any trees in order to conduct the work in waters of the U.S.?
C' Yes C No
5g. Does this project involve bridge maintenance or removal?
C Yes C' No
�' Unknown
5g(1). If yes, have you inspected the bridge for signs of bat use such as staining, guano, bats, etc.? Representative photos of signs of
bat use can be found in the NLEB SLOPES, Appendix F, pages 3-7.
f Yes f' No
Link to the NLEB SLOPES document: http://saw-reg.usace.army.mil/NLEB/1-30-17-signed_NLEB-SLOPES&apps.pdf
If you answered "Yes" to 5g(1), did you discover anysigns of bat use?*
C' Yes f No f' Unknown
*** If yes, please show the location of the bridge on the permit drawings/project plans.
5h. Does this project involve the construction/installation of a wind turbine(s)?*
f Yes C No

5i. Does this project involve (1) blasting, and/or (2) other percussive activities that will be conducted by machines, such as jackhammers,
mechanized pile drivers, etc.?
f Yes r No
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
As of March 22, 2018 the USFWS lists twelve federally listed species for Transylvania County. There is no habitat
present for seven of these species. Habitat is present for small whorled pogonia, Virginia spiraea, gray bat,
northern long-eared bat, and Appalachian elktoe. Surveys were conducted for small whorled pogonia in 2012, and
Virginia spiraea in 2012, 2014, and 2015. Neither plant was identified in any of these surveys. The project area
was assessed for bats in 2015 and it was determined that this project would have no effect on either bat species.
Formal Section 7 consultation with the USFWS was required for the remaining species, the Appalachian elktoe,
due to known occurrences of this species in the French Broad River near its confluence with Hogsed Creek as well
as further downstream in the French Broad River.
A Biological Opinion was issued by the USFWS on September 14, 2017. An amended BA was submitted to the
USFWS on April 24, 2018 to include information about the on-site detour, and a subsequent amended BO was
issued by USFWS on May 3, 2018.
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as an Essential Fish Habitat?*
f Yes �' No
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat? *
MNFS County Index
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
Link to the State Historic Preservation Office Historic Properties Map (does not include archaeological data: http://gis.ncdcr.gov/hpoweb/
7a. Will this project occur in or near an area that the state, federal or tribal governments have designated as having historic or cultural
preservation status (e.g., National Historic Trust designation or properties significant in North Carolina history and archaeology)?*
C' Yes C•' No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?'�
NEPA documentation
7c. Historic or Prehistoric Information Upload
aick the upload button or drag and drop files here to attach docurrent
Fle rrust be FDF
8. Flood Zone Designation (Corps Requirement)
Link to the FEMA Floodplain Maps: https://msc.fema.gov/portal/search
8a. Will this project occur in a FEMA-designated 100-year floodplain?*
C' Yes C•' No
8c. What source(s) did you use to make the floodplain determination?*
NCDOT Hydraulics Unit coordination with FEMA
Miscellaneous
Miscellaneous attachments not previously requested.
C7ick the upload button or drag and drop files here to attach docurrent
Fle rrust be FDF or FWQ
Signature

�7 By checking the box and signing below, I certify that:
■ I have given true, accurate, and complete information on this form;
■ I agree that submission of this PCN form is a"transaction" subject to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic
Transactions AcY');
■ I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic
Transactions AcY');
■ I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written signature; AND
■ I intend to electronically sign and submit the PCN form.
Full Name:*
Carla Dagnino
Signature
Ca�� A��u�ta
Initial Review
Is this project a public transportation project?* (')
r Yes r No
Change only 'rf needed.
Has this project met the requirements for acceptance in to the review process? *
f• Yes
l' No
BIMS # Assigned *
20171283
Version#*
2
Reviewing Office *
Asheville Regional Office - [phone]
Select Project Reviewer'�
Kevin Barnett:eads\khbarnett
Is a payment required for this project?*
C' No payment required
C Fee received
C' Fee needed - send electronic notification