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HomeMy WebLinkAbout20181252 Ver 1_PCN Form Submission_20180913Action History (UTC-05:00) Eastern Time (US & Canada) �brrrit by Anonymous User 9/13/2018 8:51:08 AM (Start Event) Accept by Carpenter,Kristi 9/13/2018 1:34:26 PM (DOT Initial Review) . The task was assigned to Carpenter,Kristi. The due date is: September 18, 2018 5:00 PM 9/13/2018 8:53 AM i i �� � ����� �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:* Cherokee 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: R-5735 WBS # 50193..1.1 (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: 14 - Linear transportation NWP Number Other: List all MNnurrbers you are applying for not on the drop down list. 1c. Type(s) of approval sought from the DWR:* check all that apply r% 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: For the record onlyfor Corps Permit: f Yes C' No 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 a- in-lieu fee program C Yes l" No Acceptance Letter Attachment C7ick the upload button or drag and drop files here to attach docurrent R-5735 - Division 14 - STR - RW - HI 02 (cold).pdf 60.91 KB F1LE lYFE MJST BE FCF 1f. Is the project located in any of NC's twenty coastal counties?'� f Yes �' No 1h. Is the project located in a designated trout watershed?* f Yes r No Link to trout information: http://wvwv.saw.usace.army.mil/Missions/Regulatory-Permit-Program/Agency-Coordination/Trout.aspx B. Applicant Information 1a. Who is the Primary Contact? * Dave McHenry 1b. PrimaryContact Email:* dgmchenry@ncdot.gov 1c. PrimaryContact Phone:� (xxx)xxx-xxxx (828)586-2141 1d. Who is applying for the permit? fJ Owner r Applicant (other than owner) r Agent/Consultant (Check all that apply) 2. Owner I nformation 2a. Name(s) on recorded deed: NCDOT Division 14 2b. Deed book and page no.: 2c. Responsible party: (for Corporations) 2d. Address Street Address 253 Webster Road Address Line 2 C7ty Sylva Fbstal / Zip Code 28779 2e. Telephone Number: (xxx)xxx-�axx (828)586-2141 2f. Fax Number: (xxx)xxx-xxxx 2g. Email Address:* dgmchenry@ncdot.gov State / Rovince / Region NC Country USA C. Project Information and Prior Project History 1. Project Information 1a. Name of project:* R-5735 Hamburger Alley 1b. Subdivision name: (if appropriate) 1c. Nearest municipality/town:* Murphy 1d. Driving directions* IF it is a new project and can not easily be found in a GPS rrapping system Rease provide directions. Take Highway 74 west from Asheville all the way to west side of Murphy 2. Project Identification 2a. Propertyldentification Number: (tax RN or parcel ID) 2b. Propertysize: (in acres) 22 2c. Project Address Street Address Address Line 2 a�y Fbstal / Zip Code State / FYovince / F�gion 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 howthe location was determined. (For e�mple, most mobile phones with GPS provide locational precision in decimal degrees to map coordinates to 5 or 6 digits after the decimal place.) Latitude:* Longitude:* 35.076063 -84.044063 ex:34.208504 -77.796371 3. Surface Waters 3a. Name of the nearest body of water to proposed project:* Hiwassee Lake 3b. Water Resources Classification of nearest receiving water:* C Surface Water Lookup 3c. What river basin(s) is your project located in?* Hiwassee 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:* The area is an urban strip along a 4-lane with center turn lane divided commercial/retail area on west side of Murphy. 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 R-5735 topo map.pdf 1.87MB 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) dick the upload button or drag and drop files here to attach docurrem R-5735 Soil Map.pdf 1.21MB Fle type rrust be pdf 4d. List the total estimated acreage of all existing wetlands on the property: 0.13 4e. List the total estimated linear feet of all existing streams on the property: (interrrittent and perennial) 1000 4f. Explain the purpose of the proposed project:* The project is intended to improve drainage and roadway conditions. 4g. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:* The project involves replacement of stormwater drainage structures and minor roadway widening of a 1.2 stretch of an existing 4-lane with center turn lane road using heavy construction equipment including track-hoes, dump trucks... 4h. Please upload project drawings for the proposed project. aick the upload button or drag and drop files here to attach docurrent R-5735 Permit Drawings_labeled1.pdf 7.91MB Fle type rrust be pdF 5. Jurisdictional Determinations 5a. Have the wetlands or streams been delineated on the property or proposed impact areas?* C Yes r No �' Unknown Comme nts: 5b. If the Corps made a jurisdictional determination, what type of determination was made?* C' Preliminary f Approved C' Unknown Corps AID Number: Exarrple: SAVw2017-99999 5c. If 5a is yes, who delineated the jurisdictional areas? Name (if known): Agency/Consultant Company: Othe r: C•' f�UA Michael Baker Corp Dave McHenry, NCDOT Division 14 5d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation. 5d1. Jurisdictional determination upload Click the upload button or drag and drop files here to attach docurrent R-5735 PJD Package_complete.pdf Fle type rrust be FDF 6. Project History 16.1 MB 6a. Have permits or certifications been requested or obtained for this project (including all prior phases) in the past? � f Yes f' No �' Unknown 7. Future Project Plans 7a. Is this a phased project?* l' 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): � Wetlands r% Streams-tributaries r Buffers r Open Waters r Pond Construction 2. Wetland Impacts If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted. 2a. Site #- Reason for impact* 2b. Impact type * 2c. Type of wetland * WA Site 1 P N�p label (e.g. Id�ad Qossing 1- CLlvert, F2rrranent (Pj or dewatering, etc) Terrporary (� WB Site 4 P N�p label (e.g. Fd�ad Qossing 1- CLlvert, F2rrranent (� or dewatering, etc) Terrporary (� 2g. Total Temporary Wetland Impact 0.000 Seep Seep 2d. Wetland name *2e. 2f. Type of Forested* Jurisdicition* WA No Both (404, 10) or C�R (401 other) WB No Both (404, 10) or D✓VR (401 other) 2g. Impact area * 0.090 (acres) 0.010 (acres) 2g. Total Permanent Wetland Impact 0.100 2g. Total Wetland Impact 0.100 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. Reason for impact*3b.lmpact 3c. Type of impact*3d. Stream name * type * S1 Site 2 SC P Culvert N�p label (e.g. Finad Qossing F2rrranem (P� or 1) Terrporary (� g2 Site 2 SC P Bank Nl�p label (e.g. fd�ad Qossing F�rrranem (Fj or Stabilization 1) Terrporary (� S3 Site 2 SC T Dewatering Nbp label (e.g. Fd�ad Q-ossing F�rrranent (Fj or 1) Terrporary (� S4 Site 3 SA P Culvert N�p label (e.g. fd�ad C7ossing F�rrranem (Fj or 1) Terrporary (� S5 Site 3 SA P Bank fv�p label (e.g. Finad Qossing F2rrranent (Fj or StabiliZatlon 1) Terrporary (lj S6 Site 3 SA T Dewatering N�p label (e.g. Finad Qossing �rrranent (Fj or 1) Terrporary (lj g7 Site 4 SB P Culvert fv�p label (e.g. f3�ad Qossing F2rrranent (P) or 1) Terrporary (� gg Site 4 SB T Dewatering N�p label (e.g. Fbad Qossing F2rrranent (Fj or 1) Terrporary (� gg Site 5 SA P Bank N�p label (e.g. Fd�ad CYossing F2rrranem (Fj or Stabilization 1) Terrporary (� SC UT Hiwassee River SC UT Hiwasssee River SC UT Hiwassee River SA UT Hiwassee River SA UT Hiwassee River SA UT Hiwassee River SB UT Hiwasssee River SB UT Hiwassee River SA UT Hiwassse River 3e. Stream 3f. Type of Type* Jurisdiction* Perennial Both F�rennial (� or interrrittent (IIVn Perennial Both F2rennial (� or interrrittent (IfVn Perennial Both F2rennial (FH�) or interrrittent (IfVT) Perennial Both F2rennial (FB�) or ir�terrrittent (IfVn Perennial Both F2rennial (FS2) or irnerrri[tent (If� Perennial Both F2rennial (� or intermittent (IIVn Perennial Both F�rennial (� or interrrittent (IIVT) Perennial Both F�rennial (FH� or interrrittent (IfVn Perennial Both F�rennial (FS2) or interrrittent (IfVT) S10 Site 3ASA T Dewatering SAUTHiwassee Perennial Both fv�p label (e.g. f3�ad Qossing F2rrranent (P) or River F�rennial (� or 1) Terrporary (� interrrittent QIVT) �" All Perennial or Intermittent streams must be verified by DWR or delegated local government. 3i. Total jurisdictional ditch impact in square feet: 0 3i. Total permanent stream impacts: 92 3i. Total temporary stream impacts: 55 3i. Total stream and tributary impacts: 147 3j. Comments: 3g. Stream 3h. Impact sqfe� width * length * 2 70 2 Average (linearfeet) 0 (feet) 2 75 3 Average (linearfeet) 0 (feet) 2 9 7 Average (linearfeet) $ (feet) 4 15 6 Average (linearfeet) 0 (feet) 4 8 3 Average (linearfeet) Z (feet) 4 11 4 Average (linearfeet) 4 (feet) 4 20 8 Average (linearfeet) 0 (feet) 4 70 4 Average (linearfeet) 0 (feet) 70 24 2 Average (linearfeet) 4 (feet) 0 4 25 1 Average (linearfeet) 0 (feet) 0 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 project is being constructed on epsting alignment and only uses minimum amount of impact to complete the needed work. 1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:* Temporary dewatering will be used to avoid excavation in flowing water and erosion controls will be used to minimize soil losses from disturbed areas. 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? f• Yes �' No 2c. If yes, mitigation is required by (check all that apply): r DWR �J Corps 2d. If yes, which mitigation option(s) will be used for this project? r Mitigation bank r! 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. �J Yes 4b. Stream mitigation requested: (linear feet) 45 4c. If using stream mitigation, what is the stream temperature: cold 4d. Buffer mitigation requested (DWR only): (square feet) n/a 4e. Riparian wetland mitigation requested: (acres) 0.1 4f. Non-riparian wetland mitigation requested: (acres) 4g. Coastal (tidal) wetland mitigation requested: (acres) 4h. Comments 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? r Yes r No For a list of options to meet the diffuse flow requirements, click here. If no, explain why: Not applicable to this area. 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)?� f Yes r No Comme nts: * MCDC was prepared 2. Violations (DWR Requirement) 2a. Is the site in violation of DWR Water Quality Certification Rules (15A NCAC 2H .0500), Isolated Wetland Rules (15A NCAC 2H .1300), or DWR Surface Water or Wetland Standards or Riparian Buffer Rules (75A NCAC 2B .0200)?* f Yes r No 2b. Is this an after-the-fact permit application?* l' Yes C•' No 3. Cumulative Impacts (DWR Requirement) 3a. Will this project (based on past and reasonablyanticipated future impacts) result in additional development, which could impact nearby downstream water quality?* f Yes l•' No 3b. If you answered "no," provide a short narrative description. This project is not adding capacity or providing access to currently undeveloped areas. 4. Sewage Disposal (DWR Requirement) 4a. Is sewage disposal required by DWR for this project?* C' Yes C No C' rUA 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 C•' No 5b. Have you checked with the USFWS concerning Endangered Species Act impacts?* f Yes r No 5d. Is another Federal agency involved?* C' Yes r No C' Unknown 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.? G Yes r No 5g. Does this project involve bridge maintenance or removal? C' Yes C No Link to the NLEB SLOPES document: http://saw-reg.usace.army.mil/NLEB/1-3Q17-signed_NLEB-SLOPES&apps.pdf 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 If yes, please provide details to include type of percussive activity, purpose, duration, and specific location of this activity on the prope rty. Qick the upload button or drag and drop files here to attach docurrent R-5735 Narrative and Section 7 and 106.pdf 325.86KB Fle rrust be F�F 5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat? Available NHP information and field surveys by qualified staff. 6. Essential Fish Habitat (Corps Requirement) 6a. Will this project occur in or near an area designated as an Essential Fish Habitat?* C' Yes C•' No 6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat?'� NMFS 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)? * f• Yes r No 7b. What data sources did you use to determine whether your site would impact historic or archeological resources? * Project was reviewed and cleared by NCDOT Human Environment Staff in consultation with Cherokee Tribes 7c. Historic or Prehistoric Information Upload Qick the upload button or drag and drop files here to attach docurrent 17-08-0027NoEligibleProps.pdf 6.9MB AR17-08-0027nosurvey_addendum.pdf 480.37KB Cherokee Nation.pdf 334.01KB R-5735 Archaeology and ok APE for Ranger Road connector.pdf 340.16KB R-5735 Architecture and ok APE for Ranger Road connector and Hiwassee Street.pdf 541.5KB 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?* r Yes r No 8c. What source(s) did you use to make the floodplain determination?* FEMA Floodmaps Miscellaneous Miscellaneous attachments not previously requested. Qick the upload button or drag and drop files here to attach docurcent R-5735 Impact Site Pictures.pdf 1.26MB Fle rrust be FDF or IWQ Signature fJ 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:* Dave McFlenry Signature � �- f - Date Submitted: 9/13/2018 Initial Review Is this project a public transportation project?* (�) r Yes f' No Change only 'rf needed. Has this project met the requirements for acceptance in to the review process? * C•' Yes C' No BIMS # Assigned � 20181252 Version#* 1 Reviewing Office * Asheville Regional Office - (828) 296-4500 Select Project Reviewer* Kevin Barnett:eads\khbarnett Is a payment required for this project?* f No payment required G Fee received f Fee needed - send electronic notification