20181341 Ver 1_PCN Form Submission_20181004

Action History (UTC-05:00) Eastern Time (US & Canada)
�brrrit by Anonymous User 10/4/2018 10:19:46 AM (Start Event)
Accept by Carpenter,Kristi 10/5/2018 2:24:10 PM (DOT Initial Review)
. The task was assigned to Carpenter,Kristi. The due date is: October 9, 2018 5:00 PM
10/4/2018 10:20 AM

D1�VR
�irlslan af Water Resources
Pre-Construction Notification (PCN) Form
September 29, 2018 Ver 3
Initial Review
Has this project met the requirements for acceptance in to the review process?*
F Yes
C' No
Is this project a public transportation project?"
� Yes r No
Change only rf needed.
BIMS # Assigned *
20181341
Is a payment required for this project?*
f No paymentrequired
� Fee received
F Fee needed - send electronic notification
Reviewing Office *
Mooresville Regional Office - [phone]
Information for Initial Review
1a. Name of project:
Lyle Creek bridge protection repair
1a. Who is the PrimaryContact?*
Trish Beam
1b. PrimaryContact Email:*
[e-mail]
Date Submitted
10/4/2018
3a. Name of the nearest body of water to proposed project:*
Lyle Creek
Site Coordinates
Latitude:
35.728362
A. Processing Information
County (or Counties) where the project is located:
Catawba
Is this project a public transportation project?*
G Yes �' No
Is this a NCDOT Project?*
G Yes r No
(NCDOT only) T.I.P. or state project number:
Longitude:
-81.123160
WBS # (�)
12B.101811
1a. Type(s) of approval sought from the Corps:
�J Section 404 Permit (w�tlands, 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?
Ve rsion# *
1
What amout is owed?*
r $zao.00
G $570.00
Select Project Reviewer"
Donna Hood:eads\drhood
1c. PrimaryContact Phone:*
[phone]

�7 Nationwide Permit (NWP)
r Regional General Permit (RGP)
r Standard (IP)
1c. Has the NWP or GP number been verified bythe Corps?
C' Yes r No
Nationwide Permit (NWP) Number:
NWP Numbers (for multiple NWPS):
1d. Type(s) of approval sought from the DWR:
�J 401 Water Quality Certification - Regular
r Non-404 Jurisdictional General Permit
r Individual Permit
03 - Maintenance
1e. Is this notification solelyfor the record because written approval is not required?
For the record only for DWR 401 Certification:
For the record only for Corps Permit:
r 401 Water Quality Certification - 6cpress
r Riparian Buffer Authorization
1f. Is this an after-the-fact permit application?"
f Yes r No
1g. Is payment into a mitigation bank or in-lieu fee program proposed for mitigation of impacts?
C' Yes r No
1g. Is payment into a mitigation bank or in-lieu fee program proposed for mitigation of impacts?
� Yes r No
Acceptance LetterAttachment
1h. Is the project located in any of NC's twenty coastal counties?
C' Yes r No
1j. Is the project located in a designated trout watershed?
l' Yes r No
B. Applicant Information
1d. Who is applying for the permit?
r' Owner rJ Applicant (other than owner)
Is there an AgentlConsultant for this project?
C' Yes r No
2. Owner Information
2a. Name(s) on recorded deed:
NCDOT
2b. Deed book and page no.:
2c. Responsible party:
2d. Address
Street Address
1710 East Marion St
Address Line 2
�Y
Shelby
Fbstal / Zip Code
28151
2e. Telephone Number:
[phone]
2g. Email Address:"
[e-mail]
3. Applicant Information (if different from owner)
S[ate / FYwince I Region
NC
Country
USA
2f. Fax Number:
*
C' Yes r No
r Yes C' No

3a. Applicant is:
C' Agent
G Other
IF other please specrfy.
3b. Name:
Mark Stafford
3c. Business Name:
NCDOT, Division 12
3d. Address
Street Address
1710 East Marion St
Address Line 2
�ty
Shelby
Postal / Zip Code
28151
3e. Telephone Number:
[phone]
3g. Email Address:"
mstafford@ncdotgov
State / Awince I Region
NC
Country
USA
3f. Fax Number:
C. Project Information and Prior Project History �
1. Project Information
1b. Subdivision name:
(rf appropriate)
1c. Nearest municipality I town:
Catawba
2. Project Identification
2a. Propertyldentification Number:
2c. Project Address
SVeet Address
Address Line 2
ary
Postal / Zip Code
3. SurFace Waters
3b. Water Resources Classification of nearest receiving water:*
WS-IV
3d. Please provide the 12-digit HUC in which the project is located.
030501011102
3c. What river basin(s) is your project located in?*
Catawba
4. Project Description and History
2b. Property size:
State / Rovince I F�gion
Country
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 I-40 Bridge over Lyle Creek in Catawba County has had a continual issue with drift over the years. The excess amount of rainfall from CY2018 has produced a particularly large
amount of drift and as such, there are now issues with the concrete slope protection being undermined on the east slope of the wastbound structure. The surrounding land use is mostly
forested.
4b. Have permits or certifications been requested or obtained for this project (including all prior phases) in the past?*
� Yes r No � Unknown
4d. Attach an 8 7/2 X 11 excerpt from the most recent version of the USGS topographic map indicating the location of the project site. (for DWR)
Topo Map.pdf 184.64KB
4e. 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)
Soil_Map.pdf 355.93KB

4f. List the total estimated acreage of all existing wetlands on the property:
4g. List the total estimated linear feet of all existing streams on the property:
300
4h. Explain the purpose of the proposed project:"
The purpose of this project is to repair a failing bridge protection slope that has been undermined on I-40 over Lyle Creek
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
The North Carolina Department of Transportation (NCDOT) proposes to repair a failing bridge protection slope under bridge 178 on I-40WB in Catawba County. The I-40 Bridge over
Lyle Creek in Catawba County has had a continual issue with drift over the years. The excess amount of rainfall from CY2018 has produced a particularly large amount of drift and as
such, there are now issues with the concrete slope protection being undermined on the east slope of the westbound structure. NCDOT proposes to remove the undermined sections of
the slope protection and replace it with Class II rip rap. NCDOT proposes to cross Lyle Creek using six (6) 48" diameter, 0.5" thick steel caissons 16-feet in length to allow stream flow to
continue while supporting the track excavator (see attached drawings). NCDOT will ensure that not more than 50 % of the stream will be blocked at one time. Using a temporary stream
crossing to access the site v�nuld be the quickest (less time in construction) and least impactful (only temporary impacts for access) to Lyle Creek and the surrounding area. The stream
embankments have eroded due to drift and over widened to approwmately 72-feet wide. Stream cross-sections taken downstream of the bridge indicate a natural width of approwmately
44-feet wide. NCDOT proposes to reestablish the over widened area to more natural dimensions by constructing a 200 foot long, 17-foot wide rip rap bench (Class II) on the east side of
the creek. The restored bench will connect natural benches upstream and downstream of the project and provide additional structural support for the rip rap slope protection. Also, rip
rap will be placed in a small section (11-foot wide) across from the constructed bench for appropmately 50-feet to help reestablish a more natural width of the stream.
The scope of work will be to Lyle Creek which is classified as Class WS-IV waters by the Division of Water Resources. If needed a sandbag temporary diversion will be used to divert the
stream around the construction site during placement of causeway. Area affected by causeway will be graded and restored back to pre-project conditions.
4j. Please upload project drawings for the proposed project.
CAD_Drawings.pdf 500.61 KB
Crossing.pdf 117.9KB
Drawings.pdf 268.34K6
Location.pdf 413.93KB
Sketch. pdf 997.86KB
5. Jurisdictional Determinations
Sa. Have the wetlands or streams been delineated on the propertyor proposed impact areas?*
r Yes
Comments:
NCDOT Environmental Office
r No
Sb. If the Corps made a jurisdictional determination, what type of determination was made?*
C' Preliminary r Approved � Not Verified � Unknown r WA
Corps AID Number:
Sc. If 5a is yes, who delineated the jurisdictional areas?
Name (if known):
Agency/Consultant Company:
Other:
Sd. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
Sd1. Jurisdictional determination upload
6. Future Project Plans
6a. Is this a phased project?"
� Yes r No
r Unknown
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�I?
D. Proposed Impacts Inventory
1. Impacts Summary
1a. Where are the impacts associated with your project? (check all that apply):
� Wetlands II� Streams-tributaries � Buffers
r Open Waters I� Pond Construction
3. Stream Impacts

❑ 3a. Reason for impact (?) 3b.lmpact type" 3c. Type of impact" 3d. S. name * 3e. Stream Type" 3f. Type of 3g. S. width" 3h. Impact
(?) Jurisdiction�` length�`
S1 Riprap/pipe crossing Temporary Workpad/Causeway Lyle Creek Perennial IBoth 44 16
Average(feet) (linearfeet)
rap bench construction I�Permanent I�Bank Stabilization ��Lyle Creek ��Perennial
nverage (feet) I� pinear feet)
3i. Total jurisdictional ditch impact in square feet:
0
3i. Total permanent stream impacts:
0
3i. Total stream and ditch impacts:
216
3i. Total temporary stream impacts:
0
3j. Comments:
The bench construction is an effort from NCDOT to reestablish natural stream dimensions in the over �+,idened eroded area under the bridge. The
bench will reconnect natural benches upstream and downstream.
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:
Access was designed to utilize an e�sting road in place of constructing a new road to access the site.
1b. Specificallydescribe measures taken to avoid or minimize the proposed impacts through construction techniques:
Minimization of impacts through usage of only temporary crossing to access the site. Equipment can be operated from the crossing and bench and
therefore minimize disturbance to the surrounding area.
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 r No
2b. If this project DOES NOT require Compensatory Mitigation, explain why:
No mitigation required for minimum criteria maintenance project.
F. Stormwater Management and Diffuse Flow Plan (required by DWR)
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?
� Yes r No
If no, explain why:
Project is not located in protected riparian buffer.
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?*
� Yes r No
3. Stormwater Requirements
3a. Select whether a completed stormwater management plan (SMP) is included for review and approval or if calculations are provided to document the project will not cause
degradation of downstream surface waters."
� Stormwater Management � Antidegradation
Plan Calculations
3b. Stormwater Management Plan
3c. Antidegradation Calculations:
Comments:
Maintenance project does not require SMP.
G. Supplementary Information "
1. Environmental Documentation

1a. Does the project involve an expenditure of public (federallstate/local) funds or the use of public (federallstate) land?*
r Yes r 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 (NEPA/SEPA)?"
� Yes r No
Comments:"
The project is listed as a type and class of activity which qualifies as a Non-Major Action under the Minimum Criteria Rules; therefore, a minimum
criteria checklist has been completed for this project.
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 (15A NCAC 2B .0200)?*
C' Yes r• No
3. Cumulative Impacts (DWR Requirement)
3a. Will this project result in additional development, which could impact nearby downstream water quality? *
C' Yes r No
3b. If you answered "no," provide a short narrative description.
No wastewater is generated from the project.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
� Yes r No � fWA
5. Endangered Species and Designated Critical Habitat (Corps Requirement)
Sa. Will this project occur in or near an area with federally protected species or habitat? *
G Yes �' No
5b. Have you checked with the USFWS concerning Endangered Species Act impacts?*
r Yes �' No
Sc. If yes, indicate the USFWS Field Office you have contacted.
Asheville
Sd. Is another Federal agency involved?*
C' Yes r No
Se. Is this a DOT project located within Division's 1-8?
b' Yes r No
Sf. Will you cut anytrees in order to conduct the work in waters of the U.S.7
C' Yes r No
Sg. Does this project involve bridge maintenance or removal?
� Yes r No
Sh. Does this project involve the construction/installation of a wind turbine(s)?*
C' Yes r No
r Unknown
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.?
C' Yes r No
S. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
NC Natural Heritage Program database and on-site surveys. Division 12 is located in the white nose syndrome area for NLEB; however, there are no
known hibernacula or roosting trees in Division 12 counties.
Consultation Documentation Upload
SKM_C754e18100409510.pdf
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as an Essential Fish Habitat?"
� Yes r No
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat?*
There are no salt marshes, oyster reefs: or seagrass beds located in the vicinity of the project.
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
167.95KB

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?*
C' Yes r No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?*
Project is located on previously disturbed NCDOT right-of-way.
7c. Historic or Prehistoric Information Upload
8. Flood Zone Designation (Corps Requirement)
Sa. Will this project occur in a FEMA-designated 100-year floodplain?*
r Yes r No
Sb. If yes, explain how project meets FEMA requirements:
NCDOT hydraulics coordination with FEMA
Sc. What source(s) did you use to make the floodplain determination?*
NC Flood Maq http://frisnagov/fris
Miscellaneous
Comments
Miscellaneous attachments not previouslyrequested.
cover_letter. pdf
Fig2.pdf
FloodMapo.pdf
JD_TE.pdf
Photo1.pdf
Photo2.pdf
Vicinity Map.pdf
Signature
*
�7 By checking the box and signing below, I certify that:
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• 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, Artide 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 AcP');
• I understand that an elechonic 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:
Jeffrey Wyatt
Signature
Sign
Date
10/4/2018
^ �
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