20160906 Ver 2_PCN Form Submission_20181204

D1�VR
�irlslan af Water Resources
Initial Review
Pre-Construction Notification (PCN) Form
September 29, 2018 Ver 3
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 *
20160906
Is a payment required for this project?*
f No paymentrequired
� Fee received
f Fee needed - send electronic notification
Select Project Reviewer"
Kevin Barnett:eads\khbarnett
Information for Initial Review
1a. Name of project:
Improvements to NC 107 from just north of SR 1002 to NC 281
1a. Who is the PrimaryContact?*
Dave McHenry
1b. PrimaryContact Email:*
[e-mail]
Date Submitted
12/4/2018
Nearest Body of Water
Tuckasegee River
Basin
Little Tennessee
Water Classification
WS-III B Tr
Site Coordinates
Latitude:
3527628
Longitude:
-83.13851
A. Processing Information
County (or Counties) where the project is located:
Jackson
Is this project a public transportation project?*
r Yes r No
Is this a NCDOT Project?*
G Yes r No
(NCDOT only) T.I.P. or state project number:
R-4753
WBS # (�)
46125.1.1
1a. Type(s) of approval sought from the Corps:
Ve rsion# *
2
Reviewing Office *
Asheville Regional Office - (S28) 296-4500
1c. PrimaryContact Phone:*
(82S)586-2141
::

rJ 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)
1c. Has the NWP or GP number been verified bythe Corps?
F Yes r No
Nationwide Permit (NWP) Number:
14 - Linear transportation
NWP Numbers (for multiple NWPS):
1d. Type(s) of approval sought from the DWR:
fJ 401 Water Quality Certification - Regular
r' Non-404 Jurisdictional General Permit
r Individual Permit
1e. Is this notification solelyfor the record because written approval is not required?
Forthe record onlyfor DWR401 Certification:
For the record onlyfor Corps Permit:
1f. Is this an after-the-fact permit application?*
� 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?
r Yes r No
B. Applicant Information
1d. Who is applying for the permit?
r Owner fJ Applicant (other than owner)
1e. Is there an Agent/Consultant for this project?
f 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
1598 Mail Service Center
Address Line 2
�Y
Raleigh
Fbstal / Zip Code
27699-1598
2e. Telephone Number:
[phone]
2g. Email Address:*
r 401 Water Quality Certification - E�ress
r Riparian Buffer Authorization
State / Aovince I F�gion
NC
Country
US
2f. Fax Number:
x
C' Yes R No
C' Yes G No

[e-mail]
3. Applicant Information (if different from owner)
3a. Name:
NCDOT Division 14
3b. Business Name:
3c.Address
Street Address
253 Webster Road
Address Line 2
ary
Sylva
Postal / Zip Code
28779
3d. Telephone Number:
[phone]
3f. Email Address:"
[e-mail]
S[ate / Awince I Region
NC
Country
US
3e. Fax Number:
C. Project Information and Prior Project History �
1. Project Information �
1b. Subdivision name:
(rf appropriate)
1 c. Nearest municipality l town:
Cullowhee
2. Project Identification
2a. Propertyldentification Number:
2c. Project Address
Street Address
Address Line 2
ary
Postal / Zip Code
3. SurFace Waters
3a. Name of the nearest body of water to proposed project:"
Tuckasegee River
3b. Water Resources Classification of nearest receiving water:*
WS-III B Tr
3c. What river basin(s) is your project located in?*
Little Tennessee
3d. Please provide the 12-digit HUC in which the project is located.
0601020301
4. Project Description and History
2b. Property size:
19.6
S[ate I Rovince I Region
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 project involves safery improvements to NC 107 to upgrade to current standards. There are 8 stream crossings with impacts. Standard road building equipment will be used.
Since project commenced construction in early 2017, only 1/2 of the permitted impacts have been completed because the work will take several construction seasons to complete, partly
because of staged construction and on-site detouring of heavy traffic. We therefore are requesting authorization to complete all permitted impacts and finish this project.
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?*
� Yes r No � Unknown
4c. If yes, please give the DWR Certification number or the Corps Action ID (exp. SAW-0000-00000).
SAW 2016-02128 and DWR 2016-0906
Project History Upload

R-4753 Jackson November 3 2016_Permit.pdf
93.68MB
4d. 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)
R-4753 Topo Map.pdf 671.2KB
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)
R-4753 Soil Map.pdf 1.07MB
4f. List the total estimated acreage of all existing wetlands on the property:
0
4g. List the total estimated linear feet of all existing streams on the property:
980
4h. Explain the purpose of the proposed project:*
The project is needed to increase safety. The method chosen to do so is minor widening to state standards. Impacts to streams are needed for culvert eutensions and bank/stream
stabilization to accommodate fill slopes for the widening.
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
The project involves safety improvements to NC 107 to upgrade to current standards. There are 8 stream crossings with impacts. Standard road building equipment mnll be used such as
track hoes, dump trucks, drilling rigs, hoe rams...
4j. Please upload project drawings for the proposed project.
R-4753 Plans_Dec 2018 changes to table impacts.pdf 10.13MB
5. Jurisdictional Determinations
Sa. Have the wetlands or streams been delineated on the property or proposed impact areas?*
F Yes r No
Comments:
r Unknown
Sb. If the Corps made a jurisdictional determination, what type of determination was made?*
F Preliminary �' Approved r Not Verified r Unknown f' WA
Corps AID Number:
SAW-2016-02128
Sc. If Sa is yes, who delineated the jurisdictional areas?
Name (if known):
Agency/Consultant Company: NCDOT
Other:
5d. List the dates of the Corp jurisdiction determination or State determination if a determination was made by the Corps or DWR
10/31/2016
Sd1. Jurisdictional determination upload
6. Future Project Plans
6a. Is this a phased project?*
C' Yes r No
Are any other NWP(s), regional generel permit(s), or individual permits(s) used, or intended to be used, to authorize any part of the proposed project or related activity?
D. Proposed Impacts Inventory
:.
1. Impacts Summary
1a. Where are the impacts associated with your project? (check all that apply):
r Wetlands I17 Streams-tributaries
r Open Waters r Pond Construction
r Buffers
3. Stream Impacts
Reason for impact (') I�3b.lmpact type" I�3c. Type of impact" II3d. S. name
ie. Stream Type" 3f. Type of
(?) Jurisdiction*
S. width" II3h. Impact
.*
1 Permanent Culvert UT Tuckase ee River Perennial Both 1 47
S1 9
Average (feet) Qinear feet)

1 Permanent Ri Ra Fill UT Tuckase ee River Perennial Both 1 16
S2 P p 9
Average (feet) (linear feet)
S3 1 Temporary Dewatering UT Tuckasegee River Perennial Both � 45
Average (feet) (linear feet)
2 Permanent Culvert UT Tuckase ee River Perennial Both 1 30
S4 9
Average (feet) (linear feet)
SS Z Temporary Dewatering UT Tuckasegee River Perennial Both 1 6
Average (feet) (linear feet)
2 Permanent Ri Ra Fill UT Tuckase ee River Perennial Both 1 15
S6 P P 9
Average (feet) (linear feel)
3 Permanent Culvert UT Tuckase ee River Perennial Both 1 30
S7 9
Average (feet) (linear feet)
3 Permanent Ri Ra Fill UT Tuckase ee River Perennial Both 1 8
S8 P P 9
Average (feet) Qinear feel)
S9 3 Temporary Dewatering UT Tuckasegee River Perennial Both 1 36
Average(feet) Qinearfeet)
4 Permanent Culvert UT Tuckase ee River Perennial Both 2 40
S10 9
Average(feet) Qinearfeet)
S11 4 Permanent Rip Rap Fill UT Tuckasegee River Perennial Both 2 13
Average(feet) (linearfeet)
S12 4 Temporary Dewatering UT Tuckasegee River Perennial Both 2 12
Average(feet) (linearfeet)
5 Permanent Culvert UT Tuckase ee River Perennial Both 6 27
S13 9
Average(feet) (linearfeet)
S14 5 Temporary Dewatering UT Tuckasegee River Perennial Both 6 44
Average(feet) (linearfeet)
S15 5 Permanent Rip Rap Fill UT Tuckasegee River Perennial Both 6 40
Average(feet) (linearfeet)
6 Permanent Culvert UT Tuckase ee River Perennial Both 4 12
S16 9
Average(Feet) (linearfeet)
S17 6 Permanent Rip Rap Fill UT Tuckasegee River Perennial Both 4 19
Average(feet) Qinearfeet)
S18 6 Temporary Dewatering UT Tuckasegee River Perennial Both � 24
Average (feet) Qinear feet)
S19 6A Permanent Culvert UT Tuckasegee River Perennial Both � 20
Average (feet) Qinear feet)
S20 6A Permanent Rip Rap Fill UT Tuckasegee River Perennial Both � 14
Average (feet) Qinear feet)
gy� 6A Temporary Dewatering UT Tuckasegee River Perennial Both 2 29
Average (feet) (linear feet)
7 Permanent Culvert UT Tuckase ee River Perennial Both 2 38
S22 9
Average (feet) (linear feet)
S23 � Permanent Rip Rap Fill UT Tuckasegee River Perennial Both 2 23
Average (feet) (linear feet)
gyq 7 Temporary Dewatering UT Tuckasegee River Perennial Both 2 39
Average (feet) (linear feel)
S25
8 Permanent Culvert John Brown Branch Perennial Both 4 52
Average (feet) Qinear feel)
S26 $ Temporary Dewatering John Brown Branch Perennial Both 4 66
Average (feet) Qinear feet)
8 Permanent Ri Ra Fill John Brown Branch Perennial Both 4 25
S2� P P Average (feet) Qinear feet)
3i. Total jurisdictional ditch impact in square feet:
3i. Total permanent stream impacts:
469
3i. Total stream and ditch impacts:
770
3j. Comments:
3i. Total temporary stream impacts:
301
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:
See SMP - shoulder berm gutter will be utilized to prevent road shoulder erosion. Retaining walls are used to prevent river impacts. Site 5 was
redesigned to eliminate a temporary causeway in the river.
1b. Specificallydescribe measures taken to avoid or minimize the proposed impacts through construction techniques:
BMPs and sensitive watershed requirements as prescribed in green sheets are being used. Furthermore, there is a 2 retaining wall limit on
construction to minimize the amount of disturbed ground on the project at any one time.
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?
� Yes r No
2c. If yes, mitigation is required by (check all that apply):
r DWR fJ Corps
2d. If yes, which mitigation option(s) will be used for this project?
r Mitigation bank rJ Payment to in-lieu fee � Permittee Responsible
program Mitigation
4. Complete if Making a Payment to In-lieu Fee Program
4a. Approval letter from in-lieu fee program is attached.
� Yes r No
46. Stream mitigation requested:
(linear feet)
4d. Buffer mitigation requested (DWR only):
(square feet)
4c. If using stream mitigation, what is the stream temperature:
4e. Riparian wetland mitigation requested:
(acres)
4f. Non-riparian wetland mitigation requested: 4g. Coastal (tidal) wetland mitigation requested:
(acres) (acres)
4h. Comments
See already provided mitigation in permit application attached to this application. No additional mitigation is being proposed for the added rip rap
impacts (80 feet total) for the permit renewal request since stream bottoms will not be lined/blocked with rip rap.
I 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?
C' Yes r No
If no, explain why:
Not in this drainage.
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?*
G Yes �' No
Comments:
See attached SMP in the permit application attached to this application
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?*
G Yes r No
�I
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)?"
� Yes r No
1c. If you answered "yes" to the above, has the document review been finalized by the State Clearing House?*
r Yes r No
NEPAor SEPAFinal Approval Letter

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)? *
f Yes r No
3. Cumulative Impacts (DWR Requirement)
3a. Will this project 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.
This project will not increase roadway capaciry or provide access to undeveloped areas.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
� Yes r No � WA
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?*
� Yes r No
5b. Have you checked with the USFWS concerning Endangered Species Act impacts?*
r Yes r 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?
f Yes r No
Sf. Will you cut anytrees in order to conduct the work in waters of the U.S.?
r Yes r No
Sg. Does this project involve bridge maintenance or removal?
f Yes r No
Sh. Does this project involve the construction/installation of a wind turbine(s)?*
C' Yes r No
C' Unknown
Si. 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 property.
Sj. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
NHP data and field surveys by qualified staff with NCDOT. Project determined compliant with 4d for NLEB.
Consultation Documentation Upload
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as an Essential Fish Habitat?*
C' Yes r 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)
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?*
G Yes �' No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources7*
Site Reviews and Coordination with SHPO. An MOU was prepared for impacts to historic resources. Information on that is attached to the permit
application that is attached to this permit renewal application.
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:
Cleared by NCDOT under MOU with NC Flood
Sc. What source(s) did you use to make the floodplain determination?*
NCFloodmaps
Miscellaneous
Comments
Attached to this permit renewal application is the original permit application, issued 404 permit (attached earlier), and the permit renewal cover letter with updated green sheet that
explains the project renev✓al, includes much of the materials in the preceding including pJD, MOU for 106, Section 7 consultation,....
Miscellaneous attachments not previouslyrequested.
R-4753 Jackson September 21 2016_Application.pdf 26.69M6
R-4753 Permit Renewal Cover and Green Sheet.pdf 837.61KB
Signature
*
CJ 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, 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 Act");
• 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 McHenry
Signature
Sign
�
�
Date
12/4/2018