20181716 Ver 1_PCN Form Submission_20181218

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 *
20181716
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:
Haywood County Bridge 174 & 175
1a. Who is the PrimaryContact?*
Patrick J. Breedlove
1b. PrimaryContact Email:*
pj breed love@ncd ot.gov
Date Submitted
12/18/2018
Nearest Body of Water
Big Creek
Basin
French Broad
Water Classification
Class C; Tr; HQW
Site Coordinates
Latitude:
35.77444
A. Processing Information
County (or Counties) where the project is located:
Haywood
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:
Ve rsion# *
1
Reviewing Office *
Asheville Regional Office - (S28) 296-4500
1c. PrimaryContact Phone:*
(82S)631-1145
Longitude:
-83.10007
::
WBS # (�)
14SP.20441.2 & 14SP.20441.1
1a. Type(s) of approval sought from the Corps:

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?
C' Yes r No
Nationwide Permit (NWP) Number:
03 - Maintenance
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?
fJ Owner r 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 - Division 14
2b. Deed book and page no.:
2c. Responsible party:
2d. Address
Street Address
253 Webster Road
Address Line 2
�Y
Sylva
Fbstal / Zip Code
28779
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
United States
2f. Fax Number:
x
C' Yes R No
C' Yes G No

pj b r e e d I o v e@ n cd ot. g o v
C. Project Information and Prior Project History " I
1. Project Information
1b. Subdivision name:
(rf appropriate)
1c. Nearest municipality/town:
Clyde
2. Project Identification
2a. Property Identification Number:
2c. Project Address
Street Address
Address Line 2
ary
Fbstal I Zip Code
2b. Property size:
State / Aovince / Re3ion
Country
3. SurFace Waters
3a. Name of the nearest body of water to proposed project:*
Big Creek
3b. Water Resources Classification of nearest receiving water:*
Class C; Tr; HQW
3c. What river basin(s) is your project located in?*
French Broad
3d. Please provide the 12-digit HUC in which the project is located.
060101060305
4. Project Description and History
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:*
Project location is described as a secondary twn lane road with two subject bridges which are functionally and structurally obsolete. Bridge 174 is a two span (1 @ 59'; 1@ 56.5') timber
floor on a steel girder floor beam system. Bridge 175 is a two span (2 @ 42') timber floor on a steel plate girder with an attached sidewalk. Landscape is rural mountainous terrain
located adjacent to a commercial power plant along a NCDOT maintained secondary road with paved parking lots and mowed areas.
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?*
� Yes r No � Unknown
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)
Haywood County - B174 & B175 - USGS Topo Map.pdf
1.49 MB
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)
Haywood County - B175 - NRCS Soil Map.pdf 540.63KB
Haywood County - B174 - NRCS Soil Survey.pdf 559.79KB
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:
4h. Explain the purpose of the proposed project:*
The North Carolina Department of Transportation (NCDOT) is proposing to replace two subject bridges which are functionally and structurally obsolete. Bridge 174 will be replaced with
a 135 single span steel plate girder with sloping abutments. Bridge 175 will be replaced with a two span (1 @ 75'; 1@ 40' 21 ") cored slab with 4' end caps. The replacement of both
bridges will ensure safe conveyance of traffic and pedestrians within the area.
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
NCDOT contractor will install erosion and sediment control devices prior to grading and during construction activities. The causeways for each bridge project will be installed to remove
interior bents on existing bridges. One new interior bent will be constructed on B175. Then both causeways will be removed. The new bridge structures will be constructed. Dewatering
device will be installed and the retaining wall/wing v✓all will be constructed on B175. Traffic will be detoured onsite using staged traffic management wfiile the construction occurs within
the ebsting bridge locations. The project will also include some minor approach �,wrk on the ebsting roadway. The bridge projects will be constructed utilizing the following equipment:
crane, excavators, dump trucks, paving equipment and various hand tools.
4j. Please upload project drawings for the proposed project.
Hayv�rood County - B174 - Permit Plans.pdf 1.31 MB
Hay�wod County - B175 - Permit Plans.pdf 3.48MB

5. Jurisdictional Determinations
Sa. Have the wetlands or streams been delineated on the property or proposed impact areas?*
� Yes r No
Comments:
Sb. If the Corps made a jurisdictional determination, what type of determination was made?"
� Preliminary r Approved � Not Verified � Unknown r WA
Corps AID Number:
5c. If 5a is yes, who delineated the jurisdictional areas?
r Unknown
Name (if known):
Agency/Consultant Company:
Other:
Sd1. Jurisdictional determination upload
Haywood County - B174 - JD (Final).pdf 258.77KB
Haywood County - B175 - JD (Final).pdf 25877KB
6. Future Project Plans
6a. Is this a phased project?*
� Yes r 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�R
No.
D. Proposed Impacts Inventory
1. Impacts Summary
1a. Where are the impacts associated with your project? (check all that apply):
r Wetlands II7 Streams-tributaries r Buffers
� Open Waters I� Pond Construction
3. Stream Impacts
❑ 3a. Reason for impact (2) 3b.lmpact type * 3c. Type of impact* 3d. S. name * 3e. Stream Type * 3f. Type of 3g. S. width* 3h. Impact
(?) Jurisdiction* length*
Bridge 174) Site 1A Temporary
Bridge 174) Site 1 B Permanent
Bridge 175) Site 2A Temporary
Bridge 175) Site 2B Temporary
Bridge 175) Site 2C Permanent
Bridge 175) Site 2D Permanent
Bridge 175) Site 2E Permanent
Stabilization
Creek
Creek
Creek
Creek
Creek
Creek
Creek
Perennial
Perennial
Perennial
Perennial
Perennial
Perennial
Perennial
Average (feet) pinear feet)
� 30
Average (feet) Qinear feet)
� 55
Average (feet) (linear feet)
� 110
Average (feet) (linear feet)
� 20
Average (feet) (linear feet)
� 45
Average (feet) (linear feel)
� 45
Average (feet) (linear feel)
3i. Total jurisdictional ditch impact in square feet:
0
3i. Total permanent stream impacts:
140
3i. Total stream and ditch impacts:
345
3j. Comments:
Stabiliration
3i. Total temporary stream impacts:
205

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 existing bridges are being replaced with dear span structures that is adequate for the traffic needs within the same disturbed ebsting bridge
locations. The proposed bridge structures were designed for the minimum size to convey traffic and pedestrians on the secondary road. One interior
bent is being removed from each bridge structure location and bridge span distance was increased to reduce aquatic impact.
1b. Specificallydescribe measures taken to avoid or minimize the proposed impacts through construction techniques:
The on-site stream (Big Creek) will be diverted on both bridge sites temporary by a causeway to remove interior bents. Causeways will not impede
more than 50 % of stream flow. Temporary dewatering �nnll be utilized on one bridge location to install bridge retaining wall/wing wall. Any/all dewatering
effluent will be pumped into a sediment bag prior to the effluent entering into Big Creek. Erosion and sedimentation control measures will be installed
prior to ground disturbing activities. All measures listed above will aid in the prevention of sediment into downstream habitats of Big Creek and the
Pigeon River.
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
2b. If this project DOES NOT require Compensatory Mitigation, explain why:
Project impacts do no exceed mitigation threshold limits.
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:
Project area is not located within a NC Riparian Buffer Area.
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?*
r Yes r No
Comments:
I G. Supplementary Information
1. Environmental Documentation
1a. Does the project involve an expenditure of public (federal/state/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 (NEPAISEP/�?"
� Yes r No
1c. If you answered "yes" to the above, has the document review been finalized by the State Clearing House?"
� Yes r No
Comments:
x
MCDC completed.
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)? *
r Yes r No
3. Cumulative Impacts (DWR Requirement)
3a. Will this project result in additional development, which could impact nearby downstream water quality?*
� Yes r No
3b. If you answered "no," provide a short narrative description.
Project is only to replace existing bridges due to deterioration and does not increase the capacity of roads in the area.

4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
C' Yes r No r 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? *
F Yes r No
Sb. Have you checked with the USFWS concerning Endangered Species Act impacts?*
F Yes r No
Sc. If yes, indicate the USFWS Field Office you have contacted.
Asheville
Sd. Is another Federal agency involved?*
f Yes r No
Se. Is this a DOT project located within Division's 1-8?
C' Yes r No
Sf. Will you cut anytrees in order to conduct the work in waters of the U.S.?
F Yes r No
Sg. Does this project involve bridge maintenance or removal?
r Yes r No
Sg(1). If yes, have you inspected the bridge for signs of bat use such as staining, guano, bats, etc.?
F Yes r No
If you answered "Yes" to 5g(1), did you discover any signs of bat use?
C' Yes r No C' Unknown
Sh. Does this project involve the construction/installation of a wind turbine(s)?*
f Yes r No
r 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.?
r 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.
Haywood County - B174 & B175 - MNP 3 Cover Letter (Final).pdf 40.62KB
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat7
U.S. Fish & Wildlife Service Endangered Species By County Maps, USACE NLEB Slopes
U.S. Fish & Wildlife Service - ECOS - Online Mapper
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?"
� Yes r No
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat?*
NOAA - Essential Fish Habitat Mapper v3.0
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 r No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?*
NCDOT Cultural Resource Specialist
7c. Historic or Prehistoric Information Upload
Haywood County - B174 & B175 - SHPO Architecture Letter.pdf 98.17KB
Haywnod County - B174 & B175 - SHPO MOU Architecture Letter.pdf 4.01 MB
Haywnod County - B174 & B175 - Architecture Survey Needed.pdf 1.84MB
Haywvod County - B174 - Cultural Screening.pdf 4.68MB
Haywnod County - B175 - Cultural Screening.pdf 4.83MB
8. Flood Zone Designation (Corps Requirement)
Sa. Will this project occur in a FEMA-designated 100-year floodplain?"

� Yes
f No
Sb. If yes, explain how project meets FEMA requirements:
NCDOT Programmatic Agreement with N.C. Floodplain Mapping Program
8c. What source(s) did you use to make the floodplain determination?*
N.C. Flood Maps - Flood Risk Information System
Miscellaneous
Comments
Miscellaneous attachments not previouslyrequested.
Haywood County - B174 - MCDC (Signed).pdf
Haywnod County - B174 - SMP.pdf
Hay�rood County - B174 - Site Photos.pdf
Haywnod Counry - B174 - NC Hertiage Program.pdf
Haywood County - B174 - GIS Map.pdf
Haywnod County - B175 - MCDC (Signed).pdf
Haywnod County - B175 - SMP.pdf
Flay�wod County - B175 - NC Hertiage Program.pdf
w
Flaywnod County - B175 - Bat Habitat Assessment.pdf
Hay�wod County - B174 - Bat Habitat Assessment.pdf
Flaywnod County - B175 - Site Photos.pdf
Flay�wod County - B175 - Design Plans.pdf
Haywnod County - B174 - Design Plans.pdf
Signature
*
rJ 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 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:
Patrick J. Breedlove
Signature
Sign
� �
Date
12/ 18/2018