20190586 Ver 1_PCN Form Submission_20190503

DWR
MOM— of Water Resources
Pre -Construction Notification (PCN) Form
September 29, 2018 Ver 3
21nitial Review
Has this project met the requirements for acceptance in to the review process?*
r Yes
r No
Is this project a public transportation project?*
G Yes r No
Oange only if needed.
BIMS # Assigned
20190586
Is a payment required for this project?*
r No payment required
r Fee received
r Fee needed - send electronic notification
Select Project Reviewer*
Kevin Barnett:eads\khbarnett
Information for Initial Review
1a. Name of project:
US 23 Business and Walnut Stree round -about
1a. Who is the Primary Contact?*
Dave McHenry
1b. Primary Contact Email:*
[e-mail]
Date Submitted
5/3/2019
Nearest Body of Water
Shelton Branch
Basin
French Broad
Water Classification
B
Site Coordinates
Version# *
1
Reviewing Office*
Asheville Regional Office - [phone]
1c. Primary Contact Phone:*
[phone]
Latitude: Longitude:
35.497553-82.980129
FA. Processing Information U
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?*
r Yes r No
(NCDOT only) T.I.P. or state project number:
U-5888
WBS # (?)
44625.1.1
1a. Type(s) of approval sought from the Corps:

W Section 404 Permit (wetlands, streams and waters, Clean Water Act)
r Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)
1b. What types) of permit(s) do you wish to seek authorization?
W Nationwide Permit (NWP)
r' Regional General Permit (RGP)
r' Standard (IP)
1c. Has the NWP or GP number been verified by the Corps?
f Yes r No
Nationwide Permit (NWP) Number: 14 - Linear transportation
NWP Numbers (for multiple NWPS):
NWP 12
1d. Type(s) of approval sought from the DWR:
rJ 401 Water Quality Certification - Regular
r Non-404 Jurisdictional General Permit
F Individual Permit
le. Is this notification solely for 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 - Express
r Riparian Buffer Authorization
1f. Is this an after -the -fact permit application?*
r Yes r No
1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
r- Yes r No
1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
r Yes r No
Acceptance Letter Attachment
1h. Is the project located in any of NC's twenty coastal counties?
r- 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?
V Owner r Applicant (other than owner)
le. 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
City
Sylva
Postal / Zip Code
28779
2e. Telephone Number:
[phone]
2g. Email Address:*
State / Province / Region
NC
Country
USA
2f. Fax Number:
*
r Yes r No
r Yes r No

[e-mail]
C. Project Information and Prior Project History
U
1. Project Information
1b. Subdivision name:
(i appropriate)
1c. Nearest municipality/ town:
Waynesville
2. Project Identification
2a. Property Identification Number:
2b. Property size:
5
2c. Project Address
Street Address
Address line 2
dty
State / rtovince / Ibgion
Postal / Zip Code
O�untry
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
Shelton Branch
3b. Water Resources Classification of nearest receiving water:*
B
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.
060101060300
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:*
The project involves replacing a signalized intersection at US 23 Business and Walnut Street with a round about. Urban area.
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?*
r Yes r No r 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)
U-5888_TOPO.pdf
669.86KB
4e. Attach an 81/2 X 11 excerpt from the most recent version of the published County NRCS Soil Survey map depicting the project site. (for DWR)
U-5888 soils.pdf 365.17KB
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:
1500
4h. Explain the purpose of the proposed project:*
The purpose is to improve traffic flow at an ebsting signalized intersection.
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
Track hoes and heavy equipment will be used to demolish ebsting structures, do grading, and construct new structures, roadway, and utility crossings.
4j. Please upload project drawings for the proposed project.
u5888_Permit Drawings _05022019_PCN submittal.pdf
2.78MB
u5888_hyd_csr.pdf
1.13MB
U-5888_Erosion Control Plans.pdf
6.78MB
U-5888 100 Percent Combined_structure.pdf
1.48MB
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
r Yes r No
F Unknown
Comments:

5b. If the Corps made a jurisdictional determination, what type of determination was made?*
r Preliminary r Approved r Not Verified r Unknown r NIA
Corps AID Number:
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known):
Agency/Consultant Company:
Other:
5d1. Jurisdictional determination upload
6. Future Project Plans
6a. Is this a phased project?*
r 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 activity?
D. Proposed Impacts Inventory
1. Impacts Summary
la. Where are the impacts associated with your project? (check all that apply):
[ Wetlands W Streams -tributaries r Buffers
r- Open Waters r 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
Site 1 culvert extension
Permanent
Culvert
Shelton Branch
Perennial
Both
11
44
Average (feet)
(linear feet)
g2
Site 1 dewatering
Temporary
Dewatering
Shelton Branch
Perennial
Both
11
170
Average (fee[)
(linear feet)
S3
Site 1 ripr rap, benching,
Permanent
Stabilization
Shelton Branch
Perennial
Both
11
120
retaing wall
Average (feet)
(linearfeet)
�
Site 2 cross vane and ri ra
p p
Permanent
Stabilization
Shelton Branch
Perennial
Both
11
155
Average (feet)
(linear feet)
SS
Site 2 dewatering :::ITemporary:]
Dewatering
Shelton Branch
Perennial
Both
11
175
Average (feet)
(linear feet)
31. Total jurisdictional ditch impact in square feet:
0
31. Total permanent stream impacts:
319
31. Total stream and ditch impacts:
664
3j. Comments:
LE Impact Justification and Mitigation
1. Avoidance and Minimization
31. Total temporary stream impacts:
345
la. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
A minimum amount of culvert was used for the facility. The road (Vance Street) is being shifted east, which avoids additional stream impact.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
The stream will be effectively dewatered to avoid construction in flowing water.
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 r No
2b. If this project DOES NOT require Compensatory Mitigation, explain why:
A minimal amount of channel loss is associated with this project. Furthermore, the stream is poor quality.
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 one of the buffer areas.
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:
IT will be compliant with the stormvater permit.
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?*
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 Policy Act (NEPA/SEPA)? *
r Yes r No
Comments:
Minimum Criteria applied
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?*
r Yes r No
3b. If you answered "no," provide a short narrative description.
Project will not add capacity or open new areas to development.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
r Yes r Nor 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?
r Yes r No
5b. Have you checked with the USFWS concerning Endangered Species Act impacts?*
r Yes r No
5d. Is another Federal agency involved?*
r Yes r No C Unknown
5e. Is this a DOT project located within Division's 1-8?
r Yes r No
5f. Will you cut anytrees in order to conduct the work in waters of the U.S.?
r Yes r No

5g. Does this project involve bridge maintenance or removal?
f Yes r No
5h. Does this project involve the construction/installation of a wind turbine(s)?*
r Yes r 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.?
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.
U-5888_NWP 14 and 12 narrative.pdf 404.3KB
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
Field surveys and NHP data
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?*
f Yes r No
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat?*
NOAA
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?*
r Yes r No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?*
NCDOT HEU review
7c. Historic or Prehistoric Information Upload
16-06-0005Effects.pdf 4.01 MB
U-5888_No Survey Archaeology.pdf 1.61 MB
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain?*
r Yes r No
8b. If yes, explain how project meets FEMA requirements:
The project was coordinated with NCDEM under MOU with NCDOT. MOA Type 2E applies to the project.
8c. What source(s) did you use to make the floodplain determination?*
See attached CSR plan
Miscellaneous
Comments
NCSAM sheet and Photos are attached.
Miscellaneous attachments not previously requested.
U-5888_NCSAM.pdf 211.07KB
U-5888_Photos_May 2 2019.pdf 2.25MB
Signature
*
jJ 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 Act");
• 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

Date
5/3/2019