20190600 Ver 1_PCN Form Submission_20190508

DWR
IDIOM n 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?*
C Yes r No
Change only if needed.
BIMS # Assigned
20190600
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:
Sonoma Road at Old River Road Improvenment
1a. Who is the Primary Contact?*
Dave McHenry
1b. Primary Contact Email:*
[e-mail]
Date Submitted
5/8/2019
Nearest Body of Water
Bird Creek
Basin
French Broad
Water Classification
WS-III Tr
Site Coordinates
Latitude:
35.474496
Longitude:
-82.891504
Version# *
1
Reviewing Office*
Asheville Regional Office - [phone]
1c. Primary Contact Phone:*
[phone]
AProcessing 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:
47854
WBS # (�)
47854
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?
t' 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
F Non-404 Jurisdictional General Permit
F Individual Permit
le. 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 - 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
F. Applicant Information
1d. Who is applying for the permit?
rJ Owner fJ 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, State of NC
2b. Deed book and page no.:
2c. Responsible party:
2d.Address
Street Address
253 Webster Road
Address Line 2
city
Sylva
Postal / Zip Code
287779
2e. Telephone Number:
[phone]
2g. Email Address:*
State / Frwinre / R�gion
NC
Q�untry
USA
2f. Fax Number:
*
r Yes r No
r Yes r No

[e-mail]
3. Applicant Information (if different from owner)
3a. Name:
NCDOT Division 14, State of NC
3b. Business Name:
3c.Address
Street Address
253 Webster Road
Address Line 2
City
Sylva
Postal / Zip Cade
28779
3d. Telephone Number:
[phone]
3f. Email Address:*
[e-mail]
C. Project Information and Prior Project History
1. Project Information
State / Province / Region
NC
Country
USA
3e. Fax Number:
1b. Subdivision name:
(if appropriate)
1c. Nearest municipality/town:
Bethel
2. Project Identification
2a. Property Identification Number:
2b. Property size:
0.5
2c. Project Address
Street Address
SR 1876/NC215 at NC215 Sonoma Road at Old River Road
Address Line 2
city
State / Province / Region
Bethel
Haywood
Postal / Zip Code
Country
USA
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
Bird Creek
3b. Water Resources Classification of nearest receiving water:*
WS-III Tr
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.
060101060100
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 site is an eAsting road intersection in a mixed residential and agricultural 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)
47854 Topo Vicinity.pdf 732.45KB
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)

20180501_16090104942_1_Hydric_Rating_by_Map_Unit.pdf 384.79KB
4f. List the total estimated acreage of all existing wetlands on the property:
0.05
49. List the total estimated linear feet of all existing streams on the property:
0
4h. Explain the purpose of the proposed project:*
The purpose of the project is to realign an intersection improve sight distances and to replace failing drainage system under the roadway.
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
Heavy equipment will be used to remove the eAsting road and structures, do site grading and drainage replacements, and rebuild the roadway. Traffic will be maintained on site.
4j. Please upload project drawings for the proposed project.
100_001_47854_Rdy_psh_01cover sheet.pdf 1.11MB
100_016_47854_Rdy_psh_plan sheet_04_labels.pdf 1.86MB
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
r Yes r No r 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 N/A
Corps AID Number:
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known): Dave McHenry
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
5d1. Jurisdictional determination upload
47854 Aerial and Sample Points.pdf
232.1 KB
47854 PJD_signed.pdf
252.77KB
47854_UP1_data form.pdf
609.89KB
47854_WL1_data form.pdf
983.59KB
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):
R Wetlands r Streams -tributaries r Buffers
r' Open Waters r Pond Construction
2. Wetland Impacts
a. Site #* (?) 2a1 Reason (?) 2b. Impact type * (?) 2c. Type of W. * 2d. W. name * 2e. Forested* 2f. Type of 2g. Impact
Jurisdicition * M area*
Road Shoulder Fill P Small -Basin Wetland WL-1 Both 0.050
(acres)
2g. Total Temporary Wetland Impact 2g. Total Permanent Wetland Impact
0.000 0.050
2g. Total Wetland Impact

0.050
2h. Comments:
E. Impact Justification and Mitigation
1. Avoidance and Minimization
la. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
The design includes shoulder widening which necessitates an impact to the wetland due to existing steep slopes.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Effective erosion controls will be implemented and used to ensure minimal impacts to waters downgrade.
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
v
2b. If this project DOES NOT require Compensatory Mitigation, explain why:
The wetland impact is extremely small and the functions are minimal due to ongoing erosion and cattle disturbance.
F. Stormwater Management and Diffuse Flow Plan (required by DWR) "
1. Diffuse Flow Plan
la. 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
If no, explain why:
Project is not situated in protected buffer areas.
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?*
s Yes r No
Comments:
G. Supplementary Information
1. Environmental Documentation
la. 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:*
The project qualifies for minimum criteria which precludes environmental documentation
2. Violations (DWR Requirement)
2a. Is the site in violation of DWR Water Quality Certification Rules (1 SA 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 quality?*
r Yes r No
3b. If you answered "no," provide a short narrative description.
This is just a minor intersection project that will not change routes, change access, or increase capacity.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*

r' Yes r No r' WA
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
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?
r Yes r No
5h. Does this project involve the construction/installation of a wind turbine(s)?*
r 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.?
r Yes r No
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
Site surveys and NHP data review
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?*
r 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?*
r Yes r No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?*
NCDOT HEU reviews. And this area is not in an area which is likely to have appreciable archaeological resources.
7c. Historic or Prehistoric Information Upload
18-04-0029NoSurveyUPDATE.pdf 3.12MB
PA 18-04-0029 Haywood II (NSR).pdf 8.76MB
8. Flood Zone Designation (Corps Requirement)
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 portal
Miscellaneous
Comments
The narrative attached includes discussion of Section 7, Section 106 and other project details.
The attached pictures shown the eAsting site conditions.
Miscellaneous attachments not previously requested.
47854 NWP 14 Narrative.pdf 384.04KB
47854 photos.pdf 2.04MB
Signature v
*

m 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
5/8/2019