20190909 Ver 1_PCN Form Submission_20190708

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?*
C Yes r No
Change mly if needed.
BIMS # Assigned
20190909
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:
Skyland Drive sidewalk culvert extension
1a. Who is the Primary Contact?*
Dave McHenry
1b. Primary Contact Email:*
[e-mail]
Date Submitted
7/8/2019
Nearest Body of Water
Aliens Branch
Basin
Little Tennessee
Water Classification
C
Site Coordinates
Version# *
1
Reviewing Office*
Asheville Regional Office - [phone]
1c. Primary Contact Phone:*
[phone]
Latitude: Longitude:
35.386149-83.212375
FA. Processing Information U
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?*
r Yes r No
(NCDOT only) T.I.P. or state project number:
EB-5923
WBS # (?)
47589
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):
13
1d. Type(s) of approval sought from the DWR:
rJ 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
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:
(d appropriate)
1c. Nearest municipality/ town:
Sylva
2. Project Identification
2a. Property Identification Number:
2c. Project Address
Street Address
Address line 2
Oty
Postal / Zip 03de
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
Aliens Branch
3b. Water Resources Classification of nearest receiving water:*
C
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.
060102030200
4. Project Description and History
2b. Property size:
State / ftovince / Ibgion
O�untry
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 a secondary road near Sylva, so area is urban transitioning to rural residential.
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)
EB-5923 topo.pdf
814.57KB
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)
EB-5923 Soils.pdf 716.4KB
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:
200
4h. Explain the purpose of the proposed project:*
The purpose of the project is to replace a failing/clogged culvert under SR 1432 and gain sufficient shoulder width for ADA compliant sidewalk and vehicle recovery area.
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
The project involves sidewalk construction and removal and subsequent replacement of a failing culvert crossing of a stream. Typical heavy equipment will be used including track -hoes,
dump trucks, etc...
4j. Please upload project drawings for the proposed project.
EB-5923 Skyland Dr PERMIT DRAWINGS_annotated_.pdf 2.23MB
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
r Yes r No O 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:
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?
Proposed Impacts Inventory
1. Impacts Summary
la. Where are the impacts associated with your project? (check all that apply):
r Wetlands W Streams -tributaries
r Open Waters r Pond Construction
3. Stream Impacts
r Buffers
❑
3a. Reason for impact C' 3b.lmpact type *
Site 1 Permanent
3c. Type of impact*
3d. S. name*
3e. Stream Type *
M
3f. Type of
Jurisdiction*
3g. S. width *
3h. Impact
length*
S1
Culvert
Allens Branch
Perennial
Both
4
17
Average (feet)
(linear feet)
S2
Site 1A Permanent
Stabilization
Aliens Branch
Perennial
Both
4
17
Average (feet)
(linear feet)
S3
Site 1B Tem ora
P ry
Excavation
Aliens Branch
Perennial
Both
4
80
Average (Feet)
(iinear feet)
F
Site 1B Permanent
Stabilization
Allens Branch
Perennial
Both
4
80
Average (feet)
(linear feet)
S5
Site 1C
Tem ora
p rY
Dewaterin 9
Aliens Branch
Perennial
Both
4
175
Average (Feet)
(linear feet)
31. Total jurisdictional ditch impact in square feet:
0
3i. Total permanent stream impacts:
114
31. Total stream and ditch impacts:
369
3j. Comments
E. Impact Justification and Mitigation
1. Avoidance and Minimization
3i. Total temporary stream impacts:
255
la. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
The project is designed with a minimal amount of impact. The culvert configuration was designed to better transport sediment than the existing. The
extra hydraulic capacity of the culverts should reduce velocities and the single base culvert, versus two carrying flow now, should improve aquatic
organism passage.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
The work area will be dewatered to ensure excavation is avoided 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?
C Yes r No
2b. If this project DOES NOT require Compensatory Mitigation, explain why:
The impacts are minimal in scope. The work will require only 17 feet of new channel loss.
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:
This area is not subject to the buffer rules.
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?*
r Yes C 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 meets criteria for a Type 1 CE for FHWA. It was prepared
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.
This is a maintenance type project for a sidewalk. This will not increase development in the area.
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
5c. If yes, indicate the USFWS Field Office you have contacted.
Asheville
5d. Is another Federal agency involved?*
r Yes r No
C Unknown
What Federal Agency is involved?
Federal Highways

5e. Is this a DOT project located within Division's 1-8?
C Yes r No
Sf. Will you cut any trees 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)?*
f Yes r No
51. 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?
We consulted available NHP data and did field surveys. And, concurrence from USFWS was obtained and is attached.
Consultation Documentation Upload
18-349_SidewalkAddition_JacksonCONC_EB-5923.pdf 1.23MB
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 Cultural Resources Unit and NCHPO
7c. Historic or Prehistoric Information Upload
18-03-0006SurveyReq.pdf 3AMB
EB-5923 Jackson No Archaeological Survey Required Form.pdf 1.25MB
ER 18-1246.pdf 98KB
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 designed to meet a MCA Type 21b revision with NC Emergency Management
8c. What source(s) did you use to make the floodplain determination?*
NC Flood maps and culvert survey report.
Miscellaneous
Comments
Attached please find the Nationwide permit cover letter with a project description and other pertinent project information.
Miscellaneous attachments not previously requested.
EB-5923 NWP cover letter.pdf
EB-5923 culvert inlet picture.pdf
Signature
*
W By checking the box and signing below, I certify that:
395.8KB
203.77KB
• 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

0 wawa
Date
7/8/2019