20190529 Ver 2_PCN Form Submission_20190822

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
Change mly if needed.
BIMS # Assigned
20190529
Is a payment required for this project?*
r No payment required
r Fee received
r Fee needed - send electronic notification
Select Project Reviewer*
Amy Chapman:eads\aschapman
Information for Initial Review
1a. Name of project:
East Vineyard Road Improvement - Revision
1a. Who is the Primary Contact?*
Patrick J. Breedlove
1b. Primary Contact Email:*
[e-mail]
Date Submitted
8/22/2019
Nearest Body of Water
Shooting Creek
Basin
Hiwassee
Water Classification
Class C ; Tr.
Site Coordinates
Latitude: Longitude:
35.20621-83.65772
FA. Processina Information
County (or Counties) where the project is located:
Clay
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:
WBS#M
80047
1a. Type(s) of approval sought from the Corps:
Version# *
2
Reviewing Office*
Central Office - [phone]
1c. Primary Contact Phone:*
[phone]

W Section 404 Permit (wetlands, streams and waters, Clean Water Act)
F 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)
F' Regional General Permit (RGP)
F' Standard (IP)
1c. Has the NWP or GP number been verified by the Corps?
r' Yes r No
Nationwide Permit (NWP) Number: 14 - Linear transportation
NWP Numbers (for multiple NWPS):
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:
F 401 Water Quality Certification - Express
F 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
East Vineyard - Clay County - Mitigation Acceptance Letter (Revision).pdf
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?
O Yes r No
LB.Applicant Information
1d. Who is applying for the permit?
W Owner F Applicant (other than owner)
le. Is there an Agent/Consultant for this project?
r 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
Rbstal / Zip Code
28779
2e. Telephone Number:
[phone]
Sate / Province / Region
North Carolina
(buntry
United States
2f. Fax Number:
[phone]
67.03KB
*
r Yes r No
r Yes r No

2g. Email Address:*
[e-mail]
C. Project Information and Prior Project History
1. Project Information
1b. Subdivision name:
(d appropriate)
1c. Nearest municipality/town:
Hayesville
2. Project Identification
2a. Property Identification Number:
2c. Project Address
Street Address
Address Line 2
oty
Postal / Zip CDde
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
Shooting Creek
3b. Water Resources Classification of nearest receiving water:*
Class C ; Tr.
3c. What river basin(s) is your project located in?*
Hiwassee
3d. Please provide the 12-digit HUC in which the project is located.
060200020105
4. Project Description and History
2b. Property size:
State / ftovince / Pagion
0�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:*
Existing conditions are a paved secondary road that crosses (4) unnamed tributaries to Shooting Creek. Project area is located within a rural residential community with large agriculture
fields nearby with large forested tracts in project proximity. The secondary road provides access to local traffic, emergency traffic (fire & rescue) and commercial traffic (commercial
business).
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)
East Vineyard - Clay County - Topo Project Map.pdf
765.05KB
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)
East Vineyard - Clay County - NRCS Soil Map.pdf 304.08KB
4f. List the total estimated acreage of all existing wetlands on the property:
1.00
4g. List the total estimated linear feet of all existing streams on the property
1,400
4h. Explain the purpose of the proposed project:*
The purpose of project is to slightly vdden secondary road and reconstruct roadway curve to a lesser skewfor traffic (primarily for commercial & emergency). Construction will bring
secondary road to current NCDOT standards, establish roadway shoulders and resolve safety issues for commercial and emergency traffic.
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 measures. NCDOT contractor will install diversion and pump around devices at Site 1, Site 3, Site 4, Site 5, Site 7 and Site 8.
Two culverts will be replaced and extended and three culverts will be replaced foot for foot. Both gabion walls Will be constructed. Diversion and pump around devices will be removed.
Roadway shoulders and base will be constructed and roadway curve will be constructed on a lesser skew. Once grading allows final paving will be completed. Roadway will be
constructed utilizing the following equipment: excavator, dozer, dump trucks, paving equipment, pumps and various hand tools.
4j. Please upload project drawings for the proposed project.
East Vineyard - Clay County - Revised Plans (Revision).pdf 36.97MB
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 C Not Verified r Unknown r N/A
Corps AID Number:
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known):
Agency/Consultant Company:
Other:
5d1. Jurisdictional determination upload
East Vineyard - Clay County - PJD (Revision).pdf
482.64KB
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):
W Wetlands W Streams -tributaries r Buffers
r Open Waters r Pond Construction
2. Wetland Impacts
2a1 Reason (?) 2b. Impact type * (?) 2c. Type of W. * 2d. W. name * 2e. Forested* 2f. Type of 2g. Impact
Jurisdicition*M area*
Site 2 Roadway Fill P ffmland Hardwood Forest Unnamed No �_]
oth
0.080
(acres)
Site 6
Roadway Fill
P
Bottomland Hardwood Forest
Unnamed
E-10
th
0.020
(acres)
2g. Total Temporary Wetland Impact
0.000
2g. Total Wetland Impact
0.100
2h. Comments:
3. Stream Impacts
2g. Total Permanent Wetland Impact
0.100
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
Permanent
Culvert
Ui to Shooting Creek
Perennial
Both
1
44
Average (feet)
(linearfeet)
S2
Site 1A
Temporary
Dewatering
UT to Shooting Creek
Perennial
Both
1
105
Average (feet)
(linear feet)
S3
Site 3
Permanent
Culvert
UT to Shootin Creek
9
Perennial
Both
3
32
Average (feet)
(linearfeet)
�
Site 3A
Tem ora
p ry
Dewaterin g
UT to Shooting Creek
Perennial
Both
3
80
Average (feet)
(linear feet)
S5
Site 4
Permanent
Culvert
Ui to Shooting Creek
Perennial
Both
1Average(feet)
40inearfeet)

S6
Site 4A
Temporary
Dewatering
UT to Shooting Creek
Perennial
Both
1Ave
5(linearfee)
aqe (fee)
37
Site 5
Permanent
Culvert
Fo Shooting Creek
Perennial
Both
1Average
3(linear
(feet)
feet)
gg
Site 5A
Temporary
Dewatering
UT to Shooting Creek
Perennial
Both
55
Average (feet)
(lir�earfeet)
S9
Site 7
Permanent
Other
UT to Shooting Creek
9
Perennial
Both
3
36
Average (feet)
(linear feet)
FO
Site 7A
Temporary
Dewatering
Fo Shooting Creek
Perennial
Both
3
90
Average (feet)
(linear feet)
F11
Site 8
Permanent
Culvert
UT to Shooting Creek
9
Perennial
Both
1
41
Average (feet)
(linear feet)
F2]�Site
8A
Temporary
Dewatering
UT to Shooting Creek
Perennial
Both
1
55
Average (feet)
(linear feet)
31. Total jurisdictional ditch impact in square feet:
0
31. Total permanent stream impacts:
224
31. Total stream and ditch impacts:
664
3j. Comments:
E. Impact Justification and Mitigation
1. Avoidance and Minimization
31. Total temporary stream impacts:
440
la. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
The wasting roadway widening is to the minimum a)dent necessary to allow 14' paved lanes With 3'-4' grassed shoulders and curve skew has been
designed to the minimum a)dent necessary to provide safe lane width for local, emergency and commercial traffic. All culvert extension are due to
minor shoulder widening and both gabion walls have been designed to the minimum a)dent to provide lane and shoulder width in the two impact areas.
Roadway fill slopes have be re -designed to eliminate culvert extension at 3 sites and gabion retaining walls have been re- designed to have a smaller
impact on the UT.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
The on -site UT's to Shooting Creek vdll be diverted and pumped around while the construction is underway for culverts and gabion wall. Erosion and
sediment control devices Will be installed prior to ground disturbing activities. All measures listed above will aid in the prevention of sediment into
downstream habits of Shooting Creek.
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
2c. If yes, mitigation is required by (check all that apply):
W DWR W Corps
2d. If yes, which mitigation option(s) will be used for this project?
r Mitigation bank W Payment to in -lieu fee r 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.
r Yes r No
4b. Stream mitigation requested:
(linear feet)
76
4d. Buffer mitigation requested (DWR only):
(square feet)
4f. Non -riparian wetland mitigation requested:
(acres)
0.10
4h. Comments
4c. If using stream mitigation, what is the stream temperature:
cold
4e. Riparian wetland mitigation requested:
(acres)
4g. Coastal (tidal) wetland mitigation requested:
(acres)

6. Buffer mitigation (State Regulated Riparian Buffer Rules) - required by DWR
6a. Will the project result in an impact within a protected riparian buffer that requires buffer mitigation? If yes, you must fill out this entire form -please contact DWR for more
information.
C Yes r No
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?
C Yes r No
If no, explain why:
Project is not located within a N.C. Riparian Buffer Protection 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:
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
1c. If you answered "yes" to the above, has the document review been finalized by the State Clearing House?*
r Yes r No
Comments:*
NCDOT 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?*
r Yes r No
3b. If you answered "no," provide a short narrative description.
The project is only to widen the ebsting two lane secondary road to meet NCDOT standards and to change curve alignment to facilitate current
emergency and commercial traffic.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
r Yes r No r 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 r Unknown
5e. Is this a DOT project located within Division's 1-8?
f 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
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?
U.S. Fish & Wildlife - 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?*
r- 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
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 Culture Resources Specialist
7c. Historic or Prehistoric Information Upload
East Vineyard - Clay County - Archaeological Screening.pdf
East Vineyard - Clay County - Historic Archictecture.pdf
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:
NCDOT programmatic agreement with N.C. Floodplain Mapping
8c. What source(s) did you use to make the floodplain determination?*
NC Flood Maps
F-
Miscellaneous
Comments
2.51 MB
4.26MB
Miscellaneous attachments not previously requested.
East Vineyard - Clay County - NCDNCR.pdf
3MB
East Vineyard - Clay County - Project Photos (Revision).pdf
4.17MB
East Vineyard - Clay County - NWP 14 Cover Letter (Revision).pdf
513.73KB
East Vineyard - Clay County - Vicinity Map.pdf
64.99KB
East Vineyard - Clay County - Topo Map.pdf
711.37KB
Signature u
*
,R 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:

Patrick Jeremy Breedlove
Signature
Date
8/22/2019