20191173 Ver 1_PCN Form Submission (2)_20190904

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?*
G Yes r No
Change only if needed.
BIMS # Assigned * Version#*
20191173 1
Is a payment required for this project?*
r No payment required
r Fee received Reviewing Office*
r Fee needed - send electronic notification Mooresville Regional Office - [phone]
Select Project Reviewer*
Donna Fbod:eads\drhood
Information for Initial Review
1a. Name of project:
Replacement of Bridge #830192 at Big Bear Creek
1a. Who is the Primary Contact?*
Larry Thompson - NCDOT Division 10
1b. Primary Contact Email:*
[e-mail]
Date Submitted
9/4/2019
Nearest Body of Water
Big Bear Creek
Basin
Yadkin-PeeDee
Water Classification
C
Site Coordinates
1c. Primary Contact Phone:*
[phone]
Latitude: Longitude:
35.340481-80.340442
FA. Processing Information U
County (or Counties) where the project is located:
Stanly
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 # (?)
17BP.10.R.120
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: 03 - Maintenance
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?
C Yes r No
FB. Applicant Information
1d. Who is applying for the permit?
[J Owner r 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 10
2b. Deed book and page no.:
2c. Responsible party:
2d. Address
Street Address
716 Main Street
Address Line 2
City
State / Frwinee / R�gion
Albemarle
NC
Fbstal / Zip Code
Q�untry
28001
USA
2e. Telephone Number:
2f. Fax Number:
[phone]
[phone]
2g. Email Address:*
*
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:
Albemarle
2. Project Identification
2a. Property Identification Number:
2b. Property size:
4.7
2c. Project Address
Street Address
SR 1238 (Flint Ridge Road) over Big Bear Creek
Address Une 2
aty
State / Province / Region
Albemarle
NC
Fbstal / Zip Cide
(Duntry
USA
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
Big Bear Creek
3b. Water Resources Classification of nearest receiving water:*
3c. What river basin(s) is your project located in?*
Yadkin-PeeDee
3d. Please provide the 12-digit HUC in which the project is located.
030401050404
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:*
Ebsting conditions include SR 1238 (Flint Ridge Road), agricultural land, undeveloped forest, and the disturbed/maintained right-of-way.
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)
17BP10 R120_Fig u re 1 _USGSMa p. pdf
1.46 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)
17BP10R120_Figure2_SoilsMap.pdf 1.75MB
4f. List the total estimated acreage of all existing wetlands on the property:
0.08
4g. List the total estimated linear feet of all existing streams on the property:
693
4h. Explain the purpose of the proposed project:*
To remove Bridge #830192 and replace with a new, modern bridge structure
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
Erosion and sedimentation control measures will be installed. Bridge demolition will include the removal of the bridge deck, bridge piers and the removal of the top portion of the bridge
abutments, leaving the footer and approbmately one foot of the masonry abutment to match the excavation elevation and temporary impacts to 152 linear feet to Big Bear Creek may
result from demolition. Portions of Big Bear Creek will be dewatered using impermeable dikes in order to access the bridge piers for removal in dry conditions. Bridge replacement
construction using heavy equipment from the upland roadway approaches. No deck drains are proposed on the bridge and runoff from the bridge will be routed to two traffic bearing
grated drop inlets on both sides of the roadway located to the north of the bridge and discharged to the stream floodplain downstream of the bridge. The proposed bridge will be built on
the same alignment with a temporary off -site detour.
4j. Please upload project drawings for the proposed project.
R.120_Permit_Plans_2019-08-13.pdf
SF830192_HYD_SMPv2.07_20190131. pdf
2.75MB
148.23KB
5. Jurisdictional Determinations

5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
r Yes r No
Comments:
See attached Wetland Determination Data Forms, Stream Forms, Photographs and Waters
Mapping
5b. If the Corps made a jurisdictional determination, what type of determination was made?
r Preliminary r Approved r Not Verified r Unknown r WA
Corps AID Number:
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known):
Agency/Consultant Company:
Other:
5d1. Jurisdictional determination upload
USACE wetland data sheet Stanly 192.pdf
USACE upland data sheet Stanly 192.pdf
NCDWQ RPW B - UT to Big Bear Cr.pdf
NCDWQ RPW C - UT to Big Bear Cr.pdf
Stanly 192 Photopages.pdf
17BP10R120_Figure3_WatersMap. pdf
6. Future Project Plans
Brandon Phillips, CHMM
STV Engineers, Inc.
408.31 KB
390.46KB
74.7KB
74.8K6
26.98MB
2.13MB
r Unknown
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 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
F
(?)
Jurisdiction*
length*
S1
Bridge replacement
Temporary
Other
Big Bear Creek
Perennial
Both
40
104
Average (feet)
(linearfeet)
gy
Bridge replacement
Temporary
Other
U.T. to Big Bear Creek
Perennial
Both
8Ave
33inearfee)
age(fee)
S3
Bridge replacement
Temporary
Dewatering
Big Bear Creek
Perennial
Both
40
82
Average (feet)
(linearfeet)
Sq
Bridge replacement
Temporary
Dewatering
Big Bear Creek
Perennial
Both
40
81
Average (feet)
(linearfeet)
SS
Bridge replacement
Temporary
Other �Foig
Bear Creek
Perennial
Both
6
15
Average (feet)
(linear feet)
S6
Bridge replacement
Temporary
Dewatering
Big Bear Creek
Perennial
Both
40
19
Average (feet)
(linear feet)
3i. Total jurisdictional ditch impact in square feet:
0
3i. Total permanent stream impacts:
0
31. Total stream and ditch impacts:
334
3j. Comments:
3i. Total temporary stream impacts:
334

The total of 152 linear feet (If) of temporary impacts which may result are associated with the demolition of the eAsting bridge (104 If) and the
overlapping dewatering impacts (82 If, 81 If and 19 If) for demolition activities. Temporary impacts to the two unnamed tributaries to Big Bear Creek
may result from demolition activities.
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:
Replace bridge in -place was incorporated to minimize impacts. The bridge span length was extended to avoid impacts. Riprap protection of the bridge
abutments is being placed outside of the jurisdictional stream boundary of the perennial stream to avoid impacts. Work will be conducted from the
upland roadway approaches.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
NCDOT Best Management Practices for Construction and Maintenance Activities will be employed. Demolition and construction methods from the
upland roadway approaches will be used to minimize potential temporary demolition related impacts and avoid construction related impacts.
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:
Minimal temporary impacts of 104 linear feet to Big Bear Creek is proposed for demolition and the overlapping dewatering impacts of 82 If, 81 If and 19 If. No part of the stream bed will
be permanently impacted. The 33 linear feet of potential temporary impacts and 15 linear feet of potential temporary impacts to the two U.T.'s to Big Bear Creek may result from
demolition activities for a total of 152 If of temporary impacts.
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 located in the Yadkin -Pee Dee River Basin and is not subject to NC Riparian Buffer Protection Rules.
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:
Stormwater runoff from the proposed bridge will be routed to two traffic bearing grated drop inlets placed on both sides of the roadway north of the bridge and will discharge downstream
of the bridge. No deck drains will be required. Please see attached Stormwater Management Plan for details on the minimization of water quality impacts.
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)?*
f Yes r No
Comments:
Bridge replacement project that required the preparation of a Minimum Criteria Determination Checklist (MCDC). Please see attached, NCDOT signed
MCDC under Miscellaneous.
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 involves the replacement of an epsting bridge and is not anticipated to affect future development.
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.
Raleigh
5d. Is another Federal agency involved?*
f Yes r No
5e. Is this a DOT project located within Division's 1-8?
r Yes r No
5f. Will you cut any trees in order to conduct the work in waters of the U.S.?
r Yes (- No
5g. Does this project involve bridge maintenance or removal?
r Yes r No
5g(1). If yes, have you inspected the bridge for signs of bat use such as staining, guano, bats, etc.?
r Yes (- No
If you answered "Yes" to 5g(1), did you discover any signs of bat use?
r Yes r No r Unknown
Sh. Does this project involve the construction/installation of a wind turbine(s)?*
r- Yes r No
t' 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?
USFWS IPaC and NCNHP data and site specific surveys. See Supplemental Information attached under Miscellaneous for threatened and endangered
species write-ups and biological conclusions.
Consultation Documentation Upload
NCNHP_report_17bp10r120_bridge 192_stanly_05062019.pdf 948.66KB
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 EFH Mapper
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?*
See attached "No National Register of Historic Places Eligible or Listed Archaeological Sites Present Form" and "Historic Architecture and Landscapes
No Survey Required Form."
7c. Historic or Prehistoric Information Upload
R.120 Historic Architecture NoSurveyReq.pdf 2.84MB
R.120 NoSitesPresent Archaeological Survey.pdf 8.77MB
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain?*
r Yes t^ No
8b. If yes, explain how project meets FEMA requirements:
NCDOT Hydraulics Unit Coordination with FEMA.

8c. What source(s) did you use to make the floodplain determination?*
FEMA FIRM maps
Miscellaneous
Comments
Miscellaneous attachments include Supplemental Information regarding the Threatened and Endangered species listed in Stanly County and the signed Minimum Criteria Determination
Checklist.
Miscellaneous attachments not previously requested.
T&E Supplemental info for ePCN Form R120.pdf
BR 192 R.120 MCDC 082219.pdf
Signature
W By checking the box and signing below, I certify that:
100.78KB
545.12KB
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:
Larry Thompson
Signature
Date
9/4/2019
u