20150850 Ver 1_Application_20150824

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Corps action ID no.
DWQ project no.
Form Version 1.4 January 2009
Pre-Construction Notification (PCN) Form
A. Applicant Information
1. Processing
1 a. Type(s) of approval sought from the Corps: ❑X Section 404 Permit ❑ Section 10 Permit
1 b. Specify Nationwide Permit (NWP) number: 14 or General Permit (GP) number:
1c. Has the NWP or GP number been verified by the Corps? ❑ Yes OX No
1 d. Type(s) of approval sought from the DWQ (check all that apply):
❑X 401 Water Quality Certification — Regular ❑ Non-404 Jurisdictional General Permit
❑ 401 Water Quality Certification — Express ❑ Riparian Buffer Authorization
1 e. Is this notification solely for the record For the record only for DWQ For the record only for Corps Permit:
because written approval is not required? 401 Certification:
❑ Yes X❑ No ❑ Yes ❑X No
1f. Is payment into a mitigation bank or in-lieu fee program proposed for
mitigation of impacts? If so, attach the acceptance letter from mitigation bank � Yes X� No
or in-lieu fee program.
1 g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h � Yes ❑X No
below.
1 h. Is the project located within a NC DCM Area of Environmental Concern (AEC)? ❑ Yes ❑X No
2. Project Information
2a. Name of project: Raging Ridge Road Extension
2b. County: Cabarrus
2c. Nearest municipality / town: Harrisburg
2d. Subdivision name: Raging Ridge Road
2e. NCDOT only, T.I.P. or state project no: 43370.3
3. Owner Information
3a. Name(s) on Recorded Deed: North Carolina Department of Transportation
3b. Deed Book and Page No.
3c. Responsible Party (for LLC if North Carolina Department of Transportation
applicable):
3d. Street address: 716 West Main Street
3e. City, state, zip: Albemarle, NC 28001
3f. Telephone no.: 704-983-4400
3g. Fax no.:
3h. Email address: [e-mail]
Page 1 of 10
PCN Form — Version 1.4 January 2009

4. Applicant Information (if different from owner)
4a. Applicant is: ❑ Agent ❑X Other, specify:
4b. Name: Larry B. Thompson, Division Environmental Supervisor
4c. Business name NCDOT
(if applicable):
4d. Street address: 716 West Main Street
4e. City, state, zip: Albemarle, NC 28001
4f. Telephone no.: [phone]
4g. Fax no.:
4h. Email address: [e-mail]
5. Agent/Consultant Information (if applicable)
5a. Name: Ward Marotti
5b. Business name �/K Dickson & Co., Inc.
(if applicable):
5c. Street address: 616 Colonnade Dr
5d. City, state, zip: Charlotte, NC 28205
5e. Telephone no.: 704-334-5348
5f. Fax no.: 704-334-0078
5g. Email address: [e-mail]
Page 2 of 10

B. Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID): 55172138000000
1 b. Site coordinates (in decimal degrees): Latitude: 35.3129 Longitude: -80.6338
1 c. Property size: acres
2. Surface Waters
2a. Name of nearest body of water to proposed project: Back Creek
2b. Water Quality Classification of nearest receiving water: C
2c. River basin: Yadkin-Pee Dee
3. Project Description
3a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this
application:
Raging Ridge Road serves the Hickory Ridge High School. The road will be extended through a partially cleared corridor and wooded area. The road
will cross Back Creek and connect to Stallings Road.
3b. List the total estimated acreage of all existing wetlands on the property: 0.2224
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property: 4,057
3d. Explain the purpose of the proposed project:
Extension of Raging Ridge Road to provide secondary access to Hickory Ridge High School.
3e. Describe the overall project in detail, including the type of equipment to be used:
See attached narrative
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the � Yes ❑X No ❑ Unknown
Corps or State been requested or obtained for this property /
pro'ect includin all prior phases in the past? Comments:
4b. If the Corps made the jurisdictional determination, what type � Preliminary ❑ Final
of determination was made?
4c. If yes, who delineated the jurisdictional areas? Agency/Consultant Company:
Name (if known): Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
5. Project History
5a. Have permits or certifications been requested or obtained for � Yes ❑X No ❑ Unknown
this project (including all prior phases) in the past?
5b. If yes, explain in detail according to "help file" instructions.
6. Future Project Plans
6a. Is this a phased project? ❑ Yes �X No
6b. If yes, explain.
Page 3 of 10
PCN Form — Version 1.4 January 2009

C. Proposed Impacts Inventory
1. Impacts Summary
1 a. Which sections were completed below for your project (check all that apply):
❑X Wetlands ❑X Streams — tributaries ❑ Buffers ❑ Open Waters ❑ Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
2a. 2b. 2c. 2d. 2e. 2f.
Wetland impact Type of impact Type of wetland Forested Type of jurisdiction Area of
number Corps (404,10) or impact
Permanent (P) or DWQ (401, other) (acres)
Temporar T
W1 P Fill Bottomland Hardwood Forest Yes Corps 0.0472
�/�/2 - Choose one Choose one Yes/No -
W3 - Choose one Choose one Yes/No -
W4 - Choose one Choose one Yes/No -
W5 - Choose one Choose one Yes/No -
W6 - Choose one Choose one Yes/No -
2g. Total Wetland Impacts: 0.0472
2h. Comments:
See attached narrative.
3. Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this
question for all stream sites impacted.
3a. 3b. 3c. 3d. 3e. 3f. 3g.
Stream impact Type of impact Stream name Perennial (PER) or Type of Average Impact
number intermittent (INT)? jurisdiction stream length
Permanent (P) or width (linear
Temporary (T) (feet) feet)
S1 T Excavation Back Creek PER Corps 30 15
S2 - Choose one - -
S3 - Choose one - -
S4 - Choose one - -
S5 - Choose one - -
S6 - Choose one - -
3h. Total stream and tributary impacts 15
3i. Comments:
See attached narrative
Page 4 of 10
PCN Form — Version 1.4 January 2009

4. Open Water Impacts
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of
the U.S. then individuall list all open water impacts below.
4a. 4b. 4c. 4d. 4e.
Open water Name of waterbody
impact number (if applicable) Type of impact Waterbody Area of impact (acres)
Permanent (P) or type
Temporar T
01 - Choose one Choose
02 - Choose one Choose
03 - Choose one Choose
04 - Choose one Choose
4f. Total open water impacts
4g. Comments:
5. Pond or Lake Construction
If pond or lake construction proposed, then complete the chart below.
5a. 5b. 5c. 5d. 5e.
Pond ID number Proposed use or Wetland Impacts (acres) Stream Impacts (feet) Upland
purpose of pond (acres)
Flooded Filled Excavated Flooded Filled Excavated
P1 Choose one
P2 Choose one
5f. Total:
5g. Comments:
5h. Is a dam high hazard permit required? ❑ Yes ❑ No If yes, permit ID no:
5i. Expected pond surFace area (acres):
5j. Size of pond watershed (acres):
5k. Method of construction:
6. Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer, then complete the chart below. If yes, then individually list all bufFer impacts
below. If an impacts require miti ation, then ou MUST fill out Section D of this form.
6a. Project is in which protected basin? ❑ Neuse � Tar-Pamlico � Catawba � Randleman ❑ Other:
6b. 6c. 6d. 6e. 6f. 6g.
Buffer Impact Reason for impact Stream name Buffer Zone 1 Zone 2
number — mitigation impact impact
Permanent (P) or required? (square (square
Tem orar T feet feet
B1 - Yes/No
B2 - Yes/No
B3 - Yes/No
B4 - Yes/No
B5 - Yes/No
B6 - Yes/No
6h. Total Buffer Impacts:
6i. Comments:
Page 5 of 10

D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
See attached narrative
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
See attached narrative
2. Compensatory Miti ation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for � Yes �X No
impacts to Waters of the U.S. or Waters of the State?
2b. If yes, mitigation is required by (check all that apply): ❑ DWQ ❑ Corps
❑ Mitigation bank
2c. If yes, which mitigation option will be used for this
project? ❑ Payment to in-lieu fee program
❑ Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
Type: Choose one Quantity:
3b. Credits Purchased (attach receipt and letter) Type: Choose one Quantity:
Type: Choose one Quantity:
3c. Comments:
4. Complete if Makin a Payment to In-lieu Fee Pro ram
4a. Approval letter from in-lieu fee program is attached. ❑ Yes
4b. Stream mitigation requested: linear feet
4c. If using stream mitigation, stream temperature: Choose one
4d. Buffer mitigation requested (DWQ only): square feet
4e. Riparian wetland mitigation requested: acres
4f. Non-riparian wetland mitigation requested: acres
4g. Coastal (tidal) wetland mitigation requested: acres
4h. Comments:
5. Complete if Using a Permittee Responsible Mitigation Plan
5a. If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
Page 6 of 10
PCN Form — Version 1.4 January 2009

6. Buffer Mitigation (State Regulated Riparian Buffer Rules) — required by DWQ
6a. Will the project result in an impact within a protected riparian buffer that requires � Yes �X No
buffer mitigation?
6b. If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation. Calculate the
amount of mitigation required.
6c. 6d. 6e.
Zone Reason for impact Total impact Multiplier Required mitigation
(square feet) (square feet)
Zone 1 3(2 for Catawba)
Zone 2 1.5
6f. Total buffer mitigation required:
6g. If buffer mitigation is required, discuss what type of mitigation is proposed (e.g., payment to private mitigation bank,
permittee responsible riparian buffer restoration, payment into an approved in-lieu fee fund).
6h. Comments:
Page 7 of 10

E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Plan
1 a. Does the project include or is it adjacent to protected riparian buffers identified � Yes X❑ No
within one of the NC Riparian Buffer Protection Rules?
1 b. If yes, then is a diffuse flow plan included? If no, explain why.
� Yes � No
2. Stormwater Management Plan
2a. What is the overall percent imperviousness of this project? 34 %
2b. Does this ro'ect re uire a Stormwater Mana ement Plan? ❑ Yes ❑x No
2c. If this project DOES NOT require a Stormwater Management Plan, explain why:
NCDOT general stormwater permit. See plans for EC BMPS.
2d. If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
2e. Who will be responsible for the review of the Stormwater Management Plan? NCDOT
3. Certified Local Government Stormwater Review
3a. In which local overnment's 'urisdiction is this ro'ect?
❑ Phase II
3b. Which of the following locally-implemented stormwater management programs ❑ NSW
apply (check all that apply): � USMP
� Water Supply Watershed
� Other:
3c. Has the approved Stormwater Management Plan with proof of approval been ❑ Yes ❑ No
attached?
4. DWQ Stormwater Pro ram Review
�Coastal counties
❑HQW
4a. Which of the following state-implemented stormwater management programs apply �ORW
(check all that apply):
❑Session Law 2006-246
❑ Other:
4b. Has the approved Stormwater Management Plan with proof of approval been � Yes ❑ No
attached?
5. DWQ 401 Unit Stormwater Review
5a. Does the Stormwater Management Plan meet the appropriate requirements? � Yes � No
5b. Have all of the 401 Unit submittal requirements been met? � Yes � No
Page 8 of 10
PCN Form — Version 1.4 January 2009

F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
1 a. Does the project involve an expenditure of public (federal/state/local) funds or the � Yes ❑ No
use of public (federal/state) land?
1 b. 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 ❑ Yes X❑ No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1 c. If you answered "yes" to the above, has the document review been finalized by the
State Clearing House? (If so, attach a copy of the NEPA or SEPA final approval
letter.) ❑ Yes ❑ No
Comments:
2. Violations (DWQ Requirement)
2a. Is the site in violation of DWQ Wetland Rules (15A NCAC 2H .0500), Isolated
Wetland Rules (15A NCAC 2H .1300), DWQ Surface Water or Wetland Standards, ❑Yes ❑X No
or Riparian Buffer Rules (15A NCAC 2B .0200)?
2b. Is this an after-the-fact permit application? ❑ Yes ❑X No
2c. If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s):
3. Cumulative Impacts (DWQ Requirement)
3a. Will this project (based on past and reasonably anticipated future impacts) result in �Yes ❑X No
additional development, which could impact nearby downstream water quality?
3b. If you answered "yes" to the above, submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWQ policy. If you answered "no," provide a short narrative description.
4. Sewage Disposal (DWQ Requirement)
4a. Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of wastewater generated from
the proposed project, or available capacity of the subject facility. No wastewater will be generated from this project.
No wastewater will be generated from this project.
Page 9 of 10
PCN Form — Version 1.4 January 2009

5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or � Yes X❑ No
habitat?
5b. Have you checked with the USFWS concerning Endangered Species Act � Yes ❑X No
impacts?
5c. If yes, indicate the USFWS Field Office you have contacted. -
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
North Carolina National Heritage Program database.
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat? ❑ Yes ❑X No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
NOAA's National Marine Fisheries online database
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 � Yes 0 No
status (e.g., National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?
NC State Historic Preservation Office online database
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain? ❑X Yes ❑ No
8b. If yes, explain how project meets FEMA requirements:
See attached narrative.
8c. What source(s) did you use to make the floodplain determination?
FEMA Flood Insurance Maps and subsequent CLOMR
Larry Thompson August 5, 2015
Applicant/Agent's Printed Name Applicant/Agent's Signature Date
(AgenYs signature is valid only if an authorization
letter from the applicant is provided.
Page 10 of 10

PCN Narrative
Raging Ridge Road Extension
For the NCDOT
Nationwide Permit 14
Pre-Construction Notification
Name and Address of the Applicant:
North Carolina Department of Transportation
Division 10
Larry B. Thompson, PWS LSS
Division Environmental Supervisor
716 West Main Street
Albemarle, NC 28001
PCN Section B. Project Information & Prior Project History
Item #3e: Project Description and Equipment
The project will consist of the following:
Raging Ridge Road - Approximately 1,524 LF of road extension;
Raging Ridge Road Bridge - 73 foot span x 45 foot wide hollow core bridge over Back Creek
Raging Ridge Road WL - Approximately 860 LF of 8-inch water line crossing Back Creek;
and,
4. Various appurtenances for a successful project completion.
Typical equipment expected to be used includes, but is not limited to; track hoe excavator, backhoe,
frontend loader, etc. The proposed road extension will begin at the end of the existing terminus of
Raging Ridge Road and will extend across Back Creek and connect to Stalling Road. The water line
will connect to an 12-inch existing water line along Raging Ridge Road and will follow along the
shoulder, cross Back Creek, and connect to an existing 8-inch water line on Stallings Road.
The alignment for the proposed roadway and water line was determined based on the existing water
line locations, existing buildings, existing infrastructure such as overhead power lines, roadways,
underground utilities, and topography.
PCN Section C. Proposed Impacts Inventory
Item #2h: Description of Proposed Wetland Impacts
Road alignment chosen based on stream and wetland locations to minimize impacts to creek
and wetland areas. The resulting alignment will require the filling of a small bottomland
hardwood forest wetland area totaling 0.472 acres.

Item #3i: Description of Proposed Stream Impacts
There will be no permanent stream impacts. There will be 1 temporary stream impact of 15
linear feet associated with the water line crossing of Back Creek. A temporary stream crossing
is not proposed as the existing, adjacent proposed bridge provides a means to transport
equipment and material across the stream. The construction details contained in the plan
drawings depict stream bank and bed stabilization. While rip-rap is proposed within the
stream bed, it will be placed beneath a 12" thick layer of in situ soil material to prevent scouring
of the excavated area.
PCN Section D. Impact Justification and Mitigation
Item #1a & #1b: Avoidance and Minimization
To minimize impacts to surface water resources during project construction and maintenance;
an approved sediment and erosion control plan will be included in the project's final design
plans; in locations where water line installation across streams uses "open cut" method,
crossings will be as close to perpendicular as possible, completed during low flow events, and
monitored at least every three months for maintenance during the first 24 months following
construction and annually thereafter; insecticides and herbicides will not be used within 100
feet of perennial streams or within 50 feet of intermittent streams or within wetlands and
floodplains associated with those streams.
Ongoing on-site construction inspections will ensure that construction contractors are following
all approved plans.
PCN Section F. Supplementary Information
Item #8b: Flood Zone Designation
Portions of the proposed roadway and water line are located in the FEMA 100-year floodplain
of Back Creek as shown on the Flood Insurance Rate Map (FIRM), Pane12217J, dated November
5, 2008. A CLOMR for the project was submitted and approved by FEMA on September 11,
2012.

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