20020299 Ver 1_Complete File_20020227

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02.0299
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY LYNDO TIPPETT
GOVERNOR SECRETARY
Bridge Maintenance Unit
P. O. Box 1 150
Fayetteville, N. C. 28302
February 20, 2002
Division of Environmental Management
John Hennessey, WQ Certification Unit
2321 Crabtree Blvd
Suite 250
Raleigh, N. C. 27604-2260
f.ro ;i
Dear Mr. Hennessey:
Please find two (2) copies of the Pre-Construction Notification (PCN) application form for Water Quality Certification
Permits for your info. on this project.
If you have any questions or comments, please call me at 910-829-6345.
Thank you for your assistance in this matter.
Sincerely
L. L. Upole, Jr, P.E.
Division Bridge Maintenance Engineer
Attachments
P. O. Box 1150 - Fayetteville, N. C. 28302 - PHONE: [phone] - FAX: [phone]
Office Use Only: -- ---- - ----- Form Version October 2001
1lSACE Action 11) No. DWQ No, t.1 t 029P
If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A" rather than
leaving the space blank.
1. Processing
Check all of the approval(s) requested fbr this project:
® Section 404 Permit
? Section 10 Permit
? 401 Water Quality Certification
? Riparian or Watershed Buffer Rules
2.. Nationwide, Regional or General Permit Number(s) Requested: NWP#3
3. If this notification is solely a courtesy copy because written approval liar the 401 Certification
is not required, check here:
4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for
mitigation of impacts (see section Vlll - Mitigation), check here: ?
11. Applicant Information
1. owner/Applicant Information
Name: 'I' R Gibson, P F. / NCDOT/Div 6 / Division Engineer
Mailing Address: P.O. Box 1150
Fayetteville, NC 28302
'T'elephone Number: 910-486-1493 Fax Number: 910-486-1959
E-mail Address: tgibson(a)dot state nc us
2. Agent Information (A signed and dated copy of the Agent Authorization letter must be
attached if the Agent has signatory authority for the owner/applicant.)
Name: James J. Rerko PWS
Company Affiliation: NCDOT / Div 6 / Division Environmental Officer
Mailing Address: Same
'T'elephone Number: 910-486-1792 Fax Number: 910-486-1959
E-mail Address: jjrerko(a).dot state nc us
Page I oil
Ill. Project Information
/Attach a vicinity map clearly showing the location of the property with respect to local
landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property
boundaries and development plans in relation to surrounding properties. Both the vicinity map
and site plan must include a scale and north arrow. The specific Ibotprints of all buildings,
impervious surfaces, or other Iacilitics must be included. If possible, the maps and plans should
include the appropriate USGS "topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
US/1CL requires information to be submitted on sheets no larger than l l by 17-inch format;
however. DWQ may accept paperwork of any size. DWQ prefers full-size construction
drawings rather than a sequential sheet version of the full-size plans. It' lull-sire plans are
reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps are provided.
1. Name of project: Pipe #5 Nun-NIBS#23-2004
2. T.I.P. Project Number or State Project Number (NCDOT Only
Property Identification Number (Tax PIN):
4. location
County: Columbus Nearest 'town: Mollie
Subdivision name (include phase/lot nu?nber):_____._____?.?_____ _ _
Directions to site (include road numbers, landmarks, etc.): 0.2 mile south of the
intersection of SR 1147 and SR 1149 alone SR 1147
5. Site coordinates, ifavailable (UTM or 1,at/l,ong):34"0919"N 78"43'53"W
(Note ---1 if project is linear, such as a road or utility line, attach a sheet that separately lists the
coordinates for each crossing of a distinct waterbody.)
6. Describe the existing land use or condition of the site at the time of this application:-
Ilighway Application -
7. Property size (acres): less than 1 acre
8. Nearest body ofwater (stream/river/sound/occan/l tke): Mollie Swamp
9. River Basin: Lumber River -
(Note -- this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at lmp://l12o.cnr.slat e.nc,us/a(l fill n/maps/.)
Page 2 of R
10. Describe the purpose of the proposed work: Replace structurally deficient pipe
11. List the type of equipment to be used to construct the project: Track Excavator &
It / T floe
12. Describe the land use in the vicinity of this project: Rural
IV. Prior Project History
I f .jurisdictional determinations and/or permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action II) Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules.
None
V. Future Project Plans
Are any future permit requests anticipated for this project? If so, describe the anticipated work,
and provide ,justification for the exclusion of this work from the current application:
Vl. Proposed Impacts to Waters of the United States/Waters of the State
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. The applicant must also
provide justification for these impacts in Section VII below. All proposed impacts, permanent
and temporary, must be listed herein, and must be clearly identifiable on an accompanying site
plan. All wetlands and waters, and all streams (intermittent and perennial) must be shown on a
delineation map, whether or not impacts are proposed to these systems. Wetland and stream
evaluation and delineation forms should be included as appropriate. Photographs may be
included at the applicant's discretion. If this proposed impact is strictly for wetland or stream
mitigation, list and describe the impact in Section Vill below. If additional space is needed for
listing or description, please attach a separate sheet.
Page 3 of 8
1. Wetland Impacts
Wetland Impact
Site Number
_ indicate on ma
't'ype of Impact* Area of
Impact
acres Located within
100-year Floodplain**
(yes/no) Distance to
Nearest Strcam
(linear feet
Type of Wetland***
N/A

' List each impact separately and identify temporal-)' impacts. Impacts include, but are not limited to: mechanized clearing, grading, fill,
excavation, fhxxling. ditching/drainage, etc. For dams, separately list impacts due to both structure and flooding.
++ IOU-Year flolAplains are identified through the Federal Emergency Management Agency's (FNMA) Flood Insurance Rate Maps
(FIRM), or FNMA-approved local floodplain mops. Maps are available through the FEMA Map Service Center at 1-800-358-9616, or
online at I1II1r//%%\%w.1i•11111 vov.
'++ List a wetland type that best describes wetland to be impacted (e.g., freshwater/saltwater marsh, lirrested woland, beaver pond.
Carolina nay, hog, etc.)
List the total acreage (estimated) ofexisting wetlands on the property: 0 ac
'T'otal area of wetland impact proposed: 0 ac
2. Stream Impacts, including all intermittent and perennial streams
Stream Impact
Site Number
indicate on map.)__
Type of Impact* Length of
Impact
linear feet
Stream Name** Average Width
of Stream
Before Ina act Perennial or
Intermittent?
leases ecif
Crossing # I culvert 8 LF UT to Mollie Swamp 6 ft Intermittent

" List each impact separately mid identify tcmpurary impacts. Impacts include, but are not limited to: culverts and associated rip-rap,
dams (separately list impacts due to both structure mad flooding). relocation (include linear feet belbre and after, and net loss/gain),
stabili-7ation activities (cernenl wall, rip-rap, crib wall, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is
proposed, plans and profiles showing the linear fixriprint for both the original and relocated streams must he included.
Stream names can he lbund on IJSGS topographic neaps. II 'a stream has no name, list as UT (unnamed tributary) to the nearest
downstream natned stream into which it flows. USGS maps are available through the IISGS at 1-800-358-9616, or online at
usgs loov. Several intemet sites also allow direct download and printing of USUS maps (e.g., xc\\_w,topo/onc.com.
??w«.nripyucsLCon), etc.).
Cumulative impacts (linear distance in feet) to all streams on site: 8 LF
Page 4 of 8
3. Open Water Impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any
other Water of the U.S.
Open Water Impact
Site Number

- indicate on map)_ ---------
'I'Ypa of hnp` acts` Area of
Impact

nacres ------

Name of Wat
(if applicable) ) -- 'type of Waterbody-

lake, pond, estuary' sound,
(
bay, ocean, etc.)
N/A

' List each impact separately and identify temporary impacts. Impacts include, but are not limited to: till, excavation, dredging,
flooding, drainage, bulkheads, etc.
4. Pond Creation
11' construction of' a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ? uplands ? stream ? wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.): N / A
proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.):_ __
Size of watershed draining to pond:--Expected pond surface area:
Vll. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not lcasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts.
Pipe foot print expanded to provide safe shoulders along highway.
Vill. Mitigation
DWQ - In accordance with 15A NCAC 211 .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
page 5 of 8
USAGE -- In accordance with the final Notice of Issuance and Modification of Nationwide
Permits, published in the federal Register on March 9, 2000, mitigation will be required when
necessary to ensure that adverse ellbas to the aquatic environment are minimal. I actors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed. Fxarnples of mitigation that may be appropriate and practicable include,
but are not lirniled to: reducing the size of' the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource Iunctlons and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
If mitigation is required 1br this project, a copy of the mitigation plan must be attached in order
lbr USACE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCWRP concurrence shall be placed on hold as
incomplete. An applicant may also choose to review the current guidelines for stream restoration
in DWQ's Drab: 't'echnical Guide for Stream Work in North Carolina, available at
lit1l //l12o.cnr.state.nc.us/ncvellands/strnlgide.htnll.
1. Provide a brief description of the proposed mitigation plan. The description should provide
as much information as possible, including, but not limited to: site location (attach directions
and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed method of construction. Please attach
a separate sheet if more space is needed.
Mitigation is not required for this project.
2. Mitigation may also be made by payment into the North Carolina Wetlands Restoration
Program (NCWRP) with the NCWIV s written agreement. Check the box indicating that
you would like to pay into the NCWRP. Please note that payment into the NCWRP must be
reviewed and approved before it can be used to satisl'y mitigation requirements. Applicants
will be notified early in the review process by the 401/Wetlands Unit if payment into the
NCWRP is available as an option. For additional information regarding the application
process for the NCWRP, check the NCWRP website at I?up://h2o.enr.sta?e.nc.us??r,p/inde.?.li?ni. If
use of the NCWRP is proposed, please check the appropriate box on page three and provide
the following information:
Amount of stream mitigation requested (linear 1ect):_f
Amount of buffer mitigation requested (square Icet):_J
Amount of Riparian wetland mitigation requested (acres):___
Amount of Non-riparian wetland mitigation requested (acres):
Amount of Coastal wetland mitigation requested (acres):__?
Page 6 of 8
IX. Environmental Documentation (DWQ Only)
Does the project involve an expenditure of public funds or the use of public (federal/state/local)
land?
Yes ® No ?
If yes, does the project require preparation of' an environmental document pursuant to the
requirements of the National or North Carolina Environmental Policy Act (NFI'A/SEPA)?
Note: If you are not sure whether a NEI'A/SETA document is required, call the SEPA
coordinator at [phone] to review current thresholds for environmental documentation.
Yes ? No
If yes, has the document review been finalized by the State Clearinghouse? If so, please attach a
copy of the NEPA or SETA final approval letter.
Yes ? No
X. Proposed Impacts on Riparian and Watershed Buffers (DWQ Only)
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required state and local buffers associated with the project. The applicant must also provide
,justification Ibr these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
Will the project impact protected riparian buffers identified within 15A NCAC 213 .0233
(Neuse), 15A NCAC 213 .0259 (Tar-Pamlico), 15A NCAC 211 .0250 (Randleman Rules and
Water Supply Buffer Requirements), or other (please identify )?
Yes ? No ® if you answered "yes", provide the following information:
Identify the square feet and acreage of impact to each zone of the riparian buffers. If buffer
mitigation is required calculate the required amount of mitigation by applying the buffer
multipliers.
Zone*

-- Impact
-_ (square feei)__- Multiplier
_- Required
Mitigation
- I 3
2 1.5
Total
* Zone I extends out 30 feet pertnmucwar from near Dm1K 01 Cnalmer, /A111C L CAtuo ., an
additional 20 feet from the edge of lane I.
Page 7 of 8
If butler mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation
of Property, Conservation Easement, Riparian Buller Restoration / Enhancement, Preservation or
Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as
identified within 15A NCAC 2B .0242 or.0260.
X1. Stormwater (UWQ Only)
Describe impervious acreage (both existing and proposed) versus total acreage on the site.
Discuss Stormwater controls proposed in order to protect surlace waters and wetlands
downstream from the property.
Erosion and Sedimentation Control flan shall be incorporated into the construction plan
X11. Sewage Disposal (UWQ Only)
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.
N / A -- -- - ----- --- - ---
XIi1. Violations (DWQ Only)
Is this site in violation of DWQ Wetland Rules (15A NCAC 21-1.0500) or any Buffer Rules?
Yes ? No
Is this an after-the-fact permit application?
Yes ? No ?
XiV. Other Circumstances (Optional):
It is the applicant's responsibility to submit the application sufficiently in advance of desired
construction dates to allow processing time for these permits. However, an applicant may
choose to list constraints associated with construction or sequencing that may impose limits on
work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and
Threatened Species, accessibility problems, or other issues outside of the applicant's control).
None--
174, Cyr ? Amy -- -- ------ ---- L`' y
Applicant/Agent's Signature l Date
(Agent's signature is valid only if an authorization letter from the applicant. is provided.)
Page 8 of 8
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