20100828 Ver 1_Application_20101004

STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
BEVERLY EAVES PERDUE EUGENE A. CONTI, JR.
GOVERNOR September 28, 2010 N.C. Division of Water Quality ® ®? OCT - 4 2010
Transportation Permitting Unit
2321 Crabtree Blvd./Suite 250 WET{yrpg
Raleigh, NC 27604-2260 B AMA
Attention: Mr. Rob Riding, NCDOT Project Coordinator
Subject: Proposed roadway improvements and upgrades to pipes conveying unnamed
tributaries to Smith Creek and Horse Creek on NC 96 between Granville County
line and US 1 in Franklin County. WBS No. 41876; TIP W-5112.
The North Carolina Department of Transportation (NCDOT) proposes to add 2ft paved shoulders
and surface NC 96. This work will require the upgrade of two pipes carrying jurisdictional
streams. At Site 1 the existing 24 inch pipe that is 60 ft long will be replaced with a 48 inch pipe
that is 70ft long. At Site 2 the existing pipe will be extended 8ft on the inlet and 4ft on the outlet.
Permanent impacts include surface water fill and rip rap armoring around the pipe ends and on
the stream banks. Temporary buffer impacts at Site 1 of 5,200 SF (3,120 SF in Zone 1 and 2,080
SF in Zone 2) and at Site 2 of 2,000 SF (1,200 SF in Zone 1 and 800 SF in Zone 2) are necessary
to access the creek to upgrade these pipes. Temporary stream impacts of 30 LF at Site 1 and 20
LF at Site 2 for dewatering will be used, as necessary, in order to maintain a dry work area
during the pipe work.
Application is hereby made for NCDENR-DWQ Section 401 Water Quality Certification (WQC)
No. 3820 and a Neuse Riparian Buffer Authorization. A pre-construction notification, permit
drawings 1 and 2, project mapping, and photographs are attached with this request. By copy of
this letter we are notifying the USACE of the intent to work under a non-reporting NWP 14. If
you have any questions or need additional information, please contact Ms. Heather Montague at
[phone].
Sincerellye?,
?j J.W. Bowman, P.E.
T Division Engineer
cc: Mr. Eric Alsmeyer, NCDOT Coordinator, U.S. Army Corps of Engineers
Mr. Ben Upshaw, NCDOT DIV 5; Division Design Engineer
Mr. Steve Winstead, NCDOT DIV 5; District 3 Engineer
Ms. Dawn Rierson, NCDOT DIV 5 Roadside Environmental Field Ops Techn
Division Five - 2612 North Duke Street, Durham, North Carolina 27704
Telephone: [phone] Fax: [phone]
NC 96 between Granville County line and US 1 - Franklin County
Photograph 3. View upstream of Site 2 inlet.
Photograph 4. View downstream of Site 2 outlet.
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78.533 333° W 78.516 666° W 78.500 000° W
Name: GRISSOM Location: 036.0621687° N 078.5215868° W
Date: 9/28/2010 Caption: NC 96 from Granville County line to US 1
Scale: 1 inch equals 2000 feet WBS No. 41876; W-5112
Figure 1
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Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.3 Dec 10 2008
Pre-Construction Notification (PCN) Form
A. Applicant Information
1. Processing
I a . Type(s) of approval sought from the
Corps: non-reporting NWP
® Section 404 Permit ? Section 10 Permit
I b . Specify Nationwide Permit (NWP) number: NWP 14 or General Permit (GP) number:
'I c . Has the NWP or GP number been verified by the Corps? ? Yes ® No
'I d . Type(s) of approval sought from the DWQ (check all that apply):
® 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
because written approval is not required? For the record only for DWQ 401
Certification:
? Yes ® No For the record only for Corps Permit:

® Yes ? 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 or in-lieu
fee program. ? Yes N No
1g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h
below. ? Yes ® No
1P. Is the project located within a NC DCM Area of Environmental Concern (AEC)? ? Yes N No
2. Project Information
2a. Name of project: NC 96: addition of 2ft paved shoulders and resurfacing
2b. County: Franklin
2c. Nearest municipality / town: Youngsville
2d. Subdivision name: N/A
2e. NCDOT only, T.I.P. or state
project no:
WBS No. 41876; W-5112
1 Owner Information
3a. Name(s) on Recorded Deed: NCDOT Division 5
Xb. Deed Book and Page No. N/A
3c. Responsible Party (for LLC if
applicable): N/A
3d. Street address: 2612 N. Duke Street
3i:. City, state, zip: Durham, NC 27704
3i. Telephone no.: [phone]
3i1. Fax no.: [phone]
3h. Email address: wbowman(cDncdot.oov
4. Applicant Information (if different from owner) N/A
5. Agent/Consultant Information (if applicable) N/A
Page 1 of 8
PCN Form - Version 1.3 December 10, 2008 Version
B. Project Information and Prior Project History
1. Property Identification
la. Property identification no. (tax PIN or parcel ID): N/A
1b. Coordinates (in decimal degrees):
Site 1: Latitude:36.0836 Longitude: -78.5420
Site 2: Latitude: 36.0556 Longitude: -78.5107
(DD.DDDDDD) (-DD.DDDDDD)
1 c. Property size: < 0.50 acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to
proposed project: UT to Smith Creek and UT to Horse Creek
2b. Water Quality Classification of nearest receiving water: C NSW
2c. River basin: Neuse
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:
Widening requires upgrade at two cross lines carrying jurisdictional streams. Sites are surrounded by wooded areas
between residential lots and agricultural lands.
3b. List the total estimated acreage of all existing wetlands on the property:
NONE - however site 2 doesn't have wetlands above and below roadway just off of the right-of-way
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
150 ft
3d. Explain the purpose of the proposed project: The cross lines upgrade and minimal g will provide for a safer W
W
travel way that will be resurfaced.
+
3e. Describe the overall project in detail, including the type of equipment to be used:
Pipe at Site 1 will be replaced. Pipe at Site 2 will be extended. Equipment used will include a backhoe, an excavator, and
grader.
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
project (including all prior phases) in the past? ? Yes ® No ? Unknown
Comments: N/A
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: N/A
Name (if known): N/A Other: N/A
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
N/A
5. Project History
5a. Have permits or certifications been requested or obtained for ? Yes ® No
? Unknown
this project (including all prior phases) in the past?
5b. If yes, explain in detail according to "help file" instructions.
N/A
Page 2 of 8
PCN Form -Version 1.3 December 10, 2008 Version
6. Future Project Plans
6a. Is this a phased project? ? Yes ® No
6b. If yes, explain.
N/A
C. Proposed Impacts Inventory
1. Impacts Summary
la. Which sections were completed below for your project (check all that apply):
I] Wetlands ® 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 jurisdiction
number- Type of impact Type of wetland Forested (Corps - 404, 10 Area of impact
Permanent (P) or (if known) DWQ - non-404, other) (acres)
Temporary
1N1 ? P ? T N/A N/A ? Yes ? Corps N/A
? No ? DWQ
2g. Total Wetland Impacts: NONE
2h. Comments: N/A
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.
3.a. 3b. 3c. 3d. 3e. 3f. 3g.
Stream impact Type of impact Stream name Perennial Type of jurisdiction Average impact
number - (PER) or (Corps - 404, 10 stream length
Permanent (P) or
Tern
orar
(T) intermittent
INT
? DWQ - non-404, width (linear
f
t
p
y (
) other) (feet) ee
)
Site 1 ®P ? T fill UT to ? PER ® Corps

Stream 1
Smith Creek
® INT
® DWQ 5 10
Site 1 ®P ? T UT to [] PER ® Corps 20
Stream 1 rip rap Smith Creek ® INT ® DWQ 5 banks only
cite 2 ? P ® T dewatering UT to ? PER ® Corps 5 30
Stream 1 Smith Creek ® INT ® DWQ concurrent
Site 2 ® P ? T fill UT to ? PER ® Corps
Stream 1 Horse Creek ® INT ® DWQ 3 12
Site 2 ® P ? T UT to El PER ® Corps 8
Stream 1 rip rap Horse Creek ® INT ® DWQ 3 banks only
Site 2 ? P ®T
ewatering
d UT to [_1 PER ® Corps
3 20
Stream 1 Horse Creek ® INT ®DWQ concurrent
3h. Total stream and tributary impacts 50
3i. Comments: rip rap will be placed on banks underlined with fabric for stabilization at the pipe ends, not within the flow line
Page 3 of 8
PCN Form -Version 1.3 December 10, 2008 Version
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 individually list all open water impacts below.
4a. 4b. 4c. 4d. 4e.
Open water impact Name of waterbody
number - (if applicable) Type of impact Waterbody type Area of impact (acres)
Permanent (P) or
Temporary
01 ? P ? T N/A N/A N/A N/A
4f. Total open water impacts NONE
4g. Comments: N/A

5. Pond or Lake Construction
If and or lake construction proposed, then complete the chart below.
5a. 5b. 5c. 5d. 5e.
Wetland Impacts (acres) Stream Impacts (feet) Upland
Pond ID
b Proposed use or purpose of (acres)
num
er pond
Flooded Fitted Excavated Flooded Filled Excavated Flooded
P1 N/A N/A N/A N/A N/A N/A N/A N/A
P2
5f. Total NONE NONE NONE NONE NONE NONE NONE
5g. Comments: N/A
5h. Is a dam high hazard permit required?
? Yes No If yes, permit ID no: N/A
5i. Expected pond surface area (acres): N/A
5j. Size of pond watershed (acres): N/A
5k. Method of construction: N/A
6. Buffer Impacts (for DWO)
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 mitigation, then you MUST fill out Section D of this form.
6a.
? Neuse ®Tar-Pamlico ? Other:
Project is in which protected basin? ? Catawba ? Randleman
6b. 6c. 6d. 6e. 6f. 6g.
Buffer impact
number - Reason for Buffer Zone 1 impact Zone 2 impact
Permanent (P) or impact Stream name mitigation (square feet
)
(square feet)
Temporary required?
Site ? P ® T access for pipe ? Yes

Buffer Impact 1
upgrade UT to Smith Creek
® No 3,120 SF 2,080 SF
Site ? P ® T access for pipe ? Yes

Buffer Impact
upgrade UT to Horse Creek
® No 1,200 SF 800 SF

6h. Total buffer impacts 4,320 SF 2,880 SF
6i. Comments: not to exceed 40 linear feet of new disturbance beyond existing transportation facility at each site
D. Impact Justification and Mitigation - access through the buffer is necessary to upgrade the cross line pipes
Page 4 of 8
PCN Form - Version 1.3 December 10, 2008 Version
1. Avoidance and Minimization
Ia. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
'The impacts to riparian buffers will be limited to those necessary to access the stream, dewater, and to upgrade these pipes.
Most of the access will utilize the space within the existing transportation facility down the fill slope. These upgrades cannot be
performed without access through the riparian buffer.
I b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Sediment and erosion control Best Management Practices for protection of surface waters and riparian buffers will be
enforced during project construction.
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? ? Yes ® No
2b. If yes, mitigation is required by (check all that apply): ? DWQ ? Corps

2c. If yes, which mitigation option will be used for this project? ? Mitigation bank
? Payment to in-lieu fee program
? Permittee Responsible Mitigation
t. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank: N/A
:b. Credits Purchased (attach receipt and letter) Type N/A Quantity N/A
??c. Comments: N/A
41' Complete if Making a Payment to In-lieu Fee Program
4a. Approval letter from in-lieu fee program is attached. ? Yes
4b. Stream mitigation requested: N/A linear feet
4c. If using stream mitigation, stream temperature: ? warm ? cool ?cold
4d. Buffer mitigation requested (DWQ only): N/A square feet
4e. Riparian wetland mitigation requested: N/A acres
4f. Non-riparian wetland mitigation requested: N/A acres
4g. Coastal (tidal) wetland mitigation requested: N/A acres
4h. Comments: N/A
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.
N/A
Page 5 of 8
PCN Form - Version 1.3 December 10, 2008 Version
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
buffer mitigation? ? Yes ®No
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.

Zone 6c.
Reason for impact 6d.
Total impact
(square feet)
Multiplier 6e.
Required mitigation
(square feet)
Zone 1 N/A N/A 3 (2 for Catawba) N/A
Zone 2 N/A N/A 1.5 N/A
6f. Total buffer mitigation required: NONE
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). N/A
6h. Comments: N/A
E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Plan
la . Does the project include or is it adjacent to protected riparian buffers identified ® Yes ? No
within one of the NC Riparian Buffer Protection Rules?
1b . If yes, then is a diffuse flow plan included? If no
explain why.
,
Comments: these pipe upgrades will not alter storm water runoff at this site ? Yes ®No
2. Stormwater Management Plan
2a . What is the overall percent imperviousness of this project? < 20 %
2b. Does this project require a Stormwater Management Plan? ? Yes ® No
2c. If this project DOES NOT require a Stormwater Management Plan, explain why: NCDOT state Permit No. NCS000250
2d. If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan: N/A
? Certified Local Government
2e. Who will be responsible for the review of the Stormwater Management Plan? ? DWQ Stormwater Program
? DWQ 401 Unit
3. Certified Local Government Stormwater Review
3a. In which local government's jurisdiction is this project? Franklin County
? Phase II
3b. Which of the following locally-implemented stormwater management programs ? NSW
? USMP
apply (check all that apply): ? Water Supply Watershed
? Other:
3c. Has the approved Stormwater Management Plan with proof of approval been ? Yes ? No
attached? N/A
Page 6 of 8
PCN Form -Version 1.3 December 10, 2008 Version
4. DWQ Stormwater Program Review
? Coastal counties

4a
. Which of the following state-implemented stormwater management programs apply ? HOW
? ORW
(check all that apply): N/A
? Session Law 2006-246
? Other:
4b . Has the approved Stormwater Management Plan with proof of approval been
attached? N/A ? Yes ? No
5. DWQ 401 Unit Stormwater Review
5a. Does the Stormwater Management Plan meet the appropriate requirements? N/A ? Yes ? No
5b. Have all of the 401 Unit submittal requirements been met? N/A ? Yes ? No
F. Supplementary Information
'I. Environmental Documentation (DWQ Requirement)
I 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 ® No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
'I 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: N/A
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 ® No
or Riparian Buffer Rules (15A NCAC 2B .0200)?
2b. Is this an after-the-fact permit application? ? Yes ® No
2c. If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s): N/A
:S. Cumulative Impacts (DWQ Requirement)
3a. Will this project (based on past and reasonably anticipated future impacts) result in ? Yes ®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.
N/A
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.
N/A
Page 7 of 8
PCN Form - Version 1.3 December 10, 2008 Version
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 E No
habitat?
5b. Have you checked with the USFWS concerning Endangered Species Act ?
Yes ® No
impacts?

5c. If yes, indicate the USFWS Field Office you have contacted. ?
Raleigh
? Asheville
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
http://www.fws.gov/nc-es/es/countvfr.html and NC Natural Heritage Program Database, Element Occurrences
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish T O Yes M No
habitat?
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
http://ocean.floridamarine.org/efh cora[Ams/viewer.htm
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 E 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?
HPO's historic layer using GIS ArcView database
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain? ? Yes E No
8b. If yes, explain how project meets FEMA requirements: N/A
8c. What source(s) did you use to make the floodplain determination? htto://www.ncfloodmaDs.com/

J. W. Bowman, P.E.
4 RLt }+ 09/28/10
Applicant/Agent's
Printed Name ApplicanAgant
(Agent's signature Is valld only If an authorize applicant
letfrwn Date
isprovided.)
Page 8 of 8
PCN Form - Version 1.3 December 10, 2008 Version
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