20110630 Ver 1_Application_20110705

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STATE OF NORTH CAROLINA S 7
DEPAR"I"MENT OF TRANSPORTATI~6R~;s~oSTOR~°~gg~~++~~~~,,,,~~
BEVIiRLY EAVES PERDUE EUGENE A. C6W71, JR.
GOVGRNON
S[c Kl':TQHY
June 29, 2011
Mr. Robert Ridings
NC Division of Water Quality ~ ~ ®V
Transportation Permitting Unit
1650 Mail Service Center
Raleigh, NC 27609
I
SUBJECT: NW 14 and V1'QC # 3820 request to widen NC 33 to a 3 lane facility
behseen US 64 and US 64a in Tarboro, NC
Dear Sirs:
The North Carolina Department of Transportation (NCDOT) proposes to widen NC 33 to
a 3 lane facility between US 64 and US 64a. Project related impacts to jurisdictional
areas will occur at a crossing of an unnamed tributary of Tar River. This feature is shown
as an intermittent stream on the Edgecombe County Soil Survey. Widening the road will
result in 16 linear fi of stream fill for additional pipe and 3342 sq. fi. of buffer impact.
NCDOT anticipates that this project will be authorized under a NWP 14. This
application is also intended as a request for written authorization from the NC Division of
Water Quality to proceed with a pipe replacement under General Water Quality
Certificate # 3820.
For our files, please provide written notice that this activity is authorized. If you have any
questions or need any additional information, please contact Chad Goggins, Division
Environmental Officer at [phone]. Your time and effort are appreciated.
Res ectfully ours,
/' ''
i ~~
Robert W. Lewis, PE
Division Engineer
[phone] x 3532 [e-mail]
Post Office Box 3165, Wilson, North Carolina 27895-3165

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Corps action ID no.
DWO project no.
Form Version 1.3 Dec 10 2008
Pre-Construction Notification PCN Form
A. A licant Information
1. Processing
1a.
- Type(s) of approval sought from the
Corps:
®Section 404 Permit ^ Section 10 Permit
1b. Specify Nationwide Permit (NWP) number: 14 or General Permit (GP) number:
1c. Has the NWP or GP number been verified by the Corps? ®Yes ^ No
1d. Type(s) of approval sought from the DWO (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
1 f. 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 ®No
1g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1h
below. ^Yes ®No
1 h. Is the project located within a NC DCM Area of Environmental Concern (AEC)? ^Yes ®No
2. Project Information
2a. Name of project: NC 33 Widen
2b. County: Edgecombe
2c. Nearest municipality /town: Princeville
2d. Subdivision name: N/A
2e. NCDOT only, T.I.P. or state
project no:
3. Owner Information
3a. Name(s) on Recorded Deed:
3b. Deed Book and Page No.
3c. Responsible Party (for LLC if
applicable):
3d. Street address:
3e. City, state, zip:
3f. Telephone no.:
3g. Fax no.:
3h. Email address:
Page 1 of 10
PCN Form -Version 1.3 December 10, 2008 Version

4- Applicant Information (if different from owner)
4a. Applicant is: ^ Agent ®Other, specify: NCDOT Division of Highways
4b. Name: Robert W. Lewis, Division 4 Engineer
4c. Business name
(if applicable):
NCDOT, Division of Highways
4d. Street address: P.O. Box 3165
4e. City, state, zip: Wilson, NC 27895-3165
4f. Telephone no.: [phone]
4g. Fax no.: [phone]
4h. Email address: [e-mail]
5. AgenUConsultant Information (if applicable)
5a. Name: Chad Goggins
5b. Business name
(if applicable): NCDOT Division 4 Environmental Officer
Sc. Street address: P.O. Box 3165
5d. City, state, zip: Wilson, NC 27895-3165
5e. Telephone no.: [phone]
5f. Fax no.: [phone]
5g. Email address: [e-mail]
Page 2 of 10
PCN Form -Version 1.3 December 10, 2008 Version

B. Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID):
1 b. Site coordinates (in decimal degrees): Latitude: 35.8744 Longitude: - 77.5227
(DD.DDDDDD) (-DD.DDDDDD)
1c. Property size: acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to UT to Tar River
proposed project:
2b. Water Quality Classification of nearest receiving water: C;NSW
2c. River basin: Tar
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:
The land use in this area is predominantly residential and agricultural.
3b. List the total estimated acreage of all existing wetlands on the property:
0
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
75'
3d. Explain the purpose of the proposed project:
The purpose of this project widen NC 33 to 3 lanes between US 64 and US 64A
3e. Describe the overall project in detail, including the type of equipment to be used:
Standard earth moving, road building and paving equipment will be used to widen the road surface, achieve a finished
grade and pave the finished road.
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
^ Yes ®No ^ Unknown
project (including 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): Chad Goggins Other: NCDOT DEO
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
5. Project History
Sa. 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.
6. Future Project Plans
6a. Is this a phased project? ^ Yes ®No
6b. If yes, explain.
Page 3 of 10
PCN Form -Version 1.3 December 10, 2008 Version

C. Proposed Impacts Inventory
1. Impacts Summary
1 a. Which sections were completed below for your project (check all that apply):
^ 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 T
ype of jurisdiction
number - Type of impact Type of wetland Forested (Corps - 404, 10 Area of impact
Permanent (P) or (if known) DWO -non-404, other) (acres)
Tem ora T
W1 ^ P ^ T ^ Yes ^Corps
^ No ^ DWO
W2 ^ P ^ T ^ Yes ^Corps
^ No ^DWQ
W3 ^ P ^ T ^ Yes ^Corps
^ No ^DWQ
W4 ^ P ^ T ^ Yes ^Corps
^ Na ^DWQ
WS ^ P ^ T ^ Yes ^Corps
^ No ^ DWO
W6 ^ P ^ T ^ Yes ^Corps
^ Na ^DWQ
2g. Total wetland impacts
2h. Comments:
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 Type of jurisdiction Average Impact
number - (PER) or (Corps - 404, 10 stream length
Permanent (P) or intermittent DWQ -non-404, width (linear
Temporary (T) (INT)? other) (feet) feet)
S1 ®P ^ T Pipe extension UT of Tar River ^ PER
®INT ®Corps
^ DWO 3 16
S2 ^ P ^ T ^ PER ^Corps
^ INT ^ DWO
S3 ^ P ^ T ^ PER ^Corps
^ INT ^ DWO
S4 ^ P ^ T ^ PER ^Corps
^ INT ^ DWO
SS ^ P ^ T ^ PER ^Corps
^ INT ^DWQ
S6 ^ P ^ T ^ PER ^Corps
^ INT ^DWQ
3h. Total stream and tributary impacts 16
3i. Comments:
Page 4 of 10
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 Name of waterbody
impact number - (if applicable) Type of impact Waterbody type Area of impact (acres)
Permanent (P) or
Tem orar T
01 ^P^T
02 ^P^T
03 ^P^T
04 ^P^T
df. Total open Hater impacts 0
4g. Comments:
5. Pond or Lake Construction
If and or lake construction ro osed, then com lete the chart below.
5a. 5b. Sc. Sd. 5e.
Wetland Impacts (acres) Stream Impacts (feet) Upland
Pond ID Proposed use or purpose (acres)
number of pond
Flooded Filled Excavated Flooded Filled Excavated Flooded
P1
P2
Sf. Total
Sg. Commentc:-
Sh. Is a dam high hazard permit required?
^ Yes ®No If yes, permit ID no:
Si. Expected pond surface area (acres):
Sj. 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 im acts re uire miti anon, then ou MUST fill out Section D of this form.
sa.
^ Neuse ®Tar-Pamlico ^ Other:
Project is in which protected basin? ^ Catawba ^ Randleman
6b. 6c. 6d. 6e. 6f. 6g.
Buffer impact
number- Reason Buffer Zone 1 impact Zone 2 impact
Permanent (P) or for Stream name mitigation (square feet) (square feet)
Tem orar T im act re wired?
B1 ®P ^ T fll UT to Tar ®Nos 2074 1268
82 ^P^T ^Yes
® No
B3 ^P^T ^Yes
^ No
bh. Total buffer impacts 2074 1268
6i. Comments:
Page 5 of 10
PCN Form -Version 1.3 December 10, 2008 Version

D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
Impacts associated with this project are directly related to widening this road and extending the existing crossline to
accommodate the widened road surface. Increases in road width and crossline length will conform to current engineering and
safety standards.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
This project will operate under an approved Sediment and Erosion Control Plan and will also adhere to all permit conditions
set forth by the NC Division of Water Quality.
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 Slate? ^ Yes ®No
2b. Ifyes, 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
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
3b. Credits Purchased (attach receipt and letter) Type Quantity
3c. Comments:
4. 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: linear feet
4c. If using stream mitigation, stream temperature: ^ warm ^ cool ^cold
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
Sa. If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
Page 6 of 10
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.

ZOnC 6c.
Reason for impact 6d.
Total impact
(square feet)
Multiplier 6e.
Required mitigation
(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
PCN Form -Version 1.3 December 10, 2008 Version

E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Plan
1a . Does the project include or is it adjacent to protected riparian buffers identified ®Yes ^ 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
Comments: See attached erosion control plan.
2. Stormwater Mana ement Plan
2a . What is the overall percent imperviousness of this project?
2b . Does this project require a Stormwater Management Plan? ®Yes ^ No
2c. If this project DOES NOT require a Stormwater Management Plan, explain why:
2d . If this project DOES require a Stormwater Management Plan, then provide a brief, na rrative description of the plan:
All of the Stormwater associated with this project will be directed through grassed swales in the buffer zones for
treatment.
^ Certified Local Government
2e. Who will be responsible for the review of the Stormwater Management Plan? ^ DWO Stormwater Program
® DWQ 401 Unit
3. Certified Local Government Stormwater Review
3a. In which focal govern;,~ent's jurisdiction is ;his project?
^ 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?
4. DWQ Stormwater Pro ram Review
^ Coastal counties

4a.
Which of the following state-implemented Stormwater management programs apply ^ HOW
^ ORW
(check all that apply):
^ Session Law 2006-246
® Other: NPDES
4b. Has the approved Stormwater Management Plan with proof of approval been
attached? ®Yes ^ No
5. DWQ 401 Unit Stormwater Review
Sa. 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 1.3 December 10, 2008 Version

F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
1a . 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)?
1c. 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 f nal 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 ®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):
3. 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.
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 by the construction of this project.
Page 9 of 10
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 ®No
habitat?
Sb. 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
Sd. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
NC Natural Natural Heritage Program Database and NCDOT GIS Layers.
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat? ^ Yes ®No
6b. What data sources did you use to determine whether your Bile would impact Essential Fish Habitat?
Field observations indicate that there is no fish habitat in the vicinity of this project.
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 ®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?
SHPO Map review does not reveal any presently registered features and project is state funded therefore G.S. 121-12 (a)
applies.
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in aFEMA-designated 100-year floodplain? ®Yes ^ No
Sb. If yes, explain how project meets FEMA requirements: Not changing existing roadway elevation
Sc. What source(s) did you use to make the floodplain determination? NC Floodmaps
~~/ 2
ApplicanUAgent's Printed Name ApplicanUAgent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant
is rovided.)
Page 10 of 10
PCN Form -Version 1.3 December 10, 2008 Version

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~ J
G