20110885 Ver 1_Application_20110929

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, STATE OF NORTH CAROLINA ��S°srqQ�or,,���I�
DEPARTMENT OF TRANSPORTATION ��RBRq,�,H
BEVERLY EAVES PERDUE - EUGENE A. CON1'I,JR.
Govaxtaoa
SECRB?ARY
50P�CI17bCI 27� 2011
Mr. Rob Ridings � � � � � �
DWQ-Transportarion Pemritting Unit
1650 Mail Service Center
Raleigh, NC 27609
Subject: NaUonwide 13 and 14 NotiRcation for the paving of SR 2361 (Short Parish Road)
over to UT to Spring Branch, Johnston County,NC. w(S S' �G,0 S 112'j
Dear Sirs:
Please find encltised the Pre-Construction Notificarion for the above referenced project. There aze
i�acts to one regulated stream associated with this project due lengthening one pipe and
stabilizing one sueam bank.. This lTP to Spring branch is located in the Neuse River Basin and is
classified by the Division of Water Quality at this crossing as C, NSW. Best Management
Practices for the Protection of Swface Waters will be strictly adhered to during construction.
Regulatory Approval:
USACE Section 404 Per�t: The project qualifies for Nationwide Pernrit 14 (Nomeporting). All
pertmt condirions will be followed.
NCDWQ Section 401 Certificatlon: The project qualifies for 401 Gencral Certification number
3689 and 3820. For our files,please provide written authorizallon that the activity is authorized.
NCDWQ ButTer Rules: Blne rules apply as feature shows up on so�7s map. For ow files,please
provide written authorizarion that the activity is authoriud
Please contact CLad Coggins(252)296-3532 or Byron Bateman at(252)296-3530 if you have
any questions or nced addidonal informarion. Your timc and effort are appreciated.
Resp ly Yours,
W•
W. Rouse, PE
Acting Division Engineer—Division 4
[phone] x 3532 [e-mail]
Post Office Box 3165,Wi7son,North Carolina 27895-3165

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av����n
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� � �;�1�� Corps adion ID no.
� '�' � °� ` DWQ project no.
Form Version 1.3 Dec 10 2008
Pre-Construction Notiftcation PCN Form
A. A licant Information
1. Processing
1a. Type(s)of approval souBht from Me
���: ❑ Sec[ion 404 Permit ❑ SecUon 10 Permit
1b. Specify Natbrnvide Permit(NWP)number. 13, 14 or Generai Pertnit(GP)number:
1c. Has the NW P or GP number been veriFied by the Corps7 , � Yes ❑ No
1d. Type(s)of approval sought from the DWQ(check all that apply):
�401 Water Quality Certificatbn—Regular ❑ Non�404 Jurisdictionai General Permit
❑401 Water Quality Certi�cation—Express � Riparian Buffer Authorizatan
te. is this notification solely for the record For the record only for DWQ 401 For the recoid only for Corps Pertnit:
because written approval is not required? Certification:
❑Yes � No �Yes ❑ No
1f. Is paymerrt irrto a mitigation bank or ir�lieu fee program proposetl for mi[Igation � Yes � No
of impacts? H so, attach the acceptance letterfrom mitigation bank or irrlieu
fee program.
tg. Is the project bcated in any of NCs twenty ooastal courrties. If yes;answer 1 h ❑Yes � No
bebw.
1 h. Is the project bcated wrthin a NC DCM Area ot Environmerrtal Concern(AEC)? ❑Yes � No
2. Project Infortnallon
2a. Name of project: SR 2361 paving pioject
2b. CouMy: Johnston
2c. Nearestmunicipalityltown:
2d. Subdivisan name: WA '
2e. NCDOT on�y,T.I.P.or state
pro ect ra: '
S. Owner Informatlon
3a. Name(s)on Rewrded Deed:
3b. Deed Book and Page No.
3c. Responsible Party(for LLC if
applicable):
3d. Streetaddress:
3e. City, state,zip:
3f. Telephone no.:
3g. Fax no.:
3h. Email address:
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PCN Fortn—Version 1.3 December 10, 2008 Version

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4. ApplicarK Information(if different from owaer)
4a. AppliqM is: ❑Agerrt � Other, specify: NCDOT Division of Highways
4b. Name: Jow�W.Rouse,Ading Division 4 Ergineer
4c. Business name NCDOT, Division of H' hwa s
(if applicable): g Y
4d. Street address: P.O. Box 3165
4e. Cily, state,zip: Wilson, NC 27895-3165
4f. Teleptane rp.; [phone]
49. F��.: [phone]
4h. Email address: bobbylewis�ncdot.gov
5. Age�AJConsulfaM Informatlon(if applicable)
5a. Name: Chad Coggins
5b. 8usiness name NCDOT Divisan 4 Environmerrtal Officer
(if applicable):
Sc. Street address: P.O. Box 3165 �
Sd. City, state,zip; Wilson, NC 27895-3165
5e. Tetephone no.: [phone]
5f. Fax ra.: [phone] �
5g. Email address: ccoggins(�ncdot.gov
�
!
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Page 2 of 10'`
PCN Fomi—Version 1.3 December 10, 2008 Version

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B. Project Infortnallon and Prior Project History
7. Properly IdeMiflcaUon
1a. Property ideMiFication no. (tax PIN or parcel ID):
'Ib. Site coordinates(in decimal degrees): Latitude:35.5373 Lorgitude: -78.1134
(DD.DODDDD) (-DD.DDDDDD)
1c. PropeAysize:
ac�es
2. Surface Waters
2a. Name of nearest body of water(�ream, river,etc.)to Spring Branch
proposed project:
2b. Water QualRy Classification of nearest receiving water: C; NSW,
2c. River basin: Neuse River
S. Projeet Descriptlon
3a. Describe the existing corxJitions on the site arxi the general la�d use in tFie vicinity of the project at the time of this
application:
The land use in this area is predominarrtly silvicuttural and agricurtural.
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(irrtermitterrt and perenniaq on the property:
200'
3d. Explain the purpose of the proposed projed:
The purpose of Mis project is to grade and pave an existing unpaved secondary road as part of an ongoing effort to
update the state road system and improve the Vansportation irrtrastructure in rural areas.
3e. Describe the overall projed in detail, indudirg the type of equipmeM to be used:
Standard eaAh moving, road building ar� paving equipmerrt will be used to widen the road surtace,achie�a finished
grade and pave the finished road.
4. Jurisdlctional Determinations
4a. Have jurisdictbnal wetiand or stream determinations by the ,
Corps or State been requested or obtained for this property/ �
project(including all prbr phases)in the past'? ❑Yes ❑ No ❑Unknown
CommeMS:on soils map
4b. M the Corps made the jurisdictional determination,what type � preliminary � Final
of detertninatbn was made?
4c. If yes,who delineated the jurisdidional areas7 Agency/Consuttarrt Company:
Name(ii known):Byron and Chad Other. NCDOT/Divisan 4 EnvironmeMal Staff
4d. If yes, list the dates of the Corps jurisdictional determinations or State detertninations and attach documerdation.
5. ProJect Hiatory
5a. Have pertnits or certifications been requested or obtained for �Yes � No ❑ Unknown
this project(inciuding all prior phases)in the past?
Sb. tF yes,euplain in detail accordinp to°help file" instructions.
6. Future ProJeet Plans
6a. Is this a phased project7 ❑Yes � No
6b. If yes,explain.
Page 3 of 10
PCN Fortn—Versfon 1.3 December 10, 2008 Version

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C. Proposed Impacts InveMory
1. Impacts Summary
1 a. Which secGons we2 completed below for your projed(check all that apply):
❑Wetlands � Streams-Vibutaries � Buffers
❑ Open Waters ❑ Pond Constructan
2. Wetland impacts
If there are wetland impacts proposed on ttie site,then complete this question for each wetland area impac[ed.
2a. 2b. 2c. 2d. 2e. 2f.
Wetland lmpad Type ofjurisdiction
number— Type of impact Type of wetlarxi Forested (Corps-404, 10 Area of gnpact
Pertnanern(P)or (iF known) Dw4—non-404,other) (acres)
Tem ra T
W 1 ❑ P�T ❑Yes ❑Corps
❑ No ❑ DWQ
WZ � P�T ❑Yes ❑ Corps
❑ No ❑ DWQ
W3 � P 0 T ❑Yes ❑Corps
❑ No ❑ DWQ
W4 0 P�T ❑Yes ❑Corps
❑ No ❑ DWQ
W5 0 P❑T ❑Yes ❑ Corps
❑ No ❑ DWQ
W6 0 P 0 T ❑ Yes ❑ Corps
❑ No ❑ DWQ
2g.Total wetland impacts p
2h. Comments:
S. Stream Impaets
If there are perenaiai or irrtertnittent stream impacts(including temporary impacts)proposed on the site,then complete this
question for ail st2am sites impacted.
3a. 3b. 3c. 3d. 3e. 3f. 3g.
Stream cnpact Type of impact Stream name Perennial Type ofjurisdictbn Average �mpact
number- (PER)or (Corps-404, 10 stream iength
PermaneM(P)or irrtermitterrt DWQ—ran-404, width pinear
Temporary(T) (INT)? other) (feet) feet)
S1 � P�T Pipe Placemerrt UT of Spring ❑ PER �Corps 3 ��
Branch � INT ❑ OWQ
S2 � P�T Stream bank UT to spring ❑ PER � Corps 2 2�
stabi¢ation Branch � INT ❑ DWQ
S3 ❑ P�T ❑ PER ❑ Corps
❑ INT ❑ DWQ
S4 � P❑T ❑ PER ❑ Corps
❑ INT ❑ DWQ
S5 � P O T ❑ PER ❑ Corps
❑ INT ❑ DWQ
S6 � P�T ❑ PER ❑ Corps
❑ INT ❑ DWQ
3h.Total stream and tributary impacts 33
3i.CommerRS:
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PCN Fortn—Version 1.3 December 10, 2008 Version

i4. Open Water knpacts
If there are proposed impatts to lakes, ponds,estuarfes,Vibutaries, sourxls,the Atlarrtic Ocean,or any other open water of
the U.S.then individuall lis[all open water impacts bebw.
4a. 4b. 4c. 4d. 4e.
Open water Name of waterbody
impac[number— (if applicable) Type of impact Waterbody type Area of knpact(acres)
PermaneM(P)or
Tem ra T
01 ❑ P�T
02 ❑ P�T
03' OP�T
04 ❑ P❑ T
4L Total open water impacts p
4g. Commenrs:
5. Pond or Lake Conahuction
tF nd or lake conscruction ro sed then com lete the chart bebw.
5a. Sb. 5c. Sd. Se.
Po� �p Wetland Impacts(acres) Stream Impacts(feet) Upland
Proposed use or purpose (acres)
number of pond
Fboded Filled Excavated Flooded Filled Excavated Fboded
P1
P2
SL Tota1
5g.Comments:
5h. Is a dam high hazard pertnit requi2dl
❑Yes � No If yes, permit ID no:
5i. Expecced pond surface area(acres):
5J. S¢e of pond watershed(acres):
5k. Method of construction:
Page 5 of 10
PCN Fortn—Version 1.3 December 10, 2008 Version

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B. Bulfer Impaets(for DWQ)
If project wili impact a proteded riparian buffer,then complete the chart bebw. If yes,then individualy list all buffer impacts
bebw. If an im cts re uire m" ation tl�n u MUST fill out Sed'pn D of this form.
68.
❑ Neuse �Tar-Pamiioo ❑ Other:
Project is in which protected basin7 ❑ Catawba ❑ Randleman
6b. 6c. 6d. 6e: 6f. gg.
Buffer impact
number— Reason Buffer Zone 1 impact Zone 2 impact
Pertnanerrt(P)ar for Stream name mitigation (square feet) (square feet)
Tem ra T im act re uired?
EC
devices
B� � P�T a ft�� UT of Spring Branch �Nps 600 400
bnger
P�Pe
62 � P� T ❑Yes
❑ No
B3 � POT ❑Yes
❑ No
6h. Total buffer impacts 600 400
6i. Comments: not widening beyond existing toe in this area due to poterrtiat parallel stream impads
D. Impaet Justifleatton and Mkigation
1. Avoidanca and Minimizadon
1 a. Spe�cally describe measures taken to awid or minimize the proposed impacts in designing project.
Impacts associated with this project are direcGy related to upsizing the existing crossline co acxommodate the widened road
surface as well as stablizing stream banks within roadway facility. Increases in road width and crossline lergth will wMortn to
curreirt engineering and safety standards.
1 b. Specifically describe measwes taken to avoid or minimize the proposed impacts through constructbn techniques.
This project will operate under an approved Sedimerrt and Erosion Corrtrol Pian and will also adhere to all permit condicans
set foAh by USACE and NC Division of Water Qualiry
2. Compensatory Mitigatlon for Impacts to Waters ot the U.S.or Waters of the State
2a. Does the projecc require Compensatary Mitigation for ❑Yes � No
impacts to W aters of ttie U.S.or W aters of the Statel
2b. If yes,miHgation is required by(check all tt�at appty): ❑ DW Q ❑CoryS
❑ MRgatan bank
2c. If yes,which mitigatan optbn will be used for this � paymeM to io-lieu fee program
project?
❑ Permittee Responsible Mitigation
3. Complete if Using a Mkigation Bank
3a. Name of Mitgatbn Bank
3b.Credits Purchased(attach receipt ar�d letter) Type Quarrtity
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PCN Fortn—Version 1.3 December 10, 2008 Version

I3c.Commerrts:
4. Complete if Making a Payme�rt to Indieu Fee Progrem
4a.Approval letter from io-lieu fee program is attached. ❑Yes
4D. Stream m�gation requested: linearfeet
4c. If using stream mitigation,stream temperature: ❑warm ❑coo� ❑cold
4d. Butfer mitlgation requested(DWQ only): square feet
4e. Riparian wetland mitgation requested: acres
4f. Nort-riparian weHand mitfgation requested: acres
4g. Coastal(tidaq wetlarxi mitigaYan requested: acres
4h.Commerrts:
5. Complete if Using a Permittee Responsible Mitigation Plan
5a. H using a permittee responsible mitigation plan, provide a description of the pmposed mitigatron pian.
8. Bu(fer Mitigatioa(State Regulated Riparian Buffer Rules)—required by DWQ
6a.W ill the projec[2sutt in an impact within a protected riparian buFfer that requires ❑Yes ❑ No
buffer mitigation?
6b. If yes,then iderrtiFy the square feet of impad to each zone of the riparian buffer that requires mi[igatbn. Calculate the
amourrt of mitigation required.
6c. 6d. 6e.
Zone Reason for impact Total impact Muttiplier Required mitipation
(square feet) (square feet)
Zone 1 3(2 for Catawba)
Zone 2 1.5
6f.Total bufter mitlgatlon requlred:
6g. If buffer mitigation is requiied,discuss what type of mfigation is proposed (e.g.,payme�rt to private mitigatan bank,
permittee responsible riparian buffer resroration, paymeM into an approved irflieu fee fund).
6h.Commerrts:
Page 7 of 10
PCN Form—Version 1.3 December 10, 2006 Version

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E. Sto�mwater Managemerrt and Diffuse Flow Plan(required by DWQ)
1. Diffuse Flow Plan
1a. Does the projed include or is it adjacerrt to protected riparian buffers iderrtified
within one oi the NC Riparian Buffer Protection Rules? �Yes ❑ No
1 b. If yes,then is a diffuse fbw pfan included? If no,explain why.
Commer�ts:See attached erosan cor�trol plan. �Yes ❑ No
2. Stortnwater Mana emeirt Plan
2a. What is the overall percerrt imperviousness of this project? %
2b. Oces this project require a Stormwater Managemerrt PIan7 �Yes ❑ No
2c. tl this project DOES NOT require a Stormwater ManagemeM Plan,explain why:
2d. If this project DOES require a Stormwater ManagemeM Plan,then provide a brief, narcative description of the plan:
All of the stormwater associated wRh this project will be directed through grassed ditches for treatment.
❑ Certified Local GovernmeM
2e. W ta will be responsible for the review of the Stormwater Managemerrt Plan? ❑DWQ StprtnwaOer Program
� DWQ 401 Unit
S. CeRified Local GovernmerR Stormwater Review
3a. In which bcaf governmeM's jurisdiclion is this project?
❑ Phase II
3b. Which of the foibwing bcally-implemerrted stormwater managemerrt programs � N�
apply(clieck all that appry): ❑ USMP
❑W ater Supply W atershed
❑ Other.
3c. Has the approved Stormwater Managemerrt Plan with proof of approval been ❑Yes ❑ No
attached7
4. DWQ Stormwater Pro ram Review
❑ Coastal courKies
❑ HQW
4a. Which of the folbwing state-implemeMed stortnwater managemerrt programs apply � ORW
(check all that aPP�YY ❑ Sessbn Law 200&246
� Other: NPDES
4b. Has the approved Stormwater Managemerrt Plan with proof of approval been
attached? �Yes ❑ No
5. DWQ401UnkStormwaterRevlew
5a. Does the Stormwater ManagemeM Plan meet the appropriate requiremerrts7 ❑yes ❑ No
5b.Have all oi the 401 Unit submittal 2quiremerrts been met? ❑Yes ❑ No
Page 8 of 10
PCN Fortn—Version 1.3 December 10, 2008 Version

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F. Supplementary Infortnation
1. EmiroreneMal Documerrtallon(DWQ Requireme�rt)
1 a. Does the project invoNe an expend'Rure of public(federaUstate/bcal)funds or the �Yes ❑ No
use of public(federaUstate)Iand7
1 b. If you answered"yes°to the above,does the project require preparation of an
enviro�merrtal documerrt pursuarrt to the requiremairts of the National or State ❑ Yes � No
(NoAh Carolina)Environmerrtal Policy Act(NEPA/SEPA)?
tc. If you answered"yes"to the above, has the documeirt review been final¢ed by the
State Clearing House? (If so,attach a copy of the NEPA or SEPA final approval
letter.) ❑ Yes ❑ No
Comments:
2. Violatlons(DWQ RequiremerR)
2a. Is the site in vblation of DWQ WeUarxi Rutes(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 A200)?
2b. Is this an after-the-fact permit application? ❑Yes � No
2c. lf you answered"yes"to one or both of the above questions, provide an explanation of the violation(s):
S. Cumulative trnpacts(DWQ RequiremeM)
3a. Will this project(based on past and reasonably arrticipated future impacxs)resutt in �Yes � No
additional devebpment,which could impact nearby downstream water qualityt
3b. If you answered"yes to the above, submit a qualitativ�e or quarrtitative cumulative impact analysis in accordance with the
most recerrt DWQ policy. If you answered"ra;provide a strort narrative description.
4. Sewage Disposal(DWQ Requiremerrt)
4a.CleaAy detail the uRimffie treatmerrt mettrods and dispositbn(rwn-discharge or discha�ge)of wastewater generated from
the proposed project,or avaitable capacily of the subject facility.
No was6ewater w81 be genereted by the construd'an of this projed.
Page 9 of 10
PCN Fortn—Version 1.3 December 10, 2008 Version

5. Endangered Speefas and Designated Critical Habitat(Corps Requiremerrt)
5a. Will this project occur in or near an area wdh federally protected species or �Yes � No
habitat?
5b. Have you checked with the USFlNS conceming Endangered Species Acc
impacfs? ❑ Yes � No
5c. IF yes, indicate the USFWS Field Office ❑ Raleigh
you have coMacted.
❑ Asheville
Sd. W hat data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat9
NC Natural Natural Herftage Program Database and NCDOT GIS Layers.
6. Esserrtial Fish Habkat(Corps RequiremeM)
sa.W ill this project occur in or near an area designated as esseMial fish habitat'r ❑Yes � No
6b. What data sources did you use to determine whether your site woukJ impact Esserrtial Fish Habitat?
Field observations irMipte that there is rw fish habitat in the viciniry of this project.
7. Historic or Prehistoric Cuttural Resources(Corps Requiremerrt)
7a. W ill this piojeQ occur in or near an area that the state,federal or tribal
governmerrts have designated as having historic or cuRural preservation �Yes � No
status(e.g., National Historic Trust designatan or properties sign'rf"�carrt in
North Carolina history ard archaeobgy)?
7b. What data sources did you use to determine whether your site woukl impacc historic or archeobgical resources?
SHPO has reviewed this projed and detertnined that it will not affect any historic properties or archaeobgical resources.
8.Flood Zone Designation(Corps Requiremer�t)
Ba.W ill this project occur in a FEMA-designated 100-year fbodplain? ❑Yes � No
8b. If yes,explain how projecc meets FEMA requiremerrts:
8c.W hat source(s)did you use to make the fbodplain determinacbn?NC Flood maps
c/�Z7 l//
W. �
Applicarrt/Agerrt's Prirrted Name Appliprrt/Agerrt' Signature Date
(AgenYa�gnature is valid only N m authmiza�on lettar trom the applicant
is ovlded.
Page 10 of 10
PCN Fortn—Version 1.3 December 10, 2008 Version

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