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HomeMy WebLinkAbout20111043 Ver 1_Application_20111130 � �'�7ai�i7 -. y� F �P-3 �J � � ��� ��U V e����W O`� �G �ce Use Only DENR� i � y � � � � ��' � Corps action ID no � � LA�VDSAN i ��� i �y _ DWQ pro�ect no Form Version 1 3 Dec 10 2008 Pre-Construchon Nohficahon C Form A A Vcant Informahon 1 Process�ng 1 a Type(s)of apprpval sought from the Corps �Section 404 Permit ❑ Section 10 Permit 1 b Specify Natiornnnde Permit(NWP)number 3 or Generai Permit(GP)number 1c Has the NWP or GP number been venfied by the Corps� ❑Yes � No 1 d Type�s)of approval sought from the DWQ(check all that apply) �401 >>Vater Quality Certification—Regular ❑ Non-404 Junsdictional General Permit [�401 Water Quality Certification—Express � Ripanan Buffer Authonzatian 1 e Is this nobficabon solely for the record For the record only for DWQ 401 For the record only for Corps Permit because wntten approval is not reqwred� CertficaUon ❑Yes � No �Yes ❑ No 1f Is payment into a mitigation bank or in lieu fee program proposed for mitigation �Yes � No of impacts� If so attach the acceptance letter from mitigation bank or in lieu fee program 1 g Is the pro�ect located in any of NC s twenty coastal counties If yes answer 1 h ❑Yes � No below 1 h Is the pro�ect located�nnth�n a NC DCM Area of Enwronmental Concem (AEC)� ❑Yes � No 2 Pro�ect Informat�on 2a Name of pro�ect Pm County C 35 NC 102 Over U/T uttle Corrtentnea Creek Box Culvert to Box Culvert Replacement WBS Element Number 2B 107411 2b County Prtt County 2c Nearest murncapality/town Ayden 2d Subd�wsion name WA 2e NCDOT only T I P or state WgS Element Number 26 107411 pro�ect no 3 Owner Information 3a Name(s)on Recorded Deed North Carolina Department of Transportabon 3b Deed Book and Page No WA 3c Respons�ble Party(for LLC rf WA applicable) 3d Street address 105 Pactolus Highway NC 33 P O Box 1587 3e Crty state z�p Greenvdle NC 27835 3f Telephone no 252 830-3490 3g Fax no 252 830-3341 3h Emad address �b�ohnson@ncdot gov Page 1 of 10 PCN Form—Version 1 3 December 10 2008 Version } 4 Applicant Infortnahon(if diffee�ent from owner) 4a Applicant is ❑Agent �Other speafy Division 2 Environmental Officer 4b Name Jay B Johnson 4c Busmess name North Carolina Depratment of Transportat�on (if applicable) 4d Street address P O Box 1587 4e City state zip Greenvdie NC 27835 4f Telephone no 252 830-3490 4g Fax no 252-830-3341 4h Ema�l address �b�ohnson@ncdot gov 5 Agent/Consuftant Informat�on(�f appl�cable) 5a Name N/q 5b Business name (if applicable) 5c Street address 5d City state ap 5e Telephone no 5f Fax no 5g Emad address I Pa e2of10 9 PE�}-Form—Version 1 3 December 10 2008 Version B Pro�ect Informat�on and Pnor Pro�ect History 1 Property IdenUficahon 1a Property idenUficabon no (tax PIN or parcel ID) N/A LaUtude N 35 472911 Longitude W 1 b Site coordinates(in decimal degrees) 77 471901 (DD DDDDDD) (DD DDDDDD) 1 c Property s¢e N/A acres 2 SurFace Waters 2a Name of nearest body of water(stream nver etc)to Little Corrtentnea Creek proposed pro�ect 2b Water Quality Classficat�on of nearest receiv�ng water C S1nrNSW 2c Rrver basin Neuse River�asm Contentnea 03020203 3 Pro�ect Descnpt�on 3a Descnbe the ex�st�ng condifions on the site and the general land use in the v�anity of the pro�ect at the t�me of this applicahon Woods and Agncufture 3b List the total esbmated acreage of all exisUng wetiands on the property N/A 3c Vst the total est�mated Imear feet of all ex�sting streams(intermittent and perenrnal)on the property 60 Stream is a part of a Larger System 3d Explain the purpose of the proposed pro�ect The Exist�ng Box Culverts has deteonated and needs to be replaced 3e Descnbe the overall pro�ect in detad mduding the type of equipment to be used The ExisUng 2@ 10 x 4 Re�nforced Concrete Box Culverts Nnll be replaced Hnth a Proposed 1@ 25 2 x 6 2"x 45 Aluminum Box Culvert UUlfies wnl!be relocated wrth no 404 Wetiand Impacts nor Buffer impacts 4 Junsd�chonal Determmabons 4a Have�unsdictional wetland or stream determinations by the Corps or State been requested or obtamed for this property/ pro�ect(including all pnor phases) in the past� ❑Yes � No ❑ Unknown Comments 4b If the Corps made the�unsdictional determmation what rype � prel�m�na F�nal of determmation was made� ry � 4c If yes who delineated the�unsdicUonal areas� Agency/Consultant Company NCDOT Name(�f krtown) Jay Johnson Other 4d if yes list the dates of the Corps�unsdictional determ�nat�ons or State determinaUons and attach documentabon September 2011 5 Pro�ect H�story 5a Have permits or ce�tifications been requested or obtamed for �Yes � No ❑Unknown this pro�ect(including all pnor phases)m the past� 5b if yes explain in detad according to help file instruchons 6 Future Pro�ect Plans 6a Is this a phased pro�ect� ❑Yes � No 6b If yes e�lain 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 pro�ect(check all that apply) �WeUands ❑ Streams tnbutanes � Buffers ❑ Open Waters ❑ Pond Construction 2 Wetland impacts If there are weUand impacts proposed on the site then complete this quesbon for each weUand area impacted 2a 2b 2c 2d 2e 2f Wetland impact Type of�unsdiction number— Type of impact Type of wetland Forested (Corps 404 10 Area of impact Permanent(P)or (if known) DWQ—non-404 other) (acres) Tem ora W1 � P 0 T Fdl Bottomland �Yes � Corps Hardwood Forest ❑ No ❑ DWQ 5 Sq Ft W2 ❑ P ❑T ❑Yes ❑ Corps ❑ No ❑ DWQ W3 ❑ P�T ❑Yes ❑ Corps ❑ No ❑ DWQ W4 ❑ P �T ❑Yes ❑ Corps ❑ No ❑ DWQ W5 ❑ P�T ❑Yes ❑ Corps ❑ No ❑ DWQ W6 ❑ P❑T ❑Yes ❑ Corps ❑ No ❑ DWQ 2g Totat wetland impacts 5 Sq Ft 2h Comments 5 Sq Ft of 404 WeUand Impacts 3 Stream Impacts If there are perennial or mtermittent stream impacts(induding temporary impacts)proposed on the site then complete this quest�on for all stream sdes impacted 3a 3b 3c 3d 3e 3f 3g Stream impact Type of�mpact Stream name Perennial Type of�unsdic6on Average Impact number (PER)or (Corps-404 10 stream length Permanent(P)or mtermitterrt DWQ—non�04 width (�mear Temporary(� (�N�� other) (feet) feet) Box Culvert Un Named S1 � P❑T Bedding And Tnbutary of Little � PER ❑ Corps 20 8 Dewatenng Device Contentnea Creek � INT � DWQ Box Culvert Un Named S2 ❑ P�T Bedding And Tnbutary of Little � PER ❑ Corps 20 3 Dewatenng Device Contentnea Creek � �NT � DWQ Box Culvert Un Named S3 ❑ P �T Bedding And Tnbutary of Little � PER ❑ Corps 20 3 Dewatenng Device Contentnea Creek � �NT � DWQ Box Culvert Un Named S4 � P 0 T Bedding And Tnbutary of Little � PER ❑Corps 20 $ Dewatenng Device Contentnea Creek � �NT � DWQ S5 ❑ P ❑T ❑ PER ❑ Corps ❑ INT ❑ DWQ S6 ❑ P�T ❑ PER ❑ Corps ❑ INT ❑ DWQ 3h Total stream and tributary impacts 22LF 3i Comments 22 LF Stream Impacts For Dewatenng Dev�ces 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 estuanes tnbutanes sounds the Atlanfic Ocean or any other open water of the U S then indiwdually 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 Temporary 01 ❑ P�T 02 ❑ PQT 03 ❑ P�T 04 ❑ P❑T 4f Total open water�mpacts p 4g Comments No Open Water Impacts ` 5 Pond or L.ake Construcfion If nd or lake construcfion ro sed then com lete the chart below 5a 5b 5c 5d 5e Wetland Impacts(acres) Stream Impacts(feet) Upland Pond ID Proposed use or purpose of (acres) number pond Flooded Fdled Excavated Flooded Fdled Excavated Flooded P1 P2 Sf Total 5g Comments None 5h Is a dam high hazard permit reqwred� ❑Yes ❑ No If yes permit ID no 5i Expected pond surface area(acres) 5� S¢e of pond watershed(acres) 5k Method of construction Page 5 of 10 RCN ForrR—Versiorr 'k 3 December 10 2008 Version 6 Buffer Impacts (for DWQ) If pro�ect�nnll impact a protected npanan buffer then complete the chaR below if yes then individually list all buffer impacts below If an im acts re wre miti ation then ou MUST fill out Section D of this form 6a � Neuse ❑Tar Pamlico ❑ Other Pro�ect is m which protected basin� ❑ Catawba ❑ Randleman 6b 6c 6d 6e 6f 6g Buffer impact number— Reason Buffer Zone 1 impact Zone 2 impact Permanent(P) for impact Stream name mibgat�on (square feet) (square feet) or Temporary reqwred� Box Culvert Un Named Tnbutary of Little ❑Yes B1 � P 0 T Bedding Contentnea Creek � No 380 Sq ft 350 Sq ft and Headwalls Box Culvert Un Named Tnbutary of Little ❑Yes B2 � P�T Bedding Contentnea Creek � No 645 Sq ft 360 sq ft and Headwails Box Culvert Un Named Tnbutary of Little ❑Yes B3 � P❑T Bedding Contentnea Creek � No 620 Sq ft 360 Sq ft and Headwalls 6h Total buffer impacts 6i Comments See Page 6-A for Totals D Impact Justificat�on and M�Ugat�on 1 Avoidance and Mm�m¢abon 1 a Speafically descnbe measures taken to avoid or mirnmize the proposed impacts in desigrnng pro�ect WeUand Impacts have been mirnmized to the exterrt feasible �nnth impacts occumng only where necessary to accommodate the Proposed Box Culvert and Headwalls 1 b Specficaliy descnbe measures taken to avoid or minimize the proposed impacts through construction techniques Use of e�asUng roadway to operate construction eqwpment no equipment wnll errter wetlands 2 Compensatory Mrtigation for Impacts to Waters of the U S or Waters of the State 2a Does the pro�ect require Compensatory Mitigation for ❑Yes � No impacts to Waters of the U S or Waters of the State� 2b If yes mingahon is required by(check all that apply) ❑ DWQ ❑ Corps ❑ Mitigation bank 2c If yes which mitigation option�nnll be used for this pro�ect� ❑ Payment to in lieu fee program ❑ Permittee Responsibte Mitigation 3 Complete rf Us�ng a AArt�gat�on Bank 3a Name of Mitigation Bank 3b Credits Purchased(attach receipt and letter) Type Quant�ty Page 6 of 10 PCN Form—Version 1 3 December 10 2008 Version 3c Comments 4 Complete�f Making a Payment to In-lieu Fee Program 4a Approval letter from m lieu fee program is attached ❑Yes 4b Stream mitigation requested linear feet 4c If using stream mitigation stream temperature ❑warm ❑cool ❑cold 4d Buffer mit�gat�on requested(DWQ only) square feet 4e R�panan wetland miUgation requested acres 4f Non-npanan we�and mit�gaUon requested acres 4g Coastai(t�dal)wetland mitigat�on requested acres 4h Comments 3 Complete rf Us�ng a Permittee Responsible Mrtigat�on Plan 5a If us�ng a permittee responsible mitigat�on plan prov�de a descnpbon of the proposed m�gat�on plan 6 Buffer Mrt�gation(State Regulated R�panan Buffer Rules)—reqwred by DWQ 6a Will the pro�ect result in an impact vinthin a protected npanan buffer that requires ❑Yes � No buffer mitigation� 6b If yes then idenUfy the square feet of impact to each zone of the npanan buffer that requires mit�gat�on Caiculate the amount of mfigat�on required 6c 6d 6e Zone Reason for impact Total impact Muitiplier Reqwred m�Ugafion (square feet) (square feet) Zone 1 3(2 for Catawba) Zone 2 � 5 6f Totai buffer mrhgat�on reqwred None 6g If buffer mit�gat�on is reqwred discuss what type of mibgation is proposed(e g payment to pnvate mit�gat�on bank perm�ttee responsible npanan buffer restorafion paymerrt into an approved in lieu fee fund) WA 6h Comments Page 7 of 10 PE1d Form—Version ? 3 December 10 2008 Versbn E Stormwater Management and DifFuse Fiow Plan (reqwred by DWQ) 1 D�ffuse F1ow Plan 1a Does the pro�ect include or is it ad�acent to protected npanan buffers identified within one of the NC Ripanan Buffer Protection Rules� �Yes ❑ No 1b If yes then is a difFuse flow plan included� If no explain why Comments Sheet Flow through the Vegetated Shouiders and Temporary Silt Fence v�nll be used to treat Stormwater Run Off From the Road The Existing �Yes ❑ No roadside ditches�nnll not be moved Installation of the Proposed Box Culvert will be done in Low/No Flow condiUons and Sdt Bags�nnll be used to control sediment loss and turbidity 2 Stormwater Mana ement Plan 2a What is the overall percent imperviousness of this proJect� WA Roadway/Bndge Pro�ect% � 2b Does this pro�ect require a Stormwater Management Plan� � Yes ❑ No � 2c If this pro�ect DOES NOT reqwre a Stormwater Management Plan expiain why 2d if this pro�ect DOES reqwre a Stormwater Management Plan then prov�de a bnef narraUve descnption of the plan Sheet Flow through the Vegetated Shoulders and Temporary Sdt Fence�nnll be used to treat Stormwater Run Off From the Road The Ex�st�ng roadside ditches wnll not be moved InstallaUon of the Proposed Box Culvert�nnll be done in LowMo Flow conditions and Sdt Bags wnll be used to control sediment loss and turbidity ❑Certified Local Govemment 2e Who wdl be responsible for the review of the Stormwater Management Plan� ❑ DWQ Stormwater Program � DWQ 401 Unit 3 Cert�fied Local Government Stormwater Rev�ew 3a in which local govemmenYs�unsdichon is this proJect� N/A ❑ Phase II 3b Which of the foilo�nnng locally implemented stormwater management programs ❑ NSW apply(check all that apply) ❑ USMP ❑Water Suppiy Watershed ❑Other N/A 3c Has the approved Stormwater Management Plan�nnth proof of approval been ❑Yes � No attached� 4 DWQ Stormwater P ram Rev�ew ❑ Coastal counties ❑ HQW 4a Which of the followmg state-implemented stormwater management programs apply � ORW (check all that apply) ❑ Session Law 2006 246 � Other NPDES Permit 4b Has the approved Stormwater Management Plan wnth proof of approval been attached� ❑Yes � No 5 DWQ 401 Unit Stormwater Review 5a Does the Stormwater Management Plan meet the appropnate requirements� ❑Yes ❑ No Page 8 of 10 PCN Form—Version 1 3 December 10 2008 Version �I 5b Have atl of the 401 Urnt submittal reqwrements been met� ❑Yes ❑ No F Supplementary Informat�on 1 Environmentai DocumentaUon(DWQ Reqwrement) 1a Does the pro�ect invoive 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 pro�ect require preparation of an enwronmentai document pursuant to the requirements of the National or State ❑Yes � No (North Carolina) Environmental Policy Act(NEPA/SEPA)� 1 c ff you answered`yes to the above has the document review been final¢ed by tfie State Cleanng House� (If so attach a copy of the NEPA or SEPA final approval letter) ❑Yes ❑ No Comments 2 Violabons(DWQ Reqwrement) 2a Is the s�te m violafion of DWQ Wetland Rules(15A NCAC 2H 0500) Isolated Wetland Rules(15A NCAC 2H 1300) DWQ Surface Water or Wetland Standards ❑Yes � No or Ripanan Buffer Rules(15A NCAC 2B 0200)� 2b Is this an after the-fact permit applicaUon� ❑Yes � No 2c If you answered"yes to one or both of the above quest�ons prov�de an explanabon of the v�olat�on(s) 3 Cumulabve Impacts(DWQ Reqwrement) 3a Will this pro�ect(based on past and reasonably antiapated future impacts)result in �Yes � No additional development which could impact nearby downstream water quality� 3b if you answered�res to the above submd a quabtat�ve or quanMative cumulafire impact arralys�s m accordance wnth the most recent DWQ policy If you answered no provide a short narrat�ve descnpUon 4 Searage Dosposa{(D1MQ Requirement) 4a Ciearty detad the ult�mate treatment methods and dispos�fion(non-discharge or discharge)of wastewater generated from the proposed pro�ect or available capacity of the sub�ect fac�lity N/A Page 9 of 10 PCN Form—Version 1 3 December 10 2008 Version 5 Endangered Spec�es and Designated Cr�t�cal Habrtat(Corps Requirement) 5a Wiil this pro�ect occur in or near an area wnth federaily protected species or � Yes habitat� � No 5b Have you checked with the USFWS concemmg Endangered Spec�es Act �Yes � No impacts� ❑ Raleigh 5c If yes indicate the USFWS Field Office you have contacted ❑ Ashevdle 5d What data sources did you use to determine whether your site would impact Endangered Species or Designated CnUcat Habitat� Trav�s Wilson NCWRC On Site Habitat InvesUgat�on The Natural Herrtage Program and the USFWS Websde 6 EssenUal F�sh Habitat(Corps Requirement) -- 6a Wdl this pro�ect occur m or near an area designated as essenUal fish hab�tat� ❑Yes � No 6b 1Nhat data sources did you use to determine whether your site would�mpact Essent�al Fish Habitat� Trav�s Wlson NCWRC 7 Hrstonc or Preh�stonc Cultural Resources(Corps Reqwrement) 7a Wil1 this pro�ect occur in or near an area that the state federal or tnbal govemments have designated as having histonc or cultural preservation �Yes � No status(e g National Histonc Trust designation or properties s�gnificant m North Carolina h�story and archaeology)� 7b What data sources did you use to determine whether your site wouid impact histonc or archeological resources� Archaeology and Histonc Arch�tecture PDEA NCDOT 8 Flood Zone Des�gnation(Corps Reqwrement) 8a Wdl this pro�ect occur in a FEMA designated 100 year floodpla�n� � Yes ❑ No 8b If yes explain how pro�ect meets FEMA reqwrements Proposed Box Culvert is designed to no-nse standards 8c What source(s)did you use to make the floodplain determinat�on�FEMA FIRM Maps Jay B Johnson November 17 2011 ApplicanUAgent's Pnnted Name Ap Age ignature Date (AgenYs signature�s v d o an onzat�on letter from the app6pnt ro ed Page 10 of 10 PCN Form—Version 1 3 December 10 2008 Version 6 Buffer Impacts(for DWQ) If pro�ed�nnll impact a protected npanan buffer then complete the chart below If yes then individuaity list all buffer impacts below If an im acts re wre miti at�on then ou MUST fill out Sect�on D of this form 6a � Neuse ❑Tar Pamlico ❑Other None Pro�ect is in which protected bas�n� ❑ Catawba ❑ Randleman 6b 6c 6d 6e 6f 6g Buffer impact number— Reason Buffer Zone 1 impact Zone 2 impact Permanent(P) for impact Stream name mit�gat�on (square feet) (square feet) or Temporary required� 64 Box Culvert Un Named Tnbutary of Little ❑Yes 61 � P❑T Bedding Contentnea Creek � No 630 Sq Ft 370 sq Ft and Headwalls 62 ❑ POT ❑Yes ❑ No 63 ❑ P❑T ❑Yes ❑ No 6h Total buffer impacts 2275 Sq Ft 1440 Sq Ft 6i Comments Buffer Zone 1 Impacts=0 05 Acres Buffer Zone 2 Impacts=0 03 Acres D Impact Just�ficat�on and Mit�gat�on 1 Avoida�ce and Mmim¢adon 1 a Specfically descnbe measures taken to avo�d or minim�ze the proposed impacts in designing pro�ect 1 b Specfically descnbe measures taken to avoid or mmim�ze the proposed impacts through construction techniques U 2 Compensatory Mitigat�on for impacts to Waters of the U S or Waters of the State 2a Does the pro�ect reqwre Compensatory Mitigation for ❑Yes � No impacts to Waters of the U S or Waters of the State� 2b If yes mrtigat�on is requ�red by(check all that apply) ❑ DWQ ❑ Corps ❑ Mitigation bank 2c if yes which mitigation option�nnll be used for this pro�ect� ❑ Payment to in lieu fee program ❑ Permittee Responsible Mitigation 3 Complete rF Using a Mitagation Bank 3a Name of Mitigation Bank 3b Credits Purchased(attach rece�Pt and letter) Type Quantity Pa e6of10 I 9 PCN Form—Version 1 3 December 10 2008 Version Sutton, Michael W From Wilson Travis W Sent Wednesday October 19 2011 11 06 AM To Sutton Michaei W Cc Johnson Jay B Sub�ect RE C 35 Pitt County WRC does not have any specific concerns or recommendation for this pro�ect -----Original Message----- From Sutton Michael W Sent Wednesday October 19 2011 10 50 AM To Wilson Travis W Cc Johnson Jay B Sub�ect C 35 Pitt County Good Morning Mr Travis Division 2 plans to rEplace C 35 an existing 2@10 x 4 Reinforced Concrete Box Culvert with Square Endwalls with a Proposed 1@ 25 -2 x 6 -2 x 45 Aluminum Box Culvert on NC 102 in an U/T Little Contentnea Creek We would like to know if a moratorium exists in this location Thank You Sir mike Email correspondence to and from this sender is sub�ect to the N C Public Records Law and may be disclosed to third parties 1 � C35 BOX CULVERT REPLACEMENT pITT COUNTY � Z°� - NC 102 OVER UN-NAMED !19 � -� TRIBUTARYOFLITTLE CONTENTNEA CREEK ? 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