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HomeMy WebLinkAbout20111082 Ver 1_Application_20111212 '�- � t �' � c ,��,� ✓' '�°' �a.STATF h. ' Q.��1 y� � � f � � �1 � �Y��A�i# `�a��°" �C.� �,`�.�a�a �FT �c�N�, ��Q �J,' STATE OF NORTH CAROLINA �`�'OS,��,✓vs�C�qOUqr/T/�� i DEPARTMENT OF TRANSPORTATION `��,.�RB BEVERLY EAVES PERDUE EUGENE A COI��'I 1R I GOVERNOR SECRETARY I December 5 2011 U S Army Corps of Engmeers � 1 � 0 � � Regulatory F�eld Office � Post Office Box 1000 � Washington N C 27889 1000 Attention Bill Btddiecome Sub�ect Request for a NW 14 permit and DWQ 401 Certification for a secondary road widemng pro�ect on SR 1300 (New Hope Rd)m Perquiman5 County i 'rhe N�rth ra o�ma L�epartmPnt�,f Transportation is requestmg a NW 14 permrt for impacts I resultmg from road improvements on SR 1300 (New Hope Rd) m Perquimans County NCDOT proposes I to widen the road from 18 to 22 ft paved 5urface width with the ditchline being set back at various locations and 5houlders bemg ad�usted to accommodate a wider paved surface The impacts on this pro�ect are a result of the pipe replacement5 and lengthenmg After avoidance and mmimization the remammg unavoidable tmpacts are 0 0028 acres of Headwater Forest wetlands and 50 of open water impact from the pipe replacements � Included with this letter are the PCN form vicmity map permit drawings and aerial photos If you need any addrtional mformation or have any questions concernmg this pro�ect please call me at 252 482 7977 � Smcerely Jerry Jennmg5 P E � Drvision One Engmeer G G �� � ���y l Clay Willis Division One Envir ental Officer � Cc Garcy Ward D�VQ � Soma Gregory DWQ i 113 Airport Drive Suite 100 Edenton NC 27932 Phone(252) 482 7977 Fax (2�2) 482 8722 i � � � `� mm� z a � � N � o o a� N `-' F o Z Cn � '" F x O u� I � a ¢ �' z � °c_' � oo- z3 zo cv F- in ca n � � ° C�7 O � U x � � � Q W U F x U 0., � � oo � �' F z E � w I Q � c m m .^ Nco �norn 00 0° � o � o � x = �- E -- o a > o. � � �w U � a � w Q � � m Q i j �� a@ o Z 3 w u� � � � o W I x m � N^ V � � � �'� O O O O � � O 0� �' � Cn �-a O � � O � N � Q � � N M � 1� O N V N � tn O � a o � m a � � c � I � m � � m m �° U U � v o Q � � a�i �� N C � � � �C � � � � � c L � O � � � V3 �. � F � c a Q � � d o `� � _ � c p � c �0 � o Z V p� `"' O Q W � J N W y � � Q C � N O H � S� v O > I C y V � C �^ � _ �� O O p � O O � N I � LL � N � p N pG i a �v o I ao � � o co r� o V M M N V � V IX X X X X x d � y O O N N N � M � V n a a x I � � o 0 0 0 0 0 � � n U � n `d N X O � N ` ad � � c`�� M M 00 M � N M p I x X x x X x � � X X ct V � 00 CO N N N �- � �{ �' aD � � N <t x X X x X x N N 41 N N N N N O � � � � M � �M � �M � O O � o �' Ec�nu�iou�i � u�i � y6 �E � O O M �O O �O f� � LL � � � � � � � � � O O � � � � E O O O 0 O � O O � C � � J � � � � Z � N M V � (O 1� N Q � H k __ I � _� tAr ��°,��~«�,�4� Ofirice Use Only �� �� Corps action ID no � i � , , @ �`�,� �'�°�� DW Q pro�ect no �='� Form Version 1 3 Dec 10 2008 � Pre-Construction Notification (PCN) Form � A A hcant Information � 1 Processing � 1 a Type(s)of approval sought from the Corps � Section 404 Permit ❑ Section 10 Permit � 1 b Specify Nationwide Permit(NWP)number NW 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 DWQ(check all that apply) � 401 Water Quality Certification—Regular ❑ Non 404 Jurisdictional General Permit ❑ 401 Water Quality Certification—Express ❑ Riparian Buffer Authorization i 1 e Is this notification solely for the record For the record only for DWQ 401 For the record only for Corps Permit because written approval is not required� Certification i ❑ 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 within a NC DCM Area of Environmental Concern (AEC)� ❑ Yes � No 2 Pro�ect Information 2a Name of pro�ect SR 1300 New Hope Rd 2b County Perquimans , 2c Nearest municipality/town Hertford 2d Subdivision name 2e NCDOT only T I P or state State Pro�ect no 1 C 072051 pro�ect no 3 Owner Information I 3a Name(s)on Recorded Deed NCDOT 3b Deed Book and Page No n/a i 3c Responsibfe Party(for LLC if applicable) NCDOT Divis�on One 3d Street address 113 Airport Drive Suite 100 I 3e City state zip Edenton NC 27932 3f Telephone no 252 482 5071 � 3g Fax no 252 482 8722 3h Email address tcwillis@ncdot gov � � � Page 1 of 11 PCN Form —Version 1 3 December 10 2008 Version i � � � � 4 Applicant Information (if different from owner) , 4a Applicant is ❑ Agent ❑ Other specify 4b Name I 4c Business name (if applicable) � 4d Street address 4e City state zip 4f Telephone no I 4g Fax no I , 4h Email address � 5 AgenUConsultant Information(if applicable) i 5a Name 5b Business name � (if apphcable) 5c Street address � 5d City state zip 5e Telephone no 5f Fax no i 5g Email address � � I I I � I I I � Page 2 of 11 PCN Form —Version 1 3 December 10 2008 Version I � �[ B Pro�ect Information and Prior Pro�ect History I 1 Property Identification i 1a Property identiflcation no (tax PIN or parcel ID) 1 b Site coordinates(in decimal degrees) Latitude 36 20134 Longitude 76 44206 � (DD DDDDDD) ( DD DDDDDD) � 1 c Property size 19 acres � 2 Surface Waters 2a Name of nearest body of water(stream river etc )to perquimans River proposed pro�ect 2b Water Quality Classification of nearest receiving water SB I 2c River basin Pasquotank , 3 Pro�ect Descnption 3a Descnbe the existing conditions on the site and the general land use in the vicinity of the pro�ect at the time of this applicaUon The existing paved road is 18 wide with 5 6 variable grass shoulders Land use within the pro�ect area is agriculture forestry and residential homes 3b List the total estimated acreage of all existing wetlands on the property � <1 3c List the total estimated linear feet of all existing streams(intermittent and perennial)on the property � 360 , 3d Explain the purpose of the proposed pro�ect To widen the existing paved surface to 22 3e Describe the overall pro�ect in detail including the type of equipment to be used � To upgrade an existing paved secondary road from 18 to 22 wide paved surface with 5 6 shoulders Ditches will have � to be set back at various locations in order to accomadate the widening of the road surface Heavy equipment to be used � will be an excavator backhoe motor grader and dumptrucks 4 Junsd�ct�onal Determinations 4a Have�urisdictional wetland or stream determinations by the Corps or State been requested or obtained fo�r this property/ � Yes � No ❑ Unknown � pro�ect(including all prior phases)in the past Comments ' 4b If the Corps made the�urisdictional determination what type � preliminary ❑ Final of determination was made 4c If yes who delineated the�urisdictional areas� Agency/Consultant Company Name (if known) Other i 4d if yes list the dates of the Corps�urisdictional determinations or State determinations and attach documentation I5 Pro�ect History I 5a Have permits or certifications been requested or obtained for � Yes � No ❑ Unknown this pro�ect(including all prior phases)in the past� � 5b If yes explain in detail according to help file instructions � I � � Page 3 of 11 PCN Form —Version 1 3 December 10 2008 Version � s � i 6 Future Pro�ect Plans 6a Is this a phased pro�ect� ❑ Yes � No � 6b If yes explain I I � � I I I I I � I Page 4 of 11 PCN Form —Version 1 3 December 10 2008 Version i t } � C Proposed Impacts Inventory 1 Impacts Summary 1 a Which sections were completed below for your pro�ect(check all that apply) � �Wetlands ❑ Streams tributanes ❑ Buffers � � Open Waters ❑ Pond Construction I 2 Wetland Impacts i 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�urisdiction 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 orar T i W1 � P ❑T fill (pipe& riprap) Headwater Forest Yes Corps 0 0028 ❑ No � DWQ W2 ❑ P ❑ T ❑ Yes ❑ Corps i ❑ No ❑ DWQ � W3 ❑ P �T ❑Yes ❑ Corps ❑ No ❑ DWQ W4 ❑ P ❑ T ❑ Yes ❑ Corps i ❑ No ❑ DWQ � W5 ❑ P 0 T ❑Yes ❑ Corps ❑ No ❑ DWQ W6 ❑ P ❑ T ❑ Yes ❑ Corps I ❑ No ❑ DWQ 2g Total wetland impacts 0 0028 2h Comments 122 sq ft of impact from lengthing pipe and associated riprap for slope stabilization I 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�unsdiction Average Impact ' number (PER)or (Corps 404 10 stream length Permanent(P)or intermittent DWQ—non 404 width (I�near Temporary(T) (INT)� other) (feet) feet) S1 ❑ P ❑T ❑ PER ❑ Corps ❑ INT ❑ DWQ S2 ❑ P ❑T ❑ PER ❑ Corps ❑ INT ❑ DWQ S3 ❑ P 0 T ❑ PER ❑ Corps i ❑ INT ❑ DWQ I S4 ❑ P �T ❑ PER ❑ Corps ❑ INT ❑ DWQ ; ❑ PER ❑ Corps S5 ❑ P ❑T ❑ INT ❑ DWQ S6 ❑ P ❑ T ❑ PER ❑ Corps � ❑ INT ❑ DWQ 3h Total stream and tributary►mpacts p 3i Comments i Page 5 of 11 PCN Form —Version 1 3 December 10 2008 Version I i t x I 4 Open Water Impacts If there are proposed impacts to lakes ponds estuanes 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) i Permanent(P)or i Tem orar T 01 � P ❑ T UT s to Perquimans fill (pipe) drainage features 0 0028 I River with OHWM 02 ❑ P ❑ T 03 ❑ P � T i 04 ❑ P ❑ T 4f Total open water impacts 0 0028 4g Comments See attached permit impact summary for Site impacts Drainage features are ditches cut through hydric soils for agncultual purposes that exhibit an OHWM I 5 Pond or Lake Construct�on � If ond or lake construction ro osed then com lete the chart below � 5a 5b 5c 5d 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 i 5g Comments � 5h is a dam high hazard permit required� I ❑ Yes ❑ No If yes permit ID no � 5i Expected pond surface area(acres) 5� Size of pond watershed(acres) 5k Method of construction I � I I I I i � I I I � Page 6 of 11 PCN Form —Version 1 3 December 10 2008 Version � t �( 6 Buffer Impacts (for DWQ) If pro�ect will impact a protected nparian buffer then complete the chart below If yes then individually list all buffer impacts , below If an impacts require miti ation then ou MUST fdt out Section D of this form i , 6a ❑ Neuse ❑Tar Pamlico ❑ Other Pro�ect 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) i Tem orar T im act re wred� 61 ❑ P �T ❑Yes ❑ No � 62 ❑ P �T ❑ Yes ❑ No B3 ❑ P ❑T ❑ Yes ❑ No � 6h Total buffer impacts 6i Comments D Impact Justificat�on and M�tigation � 1 Avoidance and Minimization 1 a Speafically describe measures taken to avoid or minimize the proposed impacts in designing pro�ect The�urisdictional impacts were limited to cross line replacement locations 1 b Specifically describe measures taken to avoid or minimize the proposed impacts through construction techrnques � Staged construction wdl be utilized and the road will be closed or reduced to one lane of traffice during pipe replacements rather than using an on site detour in order to minimze the proposed impacts i 2 Compensatory Mitigation 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 mitigat�on is required by(check all that apply) ❑ DWQ ❑ Corps ❑ Mitigation bank i 2c If yes which mitigation option will be used for this � payment to in lieu fee program pro�ect� ❑ Permittee Responsible Mitigation i 3 Complete if Using a Mitigation Bank 3a Name of Mitigation Bank � 3b Credits Purchased (attach receipt and letter) Type Quantity I � I � I i � I Page 7 of 11 PCN Form —Version 1 3 December 10 2008 Version i i I � X � 3c Comments � 4 Complete �f 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 Ripar�an 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 � � 5a If using a permittee responsible mitigation plan provide a description of the proposed mitigation plan ' 6 Buffer Mitigation(State Regulated Riparian Buffer Rules)—reqwred by DWQ � 6a Vllni tne pro�ect resuit in an impact witnin a procectea ripanan buifer�ha�requ��es ❑ Yes � {vc � buffer mitigation� 6b If yes then identify the square feet of impact to each zone of the nparian buffer that requires mitigation Calculate the � amount of mitigation required I 6c 6d 6e Zone Reason for impact Total impact Multiplier Required mitigation (square feet) (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) I � 6h Comments I I I I Page 8 of 11 PCN Form —Version 1 3 December 10 2008 Version i R I E Stormwater Management and Diffuse Flow Plan(required by DWQ) 1 Diffuse Flow Plan , 1 a Does the pro�ect include or is it ad�acent to protected riparian buffers identified � Yes � No � within one of the NC Ripanan Buffer Protection Rules� i 1 b If yes then is a diffuse flow plan included� If no explain why � Yes ❑ No ( Comments I2 Stormwater Mana ement Pian 2a What is the overall percent imperviousness of this pro�ect� n/a % j 2b Does this pro�ect require a Stormwater Management Plan� �Yes ❑ No 2c If this pro�ect DOES NOT require a Stormwater Management Plan explain why I 2d if this pro�ect DOES require a Stormwater Management Plan then provide a brief narrative description of the plan NCDOT state stormwater permit for highway system is applicable NCDOT will follow guidelines for Erosion and i Sediment Control ❑ Certified Local Government 2e Who will be responsible for the review of the Stormwater Management Plan� ❑ DWQ Stormwater Program � ❑ DWQ 401 Urnt 3 Certified Local Government Stormwater Review � 3a In which local government s�urisdiction is this pro�ect� n/a ❑ Phase II 3b Which of the following locally implemented stormwater management programs ❑ NSW apply(check all that apply) ❑ USMP ❑Water Supply Watershed ❑ Other 3c Has the approved Stormwater Management Plan with proof of approval been ❑ Yes ❑ No attached� 4 DWQ Stormwater Pro ram Rev�ew , ❑ Coastal counties ❑ HQW 4a Which of the following state implemented stormwater management programs apply ❑ ORW I (check all that apply) ❑ Session Law 2006 246 � Other NCDOT stormwater � permit No NCG010000 I 4b Has the approved Stormwater Management Plan with proof of approval been attached� ❑ Yes � No � 5 DWQ 401 Un�t Stormwater Review � 5a Does the Stormwater Management Plan meet the appropnate requirements� ❑Yes ❑ No I 5b Have all of the 401 Unit submittal requirements been met� ❑Yes ❑ No � Page 9 of 11 PCN Form —Version 1 3 December 10 2008 Version I i L I� � F Supplementary Information 1 Environmental Documentation(DWQ Requirement) I1a Does the pro�ect 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 pro�ect require preparation of an environmental document pursuant to the requirements of the National or State ❑Yes � No (North Carolina) Environmental Policy Act(NEPA/SEPA)� 1 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 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) i 3 Cumulative Impacts(DWQ Requorement) , 3a Wdl this pro�ect(based on past and reasonably anticipated future impacts)result m �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 descnption i 4 Sewage Disposal(DWQ Requirement) 4a Clearly detail the ultimate treatment methods and disposition (non discharge or discharge)of wastewater generated from ' the proposed pro�ect or available capacity of the sub�ect facility No wastewater will be created from this pro�ect i � � I I Page 10 of 11 PCN Form —Version 1 3 December 10 2008 Version I I I ■ � 5 Endangered Spec�es and Designated Critical Habitat(Corps Requ�rement) 5a Will thi�pro�ect occur m or near an area w�th federally protected species or �Yes � No habitat � 5b Have yo�u checked with the USFWS concerrnng Endangered Species Act �Yes � No impacts I � ❑ Raleigh 5c If yes indicate the USFWS Field Office you have contacted ❑ Ashevdle 5d What data sources did you use to determme whether your site would impact Endangered Species or Designated Critical Habitat� I Natural Heritage database 6 Essential Fish Habitat(Corps Requirement) i i 6a Will this pro�ect occur in or near an area designated as essential fish habitat� ❑Yes � No � 6b What data sources did you use to determine whether your site would impact Essential Fish Habitat� Marine Fisheries 7 Historic or Prehistoric Cultural Resources(Corps Requirement) I 7a Wdl this pro�ect occur in or near an area that the state federal or tnbal � governments have designated as having historic or cultural preservation �Yes � No � status(e g National Histonc Trust designation or properties sigrnficant in North Carolina history and archaeology)� 7b What data sources did you use to determine whether your site would impact historic or archeological resources� A request has been submitted to NCDOT s Cultural Resource office for historic and archeological review 8 Flood Zone Designation (Corps Requirement) 8a Will this pro�ect occur in a FEMA designated 100 year floodplain� �Yes ❑ No ' 8b If yes explain how pro�ect meets FEMA requirements Based on pro�ect scope pro�ect was not reviewed for FEMA requirements ' 8c What source(s)d�d you use to make the floodplain determination�NC Flood Mapping Information System � Clay Willis la,,l� G( AppficanUAgent s Printed Name pplic t/Agent s Signature Date (Agent s signature�s valid !y if an authonzation letter from the applicant is provided � I I Page 11 of 11 f PCN Form —Version 1 3 December 10 2008 Version I i I / I� O r� � 7�'f� 7�, n �' � s� � � ; i � �y ,�� � w,� � o O '��/� a m o ° Q N � � u �•- a ° � 1 O qw � o ` o = a � o U n_ M w O a a w a w ' m N � � �-f z o A� 0 � (\ a m � °_ ° � I ti M � m � �� , Q N � (V I � � ¢ a m N `_ ~ ,. � � � � o'or o I �V o M N = � W °� I�' 71 0 wO � � 8 L � �saH w � � � �� '— '� ca � O �oa� � � _ � a � Q � � I 0. � �I/ � o �z a rc z � ��°+ _ Z a , \ M � � � z � �LL� a � o I � a \\ \ � v/ ¢ � a U � � > O � U W � � a m � � � �cs�� � Z �<� m J < � U O m m ❑ � s � � � I / � � � M �� � � - - - - - - -��� � l , � o � � � � ' � 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