20200088 Ver 1_PCN Form Submission_20200116

DWR
Olrlslon of Water Resources
Pre -Construction Notification (PCN) Form
September 29, 2018 Ver 3
Initial Review
Has this project met the requirements for acceptance
in to the review process?*
6 Yes
r No
Is this project a public transportation project?*
G Yes r No
Change only if needed.
BIMS # Assigned *
Version#*
20200088
1
Is a payment required for this project?*
r No payment required
G Fee received
Reviewing Office*
r Fee needed - send electronic notification
Wilmington Regional Office - [phone]
Select Project Reviewer*
Joanne Steenhuis:eads\jhsteenhuis
Information for Initial Review
1a. Name of project:
Fender County 1-40 Burgaw Culvert Channel Realignment
1a. Who is the Primary Contact?*
Sean Farrell
1b. Primary Contact Email:* 1c. Primary Contact Phone:*
[e-mail] [phone]
Date Submitted
1/16/2020
Nearest Body of Water
Bu rgaw Creek
Basin
Cape Fear
Water Classification
Q Sw
Site Coordinates
Latitude: Longitude:
34.563168-77.896948
A. Processing Information U
County (or Counties) where the project is located:
Pender
Is this project a public transportation project?*
IT Yes r No
Is this a NCDOT Project?*
IT Yes r No
(NCDOT only) T.I.P. or state project number:
WBS # (?)
15403.1071014
1a. Type (a) of approval sought from the Corps:

W Section 404 Permit (wetlands, streams and waters, Clean Water Act)
r Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)
1b. What type(s) of permit(s) do you wish to seek authorization?
W Nationwide Permit (NWP)
r Regional General Permit (RGP)
r Standard (IP)
1c. Has the NWP or GP number been verified by the Corps?
r Yes r No
Nationwide Permit (NWP) Number: 03 - Maintenance
NWP Numbers (for multiple NWPS):
1d. Type(s) of approval sought from the DWR:
W 401 Water Quality Certification - Regular
r Non-404 Jurisdictional General Permit
r Individual Permit
le. Is this notification solely for the record because written approval is not required?
For the record only for DWR401 Certification:
For the record only for Corps Permit:
r 401 Water Quality Certification - Express
r Riparian Buffer Authorization
1f. Is this an after -the -fact permit application?*
r Yes r No
1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
r Yes r No
1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
r Yes r No
Acceptance Letter Attachment
1h. Is the project located in any of NC's twenty coastal counties?
r Yes r No
11. Is the project located within a NC DCM Area of Environmental Concern (AEC)?
r Yes r No r Unknown
1j. Is the project located in a designated trout watershed?
r Yes r No
B. Applicant Information
1d. Who is applying for the permit?
V Owner r Applicant (other than owner)
le. Is there an Agent/Consultant for this project?*
r Yes r No
2. Owner Information
2a. Name(s) on recorded deed:
NC Department of Transportation
2b. Deed book and page no.:
2c. Responsible party:
2d.Address
Street Address
5501 Barbados Blvd
Address Line 2
city
Castle Hayne
Postal / Zip Code
28429
State / Rmince / Region
NC
Country
USA
r Yes r No
r Yes r No

2e. Telephone Number:
[phone]
2g. Email Address:*
[e-mail]
C. Project Information and Prior Project History
1. Project Information
1b. Subdivision name:
(d appropriate)
1c. Nearest municipality/ town:
Burgaw
2. Project Identification
2a. Property Identification Number:
2c. Project Address
Street Address
1-40 Eastbound BurgawMilePost-12
Address Line 2
City
Burgaw
Postal / Zip Code
28425
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
Bu rgaw Creek
3b. Water Resources Classification of nearest receiving water:*
C, Sw
3c. What river basin(s) is your project located in?*
Cape Fear
3d. Please provide the 12-digit HUC in which the project is located.
03030070801
4. Project Description and History
2f. Fax Number:
2b. Property size:
State / Province / Pegion
NC
Country
USA
4a. 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 general land use in the vicinity of the project is public within the right-of-way for 1-40. The adjacent parcels to the west of the 1-40 right of way are zoned 1-1 (Industrial) and R-2
(Residential) by the Town of Burgaw.
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?*
f Yes r No c Unknown
4d. Attach an 8 1/2 X 11 excerpt from the most recent version of the USGS topographic map indicating the location of the project site. (for DWR)
NCDWR_TOPOMAP.pdf 401.52KB
4e. Attach an 8 1/2 X 11 excerpt from the most recent version of the published County NRCS Soil Survey map depicting the project site. (for DWR)
NRCS_Soil_Map.pdf 709.07KB
4f. List the total estimated acreage of all existing wetlands on the property:
0
4g. List the total estimated linear feet of all existing streams on the property:
approbmately 175'
4h. Explain the purpose of the proposed project:*
The purpose of the proposed project is to realign the inlet channel to flowthrough the eAsting 4' x 5.5' concrete box culvert. The stream channel is currently running through the eAsting
72" steel pipe, which was intended to function as an overflow. A large sediment plug has accreted in front of the inlet of the eAsting box culvert blocking flow. Lowflows through the new
stream channel alignment will be maintained using a floodplain bench. ApproAmately 80' upstream of eAsting concrete box culvert, the channel has migrated into the shoulder of the
road, creating a safety hazard. This section of the channel is proposed to be realigned to reestablish the typical shoulder fill section.
41. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*

The proposed stream channel realignment Will require a total of approximately 114' LF of beneficial, permanent stream channel impacts in two separate sections of the existing stream
channel upstream of the existing culverts. The first section, Site 1, immediately adjacent to the existing culvert inlet will require an excavator to fill approximately 72 LF of the ebsting
steam channel and remove the ebsting sediment plug to reestablish the channel through the existing concrete box culvert. A floodplain bench will be constructed out of Class I riprap
which Will be partially grouted in with flowable fill to maintain regular flow through the concrete box culvert during low flow periods and only allowing flow through the steel pipe during
overflow events. The second section of stream channel realignment, Site 2, located approximately 80' upstream of the existing concrete box culvert Will require an excavator to fill
approximately 42 LF of the wasting stream channel and realign the channel lateral to the road to reestablish the typical shoulder fill section. Class I riprap will be used to armor the
banks of the newly excavated channel and prevent further channel migration. To avoid additional temporary dewatering impacts to the stream channel, the stream flowwill be
maintained through the existing channels while the new channel alignments are excavated in the dry, and Will only be rerouted through the new channel sections once the excavation is
complete and the new channel banks are stabilized With coir fiber matting. Flowable fill will only be used in dry working areas and additional BMP's Will be utilized if necessary to prevent
the contact of live concrete with the water.
4j. Please upload project drawings for the proposed project.
140_Bu rgaw.PlanView. pdf
140_Bu rgaw.xsectio n. pdf
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
r: Yes r No
Comments:
5b. If the Corps made a jurisdictional determination, what type of determination was made?*
r Preliminary f Approved r Not Verified r Unknown r N/A
Corps AID Number:
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known):
Agency/Consultant Company:
Other:
5d1. Jurisdictional determination upload
6. Future Project Plans
6a. Is this a phased project?*
r Yes
Sean Farrell
NCDOT Division 3 Environmental Unit
r No
1.74MB
37.29KB
O Unknown
Are any other NWP(s), regional general permit(s), or individual permits(s) used, or intended to be used, to authorize any part of the proposed project or related activity?
No other work is proposed at this time.
D. Proposed Impacts Inventory
1. Impacts Summary
la. Where are the impacts associated with your project? (check all that apply):
F Wetlands W Streams -tributaries F Buffers
F Open Waters F Pond Construction
3. Stream Impacts
3a. Reason for impact (?) 3b.lmpact type * 3c. Type of impact* 3d. S. name * r3e) Stream Type* 3f. Type of 3gSwidth 3h. Impact Jurisdiction* length*
S1
Channel Reali nment
9
Permanent
Fill
UT to Bur aw Creek
g
Perennial
Both
4
Average (feet)
72
(lir�rfeet)
S2
Channel Realignment
9
Permanent
Fill
UT to Bur aw Creek
9
Perennial
Both
4
Average (feet)
42
(linearfcet)
31. Total jurisdictional ditch impact in square feet:
0
3i. Total permanent stream impacts:
114
3i. Total stream and ditch impacts:
114
3i. Total temporary stream impacts:
0
3j. Comments:
Stream channel impacts will be beneficial in maintaining the overall stability of the stream feature upstream of the existing culverts.

E. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
Intentional construction and excavation methodology will prevent additional temporary impacts due to dewatering while still allowing for excavation to
be accomplished in the dry. Realignment of the stream channel will promote stability of the stream feature and restore normal flows while preventing
erosion and scour around the existing structures.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Strict adherence to applicable permit conditions and implementation of sediment and erosion control BMPs in accordance with NCDOT BMP manual.
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?
r Yes r No
2b. If this project DOES NOT require Compensatory Mitigation, explain why:
Proposed impacts will restore the original alignment, connectivity, function and stability of the stream which will be beneficial to the system.
F. Stormwater Management and Diffuse Flow Plan (required by DWR)
1. Diffuse Flow Plan
1a. Does the project include or is it adjacent to protected riparian buffers identified within one of the NC Riparian Buffer Protection Rules?
r Yes r No
If no, explain why:
The project is not located within one of the NC Riparian Buffer Protection areas.
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?*
r Yes r No
Comments:
This project shall be constructed in accordance with the provisions of NCDOT's NPDES permit NC S000250, including applicable requirements of the NCG01000.
G. Supplementary Information
1. Environmental Documentation
1a. Does the project involve an expenditure of public (federal/state/local) funds or the use of public (federal/state) land?*
r Yes r No
1b. 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 (North Carolina)
Environmental Policy Act (NEPAUSEPA)?*
r Yes r No
Comments:*
Project fall within Minimum Criteria Determination thresholds under 19A NCAC 02F.0102, therefore not requiring an environmental document.
2. Violations (DWR Requirement)
2a. Is the site in violation of DWR Water Quality Certification Rules (15ANCAC 2H .0500), Isolated Wetland Rules (15A NCAC 2H .1300), or DWR Surface Water or Wetland Standards or
Riparian Buffer Rules (15A NCAC 2B .0200)?*
r Yes r No
3. Cumulative Impacts (DWR Requirement)
3a. Will this project result in additional development, which could impact nearby downstream water quality?*
r Yes r No
3b. If you answered "no," provide a short narrative description.
Due to the minimal impact resulting from this roadway maintenance project, nearby land uses will not be influenced. A detailed cumulative effects study
will not be necessary.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
t^ Yes r No r' N/A

5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or habitat?*
r Yes r No
5b. Have you checked with the USFWS concerning Endangered Species Act impacts?*
r Yes r No
5d. Is another Federal agency involved?*
r Yes r No r Unknown
5e. Is this a DOT project located within Division's 1-8?
r Yes r No
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
NC National Heritage Program GIS.
Consultation Documentation Upload
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as an Essential Fish Habitat?*
r Yes r No
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat?*
NOAA EFH GIS data.
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 status?*
r Yes r No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?*
State Historic Preservation Office Web GIS
7c. Historic or Prehistoric Information Upload
HPOMAP.pdf 271.73KB
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain?*
r Yes r No
8b. If yes, explain how project meets FEMA requirements:
The project does not involve any modification to the existing 1-40 roadway, roadway embankment, or drainage structures.
8c. What source(s) did you use to make the floodplain determination?*
Flood Risk Information System
Miscellaneous
Comments
Miscellaneous attachments not previously requested.
LiDAR.pdf 3.381VIB
NHP_ProjectReport.pdf 3.16MB
Wetland Impact Summary Sheet.pdf 73.58KB
FRISMAP.pdf 453KB
photos.pdf 7.221VIB
Signature
*
17 By checking the box and signing below, I certify that:
• I have given true, accurate, and complete information on this form;
• I agree that submission of this PCN form is a "transaction" subject to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act");
• I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act");
• I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written signature; AND
• I intend to electronically sign and submit the PCN form.
Full Name:
Sean Farrell

Signature
Date
1/16/2020