20200237 Ver 1_PCN Form Submission_20200214

DWR
Division 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
20200237
Is a payment required for this project?*
r No payment required
r Fee received
6 Fee needed - send electronic notification
Reviewing Office *
Central Office - [phone]
Information for Initial Review
1a. Name of project:
Alamance Church Road Widening
1a. Who is the Primary Contact?*
Guy Ingle
1b. Primary Contact Email:*
Guy. Ing le@g ree nsbo ro-nc. gov
Date Submitted
2/14/2020
Nearest Body of Water
South Buffalo Creek
Basin
Cape Fear
Water Classification
WS-V; NSW
Site Coordinates
Latitude:
36.003848
A. Processing Information
County (or Counties) where the project is located:
Guilford
Is this project a public transportation project?*
IT Yes r No
Longitude:
-79.768643
Is this a NCDOT Project?*
r Yes IT No
1a. Type(s) 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)
Version#*
1
What amout is owed?*
6 $240.00
r $570.00
Select Project Reviewer*
April Norton:eads\arnorton
1c. Primary Contact Phone:*
[phone]
U
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:
NWP Numbers (for multiple NWPS):
N/A
1d. Type(s) of approval sought from the DWR:
W 401 Water Quality Certification - Regular
r Non-404 Jurisdictional General Permit
r Individual Permit
14 - Linear transportation
le. Is this notification solely for the record because written approval is not required?
For the record only for DWR 401 Certification:
For the record only for Corps Permit:
F- 401 Water Quality Certification - E)press
W 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
1j. Is the project located in a designated trout watershed?
r Yes r No
B. Applicant Information
1d. Who is applying for the permit?
r Owner W 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:
Property Owner and Parcel information attached (Misc section)
2b. Deed book and page no.:
2c. Responsible party:
2d.Address
Street Address
see attached
Address tine 2
see attached
city
see attached
Fistal / Zip Code
see attached
2e. Telephone Number:
[phone]
2g. Email Address:*
Guy. lng le@g ree nsbo ro-nc. gov
Slate / Frmnoe / Region
NC
Country
USA
2f. Fax Number:
r Yes r No
r Yes r No

3. Applicant Information (if different from owner)
3a. Name:
Guy Ingle
3b. Business Name:
City of Greensboro Engineering and Inspections Department
3c.Address
Street Address
PO Box3136
Address Line 2
City
State / Province / legion
Greensboro
NC
Postal / Zip Code
Country
27402-3136
USA
3d. Telephone Number:
3e. Fax Number:
[phone]
[phone]
3f. Email Address:*
Guy. Ing [e-mail]
4. Agent/Consultant (if applicable)
4a. Name:
Melissa Ruiz
4b. Business Name:
Stantec
4c.Address
Street Address
801 .ones Franklin Rd
Address Une 2
Ste 300
City
State / Prwince / Rion
Raleigh
NC
Postal / Zip (ode
Country
27606
USA
4d. Telephone Number: 4e. Fax Number:
[phone]
4f. Email Address:*
[e-mail]
Agent Authorization Letter*
1-agent authorization. pdf
C. Project Information and Prior Project History
1. Project Information
1b. Subdivision name:
ff appropriate)
N/A
1c. Nearest municipality/ town:
Greensboro
2. Project Identification
2a. Property Identification Number:
Parcel info attached (Misc section)
2c. Project Address
Street Address
Property Owner and Parcel information attached (Misc section)
Address Line 2
City
Postal / Zip Code
2b. Property size:
18.5
State / Prwince / legion
Country
775.26KB
3. Surface Waters

3a. Name of the nearest body of water to proposed project:*
South Buffalo Creek
3b. Water Resources Classification of nearest receiving water:*
WS-V: NSW
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.
030300020104
4. Project Description and History
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 project is located along Alamance Church Road. Adjacent land use includes commercial on the western half of the project area and low density residential along with institutional
buildings on the eastern half of the project area. Suburban land uses are found in the vicinity of the project area.
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?*
r Yes r No r 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)
USGS_Alamance.pdf
1.2MB
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)
USDA_NRCS_ Soil_Survey_Map_Alamance.pdf 941.62KB
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:
986
4h. Explain the purpose of the proposed project:*
The purpose of the project is to provide improvements to Alamance Church Road as identified in previous public meetings including pedestrian and bike access and safety. Alamance
Church Road is identified on the City of Greensboro's transportation improvement plan and funds for improvements were approved in a 2008 City bond referendum. The 2015 Biped
Plan Update also identified the road as candidate for bike lanes.
41. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
The project consists of enhancements and improvements to Alamance Church Road (SR 1005), including roadway widening with curb and gutter, sidewalks, grass utility strip, storm
drainage improvements, and bicycle lanes from the intersection with J.M. Hunt Jr. Expressway, M.L. King J. Drive, and Patton Avenue to the Greensboro city limit.
Typical roadway construction equipment Will be used including backhoes, bulldozers, pans, pavers, rollers, sheepsfoot, and dumptrucks. All appropriate sediment and erosion control
measures will be implemented and monitored throughout construction.
4j. Please upload project drawings for the proposed project.
2-P05187_Construction_Drawings_Alamance.pdf 22.44MB
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
r Yes r No r Unknown
Comments:
Streams were delineated on July 7, 2017. No wetlands were delineated within the property boundary
5b. If the Corps made a jurisdictional determination, what type of determination was made?
r Preliminary r 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): Melissa Ruiz
Agency/Consultant Company: Stantec Consulting Services Inc
Other:
5d1. Jurisdictional determination upload
3-Alamance_Church_Road_JD_packet.pdf 3.21 MB
6. Future Project Plans
6a. Is this a phased project?*
r Yes O No

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?
none
D. Proposed Impacts Inventory
1. Impacts Summary
1a. Where are the impacts associated with your project? (check all that apply):
r Wetlands W Streams -tributaries
P Buffers
r Open Waters r Pond Construction
3. Stream Impacts
3a. Reason for impact (?)
3b.lmpact type *
3c. Type of impact*
3d. S. name *
3e. Stream Type*
3f. Type of
3g. S. width *
3h. Impact
F
(?)
Jurisdiction*
length*
S1
Site 1
Permanent
Excavation
SB
Perennial
Both
8
10
Average (feet)
(linearfeet)
S2
Site 2
Permanent
Excavation
SB
Perennial
Both
8
10
Average (feet)
(lir�rfeet)
S3
Site 3
Permanent
Excavation
SB
Perennial
Both
8
15
Average (feet)
(linearfeet)
�
Site 4
Permanent
Culvert JSA
Intermittent
Both
3
50
Average (feet)
(lir�rfeet)
Site 4
t7A
BankStabilisation
SA
Intermittent
BothS5
Average (feet)
(linearfeet)
3i. Total jurisdictional ditch impact in square feet:
0
3i. Total permanent stream impacts:
31. Total temporary stream impacts:
85
33
3i. Total stream and ditch impacts:
118
3j. Comments:
Stream impacts at site 1, 2 and 3 result from construction process of adding stormwater pipes under Alamance Church Road that will discharge
directly into SB. At these sites, SB is located adjacent to the road.
6. Buffer Impacts (for DWR)
6a. Project is in which protect basin(s)?
Check all that apply.
r Neuse
r Tar -Pamlico
r Catawba
F Randleman
r Goose Creek
fJ Jordan Lake
r Other
6b. Impact Type
6c. Per or Temp
6d. Stream name
6e. Buffer mitigation required?
6f. Zone 1 impact
6g. Zone 2 impact
Allowable (Site 1)
T
SB
No
1,821
0
Allowable (Site 2)
T
SB
No
1,751
0
Mitigable (Site 3)
P
SB
Yes
333
0
Allowable (Site 4 BMP)
P
SA
No
0
4,039
Allowable (Site 4 road)
P
SA
No
4,917
1,424
6h. Total buffer impacts:
Zone 1 Zone 2
Total Temporary impacts: 3,572.00 0.00
Zone 1 Zone 2
Total Permanent impacts: 5,250.00 5,463.00
Zone 1 Zone 2

Total combined buffer impacts: 8,822.00 5,463.00
6i. Comments:
At Sites 1, 2 and 3 buffer consists of the streambank which is a narrow strip of mowed grass. Site 1 and 2 impacts are temporary due to construction
of a retaining wall. Site 3 is permanent due to installation of a new stormwater pipe. Site 4 pond is a permanent impact to zone 2 from the installation of
a wet detention pond. The pond and outfall channel are located outside of the zone 2 buffer. The area will be seeded With herbaceous seed. Site 3
culvert impacts are due to the road Widening and associated culvert extension.
Supporting Documentation
4-P05187_PermitPackage Buffer& Surface Water_20200203.pdf
3.48MB
E. Impact Justification and Mitigation 6
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
Retaining walls have been added along Alamance Church Road to avoid additional impacts to SB. SB flows parallel to the road as a result of historic
realignments. Due to the proximity of the stream to the road, stormwater pipes discharge directly to the stream however impacts were minimized by
eliminating rip rap.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Typical sediment and erosion control measures will be taken on site. Silt fences and temporary sediment basins Will be utilized to prevent sediment
from entering streams.
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:
Total impacts to waters (including temporary) are 118 linear feet.
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
What type of SCM are you providing?
r Level Spreader
F Vegetated Conveyance (lower SHWT)
F Wetland Swale (higher SHWT)
W Other SCM that removes minimum 30 % nitrogen
F Proposed project will not create concentrated stormwater flow through the buffer
Diffuse Flow Documentation
5_Diffuse_Flow.pdf 47.9KB
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?*
r Yes r No
2b. Does this project meet the requirements for low density projects as defined in 15ANCAC 02H .1003(2)?
r Yes r No
2c. Does this project have a stormwater management plan (SMP) reviewed and approved under a state stormwater program or state -approved local government stormwater
program?
r Yes r No
3. Stormwater Requirements
3a. Select whether a completed stormwater management plan (SMP) is included for review and approval or if calculations are provided to document the project will not cause
degradation of downstream surface waters.*
r Stormwater Management r Antidegradation
Plan Calculations
3b. Stormwater Management Plan
3c. Antidegradation Calculations:
6-P05187_Drainage and SW Calcs_100pct.pdf
5.43MB
Comments:

Pre/post analysis shows no significant increase or minor increase in discharge or velocities for most outfalls. A wet pond is proposed for the outfall where there is a greater increase of
the peak Q2 and Q10.
G. Supplementary Information U
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 (NEPA/SEPA)? *
r Yes r No
Comments:
City of Greensboro funds will be used for construction. The size and nature of the project do not fall under the state's SEPA requirements.
2. Violations (DWR Requirement)
2a. Is the site in violation of DWR Water Quality Certification Rules (15A NCAC 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.
The road improvements are in a developed area and focus on improving pedestrian and bike access and safety. New development and growth are no
anticipated as a result of these improvements.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
r Yes r Nor WA
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
5f. Will you cut any trees in order to conduct the work in waters of the U.S.?
r Yes r No
5g. Does this project involve bridge maintenance or removal?
r Yes r No
5h. Does this project involve the construction/installation of a wind turbine(s)?*
r Yes r No
51. Does this project involve (1) blasting, and/or (2) other percussive activities that will be conducted by machines, such as jackhammers, mechanized pile drivers, etc.?
r Yes r No
If yes, please provide details to include type of percussive activity, purpose, duration, and specific location of this activity on the property.
7-percussive_activity_statement.pdf 38.37KB
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
NHP Natural Heritage Data E)plorer, IPaC, and site evaluation. The majority of the area consists of maintained lawn. Limited areas epst that contain
suitable habitat for Schweinitz's sunflower as the species grows along roads and utility corridors. No sunflowers were located during site evaluation.
Habitat for small whorled pogonia was not observed. No occurrences are listed within a mile of the site.
Consultation Documentation Upload
8a_iPaC_alamance.pdf 188.34KB
8b_NCNHP_alamance.pdf 1.01 MB

6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as an Essential Fish Habitat?*
r Yes f• No
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat?*
NOAA Essential Fish Habitat Mapper (http://www.habitat.noaa.gov/protection/efh/efhmapper/index.htrnl)
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?*
North Carolina State Historic Preservation Office HPOWEB GIS Service (http://gis.ncdcr.gov/hpov.eb/)
7c. Historic or Prehistoric Information Upload
9-NCHPO_HPOWEB_AlamanceChurchRd_Widening.pdf 338.2KB
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 FEMArequirements:
A floodplain development permit was issued for the work within the floodplain. Permit is attached to this application.
8c. What source(s) did you use to make the floodplain determination?*
NC Floodplain Mapping - Flood Risk Information System (http://fris.nc.gov/fris/Fiome.aspx?ST=NC)
Miscellaneous
Comments
Stantec check number 610184 for $240 sent.
Miscellaneous attachments not previously requested.
10-P-5187 AL.AMANCE CHURCH RD - FloodplainPermit.pdf
11-Property_Owner_and_Parcel_Information.pdf
Signature
R By checking the box and signing below, I certify that:
710.57KB
219.47KB
• 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:
Melissa Ruiz
Signature
N(fR Wyk
Date
2/14/2020