20200965 Ver 1_PCN Form_updated_20200831

Pre-Construction Notification (PCN) Form
For Nationwide Permits and Regional General Permits
(along with corresponding Water Quality Certifications)
April 11, 2020 Ver 3.1
Please note: fields marked with a red asterisk * below are required. You will not be able to submit the form until all mandatory questions are answered.
Also, if at any point you wish to print a copy of the E-PCN, all you need to do is right-click on the document and you can print a copy of the form.
Below is a link to the online help file.
https://edocs.deq.nc.gov/WaterResources/0/edoc/624704/PCN%20Help%20File%202018-1-30.pdf
County (or Countie s) where the proje ct is locate d:*
Is this a NCDM S Proje ct *
Is this project a public transportation project?*
1a. Type (s) of approv al sought from the Corps:*
1b. What type (s) of pe rmit(s) do you wish to se e k authorization?*
This form may be used to initiate the standard/individual permit process with the Corps. Please contact your Corps representative concerning submittals for standard permits. All required items that
are not provided in the E-PCN can be added to the miscellaneous upload area located at the bottom of this form.
1c. Has the NWP or GP numbe r be e n v e rifie d by the Corps?*
Nationwide Pe rmit (NWP) Numbe r:
NWP Numbe rs (for multiple NWPS):
1d. Type (s) of approv al sought from the DWR:*
1e . Is this notification sole ly for the re cord be cause writte n approv al is not re quire d?
*
For the re cord only for DWR 401 Ce rtification:
For the re cord only for Corps Pe rmit:
1f. Is this an afte r-the -fact pe rmit application?*
1g. Is payme nt into a mitigation bank or in-lie u fe e program propose d for mitigation of impacts?
Acce ptance Le tte r Attachme nt
A. Processing Information
Granville
Yes No
Click Yes, only if NCDMS is the applicant or co-applicant.
Yes No
This is any publicly funded by municipal,state or federal funds road, rail, airport transportation project.
Section 404 Permit (wetlands, streams and waters, Clean Water Act)
Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)
Nationwide Permit (NWP)
Regional General Permit (RGP)
Standard (IP)
Yes No
14 - Linear transportation
List all NW numbers you are applying for not on the drop dow n list.
check all that apply
401 Water Quality Certification - Regular 401 Water Quality Certification - Express
Non-404 Jurisdictional General Permit Riparian Buffer Authorization
Individual Permit
Yes No
Yes No
Yes No
If so, attach the acceptance letter from mitigation bank or in-lieu fee program.
Yes No
1h. Is the proje ct locate d in any of NC's twe nty coastal countie s?*
1j. Is the proje ct locate d in a de signate d trout wate rshe d?*
Link to trout information: http://www.saw.usace.army.mil/Missions/Regulatory-Permit-Program/Agency-Coordination/Trout.aspx
1a. Who is the Primary Contact?*
1b. Primary Contact Email:*
1c. Primary Contact Phone :*
1d. Who is applying for the pe rmit?*
1e . Is the re an Age nt/Consultant for this proje ct?*
2. Owner Information
4. Agent/Consultant (if applicable)
Click the upload button or drag and drop files here to attach document
FILE TYPE MUST BE PDF
Yes No
Yes No
B. Applicant Information
Lauren Norris-Heflin
[e-mail]
(xxx)xxx-xxxx
[phone]
Owner Applicant (other than owner)
(Check all that apply)
Yes No
2a. Name (s) on re corde d de e d:*
2b. De e d book and page no.:
2c. Re sponsible party:
2d. Addre ss *
2e . Te le phone Numbe r:*
2f. Fax Numbe r:
2g. Email Addre ss:*
North Carolina National Guard
(for Corporations)
Rodney Newton
City State / Province / Region
Postal / Zip Code Country
Street Address
1636 Gold Star Drive, Suite 2600RaleighNC27607USA
Address Line 2
(xxx)xxx-xxxx
[phone]
(xxx)xxx-xxxx
[e-mail]
4a. Name :*
4b. Business Name :
4c. Addre ss *
4d. Te le phone Numbe r:*
4e . Fax Numbe r:
4f. Email Addre ss:*
Lauren Norris-Heflin
(if applicable)
City State / Province / Region
Postal / Zip Code Country
Street Address
5410 Trinity RoadSuite 102RaleighNC27607USA
Address Line 2
[phone]
(xxx)xxx-xxxx (xxx)xxx-xxxx
[e-mail]
1a. Name of proje ct:*
1b. Subdivision name :
1c. Ne are st municipality / town:*
2a. Prope rty Identification Numbe r:
2b. Prope rty size :
2c. Proje ct Addre ss
2d. Site coordinate s in de cimal de gre e s
Please collect site coordinates in decimal degrees. Use between 4-6 digits (unless you are using a survey-grade GPS device) after the decimal place as appropriate, based on how the location was
determined. (For example, most mobile phones with GPS provide locational precision in decimal degrees to map coordinates to 5 or 6 digits after the decimal place.)
Latitude :*Longitude :*
3. Surface Waters
3a. Name of the ne are st body of wate r to propose d proje ct:*
3b. Wate r Re source s Classification of ne are st re ce iv ing wate r:*
Surface Water Lookup
3c. What riv e r basin(s) is your proje ct locate d in?*
3d. Ple ase prov ide the 12-digit HUC in which the proje ct is locate d.*
River Basin Lookup
4. Project Description and History
4a. De scribe the e xisting conditions on the site and the ge ne ral land use in the v icinity of the proje ct at the time of this application:*
4b. Hav e Corps pe rmits or DWR ce rtifications be e n obtained for this project (including all prior phase s) in the past?*
Age nt Authorization Le tter *
Please provide the Agent Authorization Letter if you are submitting this document.
06. Signed Agent Authorization form.pdf 82.89KB
FILE TYPE MUST BE PDF
C. Project I nformation and Prior Project History
1. Project Information
NCNG Butner
(if appropriate)
Stem, NC
2. Project Identification
(tax PIN or parcel ID)
086900128714 (in acres)
City State / Province / Region
Postal / Zip Code Country
Street Address
593 Roberts Chapel RoadStemNC27581USA
Address Line 2
36.191980
ex: 34.208504
-78.778024
-77.796371
Lake Butner/Knap of Reeds Creek
WS-II, HQW, CA, NSW
Neuse
030202010401
The project review area consists of approximately 15.8 acres surrounding the Jerry Thomas Trail located within the larger NCNG Camp Butner Training Facility at 593 Roberts Chapel
Road, Stem, Wake County, North Carolina, 27581. The NCNG Camp Butner property, approximately 2,336.1 acres overall, is currently occupied by a few, small to mid-sized brick
buildings, but is primarily old-growth hardwood forested area used for range training exercises. The smaller 15.8 acre project review area surrounds a gravel road, 100 linear feet to the
east and west of the centerline of the road, used for training exercises and site access along the eastern property boundary and is surrounded by old-growth hardwood forest. Within
the project review area, there is approximately 0.01 acres of palustrine forested (PFO) and 0.04 acres of palustrine emergent (PEM) wetlands, as well as approximately 382 linear feet
of perennial, 459 linear feet of intermittent, and 419 linear feet of ephemeral streams. The project review area is bound by forested area to the north, south, and west, and Knap of
Reeds Creek and the upper reaches of Lake Butner to the east.
Per MAJ Drew Lequick, Project Officer, G3 Training, NCARNG, to the best of his knowledge, Jerry Thomas Trail was historically used as a connected path between Holt Lake Road and
Sentinel Pine Road in the WWII Camp Butner era. The two aforementioned roads run east to west perpendicularly intersecting Jerry Thomas Trail.
Yes No Unknown
4d. Attach an 8 1/2 X 11 e xce rpt from the most re ce nt v e rsion of the USGS topographic map indicating the location of the proje ct site . (for DWR)
4e . Attach an 8 1/2 X 11 e xce rpt from the most re ce nt v e rsion of the publishe d County NRCS Soil Surv e y map de picting the proje ct site . (for DWR)
4f. List the total e stimate d acre age of all e xisting we tlands on the prope rty:
4g. List the total e stimate d line ar fe e t of all e xisting stre ams on the prope rty:
4h. Explain the purpose of the propose d proje ct:*
4i. De scribe the ov e rall proje ct in de tail, including indirect impacts and the type of e quipme nt to be use d:*
4j. Ple ase upload proje ct drawings for the propose d proje ct.
5. Jurisdictional Determinations
5a. Hav e the we tlands or streams be e n de line ate d on the prope rty or propose d impact are as?*
Comme nts:
5b. If the Corps made a jurisdictional de te rmination, what type of de te rmination was made ?*
Corps AID Numbe r:
5c. If 5a is ye s, who de line ate d the jurisdictional are as?
Name (if known):
Age ncy/Consultant Company:
Othe r:
5d. List the date s of the Corp jurisdiction de te rmination or State de te rmination if a de te rmination was made by the Corps or DWR.
5d1. Jurisdictional de te rmination upload
6. Future Project Plans
6a. Is this a phase d proje ct?*
Are any othe r NWP(s), re gional ge ne ral pe rmit(s), or indiv idual pe rmits(s) use d, or intende d to be use d, to authorize any part of the propose d project or re lated activ ity? This
include s othe r se parate and distant crossing for line ar proje cts that re quire De partme nt of the Army authorization but don’t re quire pre -construction notification.
Click the upload button or drag and drop files here to attach document
NCNG Butner_FIG1-USGS topo.pdf 629.65KB
File type must be pdf
Click the upload button or drag and drop files here to attach document
NCNG Butner_NRCS Soils.pdf 708.99KB
File type must be pdf
0.06 ac
(intermittent and perennial)
841 lf
The purpose of the project is to complete necessary road and associated road crossing maintenance and repairs along Jerry Thomas Trail following damages sustained due to
Hurricane Florence. Water flow through the seven culverted road crossings along the site resulted in the wash out of necessary stormwater control measures (e.g. silt fencing) and the
complete blowout of several culverts, rendering the road impassable.
The proposed road maintenance repairs will consist of 7 single and complete projects. Each crossing will consist of improvements to existing culverts to allow for improved stream flow
through the project area.
The proposed project requires impacts to jurisdictional features associated with the seven (7) separate and distinct road crossing locations. Each individual crossing involves less than
0.007-acres of permanent wetland impact, less than 71-linear feet of permanent stream impact, less than 86-linear feet of permanent no loss stream impact (associated with dissipator
pads), less than 0.2-acres of permanent Zone 1 buffer impacts, and less than 0.111-acres of permanent Zone 2 buffer impacts (see the below impact tables for specific amounts.
Additional impacts to waters of the U.S. are not proposed. The proposed project is the final and complete phase of the project with appropriate land use control measures in place for
specific areas which require them. Traditional equipment will be used consisting of front-end loads, bulldozers, paving equipment, graders, and earth movers.
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JERRY THOMAS ROAD ENV. MAPS.pdf 5.81MB
File type must be pdf
Yes No Unknown
Delineation completed 03/12/2020
Preliminary Approved Not Verified Unknown N/A
Example: SAW-2017-99999
SAW-2020-0332
S. Law, K. Hefner
Timmons Group
05/18/2020 - Buffer determination issued by Josh Brigham, NC DWR
06/12/2020 - Preliminary jurisdictional determination issued by Chris Hopper and signed by Samantha Dailey, USACE
Click the upload button or drag and drop files here to attach document
SAW-2020-00332_NCNG Camp Butner Jerry Thomas Trail_PJD.pdf 8.94MB
NCNG Butner_DWR Buffer determination.pdf 2.87MB
File type must be PDF
Yes No
D. Proposed Impacts Inventory
1. Impacts Summary
1a. Whe re are the impacts associate d with your proje ct? (che ck all that apply):
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
"W." will be use d in the table be low to re pre se nt the word "wetland".
2a. Site #*(?)2a1 Reason *(?)2b. Impact type *(?)2c. Type of W.*2d. W. name *2e . Fore ste d *2f. Type of
Jurisdicition *(?)
2g. Impact
are a *
2g. Total Te mporary We tland Impact
2g. Total Pe rmane nt We tland Impact
2g. Total We tland Impact
2h. Comme nts:
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.
"S." will be used in the table below to represent the word "stream".
3a. Reason for impact *(?)3b.Impact type *3c. Type of impact *3d. S. name *3e . Stre am Type *
(?)
3f. Type of
Jurisdiction *
3g. S. width *3h. Impact
le ngth *
S1
S2
S3
S4
S5
S6
S7
S8
S9
** All Perennial or Intermittent streams must be verified by DWR or delegated local government.
3i. Total jurisdictional ditch impact in square fe e t:
3i. Total pe rmane nt stre am impacts:
3i. Total te mporary stre am impacts:
Wetlands Streams-tributaries Buffers
Open Waters Pond Construction
F Road crossing P Headwater Forest B Yes Both 0.001
(acres)
K Road crossing P Seep C Yes Both 0.006
(acres)
E Road crossing P Headwater Forest A Yes Both 0.002
(acres)
0.000
0.009
0.009
The proposed impacts are associated with road crossings for Jerry Thomas Trail, connecting the northern and southern portions of Camp Butner
along the eastern property boundary. Wetland impacts F and E are associated with the installation of rip rap dissipator pads (to be keyed into the
existing grade) to ensure the stability of the road crossing. Wetland impact K is associated with grading necessary to bring the road to a passable
crossing height.
Road crossing Permanent Culvert D Perennial Both 14
Average (feet)
66
(linear feet)
Road crossing Permanent Culvert F Intermittent Both 3
Average (feet)
68
(linear feet)
Road crossing Permanent Culvert H Perennial Both 7
Average (feet)
55
(linear feet)
Road crossing Permanent Culvert I Intermittent Both 3
Average (feet)
70
(linear feet)
Road crossing Permanent Culvert J Intermittent Both 3
Average (feet)
48
(linear feet)
Road crossing Permanent Rip Rap Fill D Perennial Both 14
Average (feet)
63
(linear feet)
Road crossing Permanent Rip Rap Fill H Perennial Both 7
Average (feet)
85
(linear feet)
Road crossing Permanent Rip Rap Fill I Intermittent Both 3
Average (feet)
34
(linear feet)
Road crossing Permanent Rip Rap Fill J Intermittent Both 3
Average (feet)
25
(linear feet)
0
514
3i. Total stream and ditch impacts:
3j. Comments:
6. Buffer Impacts (for DWR)
If project will impact a protected riparian buffer, then complete the chart below. Individually list all buffer impacts below.
6a. Project is in which protect basin(s)?*
6b. Impact Type *(?)6c. Per or Temp *(?)6d. Stream name *6e. Buffer mitigation required?*6f. Zone 1 impact *6g. Zone 2 impact *
6h. Total buffer impacts:
Zone 1 Zone 2
Total Temporary impacts:
Zone 1 Zone 2
Total Permanent impacts:
Zone 1 Zone 2
Total combined buffer impacts:
6i. Comments:
Supporting Documentation - i.e. Impact Maps, Plan Sheet, etc.
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:*
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:*
0
514
All permanent stream impacts are associated with separate and distinct road crossings for connecting the northern and southern portions of Camp
Butner along the eastern property boundary. Culverts will be installed along each segment at these road crossings. Stream impacts S6 through S9
(207 linear feet) are permanent - no net loss impacts consisting of rip rap dissipator pads to be keyed into the existing stream grade.
Culvert details, including the plan and profile, for each road crossing are included in the Impact Maps.
Check all that apply.
Neuse Tar-Pamlico
Catawba Randleman
Goose Creek Jordan Lake
Other
Road crossing P D No 7,082
(square feet)
4,158
(square feet)
Road crossing P F No 3,962
(square feet)
2,727
(square feet)
Road crossing P H No 7,182
(square feet)
4,795
(square feet)
Road crossing P I No 6,251
(square feet)
4,780
(square feet)
Road crossing P J No 5,002
(square feet)
4,300
(square feet)
Road crossing P G No 861
(square feet)
1,392
(square feet)
0.00 0.00
30,340.00 22,152.00
30,340.00 22,152.00
The proposed road crossing impacts are required for connecting the northern and southern portions of Camp Butner along the eastern property
boundary.
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JERRY THOMAS ROAD ENV. MAPS.pdf 5.81MB
File must be PDF
E. Impact Justification and Mitigation
Impacts to jurisdictional features have been avoided and minimized to the maximum extent practicable by incorporating resourceful site planning,
including the utilization of wetland delineation to adjust the layout and plans to avoid and minimize impacts during the design phase of the project. The
proposed impacts are required in order the project's purpose to be achieved and its goals to be realized. Further, crossings are to be installed at
previously disturbed locations to replace failed culverts with culverts of an adequate size and construction.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Doe s the proje ct re quire Compe nsatory M itigation for impacts to Wate rs of the U.S. or Wate rs of the State ?
2b. If this proje ct DOES NOT re quire Compe nsatory M itigation, e xplain why:
NC Stream Temperature Classification Maps can be found under the Mitigation Concepts tab on the Wilmington District's RIBITS website.
*** Recent changes to the stormwater rules have required updates to this section .***
1. Diffuse Flow Plan
1a. Doe s the proje ct include or is it adjace nt to prote cte d riparian buffers ide ntifie d within one of the NC Riparian Buffe r Prote ction Rule s?
1b. All buffer impacts and high ground impacts re quire diffuse flow or othe r form of stormwate r treatme nt. If the proje ct is subje ct to a state imple me nte d riparian buffe r prote ction
program, include a plan that fully docume nts how diffuse flow will be maintaine d.
All Stormwate r Control M e asure s (SCM )s must be de signe d in accordance with the NC Stormwate r De sign M anual. Associate d supple me nt forms and othe r docume ntation shall be
prov ide d.
What type of SCM are you prov iding?
For a list of options to meet the diffuse flow requirements, click here.
Diffuse Flow Docume ntation
2. Stormw ater Management Plan
2a. Is this a NCDOT proje ct subje ct to compliance with NCDOT’s Indiv idual NPDES pe rmit NCS000250?*
2b. Doe s this proje ct me e t the re quire me nts for low de nsity proje cts as de fine d in 15A NCAC 02H .1003(2)?*
To look up low density requirement click here 15A NCAC 02H .1003(2).
Comme nts:
1. Environmental Documentation
1a. Doe s the proje ct inv olv e an e xpe nditure of public (fe de ral/state /local) funds or the use of public (fe de ral/state ) land?*
1b. If you answe re d “ye s” to the abov e , doe s the proje ct re quire pre paration of an e nv ironme ntal docume nt pursuant to the re quireme nts of the National or State (North Carolina)
Env ironme ntal Policy Act (NEPA/SEPA)?*
Proper sedimentation and erosion control methods will be utilized during all phases of construction and installation as described in accordance with
the requirements of the North Carolina Department of Environmental and Natural Resources Erosion Control Planning and Design Manual (May 2013)
and local codes. All work will take place during dry conditions and can be facilitated from high, non-jurisdictional stable ground. The contractor shall
install silt fence, inlet protection, sediment traps, diversion ditches, temporary coffer dams, tree protection, and cleaning only as necessary to repair all
road crossings. All erosion and sediment control measures will be checked for stability and operation following every runoff-producing rainfall, but in
no case less than once every week. Any needed repairs will be made immediately to maintain all measures designed. An erosion control inspections
report is required and will be kept by the owner's representative.
Measures will be taken to prevent oil, tar, trash, debris, and other pollutants from entering the adjacent jurisdictional features. Any excess excavated
materials not utilized as back fill will be placed and contained within upland areas and permanently stabilized to prevent erosion into adjacent
jurisdictional features. Therefore, stockpiling of excavated material within jurisdictional waters of the U.S. will be strictly prohibited as part of the
construction of this project. All project construction activities initialed within jurisdictional waters of the U.S. will be carried to completion in an
expeditious manner to minimized the period of disturbance within jurisdictional waters.
Yes No
The proposed project does not require compensatory mitigation because each road crossing constitutes a separate and distinct location under Nationwide Permit 14 and the associated
General Certification #4135. Each individual crossing will impact less than 0.1-acres of wetland, less than 150-linear feet of stream, and less than 1/3-acre of riparian buffer.
F. Stormwater M anagement and Diffuse Flow Plan (required by DWR)
Yes No
Level Spreader
Vegetated Conveyance (lower SHWT)
Wetland Swale (higher SHWT)
Other SCM that removes minimum 30% nitrogen
Proposed project will not create concentrated stormwater flow through the buffer
(check all that apply)
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JERRY THOMAS ROAD ENV. MAPS.pdf 5.81MB
File type must be PDF
Yes No
Yes No
G. Supplementary Information
Yes No
Comme nts:*
2. Violations (DWR Requirement)
2a. Is the site in v iolation of DWR Wate r Quality Ce rtification Rule s (15A NCAC 2H .0500), Isolate d We tland Rule s (15A NCAC 2H .1300), or DWR Surface Wate r or We tland Standards or
Riparian Buffe r Rule s (15A NCAC 2B .0200)?*
3. Cumulative Impacts (DWR Requirement)
3a. Will this proje ct (base d on past and re asonably anticipate d future impacts) re sult in additional de v e lopme nt, which could impact ne arby downstre am wate r quality?*
3b. If you answe re d “no,” prov ide a short narrativ e de scription.
4. Sewage Disposal (DWR Requirement)
4a. Is se wage disposal re quire d by DWR for this proje ct?*
5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this proje ct occur in or ne ar an are a with fe de rally prote cte d spe cie s or habitat?*
5b. Hav e you che cke d with the USFWS conce rning Endange re d Spe cie s Act impacts?*
5c. If ye s, indicate the USFWS Fie ld Office you hav e contacte d.
5d. Is anothe r Fe de ral age ncy inv olv e d?*
5e . Is this a DOT proje ct locate d within Div ision's 1-8?*
5f. Will you cut any tre e s in orde r to conduct the work in wate rs of the U.S.?*
5g. Doe s this proje ct inv olv e bridge mainte nance or re mov al?*
Link to the NLEB SLOPES document: http://saw-reg.usace.army.mil/NLEB/1-30-17-signed_NLEB-SLOPES&apps.pdf
5h. Doe s this proje ct inv olv e the construction/installation of a wind turbine (s)?**
5i. Doe s this proje ct inv olv e (1) blasting, and/or (2) othe r pe rcussiv e activitie s that will be conducte d by machine s, such as jackhamme rs, me chanize d pile driv e rs, e tc.?*
5j. What data source s did you use to de te rmine whe the r your site would impact Endange re d Spe cie s or De signate d Critical Habitat?*
Consultation Docume ntation Upload
6. Essential Fish Habitat (Corps Requirement)
6a. Will this proje ct occur in or ne ar an are a de signate d as an Esse ntial Fish Habitat?*
Yes No
The proposed project will be utilizing state funds on state-owned property for the maintenance and repair of existing transportation facilities within the
NCNG Camp Butner facility. An environmental document pursuant to the National or State Envirionmental Policy Acts is not required as the proposed
project does not meet the minimum criteria and standard maintenance of transportation facilities is allowable under NEPA/SEPA.
Yes No
Yes No
The proposed project is single and complete and is not anticipated to result in additional impacts.
Yes No N/A
Yes No
Yes No
Raleigh
Yes No Unknown
Yes No
Yes No
Yes No
Yes No
Yes No
The USFWS IPaC search fro the proposed project's site (Consultation Code 04EN2000-2020-SLI-0862, Event Code 04EN2000-2020-E-01940)
identified two (2) federally listed endangered species as potentially occurring in the vicinity of the project site: harperella (Ptilimnium nodosum) and
smooth coneflower (Echinacea laevigata). Additionally, the USFWS IPaC report identified two (2) species proposed for federal listing as potentially
occurring in the vicinity of the project site: Neuse River waterdog (Necturus lewisi) and Carolina madtom (Noturus furiosus).
Construction activities on-site associated with the proposed project may affect but are not likely to adversely affect the reported threatened and
endangered species within the proximity of the project site. The NC NHP report did not identify known occurrences of the 4 federally listed species
within the project site limits or within a 1-mile radius of the project site. Further, no occurrences of the aforementioned protected species were
observed during the on-site inspection.
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NCNG Butner_NCNHP official species report.pdf 2.41MB
NCNG Butner_Raleigh FWS IPaC official report.pdf 201.69KB
File type must be PDF
6b. What data source s did you use to de te rmine whe the r your site would impact an Esse ntial Fish Habitat?*
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
Link to the State Historic Preservation Office Historic Properties Map (does not include archaeological data: http://gis.ncdcr.gov/hpoweb/
7a. Will this proje ct occur in or ne ar an are a that the state , fe de ral or tribal gov e rnme nts hav e de signate d as hav ing historic or cultural pre se rv ation status (e .g., National Historic
Trust de signation or prope rtie s significant in North Carolina history and archae ology)?*
7b. What data source s did you use to de te rmine whe the r your site would impact historic or arche ological re source s?*
7c. Historic or Pre historic Information Upload
8. Flood Zone Designation (Corps Requirement)
Link to the FEM A Floodplain M aps: https://msc.fema.gov/portal/search
8a. Will this proje ct occur in a FEM A-designate d 100-ye ar floodplain?*
8c. What source (s) did you use to make the floodplain de te rmination?*
Comme nts
M isce llane ous attachme nts not pre v iously re que ste d.
*
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 :*
Signature *
Date
Yes No
NOAA National Marine Fisheries Service Essential Fish Habitat Mapper
Yes No
NC State Historic Preservation Office HPOWEB GIS service
Per a review of the NC State Historic Preservation Office HPOWEB GIS service, there are no historic resources listed or eligible for listing on the
National Register of Historic Places on or within 1-mile of the project site.
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Cultural Resources List.pdf 37.48KB
Cultural Resources Map.pdf 288.17KB
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Yes No
The project site is located within Zone X - area of minimal flood hazard - according to FEMA/FIRM map panels 3720086900K (eff. 12/6/2019) and
3720086800K (eff. 4/16/2007).
M iscellaneous
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Lauren A Norris-Heflin
7/27/2020