20091293 Ver 2_Application_20100217

i
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
BEVERLY EAVES PERDUE
GOVERNOR
February 16, 2010
- rF6
EUGENE A. CONTI,
SECRETARY
U.S. Army Corps of Engineers q r
Wilmington Regulatory Field Office a l 3 v
69 Darlington Avenue CD11Wilmington, North Carolina 28403
ATTENTION: Mr. Brad Shaver
NCDOT Coordinator
SUBJECT: Nationwide 14 Permit Modification for US 17 / Sloop Point Rd Improvements,
Pender County, Project Number: 41246.3
On December 12, 2009 NCDOT received a Nationwide 14 permit (Action ID 2009 1803) for the
above mentioned project. We would like to request a modification of this permit. Although 'the
general scope of the project remains the same, we have realized that there are changes in the
project plans and impacts which need to be correctly reflected in the permit, prior to the letting
of the project.
The scope of the project includes intersection improvements within the median in the vicinity of
the intersection and the construction of two bulb-outs for cross-over turning movements. A
permit modification is being requested for the following revisions:
• Wetland impacts at Bulb-out 2 (Plan sheet 5 and associated permit drawing). It was
discovered that the slope stake line was omitted from the original submittal and
therefore impacts need to be adjusted accordingly to 0.06 acres.
• Wetlands were not shown adjacent to Bulb-out 1 (Plan sheet 2). There will be no
impacts to these wetlands.
These two changes, are shown in the attached plans, permit drawing for Bulb-out 2, impact
summary table, and are referenced in the attached revised PCN.
Please let me know if any additional information is needed. Thank you for your help with this
matter.
Sincerely,
Mason Herndon
Division 3 DEO
cc: Mr. Ken Averitte, DWQ Fayetteville
Mr. David Wainwright, DWQ Raleigh
124 DIVISION DRIVE WILMINGTON, NC 28401
PHONE: [phone] FAx:[phone]
o?oFWArfay Office Use Only:
- h - " -"" "' - -" ---- Corps action ID no. -
®? o T DWQ project no. --
Form Version 1.0 November 2008
Pre-Construction Notification (PCN) Form
A. Applicant Information
1. Processing
la. Type(s) of approval sought from the

Corps:
® Section 404 Permit ? Section 10 Permit
1b. Specify Nationwide Permit (NW P) number: 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
le. Is this notification solely for the record
because written approval is not required? For the record only for DWQ 401
Certification:
? Yes ® No For the record only for Corps Permit:

? Yes ® No
1f. Is payment into a mitigation bank or in-lieu fee program proposed for mitigation
of impacts? If so, attach the acceptance letter from mitigation bank or in-lieu
fee program. ? Yes ® No
1g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h
below. ® Yes ? No
1 h. Is the project located within a NC DCM Area of Environmental Concern (AEC)? ? Yes ® No
2. Project Information
2a. Name of project: US 17 / Sloop Point Rd (SR 1561) Improvements
2b. County: Pender
2c. Nearest municipality / town: Hampstead
2d. Subdivision name: N/A
2e. NCDOT only, T.I.P. or state
project no: 41246.3
3. Owner Information
3a. Name on Recorded Deed: N/A
3b. Deed Book and Page No. N/A
3c. Responsible Party (for LLC if
applicable): N/A
3d. Street address: N/A
3e. City, state, zip: N/A
3f. Telephone no.: N/A
3g. Fax no.: N/A
3h. Email address: N/A
Page 1 of 12
PCN Form - Version 1.0 November 2008 Version
-- --- - Section A. Applicant Information, continued-
4.- Applicant Information (if different from owner) --- -
4a. Applicant is: ? Agent ® Other, specify: NCDOT
4b. Name: H. Allen Pope, PE Division 3 Engineer
4c. Business name
(if applicable): NCDOT
4d. Street address: 124 Division Drive
4e. City, state, zip: Wilmington, NC 28401
4f. Telephone no.: [phone]
4g. Fax no.: [phone]
4h. Email address:
5. Agent/Consultant Information (if applicable)
5a. Name: Mason Herndon, Division Environmental Officer
5b. Business name
(if applicable): NCDOT
5c. Street address: 124 Division Drive
5d. City, state, zip: Wilmington, NC 28401
5e. Telephone no.: [phone]
5f. Fax no.: [phone]
5g. Email address: [e-mail]
Page 2 of 12
PCN Form - November 2008 Version
B. -Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID): N/A
1 b. Site coordinates (in decimal degrees): 34.43695'N - 77.62973'W
1 c. Property size: N/A acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to Virginia Creek
proposed project:
21b. Water Quality Classification of nearest receiving water: HQW
2c. River basin: Cape Fear
3. Project Description
3a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this
application:
In the general vicinity of the project limits there exists commercial properties along US 17, residential developments, and
forested land. In the immediate vicinity of Bulb-out 2, there is a maintained powerline corridor and a mowed grassed
parcel which is currently undeveloped.
31b. List the total estimated acreage of all existing wetlands on the property:
N/A.
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
N/A
3d. Explain the purpose of the proposed project:
To improve safety at the intersection of US 17 and SR 1561 Sloop Point Rd.
3e. Describe the overall project in detail, including the type of equipment to be used:
This project includes safety improvements to the intersection of US 17 and SR 1561 (Sloop Point Rd). The improvements
include new concrete islands, median work to construct and modify turn lanes, and widening for bulb-outs to
accommodate U-turn movements in two locations. All work is shown on the attached plans. The bulb-out adjacent to the
S-bound lane (Bulb-out 2) is the only widening that will impact jurisdictional wetlands. Bulb-out 2 will be 225 feet in length
and will require widening of 0-35 feet from the existing edge of pavement. There are wetlands present in the vicinity of
the bulb-out adjacent to the N-bound lane (Bulb-out 1). However, the wetlands fall outside of the area which will be
impacted by Bulb-out 1. Standard road building equipment will be used including a backhoe and motor grader.
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property / ® Yes ? No ? Unknown
project (including all prior phases) in the past?
41b. If the Corps made the jurisdictional determination, what type ? preliminary ® Final
of determination was made?
4c. If yes, who delineated the jurisdictional areas? Agency/Consultant Company: NCDOT -
Name (if known): Mason Herndon Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
Field verification: September 17, 2009.
5. Project History
5a. Have permits or certifications been requested or obtained for ? Yes ? No ® Unknown
this project (including all prior phases) in the past?
5b. If yes, explain in detail according to "help file" instructions.
Page 3 of 12
PCN Form - Version 1.0 November 2008 Version
- ..- _ - .= B'.- - Project Information and Prior Project History
6. Future Project Plans
6a. Is this a phased project? ? Yes ® No
6b. If yes, explain.
Page 4 of 12
PCN Form - November 2008 Version

C. Proposed Impacts Inventory
1. Impacts Summary
1 a. Which sections were completed below for your project (check all that apply):
® Wetlands ? Streams - tributaries ? Buffers
? Open Waters ? Pond Construction
2. Wetland Impacts
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 jurisdiction
number - Type of Type of wetland Forested (Corps - 404, 10 Area of impact (acres)
Permanent (P) or impact (if known) DWQ - non-404, other)
Temporary T
W1 ® P ? T excavate
and fill PF03/46 ? Yes ® No ® Corps
E] DWQ
0.06 at Bulb out 2
W2 ? P ? T ? Yes ? No ? Corps
? DWQ
W3 ? P ? T ? Yes El No El Corps
? DWQ
W4 ? P ? T ? Yes ? No ? Corps
? DWQ
W5 ? P ? T ? Yes ? No ? Corps
? DWQ
W6 ? P ? T ? Yes ? No ? Corps
? DWQ
2g. Total wetland impacts 0.06 acre
2h. Comments: All wetland impacts are associated with the widening at proposed Bulb-out 2 (see plan sheet 5 and
associated permit drawing). This wetland is in the upper reaches of the Virginia Creek (SA HQW) Watershed. There is a
wetland in the vicinity of Bulb-out 1 which will not be impacted by the widening (see plan sheet 2).

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.
Stream impact Type of Stream name Perennial (PER) or Average stream width (feet) Impact
number - impact intermittent (INT)? length
Permanent (P) or (linear feet)
Temporary (T)
S1 ?P?T ?PER ?INT
S2 ? P ? T ? PER ? INT
S3 ? P ? T ? PER ? INT
S4 ?P?T ?PER ?INT
S5 ?P?T ?PER ?INT
S6 ? P ? T ? PER ? INT
3g. Total stream and tributary impacts
3h. Comments:
Page 5 of 12
PCN Form - Version 1.0 November 2008 Version
Proposed Impacts Inventory, continued
4. Open Water Impacts - - -- - -- ---- -- -
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of
the U.S. then individual) list all o en water impacts below.
4a. 4b. 4c. 4d. 4e.
Open water Name of
impact number waterbody Type of impact Waterbody type Area of impact (acres)
- Permanent (if
(P) or applicable)
Temporary T
01 ?P?T
02 ?P?T
03 ?P?T
04 ?P?T
4f. Total open water impacts
4g. Comments:
Page 6 of 12
PCN Form - November 2008 Version
I'"-C. `Proposed Impacts Inventory, continued
5. Pond or Lake Construction
If and or lake construction pro osed, then complete the chart below.
5a. 5b. 5c. 5d. 5e.
Wetland Impacts (acres) Stream Impacts (feet) Upland
Pond ID Proposed use or (acres)
number purpose of pond
Flooded
Filled
Excavated
Flooded
Filled
Excavated
Flooded
P1
P2
5f. Total
5g. Comments:
5h. Is a dam high hazard permit required?
? Yes ? No if yes, permit ID no:
5i. Expected pond surface area (acres):
5j. Size of pond watershed (acres):
5k. Method of construction:
6. Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer, then complete the chart below. If yes, then individually list all buffer impacts
below. If an impacts require mitigation, then you MUST fill out Section D of this form.

6a.
? Neuse ?Tor-Pamlico ? Other:
Project is in which protected basin? ? Catawba ? Randleman
6b. 6c. 6d. 6e. 6f. 6g.
Buffer impact
number - Reason Buffer Zone 1 impact (square Zone 2 impact
Permanent (P) for impact Stream name mitigation feet) (square feet)
or Temporary required?
T
B1 ?P?T ?Yes ?No
B2 ?P?T ?Yes ?No
B3 ?P?T ?Yes ?No
6h. Total buffer impacts
6i. Comments:
Page 7 of 12
PCN Form - November 2008 Version
D. Impact Justification and Mitigation
1. Avoidance and Minimization
la. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
NCDOT has avoided and minimized impacts to wetlands to the greatest extent possible while ensuring that the design of
Bulb-out 2 is within the required specifications.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Strict implementation of sediment and erosion control BMPs will be enforced during construction to protect waters of the
US. Also, slopes will be 3:1 or less to help ensure stability.
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? ? Yes ® No
2b. If yes, mitigation is required by (check all that apply): ? DWQ ? Corps

2c.
If yes, which mitigation option will be used for this

project? ? Mitigation bank

? Payment to in-lieu fee program

? Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
3b. Credits Purchased (attach receipt and letter) Type Quantity
3c. Comments:
4. Complete if 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. Riparian 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.
Page 8 of 12
PCN Form - Version 1.0 November 2008 Version
D:` ImpacUJustification and Mitigation, continued
6. Buffer Mitigation (State Regulated Riparian Buffer Rules) - required by DWQ
6a. Will the project result in an impact within a protected riparian buffer that requires
buffer mitigation? ? Yes ® No
6b. If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation. Calculate the
amount of mitigation required.

Zone
Reason for impact Total impact
(square feet)
Multiplier Required mitigation
(square feet)
Zone 1 3 (2 for Catawba)
Zone 2 1.5
Total buffer mitigation required:
6c. 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).
6d. Comments:
Page 9 of 12
PCN Form -November 2008 Version
Er Stormwater Management and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Plan
la. Does the project include or is it adjacent to protected riparian buffers identified ? Yes ®No
within one of the NC Riparian Buffer Protection Rules?
1b. If yes, then is a diffuse flow plan included? ? Yes ? No
2. Determination if the Project Requires a Stormwater Management Plan
2a. Does the project require a Non-404 Jurisdictional General Permit? ? Yes ® No
2b. Is the project subject to General Certification 3704 or 3705? ® Yes ? No
3. Determination of Stormwater Review Jurisdiction
3a. Is this project subject to any of the following state-implemented stormwater ? Coastal counties
management programs (check all that apply)? ? HOW
? ORW
If so, attach one copy of the approval letter from the DWQ and one copy of the ? Session Law 2006-246
approved stormwaler management plan. - ? Other: .
3b. In which local government's jurisdiction is. this project? Fender County
3c. Is this local government certified to implement a state stormwater program? ? Yes N No
If so, attach one copy of the approval letter from the local government and one copy
of the approved stormwater management plan (or one copy of the approved
Stormwater management plan stamped as approved).
4. Information Required for DWQ 401 Unit Stormwater Review
4a. What is the overall percent imperviousness according to the most current site plan? N/A
4b. Does this project contain any areas that meet the criteria for "high density" per ? Yes ? No
General Certifications 3704 and 3705?
4c. If the site is over 24% impervious and/or contains high density areas, then provide a brief narrative description of the
stormwater management plan.
NCDOT will fully comply with the conditions related to construction activites within the current version (NCS000250) of
NCDOT's individual NPDES stormwater permit.
4d. Has a completed BMP Supplement Form with all required items been submitted ? Yes ®No
for each stormwater BMP?
Page 10 of 12
PCN Form - Version 1.0 November 2008 Version
F. Supplementary Information T
1. Environmental Documentation (DWQ Requirement)
la. Does the project 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 project require preparation of an
environmental document pursuant to the requirements of the National or State ?.Yes ®No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1c. 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
? Yes ? No
letter.)
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):
3. Cumulative Impacts (DWQ Requirement)
3a. Will this project (based on past and reasonably anticipated future impacts) result in ? 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 description.
This project is one which qualifies as a minimum criteria (category 8d) under 19A NCAC 2F.0102. As such, the project is
in a category of projects that add either no or a minor amount of new impervious surface directly, indirectly, or
cumulatively. Consequently, the project will not result in cumulative impacts that cause or will cause a violation of
downstream water quality standards.
4. Sewage Disposal (DWQ Requirement)
4a. Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of wastewater generated from
the proposed project, or available capacity of the subject facility.
N/A
Pagel 1 of 12
. PCN Form - Version 1.0 November 2008 Version
F. Supplementary Information, continued
5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or ? Yes ®No
habitat?
5b. Have you checked with the USFWS concerning Endangered Species Act ? Yes M No
impacts?
El Raleigh
5c. If yes, indicate the USFWS Field Office you have contacted.
? Asheville
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
NC Natural Heritage Program's GIS data.
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project 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?
Website: http://www.ncfiisheries.neVmaps/FNA_maps/index.htmi
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 ? Yes ® No
status (e.g., National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?
The project was cleared for architectural and archaeological resources in "No survey required" forms (signed 9/1/09 and
9/18/09, respectively) which are attached to this application.
8. Flood Zone Designation (Corps Requirement)
8a . Will this project occur in a FEMA-designated 100-year floodplain? ? Yes ®No
8b . If yes, explain how project meets FEMA requirements:
8c . What source(s) did you use to make the floodplain determination? FEMA 100-year floodplain GIS data
Mason Hemdon February 16,
2010
Applicant/Agent's Printed Name Applicant/Agent's Signature
(Agent's signature is valid only if an authorization letter from the applicant Date
is provided.)
Page 12 of 12
PCN Form - November 2008 Version
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? =-Y43-
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