20150030 Ver 1_Application_20150112

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Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.4 January 2009
Page 1 of 10
PCN Form — Version 1.4 January 2009
Pre - Construction Notification (PCN) Form
A.
Applicant Information
1.
Processing
1 a.
Type(s) of approval sought from the Corps:
❑X Section 404 Permit ❑ Section 10 Permit
1b.
Specify Nationwide Permit (NWP) number: 3 or General Permit (GP) number:
tc.
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):
❑X 401 Water Quality Certification — Regular ❑ Non -404 Jurisdictional General Permit
❑ 401 Water Quality Certification — Express ❑X Riparian Buffer Authorization
1e.
Is this notification solely for the record
because written approval is not required?
For the record only for DWQ
401 Certification:
❑ Yes ❑X No
For the record only for Corps Permit:
❑X 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 ❑X No
1g.
Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h
below.
❑ Yes ❑X No
1 h.
Is the project located within a NC DCM Area of Environmental Concern (AEC)?
❑ Yes ❑X No
2.
Project Information
2a.
Name of project:
US 258 Add Middle Lane
2b.
County:
Greene
2c.
Nearest municipality / town:
Snow Hill
2d.
Subdivision name:
N/A
2e.
NCDOT only, T.I.P. or state project no:
46254.1.1
3.
Owner Information
3a.
Name(s) on Recorded Deed:
North Carolina Department of Transportation
3b.
Deed Book and Page No.
N/A
3c.
Responsible Party (for LLC if
applicable):
N/A
3d.
Street address:
105 Pactolus Highway NC 33 P.O. Box 1587
3e.
City, state, zip:
Greenville, NC 27835
3f.
Telephone no.:
252 -439 -2800
3g.
Fax no.:
252- 830 -3341
3h.
Email address:
jbjohnson @ncdot.gov
Page 1 of 10
PCN Form — Version 1.4 January 2009

4.
Applicant Information (if different from owner)
4a.
Applicant is:
❑ Agent ❑X Other, specify: Division 2 Environmental Officer
4b.
Name:
Jay B. Johnson
4c.
Business name
(if applicable):
North Carolina Department of Transportation
4d.
Street address:
P.O. Box 1587
4e.
City, state, zip:
Greenville, NC 27835
4f.
Telephone no.:
252 -439 -2800
4g.
Fax no.:
252- 830 -3341
4h.
Email address:
jbjohnson @ncdot.gov
5.
Agent/Consultant Information (if applicable)
5a.
Name:
N/A
5b.
Business name
(if applicable):
5c.
Street address:
5d.
City, state, zip:
5e.
Telephone no.:
5f.
Fax no.:
5g.
Email address:
Page 2 of 10

B.
Project Information and Prior Project History
1.
Property Identification
la.
Property identification no. (tax PIN or parcel ID):
US 258 Add Middle Lane
1b.
Site coordinates (in decimal degrees):
I Latitude: 35.368954 Longitude: -77.665908
1c.
Property size:
acres
2.
Surface Waters
2a.
Name of nearest body of water to proposed project:
Sowell Run
2b.
Water Quality Classification of nearest receiving water:
C; Sw, NSW
2c.
River basin:
Neuse
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:
US 258 is a paved US Highway. Woodlands and agriculture dominate the landscape.
3b.
List the total estimated acreage of all existing wetlands on the property: 0
3c.
List the total estimated linear feet of all existing streams (intermittent and perennial) on the property: 130
3d. Explain the purpose of the proposed project:
Pipe replacement; The road is being widened and a longer pipe is necessary.
3e. Describe the overall project in detail, including the type of equipment to be used:
The existing 45" x 78' corrugated metal pipe will be replaced with a 60" x 85' reinforced concrete pipe.
4.
Jurisdictional Determinations
4a.
Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
project (including all prior phases) in the past?
❑ Yes ❑X No ❑ Unknown
Comments:
4b.
If the Corps made the jurisdictional determination, what type
of determination was made?
❑ Preliminary ❑ Final
4c.
If yes, who delineated the jurisdictional areas?
Name (if known):
Agency /Consultant Company:
Other:
4d.
If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
5.
Project History
5a.
Have permits or certifications been requested or obtained for
this project (including all prior phases) in the past?
El Yes ❑X No ❑ Unknown
5b.
If yes, explain in detail according to "help file" instructions.
6.
Future Project Plans
6a.
Is this a phased project?
❑ Yes ❑X No
6b.
If yes, explain.
Page 3 of 10
PCN Form — Version 1.4 January 2009

C. Proposed Impacts Inventory
1. Impacts Summary
1 a. Which sections were completed below for your project (check all that apply):
❑ Wetlands ❑X Streams — tributaries 0 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.
Wetland impact
number
Permanent (P) or
Temporary
2b.
Type of impact
2c.
Type of wetland
2d.
Forested
2e.
Type of jurisdiction
Corps (404,10) or
DWQ (401, other)
2f.
Area of
impact
(acres)
W1 -
Choose one
Choose one
Yes/No
-
W2 -
Choose one
Choose one
Yes/No
-
W3 -
Choose one
Choose one
Yes/No
-
W4 -
Choose one
Choose one
Yes/No
-
W5 -
Choose one
Choose one
Yes/No
-
W6 -
Choose one
Choose one
Yes/No
2g. Total Wetland Impacts:
2h. Comments:
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.
Stream impact
number
Permanent (P) or
Temporary (T)
3b.
Type of impact
3c.
Stream name
3d.
Perennial (PER) or
intermittent (INT)?
3e.
Type of
jurisdiction
3f.
Average
stream
width
(feet)
3g.
Impact
length
(linear
feet)
S1 P
Relocation
Sowell Run
PER
DWQ
10
130
S2 -
Choose one
-
-
S3 -
Choose one
-
-
S4 -
Choose one
-
-
S5 -
Choose one
-
-
S6 -
Choose one
-
-
3h. Total stream and tributary impacts
3i. Comments:
Page 4 of 10
PCN Form — Version 1.4 January 2009

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 individually list all open water impacts below.
4a.
Open water
impact number
Permanent (P) or
Temporary
4b.
Name of waterbody
(if applicable)
4c.
Type of impact
4d.
Waterbody
type
4e.
Area of impact (acres)
01 -
Choose one
Choose
02 -
Choose one
Choose
03 -
Choose one
Choose
O4 -
Choose one
Choose
4f. Total open water impacts
4g. Comments:
5. Pond or Lake Construction
If pond or lake construction Proposed, the complete the chart below.
5a.
Pond ID number
5b.
Proposed use or
purpose of pond
5c.
Wetland Impacts (acres)
5d.
Stream Impacts (feet)
5e.
Upland
(acres)
Flooded
Filled
Excavated
Flooded
I Filled
Excavated
Pi
Choose one
P2
Choose one
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 any impacts require mitigation, then you MUST fill out Section D of this form.
6a. Project is in which protected basin?
❑X Neuse ❑ Tar - Pamlioo ❑ Catawba ❑ Randleman ❑ Other:
6b.
Buffer Impact
number-
Permanent (P) or
Temporary
6c.
Reason for impact
6d.
Stream name
6e.
Buffer
mitigation
required?
6f.
Zone 1
impact
(square
feet )
6g.
Zone 2
impact
(square
feet
B1 P
Fill
Sowell Run
No
4,155
320
B2 -
Yes/No
B3 -
Yes/No
B4 -
YeatNo
B5 -
Yes/No
B6 -
YeslNo
6h. Total Buffer Impacts:
4,155
320
6i. Comments: Zone 1 Impacts - 0.0954 Acres, Zone 2 Impacts - 0.0073 Acres
Page 5 of 10

D. Impact Justification and Mitigation
1. Avoidance and Minimization
la. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
There are 4,155 sq.ft. of buffer zone 1 impacts and 320 sq.ft. of zone 2 impacts due to the installation of a 60" rcp.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Use of existing roadway to operate construction equipment.
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 Z 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: Choose one
Type: Choose one
Type: Choose one
Quantity:
Quantity:
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:
Choose one
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 6 of 10
PCN Form — Version 1.4 January 2009

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 0 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
6c.
Reason for impact
6d.
Total impact
(square feet)
Multiplier
6e.
Required mitigation
(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).
6h. Comments:
Page 7 of 10

E.
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
❑x Yes ❑ No
within one of the NC Riparian Buffer Protection Rules?
1 b.
If yes, then is a diffuse flow plan included? If no, explain why.
See Stormwater Management Plan
❑X Yes ❑ No
2.
Stormwater Management Plan
2a.
What is the overall percent imperviousness of this project?
2b.
Does this project require a Stormwater Management Plan?
❑x Yes ❑ No
2c.
If this project DOES NOT require a Stormwater Management Plan, explain why:
2d.
If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
Stormwater will be treated with grassed males on the western side of the project and a special lateral base ditch and grassed swale on the eastenr
side of the project.
2e.
Who will be responsible for the review of the Stormwater Management Plan?
3.
Certified Local Government Stormwater Review
3a.
In which local government's jurisdiction is this project?
❑ Phase II
❑ NSW
3b.
Which of the following locally- implemented stormwater management programs
E] USMP
apply (check all that apply):
❑ Water Supply Watershed
❑ Other:
3c.
Has the approved Stormwater Management Plan with proof of approval been
[]Yes ❑ No
attached?
4.
DWQ Stormwater Program Review
❑Coastal counties
❑HQW
4a.
Which of the following state - implemented stormwater management programs apply
❑ORW
(check all that apply):
❑Session Law 2006 -246
❑X Other: NPDES Permit
4b.
Has the approved Stormwater Management Plan with proof of approval been
❑ Yes ❑X No
attached?
5. DWQ 401 Unit Stormwater Review
5a.
Does the Stormwater Management Plan meet the appropriate requirements?
❑ Yes ❑ No
5b.
Have all of the 401 Unit submittal requirements been met?
❑ Yes ❑ No
Page 8 of 10
PCN Form — Version 1.4 January 2009

F.
Supplementary Information
1.
Environmental Documentation (DWQ Requirement)
1 a.
Does the project involve an expenditure of public (federal /state/local) funds or the
❑x Yes ❑ No
use of public (federal /state) land?
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
❑ Yes x❑ No
(North Carolina) Environmental Policy Ad (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 ❑X No
or Riparian Buffer Rules (15A NCAC 2B.0200)?
2b.
Is this an after - the -fad 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 ❑x 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.
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.
Page 9 of 10
PCN Form — Version 1.4 January 2009

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 ❑X No
habitat?
5b. Have you checked with the USFWS concerning Endangered Species Act
❑ Yes ❑X No
impacts?
5c. If yes, indicate the USFWS Field Office you have contacted.
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
Onsite field investigation by Jay Johnson "No Effect"
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat?
❑ Yes ❑X No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
Onsite determination by Jay Johnson
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 ❑X 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?
NCDOT HEU Historic Architecture and Archaeology
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA- designated 100 -year floodplain?
❑ Yes ❑X No
8b. If yes, explain how project meets FEMA requirements:
8c. What source(s) did you use to make the floodplain determination?
FEMA FIRM Maps
Jay B. Johnson
01 -12 -2015
Applicant/Agenfs Printed Name
Date
A is 1 t/A fs Signature
(Agent s na is id only if an authorization
1 rfr the plicant is provided.)
u
Page 10 of 10

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US 258 NW 3 APPLICATION
REPLACE EXISTING 78' — 45" CMP WITH 85' — 60" RCP
OVER SOWELL RUN; FALLING CREEK USGS QUAD MAP
SHEET NUMBER 5 OF THE SOIL SURVEY OF GREENE COUNTY
CONTENTNEA 03020203 NEUSE RIVER BASIN
NEUSE RIVER RIPARIAN BUFFER RULES APPLY
WBS ELEMENT NUMBER 46254.1.1 DETAIL
S/ A/ E: In__ rho, SPECIAL LATERAL GRASSED SWALE
l� L L ( Not to Scale)
Natural o< Fill
Ground I D F� Ket Slope
Min. D= 1 Ft.
B= 1 Ft.
BI
BUFFER ZONE 1
IMPACTS = 4.155 SgFf.
BUFFER ZONE 2
IMPACTS = 320 Sq.Ft.
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LINE BANKS W/
CLASS 'I' RIP RAP
TOTAL BUFFER IMPACTS:
'ONE 1 = 4,155 Sq.Ft. (0.0954 ACRES)
'ONE 2 = 320 Sq.Ft. (0.0073 ACRES)
'OTAL STREAM IMPACTS: 0 LINEAR FEET
'OTAL WETLAND 1MPACTS:O Sq.Ft.
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STATE OF NORTH CAROLINA
imUSGS U.S. DEPARTMENT OF THE INTERIOR DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES FALLING CREEK QUADRANGLE
U.S. GEOLOGICAL SURVEY j i ` DIVISION OF LAND RESOURCES NORTH CAROLINA
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Topography compiled by photogrammetric methods from aerial
photographs taken 1977- Planimetry derived from imagery
taken 1998 and other sources. Survey control current as of 1979
North American Datum of 1983 (NAD 83). Projection and
1 000 -meter grid: Universal Transverse Mercator, zone 18
2 500 -meter ticks: North Carolina Coordinate System of 1983
North American Datum of 1927 (NAD 27) is shown by dashed
corner ticks. The values of the shift between NAD 83 and
NAD 27 for 7.5- minute intersections are obtainable from
National Geodetic Survey NADCON software
Dashed elliptical outline represents Carolina Bay
SCALE 1:24 000
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CONTOUR INTERVAL 2 METERS
NATIONAL GEODETIC VERTICAL DATUM OF 1929
TO CONVERT FROM METERS TO FEET, MULTIPLY BY 3.2808
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TOTAL RECOVERED FIBER
THIS MAP COMPLIES WITH NATIONAL MAP ACCURACY STANDARDS
FOR SALE BY U.S. GEOLOGICAL SURVEY, P.O. BOX 25286, DENVER, COLORADO 80225
A FOLDER DESCRIBING TOPOGRAPHIC MAPS AND SYMBOLS IS AVAILABLE ON REQUEST
QUADRANGLE LOCATION
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US 258
ADD MIDDLE TURN LANE
0.5 MILES SOUTH OF SR 1101 TO 300' NORTH OF SR 1117
FALLING CREEK AND SNOW HILL USGS QUAD MAP
I AND SHEET 5 AND 7 OF THE SOIL SURVEY
OF GREENE COUNTY
WBS ELEMENT NUMBER 46254. 1.1
OCTOBER 15, 2014
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US 258
Begin ADD MIDDLE TURN LANE
Project
0.5 MILES SOUTH OF SR 1101 TO 300' NORTH OF SR 1117
FALLING CREEK AND SNOW HILL USGS QUAD MAP
AND SHEET 5 AND 7 OF THE SOIL SURVEY
`1 OF GREENE COUNTY
WBS ELEMENT NUMBER 46254. 1.1
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OCTOBER 15, 2014
SRW 4
2,000 1,000 0
End
Project
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Begin
Project
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Project Tracking No. (Internal Use
14 -10 -0016
......... ... .. .
HISTORIC ARCHITECTURE AND LANDSCAPES
"M, HISTORIC PROPERTIES PRESENT OR AFFECTED FORM
This form only pertains to Historic Architecture and Landscapes for this project. It
is not valid for Archaeological Resources. You must consult separately with the
Archaeology Group.
PROJECT INFORMATION
Project No:
W -5329
County:
Greene
WBS No.:
46254.1.1
Document
Type:
Fed. Aid No:
HSIP- 0258(2)
Funding:
State X Federal
Federal
X Yes No
Permit
NWP 13
Permit(s):
Type(s):
ProiectDescription: Add middle lane to US 258 from 0.5 mile south of SR 1101
(Browntown Road) to 300 feet north of SR 1117 (Fred Harrison Road) (no off -site
detour or ROW acquisition lanned ).
SUMMARY OF HISTORIC ARCHITECTURE AND LANDSCAPES REVIEW
❑ There are no National Register- listed or Study Listed properties within the project's area of
potential effects.
❑ There are no properties less than fifty years old which are considered to meet Criteria
Consideration G within the project's area of potential effects.
❑ There are no properties within the project's area of potential effects.
❑ There are properties over fifty years old within the area of potential effects, but they do not
meet the criteria for listing on the National Register.
X There are no historic properties present or affected by this project. (Attach any notes or
documents as needed.)
Date of field visit: 12 December 2014
DESCRIPTION OF REVIEWACTIVITIES, RESULTS, AND CONCLUSIONS: HPOWeb reviewed on 7 November
2014 and yielded no NR, SL, DE, SS, or LD properties in the Area of Potential Effects (APE). The APE for
historic architectural resources extends 100 feet to either end of the proposed 0.9 -mile project length (N-
S) and 100 feet to either side of the US 258 centerline (E -W) to encompass planned construction
activities. Greene County current GIS mapping, aerial photography, and tax information identified an APE
of woodland and cultivated fields with residential resources dating predominantly from the 1950s to the
early 2000s (viewed 7 November 2014). The comprehensive architectural survey of Greene County
(1994 -8) and related publication recorded no resources in the APE (Penne Smith Sandbeck, Greene along
Contentnea - the Architectural History of Greene County, North Carolina, Snow Hill, NC: Greene County Arts and Historical Society,
2009). Three of the earliest resources (Parcel #s 0303414, 0300139, and 0305677) stand 100 feet and
more from the US 258 centerline, beyond likely project impact, with no intervening landscape elements of
concern. USGS mapping indicates the presence in the APE of a cemetery (Parcel # 0323979) in the NE
quadrant of the US 258/SR1001 (Browntown Road) intersection, adjacent to US 258, and prompted a
field investigation, carried out on 12 December 2014. The site appears on recent aerial photography as a
cluster of trees, but has been mechanically cleared and burned. There are no above - ground,
architectural or landscape resources; sub - surface concerns will be addressed in the archaeological review.
The site visit also confirmed the placement of the residential properties noted above relative to the
Historic Architecture and Landscapes NO HISTORIC PROPER7IES PRESENT OR AFFECTlID form for Minor Transportation Proiects
as Qualified in the 2007 Programmatic Agreement.
Page 1 of 2

project area and the absence of critical architectural resources in the APE. A finding of "no historic
properties present or affected" will satisfy both Section 106 and GS 121 -12(a) compliance requirements.
Should any aspect of the project design change, please notify
NCDOT Historic Architecture as additional review may be necessary.
SUPPORT DOCUMENTATION
X Map(s) ❑Previous Survey Info. Photos E] Correspondence ❑Design Plans
FINDING BY NCDOT ARCHITECTURAL HISTORIAN
Historic Architecture and Landscapes — NO HISTORIC PROPERTIES PRESENT OR AFFECTED
NCDOT Architectural Historian Date
US 258 Middle Lane, Greene County
WBS No. 46254.1.1
Tracking No. 14 -10 -0016
Hisroric Archileaure and Landscapes NO HISTORIC PROPI:RHES PRIiSENT OR AP!•'F,CTIiD fwm fm• Minor "Transportation Projects
as Oaaiified in the 2007 Progranunatic Agreement.
Page 2 of 2

� Jci I No . /`/- /o - d O/6

Project Tracking
14 -10 -0016
Qadt NO ARCHAEOLOGICAL SURVEY REQUIRED FORM
This form only pertains to ARCHAEOLOGICAL RESOURCES for this project. It is not
t
D valid for Historic Architecture and Landscapes. You must consult separately with the
" Historic Architecture and Landscapes Group. Q
PROJECT INFORMATION
Project No: W -5329 County: Greene
WBS No: 46254.1.1 Document: MCC
F.A. No: HSIP- 0258(20) Funding: ❑ State ® Federal
Federal Permit Required? ® Yes ❑ No Permit Type: NW 3
Project Description: This undertaking involves adding a middle lane to US 258 from south of SR 1101
to 300 ft north of SR 1117. The project length is about 0.9 miles and the propsed ROW is 100 ft, as is the
existing ROW. The project Area of Potential Effects, APE, is defined as the width of the project, 100 ft,
along the 0.9 miles of length plus any needed easements that may extend slightly beyond the ROW. This
is a federally funded undertaking with federal permits needed, therefore, Section 106 of the National
Historic Preservation Act applies for this review. While the project is somewhat lengthy, much of the
APE has been previously disturbed by the construction of the existing highway and associated ditches.
SUMMARY OF CULTURAL RESOURCES REVIEW
Brief description of review activities, results of review, and conclusions:
Aerial and topographic mapping of this rural location was examined. Records at the Office of State
Archaeology were reviewed in November 2014. USGS quadrangle mapping depicting previously
reviewed areas and site locations was copied. Of in interest, a cemetery was noted nearby the APE on
USGS mapping, northeast of SR 1101 (Browntown Road) and US 258 (see attached). Appearing as a
grove of trees in previous aerial photography, at the time of a field visit, in December 2014, the location
had been mechanically stripped and vegetation burned, presumably for the Phase 1H water system
improvements (possibly a pump or valve station) noted on nearby signage. According to GIS data
collected by staff archeologists, the top of the ditchline corresponds to the ROW and the cleared area is
outside of the APE. No obvious indication of a cemetery were noted, such as grave markers or fences
were noted, though some domestic scatter (milk glass canning lid fragment, poured concrete block,
whiteware) were identified in the resulting push pile. No previously documented archaeological sites
were noted on OSA archaeological mapping. Environmental reviews for archaeology were noted in the
nearby vicinity of the project area, including portions of the APE. One review (ER 09 -0412) covers a
12.3 mile waterline within NCDOT ROW that did not result in a survey or sites identified. The project
appears to be currently underway during the December 2014 field reconnaissance.. For this project, much
of the APE has been modified by the existing modern highway and ditching. Expectations that an intact
or otherwise significant archaeological resource might be impacted within the APE are low for this lane
addition. Expectations that an intact or otherwise significant archaeological site is present and might be
impacted are low for this bridge replacement project.
Brief Explanation of why the available information provides a reliable basis for reasonably predicting
that there are no unidentified historic properties in the APE:
This project seeks to construct a new middle lane along the existing US 258 highway. The APE has
already been disturbed by the construction of the existing modern US 258. There are no known sites
recorded within the APE or within the local vicinity. The location of a cemetery marked on USGS
mapping appears to be outside of this project's APE. For these reasons, the likelihood that significant,
intact archaeological sites are present and would be affected by the undertaking are low. The majority of
the APE has been modified, disturbing any intact archaeological context, by the existing bridge. For this
project, no further archaeological work is recommended.
"No ARCHAEOLOGYSURVEYREQUIRED " form for Minor Transportation Projects as Qualified in the 2007 Programmatic Agreement.
1 of 5

SUPPORT DOCUMENTATION
See attached: ® Map(s) ❑ Previous Survey Info
❑ Photocopy of County Survey Notes
FINDING BY NCDOT ARCHAEOLOGIST
NO ARCHAEOLOGYSURVEYREOUIRED
NCDOT ARCHAEOLOGIST II
Project Tracking
14 -10 -0016
® Photos ❑Correspondence
Other:
December 18, 2014
Date
"No ARCHAEOLOGYSURVEYREQUIRED " form for Minor Transportation Projects as Qualified in the 2007 Programmatic Agreement.
2 of 5

Project Tracking
14 -10 -0016
r
a,
u>tli�lcllc tul•u� IQinc ,`,, �idj�accu>It to
r
Figure 1. Excerpt of USGS mapping (Falling Creek and Snow Hill) showing portion of US 258 with a proposed middle lane addition.
"No ARCHAEOLOGYSURVEYREQUIRED " form for Minor Transportation Projects as Qualified in the 2007 Programmatic Agreement.
3 of 5

Project Tracking
14 -10 -0016
Figure 2. Aerial photography showing presence of tree cover at location of cemetery on USGS mapping near US 258 and Browntown Road.
"No ARCHAEOLOGYSURVEYREQUIRED " form for Minor Transportation Projects as Qualified in the 2007 Programmatic Agreement.
4of5

Project Tracking
14 -10 -0016
Figure 3. Location noted on USGS mapping as a cemetery. Trees and
surrounding area has been cleared and vegetation burned.
Figure 4. Noted cleared location as seen facing southeast from US 258. Top of
the ditch line is the approximate ROW and APE boundary.
"No ARCHAEOLOGYSURVEYREQUIRED ° form for Minor Transportation Projects as Qualified in the 2007 Programmatic Agreement.
5 of 5

2390000 FEET
600000 FEET 77 °41'0 "W 77 °40'30 "W 77 °40'0 "W
7R
1 1
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35 °23'0 "N
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590000 FEET I-
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2390000 FEET
FLOOD HAZARD INFORMATION
SEE FIS REPORT FOR ZONE DESCRIPTIONS AND INDEX MAP
THE INFORMATION DEPICTED ON THIS MAP AND SUPPORTING
DOCUMENTATION ARE ALSO AVAILABLE IN DIGITAL FORMAT AT
HTTP: / /FRIS.NC.GOV /FRIS
please call the FEMA Map Information eXchange at 1- 877 -FEMA -MAP (1- 877 - 336 -2627) or visit the FEMA Map
Without Base Flood Elevation (BFE)
Datum: NAD 1983 (Horizontal), NAVD 1988 (Vertical)
Revision (LOMR) or Letter of Map Amendment (LOMA) revising portions of this panel, and digital versions of this
Zone A,V, A99
FIRM may be available. Visit the North Carolina Floodplain Mapping Program website at http://www.ncfioodmaps.corr,
1 inch = 500 feet
With BFE or Depth zone AE, AO, AH, VE, AR
SPECIAL FLOOD
.` E
Regulatory Floodway
HAZARD AREAS
Feet
For community and countywide map dates refer to the Flood Insurance Study report for this jurisdiction.
(Meters
To determine if flood insurance is available in the community, contact your Insurance agent or call the National
0.2% Annual Chance Flood Hazard, Areas
Flood Insurance Program at 1- 800 - 638 -6620.
4604
of 1% Annual Chance Flood with Average
PANEL LOCATOR
digital FLOOD database and in the Technical Support Data Notebook (TSDN).
Depth Less Than One Foot or With Drainage
ACCREDITED LEVEE NOTES TO USERS: If an accredited levee note appears on this panel check with your local
Areas of Less Than One Square Mile zone x
-
e
Future Conditions 1% Annual
To mitigate flood risk in residual risk areas, property owners and residents are encouraged to consider flood
Chance Flood Hazard zone x
OTHER AREAS OF
f
Area with Reduced Flood Risk due to Levee
FLOOD HAZARD
WILSON COUNTY 3688 `3698 4608
See Notes zone x
OTHER
protection provided (which may exceed the 1- percent - annual- chance level) and Emergency Action Plan, on the
Areas Determined to be Outside the
AREAS
\
4697
0.2% Annual Chance Floodplain zone x
4634
------- - - - - --
Channel, Culvert, or Storm Sewer
provided indicates the levee system does not comply with Section 65.10 requirements, FEMA will revise the flood
Accredited or Provisionally Accredited
GENERAL
residual risk areas, property owners and residents are encouraged to consider flood insurance and floodproofing
Levee, Dike, or Floodwall
STRUCTURES
Non - accredited Levee, Dike, or Floodwall
BM5510 X
North Carolina Geodetic Survey bench mark
BM5510®
National Geodetic Survey bench mark
BM5510�
Contractor Est. NCFMP Survey bench mark
012 1s -2—
Cross Sections with 1% Annual Chance
Water Surface Elevation (BFE)
s - - - - - -
Coastal Transect
— - - - - -
Coastal Transect Baseline
Profile Baseline
Hydrographic Feature
OTHER
Limit of Study
FEATURES
Jurisdiction Boundary
77 °41'0 "W
NOTES TO USERS
-f-
Brig ht Rd
}
Ali
2
77 °40'30 "W
SCALE
r
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AA
-44/041, j \
�rf • ` � �d„ , tel: r l-�; ,?p
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i A •�
5
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For information and questions about this map, available products associated with this FIRM including
Map Projection:
historic versions of this FIRM, how to order products or the National Flood Insurance Program in general,
North Carolina State Plane Projection Feet (Zone 3200)
please call the FEMA Map Information eXchange at 1- 877 -FEMA -MAP (1- 877 - 336 -2627) or visit the FEMA Map
Service Center website at http: / /msc.fema.gov. An accompanying Flood Insurance Study report, Letter of Map
Datum: NAD 1983 (Horizontal), NAVD 1988 (Vertical)
Revision (LOMR) or Letter of Map Amendment (LOMA) revising portions of this panel, and digital versions of this
3645
FIRM may be available. Visit the North Carolina Floodplain Mapping Program website at http://www.ncfioodmaps.corr,
1 inch = 500 feet
or contact the FEMA Map Service Center.
Communities annexing land on adjacent FIRM panels must obtain a current copy of the adjacent panel as well as
0 250 500 1,000
the current FIRM Index. These may be ordered directly from the Map Service Center at the number listed above.
Feet
For community and countywide map dates refer to the Flood Insurance Study report for this jurisdiction.
(Meters
To determine if flood insurance is available in the community, contact your Insurance agent or call the National
0 75 150 300
Flood Insurance Program at 1- 800 - 638 -6620.
4604
Base map information shown on this FIRM was provided in digital format by the North Carolina Floodplain
Mapping Program (NCFMP). The source of this information can be determined from the metadata available in the
PANEL LOCATOR
digital FLOOD database and in the Technical Support Data Notebook (TSDN).
ACCREDITED LEVEE NOTES TO USERS: If an accredited levee note appears on this panel check with your local
community to obtain more information, such as the estimated level of protection provided (which may exceed the
-
e
To mitigate flood risk in residual risk areas, property owners and residents are encouraged to consider flood
insurance and floodproofing or other protective measures. For more information on flood insurance, interested
36,89_ 3699
f
�
77 °41'0 "W
NOTES TO USERS
-f-
Brig ht Rd
}
Ali
2
77 °40'30 "W
SCALE
r
tti
AA
-44/041, j \
�rf • ` � �d„ , tel: r l-�; ,?p
}
i A •�
5
O�
�6A
For information and questions about this map, available products associated with this FIRM including
Map Projection:
historic versions of this FIRM, how to order products or the National Flood Insurance Program in general,
North Carolina State Plane Projection Feet (Zone 3200)
please call the FEMA Map Information eXchange at 1- 877 -FEMA -MAP (1- 877 - 336 -2627) or visit the FEMA Map
Service Center website at http: / /msc.fema.gov. An accompanying Flood Insurance Study report, Letter of Map
Datum: NAD 1983 (Horizontal), NAVD 1988 (Vertical)
Revision (LOMR) or Letter of Map Amendment (LOMA) revising portions of this panel, and digital versions of this
3645
FIRM may be available. Visit the North Carolina Floodplain Mapping Program website at http://www.ncfioodmaps.corr,
1 inch = 500 feet
or contact the FEMA Map Service Center.
Communities annexing land on adjacent FIRM panels must obtain a current copy of the adjacent panel as well as
0 250 500 1,000
the current FIRM Index. These may be ordered directly from the Map Service Center at the number listed above.
Feet
For community and countywide map dates refer to the Flood Insurance Study report for this jurisdiction.
(Meters
To determine if flood insurance is available in the community, contact your Insurance agent or call the National
0 75 150 300
Flood Insurance Program at 1- 800 - 638 -6620.
4604
Base map information shown on this FIRM was provided in digital format by the North Carolina Floodplain
Mapping Program (NCFMP). The source of this information can be determined from the metadata available in the
PANEL LOCATOR
digital FLOOD database and in the Technical Support Data Notebook (TSDN).
ACCREDITED LEVEE NOTES TO USERS: If an accredited levee note appears on this panel check with your local
community to obtain more information, such as the estimated level of protection provided (which may exceed the
1- percent - annual- chance level) and Emergency Action Plan, on the levee system(s) shown as providing protection.
To mitigate flood risk in residual risk areas, property owners and residents are encouraged to consider flood
insurance and floodproofing or other protective measures. For more information on flood insurance, interested
36,89_ 3699
parties should visit the FEMA Website at http: / /www.fema.gov /business /nfip /index.shtm.
3668 '
PROVISIONALLY ACCREDITED LEVEE NOTES TO USERS: If a Provisionally Accredited Levee (PAL) note
WILSON COUNTY 3688 `3698 4608
appears on this panel, check with your local community to obtain more information, such as the estimated level of
3654
protection provided (which may exceed the 1- percent - annual- chance level) and Emergency Action Plan, on the
3674
levee system(s) shown as providing protection. To maintain accreditation, the levee owner or community is
\
4697
required to submit the data and documentation necessary to comply with Section 65.10 of the NFIP regulations.
4634
If the community or owner does not provide the necessary data and documentation or if the data and documentation
---------3646 /' 3666 3686
provided indicates the levee system does not comply with Section 65.10 requirements, FEMA will revise the flood
hazard and risk information for this area to reflect de- accreditation of the levee system. To mitigate flood risk in
4606 `4.616
residual risk areas, property owners and residents are encouraged to consider flood insurance and floodproofing
or other protective measures. For more information on flood insurance, interested parties should visit the FEMA
Website at http: / /www.fema.gov /business /nfip /index.shtm.
LIMIT OF MODERATE WAVE ACTION NOTES TO USERS: For some coastal flooding zones the AE Zone
category has been divided by a Limit of Moderate Wave Action (LiMWA). The LiMWA represents the approximate
landward limit of the 1.5 -foot breaking wave. The effects of wave hazards between the VE Zone and the LiMWA
(or between the shoreline and the LiMWA for areas where VE Zones are not identified) will be similar to but less
2400000 FEET
77 °39'30 "W 600000 FEET
oC
EY1080 - - : •� � '
L.
77 °40'0 "W
. 111
IJ11ri61111NI i
severe than those in the VE Zone. '•1,,
3643 3653 3663 3673 4643
Limit of Moderate Wave Action (LiMWA) 3682 4602 4622
COASTAL BARRIER RESOURCES SYSTEM (CBRS) NOTE
This map may include approximate boundaries of the CBRS for informational purposes only. Flood insurance is not
available within CBRS areas for structures that are newly built or substantially improved on or after the date(s)
indicated on the map. For more information see http:// www. fws. gov/ habitatconservation /coastal_barrier.html, the
FIS Report, or call the U.S. Fish and Wildlife Service Customer Service Center at 1- 800 - 344 -WILD.
CBRS Area Otherwise Protected Area
3642 1 3652 3662 3672 4642 1 7 4652
I c'
L,
3641 1 3651 4641 4651
3660 3680 4600 4620 ^\
366,0 j ' 4640 4650;
r
3559 3569 3579 - 3589,, 359.9 4509 4519— 14529 4539
LENOIR COUNTY
3598' 4508
/
I
r
I
V,
35 °23'0 "N
35 °22'30 "N
35 °22'0 "N
I 590000 FEET
77 °39'30 "W
2400000 FEET
I
FEMA'S COOPEAATUIG TECH"ICAL PAFffl4UI
This digital Flood Insurance Rate Map (FIRM) was produced through a unique
cooperative partnership between the State of North Carolina and the Federal
Emergency Management Agency (FEMA). The State of North Carolina has
implemented a long term approach to floodplain management to decrease the
costs associated with flooding. This is demonstrated by the State's commitment
to map flood hazard areas at the local level. As a part of this effort, the State of
North Carolina has joined in a Cooperating Technical State agreement with
FEMA to produce and maintain this digital FIRM.
NORTH CAROLINA FLOODPLAIN MAPPING PROGRAM
NATIONAL FLOOD INSURANCE PROGRAM
cu FLOOD INSURANCE RATE MAC`'
NORTH CAROLINA VAR
PANEL 3599 0
-I+vo s�G�a
cu F E I` 4 ,2A
cc Panel Contains:
cc COMMUNITY CID PANEL SUFFIX
GREENE COUNTY 370378 3599 K
''f +► LENOIR COUNTY 370144 3599 K
0
_0
LL
r�
4_0
MAP NUMBER
3720359900K
MAP REVISED
07/02/04
.l
3645
3655
3665
3675
4625
4635
3684
4604
4644
3644
3654
3664
3674
4624
4634
severe than those in the VE Zone. '•1,,
3643 3653 3663 3673 4643
Limit of Moderate Wave Action (LiMWA) 3682 4602 4622
COASTAL BARRIER RESOURCES SYSTEM (CBRS) NOTE
This map may include approximate boundaries of the CBRS for informational purposes only. Flood insurance is not
available within CBRS areas for structures that are newly built or substantially improved on or after the date(s)
indicated on the map. For more information see http:// www. fws. gov/ habitatconservation /coastal_barrier.html, the
FIS Report, or call the U.S. Fish and Wildlife Service Customer Service Center at 1- 800 - 344 -WILD.
CBRS Area Otherwise Protected Area
3642 1 3652 3662 3672 4642 1 7 4652
I c'
L,
3641 1 3651 4641 4651
3660 3680 4600 4620 ^\
366,0 j ' 4640 4650;
r
3559 3569 3579 - 3589,, 359.9 4509 4519— 14529 4539
LENOIR COUNTY
3598' 4508
/
I
r
I
V,
35 °23'0 "N
35 °22'30 "N
35 °22'0 "N
I 590000 FEET
77 °39'30 "W
2400000 FEET
I
FEMA'S COOPEAATUIG TECH"ICAL PAFffl4UI
This digital Flood Insurance Rate Map (FIRM) was produced through a unique
cooperative partnership between the State of North Carolina and the Federal
Emergency Management Agency (FEMA). The State of North Carolina has
implemented a long term approach to floodplain management to decrease the
costs associated with flooding. This is demonstrated by the State's commitment
to map flood hazard areas at the local level. As a part of this effort, the State of
North Carolina has joined in a Cooperating Technical State agreement with
FEMA to produce and maintain this digital FIRM.
NORTH CAROLINA FLOODPLAIN MAPPING PROGRAM
NATIONAL FLOOD INSURANCE PROGRAM
cu FLOOD INSURANCE RATE MAC`'
NORTH CAROLINA VAR
PANEL 3599 0
-I+vo s�G�a
cu F E I` 4 ,2A
cc Panel Contains:
cc COMMUNITY CID PANEL SUFFIX
GREENE COUNTY 370378 3599 K
''f +► LENOIR COUNTY 370144 3599 K
0
_0
LL
r�
4_0
MAP NUMBER
3720359900K
MAP REVISED
07/02/04