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20150869 Ver 1_Application_20150825
\02OE W A Tf9OG � y > � o < Offce Use Only: Corps adion ID no. DWQ projed no. Form Version 1.4 January 2009 Pre-Construction Notification (PCN) Form A. Applicant Information 1. Processing ta. Type(s) of approval sought from the Corps: ❑X Section 404 Permit ❑ Section 10 Permit 1 b. Specify Nationwide Permit (NWP) number: 14 or General Permit (GP) number: 1c. Has the NWP or GP number been verified by the Corps? ❑X 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 ❑ Riparian Buffer Authorization 1e. Is this notification solely for the record For the record only for DWQ For the record only for Corps Permit: because written approval is not required? 401 Certification: ❑ Yes ❑x No ❑ Yes ❑X 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 ❑ Yes ❑X No or in-lieu fee program. 1g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1h 0 Yes ❑ No below. 1 h. Is the project located within a NC DCM Area of Environmental Concem (AEC)? ❑ Yes ❑X No 2. Project Information 2a. Name of projed: SR 1278 Pipe Replacement 2b. County: Craven 2c. Nearest municipality / town: New Bem 2d. Subdivision name: N/A 2e. NCDOT only, T.I.P. or state project no: 2C.025073 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 N/A applicable): 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 North Carolina Department of Transportation (if applicable): 4d. Street address: P.O. Box 1557 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. PropeRy Identification 1a. Property identifcation no. (tax PIN or parcel ID): SR 1278 Pipe Replacement 1b. Site coordinates (in decimal degrees): Latitude: 35.09259 Longitude: -���091124 1c. Propertysize: acres 2. Surface Waters 2a. Name of nearest body of water to proposed project: U(T to Trent River 2b. Water Quality Classifcation of nearest receiving water: SB;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 projed at the time of this application: SR 1278 (Trent Rd) is a pavetl secontlary road. Commercial propeAies 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: 125 3d. Explain the purpose of the proposed project: Pipe to pipe replacement. The existing pipes have deterioratetl and need replacemeni. 3e. Describe the overall project in detail, including the type of equipment to be used: The existing 3 a� 30" z 52' RCP's will be replaced by a proposed 95" x 67" x 60' CAAP. 4. Jurisdictional Determinations 4a. Have jurisdictional wetland or stream determinations by the � yes ❑x No ❑ Unknown Corps or State been requested or obtained for this property / ro ect includin all rior hases in the ast? Comments: 4b. If the Corps made the jurisdictional determination, what type of determinalion was made? ❑ Preliminary ❑ Final 4c. If yes, who delineated the jurisdictional areas? Agency/Consultant Company: Name (if known): 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 certifcations been requested or obtained for �Yes ❑x No ❑ Unknown this project (including all prior phases) in the past? 5b. If yes, explain in detail according to "help file" instructions. 6. FuWre 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 sedions were completed below for your project (check all that apply): ❑ Wetlands ❑X Streams — tributaries X❑ Buffers ❑ Open Waters ❑ Pond Construdion 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 impact Type of wetland Forested Type of jurisdiction Area of number Corps (404,10) or impact Permanent (P) or DWQ (401, other) (acres) Tem ora W1 - Choose one Choose one Yes/No - � - Chooseone Choose one Yes/NO - �(�/g - Chaose one Choose one Yes/NO - �/�/q - Choose one Choose one Yes/NO - �q15 - Choose one Choose one YeslNO - � - Choose one Chooseane Yes/Na - 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. 3 b. 3c. 3d. 3e. 3f. 3g. Stream impact Type of impact Stream name Perennial (PER) or Type of Average Impact number intermittent (INT)? jurisdiction stream length Permanent (P) or width (linear Temporary (T) (feet) feet) S1 P Fill U/T to Trent River PER DWQ 6 30 S2 P Stabilization Uff to Trent River PER DWQ 6 65 S3 - Choose one - - $q - Choose one - - S5 - Choose one - - S6 - Choose one - - 3h. Total stream and tributary impacts 95 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 individuall list all o en water im acts below. 4a. 4b. 4c. 4d. 4e. Open water Name of waterbody impact number (if applicable) Type of impact Waterbody Area of impact (acres) Permanent (P) or type Tem ora T 01 - Choose one Choose 02 - Chooseone Choose 03 - Choose one Chaose 04 - Choose one Choose 4f. Total open water impacts 4g. Comments: 5. Pond or Lake Construction If ond or lake construction ro osed, then com lete the chart below. 5a. 5b. 5c. 5d. 5e. Pond ID number Proposed use or Wetland Impacts (acres) Stream Impads (feet) Upland purpose of pond (acres) Flooded Filled Excavated Flooded Filled Excavated p1 Choose one pz 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 an im acts re uire miti ation, then ou MUST fill out Section D of this form. 6a. Project is in which protected basin? X❑ Neuse ❑ Tar-Pamlico ❑ Catawba ❑ Randleman ❑ Other: 6b. 6c. 6d. 6e. 6f. 6g. Buffer Impact Reason for impad Stream name Buffer Zone 1 Zone 2 number — mitigation impact impact Permanent (P) or required? (square (square Tem ora T feet feet 61 P Fill U!T to Trent River No 1,100 0 g2 P Fill U!f to Trent River No 400 0 gg Yes/No gq - Yes/No B5 Yes/No gg - Yes/No 6h. Total 8uffer Impacts: t,5oo 0 6i. Comments: rage o oT � u D. Impact Justification and Mitigation 1. Avoidance and Minimization 1 a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project. There are 951inear feet of stream impacts due to the installation of a 95" x 67" z 60' CAAP. 1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques. Use o! ezisting roadway to operate construction equipment. 2. Com ensato Miti ation for Im acts to Waters of the U.S. or Waters of the State 2a. Does the project require Compensatory Mitigation for ❑ Yes ❑X No impacts to Waters of the U.S. or Waters of the State? 2b. If yes, mitigation is required by (check all that apply): ❑ DWQ ❑ Corps ❑ Mitigation bank 2c. If yes, which mitigation option will be used for this ❑ payment to in-lieu fee program project? ❑ Permittee Responsible Mitigation 3. Com lete if Usin a Miti ation Bank 3a. Name of Mitigation Bank: Type: Choose one Quantity: 3b. Credits Purchased (attach receipt and letter) Type: Choose one Quantity: Type: Choose one Quantiry: 3c. Comments: 4. Com lete if Makin a Pa ment to In-lieu Fee Pro ram 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 projed result in an impact within a protected riparian buffer that requires � Yes ❑X No buffer mitigation? 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. 6c. 6d. 6e. Zone Reason for impact Total impact Multiplier Required mitigation (square feet) (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 1a. Does the project include or is it adjacent to protected riparian buffers identified �X Yes ❑ No within one of the NC Ri arian Buffer Protedion 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 Mana ement Plan 2a. What is the overall percent imperviousness of this project? o�o 2b. Does this ro ect re uire a Stormwater Mana ement 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: The projecl involves replacement of 3 30" rcp's with a 95" x 67" caap. The stream will be rerouted through the new alignment of the pipe and the slopes will be flattened as much as possible. There will be rip rap placed on the banks to minimize loss. The stormwater on the north sitle will be routed into existing pipes and finally into the proposed 95" z 67" caap. Side slopes could not be Flattened to 3:1 due to the existing stmctures. There will be no work done on the side ditches on the south side and the stormwater will continue to sheetflow into the existing ditches. 2e. Who will be responsible for the review of the Stormwater Management Plan? DWR 401 Unif 3. Certi£ed Local Government Stormwater Review 3a. In which local overnmenfs'urisdiction is this ro'ect? N�A ❑ Phase II 3b. Which of the following locally-implemented stormwater management programs ❑ NSW apply (check all that apply): ❑ USMP � Water Supply Watershed � Other: 3c. Has the approved Stormwater Management Plan with proof of approval been ❑Yes ❑ No attached? 4. DWQ Stormwater Pro ram 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 Othef:NPDES Permi� 4b. Has the approved Stormwater Management Plan with proof of approval been � Yes ❑X No attached? 5. DWQ 407 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) 1a. 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 ❑x No (North Carolina) Environmental Policy Act (NEPA/SEPA)? 1 c. 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 letter.) ❑ Yes ❑ No 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 0 No or Riparian Buffer Rules (15A NCAC 2B .0200)? 2b. Is this an after-the-fact permit application? ❑Yes ❑X 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 feld investigation by Jay Johnson "NO EffecC' 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? N/A 7. Historic or Prehistoric Culturel Resources (Corps Requirement� 7a. WII this projed 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)? 76. What data sources did you use to determine whether your site would impact historic or archeological resources? Heavily Developed Urban Area 8. Flood Zone Designation (Corps Requirement) 8a. WII lhis project occur in a FEMA-designated 100-year floodplain? ❑ Yes ❑X No Sb. If yes, explain how project meets FEMA requirements: Sc. What source(s) did you use to make the floodplain determination? FEMA FIRM Maps Jay B.Johnson 08-24-2015 Applicant/AgenYs Printed Name p canUA nYs Signature Date (A s ature i alid only if an authorization le fmm th a licant is rovided. Page 10 of 10 0 > � �, a � � � , � � a � SR 1278 PIPE REPLACEMENT NW l4 APPLICATION INTERSECTION OF SR 1278 fTRENT ROADJ AND RED R 3 AT 30" X 52' RCP'S TO BE REPLACED WITH PROPOSED 95" X 67" X 60' CAAP NEW BERN USGS QUAD MAP SHEET NUMBER l2 OF THE SOIL SURVEY OF CRAVEN NEUSE RIVER RIPARIAN BUFFER RULES APPLY WBS ELEMENT NUMBER 2C.025073 SCALE: l"=20' TYS6N & HINE� INVESTMENTS LLC D.B. 2552, PG. 644 �x�s cli RicHr o� _ _ — �S CP / � — / � � -- --� / \ � _ _— B/ BUFFER ZONE l IMPACTS = 1100 Sq.Ft. BUFFER ZONE 2 IMPACTS = 0 SqFt. s� PERMANENT STREAM /MPACTS = 30 LINEAR FEET (FILL lN OLD STREAM) _ — 15' RCP — — -- -- ---- - ° TOTAL BUFFER IMPACTS: � � ZONE l = 1500 Sq.Ft. �; ZONE 2= 0 Sq.Ft. om �,� TOTAL STREAM /MPACTS: 95 �, TOTAL WETLAND IMPACTS:O LINEAR FEET Sq.Ft. / — i� ������ —� �—� ��������� �" �V���V� 0 ��o��oVA����A �`O ������ � 5/? 1278 (TRENT RDi � � — —�C� \�� — \ '� — ---�\ PROIECT REFERENCE NO. SHEET NO. ii �� 'i � � 2C.025073 Pl I � �I � _�g�� RCP � _�— _ _ — ---�-�-- / I/ � � I i � � / / � � // � � �j i \ // � � i � � � `�. ;�� � � i �� � � � i � m \ ° ° \ � ^� � � � � W � Z � r� � � � I � I � \ \-- � � � � � �� � A O � � � �� \ � �� 1 � \ �� � � � � -- / � BZ � � BUFFER ZONE l � � IMPACTS = 400 Sq.Ft. — BUFFER ZONE 2 IMPACTS = 0 Sq.F1. 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