20150966 Ver 1_Application_20150918

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STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
PATRICK L. MCCRORY
GOVLRNOR
AUgl1Si 1 "L, �LO1 S
N.C. Division of Water Resources
Transportation Permitting Unit
1650 MSC-Archdale Building
Raleigh, NC 27699-1650
Attention: Mr. Rob Riding, NCDOT Project Coordinator
NICHOLASJ.TENNYSON
SECRETARY
Subject: Proposed roadway construction and replacement of a structures
conveying an unnamed tributaries to Bens Creek on SR 1529 (Big Reid
Road) in Wanen County. WBS No. SC.093050.
The North Carolina Department of Transportation (NCDOT) proposes to construct
SR 1529 (Big Reid Road) in Warren County. This roadway improvement project will
include grade, drain, base, pave, and erosion control for the project length of 0.97 mile.
This project will involve permanent stream impacts including surface water fill and
slight channel changes associated with a pipe replacement and rip rap armoring for bank
stabilization as well as temporary stream impacts for dewatering. This project is within
the Tar-Pamlico River Basin and does involve permanent buffer impacts. Application is
hereby made for NCDENR-DWR Section 401 Water Quality Certification (WQC) for
Road Improvements. A pre-construction notification, construction plan sketch, project
mapping, and photographs are attached with this request. By copy of this letter we are
notifying the USACE of the intent to work under a non-reporting NWP 14. If you have
any questions or need additional information, please contact Mrs. Heather Montague at
[phone] or h�i�inonta u�e(cDncodot.gov.
Sincerely,
��� � ���
fo, J•R. Hopkins, P.E.
Division Engineer
cc: Mr. Eric Alsmeyer, NCDOT Coordinator, U.S. Army Corps of Engineers
Mr. Steve Winstead, P.E.; NCDOT DN 5; District 3 Engineer
Mr. Frank Carpenter, NCDOT Warren County Maintenance Engineer
Mr. Donald Peazson, Jr., EI, CPESC; NCDOT REU Field Operations Engineer
Division Five— 2612 North Duke Stree[, Durham, North Carolina 27704
Telephone: [phone] Fax: [phone]

UT to Bens Creek (��q� ���'�/
NCDOT proposes to replace/extend the pipe on SR 1529 Ovef an unnamed tributary to Bens
Creek in Warren County. This project is in the Roanoke River basin and according to the
NCWRC (NC Wildlife Resources Commission) database, only eastern elliptios have ever been
recorded (and only in small numbers). A habitat assessment was conducted on April 5, 2011.
UT to Bens Creek had incised stream banks, gravel, cobble and sand substrate, was
approximately 5 ft wide, 1-12 inches deep, and a bank height of4 ft. There is no habitat for Tar
River spinymussel or dwarf wedgemussel at this site, and neither species has been found in the
Roanoke River basin. This project will have No Effect on the dwarf wedgemussel and Tar River
UT to Bens Creek

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SUMMARY TABLE FOR NCDOT DIVISION 5 WARREN COUNTY PROJECT �!!r".ju=c,fi,-�'<�?=!?a1;i.c^..pan �[�
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Road Name SR Project No. Federal ROW ER Number Archaeological rlrchitechual
No. Action Width Survey Req'd Survey Re 'd ,.-
John Edwards Road 1223 N/A * 60 ft
I I I I I- �� � ��'i�l �b I �� I
Blue Mud Swamp Rd � 1240
Big Reid Road � 1529 � N/A
* I 60 ft
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Offce Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.3 Dec 10 2008
Pre-Construction Notification (PCN) Form
A. A licant Information
1. Processing
1a. Type(s) of approval sought from the
Corps: non-reporting � Section 404 Permit ❑ Sectian 10 Permit
1 b. Specify Nationwide Permit (NWP) number: non-reporting NWP 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 Qualiry Certification — Regular ❑ Non-404 Jurisdictional General Permit
❑ 401 Water Quality Certification — Express � Riparian Buffer Authorization
1 e. Is this notification solely for the record For the record only for DWQ 401 For the record only for Corps Permit:
because written approval is not required? Certification:
❑ Yes � No � Yes ❑ Na
1f. Is payment into a mitigation bank or in-lieu fee program proposed for mitigation � Yes � No
of impacts? If so, attach the acceptance letter from mitigation bank or in-lieu
fee program.
1g. Is the project located in any of NCs twenty coastal counties. If yes, answer 1 h ❑ Yes � No
below.
1 h. Is the project located within a NC DCM Area of Environmental Concern (AEC)? ❑ Yes � No
2. Project Information
2a. Name of project: Proposed upgrading and paving SR 1529 (Big Reid Road)
2b. County: Warren
2c. Nearest municipality / town: Northeast of Warrenton
2d. Subdivision name: N/A
2e. NCDOT only, T.I.P. or state yygS No. 5C.093050
project no:
3. Owner Information
3a. Name(s) on Recorded Deed: NCDOT Division 5
3b. Deed Book and Page No. N/A
3c. Responsible Party (for LLC if N/A
applicable):
3d. Street address: 2612 N. Duke Street
3e. City, state, zip: Durham, NC 27704
3f. Telephane no.: [phone]
3g. Fax no.: [phone]
3h. Email address: ihopkinsCa�ncdot.qov
4. Applicant Information (if different from owner) N/A
5. AgenUConsultant Information (if applicable) N/A
Page 1 of 8
PCN Form — Version 1.3 December 10, 2008 Version

B. Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID): N/A
1b. Coordinates (in decimal degrees):
Site: Latitude:36.4303 Longitude: -77.9468
(DD.DDDDDD) (-DD.DDDDDD)
1 a Property size:
7.05 acre (0.97 mi long project with 60ft ROW )
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to UTs to Bens Creek
proposed project:
2b. Water Quality Classification of nearest receiving water: C NSW
2c. River basin: Tar-Pamlico
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:
The existing pipes needs to be replaced to support road improvements. Site is surrounded by wooded land agricultural
land.
3b. List the total estimated acreage of all existing wetlands on the property:
NONE
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
115 ft
3d. Explain the purpose of the proposed project: The pipe replacement will facilitate road improvements through this crossing.
3e. Describe the overall project in detail, including the type of equipment to be used:
The existing 42ft long @ 21" RCP and 32ft long @ 36" RCP will be replaced with a 60ft long @ 95" x 67" aluminum pipe
with aluminum headwalls. Rip rap will be installed underlined with geotextile for long term stability surrounding the mouth
of the new pipe ends. Additionally slight channel changes are required on the inlet to align the two streams with the
proposed pipe. The stream banks of the channel changes will be lined with geotextile and rip rap for long term stability.
The NCDOT will also dewater the work zone as needed during construction. Equipment may include an excavator, a
backhoe, a bulldozer, and rader.
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by
the Corps or State been requested or obtained for this � Yes � No ❑ Unknown
property / project (including all prior phases) in the past?
Comments: N/A
4b. If the Corps made the jurisdictional determination, what
type of determination was made? ❑ Preliminary ❑ Final
4c. If yes, who delineated the jurisdictional areas? Agency/Consultant Company: N/A
Name (if known): N/A Other: N/A
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
N/A
5. Project History
5a. Have permits or ceRifications been requested or obtained � Yes � No ❑ Unknown
for this project (including all prior phases) in the past?
5b. If yes, explain in detail according to "help fle" instructions.
N/A
Page 1 of 8
PCN Form — Version 1.3 December 10, 2008 Version

6. Future Project Plans
6a. Is this a phased project? ❑ Yes � No
6b. If yes, explain.
N/A
C. Proposed Impacts Inventory
7. Impacts Summary
1a. 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 impact Type of wetland Forested (Corps - 404, 10 Area of impact
Permanent (P) or (if known) DWQ - non-404, other) (acres)
Tem ora T
W 1 ❑ P❑ T N/A N/A ❑ Yes ❑ Corps N�A
❑ No ❑ DWQ
2g. Total Wetland Impacts: NONE
2h. Comments: Although the soils at this crossing are mapped as hydric, no wetlands existing within the project footprint.
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. 3 c. 3d. 3e. 3f. 3g.
Stream impact Type of impact Stream name Perennial Type ofjurisdiction Average Impact
number - (PER) or (Corps - 404, 10 stream length
Permanent (P) or intermittent DWQ - non-404, width (linear
Temporary (T) (INT)? other) (feet) feet)
Site 1� P � T UTs to ❑ PER � Corps
Stream 1 Pipe fll gens Creek � INT � DWQ 5 30
Site 1� P❑ T rip rap outlet UT to ❑ PER � Corps 5 5
Stream 1 Bens Creek � INT � DWQ
Site 1� P❑ T channel change UTs to ❑ PER � Corps 5 40
Stream 1 inlet with rip rap Bens Creek � INT � DWQ
Site 1❑ P� T dewatering UTs to ❑ PER � Corps 5 75
Stream 1 Bens Creek � INT � DWQ concurrent
3h. Total stream and tributary impacts 75
3i. Comments:
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. 4b. 4c. 4d. 4e.
Open water Name of
impact number- waterbody Type of impact Waterbody type Area of impact (acres)
Permanent (P) or (if applicable)
Tempora T
01 ❑ P❑ T N/A N/A N/A N/A
4f. Total open water impacts NONE
4g. Comments: N/A
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PCN Form - Version 1.3 December 10, 2008 Version

5. Pond or Lake Construction
If ond or lake construction ro osed, then com lete the chart below.
5a. 5b. 5c. 5d. 5e.
Wetland Impacts (acres) Stream Impacts (feet) Upland
PondlD proposed use orpurpose (acres)
number of pond
Flooded Filled Excavated Flooded Filled Excavated Flooded
P1 N/A N/A N/A N/A N/A N/A N/A N/A
P2
Sf. NONE NONE NONE NONE NONE NONE NONE
Total
5g. Comments: N/A
5h. Is a dam high hazard permit required?
❑ Yes � No If yes, permit ID no: N/A
5i. Expected pond surface area (acres): N/A
5j. Size of pond watershed (acres): N/A
5k. Method of construction: N/A
6. Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer, then complete the chaR 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.
❑ Neuse � Tar-Pamlico ❑ Other:
Project is in which protected basin? ❑ Catawba ❑ Randleman
6b. 6c. 6d. 6e. 6f. 6g.
Bufferimpact
number— Reason for impact Buffer Zone 1 impact Zone 2 impact
Permanent (P) or Stream name mitigation (square feet) (square feet)
Tem ora T re uired?
Site � P❑ T P�pe replacement ❑ Yes
Buffer Impact 1 for road UTs to Bens Creek � No 1,050 800
improvements
6h. Total buffer impacts 1,050 800
6i. Comments: Necessary improvements of expanding this roadway from 40ft maintenance limits to 60ft ROW will involve
impacts to buffers.
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.
Clearing and use of rip rap will be limited only to the amount necessary to ensure long term stability.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Sediment and erosion control Best Management Practices for protection of surface waters will be enforced during project
construction.
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2. Compensatary Mitigation for Impacts ta Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for ❑ Yes � No
impacts to Waters of the U.S. or Waters of the State?
26. 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 project? ❑ Payment to in-lieu fee program
❑ Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank: N/A
3b. Credits Purchased (attach receipt and letter) Type N/A Quantity N/A
3c. Comments: N/A
4. Complete if Making a Payment to In-lieu Fee Progrem
4a. Approval letter from in-lieu fee program is attached. ❑ Yes
4b. Stream mitigation requested: N/A linear feet
4c. If using stream mitigation, stream temperature: ❑ warm ❑ cool ❑cold
4d. Buffer mitigation requested (DWQ only): N/A square feet
4e. Riparian wetland mitigation requested: N/A acres
4f. Non-riparian wetland mitigation requested: N/A acres
4g. Coastal (tidal) wetland mitigation requested: N/A acres
4h. Camments: N/A
5. Complete if Using a Permittee Responsible Mitigation Plan
Sa. If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
N/A
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 ❑ Yes � 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 N/A N/A 3(2 for Catawba) N/A
Zone 2 N/A N/A 1.5 N/A
6f. Total buffer mitigation required: NONE
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). N/A
6h. Comments: N/A
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PCN Form — Version 1.3 December 10, 2008 Version

E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Plan
1 a. Does the project include or is it adjacent to protected riparian buffers identified � 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.
Comments: this pipe replacement will not alter storm water runoff at this site, no new ❑ Yes � No
ditches will be cut through the buffers
2. Stormwater Mana ement Plan
2a. What is the overall percent imperviousness of this project? <20 %
2b. Does this project require a Stormwater Management Plan? ❑ Yes � No
2c. If this project DOES NOT require a Stormwater Management Plan, explain why: no new ditches will be cut through buffers
2d. If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan: N/A
❑ Certified Local Government
2e. W ho will be responsible for the review of the Stormwater Management Plan? ❑ DWQ Stormwater Program
❑ DWQ 401 Unit
3. Certified Local Government Stormwater Review
3a. In which local governmenYs jurisdiction is this project? N/A
❑ Phase II
3b. Which of the following locally-implemented stormwater management programs ❑ NSW
❑ 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? N/A
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): N/A ❑ Session Law 2006-246
❑ Othec
4b. Has the approved Stormwater Management Plan with proof of approval been
attached? N/A ❑ Yes ❑ No
5. DWQ 401 Unit Stormwater Review
5a. Does the Stormwater Management Plan meet the appropriate requirements? N/A � Yes ❑ No
5b. Have all of the 401 Unit submittal requirements been met? N/A ❑ Yes ❑ No
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F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
1 a. 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 fnal approval
letter.) ❑ Yes ❑ No
Comments: N/A
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): N/A
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.
N/A
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 capaciry of the subject facility.
N/A
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PCN Form — Version 1.3 December 10, 2008 Version

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 � No
impacts?
❑ 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? NCDOT Biological Surveys Unit — No Effect call for the dwarf wedgemussel and Tar River spinymussel.
http://www.fws.qov/nc-es/es/countvfr.html and NC Natural Heritage Program Database, Element Occurrences
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish � Yes � No
habitat?
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
http://ocean.floridamarine.orq/efh coral/ims/viewer.htm
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?
HPO's historic layer using GIS ArcView database, SHPO's webpage http://qis.ncdcr.qov/hpoweb/, and SHPO review
8. Flood Zone Designation (Corps Requirement)
8a. W ill this project occur in a FEMA-designated 100-year floodplain? ❑ Yes � No
8b. If yes, explain how project meets FEMA requirements: N/A
Sc. What source(s)did you use to make the floodplain determination? http://fema.maps.arcqis.com/home/webmap/viewer.html
fo. J. R. Hopkins, P.E. �!/ V � ��. 08/12/15
ApplicanUAgenYs Signatur Date
ApplicanUAgent's Printed Name (qgenYs signalure Is valld only If an aulhorizatlon le froin tlie applicant
Is oroviCedJ .
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PCN Form — Version 1.3 December 10, 2008 Version