20240433 Ver 1_ePCN Application_20240319

DWR
Division of Water Resources
Pre -Construction Notification (PCN) Form
For Nationwide Permits and Regional General Permits
(along with corresponding Water Quality Certifications)
October 2, 2023 Ver 4.3
Initial Review
Has this project met the requirements for acceptance in to the review process?
Yes No
Is this project a public transportation project?*
Yes No
Change only If needed.
Does this project involve maintenance dredging funded by the Shallow Draft Navigation Channel Dredging and Aquatic Weed Fund or involve the distribution or transmission of energy or
fuel, including natural gas, diesel, petroleum, or electricity?
Yes No
BIMS # Assigned Version# *
20240433 1
Is a payment required for this project?*
No payment required
Fee received
Fee needed - send electronic notification
Select Project Reviewer*
Rob Ridings: rob. ridings
Information for Initial Review
1a. Name of project:
Intersection improvements at NC 98 (Wait Avenue) and SR 44651SR 1106 (Moores Pond Road)
1a. Who is the Primary Contact?*
Christopher A. Murrray
1b. Primary Contact Email: *
[e-mail]
Date Submitted
3/19/2024
Nearest Body of Water
UT to Little River
Basin
Nauss
Water Classification
27-57-(1); WS-II;HQW,NSW
Site Coordinates
Latitude: Longitude:
35.962906-78.435272
A. Processing Information
Is this project connected with ARPA funding?
Yes No
County (or Counties) where the project is located:
Franklin
Wake
Is this a NCDMS Project
Yes No
Reviewing Office*
Central Office - [phone]
1c. Primary Contact Phone:*
[phone]
O

Is this project a public transportation project?*
Yes No
Is this a NCDOT Project?*
Yes No
(NCDOT only) T.I.P. or state project number:
W-5805E
WBS # (?)
48950.1.6
la. Type(s)of approval sought from the Corps:
Section 404 Permit (wetlands, streams and waters, Clean Water Act)
Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)
Has this PCN previously been submitted?*
Yes
No
1b. What type(s) of permit(s) do you wish to seek authorization?
Nationwide Permit (NWP)
Regional General Permit (RGP)
Standard (IP)
1c. Has the NWP or GP number been verified by the Corps?
Yes No
Regional General Permit (RGP) Number:
RGP Numbers (for multiple RGPS):
1d. Type(s) of approval sought from the DWR:
401 Water Quality Certification - Regular
Non-404 Jurisdictional General Permit
Individual 401 Water Quality Certification
201902350 - Work associated with bridge construction, widening, replacement, and
interchanges
le. Is this notification solely for the record because written approval is not required?
For the record only for DWR 401 Certification:
For the record only for Corps Permit:
1f. Is this an after -the -fact permit application? *
Yes No
1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
Yes No
1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
Yes No
1h. Is the project located in any of NC's twenty coastal counties?
Yes No
1j. Is the project located in a designated trout watershed?
Yes No
B. Applicant Information
1d. Who is applying for the permit?
Owner Applicant (other than owner)
le. Is there an AgentlConsultant for this project?
Yes No
2. Owner Information
2a. Name(s) on recorded deed:
NC Department of Transportation
2b. Deed book and page no.:
401 Water Quality Certification - Express
Riparian Buffer Authorization
Yes No
Yes No
2c. Contact Person:

2d. Address
Street Address
Intersection of NC 98 (Wait Avenue) and SR 4465/SR 1106 (Moores Pond Road)
Address Line 2
City
Wake Forest
Postal / Zip Code
27587
2e. Telephone Number:
[phone]
2g. Email Address:*
[e-mail]
C. Project Information and Prior Project History
1. Project Information
1b. Subdivision name:
(if appropriate)
1c. Nearest municipality / town:
Wake Forest
2. Project Identification
State / Province / Region
NC
Country
USA
2f. Fax Number:
2a. Property Identification Number: 2b. Property size:
2c. Project Address
Street Address
Address Line 2
City
Postal / Zip Code
3. Surface Waters
3a. Name of the nearest body of water to proposed project:
UT to Little River
3b. Water Resources Classification of nearest receiving water:
27-57-(1); WS-II;HQW,NSW
3c. What river basin(s) is your project located in?*
Neuse
3d. Please provide the 12-digit HUC in which the project is located.
030202011501
4. Project Description and History
State / Province / Region
Country
4a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this application:
Agricultural land, lumber yard/mill and wooded land.
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?
Yes No Unknown
4f. List the total estimated acreage of all existing wetlands on the property:
0.02
4g. List the total estimated linear feet of all existing streams on the property:
100
4h. Explain the purpose of the proposed project: *
Purpose is to improve safety at the intersection of NC 98 and Moores Pond Road.
4L Describe the overall project in detail, including indirect impacts and the type of equipment to be used:
Construction of a roundabout at the intersection of NC 98 and Moores Pond Road. Equipment includes bulldozer, grader, back hoe, excavator, etc.
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
Yes No O Unknown

Comments:
Delineated by NCDOT Division 5 Environmental staff.
5b. If the Corps made a jurisdictional determination, what type of determination was made?
Preliminary Approved Not Verified Unknown N/A
Corps AID Number:
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known):
Agency/Consultant Company:
Other:
6. Future Project Plans
Ga. Is this a phased project?*
Yes No
Are any other NWP(s), regional general permit(s), or individual permits(s) used, or intended to be used, to authorize any part of the proposed project or related activity?
D. Proposed Impacts Inventory
1. Impacts Summary
1a. Where are the impacts associated with your project? (check all that apply):
Wetlands Streams -tributaries Buffers
Open Waters Pond Construction
2. Wetland Impacts
Wetland A -Site
1
2a1 Reason (?)
Fill
2b. Impact type* (?)
P
2c. Type of W. *
Headwater Forest
2d. W. name
Wetland A
2e. Forested"`
Yes
2f. Type of Jurisdicition
Both
2g. Impact
area
0.004
(acres)
Wetland A -Site
1
Mechanized Clearing
P
Headwater Forest
Wetland A
Yes
Both
0.015
(acres)
2g. Total Temporary Wetland Impact
0.000
2g. Total Wetland Impact
0.019
2i. Comments:
Mitigation provided for all wetland permanent impacts (fill and mechanized clearing).
3. Stream Impacts
2g. Total Permanent Wetland Impact
0.019
3a. Reason for impact (?)
3b.lmpact type"
3c. Type of impact*
3d. S. name*
3e. Stream Type*
3f. Type of
width
3h. Impact
(?)
Jurisdiction*
length*
S1
Impact due to longer pipe
Permanent
Fill
UT to Little River
Intermittent
Both
44
Aveage (feet)
(linear feet)
S2
Water management
Temporary
Dewatering
UT to Little River
Intermittent
Both
25
Average (feet)
(linear feet)
S3
Channel improvement -Rip
Permanent
Other
UT to Little River
Intermittent
Both
2
27
Rap on streambanks and
Average (reeq
(linear feet)
countersunk rip rap in flow
line
3i. Total jurisdictional ditch impact in square feet:
0
31. Total permanent stream impacts:
71
31. Total temporary stream impacts:
25

3i. Total stream and ditch impacts:
96
3j. Comments:
Stream impact and mitigation discussed in an email to Eric Alsmeyer (USACE) on 2/21/24. Mitigation is provided for permanent stream loss due to
longer pipe structure. No mitigation provided for dewatering or construction of channel improvement at inlet and outlet with countersunk rip rap in the
flow line of the channel improvement.
6. Buffer Impacts (for DWR)
6a. Project is in which protect basin(s)?
Check all that apply.
Neuse
Catawba
Goose Creek
Other
Tar -Pamlico
Randleman
Jordan Lake
6b. Impact Type
6c. Per or Temp
6d. Stream name
6e. Buffer mitigation required?
6f. Zone 1 impact
6g. Zone 2 impact
Road Crossing
P
UT to Little River
No
6,599
5,370
6h. Total buffer impacts:
Zone 1 Zone 2
Total Temporary impacts: 0.00 0.00
Zone 1 Zone 2
Total Permanent impacts: 6,599.00 5,370.00
Zone 1 Zone 2
Total combined buffer impacts: 6,599.00 5,370.00
6i. Comments:
Impacts are considered Allowable.
E. Imaact Justification and Mitiaation
1. Avoidance and Minimization
la. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
Project design minimized to avoid wetland and stream along Moores Pond Road directly outside of the construction limits (ROW + Easements)
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
On -site inspection by construction inspectors, Division Environmental Officer and Division Environmental Specialists. Efforts will be made to reduce
mechanized clearing impacts in wetlands and temporary stream impacts due to dewatering.
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
2c. If yes, mitigation is required by (check all that apply):
DWR Corps
2d. If yes, which mitigation option(s) will be used for this project?
Mitigation bank Payment to in -lieu fee program Permittee Responsible Mitigation
4. Complete if Making a Payment to In -lieu Fee Program
4a. Approval letter from in -lieu fee program is attached.
Yes No
4b. Stream mitigation requested:
(linear feet) 4c. If using stream mitigation, what is the stream temperature:
44 warm
4e. Riparian wetland mitigation requested:
4d. Buffer mitigation requested (DWR only): (acres)
(square feet) 0.02
a

4f. Non -riparian wetland mitigation requested:
(acres) 4g. Coastal (tidal) wetland mitigation requested:
0 acres)
4h. Comments
See attached Mitigation Acceptance Letter.
F. Stormwater Management and Diffuse Flow Plan (required by DWR)
1. Diffuse Flow Plan
la. Does the project include or is it adjacent to protected riparian buffers identified within one of the NC Riparian Buffer Protection Rules?
Yes No
What type of SCM are you providing?
Level Spreader
Vegetated Conveyance (lower SHWT)
Wetland Swale (higher SHWT)
Other SCM that removes minimum 30 % nitrogen
Proposed project will not create concentrated stormwater flow through the buffer
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?
Yes No
Comments:
Project will comply with the NPDES permit.
G. Supplementary Information
1. Environmental Documentation
la. Does the project involve an expenditure of public (federal/state/local) funds or the use of public (federal/state) land?
Yes No
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 (North Carolina)
Environmental Policy Act (NEPA/SEPA)?*
Yes No
1c. If you answered "yes" to the above, has the document review been finalized by the State Clearing House?
Yes No
Comments: *
Review not required for this project.
2. Violations (DWR Requirement)
2a. Is the site in violation of DWR Water Quality Certification Rules (15A NCAC 2H .0500), Isolated Wetland Rules (15A NCAC 2H .1300), or DWR Surface Water or Wetland Standards or
Riparian Buffer Rules (15A NCAC 2B .0200)? *
Yes No
3. Cumulative Impacts (DWR Requirement)
3a. Will this project result in additional development, which could impact nearby downstream water quality?
Yes No
3b. If you answered "no," provide a short narrative description.
Intersection improvements at the site will not result in any change in development.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?
Yes No N/A
5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or habitat?
Yes No
5b. Have you checked with the USFWS concerning Endangered Species Act impacts?
Yes No

Sc. If yes, indicate the USFWS Field Office you have contacted.
Raleigh
5d. Is another Federal agency involved?
Yes No G Unknown
What Federal Agency is involved?
FHWA
5e. Is this a DOT project located within Division's 1-8?
Yes No
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
Review of IPaC information, Review of Identified Stream Reach and Carolina Madtom/Neuse River waterdog PBO and freshwater mussels. Survey for
Michaux's sumac during the optimal survey period.
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as an Essential Fish Habitat?*
Yes No
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat?
Mapping
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 status?
Yes No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?
Review by NCDOT archaeologists and historic structure specialists.
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain? *
Yes No
8c. What source(s) did you use to make the floodplain determination?
Mapping.
Miscellaneous
Please use the space below to attach all required documentation or any additional information you feel is helpful for application review. Documents should be combined into one file when
possible, with a Cover Letter, Table of Contents, and a Cover Sheet for each Section preferred.
Click the upload button or drag and drop files here to attach document
W-5805E FINAL a-PCN Permit application PDF.pdf 50.86MB
Eng_Form_6247_2023Nov17.pdf 61.77KB
File must be PDF or KMZ
Comments
See attached files.
Signature
By checking the box and signing below, I certify that:
• The project proponent hereby certifies that all information contained herein is true, accurate, and complete to the best of my knowledge and belief'; and
• The project proponent hereby requests that the certifying authority review and take action on this CWA 401 certification request within the applicable reasonable period of time.
• I have given true, accurate, and complete information on this form;
• I agree that submission of this PCN form is a "transaction' subject to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act");
• I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act");
• I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written signature; AND
• I intend to electronically sign and submit the PCN form.
Full Name:
Christopher A. Murray
Signature
0*4ffPAW,I1L.tA6"
Date
3/19/2024