20071113 Ver 2_Application_20090501

STATE OF NORTH CAROLINA
Sonia Gregory
NCDWQ
401 Wetlands Unit
1650 Mail Service Center
Raleigh, NC 27699-1650
DEPARTMENT OF TRANSPORTATION icy
BEVERLY EAVES PERDUE
GOVERNOR
April 29, 2009
Subject: Permit Modification TIP# U-3816
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EUGENE A. C01,M, JR.
SECRETARY

Palmer Street Extension Hoke County
DWQ# 07-1113 (DWQ Permit Fee $240)
NCDOT Highway Division 8 is requesting a modification of the permit issued to
TIP# U-3816 (Palmer Street extension) in Hoke County. The modification is needed to
account for an additional .01 acres of wetland impacts caused by the encroachment of rip
rap from a 1 to 1 slope at the bridge end bent (STA-49+50). The area is approximately
5'wide x 60' long. The size of the material is too large to move by hand, and the use heavy
equipment would cause additional damage to the wetland. Therefore, we are proposing to
account for the additional impacts, and mitigate them through the EEP program, if
deemed necessary.
If you require additional information please contact me.
Sincerely,
Art C. King
DEO Highway Division 8
CC: Tim Johnson, PE
Gary Phillips
Barry Harrington
P.O. BOX 1067, ABERDEEN, NORTH CAROLINA 28315
PHONE [phone] FAX [phone]
04/23/2009 07:52 9109443742
. BARNNILL CONTRACrING
COMPANY
2311 Norm Main Street
PO Box 1529
Tarboro. North Camllna 27886
252.823-1021 Fax 252.823,0137
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March 10, 2009
Mr. Michael G. Phillips
Resident Engineer
North Carolina Dept. of Transportation
P. 0. Box 1067
Aberdeen, N. C. 28315
Dear Mr, Phillips:
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MAR 17 2009
BY:._....ei- ----------
Rc: BCC #210707, St. Contract #C201738
Hoke, N. C. (Palmer St. Ext. from NC-211)
Fill Slope Station 49+50f
We are writing in reference to previous conversations concerning rip rap at Station 49+50t that
has rolled into the wetlands- The fill slope is on a 1:1 grade, with the toe less than l' from the edge of the
wetlands, as shown on the permit drawings and plans. During pile driving operations for the end bents,
the rip rap rolled down the slope past the wetlands. While trying to place the remainder of the rock at the
top of the slope, the rap rap rolled down the steep slope. It appears the rock has impacted approximately
5'f by 60'f of wetlands. This calculates to approximately .01 acres t. The natural terrain is falling away
from the approach fill and did not allow any room to key into at the bottom. The weight of the rock and
steepness of the slope caused the rock to roll and push at the bottom, thereby going further than what the
plans showed. We feel the rock has stabilized and should not move anymore.
The design and natural fall of the ground made it impossible to build without some rock
impacting the wetlands that are shown in the plans. As noted earlier, this has been discussed verbally
with you as well. We request the Department review this situation with tic designers and agencies as to
what needs to be done to rectify this situation.
Should you need any further information, please give us a call.
Yours very truly,
BBAIlRIHI?LLCOONNTRACTING COMPANY
Michael G. Tayl?
Senior Engineer/Estimator
MGTijks
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Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.3 Dec 10 2008
Pre-Construe tification PCN Form
A. Applicant Information
1. Processing
1 a. Type(s) of approval sought from the
Corps: ? Section 404 Permit ? Section 10 Permit
1 b. Specify Nationwide Permit (NWP) number: mod for existing NWP# 14 or General Permit (G P) number:
1c. Has the NW P or GP number been verified by the Corps? ® Yes ? No
Id. Type(s) of approval sought from the DWQ (check all that apply):
® 401 Water Quality Certification - Regular ? Non-404 Jurisdictional General Permit.
? 401 Water Quality Certification - Express ? Riparian Buffer Authorization
le. Is this notification solely for the record
because written approval is not required? For the record only for DWQ 401
Certification:
® Yes ? No For the record only for Corps Permit:

? Yes ? No
tf. Is payment into a mitigation bank or in-lieu fee program proposed for mitigation
of impacts? If so, attach the acceptance letter from mitigation bank or in-lieu
fee program. ® Yes ? No
1g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h
below. ? Yes ®No
1 h. Is the project located within a NC DCM Area of Environmental Concern (AEC)? ? Yes ® No
2. Project Information
2a. Name of project: Palmer Street Extension
2b. County: Hoke
2c. Nearest municipality /town: Reaford
2d. Subdivision name: NA
2e. NCDOT only, T.I.P. or state
project no: U-3816
3. Owner Information
3a. Name(s) on Recorded Deed: NA
3b. Deed Book and Page No.
3c. Responsible Party (for LLC if
applicable):
3d. Street address:
3e. City, state, zip:
3f. Telephone no.:
3g. Fax no.:
3h. Email address:
Page I of 10
PCN Form - Version 1.3 December 10, 2008 Version

4. Applicant Information (if different from owner)
4a. Applicant is: ® Agent ? Other, specify:
4b. Name: Tim Johnson, PE, Division Engineer,
4c. Business name
(if applicable): NCDOT, Highway Division 8
4d. Street address: 902 North Sandhill Blvd.
4e. City, state, zip: Aberdeen, NC 28315
4f. Telephone no.: 910-944-2344
4g. Fax no.: 910-944-5623
4h. Email address: [e-mail]
5. Agent/Consultant Information (if applicable)
5a. Name:
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
PCN Form - Version 1.3 December 10, 2008 Version
B. Project Information and Prior Project History
1. Property Identification
1 a. Property identification no. (tax PIN or parcel ID): NA

1b. Site coordinates (in decimal degrees): Latitude: Longitude: -
(DD.DDDDDD) (-DD.DDDDDD)
1c. Property size: NA acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to
proposed project: Pedlers Creek
2b. Water Quality Classification of nearest receiving water: C
2c. River basin: Cape Fear
3. Project Description
3a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this
application:
Highway project , urban agricultural
3b. List the total estimated acreage of all existing wetlands on the property:
NA
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
NA
3d., Explain the purpose of the proposed project:
Modification of the original permit (DWQ 07-1113.) to acccout for additional 0.01 ac of wetland impacts
3e. Describe the overall project in detail, including the type of equipment to be used:
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?
Comments:
®Yes ? No ? Unknown
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): Please refer to DWQ 07-1113. 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? ® Yes ? No ? Unknown
5b. If yes, explain in detail according to "help file" instructions.
6. Future Project Plans
6a. Is this a phased project? ? Yes ® No
6b. If yes, explain.
Page 3 of 10
PCN Form - Version 1.3 December 10, 2008 Version
,1
C. Proposed Impacts Inventory
1. Impacts Summary
1 a. Which sections were completed below for your project (check all that apply):
® Wetlands ? Streams - tributaries ? Buffers
? Open Waters ? Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
2a. 2b. 2c. 2d. 2e. 2f.
Wetland impact Type of jurisdiction
number - Type of impact Type of wetland Forested (Corps - 404, 10 Area of impact
Permanent (P) or (if known) DWQ - non-404, other) (acres)
Temporary
W1 ®P ? T Fill non-riverine ? Yes
® No ® Corps
® DWQ 01
? Yes ? Corps
W2 ? PEI T ? No ? DWQ
? Yes ? Corps
W3 ? P ? T ? No ? DWQ
? Yes ? Corps
W4 ? P ? T ? No ? DWQ
? Yes ? Corps
W5 ? P ? T ? No ? DWQ
? Yes ? Corps
W6 ? P ? T ?.No ? DWQ
2g. Total wetland impacts •22
2h. Comments: additional 0.1 ac of impacts added to the existing .21 ac of impacts listed in the original permit.
3. Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this,
question for all stream sites impacted.
3a. 3b. 3c. 3d. 3e. 3f. 3g.
Stream impact Type of impact Stream name Perennial Type of jurisdiction 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)
? PER ? Corps
Si ? P ? T na ? INT ? DWQ
? PER ? Corps
S2 ? P ? T ? INT ? DWQ
? PER ? Corps
S3 ? P ? T ? INT ? DWQ
? PER ? Corps
S4 ? P ? T ? INT ? DWQ
? PER ? Corps
SS ? PEI T ? INT ? DWQ
? PER ? Corps
S6 ? P ? T ? INT ? DWQ
3h. Total stream and tributary impacts
3i. Comments:
Page 4 of 10
PCN Form - Version 1.3 December 10, 2008 Version
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 waterbody
impact number - (if applicable) Type of impact Waterbody type Area of impact (acres)
Permanent (P) or
Temporary T
01 ?P?T NA
02 ?P?T
03 ?P?T
04 ?P?T
4f. Total open water impacts
4g. Comments:
5. Pond or Lake Construction
If and or lake construction prop osed, then complete the chart below.
5a. 5b. 5c. 5d. 5e.
Wetland Impacts (acres) Stream Impacts (feet) Upland
Pond ID Proposed use or purpose (acres)
number of pond
Flooded
Filled
Excavated
Flooded
Filled
Excavated
Flooded
P1 NA
P2
5f. Total
5g. Comments:
5h. Is a dam high hazard permit required?
? Yes ®No If yes, permit ID no:
5i. Expected pond surface area (acres):
5j. Size of pond watershed (acres):
5k. Method of construction:
6. Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer, then complete the chart below. If yes, then individually list all buffer impacts
below. If an impacts re uire mitigation, then you 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.
Buffer impact
number - Reason Buffer Zone 1 impact Zone 2 impact
Permanent (P) or for Stream name mitigation (square feet) (square feet)
Temporary (T) impact required?
?Yes
B1 ?P?T ? No
?Yes
B2 ?P?T ? No
?Yes
B3 ?P?T ? No
6h. Total buffer impacts
6i. Comments:
Page 5 of 10
PCN Form - Version 1.3 December 10, 2008 Version
D. Impact Justification and Mitigation
1. Avoidance and Minimization
la. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
NA
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for
impacts to Waters of the U.S. or Waters of the State? ® Yes ? No
2b. If yes, mitigation is required by (check all that apply): ® DWQ ® Corps

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

project? ® Mitigation bank

? Payment to in-lieu fee program

? Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank: NCEEP
3b. Credits Purchased (attach receipt and letter) Type Quantity
3c. Comments: apply to eep credits banked for highway div. 8.
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: NA linear feet
4c. If using stream mitigation, stream temperature: ? warm ? cool ?cold
4d. Buffer mitigation requested (DWQ only): square feet
4e. Riparian wetland mitigation requested: acres
4f. Non-riparian wetland mitigation requested: .01 acres
4g. Coastal (tidal) wetland mitigation requested: acres
4h. Comments: 5' wide x 60' long area at the toe of a 1 to 1 fill slope that has encroached onto the wetland area at L- STA
49+03.34 . Please reference TIP U-3816
5. Complete if Using a Pennittee Responsible M?igation Plan
5a. If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
Page 6 of 10
PCN Form - Version 1.3 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
habitat? ? Yes ® No
5b. Have you checked with the USFWS concerning Endangered Species Act
impacts? ? Yes No

5c. If yes, indicate the USFWS Field Office you have contacted. Raleigh
El ? Asheville
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat? ? Yes ® No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
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 (e.g., National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
? Yes ® No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain? ? Yes ®No
8b. If yes, explain how project meets FEMA requirements:
8c. What source(s) did you use to make the floodplain determination?

Applicant/Agent's Printed Name ApplicanUA ent's Signature
(Agent's signature is valid only if a authorization letter from the applicant
is provided.) Date
Page 10 of 10
PCN Form - Version 1.3 December 10, 2008 Version
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