20180901 Ver 1_401 Application_20180629

Action History (UTC -05:00) Eastern Time (US & Canada)
Submit by Anonymous User 6/29/2018 10:52:58 AM (Start Event)
Accept by Montalvo, Sheri A 7/2/2018 2:22:01 PM (Non DOT Initial Review)
The task was assigned to Montalvo, Sheri A. The due date is: July 4, 2018 5:00 PM
6/29/2018 10:56 AM

DWR
Division of water Resources
Pre -Construction Notification (PCN) Form
For Nationwide Permits and Regional General Permits
(along with corresponding Water Quality Certifications)
January 31, 2018 Ver 2.3
Please note: fields marked with a red asterisk below are required. You will not be able to submit the form until all mandatory questions are answered.
Also, if at any point you wish to print a copy of the E -PCN, all you need to do is right -click on the document and you can print a copy of the form.
Below is a link to the online help file.
https://edocs.deq.nc.govMaterResources/0/edocl6247041PCN%20Help%20File%202018-1-30.pdf
A. Processing Information
County (or Counties) where the project is located:*
Johnston
Is this project a public transportation project?*
f Yes f• No
This is any publicly funded by nunicipal,state or federal funds road, rail, airport transportation project.
1a. Type (s) of approval sought from the Corps:*
V Section 404 Permit (wetlands, streams and waters, Clean Water Act)
F Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)
1b. What type(s) of permit(s) do you wish to seek authorization?*
IJ Nationwide Permit (NWP)
r Regional General Permit (RGP)
r Standard (IP)
This form may be Corps to initiate the standard/individual permit process. Please contact your Corps representative for submittal of standard permits.
All required items that are not provided in the E -PCN and be added to the miscellaneous upload located at the bottom of this form.
Nationwide Permit (NWP) Number: 12 - Utility Lines
NWP Number Other:
List all IWV nurrbers you are applying for not on the drop down list.
1c. Type(s) of approval sought from the DWR:*
check all that apply
IJ 401 Water Quality Certification - Regular r 401 Water Quality Certification - Express
F Non -404 Jurisdictional General Permit IJ Riparian Buffer Authorization
r Individual Permit
*
1d. Is this notification solely for the record because written approval is not required?
For the record only for DWR 401 Certification:
O Yes O No
For the record only for Corps Permit: O Yes O No

1e. 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
r Yes r No
Acceptance Letter Attachment
Click the upload button or drag and drop files here to attach docurrent
RLE TYPE MBT BE PDF
1f. Is the project located in any of NC's twe nty coastal counties?*
r Yes r No
1h. Is the project located in a designated trout watershed?*
f Yes r No
Link to trout information: http://wAw.saw.usace.army.mil/Missions/Regulatory-Permit-Prograni/Agency-Coordination/Trout.aspx
B. Applicant Information
1a. Who is the Primary Contact?*
Tyson Kurtz
1b. Primary Contact Email:*
[e-mail]
1c. Primary Contact Phone:*
(XXX)XXX-XXXX
1d. Who is applying for the permit?
F- Owner r Applicant (other than owner) V Agent/Consultant
(Check all that apply)
2. Owner Information
2a. Name(s) on recorded deed:
See attached landowner list
2b. Deed book and page no.:
2c. Responsible party:
(for Corporations)
Rick Hester, Johnston Co District Manager
2d. Address
Street Address
309 E. Market Street
Address Line 2
Clty
Smithfield
Rbstal / Zip Code
27577
2e. Telephone Number:
(XXX)XXX-XXXX
[phone]
2f. Fax Number:
(XXX)XXX-)O=
2g. Email Address:*
[e-mail]
State/ Province/ Region
NC
Country

4. Agent/Consultant (if applicable)
4a. Name:
Tyson Kurtz
4b. Business Name:
(if applicable)
EEE Consulting, Inc.
4c. Address
Street Address
601 Cascade Pointe Lane
Address Line 2
Suite 101
Oty
State / Province / Region
Cary
NC
Postal / Zip Code
Country
27513
USA
4d. Telephone Number:
[phone]
(XXX)XXX-XXXX
4e. Fax Number:
(xxx)xxx-xxxx
4f. Email Address:*
[e-mail]
Agent Authorization Letter*
Pease provide the Agent Authorization Letter if you are subn fitting this docunent.
Agent Auth 1.pdf 38.6KB
RLE TYPE MBT BE RDF
C. Project Information and Prior Project History
1. Project Information
1a. Name of project:*
Project No. 00358-0138; Buffalo WD -2017-18 Hydraulic Improvements
1b. Subdivision name:
(if appropriate)
1c. Nearest municipality/ town:
Wilson's Mills
1d. Driving directions*
If it is a new project and can not easily be found in a GPS rrepping system Rease provide directions.
From US 40 take 70 E for ten miles.
2. Project Identification
2a. Property Identification Number:
(tax RN or parcel ID)
See attached landowner list
2b. Property size:
(in acres)
22.3

2c. Project Address
Street Address
Address Line 2
Qty State / F }ovine / Fbgion
Festal / Zip Code Country
2d. Site coordinates in decimal degrees
Please collect site coordinates in decimal degrees. Use between 4-6 digits (unless you are using a survey -grade GPS device) after the decimal place as
appropriate, based on how the location was determined. (For example, most mobile phones with GPS provide locational precision in decimal degrees to
map coordinates to 5 or 6 digits after the decimal place.)
Latitude:* Longitude:*
35.578658 -78.318917
ex: 34.208504 -77.796371
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
Neuse River
3b. Water Resources Classification of nearest receiving water:*
WS-IV;NSW
Surface Water Lookup
3c. What river basin(s) is your project located in?*
Neuse
River Basin Lookup
4. Project Description
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:*
The project alignment is located primarily along the edge of, and within, previously disturbed utility easements.
The western extent of the alignment will run through the Wilson's Mills Water Treatment Plant (WTP) property to
the cross the Neuse River. On the east side of the river, it will follow along previously cleared easement until
reaching Buffalo Road in Selma, NC.
4b. Attach an 8 1/2 X 11 excerpt from the most recent version of the USGS topographic map indicating the location of the project site. (for
DWR)
Qick the upload button or drag and drop files here to attach document
Figure 1. SHPO topo Project 1.pdf 426.67KB
File type must be pdf
4c. Attach an 8 1/2 X 11 excerpt from the most recent version of the published County NRCS Soil Survey map depicting the project site.
(for DWR)
Qick the upload button or drag and drop files here to attach docurrent
Soils Map.pdf 341.82KB
File type must be pdf
4d. List the total estimated acreage of all existing wetlands on the property:
2.3
4e. List the total estimated linear feet of all existing streams on the property:
(internittent and perennial)
1214.4
4f. Explain the purpose of the proposed project:*

The Town of Wilson's Mills and Johnston County propose to install an underground waterline to run from the High
Service Pump Station at the Wilson's Mills WTP, to the edge of Buffalo Road, in Johnston County. Installations of
the 24" diameter waterline will offer improved hydraulic capacity of flow between the WTP and the Buffalo Water
District, which is where the waterline will be tied into on the eastern end.
4g. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:
The proposed alignment runs east to west from High Service Pump Station at the Wilson's Mills WTP to the edge
of Buffalo Road north of Selma, NC. At Buffalo Road, the waterline will be connected to the existing water network
of Buffalo Water District. The preferred route of the waterline from the WTP primarily runs along previously cleared
utility easements that run perpendicular and parallel to the Neuse River. The alignment will follow the tree line,
south of the treatment ponds in the WTP property. The alignment will run parallel with a water effluent line that
goes east until connecting with the Neuse River. The alignment will be laid under the Neuse River, perpendicular
to the flow, and connect to an existing utility easement that parallels the east bank of the River. The alignment will
follow that easement until it intersects with another easement that parallels an unnamed Neuse River tributary
upslope to Buffalo Road north of Selma, NC.
The project will involve installation of a 24 -inch diameter underground waterline with associated air relief and
access points. The project alignment is approximately 1.9 miles long.
Ground disturbing activities will include clearing and grubbing as needed within the LOD, although that will be
minimal as most of the area has been cleared for other easements. Installation of the waterline will require
trenching, and backfilling for the pipeline. Proposed trench widths will range from four to six feet, and average
depth will be approximately three feet below existing ground elevation.
The alignment will cross the Neuse River and multiple tributaries by open cuts. Cofferdams will be used from bank
to midpoint, to allow uninterrupted flow of the Neuse. Any impacted areas will be restored to original grade and
stabilized. All impacted buffers will be re -vegetated with native vegetation.
No historic properties were identified along or adjacent to the alignment using the NCHPO database search, and
no buildings were found within or adjacent to the project area during field investigations. No impacts to historic
properties are proposed as part of this project.
4h. Please upload project drawings for the proposed project.
nick the upload button or drag and drop files here to attach docurrent
2018.06.18 Pernit Submittal (SIGNED).pdf 53.51 MB
File type mist be pdr
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the propertyor proposed impact areas?*
r Yes r No r Unknown
Comments:
3e conducted delineations between 3/19/2018 and 3/23/2018.
5b. If the Corps made a jurisdictional determination, what type of determination was made?*
r Preliminary r Approved f Unknown f N/A
Corps AID Number:
Exarrple: SAW -2017-99999
PJD request was submitted to USACE on 4/30/2018 and field verification
was conducted on 6/6/2018
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known):
Agency/Consultant Company:
Other:
Ray Bode, PWS; and Tyson Kurtz
EEE Consulting, Inc.
5d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
PJD request was submitted to USACE on 4/30/2018 and field verification was conducted on 6/6/2018.
5dl. Jurisdictional determination upload

Crick the upload button or drag and drop files here to attach document
File type mast be FDF
6. Project History
6a. Have permits or certifications been requested or obtained for this project (including all prior phases) in the past?
f Yes f• No f Unknown
7. Future Project Plans
7a. Is this a phased project?*
f Yes C 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? This includes other separate and distant crossing for linear projects that require Department of the
Army authorization but don't require pre -construction notification.
No
D. Proposed Impacts Inventory
1. Impacts Summary
1a. Where are the impacts associated with your project? (check all that apply):
rJ Wetlands V Streams -tributaries V Buffers
r- Open Waters r- Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
2a. Site # - Reason for impact*
2b. Impact type *
2c. Type of wetland*
2d. Wetland name
*2e.
2f. Type of
2g. Impact
Forested*
Jurisdicition*
area*
W1 _W0
T
Bottomland Hardwood
WO
Yes
Corps
0.006
Ivbp label (e.g. Road Crossing 1 - Calvert,
Permanent (Fj or
Forest
(404, 10) or DAR (401,
(acres)
dewatering, etc)
Terrporary (T)
other)
W2 -WO
P
Bottomland Hardwood
WO
Yes
Corps
0.007
Nbp label (e.g. Road Crossing 1 - Calvert,
Permanent (P) or
Forest
(404, 10) or DAR (401,
(acres)
dewatering, etc)
Temporary (T)
other)
W3 - WP
T
Bottomland Hardwood
WP
No
Corps
0.010
Nbp label (e.g. Fbad Crossing 1 - Calvert,
F2rrranent (F) or
Forest
(404, 10) or DAR (401,
(acres)
dewatering, etc)
Temporary (T)
other)
W4 - WP
T
Bottomland Hardwood
WP
Yes
Corps
0.006
Nbp label (e.g. Fbad Crossing 1 - Culvert,
Permanent (F� or
Forest
(404, 10) or DAR (401,
(acres)
dewatering, etc)
Terrporary (T)
other)
W5 - WP
P
Bottomland Hardwood
WP
Yes
Corps
0.018
Nbp label (e.g. Fbad Crossing 1 - Calvert,
Permanent (F') or
Forest
(404, 10) or DhR(401,
(acres)
dewatering, etc)
Temporary (T)
other)
W6-WQ
T
Bottomland Hardwood
WQ
No
Corps
0.015
Nbp label (e.g. Fuad Crossing 1 - Calvert,
Permanent (P) or
Forest
(404, 10) or DhR(401,
(acres)
dewatering, etc)
Temporary (1)
other)
W7-WQ
P
Bottomland Hardwood
WQ
Yes
Corps
0.019
Ivbp label (e.g. Fbad Crossing 1 - Calvert,
Permanent (P) or
Forest
(404, 10) or DAR (401,
(acres)
dewatering, etc)
Temporary (T)
other)
W8 - WU
T
Non -Tidal Freshwater
WU
Yes
Corps
0.036
Nbp label (e.g. Fbad Crossing 1 - Calvert,
Fbrmanent (Fj or
Marsh
(404, 10) or DAR (401,
(acres)
dewatering, etc)
Temporary (T)
other)
W8 - WU
T
Non -Tidal Freshwater
WU
No
Corps
0.188
Ivbp label (e.g. Fbad Crossing 1 - Culvert,
Permanent (P) or
Marsh
(404, 10) or DAR (401,
(acres)
dewatering, etc)
Temporary (T)
other)
W9 - WU
P
Non -Tidal Freshwater
WU
Yes
Corps
0.018
Nbp label (e.g. Fbad Crossing 1 - Culvert,
Permanent (F) or
Marsh
(404, 10) or DAR (401,
(acres)
dewatering, etc)
Temporary (1)
other)

W9 - Wu
P
Non -Tidal Freshwater
Wu
No
Corps
0.021
K/lap label (e.g. Road Crossing 1 - Culvert,
Permanent (P) or
Marsh
(404, 10) or DAR (401,
(acres)
dewatering, etc)
Temporary (T)
other)
W10 - Wu
P
Non -Tidal Freshwater
WU
Yes
Corps
0.017
K/lap label (e.g. Fbad Grossing 1 - Cilvert,
Permanent (P) or
Marsh
(404, 10) or DAR (401,
(acres)
dewatering, etc)
Temporary (T)
other)
W10 - Wu
P
Non -Tidal Freshwater
Wu
No
Corps
0.030
Ivt3p label (e.g. Fbad Grossing 1 - Cilvert,
R amranent (P) or
Marsh
(404, 10) or DhR (401,
(acres)
dewatering, etc)
Temporary (T)
other)
W11 - WT
T
Bottornland Hardwood
WT
No
Corps
0.006
Ivt3p label (e.g. Road Grossing 1 - Qalvert,
Permanent (F) or
Forest
(404, 10) or DhR(401,
(acres)
dewatering, etc)
Temporary (T)
other)
W12 - WT
P
Bottornland Hardwood
WT
Yes
Corps
0.002
Ivey label (e.g. Road Grossing 1 - Culvert,
Fernanent (F) or
Forest
(404, 10) or DAR (401,
(acres)
dewatering, etc)
Temporary (T)
other)
W12 - WT
P
Bottornland Hardwood
WT
No
Corps
0.001
K/lap label (e.g. Fbad Crossing 1 - Oilvert,
Permanent (F) or
Forest
(404, 10) or DAR (401,
(acres)
dewatering, etc)
Temporary (T)
other)
W13 -WS
T
Bottornland Hardwood
WS
No
Corps
0.035
Nbp label (e.g. Fbad Crossing 1 - Culvert,
Permanent (F� or
Forest
(404, 10) or DAR (401,
(acres)
dewatering, etc)
Temporary (T)
other)
W14 - WS
P
Bottornland Hardwood
WS
No
Corps
0.003
K/lap label (e.g. Fbad Grossing 1 - Cilvert,
Permanent (F� or
Forest
(404, 10) or D✓tR(401,
(acres)
dewatering, etc)
Temporary (T)
other)
W14 - WS
P
Bottornland Hardwood
WS
Yes
Corps
0.001
K/lap label (e.g. Fbad Crossing 1 - Cilvert,
Permanent (P) or
Forest
(404, 10) or D✓tR(401,
(acres)
dewatering, etc)
Temporary (T)
other)
W15 -WS
T
Bottornland Hardwood
WS
No
Corps
0.166
Ivt3p label (e.g. Road Grossing 1 - Calvert,
Ferr anent (P) or
Forest
(404, 10) or DAR (401,
(acres)
dewatering, etc)
Terrporary (T)
other)
W16 -WS
P
Bottornland Hardwood
WS
No
Corps
0.006
Nep label (e.g. Fuad Crossing 1 - Calvert,
Rernanent (F) or
Forest
(404, 10) or DAR (401,
(acres)
dewatering, etc)
Temporary (T)
other)
W16- WS
P
Bottornland Hardwood
WS
Yes
Corps
0.003
K/lap label (e.g. Road Crossing 1 - Calvert,
Permanent (F) or
Forest
(404, 10) or DAR (401,
(acres)
dewatering, etc)
Temporary (T)
other)
W17 -WS
P
Bottornland Hardwood
WS
No
Corps
0.017
K/lap label (e.g. Fbad Crossing 1 - Culvert,
Permanent (P) or
Forest
(404, 10) or DAR (401,
(acres)
dewatering, etc)
Temporary (T)
other)
W17 - WS
P
Bottornland Hardwood
WS
Yes
Corps
0.010
K/lap label (e.g. Fuad Crossing 1 - Cilvert,
Permanent (P) or
Forest
(404, 10) or DAR (401,
(acres)
dewatering, etc)
Temporary (T)
other)
W18 - WS
P
Bottornland Hardwood
WS
No
Corps
0.008
Ivbp label (e.g. Fbad Crossing 1 - Calvert,
Permanent (F� or
Forest
(404, 10) or DAR (401,
(acres)
dewatering, etc)
Temporary (T)
other)
W18 - WS
P
Bottornland Hardwood
WS
Yes
Corps
0.015
K/lap label (e.g. Road Crossing 1 - Calvert,
Permanent (P) or
Forest
(404, 10) or DhR(401,
(acres)
dewatering, etc)
Tent-ary (T)
other)
W19 - WR
P
Headwater Forest
WR
No
Corps
0.002
Ivt3p label (e.g. Fbad Grossing 1 - Calvert,
Ferrranent (F) or
(404, 10) or DAR (401,
(acres)
dewatering, etc)
Temporary (T)
other)
W19 - WR
P
Headwater Forest
WR
Yes
Corps
0.005
Ivep label (e.g. Road Crossing 1 - Calvert,
Permanent (F)) or
(404, 10) or DAR (401,
(acres)
dewatering, etc)
Temporary (T)
other)
W20 - WR
T
Headwater Forest
WR
No
Corps
0.011
Nep label (e.g. Fbad Crossing 1 - Qilvert,
Permanent (P) or
(404, 10) or DAR (401,
(acres)
dewatering, etc)
Temporary (T)
other)
W21 - WV
P
Headwater Forest
Wv
No
Corps
0.001
K/lap label (e.g. Road Crossing 1 - Culvert,
Permanent (F� or
(404, 10) or DAR (401,
(acres)
dewatering, etc)
Temporary (T)
other)
W21 - WV
P
Headwater Forest
Wv
Yes
Corps
0.002
Nt3p label (e.g. Fbad Grossing 1 - Cilvert,
Permanent (F� or
(404, 10) or D✓tR(401,
(acres)
dewatering, etc)
Temporary (T)
other)

W22 - WV T
Headwater Forest
WV
No
Corps
0.005
Nbp label (e.g. Road Crossing 1 - Culvert, Fbrnenent (P) or
Perennial
Corps
7
(404, 10) or DAR (401,
(acres)
dewatering, etc) Terrporary (T)
Average
(linear feet) 8
intermittent (INT)
other)
(feet)
W23 - WW T
Headwater Forest
WV
No
Corps
0.037
Nbp label (e.g. Road Grossing 1 - Dulvert, F2rn-anent (P) or
Average
(linear feet)
intermittent (INT)
(404, 10) or DAR (401,
(acres)
dewatering, etc) Tenporary (T)
Tenporary (T)
internittent (INT)
other)
5
W23 - WW T
Headwater Forest
WV
Yes
Corps
0.003
Nbp label (e.g. Road Grossing 1 - Cilvert, Fbrn"anent (P) or
Ferrrenerrt (P) or Stabilization
Perennial (PER or
(404, 10) or DAR (401,
(acres)
dewatering, etc) Tenporary (T)
Temporary (T)
intermttent (INT)
other)
W24 - WW P
Headwater Forest
WW
No
Corps
0.003
tvbp label (e.g. Road Grossing 1 - Qalvert, F2rrrenent (P) or
(404, 10) or DbR(401,
(acres)
dewatering, etc) Temporary (T)
other)
W24 - WW P
Headwater Forest
WW
Yes
Corps
0.000
tvbp label (e.g. Road Crossing 1 - Culvert, F2rrranent (F) or
(404, 10) or DAR (401,
(acres)
dewatering, etc) Temporary (T)
other)
2g. Total Temporary Wetland Impact
0.524
2g. Total Permanent Wetland Impact
0.209
2g. Total Wetland Impact
0.733
2h. Comments:
Impact tables with additional details can be found in the
Miscellaneous section.
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. Reason for impact*3b.lmpact 3c. Type of impact*3d. Stream name*
type *
S1 Waterline crossing P Bank SH
Nbp label (e.g. Road Grossing Fern -anent (P) or Stabilization
1) Tenporary (T)
S2 Waterline crossing T Excavation Si (Neuse)
Nbp label (e.g. toad Crossing Fbrnanent (P) or
1) Tenporary (T)
..............................................................
3e. Stream
3f. Type of
3g. Stream 3h. Impact s
Type*
Jurisdiction*
width*
length*
Perennial
Corps
7
26 1
Perennial (F13) or
1)
Average
(linear feet) 8
intermittent (INT)
(feet)
(feet)
2
Perennial
Corps
128
60 7
Perennial (RER) or
Nbp label (e.g. tbad Crossing
Average
(linear feet)
intermittent (INT)
Average
(feet)
1)
S3 Waterline crossing P Bank SI (Neuse) Perennial Corps 21 60 1
Nbp label (e.g. toad Crossing Fbrrranent (F) or Stabilization Perennial (F13P� or Average (linear feet)
1) Tenporary (T) intermittent (INT) (feet)
S4 Waterline crossing
P Bank SI (Neuse)
Perennial
Corps
7
60 4
Nbp label (e.g. Road Grossing
F2rnanent (F) or Stabilization
Perennial (FHS or
Average
(linear feet) 2
1)
Tenporary (T)
internittent (INT)
(feet)
0
S5 Waterline crossing
T Excavation Si
Perennial
Corps
7
35 2
Nbp label (e.g. tbad Crossing
Fern -anent (P) or
Fbrennial (F6P� or
Average
(linear feet) 4
1)
Tenporary (T)
internittent (INT)
(feet)
5
S6 Waterline crossing
P Bank SM
Intermittent
Corps
6
3 1
tvbp label (e.g. Road Crossing
Ferrrenerrt (P) or Stabilization
Perennial (PER or
Average
(linear feet) 8
1)
Temporary (T)
intermttent (INT)
(feet)
** All Perennial or Intermittent streams must be verified by DWR or delegated local government
3i. Total jurisdictional ditch impact in square feet:
0

31. Total permanent stream impacts:
149
31. Total temporary stream impacts:
95
3i. Total stream and tributary impacts:
244
3j. Comments:
Impact tables with additional details can be found in the Miscellaneous section.
6. Buffer Impacts (for DWR)
If project will impact a protected riparian buffer, then complete the chart below. Individually list all buffer impacts below
6a. Project is in which protect basin(s)?*
Check all that apply.
IJ Neuse r] Tar -Pamlico
F Catawba r Randleman
r Goose Creek ❑ Jordan Lake
r Other
6b. Impact Type *
6c. Per or
6d. Stream name *
6e. Buffer mitigation
6f. Zone 1
6g. Zone 2
Temp*
required?*
impact*
impact*
131 -Allowable
T
SG
No
0
1,983
Location and E(errpt, Allowable, allowable w/
Pbrrrenent (P) or
(square feet)
(square feet)
ration
Terrporary (T)
B2 - Allowable
T
SH
No
776
0
Location and E(enpt, Allowable, allowable w/
Fernanent (P) or
(square feet)
(square feet)
rritigation
Terrporary (T)
B3 - Allowable
T
SH
No
1,033
0
Location and B(enpt, Allowable, allowable w/
Permanent (P) or
(square feet)
(square feet)
mitigation
Tenporary (T)
B4 - Allowable
T
SH
No
0
518
Location and B(enpt, Allowable, allowable w/
Permanent (P) or
(square feet)
(square feet)
rritigation
Tenporary (T)
B5 - Allowable
T
SH
No
0
990
Location and B(enpt, Allowable, allowable w/
Permanent (P) or
(square feet)
(square feet)
mtigation
Temporary (T)
B6 - Allowable
T
SG
No
0
5,638
Location and Exempt, Allowable, allowable w/
Permanent (P) or
(square feet)
(square feet)
rritigation
Terrporary (T)
B7 - Allowable w/ mitigation
T
SG
Yes
624
0
Location and Exerrpt, Allowable, allowable w/
Pbrrrenent (P) or
(square feet)
(square feet)
rritigation
Temporary (T)
B8 - Allowable w/ mitigation
T
SG
Yes
74
0
Location and E(enpt, Allowable, allowable w/
Perrranent (P) or
(square feet)
(square feet)
nitigation
Temporary (T)
B9 - Allowable w/ mitigation
T
SG
Yes
31
0
Location and B(enpt, A lovable, allowable w/
Perannent (P) or
(square feet)
(square feet)
rritigation
Tenporary (T)
1310 -Allowable
T
SI
No
1,805
0
Location and B(enpt, Allowable, allowable w/
Permanent (P) or
(square feet)
(square feet)
rritigation
Tenporary (T)
1311 - Allowable
T
SI
No
1,806
0
Location and B(enpt, Allowable, allowable w/
Perrranent (P) or
(square feet)
(square feet)
rritigation
Temporary (T)
B12 - Allowable
T
SI
No
0
1,203
Location and Exempt, Allowable, allowable w/
Pbrrrenent (P) or
(square feet)
(square feet)
rritigation
Temporary (T)

B13 -Allowable
T
SI
No
0
1,202
Location and Exempt, Allowable, allowable w/
Pbrmenent (Pj or
(square feet)
(square feet)
mitigation
Temporary (T)
B14 - Allowable w/ mitigation
T
SM
Yes
1,973
0
Location and Exenpt, Allowable, allowable w/
Permanent (P/ or
(square feet)
(square feet)
mitigation
Temporary (T)
B15 -Allowable
T
SM
No
0
1,541
Location and Bcenpt, Allowable, allowable w/
Permanent (P/ or
(square feet)
(square feet)
mitigation
Temporary (T)
B16 - Allowable
T
Si
No
721
0
Location and Bcempt, Allowable, allowable w/
Permanent (P) or
(square feet)
(square feet)
nitigatlon
Temporary (T)
B17 - Allowable
T
SM
No
0
194
Location and Bcempt, Allowable, allowable w/
Permanent (Pj or
(square feet)
(square feet)
mitigation
Terrporary (T)
B18 - Allowable
T
SM
No
88
0
Location and Exempt, Allowable, allowable w/
R:rrrenent (P/ or
(square feet)
(square feet)
mitigation
Temporary (T)
B19 - Allowable
T
SM
No
46
0
Location and Exempt, Allowable, allowable w/
Permanent (F9 or
(square feet)
(square feet)
mitigation
Temporary (T)
6h. Total buffer impacts:
Zone 1 Zone 2
Temporary impacts: 8,977.00 13,269.00
Zone 1 Zone 2
Permanent impacts: 0.00 0.00
Zone 1 Zone 2
Total buffer impacts: 8,977.00 13,269.00
6i. Comments:
Impact tables with additional details can be found in the Miscellaneous section.
Supporting Documentation - i.e. Impact Maps, Plan Sheet, etc.
Qick the upload button or drag and drop files here to attach document
2018.06.2200358-0138 Impact Maps_Sealed.pdf 2.83MB
File must be RDF
E. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:*
Multiple alignments were evaluated based on environmental impacts, availability of public right-of-way or private
easement requirements, and ease of construction. The alignment route selected utilized ebsting Town owned land
and existing utility easements as much as possible and minimized the disturbance to forested and residential land.
Water valves will be located in uplands and situated such that maintenance access will not need to cross
jurisdictional waters.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:*

Proper erosion and sedimentation control measures will be implemented as proposed and approved by the NC
Division of Energy, Mineral, and Land Resources (NCDEMLR). Proposed measures include super silt fence along
stream banks and wetland perimeters, stone relief outlets, and compost socks adjacent to wetlands and/or
streams.
Streams and rivers will be crossed via open cut. Impacts at open cut crossing locations will be minimized by use of
appropriate erosion control and flow diversion measures during construction. Direct impacts from construction of
the waterline to these features will be temporary, and any impacted areas will be restored to original grade and
stabilized following construction. Prior to excavating in jurisdictional streams, coffer dams will be installed upstream
and downstream of the excavation area to isolate the disturbed area and contain sediment. Stream flow on the
upstream side of the excavation will be pooled above the coffer dam and pumped around the excavation area. The
pumped water will be discharged on the downstream side of the excavation below the lower coffer dam through
sediment bags to filter the discharge water of sediment before allowing the water to be returned to the stream
channel. The Neuse River will only be partially blocked by cofferdams to allow flow of the opposite half that work is
occurring. Impacted stream banks will be stabilized with riplrap as required to provide proper stabilization and
protection against erosion. Riplrap will be keyed into the stream banks such that the original crosslsection of the
stream is maintained.
Wetland areas that must be excavated for installation of the pipe will be returned to their original (prelconstruction)
contours and revegetated. Installation will be by low pressure rubber tired excavation equipment where possible. In
all forested wetlands, clearing will be done by hand and grubbing will only occur as needed to excavate trenching
for installation.
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?
r Yes
r No
2c. If yes, mitigation is required by (check all that apply):
V DWR
V Corps
2d. If yes, which mitigation option(s) will be used for this project?
V Mitigation bank r- Payment to in -lieu fee program
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
Resource Environmental Solutions, LLC
3b. Credits Purchased/Requested (attach receipt and letter)
Type:
Non -riparian wetland
Riparian buffer
Quantity:
.21 Acres
8106 Square Feet
Attach Receipt and/or letter
Click the upload button or drag and drop files here to attach docurrent
Buffer SOA Buffalo Hydraulic Improvements 062818.pdf
Neu -Con SOA Buffalo Hydraulic Improvements 062818.pdf
3c. Comments
Multiple bank options from RES shown in availability letter.
F- Permittee Responsible Mitigation
116.27KB
115.96KB
6. Buffer mitigation (State Regulated Riparian Buffer Rules) - required by DWR
6a. Will the project result in an impact within a protected riparian buffer that requires buffer mitigation? If yes, you must fill out this entire
form - please contact DWR for more information.
r Yes
riT7
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 in the table below.
6c. Reason for impact 6d. Total impact Multiplier 6e. Required
(square feet) mitigation (square
feet)
Zone 1 Land clearing 2,702 3 8,107
Zone 2
6f. Total buffer mitigation required
8107
0 0
6g. If buffer mitigation is required, is payment to a mitigation bank or NC Division of Mitigation Services proposed?
r Yes r No
6h. Attach the acceptance letter from the mitigation bank or NC Division of Mitigation Services.
(FDF only)
6j. Comments:
See attached credit availability letter from RES, details both Wetland and Buffer credit availability.
F. Stormwater Management and Diffuse Flow Plan (required by DWR)
.«« Recent changes to the stormwater rules have required updates to this section .`**
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?
r Yes r No
1b. All buffer impacts and high ground impacts require diffuse flow or other form of stormwater treatment. If the project is subject to a
state implemented riparian buffer protection program, include a plan that fully documents how diffuse flow will be maintained.
All Stormwater Control Measures (SCM)s must be designed in accordance with the NC Stormwater Design Manual. Associated
supplement forms and other documentation shall be provided.
What type of SCM are you providing?
r- Level Spreader
rJ Vegetated Conveyance (lower SHWT)
r Wetland Swale (higher SHWT)
rJ Other SCM that removes minimum 30% nitrogen
(check all that apply)
For a list of options to meet the diffuse flow requirements, click here.
Diff us Flow Documentation
Click the upload button or drag and drop files here to attach docurrent
File type rust be FDF
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?
r Yes r No
2b. Does this project meet the requirements for low density projects as defined in 15A NCAC 02H .1003(2)?*
r Yes
r No
To look up low density requirement click here 15A NCAC 02H.1 003(2)

G. Supplementary Information
1. Environmental Documentation
1a. Does the project involve an expenditure of public (federal/state/local) funds or the use of public (federal/state) land?
r Yes r 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)?*
f• Yes r No
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 letter.)*
f• Yes r No
NEPA or SEPA Final Approval Letter
Qick the upload button or drag and drop files here to attach document
2017.02.01_NCDEQ-DWI_Ltr of Intent to Fund—Buffalo Proj1.pdf 203.36KB
FILE TYPE M ET BE FDF
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)?
f Yes r No
2b. Is this an after -the -fact permit application?*
f Yes r No
3. Cumulative Impacts (DWR Requirement)
3a. Will this project (based on past and reasonably anticipated future impacts) result in additional development, which could impact
nearby downstream water quality?*
r Yes r No
3b. If you answered "no," provide a short narrative description.
The proposed project will upgrade the water transmission lines between Wilson's Mills and the Buffalo Water
Districts. These upgrades are for the existing water districts and will not result in further development that would
impact downstream water quality.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
f Yes f Nor 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?
r Yes r No
5b. Have you checked with the USFWS concerning Endangered Species Act impacts?*
r Yes r No
5c. If yes, indicate the USFWS Field Office you have contacted.
Raleigh
5d. Is another Federal agency involved?*
r Yes f No r Unknown

What Federal Agency is involved?
NOAA
5e. Is this a DOT project located within Division's 1-8?*
r Yes r No
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
USFWS IPAC Official Species List (Feb 26, 2018, April 26, 2018, and June 19, 2018) and NCNHP Project Review
(Feb 26, 2018). USFWS original Official Species List used in the project review expired. An updated Official
Species List was generated and there were no differences in the newer List. Contacted NOAA regarding Atlantic
Sturgeon Critical Habitat within the Neuse River.
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as an Essential Fish Habitat?*
f Yes r No
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat?*
NOAA Essential Fish Habitat Mapper (used: April 12, 2018)
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
Link to the State Historic Preservation Office Historic Properties Map (does not include archaeological data: http://gis.ncdcr.gov/hpoveb/
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)?*
f Yes r No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?*
NC DNCR SHPO Letter Date: May 4, 2018
7c. Historic or Prehistoric Information Upload
Click the upload button or drag and drop files here to attach document
Respose Letter ER 18-0684.pdf 98.42KB
File must be FDF
8. Flood Zone Designation (Corps Requirement)
Link to the FEMA Floodplain Maps: https:Hmsc.fema.gov/portal/search
8a. Will this project occur in a FEMA -designated 100 -year floodplain?*
O Yes r No
8b. If yes, explain how project meets FEMA requirements:
The alignment crosses the mapped 100 -year floodplain of the Neuse River. However, no impacts to mapped
floodplains are proposed. The project involves installation of a subsurface waterlines. All areas that must be
excavated for installation of the pipe will be returned to their original (prelconstruction) contours and revegetated
with native vegetation. No above ground structures are proposed within the mapped 100 -year floodplains.
8c. What source(s) did you use to make the floodplain determination?*
FEMNs National Flood Hazard Layer (NFHL) Viewer
FIRM Panels: 372016900J (eff: 12/2/2005) and 3720260600J (eff: 12/2/2005)
Miscellaneous
Miscellaneous attachments not previously requested.

Click the upload button or drag and drop files here to attach docurent
Landowners.pdf
53KB
NHP project _report—project _1_Wlsons_ mills _ and_11230_11230.pdf
781.09KB
140-138 DWR Buffer determination. pdf
579.22KB
Updated Species List_ Raleigh Ecological Services Field Office (1).pdf
228.37KB
USFWS Online Project Review Project No 00358-0138 Buffalo WD -2017-18 Hydraulic
1.11M6
Improvements. pdf
003540138 NOAA letter - Atlantic sturgeon.pdf
478.44KB
P1 Wilsons Mills Impacts.pdf
105.28KB
File rust be FDF or FWQ
Signature
V By checking the box and signing below, I certify that:
• 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:*
Tyson Kurtz
Signature
rs0rT�
Date Submitted:
6/29/2018
Initial Review
Is this project a public transportation project?* (?
f Yes f• No
Change only rf needed.
Has this project met the requirements for acceptance in to the review process?*
f• Yes
f No
BIMS # Assigned
20180901
Version#*
1
Reviewing Office*
Central Office - [phone]
Select Project Reviewer*
Paul Wojoski:EADS\pawojoski
Is a payment required for this project?*
f No payment required
r Fee received
f• Fee needed - send electronic notification
What amout is owed?*

f $240.00
F $570.00