20181198 Ver 1_401 Application_20180827

Action History (UTC -05:00) Eastern Time (US & Canada)
Submit by Anonymous User 8/27/2018 1:08:04 PM (Start Event)
Accept by Montalvo, Sheri A 8/30/2018 10:42:15 AM (Non DOT Initial Review)
The task was assigned to Montalvo, Sheri A. The due date is: August 30, 2018 5:00 PM
8/27/2018 1:09 PM

DWR
Dfutslon 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.gov/WaterResources/0/edoc/624704/PCN%20Help%20File%202018-1-30. pdf
A. Processing Information
County (or Counties) where the project is located:*
Cumberland
Is this project a public transportation project?*
r Yes G No
This is any publicly funded by rrunicipal,state or federal funds road, rail, airport transportation project.
1a. Type(s) of approval sought from the Corps:*
PF Section 404 Permit (wetlands, streams and waters, Clean Water Act)
r Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)
1b. What type(s) of permit(s) do you wish to seek authorization?*
r% 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 WV nun-bers you are applying for not on the drop dow n list.
1c. Type(s) of approval sought from the DWR:*
check all that apply
401 Water Quality Certification - Regular r 401 Water Quality Certification - Express
r Non -404 Jurisdictional General Permit r Riparian Buffer Authorization
r Individual Permit
*
1d. Is this notification solelyfor the record because written approval is not required?

For the record only for DWR 401 Certification:
For the record only for Corps Permit:
b Yes G No
O Yes G No
1e. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
V so, attach the acceptance letter from mitigation hank or in -lieu fee program
G Yes O No
Acceptance Letter Attachment
Click the upload button or drag and drop files here to attach docunent
PNG Casing 695 Replacement Project.pdf 78.01 KB
FILETYFE M -ST BE FDF
1f. Is the project located in any of NC's twenty coastal counties?*
f Yes r No
1h. Is the project located in a designated trout watershed?*
r Yes r No
Link to trout information: http://wvvw.saw.usace.army.miI/Missions/Regulatory-Permit-Program/Agency-Coordination/Trout.aspx
B. Applicant Information
1a. Who is the Primary Contact?*
Joey Lawler
1b. Primary Contact Email:*
[e-mail]
1c. Primary Contact Phone:*
(xxx)xxx-xxxx
1d. Who is applying for the permit?
r— Owner r- Applicant (other than owner) rJ Agent/Consultant
(Check all that apply)
2. Owner Information
2a. Name(s) on recorded deed:
Easement located on parcel owned by Elizabeth & Michael Austin (0449-80-
7195)
2b. Deed book and page no.:
Book 69860355, Page 00310022
2c. Responsible party:
(for Cbrporations)
Peidmont Ntaural Gas - easement owner
2d. Address
Street Address
4720 Piedmont Row Drive
Address Line 2
Qy
Charlotte
Fbstal / Zip Code
28210
2e. Telephone Number:
State / Province / begion
NC
Country
USA

(XXX)XXX-XXXX
2f. Fax Number:
(XM)MX-XXM
Email Address:*
[e-mail]
4. Agent/Consultant (if applicable)
4a. Name:
Joey Lawler
4b. Business Name:
(if applicable)
S&ME. Inc.
4c. Address
Street Address
9751 Southern Pine Blvd.
Address Line 2
city
Charlotte
Fbstal / Zip Code
28273
4d. Telephone Number:
[phone]
(XXX)XXX-XXXX
Fax Number:
(XXX)XXX-XXXX
Email Address:*
[e-mail]
State / Province / R)gion
NC
Country
USA
Agent Authorization Letter*
Pease provide the Agent Authorization Letter if you are submitting this docurrent.
Signed Agent Form.pdf 31.5KB
PLETYFE MUST BE PDF
C. Project Information and Prior Project History
1. Project Information
1a. Name of project:*
PNG Casing 695 Replacement Project
1b. Subdivision name:
(if appropriate)
1c. Nearest municipality/ town:*
Eastover
1d. Driving directions*
If it is a new project and can not easily be found in a GPS rrapping system Pease provide directions.
From 1-295, take River Road south to Underwood Road. Turn left and follow Underwood Road, crossing railroad tracks. Proceed until road
intersects eAsting maintained natural gas pipeline easement. Project site is within the easement on the left.

2. Project Identification
2a. Property Identification Number:
(tax RN or parcel ID)
0449-80-7195
2b. Property size:
(in acres)
25.84
2c. Project Address
Street Address
North of Underwood Road and south of Custer Road
Address Line 2
City
Eastover
Fbstal / Zip Code
28312
2d. Site coordinates in decimal degrees
State/ Province / Ragion
NC
Country
USA
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 howthe 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:*
35.093150 -78.834717
ex: 34.208504 -77.796371
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
UT to Gum Log Canal
3b. Water Resources Classification of nearest receiving water:*
C
Surface Water Lookup
3c. What river basin(s) is your project located in?*
Cape Fear
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 area currently consists of Piedmont's existing natural gas utility line easement and wooded areas that
abut the easement. An existing earthen access road leads from Underwood road to an aboveground valve located
on the south side of the railroad line. A pond is located near the easement on the south side of the railroad, east
of the access road. The vicinity consists of open fields, woodland and residential areas. The PWC plant and a
pond associated with that site are located to the northeast. Topography in the area is generally flat. Wetlands are
located on the north and south sides of the railroad tracks. Other than a shallow drainage ditch identified on the
on the south side of the railroad line, no evidence of active stream channels was observed. A pond associated
with the PWC site is also depicted to the northeast. Overstory vegetation within wooded portions of the project
area included loblolly pine, red maple, sweetgum, water oak, black cherry and tulip tree. The mid -story layer
includes wax myrtle, American holly and saplings of overstory species. Woody vines include poison ivy, yellow
jasmine and catbriar. Vegetation within the existing utility corridor included broomstraw, ragweed, giant cane, dog
fennel, switch grass, goldenrod, blackberry, catbriar, and a variety of grasses.
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)
Click the upload button or drag and drop files here to attach docurrent
2_TOPO.pdf
File type rrust be pdf
823.41 KB
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)
Click the upload button or drag and drop files here to attach docurrent
3_SOILS.pdf 1.05MB
File type rrust be pdf
4d. List the total estimated acreage of all existing wetlands on the property:
0.448
4e. List the total estimated linear feet of all existing streams on the property:
(intermttent and perennial)
4f. Explain the purpose of the proposed project:*
PNG is planning to replace a "cased" portion of their existing natural gas transmission pipeline currently located
beneath a CSX railroad line. The cased segment is being replaced as part of Piedmont's on-going maintenance
and pipeline integrity program.
4g. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:
PNG plans to conduct the work by installing a new segment of natural gas pipeline adjacent to the cased segment.
The new pipe will be installed beneath the railroad line and a wetland are by horizontal directional drill (HDD). A
new easement will be required on the north side of the railroad line, while the existing easement will be utilized on
the south side. Excavations will be required in order to accommodate the HDD entry and exit points and connect
the new pipe segment to the existing line. The cased segment will then be grouted, capped and abandoned in
place. The work will be conducted utilizing industry -standard mechanized excavation and drilling equipment.
4h. Please upload project drawings for the proposed project.
Click the upload button or drag and drop files here to attach docurrent
5_PROPOSEDIMPACTS.pdf 1.43MB
Construction Drawings.pdf 11.92MB
File type rrust be pdf
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the propertyor proposed impact areas?*
r Yes f No r Unknown
Comments:
During an initial site visit on March 27, 2018, S&ME personnel delineated
jurisdictional surface waters located within the project area. A follow-up site
visit was also performed on July 17, 2018.
5b. If the Corps made a jurisdictional determination, what type of determination was made?
r Preliminary r Approved r Unknown r N/A

Corps AID Number:
B(arrple: SAW2017-99999
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known): Joey Lawler, PWS
Agency/Consultant Company: S&ME, Inc.
Other:
5d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
5d1. Jurisdictional determination upload
P Hardwood Flat
pick the upload button or drag and drop files here to attach docurrent
F2rrranent (F) or
FINALSAW JD REQUEST FORM .pdf
283.66KB
WA -WB Upland -Wetland Forms.pdf
292.48KB
RGL 16-01 Appendix2_fillable.pdf
73.97KB
4_AERIAL-WATERSOFTHEUS.pdf
1.28MB
File type crust be FDF
other)
6. Project History
6a. Have permits or certifications been requested or obtained for this project (including all prior phases) in the past?*
f Yes r No C Unknown
7. Future Project Plans
7a. Is this a phased project?*
r Yes r 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.
D. Proposed Impacts Inventory
1. Impacts Summary
1a. Where are the impacts associated with your project? (check all that apply):
rJ Wetlands r Streams -tributaries r Buffers
F- 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*
WA- PERMANENT
P Hardwood Flat
IVbp label (e.g. Finad Crossing 1 - Culvert,
F2rrranent (F) or
dewatering, etc)
Temporary (T)
WA -TEMPORARY
T Hardwood Flat
Nbp label (e.g. Fbad Grossing 1 - Culvert,
Permanent (F) or
dewatering, etc)
Temporary (T)
2d. Wetland name *2e.
2f. Type of
2g. Impact
Forested*
Jurisdicition*
area*
WA Yes
Both
0.024
(404, 10) or DAR (401,
(acres)
other)
WA Yes
Both
0.178
(404, 10) or DMR(401,
(acres)
other)

WB - PERMANENT P
IVbp label (e.g. Fvad Grossing 1 - CLlvert, F2rrranent (P) or
dewatering, etc) Temporary (T)
WB - TEMPORARY T
Nbp label (e.g. Road Crossing 1 - CLlven, Permanent (F) or
dewatering, etc) Temporary (T)
2g. Total Temporary Wetland Impact
0.260
2g. Total Permanent Wetland Impact
0.228
2g. Total Wetland Impact
0.488
2h. Comments:
Bottomland Hardwood WB Yes Both 0.204
Forest (404, 10) orDJVR(401, (acres)
other)
Bottomland Hardwood WB Yes Both 0.082
Forest (404, 10) orDJVR(401, (acres)
other)
The temporary impacts will result from excavation to connect the new pipe segment to the unaffected portions of
the pipe, placement of timber mats and disturbance and from land disturbance necessary to stage equipment. The
permanent impacts will result from establishment of a ground -to -sky corridor over the new pipe. Within the new
easement, the area will be cleared but not grubbed, and stumps will be left in place. No permanent fill placement,
stream impacts or loss of waters of the US will occur as a result of the project.
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:*
The project area has been limited to the minimum amount considered necessary to safely accommodate the new
pipe and support equipment that will be required during construction. Installation of the new pipe was designed as
an HDD rather than by open cut in wetland areas.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:*
Impacts have been minimized by PNG's use of appropriate erosion and sediment control measures during
construction, including timber/equipment mats, utilizing high -visibility fencing to demarcate wetland areas that are
to remain undisturbed, and by conducting a pre -construction meeting to review applicable permit conditions prior
to construction.
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):
r- DWR
rJ Corps
2d. If yes, which mitigation option(s) will be used for this project?
F Mitigation bank W Payment to in -lieu fee program
4. Complete if Making a Payment to In -lieu Fee Program
4a. Approval letter from in -lieu fee program is attached.
V Yes
4b. Stream mitigation requested:
(linear feet)
4c. If using stream mitigation, what is the stream temperature:
4d. Buffer mitigation requested (DWR only):
r- Permittee Responsible Mitigation

(square feet)
4e. Riparian wetland mitigation requested:
(acres)
0.23
4f. Non -riparian wetland mitigation requested:
(acres)
4g. Coastal (tidal) wetland mitigation requested:
(acres)
4h. Comments
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
1a. 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
For a list of options to meet the diffuse flow requirements, click here.
If no, explain why:
Project will not result in additional impervious surface.
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?
f 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 .1003(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 C No
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)?*
r Yes r No
2b. Is this an after -the -fact permit application?*
r 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 purpose of the project is only to replace an eAsting segment of pipe.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?
r Yes r Nor NYA
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
5d. Is another Federal agency involved?*
f Yes r No r Unknown
5e. Is this a DOT project located within Division's 1-8?*
r Yes r No
5f. Will you cut any trees in order to conduct the work in waters of the U.S.?
r Yes r No
5g. Does this project involve bridge maintenance or removal?
r Yes r No
Link to the NLEB SLOPES document: http://saw-reg.usace.army.mil/NLEB/1-30-17-signed_NLEB-SLOPES&apps.pdf
5h. Does this project involve the construction/installation of a wind turbine(s)?*
r Yes r No
5i. Does this project involve (1) blasting, and/or (2) other percussive activities that will be conducted by machines, such as jackhammers,
mechanized pile drivers, etc.?
r Yes r No
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
S&ME conducted a search of the North Carolina Natural Heritage Program (NCNHP) database to identify element
occurrences (EOs) of such species listed as potentially occurring near the project corridor. The NCNHP list was
compared to the U.S. Fish and Wildlife Service (USFWS) list of protected species for Cumberland County. See
cover letter for additional details.
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as an Essential Fish Habitat?*
r Yes r No
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat?*
https://www.habitat.noaa.gov/protection/efh/efhmapper/
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/hpoweb/
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)?*
r Yes r No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?*
See NC SHPO Review letter
7c. Historic or Prehistoric Information Upload
Click the upload button or drag and drop files here to attach docurrent
ER 18-0499.pdf 100.79KB
File rrust be FDF
8. Flood Zone Designation (Corps Requirement)
Link to the FEMA Floodplain Maps: https://msc.fema.gov/portal/search
8a. Will this project occur in a FEMA -designated 100 -year floodplain?*
r Yes r No
8c. What source(s) did you use to make the floodplain determination?*
http://wm.ncfloodmaps.com/
Miscellaneous
...............................................................................................
Miscellaneous attachments not previously requested.
Click the upload button or drag and drop files here to attach docurrent
Updated NCNHP Report—Casing 695.pdf
713.67KB
1 _VICINITY. pdf
547.17KB
Restoration and IR Plans.doc.pdf
220.05KB
Cover Letter.pdf
270.07KB
Photosl .pdf
349.68KB
File rrust be FDF or INE
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:*
Joey Lawler
Signature
.7,10xY L,4wtJ�—
Date Submitted:

8/27/2018
Initial Review
Is this project a public transportation project?*(?)
r Yes C No
Change only i needed.
Has this project met the requirements for acceptance in to the review process?*
r Yes
r No
BIMS # Assigned*
20181198
Version#*
Reviewing Office *
Fayetteville Regional Office - [phone]
Select Project Reviewer*
Chad Turlington:eads\ccturlington
Is a payment required for this project?*
r No payment required
r Fee received
r Fee needed - send electronic notification
What amout is owed?*
0 $240.00
r $570.00