20191743 Ver 1_PCN Form Submission (3)_20191220

DWR
mrlslon of Water Resources
Pre -Construction Notification (PCN) Form
September 29, 2018 Ver 3
Initial Review
Has this project met the requirements for acceptance in to the review process?*
r Yes
r No
Is this project a public transportation project?*
G Yes r No
Change only if needed.
BIMS # Assigned
20191743
Is a payment required for this project?*
r No payment required
r Fee received
r Fee needed - send electronic notification
Select Project Reviewer*
Garcy Ward:eads\gpward
Information for Initial Review
1a. Name of project:
Rodanthe Bridge Transmission Line, North End
1a. Who is the Primary Contact?*
J. Mark Rhyne (Manager of Engineering, Cape Hatteras Electric Cooperative)
1b. Primary Contact Email:*
[e-mail]
Date Submitted
12/20/2019
Nearest Body of Water
Round Hammock Bay
Basin
Pasquotank
Water Classification
SA; HOW
Site Coordinates
Latitude: Longitude:
35.63038-75.47194
A. Processing Information
County (or Counties) where the project is located:
Dare
Is this project a public transportation project?*
IT Yes r No
Is this a NCDOT Project?*
r Yes r No
(NCDOT only) T.I.P. or state project number:
T.I.P. Number B-2500
WBS # (?)
32635.1.3
1a. Type (a) of approval sought from the Corps:
Version#*
1
Reviewing Office*
Washington Regional Office - [phone]
1c. Primary Contact Phone:*
[phone]
U

W 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?
W Nationwide Permit (NWP)
r Regional General Permit (RGP)
r Standard (IP)
1c. Has the NWP or GP number been verified by the Corps?
r Yes IT No
Nationwide Permit (NWP) Number: 12 - Utility Lines
NWP Numbers (for multiple NWPS):
1d. Type(s) of approval sought from the DWR:
W 401 Water Quality Certification - Regular
r Non-404 Jurisdictional General Permit
r Individual Permit
le. Is this notification solely for the record because written approval is not required?
For the record only for DWR401 Certification:
For the record only for Corps Permit:
r 401 Water Quality Certification - Express
r Riparian Buffer Authorization
1f. Is this an after -the -fact permit application?*
r Yes r No
1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
r Yes IT No
1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
r Yes r No
Acceptance Letter Attachment
1h. Is the project located in any of NC's twenty coastal counties?
r Yes r No
11. Is the project located within a NC DCM Area of Environmental Concern (AEC)?
r Yes r No r Unknown
1j. Is the project located in a designated trout watershed?
d Yes IT No
B. Applicant Information
1d. Who is applying for the permit?
r Owner W Applicant (other than owner)
le. Is there an Agent/Consultant for this project?*
r Yes r No
2. Owner Information
2a. Name(s) on recorded deed:
United States Government, Dept. of the Interior, Fish & Wildlife Service
2b. Deed book and page no.:
Deed book: 17, Pg. no.: 620
2c. Responsible party:
2d.Address
Street Address
P.O. Box 1969
Address tine 2
city
Manteo
Postal / Zip Cate
27954
State / Frovince / Region
NC
Country
United States
r Yes r No
r Yes r No
V

2e. Telephone Number: 2f. Fax Number:
[phone] [phone]
2g. Email Address:*
[e-mail]
3. Applicant Information (if different from owner)
3a. Name:
J. Mark Rhyne
3b. Business Name:
Cape Hatteras Electric Cooperative
3c.Address
Street Address
47109 Lightplant Road
Address tine 2
City
State / Province / legion
Buxton
NC
Postal / Zip Code
Country
27920
United States
3d. Telephone Number:
3e. Fax Number:
[phone]
3f. Email Address:*
[e-mail]
4. Agent/Consultant (if applicable)
4a. Name:
Ryan Brick
4b. Business Name:
Booth & Associates, LLC
4c.Address
Street Address
5811 Glenwood Avenue
Address Line 2
Suite 109
City
State / Province / legion
Raleigh
NC
Postal / Zip Gxle
Country
27612
United States
4d. Telephone Number:
4e. Fax Number:
[phone]
[phone]
4f. Email Address:*
[e-mail]
Agent Authorization Letter*
USACE_AgentAuthorization executed CHEC.pdf
28.05KB
C. Project Information and Prior Project History
1. Project Information
1b. Subdivision name:
(d appropriate)
1c. Nearest municipality/ town:
Rodanthe, NC
F-
2. Project Identification
2a. Property Identification Number:
2b. Property size:
074200340875
4304
2c. Project Address

Street Address
11571 NC-12
Address tine 2
Dty
Rodanthe
Postal / Zip Code
27968
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
Round Hammock Bay
3b. Water Resources Classification of nearest receiving water:*
SA; HOW
3c. What river basin(s) is your project located in?*
Pasquotank
3d. Please provide the 12-digit HUC in which the project is located.
030102051505
4. Project Description and History
State / Bovine / Rion
NC
Country
United States
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 existing site is part of the Pea Island National Wildlife Refuge. The general land use is that which is consistent with a wildlife refuge.
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?*
r Yes r No r Unknown
4d. 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)
NC_Pea_Island_20190726_TM_geo_cropped1.pdf 12.41 MB
4e. 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)
20191218_19021907815_1_Soil _Report.pdf 508.02KB
4f. List the total estimated acreage of all existing wetlands on the property:
Unknown
4g. List the total estimated linear feet of all existing streams on the property:
0
4h. Explain the purpose of the proposed project:*
To reroute the existing Cape Hatteras Electric Cooperative -managed transmission line to follow along the proposed Rodanthe bridge.
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
Underground conduit will be bored from existing electrical transmission lines to 45' vertical conduit bridge entry location at the north end of the new Rodanthe bridge. Construction Will
include 10' x 10' bore pits and transmission riser structures at the north end of the bridge.
The total proposed disturbance area for this utility work is outside of NCDOT right-of-way and is 3.7 acres. See plans for more details. Low-pressure tracked equipment will be used in
all sensitive areas to minimize disturbance. Temporary timber matting will be utilized for access by heavier equipment needed for boring the underground conduit. Adjacent wetland
areas will be protected by silt fence. No impervious surface will be added as a result of this utility work. Conduit and pipe for the underground bore will need to be laid out prior to the
start of boring. The area needed for layout is included in the limits of disturbance for the project.
Indirect impacts: potential rupture of drilling fluid through the soil.
Equipment to be used: heavy boring and plumbing equipment.
4j. Please upload project drawings for the proposed project.
1119212ESCP-N.pdf 3.94MB
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
r Yes r No r Unknown
Comments:
5b. If the Corps made a jurisdictional determination, what type of determination was made?*
r Preliminary r Approved r Not Verified r Unknown r N/A
Corps AID Number:
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known): Not known

Agency/Consultant Company: Flatiron
Other:
5d1. Jurisdictional determination upload
6. Future Project Plans
6a. Is this a phased project?*
r Yes O No
7b. If yes, explain.
This is the northern end of the proposed 115 kV transmission line for the Rodanthe bridge. The southern end of the proposed 115 kV line will be permitted at a later time.
Are anyother 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?
None.
D. Proposed Impacts Inventory
1. Impacts Summary
la. Where are the impacts associated with your project? (check all that apply):
W Wetlands f Streams -tributaries r Buffers
r Open Waters r Pond Construction
2. Wetland Impacts
2a1 Reason (?)
el install underground
electric line.
2b. Impact type * (?)
T
2c. Type of W.
Unknown
2d. W. name *
A
2e. Forested *
2f. Type of
Jurisdicition*(?)
Both
2g. Impact
area
0.239
(acres)
install overhead
el
electric line.
T
ffUnknownBoth
B
0.203
(acres)
2g. Total Temporary Wetland Impact
0.442
2g. Total Wetland Impact
0.442
2h. Comments:
E. Impact Justification and Mitigation
1. Avoidance and Minimization
2g. Total Permanent Wetland Impact
0.000
la. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
Specific measures include the shaping of the LOD to avoid as many wetland impacts as possible.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Specific measures include the use of temporary timber matting and the requirement that only hand clearing be used.
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
2b. If this project DOES NOT require Compensatory Mitigation, explain why:
This project does not require mitigation because all wetland impacts are temporary.
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?
r Yes r No
If no, explain why:
There are no protected riparian buffers within the border of or adjacent to this project.

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
Comments:
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?*
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)? *
r Yes r No
Comments:*
SEPA does not apply to this project because no public funds are to be used and the proposed activity disturbs less than 10 acres (it will disturb 3.7
acres of land).
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
3. Cumulative Impacts (DWR Requirement)
3a. Will this project 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.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
r Yes r No r NIA
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?*
r Yes r No r Unknown
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?
Data source: Critical Habitat for Threatened & Endangered Species [USFWS] Online Mapper
Consultation Documentation Upload
Critical Habitat for Threatened & Endangered Species [USFWS].pdf 157.46KB
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
Are there submerged aquatic vegetation (SAV) around the project vicinity?*
r Yes r No r Unknown
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat?*

Data source: NOAA Fisheries Essential Fish Habitat Data Inventory.
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?*
r Yes r No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?*
Data source: State Historic Preservation Office Historic Properties Map.
7c. Historic or Prehistoric Information Upload
HistoricResou rce Prese rvation Ma p. pdf
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-yearfloodplain?*
r Yes r No
8b. If yes, explain how project meets FEMA requirements:
8c. What source(s) did you use to make the floodplain determination?*
Data Source: FEMA Floodplain Map Service Center.
Miscellaneous
Comments
Miscellaneous attachments not previously requested.
431.86KB
Signature U
17 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:
Laura Harris
Signature
Date
12/20/2019