20191745 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?*
6 Yes
r No
Is this project a public transportation project?*
G Yes r No
Change only if needed.
BIMS # Assigned
20191745
Is a payment required for this project?*
r No payment required
6 Fee received
r Fee needed - send electronic notification
Select Project Reviewer*
April Norton:eads\arnorton
Information for Initial Review
1a. Name of project:
NC 144 Culvert 106
1a. Who is the Primary Contact?*
Rex Badgett
1b. Primary Contact Email:*
[e-mail]
Date Submitted
12/20/2019
Nearest Body of Water
Jordan Creek
Basin
Lumber
Water Classification
C;Sw
Site Coordinates
Latitude:
34.835640
A. Processing Information
County (or Counties) where the project is located:
Scotland
Is this project a public transportation project?*
IT Yes r No
Is this a NCDOT Project?*
IT Yes r No
(NCDOT only) T.I.P. or state project number:
WBS # (1)
15408.1083803
1a. Type (a) of approval sought from the Corps:
Longitude:
-79.463310
Version#*
1
Reviewing Office*
Central 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 r No
Nationwide Permit (NWP) Number: 03 - Maintenance
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 r 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
1j. Is the project located in a designated trout watershed?
r Yes r No
B. Applicant Information
1d. Who is applying for the permit?
V Owner r 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:
Brandon Jones, Division Engineer
2b. Deed book and page no.:
2c. Responsible party:
NCDOT
2d.Address
Street Address
121 DOT Drive
Address Line 2
City
Carthage
Rostal / Zip Code
28327
2e. Telephone Number:
[phone]
2g. Email Address:*
State / Rovince / Rion
NC
Country
USA
2f. Fax Number:
[phone]
r Yes r No
r Yes r No

[e-mail]
C. Project Information and Prior Project History
1. Project Information
1b. Subdivision name:
(if appropriate)
1c. Nearest municipality/ town:
Laurinburg
2. Project ctct Identification
2a. Property Identification Number:
2b. Property size:
NA
lac
2c. Project Address
Street Address
NC 144
Address Line 2
ply
State / Province / legion
Laurinburg
North Carolina
Postal / Zip Code
Country
28352
USA
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
Jordan Creek
3b. Water Resources Classification of nearest receiving water:*
C;SW
3c. What river basin(s) is your project located in?*
Lumber
3d. Please provide the 12-digit HUC in which the project is located.
030402040301
4. Project Description and History
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 land surrounding NC 144 and SR 1321 is low-lying and surrounded by bottomland hardwood swamp. Uplands in the vicinity have historically been used for farming. There is an old
church to the southwest that is listed on the National Register of Historic Places. Highway US 15-501 is about .4 mile northeast of the project site.
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?*
r Yes G 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)
Culvert 106topo.pdf
230.89KB
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)
Culvert 106 soils.pdf 380.87KB
4f. List the total estimated acreage of all existing wetlands on the property:
.3
4g. List the total estimated linear feet of all existing streams on the property:
112
4h. Explain the purpose of the proposed project:*
Culvert 106 is sub -standard and was damaged in Hurricane Florence.
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
Existing Culvert 820106, 3@8'-10" X 7'-2" RCBC, 47'-2" in length on NC-144. Constructed in 1958, the culvert is recommended to be replaced. According to the latest inspection report
dated 6/29/2018, the culvert has several defects. There are multiple cracks, spalls, de -laminations, exposed rebar, and exposed aggregate in the internal barrel walls and exterior wing
walls. In addition, there is vertical scour appx 6ft wide x 1ft deep x 3ft wide with no undermining reported at North inlet of Barrel 1, and Silt 47' long x 7' wide x4' deep in Barrel 2 and 3.
The culvert is nearing the end of its useful life. The proposed culvert is a 2@14'x9' RCBC with bevels, 83.5' in length, buried 1ft with 1ft. sill in South Barrel and 1ft. sill in North Barrel.
Upstream invert 203.011. and downstream invert 203.0ft, slope 0.0%. Roadway drainage runs off on either side of the proposed roadway, into roadside ditches and disperses into
w atlands and/or natural ground. In addition, there is a 42' 30" RCP with headwall that on the -Y- line (SR 1321) that will be replaced with 72' 36" RCP with headwall. Construction of the
new culvert will take place while an off -site detour maintains traffic. Bank Stabilization rip rap will be installed as necessary to prevent streambank degradation.
4j. Please upload project drawings for the proposed project.
15408.1083803_Scotland_C106 Wetland and Surface Water Impacts Permit Drawings.pdf 2.35MB
5. Jurisdictional Determinations
U

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): B. Reed and M. Richards
Agency/Consultant Company: Kimley-Horn
Other:
5d1. Jurisdictional determination upload
_NC144_DataForms.pdf 955.73KB
NC144_Fig3_JDfeat_for _CH.pdf 1.19MB
6. Future Project Plans
6a. 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?
[D. Proposed Impacts Inventory
1. Impacts Summary
la. Where are the impacts associated with your project? (check all that apply):
W Wetlands W Streams -tributaries
r Open Waters r Pond Construction
2. Wetland Impacts
r Buffers
2a1 Reason (?)
2b. Impact type * M
2c. Type of W.*
2d. W. name *
2e. Forested *
2C Type of
2g. Impact
Jurisdicition*(?)
area
1
Cut
P
Riverine Swamp Forest
Jordan Creek
Yes
Corps
0.010
(acres)
2
Cut
P
Riverine Swamp Forest
Jordan Creek
Yes
Corps
0.020
(acres)
FE_71�ill
P
Riverine Swamp Forest
Jordan Creek
Yes
:::]
Corps
I
0.020
�
(acres)
2g. Total Temporary Wetland Impact
0.000
2g. Total Wetland Impact
0.050
2h. Comments:
0.11 Acres Hand Clearing in Wetlands.
0.02 Temporary Fill in Wetlands.
3. Stream Impacts
2g. Total Permanent Wetland Impact
0.050
F 3a. Reason for impact (?) 3b.lmpact type * 3c. Type of impact* 3d. S. name * 3e. Stream Type * 3f. Type of 3g. S. width * 3h. Impact
(?) Jurisdiction* length*
S1
culvert installation
Permanent
Culvert
Jordan Creek
Perennial
Both
17
Average (feet)
36
(linearfeet)
S2
pipe installation
Permanent
Culvert
UT of Jordan Creek
Intermittent
Both
4
Average (feet)
76
(linearfeet)
3i. Total jurisdictional ditch impact in square feet:

31. Total permanent stream impacts:
112
31. Total stream and ditch impacts:
112
31. Total temporary stream impacts:
0
3j. Comments:
The emsting culvert on NC 144 is 47'2" long and will be replaced with a 83'5" culvert. The culvert on SR 1321 is 42' long and will be replaced with a 72'
culvert.
E. Impact Justification and Mitigation U
1. Avoidance and Minimization
la. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
NCDOT's best management practices for the installation of pipe in jurisdictional waters will be adherred to thorughout the life of the project.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
STREAM CHANNEL RELOCATION LIMITATIONS:
The following sequence of construction shall be followed in the areas designated on the plans as stream relocations. Failure on the part of the
Contractor to follow this sequence, and complete each step prior to proceeding in this area as specified, will be just cause for the Engineer to direct
the suspension of work in accordance with Article 108-7 of the Standard Specifications.
(A) Clear, but do not grub area within the Environmentally Sensitive Area on the ebsting stream to be relocated.
(B) Construct and stabilize, with vegetation or erosion control materials sufficient to restrain erosion, the proposed stream channel relocation as shown
on the plans.
(C) Divert water into newly constructed channel only after it has been stabilized and approved.
(D) Begin grubbing and/or grading within the Environmentally Sensitive Area of the existing stream.
The Contractor shall perform seeding and mulching and install erosion control matting to all cut/fill slopes adjacent to stream relocations in
accordance with the contract.
The above requirements apply to the stream channels being constructed at the following stations:
Approx. Sta. -Y- 12+25 to 13+25
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 9 Corps
2d. If yes, which mitigation option(s) will be used for this project?
r Mitigation bank W Payment to in -lieu fee r Permittee Responsible
program Mitigation
4. Complete if Making a Payment to In -lieu Fee Program
4a. Approval letter from in -lieu fee program is attached.
r Yes r No
4b. Stream mitigation requested:
(linear feet)
112
4d. Buffer mitigation requested (DWR only):
(square feet)
4f. Non -riparian wetland mitigation requested:
(acres)
4c. If using stream mitigation, what is the stream temperature:
warm
4e. Riparian wetland mitigation requested:
(acres)
0.05
4g. Coastal (tidal) wetland mitigation requested:
(acres)
4h. Comments
Mitigation has been requested. Pending approval.
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:

Jordan Creek does not fall under any NC Riparian Buffer Protection Rules.
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?*
r Yes r No
Comments:
Stormwater management plan attached.
G. Supplementary Information
1. Environmental Documentation
1a. Does the project involve an expenditure of public (federal/state/local) funds or the use of public (federallstate) 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 (NEPAISEPA)? *
r Yes r No
1c. If you answered "yes" to the above, has the document review been finalized bythe State Clearing House?*
r Yes r No
Comments:*
State Minimum Criteria Checklist
2. Violations (DWR Requirement)
2a. Is the site in violation of DWR Water Quality Certification Rules (15A NCAC 21-1.0500), 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 Nor 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
5e. Is this a DOT project located within Division's 1-8?
r Yes r No
r Unknown
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
North Carolina Natural Heritage Program Data a)plorer and on -the -ground reconnaissance by NC DOT personnel.
Consultation Documentation Upload
project _report _culvert _106_scotland_county_18283_18283.pdf 3.17MB
Scotland 106 Endangered Species Survey Checklistl.pdf 111.78KB
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?*
NC Natural Heritage Program

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?*
There is a National Register property near but not adjacent to the project site. The project has been submitted to NCDOT Human Environment Section
for review pursuant to MOA with the NC State Historic Preservation Office.
7c. Historic or Prehistoric Information Upload
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain?*
r Yes
r No
8b. If yes, explain how project meets FEMA requirements:
Culvertis designed to meet the hydraulic requirements of the 100 year floodplain.
8c. What source(s) did you use to make the floodplain determination?*
flood.NC.gov
F-
Miscellaneous
Comments
Stream Channel Relocation details attached.
Miscellaneous attachments not previously requested.
Stream Channel Relocation Limitations.pdf 97.53K6
Signature
P 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:
Jonathan Sutton (Rex) Badgett
Signature
Sign
Date
12/20/2019