20200112 Ver 1_PCN Form Submission (4)_20200122

DWR
Dlrlslon 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
20200112
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:
R-5740 Woodville Road Widening Project
1a. Who is the Primary Contact?*
Paul Williams
1b. Primary Contact Email:*
[e-mail]
Date Submitted
1/22/2020
Nearest Body of Water
Deep Creek, Mills Creek
Basin
Pasquotank
Water Classification
SC
Site Coordinates
Latitude:
36.155969
A. Processing Information
County (or Counties) where the project is located:
Perquimans
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:
R-5740
WBS # (?)
50198.1.1
1a. Type (a) of approval sought from the Corps:
Longitude:
-76.316596
Version#*
1
Reviewing Office*
Washington Regional Office - [phone]
1c. Primary Contact Phone:*
[phone]
L.1

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: 14 - Linear transportation
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
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 r 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:
NC Department of Transportation
2b. Deed book and page no.:
NCDOT ROW on SR 1329 Woodville Road
2c. Responsible party:
NCDOT - Division One
2d.Address
Street Address
113 Airport Dr.
Address Lim 2
City
State / F ,ovine / Flegion
Edenton
INC
Postal / Zip Code
Country
27932
USA
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:
Paul Williams
3b. Business Name:
NC Department of Transportation
3c.Address
Street Address
113 Airport Dr.
Address Une 2
CRY
State / Province / Fbgion
Edenton
NC
Rbstal / Zip Code
Country
27932
USA
3d. Telephone Number:
3e. Fax Number:
[phone]
[phone]
3f. Email Address:*
[e-mail]
C. Project Information and Prior Project History
1. Project Information
1b. Subdivision name:
ff appropriate)
1c. Nearest municipality/ town:
Hertford
2. Project Identification
2a. Property Identification Number:
2b. Property size:
11.7
2c. Project Address
Street Address
SR 1329 Woodville Road, from SR 1300 New Hope Road to SR 1331 Red Banks Road (North End)
Address Lim 2
CItY
State / Province / Ragion
Hertford
NC
Postal / Zip Code
Country
27944
USA
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
Deep Creek, Mills Creek
3b. Water Resources Classification of nearest receiving water:*
SC
3c. What river basin(s) is your project located in?*
Pasquotank
3d. Please provide the 12-digit HUC in which the project is located.
030102050503
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 use in the area is primarily agriculture and silviculture with rural residential housing. SR 1329 (Woodville Road) is currently 2-lanes 9' each with +/-2'-0" grassed shoulder.
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)
Location Map.pdf 1.27MB
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)
Soil Map A.pdf 1.45MB
Soil Map B.pdf 1.04MB
4f. List the total estimated acreage of all existing wetlands on the property:
1
4g. List the total estimated linear feet of all existing streams on the property:
400
4h. Explain the purpose of the proposed project:*
The purpose of this project is to improve safety by widening an existing 18 ft. paved surface roadway to 22 ft. This route is a primary corridor for citizens in this part of Perquimans
county. The road experiences tractor trailer usage associated vdth the agriculture industry and the current narrow roadway creates unsafe conditions for the volume of traffic.
4i. Describe the overall project in detail, including *
p ) g indirect impacts and the type of equipment to be used:
This project involves the widening of a two lane secondary road from 18 feet to 22 feet of asphalt surface, for a distance of 4.4 miles. This will begin at the intersection with SR 1300
New Hope Road and extend to SR 1331 Red Banks Road (North End). This will include some minor shoulder widening to accommodate the wider travel lanes. Some minor drainage
improvements to roadside ditches wil be made to retain and improve drainage of the roadway. This Wll include several culvert replacements (Sites 1, 2, 4, and 5) indicated on the
permit drawings.
4j. Please upload project drawings for the proposed project.
R-5740_Permit Set Half Size.pdf 2.15MB
R-5740_HYD_SMPv2.07_20191112.pdf 201.36KB
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
r Yes r No
Comments:
By Clay Willis, 2016
5b. If the Corps made a jurisdictional determination, what type of determination was made?*
r Preliminary r Approved r Not Verified r Unknown f N/A
Corps AID Number:
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known): Clay Willis
Agency/Consultant Company: NCDOT
Other:
5d1. Jurisdictional determination upload
6. Future Project Plans
O Unknown
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
1a. Where are the impacts associated with your project? (check all that apply):
W Wetlands W Streams -tributaries r Buffers
r Open Waters r Pond Construction
2. Wetland Impacts
2a1 Reason (?) 2b. Impact type"(?) 2c. Type of W. 2d. W. name 2e. Forested 2f. Type of 2g. Impact
Jurisdicition*(?) area*
11 1 Ditch relocation - P Bottomland Hardwood Forest Site 1A Yes Both 0.010
excavation (acres)

1
Hand Clearing
T
Bottomland Hardwood Forest
Site 1A
Yes
Both
0.050
(acres)
Ditch relocation
P
Bottomland Hardwood Forest
Site 1 B
Yes
Both
0.010
excavation
(acres)
1
Hand Clearing
T
ff-mland Hardwood Forest
Site 1B
Yes
Both
0.030
(acres)
Ditch relocation -
P
Pine Flat
Site 3A
Yes
Both
0.010
excavation
(acres)
Hand Clearing ��T
Pine Flat
Site 3A
Yes
Both
0.020
(acres)
3
Hand Clearing ��T
Pine Flat
Site 3B
Yes
Both
0.010
(acres)
4
Fill Slope and Rip Rap -
P
fferine Swamp Forest
Site 4A
Yes
Both
0.020
Fill
(acres)
4
Ditch relocation -
P
Riverine Swamp Forest
Site 4A
Yes
Both
0.020
excavation
(acres)
4
Hand Clearing
T
Riverine Swamp Forest
Site 4A
Yes
Both
0.020
(acres)
Fill Slope and Rip Rap -
P
NOIwNCWAM TYPES
Site 46
Yes
Both
0.010
Fill
(acres)
Ditch-
P
NOIaNCWAM TYPES
Site 4B
Yes
Both
0(acres)
xcavationation
4
Hand Clearing
T
NOIv NCWAM TYPES
Site 4B
Yes
Both
0.010
(acres)
4
Fill Slope - Fill
P
Riverine Swamp Forest
Site 4C
Yes
Both
0.010
(acres)
4
Ditch relocation -
P
Riverine Swamp Forest
Site 4C
Yes
Both
0.020
excavation
(acres)
4
Hand Clearing
T
Riverine Swamp Forest
Site 4C
Yes
Both
0.050
(acres)
5
Fill Slope and rip rap -
P
ry-rine Swamp Forest
Site SA
Yes
Both
0.020
Fill
(acres)
Ditch relocation -
P
Riverine Swamp Forest
Site 5A
Yes
Both
0.040
excavation
(acres)
5
Hand Clearing
T
Riverine Swamp Forest
Site 5A
Yes
Both
0.070
(acres)
Fill Slope and rip rap-
P
Riverine Swamp Forest
Site 5B
Yes
Both
0.020
Fill
(acres)
5
Ditch relocation -
P
Riverine Swamp Forest
Site 5B
Yes
Both
0.040
excavation
(acres)
Hand Clearing
T
Riverine Swamp Forest
Site 5B
=Eth
0.110
(acres)
2g. Total Temporary Wetland Impact
0.370
2g. Total Wetland Impact
0.610
2g. Total Permanent Wetland Impact
0.240
2h. Comments:
Impact acreage has been rounded up. Actual quantity of impacts are 0.07 acres permanent fill, 0.13 acres of excavation, and 0.39 acres of temp.
hand clearing. See attached permit drawings and impact table.
3. Stream Impacts
3a. Reason for impact (?)
3b.lmpact type *
3c. Type of impact*
3d. S. name*
3e. Stream Type*
Type of
3gSwidth *
3h. Imact
❑
�[3f.
(?)
urisdiction*
length*
S1
Site 1A - culvert install
Tem orar
P Y
Dewaterin 9
Unnamed Trib.
Intermittent
Both
3
28
dewatering
Average (feet)
(linearfeet)
S2
Site 2A - culvert install
Tem orar
P Y
Dewaterin 9
Unnamed Trib.
Perennial
Both
8
31
dewatering
Average (fee)
pines fcet)
S3
Site 2A - stabilization
Permanent
Rip Rap Fill
Unnamed Trib.
Perennial
Both
SAverage
14
(feet)
�rfeet)

S4
Site 2B - culvert install
Tem orar
P Y
Dewatering
9
Unnamed Trib.
Perennial
Both
8
15
dewatering
Average (feet)
(linearfeet)
SS
Site 4A - Stream Excavation
Permanent
Excavation
Dee Creek
P
Perennial
Both
30
51
and Rip Rap
Average (feet)
(linearfeet)
S6
Site 4A - culvert install
Temporary
Devatering
Deep Creek
Perennial
Both
30
14
dewatering
Average (feet)
(li �rfeet)
S7
Site 4B - Stream Excavation
Permanent
Excavation
Dee Creek
P
Perennial
Both
30
48
and Rip Rap
Average (feet)
(lirrfeet)
��F
e 4B - culvert install
Temporary
Dewatering
Deep Creek
Perennial
Bothwatering
Average (fee)
(lines feet)
S9
Site 5A - Stream Excavation
Permanent
Excavation
Mills Creek
Perennial
Both
20
44
and Rip Rap
Average (feet)
(linearfeet)
�01
Site 5A - culvert install
Temporary
Dewatering
Mills Creek
Perennial
Both
20
15
dewatering
Average (fee)
(lines feet)
S11
Site 5B - Stream Excavation
Permanent
Excavation
Mills Creek
Perennial
Both
20
51
and Rip Rap
Average (feet)
(lirearfeet)
Sf2
Site 5B - culvert install
Temporary
Dewatering
Mills Creek
Perennial
Both
20
9
dewatering
Average (feet)
(lirfeet)
31. Total jurisdictional ditch impact in square feet:
0
31. Total permanent stream impacts: 31. Total temporary stream impacts:
208 150
31. Total stream and ditch impacts:
358
3j. Comments:
See attached permit drawings and impact table. Extensive rip rap stabilization required by hydraulic design.
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:
Proposed fill slopes in wetlands have been set at 3:1 or less, to reduce the impact foot print. Waterline relocations will be bored from high ground to
high ground. The overall project widening has been established at the minimum distance to provide for the projects safety improvements. The
alignment of the road will remain as it currently is, reducing any new impact to adjacent properties. Road will be closed during Site 4 and 5 culvert
replacements. An offsite detour will be utilized, eliminating the need for temp. fills for an onsite detour.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
The project will follow NCDOT guidelines and BMP's for culvert installation and we will implement an erosion control plan, prior to any land disturbing
activities.
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 W Corps
2d. If yes, which mitigation option(s) will be used for this project?
f 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)
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:
4e. Riparian wetland mitigation requested:
(acres)
0.20
4g. Coastal (tidal) wetland mitigation requested:
(acres)
4h. Comments

Request letter will be sent to DMS. Their response will be submitted when received.
F. Stormwater Management and Diffuse Flow Plan (required by DWR)
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
If no, explain why:
Located in the Pasquotank River Basin
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:
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:
This project fits under the minimum criteria checklist or Categorical Exclusion for NCDOT projects.
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.
This project is widening an existing roadway from 18' to 22' and will not result in access to new lands or create
potential development interest along the project area.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
r Yes r Nor WA
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?
C 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?
NC Natural Heritage Data Explorer Website
Consultation Documentation Upload

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?*
National Marine Fisheries Database
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?*
NCDOT Cultural Resources Unit
7c. Historic or Prehistoric Information Upload
16-02-0093NOSurveyUpdate.pdf 1.69MB
AR16-02-0093NoSurveyUpdate.pdf 3.05MB
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:
Project has been designed and reviewed by a professional engineer service, including hydraulic engineers, wtfiich
review for floodplain impacts.
8c. What source(s) did you use to make the floodplain determination?*
NCFloodmaps.00m, Zone AE at Deep Creek and Mills Creek
Miscellaneous
Comments
DCM did not claim jurisdiction on any site in the project area. (email attached)
NCWRC recommendsthe February 15 to June 30 moratorium for in water work at these locations. (email attached)
Miscellaneous attachments not previously requested.
DCM JD Updated.pdf
NCWRC In -Water Work Moratorium Email.pdf
201.7KB
240.69KB
Signature v
W 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:
Paul Collins Williams, Jr.
Signature
C�ar(aw r�.dl� tee, rT.
Date
1 /22/2020