20200207 Ver 1_PCN Form Submission_20200210

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
20200207
Is a payment required for this project?*
r No payment required
r Fee received
r Fee needed - send electronic notification
Select Project Reviewer*
Donna Hood:eads\drhood
Information for Initial Review
1a. Name of project:
NC DOT TIP# 11-5907 Potts -Sloan Extension
1a. Who is the Primary Contact?*
Larry Thompson
1b. Primary Contact Email:*
[e-mail]
Date Submitted
2/10/2020
Nearest Body of Water
Lake Norman
Basin
Catawba
Water Classification
WS-N
Site Coordinates
Latitude:
35.502426
A. Processing Information
County (or Counties) where the project is located:
Mecklenburg
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:
NC DOT TIP#115907
WBS # (?)
46452.1.1
1a. Type (a) of approval sought from the Corps:
Longitude:
-80.850772
Version#*
1
Reviewing Office*
Mooresville 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
U-5907 - Division 10 - STR - RW - CT 01.pdf
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 Yec r• Nn
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:
NCDOT (Linear Transporation Easement)
2b. Deed book and page no.:
2c. Responsible party:
NCDOT
2d.Address
Street Address
WA
Address Line 2
N/A
(Sty
State / Rovince / Region
WA
N/A
Postal / Zip Code
Country
N/A
N/A
2e. Telephone Number:
2f. Fax Number:
[phone]
67.77KB
r Yes r No
r Yes r No

2g. Email Address:*
[e-mail]
3. Applicant Information (if different from owner)
3a. Name:
Larry Thompson
3b. Business Name:
NCDOT - Division 10
3c.Address
Street Address
NCDOT Division Highway 10, 716 West Main Street
Address Line 2
City
Albemarle
Fbstal / Zip Code
28001
3d. Telephone Number:
[phone]
3f. Email Address:*
[e-mail]
State / Rovince / Fbgion
NC
Country
USA
3e. Fax Number:
C. Project Information and Prior Project History O
1. Project Information
1b. Subdivision name:
(d appropriate)
1c. Nearest municipality/ town:
Davidson
2. Project Identification
2a. Property Identification Number:
N/A
2c. Project Address
Street Address
Address tine 2
City
Postal / Zip Code
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
Lake Norman
3b. Water Resources Classification of nearest receiving water:*
WS-N
3c. What river basin(s) is your project located in?*
Catawba
3d. Please provide the 12-digit HUC in which the project is located.
03050101
4. Project Description and History
2b. Property size:
44.4
State / Province / Region
Country
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 is located from Potts Street to Beaty Street in the Town of Davidson in Mecklenburg County. Land use within the project area consists of single-family residences and
commercial/retail properties. The property is bound to the west by Lake Norman and Main Street to the east. The project vicinity is comprised of high -density residential areas and
commercial/retail land.
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
4c. If yes, please give the DWR Certification number or the Corps Action ID (exp. SAW-0000-00000).
SAW-2015-01444

Project History Upload
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)
03b_U5907_Fig2_USGS Topo Map.pdf 1.12MB
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)
03d_U5907_Fig4_NRCS Map.pdf 1.41MB
4f. List the total estimated acreage of all existing wetlands on the property:
0.03
4g. List the total estimated linear feet of all existing streams on the property:
675
4h. Explain the purpose of the proposed project:*
The purpose of the project is to provide a contiguous north/south connector to improve roadway network connectivity, create a safer route for local commuters, relieve traffic congestion
on N.C. 115 through the Town of Davidson, and provide for the continuous flow of traffic along Sloan and Griffith Streets.
41. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
The project proposes to extend Potts Street north to connect with Sloan Street and construct a roundabout at the intersection of Sloan Street and Griffith Street. Equipment typical of
roadway construction would be used, including cranes, track hoes, back hoes, graders, dump trucks, bulldozers, and pavers.
4j. Please upload project drawings for the proposed project.
07a_U-5907 Permit Drawings (2019-12-20).pdf 1.85MB
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
r Yes r No Q 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:
SAW-2015-01444
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known): Chris Tinklenberg, PWS
Agency/Consultant Company: Kimley-Horn
Other:
5d. List the dates of the Corp jurisdiction determination or State determination if a determination was made bythe Corps or DWR
Date of JD determination is August 11, 2015
SM. Jurisdictional determination upload
04a_Potts-Sloan PJD_SAW-2015-01444.pdf 1.71 MB
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 F Buffers
r Open Waters r Pond Construction
2. Wetland Impacts
!a. Site #* (?) 2a1 Reason (?) 2b. Impact type * (?) �2�e of W. 2d. W. name * 2e. Forested * 2f. Type of 2g. Impact
Jurisdicition*(?) area*
_11
iite 1 (WA) Fill P Headwater Forest �WA Yes Corps 0.030
(acres)

2g. Total Temporary Wetland Impact
0.000
2g. Total Wetland Impact
0.030
2g. Total Permanent Wetland Impact
0.030
2h. Comments:
Unavoidable impacts to wetlands will result from the proposed extension of Potts Street to Sloan Street.
3. Stream Impacts
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
❑
(?) 11
Jurisdiction*
length*
S1
Site 1(SA)
Permanent
Stabilization
SA UT to Lake Norman
Intermittent
Corps
3Average
1(li
(fee)
x�rfeet)
$2
Site 1 (SA)
Temporary
Dewatering
SA UT to Lake Norman
Intermittent
Corps
Aver�ge(feet)
(lir�rfeet)
S3
Site 1 (SA)
Permanent
—]
Culvert
SA UT to Lake Norman
Intermittent
Corps
3Average
19
(fee)
�r feet)
Site 2 (SA)
Permanent
Other
SA UT to Lake Norman
Intermittent
Corps
3Average
15nea
(feet)
feet)
S5
Site 2 (SA)
Temporary
Dewatering
SA UT to Lake Norman
Intermittent
Corps
3
10
Average (feet)
(linearfeel)
S6
Site 3 SB
( )
Permanent
Other
SB UT to Lake Norman
Perennial
Corps
P
6
10
Average (feet)
(linearfeet)
g7
Site 3 (SB)
Temporary
Dewatering
SB UT to Lake Norman
Perennial
Corps
6
5
Average (feet)
(lirx�rfeel)
S8
Site 4 SB
( )
Permanent
Culvert
SB UT to Lake Norman
Perennial
Corps
P
6
3
Average (feet)
(linearfeet)
S9
Site 4 (SB)
Temporary
Dewatering
SB UT to Lake Norman
Perennial
Corps
6
10
Average (feet)
(linearfeet)
31. Total jurisdictional ditch impact in square feet:
31. Total permanent stream impacts:
231
31. Total stream and ditch impacts:
263
3i. Total temporary stream impacts:
32
3j. Comments:
Unavoidable impacts to jurisdictional streams will result from the proposed extension of Potts Street and the
construction of the roundabout at the intersection of Sloan Street and Griffith Street. Impacts to streams will result from embankment protection, outlet
protection, and fill due to the installation of RCP.
E. Impact Justification and Mitigation 61
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
Impacts to streams and wetlands within the project area have been avoided and minimized to the maximum extent practical through design. Multiple
alternatives were analyzed at the extension location; however, there is no alternative which results in avoidance of SA and WA due to the location of
the features on the landscape and the proposed roadway alignment necessary to meet the project purpose. The roundabout was specifically aligned
to avoid impacts to SB; however, minor impacts are necessary to improve the existing drainage network.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Impacts to streams and wetlands within the corridor will be avoided and minimized to the eMent practical throughout the construction process. To avoid
unnecessary impacts to streams within the project area, staging, storage, and construction access will occur in upland areas where feasible. Silt
fencing will be installed along the construction limits to ensure all equipment and work stays within the permitted boundaries. Stormwater and erosion
control measures will be utilized to avoid sedimentation impacts to downstream waters and control runoff from the construction site.
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
f No
2c. If yes, mitigation is required by (check all that apply):
f DWR W 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)
220
4d. Buffer mitigation requested (DWR only):
(square feet)
4f. Non -riparian wetland mitigation requested:
(acres)
0.03
4h. Comments
4c. If using stream mitigation, what is the stream temperature:
warm
4e. Riparian wetland mitigation requested:
(acres)
4g. Coastal (tidal) wetland mitigation requested:
(acres)
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:
This project does not include or is not adjacent to protected riparian buffers identified within one of the 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:
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
1c. If you answered "yes" to the above, has the document review been finalized bythe State Clearing House?*
r Yes r No
NEPAor SEPA Final Approval Letter
06a_LL5907 Approved MCDC.pdf
2. Violations (DWR Requirement)
11.45MB
2a. Is the site in violation of DWR Water Quality Certification Rules (15ANCAC 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.
The project is designed to provide connectivity and to create a safer north/south route for local commuters. No additional or cumulative impacts are
anticipated due to the construction of the proposed project.

4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR forth is 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?
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
5h. Does this project involve the construction/installation of a wind turbine(s)?*
r Yes r No
r Unknown
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?
The USFWS lists five federally protected species for Mecklenburg County: Northern long-eared bat (NLEB), Rustypatched bumble bee, Carolina
heelsplitter, Michau)ts sumac, SchweinitZs sunflower, and Smooth coneflower.
No effect was determined for Carolina heelsplitter, Michau)(s sumac, SchweinitZs sunflower, and Smooth coneflower.
The proposed project determined "May Affect, Not Likely to Adversely Affect" the NLEB. USFWS does not require survey for the Rusty -patched
bumble bee and therefore no biological conclusion is determined.
Consultation Documentation Upload
U-5907 FINAL NRTR 3-20-17.pdf 4.79MB
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?*
The NOAA Essential Fish Habitat Mapper was reviewed on January 8, 2020. No essential fish habitat was found within the project area or within the
vicinity of the project.
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?*
The North Carolina State Historic Preservation Office HPOWEB GIS Service (Accessed January 9, 2020) shows that the proposed project intersects
with the Davidson Historic District which is listed in the National Register of Historic Places (NRHP). On July 2, 2018, NCDOT and the State Historic
Preservation Officer (SHPO) determined that the proposed extension of Potts Street through the Davidson Historic District would have a "Conditional
No Adverse Effect." NCDOT and SHPO also determined that the proposed roundabout at the intersection of Sloan Street and Griffith Street would
have an "Adverse Effect" on a structure to the Davidson Historic District. NCDOT is coordinating with SHPO and consulting parties to complete a
Memorandum of Agreement (MOA).
Roosevelt Wilson Park, a Section 4(f) resource is located along the proposed multi -use trail connection of the project. In July 2018, the Town of
Davidson determined the proposed project will not adversely affect the activities, features, or attributes that qualify the property for protection under
Section 4(f).
Additionally, Roosevelt Wilson Park is protected under LWCF/Section 6(f) and PARTF regulations. Initially, the proposed design of the project had
potential impacts on the Park. In December 2019, NCDOT revised the proposed designs of the project to avoid a permanent conversion of any
Section 6(f) or PARTF protected property. NC Parks and Recreation concurred with the revised project design which will avoid the conversion of
temporary non -conforming use of the park property.
7c. Historic or Prehistoric Information Upload
17-04-0005a_EffectsSigned.pdf 1.16MB
17-04-0005b_EffectsSigned.pdf 1.16MB
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-yearfloodplain?*
r Yes r No

8c. What source(s) did you use to make the floodplain determination?*
FEMA Digital Flood Insurance Rate Map (DFIRM) Panel 3710464400K (effective March 2, 2009).
Miscellaneous
Comments
A full pdf version of the PCN is attached for your reference. Please let me know if you have any questions or need any additional information.
Thank you
Larry
Miscellaneous attachments not previously requested.
_U5907_Potts-Sloan_PCN_Compiled_20200206. pdf
Signature
® By checking the box and signing below, I certify that:
23.03MB
• 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:
Larry Thompson
Signature
Date
2/10/2020
u