20200323 Ver 1_PCN Form Submission_20200303

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
20200323
Is a payment required for this project?*
r No payment required
r Fee received
r Fee needed - send electronic notification
Select Project Reviewer*
Rob Ridings:eads\rgridings
Information for Initial Review
1a. Name of project:
U-5794-Widening of Bloomery and Packhouse Roads
1a. Who is the Primary Contact?*
Chad Coggins
1b. Primary Contact Email:*
[e-mail]
Date Submitted
3/3/2020
Nearest Body of Water
Bloomery Swamp and Toisnot Swamp
Basin
Neuse
Water Classification
NSW and WS-III and N
Site Coordinates
Latitude: Longitude:
35.78160-77.97366
A. Processing Information
County (or Counties) where the project is located:
Wilson
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:
U-5794
WBS#M
44365.1.1
1a. Type (a) of approval sought from the Corps:
Version#*
1
Reviewing Office*
Central Office - [phone]
1c. Primary Contact Phone:*
[phone]
V

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
P 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?
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:
State of NC
2b. Deed book and page no.:
2c. Responsible party:
2d.Address
Street Address
PO Box3165
Address Line 2
city
Wilson
Fbstal / Zip Code
27895
2e. Telephone Number:
[phone]
2g. Email Address:*
State / Rovince / Region
NC
Country
USA
2f. Fax Number:
r Yes r No
r Yes r No

[e-mail]
3. Applicant Information (if different from owner)
3a. Name:
Chad Coggins
3b. Business Name:
NCDOT
3c.Address
Street Address
PO Box3165
Address Line 2
city
Wilson
Postal / Zip Code
27895
3d. Telephone Number:
[phone]
3f. Email Address:*
[e-mail]
State / Rovince / Region
NC
Country
USA
3e. Fax Number:
C. Project Information and Prior Project History O
[Project Information
1b. Subdivision name:
(d appropriate)
1c. Nearest municipality/ town:
Wilson
2. Project Identification
2a. Property Identification Number:
2c. Project Address
Street Address
Address Line 2
city
Postal / Zip Code
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
Bloomery Swamp and Toisnot Swamp
3b. Water Resources Classification of nearest receiving water:*
NSW and WS-III and N
3c. What river basin(s) is your project located in?*
Neuse
3d. Please provide the 12-digit HUC in which the project is located.
030202030402 and 030202030303
4. Project Description and History
2b. Property size:
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:*
Primarily rural with agriculture and silviculture are the primary land uses.
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)
U-5794 Topo.pdf 1.01 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)
soils.pdf 421.54KB

4f. List the total estimated acreage of all existing wetlands on the property:
0.10
4g. List the total estimated linear feet of all existing streams on the property:
200
4h. Explain the purpose of the proposed project:*
The primary purpose of the project is to improve mobility on both Bloomery Road and Packhouse Road and increase storage capacity and walkability along Packhouse Road.
Secondary purposes include improving motorist nobility and safety with the addition of a traffic roundabout, turning lanes and an improved shoulder. Other benefits include improving
pedestrian and bicycle safety through the installation of sidewalks on Packhouse Road and 5' wide paved shoulders for bicycles on both roads.
41. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
The project proposes to extend the three -lane portion of Packhouse Road west from New Hope Elementary School to Crepe Myrtle Road. At the intersection of Packhouse Road and
Bloomery Road a roundabout would be constructed with a separate slip lane for turns from westbound Packhouse Road onto northbound Bloomery Road. On the north side of
Packhouse Road a 5' wide sidewalk would be built from N.C. 58 and the Community Christian School. Curb -and -gutter that currently ends at New Hope Elementary School would also be
extended to Community Christian School. On the south side of Packhouse Road a sidewalk would be constructed from N.C. 58 to Jamestown Drive. The remainder of Packhouse and
Bloomery Roads in the project corridor would receive a 5' wide paved shoulder and improvements to the open ditches on either side of the roadway. The project will also involve the
replacement of two culverts, both on Packhouse Road.
4j. Please upload project drawings for the proposed project.
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
r Yes r No O 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): Chad Coggins
Agency/Consultant Company: NCDOT
Other:
5d1. Jurisdictional determination upload
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 rJ Buffers
r Open Waters r Pond Construction
2. Wetland Impacts
2a1 Reason (?)
2b. Impact type * M
2c. Type of W.*
2d. W. name *
2e. Forested *
2f. Type of
Jurisdicition*(?)
2g. Impact
area*
Site 1-2
Mechanized Clearing
P
fferine Swamp Forest
WA/WB
Yes
Both
0.040
(acres)
Site 1-2
Hand Clearing
T
fferine Swamp Forest
WA/WB
Yes
Both
0.060
(acres)
Site 6
Fill
P
fferine Swamp Forest
�WC
Yes
Both
0.010
(acres)
Site 6
Excavation
P
Riverine Swamp Forest
�WC
Yes
Both
0.010
(acres)

2g. Total Temporary Wetland Impact
0.060
2g. Total Wetland Impact
0.120
2h. Comments:
3. Stream Impacts
2g. Total Permanent Wetland Impact
0.060
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
F
(?)
Jurisdiction*
length*
S1
Site 3
Permanent
Culvert
SA\L1T to BloomerySwam
p
Perennial
Both
12
15
Average (feet)
(linearfeet)
S2
Site 3
Permanent
Bank Stabilization J
SA\Ur to BloomerySwam
P
Perennial
Both
12
62
Average (feet)
(linearfeet)
S3
Site 3
Temporary
Dewatering
SA\Ur to Bloomery Swamp
Perennial
Both
12
49
Average (feet)
(linearfcet)
�
Site 4
Permanent
Culvert
SCUT to Toisnot Swam P
Intermittent
Both
5
28
Average (feet)
(lir�rfeet)
S5
Site 4
Permanent
Bank Stabilization JCUT
to Toisnot Swam P
Intermittent
Both
5
47
Average (feet)
(linearfeet)
S6
Site 4
Temporary
Dewatering
SC\Lrr to Toisnot Swamp
Intermittent
Both
5
19
Average (feet)
(lir�rfeet)
S7
Site 5
Permanent
Culvert :TD\UT
to Toisnot Swamp
Intermittent
Both
5
39
Average (feet)
(linearfeet)
SS
Site 5
Permanent
Bank Stabilization
SD\Lrr to Toisnot Swam P
Intermittent
Both
5
61
Average (feet)
(lir�rfeet)
S9
Site 5
Temporary
Dewatering
SD\Lrr to Toisnot Swamp
Intermittent
Both
5
45
Average (feet)
(linearfeet)
3i. Total jurisdictional ditch impact in square feet:
0
3i. Total permanent stream impacts:
31. Total temporary stream impacts:
252
113
3i. Total stream and ditch impacts:
365
3j. Comments:
Total Fill = 82'
Total Stablization = 170'
Temp Dewatering = 113'
6. Buffer Impacts (for DWR)
6a. Project is in which protect basin(s)?
Check all that apply.
V Neuse
r Tar -Pamlico
r Catawba
r Randleman
r Goose Creek
r Jordan Lake
r Other
6b. Impact Type 6c. Per or Temp 6d. Stream name 6e. Buffer mitigation required? 6f. Zone 1 impact 6g. Zone 2 impact
Site 3
P
LIT to Bloomery Swamp
No
8,105
3,300
Site 4
P
LfT to Toisnot Swamp
No
7,652
4,570
Site 5
P
LIT to Toisnot Swamp
No
9,160
5,334
6h. Total buffer impacts:
Zone 1
Total Temporary impacts: 0.00
Zone 2
0.00
Zone 1 Zone 2

Total Permanent impacts: 24,917.00 13,204.00
Zone 1 Zone 2
Total combined buffer impacts: 24,917.00 13,204.00
61. Comments:
Supporting Documentation
t15794_Permit_Dravdngs_100319.pdf 7.25MB
U-5794_Permit_Drawings_BUFFER _100319.pdf 3.6MB
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:
This project consists of minor Widening improvements and minimal impacts.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
All construction equipment Will be staged and operated from upland areas. DOT vdll also install silt fencing to protect the streams and Wetlands
adjacent to the project. Safety fencing Wit be used to delineate jurisdictional and environmentally sensitive areas.
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:
under thresholds
LFStormwater 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
What type of SCM are you providing?
r Level Spreader
W Vegetated Conveyance (lower SHWT)
r Wetland Swale (higher SMNT)
r Other SCM that removes minimum 30 % nitrogen
F Proposed project will not create concentrated stormwater flow through the buffer
Diffuse Flow Documentation
U-5794_SMP_20191003.pdf 309.25KB
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
1a. 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:
MCDC available upon request
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 21-1.1300), or DWR Surface Water or Wetland Standards or
Riparian Buffer Rules (15A NCAC 2B .0200)? *
r Yes IT 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 not designed to increase traffic capacity. It is only addressing mobility and pedestrian needs therefore it should not induce additional
development.
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 IT No
5b. Have you checked with the USFWS concerning Endangered Species Act impacts?*
r Yes IT No
5d. Is another Federal agency involved?*
r Yes IT 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?
An PAC species list from Feb 5th lists 6 species potentially occurring within this project. For the five aquatic species on this list, a MA-NLAA conclusion
can be reached because this project consists of culvert replacements that are greater than .25 miles from an identified stream reach. For Red
Cockaded Woodpecker (RCW), they are listed as "Historic" for Wilson County and therefore detail surveys are not required for this species due to its
historic status within Wilson County. However during field surveys marginal foraging habitat was identified in the study area, but no nesting habitat was
indentified in the project area or within a mile of the project study area. Also, NHP records review indicates no documented nest sites within 1 mile of
the study project study area.
Programmatic BO of MA/LTAA for NLEB
Consultation Documentation Upload
USFWS species list.pdf 215.65KB
project_report _u_5794_0_23231_23231.pdf 852.76KB
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?*
EFH mapper
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?*
HEU clearance
7c. Historic or Prehistoric Information Upload
U-5794 Wilson No NRHP Archaeological Sites Present Form.pdf 9.91 MB
WilsonU-5794NHPA.pdf 4.99MB
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:
MOA approved
8c. What source(s) did you use to make the floodplain determination?*

NC FRIS
Miscellaneous
Comments
Miscellaneous attachments not previously requested.
Signature
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:
Chad Coggins
Signature
Date
3/3/2020
u