20200824 Ver 1_401 Application_20200625

Pre-Construction Notification (PCN) Form
For Nationwide Permits and Regional General Permits
(along with corresponding Water Quality Certifications)
April 11, 2020 Ver 3.1
1a. Name of proje ct:
1a. Who is the Primary Contact?
1b. Primary Contact Email:1c. Primary Contact Phone :
Site Coordinates
Latitude :Longitude :
County (or Countie s) where the proje ct is locate d:
Ne are st Body of Wate r
Is this a NCDM S Proje ct *
Is this project a public transportation project?
1a. Type (s) of approv al sought from the Corps:
1b. What type (s) of pe rmit(s) do you wish to se e k authorization?
1c. Has the NWP or GP numbe r be e n v e rifie d by the Corps?
Nationwide Pe rmit (NWP) Numbe r:
NWP Numbe rs (for multiple NWPS):
1d. Type (s) of approv al sought from the DWR:
1e . Is this notification sole ly for the re cord be cause writte n approv al is not re quire d?
For the re cord only for DWR 401 Ce rtification:
For the re cord only for Corps Pe rmit:
1f. Is this an afte r-the -fact pe rmit application?
1g. Is payme nt into a mitigation bank or in-lie u fe e program propose d for mitigation of impacts?
Fayetteville DOT Outer Loop
Dave Vena
[e-mail] [phone]
34.999423 -79.033660
A. Processing Information
Cumberland
Yes No
Yes No
Section 404 Permit (wetlands, streams and waters, Clean Water Act)
Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)
Nationwide Permit (NWP)
Regional General Permit (RGP)
Standard (IP)
Yes No
18 - Minor Discharges
401 Water Quality Certification - Regular 401 Water Quality Certification - Express
Non-404 Jurisdictional General Permit Riparian Buffer Authorization
Individual Permit
Yes No
Yes No
Yes No
Acce ptance Le tte r Attachme nt
1h. Is the proje ct locate d in any of NC's twe nty coastal countie s?
1j. Is the proje ct locate d in a de signate d trout wate rshe d?
1d. Who is applying for the pe rmit?
1e . Is the re an Age nt/Consultant for this proje ct?*
2. Owner Information
4. Agent/Consultant (if applicable)
Yes No
Yes No
Yes No
B. Applicant Information
Owner Applicant (other than
owner)
Yes No
2a. Name (s) on re corde d de e d:
2b. De e d book and page no.:
2c. Re sponsible party:
2d. Addre ss
2e . Te le phone Numbe r:2f. Fax Numbe r:
2g. Email Addre ss:*
Piedmont Natural Gas (easement)
Dave Vena
City
Charlotte
State / Province / Region
North Carolina
Postal / Zip Code
28210
Country
USA
Street Address
4720 Piedmont Row Drive
Address Line 2
[phone]
[e-mail]
4a. Name :
4b. Business Name :
4c. Addre ss
4d. Te le phone Numbe r:4e . Fax Numbe r:
4f. Email Addre ss:*
Age nt Authorization Le tter *
Sara Kent
Burns & McDonnell
City
Alpharetta
State / Province / Region
Georgia
Postal / Zip Code
30022
Country
USA
Street Address
3650 Mansell Road
Address Line 2
Suite 300
[phone]
[e-mail]
Agent Auth Form Fay DOT.pdf 256.56KB
C. Project I nformation and Prior Project History
1. Project Information
1b. Subdivision name :
1c. Ne are st municipality / town:
2a. Prope rty Identification Numbe r:2b. Prope rty size :
2c. Proje ct Addre ss
3. Surface Waters
3a. Name of the ne are st body of wate r to propose d proje ct:
3b. Wate r Re source s Classification of ne are st re ce iv ing wate r:*
3d. Ple ase prov ide the 12-digit HUC in which the proje ct is locate d.
3c. What riv e r basin(s) is your proje ct locate d in?*
4. Project Description and History
4a. De scribe the e xisting conditions on the site and the ge ne ral land use in the v icinity of the proje ct at the time of this application:*
4b. Hav e Corps pe rmits or DWR ce rtifications be e n obtained for this project (including all prior phase s) in the past?*
4d. Attach an 8 1/2 X 11 e xce rpt from the most re ce nt v e rsion of the USGS topographic map indicating the location of the proje ct site . (for DWR)
4e . Attach an 8 1/2 X 11 e xce rpt from the most re ce nt v e rsion of the publishe d County NRCS Soil Surv e y map de picting the proje ct site . (for DWR)
4f. List the total e stimate d acre age of all e xisting we tlands on the prope rty:
4g. List the total e stimate d line ar fe e t of all e xisting stre ams on the prope rty:
4h. Explain the purpose of the propose d proje ct:*
4i. De scribe the ov e rall proje ct in de tail, including indirect impacts and the type of e quipme nt to be use d:*
4j. Ple ase upload proje ct drawings for the propose d proje ct.
5. Jurisdictional Determinations
(if appropriate)
Fayetteville, NC
2. Project Identification
See attached parcel map
City
Fayetteville
State / Province / Region
North Carolina
Postal / Zip Code
28306
Country
USA
Street Address
Winterwood Drive and Grimes Road
Address Line 2
Unnamed Tributary at Lakewood Lake (Lakewood Lake)
B
030300040610
Cape Fear
The proposed project site is located in a suburban residential area, and the southern end of the project terminates in a developed residential neighborhood. There is an existing gas
line and maintained easement in the project location.
Yes No Unknown
Grimes_Topo.pdf 142.99KB
Grimes_Soil.pdf 354.11KB
0.197 acres (total delineated area)
124 feet (total delineated length)
Piedmont Natural Gas is proposing to relocate approximately 250 feet of a 12-inch steel natural gas distribution line parallel to Grimes Road (Line 5 at Grimes Road site). The new
pipeline is proposed to be installed immediately adjacent to the existing pipeline and approximately 4 feet deeper than the existing pipe. The existing pipe is to be abandoned in place.
The purpose of the project will be to accommodate a new highway proposed in the area by NCDOT while to continuing to provide reliable service to existing and future customers in the
greater Fayetteville Area.
The Fayetteville Outer Loop DOT Relocation Project includes the moving and replacing of approximately 0.4 miles of 12-inch diameter steel natural gas pipeline at four separate
locations to accommodate a proposed NCDOT highway. The project will also include the construction of a new interconnect station. The Line 5 at Grimes Road site includes the
relocation of approximately 250 feet of pipeline within potentially jurisdictional waters of the U.S. (WOTUS), including an intermittent stream and palustrine emergent wetland (PEM)
wetland. The three other sites and the interconnect site do not impact WOTUS.
The pipeline at the Line 5 at Grime Road site will be installed using conventional open cut construction. The pipeline will be constructed within a 75-foot easement with 25 feet of
temporary construction workspace. A 50-foot permanent easement will be maintained for the new relocated pipeline and abandoned pipeline. Construction will involve the use of
common heavy construction equipment (e.g. excavators, dozers, scrapers, side booms) and will be in compliance with all necessary permits and regulatory conditions.
Construction and operation of the Project will result in the temporary impacts to one approximately 0.132 of low quality PEM wetland and approximately 75 linear feet of an intermittent
stream. Upon completion of construction, the site will be returned to pre-construction conditions.
Fayetteville DOT Grimes Road Plans.pdf 20.74MB
5a. Hav e the we tlands or streams be e n de line ate d on the prope rty or propose d impact are as?*
Comme nts:
5b. If the Corps made a jurisdictional de te rmination, what type of de te rmination was made ?*
Corps AID Numbe r:
5c. If 5a is ye s, who de line ate d the jurisdictional are as?
Name (if known):
Age ncy/Consultant Company:
Othe r:
5d1. Jurisdictional de te rmination upload
6. Future Project Plans
6a. Is this a phase d proje ct?*
Are any othe r NWP(s), re gional ge ne ral pe rmit(s), or indiv idual pe rmits(s) use d, or intende d to be use d, to authorize any part of the propose d project or re lated activ ity?
1. Impacts Summary
1a. Whe re are the impacts associate d with your proje ct? (che ck all that apply):
2. Wetland Impacts
2a. Site #*(?)2a1 Reason *(?)2b. Impact type *(?)2c. Type of W.*2d. W. name *2e . Fore ste d *2f. Type of
Jurisdicition *(?)
2g. Impact
are a *
2g. Total Te mporary We tland Impact 2g. Total Pe rmane nt We tland Impact
2g. Total We tland Impact
2h. Comme nts:
3. Stream Impacts
3a. Reason for impact *(?)3b.Impact type *3c. Type of impact *3d. S. name *3e . Stre am Type *
(?)
3f. Type of
Jurisdiction *
3g. S. width *3h. Impact
le ngth *
S1
3i. Total jurisdictional ditch impact in square fe e t:
3i. Total pe rmane nt stre am impacts:3i. Total te mporary stre am impacts:
3i. Total stre am and ditch impacts:
3j. Comme nts:
Yes No Unknown
Wetland delineations were conducted in March 2019
Preliminary Approved Not Verified Unknown N/A
Maser Consulting P.A.
Fayetteville DOT Outer Loop PJD_06222020.pdf 13.12MB
Yes No
D. Proposed Impacts Inventory
Wetlands Streams-tributaries Buffers
Open Waters Pond Construction
Pipeline
Corridor
Open cut construction T Small-Basin Wetland Wetland WA No Both 0.132
(acres)
0.132 0.000
0.132
Map attached showing delineated feature
Pipeline Construction Temporary Excavation Stream SA Intermittent Both 5
Average (feet)
75
(linear feet)
0
0 75
75
1. Avoidance and Minimization
1a. Spe cifically de scribe me asure s take n to av oid or minimize the propose d impacts in de signing the proje ct:
1b. Spe cifically de scribe me asure s take n to av oid or minimize the propose d impacts through construction te chnique s:
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Doe s the proje ct re quire Compe nsatory M itigation for impacts to Wate rs of the U.S. or Wate rs of the State ?
2b. If this proje ct DOES NOT re quire Compe nsatory M itigation, e xplain why:
1. Diffuse Flow Plan
1a. Doe s the proje ct include or is it adjace nt to prote cte d riparian buffers ide ntifie d within one of the NC Riparian Buffe r Prote ction Rule s?
If no, e xplain why:
2. Stormw ater Management Plan
2a. Is this a NCDOT proje ct subje ct to compliance with NCDOT’s Indiv idual NPDES pe rmit NCS000250?*
2b. Doe s this proje ct me e t the re quire me nts for low de nsity proje cts as de fine d in 15A NCAC 02H .1003(2)?
2c. Doe s this proje ct hav e a stormwate r manage me nt plan (SM P) re v ie we d and approv e d unde r a state stormwate r program or state-approv e d local gov e rnme nt stormwate r
program?
2d. Which of the following stormwate r manage me nt program(s) apply:
State Stormwate r Programs
Comme nts:
1. Environmental Documentation
1a. Doe s the proje ct inv olv e an e xpe nditure of public (fe de ral/state /local) funds or the use of public (fe de ral/state ) land?*
2. Violations (DWR Requirement)
2a. Is the site in v iolation of DWR Wate r Quality Ce rtification Rule s (15A NCAC 2H .0500), Isolate d We tland Rule s (15A NCAC 2H .1300), or DWR Surface Wate r or We tland Standards or
Riparian Buffe r Rule s (15A NCAC 2B .0200)?*
3. Cumulative Impacts (DWR Requirement)
3a. Will this proje ct re sult in additional de v e lopme nt, which could impact ne arby downstre am wate r quality?*
Map attached showing delineated feature
E. Impact Justification and Mitigation
Wetlands, streams, and forested areas were avoided to the greatest extent possible by siting the pipeline relocation within an existing, maintained
easement. The wetland and stream will be crossed at a perpendicularly to minimize impacts on surface waters.
Proper erosion and sediment control BMPs will be utilized during construction of the pipeline as illustrated on the enclosed plans and as permitted with
the NC DEQ (Project ID: CUMBE-2020-169).
Yes No
The proposed pipeline relocation would not result in a permanent loss of wetlands or stream channel and compensatory mitigation is not required.
F. Stormwater M anagement and Diffuse Flow Plan (required by DWR)
Yes No
There are no protected buffers, protected riparian zones, or protected watersheds within the Project area.
Yes No
Yes No
Yes No
N/A - project disturbs < 1 acre
Local Government State
Phase II Coastal Counties
HWQ or ORW Other
G. Supplementary Information
Yes No
Yes No
3b. If you answe re d “no,” prov ide a short narrativ e de scription.
4. Sewage Disposal (DWR Requirement)
4a. Is se wage disposal re quire d by DWR for this proje ct?*
5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this proje ct occur in or ne ar an are a with fe de rally prote cte d spe cie s or habitat?*
5b. Hav e you che cke d with the USFWS conce rning Endange re d Spe cie s Act impacts?*
5c. If ye s, indicate the USFWS Fie ld Office you hav e contacte d.
5d. Is anothe r Fe de ral age ncy inv olv e d?*
5e . Is this a DOT proje ct locate d within Div ision's 1-8?
5f. Will you cut any tre e s in orde r to conduct the work in wate rs of the U.S.?
5g. Doe s this proje ct inv olv e bridge mainte nance or re mov al?
5h. Doe s this proje ct inv olv e the construction/installation of a wind turbine (s)?*
5i. Doe s this proje ct inv olv e (1) blasting, and/or (2) othe r pe rcussiv e activitie s that will be conducte d by machine s, such as jackhamme rs, me chanize d pile driv e rs, e tc.?
5j. What data source s did you use to de te rmine whe the r your site would impact Endange re d Spe cie s or De signate d Critical Habitat?*
Consultation Docume ntation Upload
6. Essential Fish Habitat (Corps Requirement)
6a. Will this proje ct occur in or ne ar an are a de signate d as an Esse ntial Fish Habitat?*
6b. What data source s did you use to de te rmine whe the r your site would impact an Esse ntial Fish Habitat?*
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
7a. Will this proje ct occur in or ne ar an are a that the state , fe de ral or tribal gov e rnme nts hav e de signate d as hav ing historic or cultural pre se rv ation status?*
7b. What data source s did you use to de te rmine whe the r your site would impact historic or arche ological re source s?*
7c. Historic or Pre historic Information Upload
8. Flood Zone Designation (Corps Requirement)
8a. Will this proje ct occur in a FEM A-designate d 100-ye ar floodplain?*
8c. What source (s) did you use to make the floodplain de te rmination?*
Yes No
The project is a relocation of existing infrastructure, and should not directly result in any future development of any kind.
Yes No N/A
Yes No
Yes No
Raleigh
Yes No Unknown
Yes No
Yes No
Yes No
Yes No
Yes No
U.S. Fish and Wildlife Service: Information for Planning and Consultation
IPaC_Grimes.pdf 213.28KB
Yes No
NOAA Essential Fish Habitat Mapper
Yes No
Based on a review of HPOWeb, no previously recorded historic resources are located within or immediately adjacent to the Line 5 at Grimes Road
site. Additionally, a review of historic-age
topographic maps and aerials did not identify any historic-aged buildings within or adjacent to
the site.
Since the pipeline is being constructed within the existing easement, impacts to cultural resources are not anticipated.
Yes No
Comme nts
M isce llane ous attachme nts not pre v iously re que ste d.
*
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 :*
Signature *
Date
FEMA FIRM panels 3710948500K & 3710949500J
M iscellaneous
Parcel map for Line 5 at Grimes Road site attached.
Delineated wetland/waterbody map for Line 5 at Grimes Road site attached.
Grimes_Parcels.pdf 286.74KB
Grimes_Wetland.pdf 232.96KB
Signature
By checking the box and signing below, I certify that:
Sara Kent
6/22/2020