20200912 Ver 1_401 Application_20200713

DWR
mrlslon of Water Resources
Pre -Construction Notification (PCN) Form
April 11, 2020 Ver 3.1
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 * Version#*
20200912 1
Is a payment required for this project?*
r No payment required What amout is owed?*
r Fee received IT $240.00
r Fee needed - send electronic notification r $570.00
Reviewing Office *
Winston-Salem Regional Office - (336) 776- Select Project Reviewer*
9800 Sue Homewood:eads\slhomewood
Information for Initial Review
1a. Name of project:
Northern Beltway Culvert
1a. Who is the Primary Contact?*
Johanna Velasquez
1b. Primary Contact Email:*
[e-mail]
Date Submitted
7/13/2020
Nearest Body of Water
Tributary to Grassy Creek
Basin
Yadkin -Pee Dee
Water Classification
Class C
Site Coordinates
Latitude: Longitude:
36.199046 °-80.297005 °
A. Processing Information
County (or Counties) where the project is located:
Forsyth
Is this a NCDMS Project
r Yes IT No
Is this project a public transportation project?*
r Yes IT No
1a. Type(s) of approval sought from the Corps:
W Section 404 Permit (wetlands, streams and waters, Clean Water Act)
r Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)
1c. Primary Contact Phone:*
[phone]
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:
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
12 - Utility Lines
le. Is this notification solely for the record because written approval is not required?
For the record only for DWR 401 Certification:
For the record only for Corps Permit:
F- 401 Water Quality Certification - E)press
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?
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:
WA - Existing Utility Line Right-of-way through Parcel ID: 6819-63-9864.00
2b. Deed book and page no.:
Deed Book/Page 003508/02665
2c. Responsible party:
Duke Energy Carolinas POC: Kelly Hoyt
2d.Address
Street Address
526 South Church Street
Address tine 2
City
Charlotte
Postal / Zip Code
28202
2e. Telephone Number:
[phone]
2g. Email Address:*
Kelly. [e-mail]
State / Province / Ifgion
North Carolina
Country
U.S.
2f. Fax Number:
r- Yes r No
r Yes r No
3. Applicant Information (if different from owner)

3a. Name:
Kelly Hoyt
3b. Business Name:
Duke Energy Carolinas
3c.Address
Street Address
526 South Church Street
Address Line 2
(Sty
State / Province / F bgion
Charlotte
North Carolina
Postal / Zip Code
Country
28202
U.S.
3d. Telephone Number:
3e. Fax Number:
[phone]
3f. Email Address:*
[e-mail]
4. Agent/Consultant (if applicable)
4a. Name:
Johanna Velasquez
4b. Business Name:
HDR Engineering, Inc.
4c.Address
Street Address
440 S. Church Street, Suite 900
Address Une 2
City
State / Province / Region
Charlotte
North Carolina
Postal / Zip Code
Country
28202
U.S.
4d. Telephone Number:
4e. Fax Number:
[phone]
4f. Email Address:*
[e-mail]
Agent Authorization Letter*
02_Signed_Agent Authorization form_070120.pdf 289.39KB
C. Project Information and Prior Project History u
1. Project Information
1b. Subdivision name:
(d appropriate)
IWA
1c. Nearest municipality/ town:
Winston-Salem
2. Project Identification
2a. Property Identification Number:
6819-63-9864.00
2c. Project Address
Street Address
1103 Ziglar Road
Address Line 2
City
Winston-Salem
Postal / Zip OxIe
27105
3. Surface Waters
2b. Property size:
1.11
State / Province / Pegion
Forsyth, NC
oxr*y
U.S.
3a. Name of the nearest body of water to proposed project:*

Tributary to Grassy Creek
3b. Water Resources Classification of nearest receiving water:*
Class C
3c. What river basin(s) is your project located in?*
Yadkin-PeeDee
3d. Please provide the 12-digit HUC in which the project is located.
HUC-030401011301
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 Study Area consists of an approximately 1.11-acre site comprised of a maintained power line right-of-way with early successional woody, herbaceous, and vine species and a small
forested area. Land use in the vicinity of the proposed Project consists of residential, industrial, commercial, and undeveloped forested lands.
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)
03_Topographic.pdf
1.66 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)
Forsyth_Co_NRCS_map10.pdf 315.8KB
4f. List the total estimated acreage of all existing wetlands on the property:
No wetland areas were identified within the Study Area.
4g. List the total estimated linear feet of all existing streams on the property:
Approximately 184 linear feet of stream (Stream 1) have been identified within the Study Area.
4h. Explain the purpose of the proposed project:*
The Federal Energy Regulatory Commission (FERC) and the North Carolina Utilities Commission require that Duke Energy maintains access to all transmission structures; therefore, to
comply with this requirement, Duke Energy proposes to construct a new access road within the maintained overhead transmission line right-of-way, crossing a tributary to Grassy Creek
to access a tie-in structure located to the north of the Project for regular maintenance. Currently, access to Duke Energy's right-of-way is obtained through the City of Winston-Salem
Hanes Mill Road Solid Waste Facility (facility) located to the southeast of the Project; however, Duke Energy has recently received notification that the facility plans to eliminate the
gravel access road as part of an expansion project.
41. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
The proposed dual 84-inch and 60-inch corrugated metal pipe (CMP) culverts were sized to accommodate a 10-year 24-hour storm event without overtopping. Installation of the CMPs
and downstream rip rap dissipation pad will result in permanent impacts belowthe Ordinary High Water Mark of the tributary to Grassy Creek. A pump around will be implemented in
order to work in the dry and will result in temporary fill associated with impervious dikes and de -watering impacts. The culverts will be installed approximately 1 foot belowthe existing
stream bed at a slope that allows for passage of water and movement of aquatic life. Standard construction equipment will be used, such as excavators, backhoes, hauling trucks, etc.
4j. Please upload project drawings for the proposed project.
Northern Beltway Culvert Plan Set_ Pages_ for_PCN.pdf 8.9MB
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
r Yes
r No
Comments:
HDR conducted a field survey on May 16, 2019 to investigate the Study Area for potential impacts to
natural resources, including wetlands and jurisdictional waters of the U.S. regulated under Section
404 of the Clean Water Act (CWA). The survey was conducted according to the methodologies and
guidance described in the U.S. Army Corps of Engineers (USACE) 1987 Wetland Delineation
Manual, USACE Post-Rapanos guidance (USAGE 1987), the 2012 USACE Eastern Mountains and
Piedmont Regional Supplement (Version 2.0) (USACE 2012), and the North Carolina Division of
Water Quality (NCDWQ) Methodology for Identification of Intermittent and Perennial Streams and
Their Origins (see ttached Stream Form).
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): Johanna Velasquez, Anthony Nardo.
Agency/Consultant Company: HDR Engineering, Inc.
Other:
Sd1. Jurisdictional determination upload
06_WOUS.pdf 611.27KB
C Unknown

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 projector related activity?
No
D. Proposed Impacts Inventory
1. Impacts Summary
la. Where are the impacts associated with your project? (check all that apply):
r- Wetlands W Streams -tributaries
r Open Waters r Pond Construction
3. Stream Impacts
❑ Buffers
U
3a. Reason for impact (?)
3b.lmpact type *
3c. Type of impact* �3�name
*
3e. Stream Type *
3f. Type of
3g. S. width *
Impact
❑
(?)
Jurisdiction*
�31h.
length*
81
Impervious Dike &Pump
Temporary
Other
Unnamed Tributary to
Perennial
Both
11
52
Around
Grassy Creek (S1)
Average (feet)
(lir�zarfeet)
S2
Culvert
Permanent
Culvert
Unnamed Tributaryto
Perennial
Both
11
77
—]
Grassy Creek(S1)
Average (feet)
(lir�rfeet)
S3
Dissipation Pad
P
Permanent
Stabilization
Unnamed Tributary
rY to
Perennial
Both
11
20
Grassy Creek (S1)
Average (fee)
(lines feet)
3i. Total jurisdictional ditch impact in square feet
0
31. Total permanent stream impacts: 3i. Total temporary stream impacts:
97 52
31. Total stream and ditch impacts:
149
3j. Comments:
The proposed project proposes 97 linear feet of permanent impacts and 52 linear feet of temporary impacts.
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:
The culverts will be installed approwmately 1 foot below the eAsting stream bed at a slope that allows for passage of water and movement of aquatic
life. Stream bed material (i.e., cobbles/gravels) will be placed in the culvert to mimic natural instream conditions. Erosion and sediment control
measures will be implemented before and continue throughout the duration of the project.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
The project will be constructed in the dry and surrounding construction area will be stabilized via sediment and erosion control devices. Disturbed
stream banks will be sloped back, seeded with native vegetation, and matted with biodegradable erosion control material. A pump -around vdll be
installed to work in the dry. The water will be pumped through a sediment filter bag before returning to the stream.
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:
According to regional conditions (3.2), the proposed impacts do not exceed a loss of more than 150 linear feet of stream.
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:
The proposed Project Area is not located in a watershed that is subject to 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
2b. Does this project meet the requirements for low density projects as defined in 15A NCAC 02H .1003(2)?
r Yes r No
2c. Does this project have a stormwater management plan (SMP) reviewed and approved under a state stormwater program or state -approved local government stormwater
program?
r Yes r No
r N/A - project disturbs < 1 acre
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
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.
Project will not result in additional development as proposed work is to provide access to access structures within transmission line right-of-way.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
r Yes r Nor N/A
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
Sc. If yes, indicate the USFWS Field Office you have contacted.
Raleigh
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
Si. 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's Critical Habitat GIS shapefiles were reviewed and a query of the N.C. Natural Heritage Program's (NCNHP) Data Explore database for
protected species distribution and proximity to the Project Area was conducted (see attached Project Report [NCNHDE-12245]). The USFWS's
database revealed that there is no active critical habitat for federally protected species within the Project Area. The resulting NCNHP Data Explorer
Project Report indicated that no records for rare species, important natural communities, natural areas, and/or conservation/managed areas occur
within the Project Area (See attached).
Potential habitat for the small-anthered bittercress is found along the Grassy
Creek tributary, however, the Project Area is not located within the distribution area for the species and the status of the species in the Forsyth County
is historic.
No suitable habitat was located within the Project Area for bog turtle or northern long-eared bat. No mature trees (greater than six inches in diameter)
exhibiting exfoliating bark (i.e., hickories and oaks) or dead tree snags that would serve as potential roosting habitat for northern long-eared bats exist
within the Project Area. According to the NCNHP database and USFWS's GIS database of areas with confirmed hibernation and maternity sites
(hftps://www.f4vs.gov/asheville/htmls/project review/NLEB in WNC.html), no known occurrences including hibernacula and/or maternity roost trees
have been documented within the Project Area or within 0.25 mile of the Project Area. The Project Area also lacked the marshy meadows and bogs
wetlands preferred by the bog turtle. Impacts to the federally listed species for Forsyth County are not anticipated. Correspondence (June 22, 2020)
was sent to the USFWS requesting comments on any possible issues that may emerge with respect to endangered species, migratory birds, or other
resources from the proposed construction activities. Response from the USFWS (June 26, 2020) stated that suitable summer roosting habitat may be
present in the project area for the long-eared bat, however; incidental take that may result from the proposed work is exempt. See correspondence
attached.
Consultation Documentation Upload
Northern_Beltway_USFWS_Letter _20200622.pdf 7.24MB
Response _USFWS _20-302 Duke Energy - Northern Beltway Culvert Project - Transmission Line ROW Access.pdf 48.55KB
IPaC.pdf 1.39MB
project _report _northern_beltway_project_0_25226_25226.pdf 962.02KB
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?*
https://vmw.habitat.noaa.gov/protection/efh/efhmapper/
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?*
HDR reviewed the National Park Service National Register of Historic
Places (NRHP) GIS Public Dataset and the N.C. State Historic Preservation
Office (NCSHPO) HPOWEB GIS Web Service. The review revealed there are no known cultural resources, historic structures, or historic districts
located within the Project area. Archaeological data were not included as part of the NCSHPO GIS services and were not assessed as part of this
study. Correspondence (dated June 19, 2020) was sent to the NCSHPO requesting information on historic/cultural resources that may be impacted by
the proposed project (See request attached).
7c. Historic or Prehistoric Information Upload
Northern_Beltwray_SHPO_Letter_20200619. pdf
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain?*
r Yes
r No
8c. What source(s) did you use to make the floodplain determination?*
FEMA map number 3710681900
Miscellaneous
Comments
Miscellaneous attachments not previously requested.
01_Vicinity.pdf
02_Aerial.pdf
05_Flood.pdf
R-2247EB (5-15-20) Duke Energy Coordination Final Minutes (002).pdf
Stream_Form_S1.pdf
LSignature
-
W By checking the box and signing below, I certify that:
6.11 MB
1.39MB
1.24MB
1 AMB
462.91 KB
196.05KB
U
• 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 INC 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:
Johanna Velasquez
Signature
�o�rura Yr�rta�ucy
Date
7/13/2020

F)l
AGENT AUTHORIZATION FORM
1, Kelly Hoyt hereby certify that I have authorized Johanna Velasquez, representing HDR
Engineering, Inc. of the Carolinas, to act on my behalf and take all actions necessary to
the processing and issuance of the Section 4041401 authorization associated with the
Northern Beltway Culvert Project located in Forsyth County, North Carolina.
We hereby certify that the information submitted in this application is true and accurate to
the best of our knowledge.
Kelly Hoyt, Duke Energy Carolinas, LLC
Applicants Name
Applicar6s Signature
71 1l2 d
Date
hdrinc.com
440 South Church Street Suites 900 & 1000, Charlotte, NC 28202-2075
T 704.338.6700 F 704.338.6760
Johanna Velasquez HDR
Agent's Name
� i r
Agent's Signature
July 1, 2020
Date

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NORT HERN BEL TWAY TRANSMISSI ON LINE RELOCATION
FIGURE 1
PROJECT V ICINITY
SECTION 404 /4 01 PCN
0 1Miles
O
DATA SOURCE: Esri World To pograp hicBasemap
LEGEND
Study Are a (1.11 ac)
Forsyth County
N.C.
Study Area
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NORT HERN BEL TWAY TRANSMISSI ON LINE RELOCATION
FIGURE 2
AERIAL MAP
SECTION 404 /4 01 PCN
0 500Feet
O
DATA SOURCE: Bin g Map s Service
LEGEND
Study Are a
RURAL HALL
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NORT HERN BEL TWAY TRANSMISSI ON LINE RELOCATION
FIGURE 3
TOPOGRAPHIC Q UADRANG LE MAP
SECTION 404 /4 01 PCN
0 2,000Feet
O
DATA SOURCE: Rura l Hall 24 K To pograph icMap (199 4); USA Topo Map Service (2019 )
LEGEND
Study A rea
Topog rap h ic Quad rang le
Grassy CreekFEMA FIRM Panel3710681900
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FIGURE 5
FE MA FLOO D ZO NES AND NCDEQ SURFACE WATER CLASSIFICATIONS
SECTION 404 /4 01 PCN
(CLI ENT LOGO)
0 500Feet
ODATA SOURCE: FEMA Na tiona l Flood Hazard L ayer(NFHL); USGS National Hydrography Da tas et (NHD);NCDEQ DW Q Su rface Wa ter Cla ssific ation s GIS;USFWS National Wetlands Inv entory (NW I)
LEGEND
Study Are a
USG S National Hydrograph yDataset
USFWS Nation al Wetlan dsInventory
NCDEQ Surface Wa terClassification
Class C
FEMA Firm Panel
FEMA Flood Zone
Floodway
100-Year Flood Zone
500-Year Flood Zone
10 Prrs PeE3 i!� wanl nw3J FORSYTH COUNTY, NORTH CAROLINA — SHEET NUMBER 10
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NORT HERN BEL TWAY TRANSMISSI ON LINE RELOCATION
FIGURE 6
DELINEATED WATERS OF THE U.S.
SECTION 404 /4 01 PCN
0 50Feet
O
DATA SOURCE: Bin g Hy brid Aerial Imagery
LEGEN D
Study Are a
!(GP S Po int
HDR Deline ated S trea m
In si de
Outside
Stream 1Perennial184 line ar feet
Stream 1