20091049 Ver 1_Application_20091002

®91®49
pF INA7?Eq QC C?CObCD
_ o? qG Office Use Only:
-? O 2 20o9 Corps action ID no.
tk r 1 > q
r E) o T DWQ project no.
DENR - Wg7ER pl1AL1TY Form Version 1.3 Dec 10 2008
tNEiWtpq/anItZR ......
Pre-Construction Notification C Form
f A. Applicant Information
111 Processing
1 i3. Type(s) of approval sought from the

Corps:

Section 404 Permit ? Section 10 Permit
®
1.0. Specify Nationwide Permit (NWP) number: 3 or General Permit (GP) number:
1 Has the NWP or GP number been verified by the Corps? ®Yes ? No
1?1. Type(s) of approval sought from the DWQ (check all that apply):
® 401 Water Quality Certification - Regular ? Non-404 Jurisdictional General Permit
? 401 Water Quality Certification - Express ® Riparian Buffer Authorization
1 e. Is this notification solely for the record
because written approval is not required? For the record only for DWQ 401
Certification:
? Yes ® No For the record only for Corps Permit:

® Yes ? No
1 f. Is payment into a mitigation bank or in-lieu fee program proposed for mitigation
of impacts? If so, attach the acceptance letter from mitigation bank or in-lieu
fee program. ? Yes No
Ig. Is the project located in any of NC's twenty coastal counties. If yes, answer 1h
below. ? Yes ® No
1 h. Is the project located within a NC DCM Area of Environmental Concern (AEC)? ? Yes ® No
2,. Project Information
2;a. Name of project: SR 1573 Kirkman Road Pipe Replacement Station 3+67
2b. County: Pitt
<.c. Nearest municipality ! town: Greenville
2d. Subdivision name: N/A
2e. NCDOT only, T.I.P. or state
project ho: 2C.074080
<I. owner information
F.a. Name(s) on Recorded Deed: North Carolina Department of Transportation
3b. Deed Book and Page No. N/A
"c. Responsible Party (forLLC if
applicable): WA
Id. Street address: 105 Pactolus Highway NC 33 P.O. Box 1587
4e. City, state, zip: Greenville, NC 27835
If. Telephone no.: 252-830-3490
,.Ig. Fax no.: 252-830-3341
I
Fh.
Email address:
[e-mail]
Page I of 10
PCN Form - Version 13 December 10, 2008 Version
Project Information and Prior Project History
Property Identification
1a. Property identification no. (tax PIN or parcel ID): N/SR 1573,Kirkman Road
Latitude: N 35.741162 Longitude: - W
t b. Site coordinates (in decimal degrees): 77.202421
I (DD.DDDDDD) (-OD.DDDDDD)
11 c_ Property size: NIA acres
.Z. Surface Waters

a_ Name of nearest body of water (stream, river, etc.) to Tranters Creek
i proposed project:
2b. Water Quality Classification of nearest receiving water-, C;Sw;NSW

2c. River basin: Tar-Pamlico

Project Description
Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this
application.
SR 1573, Kirkman Road is a soil secondary state highway. Woodlands and Agriculture dominate the landscape.
3b. List the total estimated acreage of all existing wetlands on the property:
0.0 Acres There are no 404 Wetland Impacts ar Station 3+67_
List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
60' This site is part of a longer adjacent stream system
Explain the purpose of the proposed project:
Pipe To Pipe Replacement; the existing pipe has deteoriated and failing-
... 4 ..? %.I
3e. Describe the overall project in detail, including the type of equipment to be used:
The Existing 40'00" RCP will be replaced with a Proposed 65 x 42" CMP_.Excavators,Dump Trucks,and Crane Trucks
will be used for the installation.
.. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
project (including all prior phases) in the past? ? Yes ®No ? Unknown
Comments:
?4b. If the Corps made the jurisdictional determination, what type
of determination was made? ? Preliminary ? Final
{4c. If yes, who delineated the jurisdictional areas? Agency/Consultant Company:
I Name (if known): Jay B. Johnson Garcy Ward Other-, NCDOT and NCDWQ
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
December, 2008
a. Project History
l5a. Have permits or certifications been requested or obtained for ? Yes ® No ? Unknown
this project (including all prior phases) in the past?
:ib. If yes, explain in detail according to "help file' instructions.
Future Project Plans
138. Is this a phased project? I ? Yes ® No
If yes, explain.
Page 3of10
PCN Form - Version 1.3 December 10, 2008 Version
C. Proposed Impacts Inventory
1. Impacts Summary
1a. Which sections were completed below for your project (check all that apply):
Cl] Wetlands ? Streams - tributaries ® Buffers
? Open Waters ? Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
2a. 2b. 2c. 2d. 2e. 2f.
Wetland impact Type of jurisdiction
number - Type of impact Type of wetland Forested (Corps - 404, 10 Area of impact
Permanent (P) or
Temporary (T) (if known) DWQ - non-404, other) (acres)
VV1 ? P ? T ? Yes ? Corps 0
1 ? No ? DWQ
VI U2 ? P ? T ? Yes ? Corps
1 ? No ? DWQ
VU3 ? P ? T ? Yes ? Corps
I ? No ? DWQ
VI V4 ? P ? T ? Yes ? Corps
I ? No ? DWQ
VI U5 ? P ? T ? Yes ? Corps
? No ? DWQ
VU6 ? P ? T ? Yes ? Corps
I El No ?DWQ
2g. Total wetland impacts 0.0 Acres
2h. Comments: No 404 Wetlands Present
3 Stream.lmpacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this
question for all stream sites impacted.
3'a. 3b. 3c. 3d. 3e. 3f. 3g.
I Stream impact Type of impact Stream name Perennial Type of jurisdiction Average Impact
number - (PER) or (Corps - 4D4, 10 stream length
Permanent (P) or
Tem
T
orar intermittent
INT
? DWQ - non-404, width (linear
f
)
p
y ( (
) other) (feet) eet)
S 1
®P?T
Pipe Bedding U/r Tranter's
Creek ® PER
? INT ? Corps
® DWQ
25'
25'
S2 ? P ? T ? PER ? Corps
1 ? INT ? DWQ
S3 ? P ? T ? PER ? Corps
? INT ? DWQ
S4 ? P ? T ? PER ? Corps
? INT ? DWQ
S5 ? P ? T ? PER ? Corps
? INT ? DWQ
S6 ? P ? T ? PER ? Corps
I ? INT ? DWQ
1
3h. Total stream and tributary Impacts 25 Linear
Feet
3i. Comments:
Page 4 of 10
PCN Form - Version 1.3 December 10, 2008 Version
I
4. Open Water Impacts
If, there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of
the U.S. then individually list all open water impacts below.
4a. 4b. 4c. 4d. 4e.
I Open water Name of waterbody
Impact number- (if applicable) Type of impact Waterbody type Area of impact (acres)
Permanent (P) or

rrj
Temporary (T)
101 SPOT Uff Tranters Creek Culvert Placement Perennial Stream 0.005
O2 ?P?T
103 ?P?T
X04 ?P?T
4f. Total open water impacts 0.005 (232 Sq. Ft.)
4f1. comments:
5j Pond or Lake Construction
Ifl and or lake construction propose d then complete the chart below.
5a- 5b. 5c. Sd. 5e.
Plmd ID
Proposed use or purpose Wetland Impacts (acres) Stream Impacts (feet) Upland
number
f
d (acres)
o
pon
1 Flooded Filled Excavated Flooded Filled Excavated Flooded
P1
P2
5f: Total None
5c1. Comments:
5fi. Is a dam high hazard permit required?
? Yes ? No I
f yes, permit ID no:
50 Expected pond surface area (acres):
5j! Size of pond watershed (acres):
5k1. Method of construction:
6. Buffer Impacts (forDWQ)
If project will impact a protected riparian buffer, then complete the chart below. If yes, then individual ly list all buffer impacts
I below. If an impacts require mitigation, there you MUST fill out Section D of this form.
69
.
1 ? Neuse ® Tar-Pamlico ? Other: None
Project is in which protected basin? ? Catawba ? Randleman
66. 6c. 6d. 6e. 6f. 69.
Buffer impact
1 number- Reason Buffer Zone 1 impact Zone 2 impact
Pe:nnanent (P) or for Stream name mitigation (square feet) (square feet)
emporary (T) a impact required?

flI 11 ®P ? T Clearing
for RMI
UfT Durham Creek ? Yes
® No
2,700 Sq. Ft.
1,390 Sq. Ft.
EI12 ?P?T ?Yes
? No
E63 ?P?T ?Yes
? No
1 6h. Total buffer impacts 2,700 Sq. Ft. 1,390-Sq. Ft.
6i. Comments:
I
Page 5 of 10
PCN Form - Version 1.3 December 10, 2008 Version
YJ. Impact Justification and Mitigation
i
i. Avoidance and Minimization
l a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
INetland Impacts have been minimized to the extent feasible, with impacts occurring only where necessary to accommodate
the proposed culvert.
ib. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Use of existing. roadway to operate construction equipment; no equipment will enter wetlands.
i
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
!?a. Does the project require Compensatory Mitigation for
impacts to Waters of the U.S. or Waters of the State? ? Yes ® No
2b. If yes, mitigation is required by (check all that apply): ? DWQ ? Corps

?
C. If yes, which mitigation option will be used for this
project? ? Mitigation bank

? Payment to in-lieu fee program
? Permittee Responsible Mitigation
i
i1. Complete if Using a Mitigation Bank
i
i
Si a. Name of Mitigation, Bank:
i
tlb. Credits Purchased (attach receipt and letter)
Type
Quantity
i
3c. Comments:
i
I
4 i l. Complete If Making a Payment to In-lieu Fee Program
dla. Approval letter from in-lieu fee program is attached. ? Yes
? b. Stream mitigation requested: linear feet
21-C. If using stream mitigation, stream temperature: ? warm ? cool ?cold
4d. Buffer mitigation requested (DWQ only): square feet
4e. Riparian wetland mitigation requested: acres
4f. Non-riparian wetland mitigation requested: acres
4;g. Coastal (tidal) wetland mitigation requested: acres
4h. Comments:
5. Complete If Using a Permittee Responsible Mitigation Plan
I
5a. If using a pennittee responsible mitigation plan, provide a description of the proposedmitigation plan.
Page 6 of 10
PCN Form -Version 1.3 December 10, 2008 Version
I
6. Buffer Mitigation (State Regulated Riparian Buffer Rules) - required by DWQ
I
6a. Will the project result in an impact within a protected riparian buffer that requires
? Yes ®No
buffer mitigation?
I
fib. If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation. Calculate the
I amount of mitigation required.
6c. 6d. 6e.
Zone Reason for impact Total impact Multiplier Required mitigation
(square feet) (square feet)
Zone 1 3 (2 for Catawba)
Zone 2 1.5
6f. Total buffer mitigation required: None
i
E?g. If buffer mitigation is required, discuss what type of mitigation is proposed (e.g., payment to private mitigation bank,
permittee responsible riparian buffer restoration, payment into an approved in-lieu fee fund).
N/A
6h. Comments:
Page 7 of 10
PCN Form - Version 1.3 December 10, 2008 Version
i
Ei Stormwater Management and Diffuse Flow Plan (required by DWQ)
1! Diffuse Flow Plan
1 Does the project include or is it adjacent to protected riparian buffers identified ® Yes ? No
within one of the NC Riparian Buffer Protection Rules?
lb- If yes, then is a diffuse flow plan included? If no, explain why.
Comments: Pipe Replacement project covered by NCDOT Statewide NPDES ? Yes ®No
Permit
2! Stormwater Management Plan
2a. What is the overall percent imperviousness of this project? N/A Roadway Project %
21 . Does this project require a Stormwater Management Plan? ? Yes ® No
2i.. If this project DOES NOT require a Stormwater Management Plan, explain why: Covered by NCDOT Statewide NPDES
Permit
2i. If this project DOES require a Stonmwater Management Plan, then provide a brief, narrative description of the plan:
? Certified Local Government
2e. Who will be responsible for the review of the Stormwater Management Plan? ? DWQ Stormwater Program
? DWQ 401 Unit
3? Certified Local Government Stormwater Review
3alr.
i In which local government's jurisdiction is this project?
? Phase ll
3 b. Which of the following locally-implemented stormwater management programs ? NSW
? USMP
apply (check all that apply): ? Water Supply Watershed
? Other.
32. Has the approved Stormwater Management Plan with proof of approval been ? Yes ®No
attached?
4! DWQ Stormwater Program Review
1 ? Coastal counties
? HOW
4 a. Which of the following state-implemented stormwater management programs apply ? ORW
(check all that apply): ? Session Law 2006-246
® Other: NPDES Permit
i
41
2.
Has the approved Stormwater Management Plan with proof of approval been
1 attached? ? Yes ® No
5j DWQ 401 Unit Stormwater Review
5; 11. Does the Stormwater Management Plan meet the appropriate requirements? ? Yes ? No
1
5111).
Have all of the 401 Unit submittal requirements been met?
? Yes ? No
Page 8 of 10
PCN Form -Version 1.3 December 10, 2008 Version
i
F. Supplementary Information
i
1.
Environmental Documentation (DWQ Requirement)
111a Does the project involve an expenditure of public (federal/statenocal) funds or the ® Yes ? No
use of public (federal/state) land?
i
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 ? Yes ® No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1Ic. If you answered °yes" to the above, has the document review been finalized by the
State Clearing House? (If so, attach a copy of the NEPA or SEPA final approval
letter.) ? Yes ? No
Comments:
1
2:
Violations (DWO Requirement)
211a Is the site in violation of DWQ Wetland.Rules (15A NCAC 21-1.0500), Isolated
Wetland Rules (15A NCAC 2H.1300), DWQ Surface Water or Wetland Standards, ? Yes ® No
or Riparian Buffer Rules (15A NCAC 2B .0200)?
I
2b.
Is this an after-the-fact permit application?
? Yes
® No
21 . If you answered "yes° to one or both of the above questions, provide an explanation of the violation(s):
3i. Cumulative Impacts (DWQ Requirement)
3a. Will this project (based on past and reasonably anticipated future impacts) result in
? Yes
No
additional development, which could impact nearby downstream water quality?
i
3b.
If you answered "yes" to the above, submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWQ policy. If you answered "no," provide a short narrative description.
4! Sewage Disposal (DWQ Requirement)
4d. Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of wastewater generated from
the proposed project, or available capacity of the subject facility.
N/A
Page 9 of 10
PCN Form - Version 1.3 December 10, 2008 Version
i
5. Endangered Species and Designated Critical Habitat (Corps Requirement)
I
5a. Will this project occur in or near an area with federally protected species or

? Yes No
I
habitat?
I
5b. Have you checked with the USFWS concerning Endangered Species Act
®
? Yes No
I
impacts?

5c. If yes, indicate the USFWS Field Office you have contacted ? Raleigh
.
? Asheville
i
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
On-Site Habitat Investigation
i
13. Essential Fish Habitat (Corps Requirement)
I
i 1 ia. Will this project occur in or near an area designated as essential fish habitat?
? Yes ® No
I
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
On-Site Investigation
l
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
I
i
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
l H E Yes ® No
status (e.g., Nationa
istoric Trust designation or properties significant in
North Carolina history and archaeology)?
i
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?
NCSHPO
i
£1. Flood Zone Designation (Corps Requirement)
i
is a. Will this project occur in a FEMA-designated 100-year floodplain?
® Yes ? No
I
8b. If yes, explain how project meets FEMA requirements: Culvert designed to no-rise standards
EI
,
c. What source(s) did you use to make the floodplain determination? FEMA FIRM Maps
September 29,
ti, 2009
ApplicantlAgent's Printed Name plir nti enfs Signature
'
Date
(Agent
s signalu i alid I an authorization letter from the applicant
ovided:
Page 10 of 10
PCN Form - Version 1.3 December 10, 2008 Version
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SR 1573, KIRKMANROA.D
PITT COUNTY
PIPE REPLACEMENT STATION3+67
REPLACE EXISTING 40!x30 "-RCP WITH PROPOSED 65x42" CMP
LEGGETT'S CROSSROADS USGS QUAD MAP
SHEET NUMBER 14-A OF THE SOIL SURVEY OF PITT COUNTY
WBS ELEMENT NUMBER 2C.074080 FIRM PANEL 5722 L
MAY 13, 2009 FIRM MAP ,NUMBER 3720572200 L
SEPTEMBER 29, 2009
'All
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PIPE REPLACEMENT g > a°amyl n
STATION 3+67
Y= 729509.3744 Rtit ?'?'• r r
X= 2533400.0426
?s ?JI
T ! T°
N35^-44'-28"
W 77^=12' 09" r f
N 35 741162 DEGREES
,W 77.202421 DEGREES
z
1, k 2,300 1,150 0 2,300 Feet 1 `i r _c }
SR 1573, KIRKMANROAD
PITT COUNTY
PIPE REPLACEMENT STATION 3+67
REPLACE EXISTING 40'x30" RCP WITH PROPOSED 65'x42" CMP
LEGGETT'S CROSSROADS USGS QUAD MAP
SHEET NUMBER 14-A OF THE SOIL SURVEY OF PITT COUNTY
WBS ELEMENT NUMBER 2C O74080 FIRM PANEL 5722 L
SEPTE, 2009 MBER 29, 2009 FIRM MAPNUMBER,3720572200L
EPTE
N
PIPE REPLACEMENT
STATION 3+67
Y= 729509.3744
X= 2533400.0426
N35 A -44'-28"
W `77^-12'-09"
N 35.741162 DEGREES
W 77.20242'1 DEGREES
2,300 Feet
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W
Wescott, William G SAW [[e-mail]
Tuesday, June 09, 2009 3:04 PM
Sutton, Michael W
RE: SR 1573,Kirkman Road,Pitt County
have reviewed the information you sent regarding pipe replacement on SR 1573, Kirkman
ad, Pitt County and the project fits a non-reporting Nationwide Permit #3. Print out
e Terms & Conditions for NWP#3 and you will be covered as far as the USACE is concerned.
so print out this email for your records because I will not be sending out a tear sheet
r the non-reporting NWP#3.
---Original Message-----
om: Sutton, Michael W [mailto:[e-mail]]
it: Wednesday, May 13, 2009 5:33 PM
: Wescott, William G SAW.
Garcy Ward (garcy. ward@n?inail.net) '<"•'"
bject: SR 1573,Kirkman Road,Pitt County '
Ht I -y Mr.
William...Division 2 plans to replace the existing 30"x 44'RCP with a
Y g proposed
42"x65' CMP. This is a Blue line Stream. There are no 404 Wetland Impacts. We would like
ti> proceed under aNationwide Permit 3. Attached is a map for your use... Thanks... mike
it correspondence to and from this sender is subject to the.N.C. Public Records Law and
be disclosed to third parties.
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