20100823 Ver 1_Application_20101223

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Office Use Only
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DWQ project no..
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Form Version 1.3 Dec 10 2008
c)-o?z3
MACH
Pre-Construction Notification (PCN) Form
IA. Applicant information
i1. Processing
1 a . Type(s) of approval sought from the
Corps:
El Section 404 Permit El Section 10 Permit
1 b . Specify Nationwide Permit (NW P) number: 13 23 33 or General Permit (GP) number:
;1c . Has the NWP or GP number been verified by the Corps? ® Yes ? No
1d

I . Type(s) of approval sought from the DWO (check all that apply):
® 401 Water
Quality Certification - Regular
? Non-404 Jurisdictional General Permit
? 401 Water Quality Certification - Express ? Riparian Buffer Authorization
le . 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
1f. 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
1g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h
below. ? Yes ® No
1h. Is the project located within a NC DCM Area of Environmental Concern (AEC)? ? Yes ® No
12. Project Information
2a. Name of project: Widening of US 401 in Lillinglon from North of Matthews Rd (SR 1436) to NC 210
12b. County: Harnett
2c. Nearest municipality / town: Lillington
2d. Subdivision name: not, applicable
2e: NCDOT only, T.I.P. or state
project no: R-5185
3. Owner Information
3a. Name(s) on Recorded Deed: North Carolina Department of Transportation
3b. Deed Book and Page No. not applicable
3c. Responsible Party (for LLC if
applicable): not applicable
3d. Street address: 1598 Mail Service Center
3e. City, state, zip: Raleigh, NC 27699-1598
3f. Telephone no.: [phone]
3g. Fax no.: [phone]
3h. Email address: [e-mail]

4'. `Applicarit'Information (if diffeient from owner). " ' °•` t "'' 'J( '' `
?4a. Applicant is: ? Agent ? Other, s ecif? •'-
4b. Name: not applicable r
4c. Business name
(if applicable): "^ ""•
d. Street address:
4e. City, state, zip:
4f. Telephone no.:
,4g. Fax no.:
4h. Email address:
5. Agent/Consultant Information (if applicable):: - - a•-
Sa. Name: not applicable
5b. Business name
(if applicable):
Sc. Street address:
Sc. City, state, zip:
5e. Telephone no.:
Sf. Fax no.:
5g. Email address:
2

1
B. Project Information and-Prior Project History,
11. Property Identification
11a. Property identification no. (tax PIN or parcel ID): not applicable
1b. Site coordinates (in decimal degrees): Latitude: 35.420735 Longitude: - 78.808354
(DD.DDDDDD) (-DD.DDDDDD)
I1 C. Property size: 19.27 acres
12. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to Tributary to Neills Creek
proposed project:
?2b. Water.Quality.Classification of.nearest receiving water: WS-IV
1 2c. River basin: Cape Fear
1 3. Project Description
3a. 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 projected is located in the town of Lillington and the area is mostly commercial business.
3b. List the total estimated acreage of all existing wetlands on the property:
0.52 ac
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
937 ft.
3d. Explain the purpose of the proposed project:
The purpose of the proposed project is to improve the traffic carrying capacity of US 401, within the project corridor,
3e. Describe the overall project in detail, including the type of equipment to be used:
The NCDOT, in consultation with the FHWA, proposes to widen US 401 from just north of SR 1436 (Matthews Road) to
its intersection with NC 210/US 421, in Harnett County. The widening will convert US 401 from its current two-lane and
three-lane configuration to a four-lane, median-divided facility.
1 4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property 1
project (including all prior phases) in the past?
Comments: Jurisdictional determinations were made for part ® Yes ? No ? Unknown
of the project area for non-DOT development projects in the
area. However, NCDOT is requesting a Preliminary JD for
the rest of the project along with this permit application.
4b. If the Corps made the jurisdictional determination, what type
? Preliminary [E Final
of determination was made?
4c. If yes, who delineated the jurisdictional areas? AgencylConsultant Company: Jordan-Tew & Assoc.
Name (if known): Other: Enoch Engineers
? 4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
November 12, 2008 for Harnett Forward Together Committee and November 23, 2009 for Brightwater Tract.
1 5. Project History
5a. Have permits or certifications been requested or obtained for ? Yes ® No ? Unknown
this project (including all prior phases) in the past?
5b. If yes, explain in detail according to "help file" instructions.

,.1
k _ .

6. FutureTroject Plans t.., ..
6a: Is this a phased project? Q Yes ® No
6b. If yes, explain.
-- . . 4 -_ . -- w' .

C. (Proposed Impacts Inventory, _
11. Impacts Summary
I1 a. Which sections were completed below for your project (check all that apply):
® 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 (if known) DWQ - non-404, other.) ,. (acres)
Tem ora T
Site 1 ® P ? T Culvert Riparian ® Yes
? No ® Corps
? DWQ 0.17
(Site 2 ® P [I T Culvert Riparian ®Yes
? No ®Corps
? DWQ <0.01
Site 3 ? P ? T ? Yes ? Corps
? No ? DWQ
Site 4 ? P ? T ? Yes ? Corps
? No ? DWQ
Site 5 ? P ? T ? Yes ? Corps
? No ? DWQ
Site 6 ? P ? T ? Yes ? Corps
? No ? DWQ
2g. Total wetland impacts 0.17 Permanent
0.0 Temporary
i2h. Comments: Additionally there will be <0.01 acre of temporary fill in wetlands in the Hand Clearing areas for erosion control
measures.
3. Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this
question for all stream sites impacted.
3a. 3b. 3c. 3d. 3e. 3f. 3g.
Stream impact Type of impact Stream name Perennial Type of Average Impact length
number- (PER) or jurisdiction stream (linear feet)
Permanent (P) or intermittent (Corps - 404, 10 width
Temporary (T) (INT)? DWQ-non-404, (feet)
other)
Site 1 ® P ? T Culvert (LT) UT3 to Cape Fear ® PER
? INT ® Corps
? DWQ 1.5 26
Site 1 ? P ® T Culvert (LT) UT3 to Cape Fear ® PER
? INT ® Corps
? DWQ 1.5 58
Site 1 ® P ? T Culvert (RT) UT3 to Cape Fear ® PER
? INT ® Corps
? DWQ 1.5 121
Site 1 ? P ® T Culvert (RT) UT3 to Cape Fear ® PER
? INT ® Corps
? DWQ 1.5 9
Site 2 ® P ? T Culvert (LT) UT2 to Cape Fear ? PER
® INT ® Corps
? DWQ 1.5 71
Site 2 ? PET Culvert (LT) UT2 to Cape Fear ? PER
® INT ® Corps
? DWQ 1.5 13
Site 2 ® P ? T Culvert (R7) UT2 to Cape Fear ? PER
® INT ® Corps
? DWQ 1.5 83
( Site 2 ? P ®T Culvert (RT) UT2 to Cape Fear ? PER ® Corps 1.5 9

... .. __a
-
_ _ INT
DWQ:
Site 2 ®P [] T Bank Cape Fear
UT2 to ? PER ® Corps
15
45
Stabilization ® INT .. ? DWQ
Site 4 ®P ? T Rip Rap UT4 to Cape Fear ? PER
® INT ® Corps
? DWQ 2 15
Site 4 ? P ® T Temp Fill UT4 to Cape Fear ? PER
® INT ® Corps
? DWQ 2 5
3h. Total stream and tributary impacts 361 Perm
94 Temp
3i. Comments:
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 individual) list all open water impacts below.
4a. 4b. 4c. 4d. 4e.
Open water Name of
impact number- waterbody Type of impact Waterbody type Area of impact (acres)
Permanent (P) or (if applicable)
Temporary T
01 ?P?T
02 ?P?T
03 ?P?T
04 ?P?T
0. Total open water impacts X Permanent
X Temporary
4g. Comments:
5. Pond or Lake Construction
If and or lake construction proposed, then complete the chart below.
5a. 51b. 5c. 5d. 5e.
Wetland Impacts (acres) Stream Impacts (feet) Upland
Pond ID Proposed use or (acres)
number purpose of pond Excavat
Flooded Filled ed Flooded Filled Excavated Flooded
P1
P2
5f. Total
5g. Comments:
5h. Is a dam high hazard permit required?
? Yes ? No If yes, permit ID no:
5i. Expected pond surface area (acres):
5j. Size of pond watershed (acres):
5k. Method of construction:
6 .. .. 1 -.

6.IBuffer Impacts (for DWQ)
If project will impact a protected riparian buffer, then complete the chart below. If yes, then individually list all buffer
. impacts below. If an impacts require mitig ation, then you MUST fill out Section D of this form.
6a.
? Neuse
? Tar-Pamlico ? Other:
Project is in which protected basin? ? Catawba ? Randleman
6b. 6c. 6d. 6e. 6f. 6g.
Buffer impact
number- Reason for impact Buffer Zone 1 impact Zone 2 impact
Permanent (P) or Stream name mitigation (square feet) (square feet)
Temporary T required?
B1 ? P ? T .. T... ? Yes
? No
?Yes
B2 ?P?T ? No
B3 ?P?T ?Yes
? No
6h. Total buffer impacts
6i. Comments:
r. 7

i
D. Impact Justification and Mitigation
1. Avoidance and Minimization
la. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
NCDOT has proposed a "best fit" alignment which attempts to avoid and minimize impacts to streams and wetlands to the
greatest extend possible; 3:1 slopes are being utilized in all jurisdictional areas.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Hand clearing will be used in wetland areas. Traffic will be maintained on existing roads during construction. Although
there is not habitat at the stream crossings with in the impact area, BMPs for Protection of Surface Water will be used to
reduce potential impacts to surface water and Cape Fear Shiner habitat located downstream.
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? ® Yes ? No
If no, explain:
2b. If yes, mitigation is required by (check all that apply): ® DWQ ® Corps

2c.
If yes, which mitigation option will be used for this
project.' ? Mitigation bank

El Payment to in-lieu fee program
® Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank: not applicable
31b. Credits Purchased (attach receipt and letter) Type Quantity
3c. Comments:
4. Complete if Making a Payment to In-lieu Fee Program
4a. Approval letter from in-lieu fee program is attached. ® Yes
4b. Stream mitigation requested: 437 linear feet
4c. If using stream mitigation, stream temperature: ® warm ? cool ?cold
4d. Buffer mitigation requested (DWQ only): 0 square feet
4e. Riparian wetland mitigation requested: 0 acres
4f. Non-riparian wetland mitigation requested: 0 acres
4g. Coastal (tidal) wetland mitigation requested: 0 acres
41h. Comments: EEP will provide credit for the stream mitigation only on 316 linear feet of impacts (121 @2:1; 195 @ 1:1).
Wetland mitigation will be provided by NCDOT.
5. Complete if Using a Permittee Responsible Mitigation Plan
5a. If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
0.34 ac (0.17 ac @ 2:1) of riparian wetland mitigation will be provided by NCDOT Little River Bridge Mitigation Site, as
requested by USACE and NCDWQ. Please see the attached mitiagtion plan.
- $ -
I6. Buffer Mitigation (State Regulated Riparian Buffer Rules)- required by DWQ . .
6a. Will the project result in an impact within a protected riparian buffer that requires ? Yes ® No . .
'buffer mitigation?
61b. If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation. Calculate the
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)
Zo ne 2 1.5
6f. Total buffer mitigation required:
6g . If buffer mitigation is required, discuss what type of mitigation is proposed (e.g., payment to private mitigation bank,

i permittee responsible riparian buffer restoration, payment into an approved in-lieu fee fund).
6h. Comments:

E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Plan
la . Does the project include or is it adjacent to protected riparian buffers identified ? Yes ®No
within one of the NC Riparian Buffer Protection Rules?
11b . If yes, then is a diffuse flow plan included? If no, explain why.
? Yes ? No:
Comments:
2. Stormwater Management Plan
2a . What is.the overall percent imperviousness of this project? : N/A - -- - .-:
2b . Does this project require a Stormwater Management Plan? ® Yes ? No
2c. If this project DOES NOT require a Stormwater Management Plan, explain why:
2d . If this project DOES require a Stormwater Management Plan, then provide a brief, na rrative description of the plan:
See attached permit drawings.
? 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
3a. In which local government's jurisdiction is this project? not applicable
? Phase II
3b . Which of the following locally-implemented stormwater management programs ? NSW
? USMP
apply (check all that apply): ? Water Supply Watershed
? Other:
3c. Has the approved Stormwater Management Plan with proof of approval been ? Yes ? No
attached?
4. DWQ Stormwater Program Review
? Coastal counties
4a. Which of the following state-implemented stormwater management programs apply ? HOW
(check all that apply): ? ORW
? Session Law 2006-246
? Other:
4b . Has the approved Stormwater Management Plan with proof of approval been
attached? ? Yes ? No
5. DWQ 401 Unit Stormwater Review
5a . Does the Stormwater Management Plan meet the appropriate requirements? ® Yes ? No
5b . Have all of the 401 Unit submittal requirements been met? ® Yes ? No
to-
F. Supplementary Information
I1. I Environmental.Documentation (DWQ Requirement)
la. Does the project involve an expenditure of public (federal/state/local) funds or the ? No
® Yes
use of public (federal/state) land? .
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)?
1c. 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:
2. Violations (DWQ Requirement)
2a. Is the site in violation of DWQ Welland Rules (15A NCAC 2H .0500), Isolated
Welland Rules (15A NCAC 2H .1300), DWQ Surface Water or Wetland Standards, ? Yes ® No
or Riparian Buffer Rules (15A NCAC 2B .0200)?
I21b. Is this an after-the-fact permit application? ? Yes ® No
2c. If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s):
3. Cumulative Impacts (DWQ Requirement)
3a. Will this project (based on past and reasonably anticipated future impacts) result in ? Yes
additional development, which could impact nearby downstream water quality? ® No
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.
The potentional for Indirect and Cumulative effects with this project is low because US 401 already exists in the project
area and much of the ongoing development has been incorporated into local plans for the area. Moreover, the project is
not projected to spur growth along the corridor but is rather intended to accommodate and serve existing and anticipated
development. Therefore, a detailed indirect and cumulative effects study is not anticipated to be necessary for this
project.
4. Sewage Disposal (DWQ Requirement)
4a. 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.
not applicable

5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a . Will this project occur in or near an area with federally protected species or ® Yes - ? No
habitat?
5b . Have you checked with the USFWS concerning Endangered Species Act ® Yes ? No
impacts?
® Raleigh
5c. If yes, indicate the USFWS Field Office you have contacted.
? Asheville
5d . What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
USFWS Website and Natural Heritage Program database and communication with the local USFWS representative.
6. Essential Fish Habitat (Corps Requirement)
6a . Will this project occur in or near an area designated as essential fish habitat? ? Yes ® No
6b . What data sources did you use to determine whether your site would impact Essential Fish Habitat?
NMFS County Index
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 ? Yes ® No
status (e.g., National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
7b . What data sources did you use to determine whether your site would impact historic or archeological resources?
NEPA Documentation
8. Flood Zone Designation (Corps Requirement)
8a . Will this project occur in a FEMA-designated 100-year floodplain? ? Yes ® No
8b . If yes, explain how project meets FEMA requirements:
8c. What source(s) did you use to make the floodplain determination? FEMA Maps
Dr. Gregory J. Thome, Ph D
' D
Applicant/Agent
s Printed Name
Applicant/Agent's Signature ate
(Agent's signature is valid only if an authorization letter from the applicant
is provided.)
12
Pre-Construction Notification Form
for NCDOT projects
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