20110388 Ver 1_Application_20110425

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STATE OF NORTH CAROLINA
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DEPARTMENT OF TRANSPORTATION `,
BEVERLY EAVES PERDUE
GOVERNOR
April 20, 2011
Mr. Robert Ridings
NC Division of Water Quality
Transportation Permitting Unit
1650 Mail Service Center
Raleigh, NC 27609
1I0388
EUGENE A. CONTI, JR.
SECRETARY
SUBJECT: SR 1524 Cabin Branch Road in Wilson County (4C.098025)
Dear Sirs:
The. North Carolina Department of Transportation (NCDOT) proposes to improve and
pave SR 1524 (Cabin Branch Rd.), currently an unpaved secondary road in Wilson
County. This project is part of a statewide initiative to upgrade the transportation
infrastructure in rural areas. The primary elements included in this project will be to
widen the road to meet current engineering and safety standards, bring the road to a
uniform finished grade, and pave. The only impacts to a jurisdictional area will occur at a
crossing of an unnamed tributary of Whiteoak Swamp. This feature is shown as an
intermittent stream on the Wilson County Soil Survey. Widening the road and replacing
the existing crossline pipe will result in 22 linear feet of stream impacts, 3105 square feet '
of buffer impacts in Zone 1, and 2070 square feet of buffer impacts in Zone 2. NCDOT
anticipates that this project will be authorized under a NWP 14. This application is also
intended as a request for written authorization from the NC Division of Water Quality to
proceed with a pipe replacement under General Water Quality Certificate # 3704 .
For our files, please provide written notice that this activity is authorized.
If you have any questions or need any additional information, please contact Chad
Coggin, Division Environmental Officer at [phone]. Your time and effort are
appreciated.
Res'p^e'ctfully ours,
' I
Robert W. Lewis, PE
Division Engineer
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Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.3 Dec 10 2008
Pre-Construction Notification PC Form
A. Applicant Information
1. Processing
1a. Type(s) of approval sought from the

Corps:
? Section 404 Permit ? Section 10 Permit
1b. Specify Nationwide Permit (NWP) number: 14 or General Permit (GP) number:
1c. Has the NWP or GP number been verified by the Corps? N Yes ? No
1d. Type(s) of approval sought from the DWQ (check all that apply): _
N 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 In
below. ? Yes N No
1 h. Is the project located within a NC DCM Area of Environmental Concern (AEC)? ? Yes Z No
2. Project Information - - -
2a. Name of project: SR 1524 (Cabin Branch Road
2b. County: Wilson
2c. Nearest municipality /town: Saratoga
2d. Subdivision name: N/A
2e. NCDOT only, T.I.P. or state
project no: 4C.098025
3. Owner Information
3a. Name(s) on Recorded Deed:
3b. Deed Book and Page No.
3c. Responsible Party (for LLC if
applicable):
3d. Street address:
3e. City, state, zip:
3f. Telephone no.:
3g. Fax no.:
3h. Email address:
Page 1 of 91
PCN Form -Version 1.3 December 10, 2008 Version
4. Applicant Information (if different from owner)
4a. Applicant is: ? Agent ® Other, specify: NCDOT Division of Highways
4b. Name: Robert W. Lewis, Division 4 Engineer
4c. Business name
(if applicable): NCDOT, Division of Highways
4d. Street address: P.O. Box 3165
4e. City, state, zip: Wilson, NC 27895-3165
4f. Telephone no.: [phone]
4g. Fax no.: [phone]
4h. Email address: [e-mail]
5. Agent/Consultant Information (if applicable)
5a. Name: Chad Coggins
5b. Business name
(if applicable): NCDOT Division 4 Environmental Officer
5c. Street address: P.O. Box 3165
5d. City, state, zip: Wilson, NC 27895-3165
5e. Telephone no.: [phone]
5f. Fax no.: [phone]
5g. Email address: [e-mail]
Page 2 of 11
PCN Form - Version 1.3 December 10, 2008 Version
B. Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID):
1b. Site coordinates (in decimal degrees): Latitude: 35.6733 Longitude: - 77.7809
(DD. DDDDDD) (-DD.DDDDDD)
1c. Property size: acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to Whiteoak Swamp
proposed project:
2b. Water Quality Classification of nearest receiving water: C;Sw,NSW
2c. River basin: Neuse
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 land use in this area is predominantly agricultural with some residential development, mainly single family homes, in
the vicinity as well.
3b. List the total estimated acreage of all existing wetlands on the property:
0
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
60' (Width of proposed Right of Way)
3d. Explain the purpose of the proposed project:
The purpose of this project is to grade and pave an existing unpaved secondary road as part of an ongoing effort to
update the state road system and improve the transportation infrastructure in rural areas.
3e. Describe the overall project in detail, including the type of equipment to be used:
Standard earth moving, road building and paving equipment will be used to widen the road surface, achieve a finished
grade and pave the finished road.
4. Jurisdictional Determinations
4a.- Have jurisdictional wetland or stream determinations by.the
Corps or State been requested or obtained for this property / ? yes ®No ? Unknown
project (including all prior phases) in the past?
Comments: -So,/ I ,
4b. If the Corps made the jurisdictional determination, what type ? Preliminary ? Final
of determination was made?
4c. If yes, who delineated the jurisdictional areas? Agency/Consultant Company:
Name (if known): Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
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.
Page 3 of 11 ,
PCN Form - Version 1.3 December 10, 2008 Version
6. Future Project Plans
6a. Is this a phased project? ? Yes ® No
6b. If yes, explain.
Page 4 of 11
PCN Form - Version 1.3 December 10, 2008 Version .
C. Proposed Impacts Inventory
1. Impacts Summary
1 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. 21b. 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)
Temporary
W1 ? P ? T ? Yes
? No ? Corps
? DWQ
? Yes ? Corps
W2 ? P ? T ? No ? DWQ
? Yes ? Corps
W3 ? P ? T ? No ? DWQ
W4 ? P ? T ? Yes
?.No ? Corps
? DWQ
? Yes ? Corps
W5 ? P ? T ? No ? DWQ
? Yes ? Corps
W6 ?. P ? T ? No ? DWQ
2g. Total wetland impacts 0
2h. Comments:
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 jurisdiction Average Impact
number - (PER) or (Corps - 404, 10 stream length
Permanent (P) or intermittent DWQ - non-404, width (linear
feet)
Temporary (T) (INT)? other) (feet)
S1 ®P ? T Pipe Placement UT of Whitecak
Swamp ? PER
® INT ? Corps
® DWQ . 1.5 • 22
? PER ? Corps
S2 ? P ? T ? INT ? DWQ
? PER ? Corps
S3 ? P ? T ? INT ? DWQ
? PER ? Corps
S4 ? P ? T ? INT ? DWQ
? PER ? Corps
S5 ? P ? T ? INT ? DWQ
? PER ? Corps
S6 ? P ? T ? INT ? DWQ
3h. Total stream and tributary impacts 22
3i. Comments: The 22' of linear stream impacts associated with this project are related to the upsizing of an existing crossline
Page 5 of 11
PCN Form - Version 1.3 December 10, 2008 Version
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.
Open water Name of waterbody
impact number- (if applicable) Type of impact Waterbody type Area of impact (acres)
Permanent (P)
or Tempora!y (D

01 ?P?T
02 ?P?T
03 ?P?T
04 ?P?T
4f. Total open water impacts 0
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 purpose of (acres)
number pond
Flooded
Filled
Excavated
Flooded
Filled
Excavated
Flooded
P1
P2
5L 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. Buffer 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 mitigation, 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
Buffer -
Zone 1 impact
Zone 2 impact
Permanent (P) for Stream name mitigation (square feet) (square feet)
or Temporary T impact required?

B1 ®P ? T
Roadway
UT of Whiteoak Swamp
El Yes
®
No
3105
2070
fill
? Yes
B2 ?P?T ?No
?Yes
B3 ?P?T ? No
6h. Total buffer impacts 3105 2070
6i. Comments: The majority of the buffer is currently in agricultural fields and has no permanently established vegetation.
Page 6 of 11
PCN Form -Version 1.3 December 10, 2008 Version
D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a.. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
Impacts associated with this project are directly related to widening this road and upsizing the existing crossline to
accommodate the widened road surface. Increases in road width and crossline length will conform to current engineering and
safety standards.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
This project will operate under an approved Sediment and Erosion Control Plan and will also adhere to all permit conditions
set forth by the NC Division of Water Quality.
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
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
? Payment to in-lieu fee program
? Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
3b. 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: linear feet
4c. 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
4g. Coastal (tidal) wetland mitigation requested: acres
4h. Comments:
5. Complete if Using a Perrnittee Responsible Mitigation Plan
5a. If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
Page 7 of 11
PCN Form - Version 1.3 December 10, 2008 Version
6. 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
buffer mitigation? ? Yes ? No
6b. 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.

Zone 6c.
Reason for impact 6d.
Total impact
(square feet)
Multiplier 6e.
Required mitigation
(square feet)
Zone 1 3 (2 for Catawba)
Zone 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,
permittee responsible riparian buffer restoration, payment into an approved in-lieu fee fund).
6h. Comments:
Page 8 of 11
PCN Form - Version 1.3 December 10, 2008 Version
E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Plan
1a . Does the project include or is it adjacent to protected riparian buffers identified ® Yes ? No
within one of the NC Riparian Buffer Protection Rules?
1 b . If yes, then is a diffuse flow plan included? If no, explain why.
Yes No
® ?
Comments: See attached erosion control plan.
2. Stormwater Management Plan
2a: What is the overall percent imperviousness of this project?
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, narrative description of the plan:
All of the stormwater associated with this project will be directed through grassed ditches for treatment.
? 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?
? Phase II
? NSW
3b. Which of the following locally-implemented stormwater management programs ? 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
? HQW
4a. Which of the following state-implemented stormwater management programs apply ? ORW
(check all that apply): ? Session Law 2006-246
® Other: NPDES
41b. Has the approved Stormwater Management Plan with proof of approval been ® Yes ? No
attached?
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
Page 9 of 11
PCN Form -Version 1.3 December 10, 2008 Version
F. Supplementary Information
1. Environmental Documentation (DWQ Requirement),
1a. Does the project involve an expenditure of public (federal/state/local) funds or the ® Yes ? No
use of public (federallstate) 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
? Yes
? No
letter.)
Comments:
2. Violations (DWQ Requirement)
2a. Is the site in violation of DWQ Wetland Rules (15A NCAC 2H .0500), Isolated
Wetland Rules (15A NCAC 2H .1300), DWQ Surface Water or Wetland Standards, ? Yes ® No
or Riparian Buffer Rules (15A NCAC 213 .0200)?
2b. Is this an after-the-fad 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 ® No
additional development, which could impact nearby downstream water quality?
3b. If you answered "yes" to the above, submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWQ policy..lf you answered "no," provide a short narrative description.
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.
No wastewater will be generated by the construction of this project.
Page 10 of 11
PCN Form -Version 1.3 December 10, 2008 Version
6. 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?
NC Natural Natural Heritage Program Database and NCDOT GIS Layers.
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?
Field observations indicate that there is no fish habitat in the vicinity of this project.
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?
SHPO has reviewed this project and determined that it will not affect any historic properties or archaeological resources.
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?

ApplicanUAgent's Printed Name Applicant/Agent's Signature
(Agent's signature is valid only if an authorization letter from the applicant Date
is provided.
Page 11 of 11
PCN Form - Version 1.3 December 10, 2008 Version
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