20110819 Ver 1_Application_20110902

0 ?110819
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
BEVERLY EAVES PERDUE
GOVERNOR
September 01, 2011
N.C. Division of Water Quality
Transportation Permitting Unit
2321 Crabtree Blvd./Suite 250
Raleigh, NC 27604-2260
Attention: Mr. Rob Riding, NCDOT Project Coordinator
EUGENE A. CONTI, JR.
SECRETARY
RIMM90
SEP 2 P01
MW-YINTER pllA M
MfiiMANDSTOR MTERBRANCH
Subject: Fill slope repair and pipe extension of a structure conveying an unnamed
tributary to Jordan Creek on, US 158 in Glanville County. WBS No.
5C.039011.
The North Carolina Department of Transportation (NCDO"r) proposes to repair a fill slope
by extending a pipe and then armoring the pipe ends with rip rap for long term stabilization.
This will involve permanent surface water fill of 12LF and permanent. rip rap of 20LF along
the bank of a buffered stream. Temporary concurrent stream impacts of 32 LF will be
necessary for dewatering in order to maintain a dry work area during the repair effort. Buffer
impacts of 1,800 SF (Zone 1) and 1,040 SF (Zone 2) will be necessary to access the creek
and for the fill slope to be repaired.
Application is hereby made for NCDENR-DWQ Section 401 Water Quality Certification
(WQC) No. 3820 and a Tar-Pamlico Riparian Buffer Authorization. A pre-construction
notification, construction plan sketch, project mapping, and photographs are attached
with this request. By copy of this letter we are notifying the USACE of the intent to work
under a non-reporting NWP 14. If you have any questions or need additional information,
please contact Ms. Heather Montague at [phone].
Sincycly,
76 J.W. Bowman, P.E. a
Division Engineer
cc: Mr. Eric Alsmeyer, NCDOT Coordinator, U.S. Army Corps of Engineers
Mr. Jason Lee, NCDOT Granville County Maintenance Engineer
Mrs. Dawn Phipps, NCDOT DIV 5 Roadside Environmental Field Ops Techn
Division Five-2612 North Duke Simi, Durharn, North Carolina 27704
Telephone: [phone] Fu: 919.560.3371
Inlet
US 158
Granville County Maintenance Site
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Name: OXFORD Location: 038.322(0 ' N 078. (P 191 rw
Date: 8282011 - Caption: US 158
Scale: 1 inch equals 2000 feet GrarniUe County Maintenance
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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: non-reporting

Section 404 Permit C] Section 10 Permit
I
1b. Specify Nationwide Permit (NWP) number: NWP 14 or General Permit (GP) number:
1c. Has the NWP or GP number been verified by the Corps? ? Yes ® No
1d. 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
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 1h
below. ? Yes ® No
1h. Is the project located within a NC DCM Area of Environmental Concern (AEC)? ? Yes ® No
2. Project Information
2a. Name of project: Proposed extension of a cross line conveying an unnamed tributary to Jordan Creek on
US 158 just west of the Oxford Loop.
2b. County: Granville
2c. Nearest municipality / town: Oxford
2d. Subdivision name: N/A
2e. NCDOT only, T.I.P. or state
project no: WBS No. 5C.039011
5. Owner Information
3a. Name(s) on Recorded Deed: NCDOT Division 5
3b. Deed Book and Page No. N/A
3c. Responsible Party (for LLC if
applicable): N/A
3d. Street address: 2612 N. Duke Street
3e. City, state, zip: Durham, NC 27704
3f. Telephone no.: [phone]
3g. Fax no.: [phone]
3h. Email address: wbowmanCrDncdot.aov
4. Applicant Information (if different from owner) N/A
6. Agent/Consultant Information (if applicable) N/A
Page 1 of 8
PCN Form - Version 1.3 December 10, 2008 Version
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B. Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID): NIA
1b. Coordinates (in decimal degrees):
Site: Latitude:36.3226 Longitude: -78.6187
(DD.DODDDD) (-DD.DDDDDD)
1c. Property size: < 0.01 acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to Jordan Creek
proposed project:
2b. Water Quality Classification of nearest receiving water: C NSW
2c. River basin: Tar-Pamlico
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 existing structure is too short for the fill section which is a slope stability concern. Site is surrounded by residential
and agricultural lands.
3b. List the.total estimated acreage of all existing wetlands on the property:
NONE
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
60 ft
3d. Explain the purpose of the proposed project: The pipe extension will allow for an adequate and more stable fill slope
at this crossing.
3e. Describe the overall project in detail, including the type of equipment to be used:
12 feet of pipe will be added to the outlet end of this structure. The area will then be back filled to provide an adequate
slope section. Rip rap will be installed underlined with filter fabric for long term stability surrounding the mouth of the pipe
extension. Additionally rip rap armoring underlined with filter fabric will be added to the inlet for stability. Equipment may
include a backhoe an excavator, and grader.
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: N/A
4b. If the Corps made the jurisdictional determination, what type
Final
E) Preliminary El
of determination was made?
4c. If yes, who delineated the jurisdictional areas? Agency/Consultant Company: NIA
Name (if known): NIA Other: N/A
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
N/A
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.
N/A
Page 2 of 8
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.
N/A
C. Proposed Impacts Inventory
1. Impacts Summary
la. 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)
Temporary
W1 ? P ? T NIA N/A ? Yes
? No ? Corps
? DWQ N/A
2g. Total Wetland Impacts: NONE
2h. Comments: N/A
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
Temporary (T) (INT)? other) (feet) feet)
Site l ®P ? T
fill UT to ? PER ® Corps
3
12
Stream 1 Jordan Creek ® INT ® DWQ
Site 1 ® P ? T ri UT to ? PER ® Corps 3 20
Stream 1 p rep Jordan Creek ® INT ® DWQ .
Site 1 ? P ® T UT to E] PER ® Corps 3 32
Stream 1 dewatering Jordan Creek ® INT ® DWQ concurrent
3h. Total stream and tributary Impacts 32
3i. Comments: rip rap will be placed on banks (up to 10ft upstream and 10ft downstream), not within the flow line
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 impact Name of waterbody
number- (if applicable) Type of impact Waterbody type Area of impact (acres)
Permanent (P) or
Temporary
01 ? P ? T N/A N/A NIA N/A
4f. Total open water impacts NONE
4g. Comments: N/A

Page 3 of 8
PCN Form - Version 1.3 December 10, 2008 Version

5. Pond or Lake Construction
If and or lake construction proposed, then complete the chart below.
5a.

Pond ID 5b.

Proposed use or purpose of 5c.
Wetland Impacts (acres) 5d.
Stream Impacts (feet) 5e.
Upland
(acres)
number pond
Flooded
Filled
Excavated
Flooded
Filled
Excavated
Flooded
P1 N/A N/A N/A N/A N/A N/A N/A N/A
P2
5f. Total NONE NONE NONE NONE NONE NONE NONE
5g. Comments: N/A
5h. Is a dam high hazard permit required?
? Yes No If yes, permit ID no: N/A
5i. Expected pond surface area (acres): N/A
5j. Size of pond watershed (acres): N/A
5k. Method of construction: N/A
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.

Project is in which protected basin?
® Neuse ?Tar-Pamlico ? Other:
? Catawba ? Randleman
6b.
Buffer impact
number-
Permanent (P) or
Temporary 6c.

Reason for
impact 6d.

Stream name 6e.

Buffer
mitigation
required? 6f.

Zone 1 impact
(square feet) 6g.

Zone 2 impact
(square feet)
Site ® P ? T
Buffer Impact 1 Pipe extension
and Rip rap
UT to Jordan Creek ? Yes
® No
1,800 SF
1,040 SF

6h. Total buffer Impaeffi 1,800 SF 1,040 SF
6i. Comments: includes impacts to buffers for pipe extension, slope repair and rip rap bank stabilization
D. Impact Justification and Mitigation
1. Avoidance and Minimization
Ia. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
The impacts to riparian buffers will be limited to those necessary to access the stream, dewater (if necessary), and to extend
this pipe. Most of the access will utilize the space within the existing transportation facility down the fill slope. This extension
cannot be performed without access through the riparian buffer.
tb. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Sediment and erosion control Best Management Practices for protection of surface waters and riparian buffers will be
enforced during project construction.
Page 4 of 8
PCN Form - Version 1.3 December 10, 2008 Version
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: N/A
3b. Credits Purchased (attach receipt and letter) Type N/A Quantity N/A
3c. Comments: N/A
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: N/A linear feet
4c. If using stream mitigation, stream temperature: ? warm ? cool ?cold
4d. Buffer mitigation requested (DWQ only): N/A square feet
4e. Riparian wetland mitigation requested: N/A acres
4f. Non-riparian wetland mitigation requested: N/A acres
4g. Coastal (tidal) wetland mitigation' requested: N/A acres
4h. Comments: N/A
6. Complete N Using a Perrnittee Responsible Mitigation Plan
5a. If using a pennittee responsible mitigation plan, provide a description of the proposed mitigation plan.
N/A
6. Buffer Mitigation (State Regulated Riparian Buffer Rules) -required by DWG
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 WA N/A 3 (2 for Catawba) N/A
Zone 2 N/A N/A 1.5 N/A
6f. Total buffer mitigation required: NONE
6g. If buffer mitigation is required, discuss what type of mitigation is proposed (e.g., payment to private mitigation bank,
perrnittee responsible riparian buffer restoration, payment into an approved in-lieu fee fund). N/A
6h. Comments: N/A
Page 5 of 8
PCN Form -Version 1.3 December 10, 2008 Version
E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Plan

I a . 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.
? Yes ®No
Comments: this pipe extension will not alter storm water runoff at this site
2. Stormwater Management Plan

2a . What is the overall percent imperviousness of this project? 20%
2b . Does this project require a Stornwater Management Plan? ? Yes ® No
2c. If this project DOES NOT require a Stormwater Management Plan, explain why: NCDOT state Permit No. NCS000250
2d . If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan: N/A
? Certified Local Government
2e . Who will be responsible for the review of the StommNater Management Plan? ? DWQ Stormwater Program
? DWQ 401 Unit
3. Certified Local Government Stormwater Review

3a. In which local government's jurisdiction is this project? Granville County
? Phase II
? NSW
3b. Which of the following locally-implemented stormwater management programs El 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? N/A
4. DWQ Stormwater Program Review
? Coastal counties
? HOW
4a. Which of the following state-implemented stormwater management programs apply ? ORW
(check all that apply): N/A ? Session Law 2006-246
? Other:
4b. Has the approved Stornwater Management Plan with proof of approval been
? Yes ? No
attached? WA
5. DWQ 401 Unit Stormwater Review
5a. Does the Stormwater Management Plan meet the appropriate requirements? N/A ? Yes ? No
5b. Have all of the 401 Unit submittal requirements been met? N/A ? Yes ? No
Page 6 of 8
PCN Forth - Version 1.3 December 10, 2008 Version
F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
la. Does the project involve an expenditure of public (federal/state/local) funds or the ® Yes ? No
use of public (federal/state) land?
I b. If you answered ryes" 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: N/A
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 2B.0200)?
2b. 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): N/A
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. If you answered "no," provide a short narrative description.
N/A
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.
N/A
Page 7 of 8
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
?
Sc. 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?
htto:/hvww.fws.gov/nc-es/es/Countvfr.html and NC Natural Heritage Program Database, Element Occurrences
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish ? Yes ® No
habitat?
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
htto://ocean.flo6damarine.org/efh corallmstviewer.htm
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?
HPO's historic layer using GIS ArcView database and htto://ois.ncdcr.aovlhooweb/
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: N/A
8c. What source(s) did you use to make the floodplain determination? htto://www.ncfloodmaps.com/

J. W. Bowman, P.E. /
01" 09/01111
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Page 8 of 8
PCN Form - Version 1.3 December 10, 2008 Version
Ridings, Rob
From: Montague, Heather W
Sent: Friday, September 02, 2011 10:03 AM
To: Ridings, Rob
Cc: Alsmeyer, Eric C SAW; Phipps, Dawn
Subject: RE: Non-reporting NWP 14 and WQC 3820 on US 158 in Granville County
Attachments: US 158 Granville Buffer Authorization Request.pdf; US 158 Granville pictures.doc
Rob-
As discussed this site would be better considered ,a non-reporting NWP 14 to the USACE with a
WQC 3820 requested from DWQ since we are dealing with a pipe extension and slope repair ,
beyond just rip rap armoring. Please use the WBS No. 5C.039011 to process this request and
see attached application packet with pictures, figures, and PCN. Color photos are also
attached. Thanks.
-Heather
-----Original Message-----
From: Ridings, Rob
Sent: Friday, September 02, 2011 8:58 AM
To: Montague, Heather W
Subject: RE: Non-reporting NWP 3 and WQC 3687 on US 158 in Granville County
Heather,
On this one, if the pipe is being extended, then not all the buffer impact is stabilization
only. Some of it will be fill from the extension (if the pipe, correct?
In which you are triggering written concurrence and I'll need to charge a fee (will need a
WBS charge #) and write an approval.
-Rob
-----Original Message-----
From: Montague, Heather W
Sent: Thursday, September 01, 2011 2:35 PM
To: Alsmeyer, Eric C SAW; Ridings, Rob
Cc: Phipps, Dawn
Subject: Non-reporting NWP 3 and WQC 3687 on US 158 in Granville County
Rob and Eric-
Please note that this is a pre-existing maintenance issue and is NOT associated with
Hurricane Irene.
Granville County Maintenance has an existing structure that is too short for the fill section
which is a stability concern on US 158 to west side of Oxford. This cross line will be
extended by 12ft to the outlet end, then the associated fill slope and shoulder section will
be rebuilt. This maintenance work should meet the conditions for working under a non-
reporting NWP 3 and WQC No. 3687.
Note that although wetland vegetation is observed at the outlet of this structure. This is
due to improperly draining ditches and the soils here are non hydric. Therefore no wetland
impacts are proposed.
1
For maintenance sites such as this one, NCDOT Division 5 has a procedure in place to provide
our construction crews with print outs of the general conditions along with a letter head
cover sheet explaining the intent to operate under a non-reporting permit as long as all
applicable conditions are meet. Oversight from both the Environmental Staff and REU Field
Operations Unit will ensure compliance with the permit conditions are met and that standard
BMPs are followed. Attached to this email is a courtesy PCN for your files along with site
maps and a construction plan. This work was scheduled to begin within the next few weeks.
-Heather Montague
DIV 5 Env Specialist
[phone] office
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