20110892 Ver 1_Application_20111004

STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
BEVERLY EAVES PERDUE
GOVERNOR
September 27, 2011
ST EUGENE A. CONTI, At'
SECRETARY
Mr. Rob Ridings 1 ® 8 9 n
DWQ-Transportation Permitting Unit G
1650 Mail Service Center
Raleigh, NC 27609
Subject: Nationwide 14 Notification for the paving of SR 1443 (Roy Court) over a UT to
Town Creek, Wilson County, NC. WBS # 4x096029
Dear Sirs:
Please find enclosed the Pre-Construction Notification for the above referenced project. There
are impacts to one regulated stream associated with this project due lengthening one pipe by 5'.
This UT to Spring branch is located in the Tar River Basin and is classified by the Division of
Water Quality at this crossing as C, NSW. Best Management Practices for the Protection of
Surface Waters will be strictly adhered to during construction.
Regulatory Approval:
USACE Section 404 Permit: The project qualifies for Nationwide Permit 14 (Nonreporting).
All permit conditions will be followed.
NCDWQ Section 401 Certification: The project qualifies for 401 General Certification No.
3820. For our files, please provide written authorization that the activity is authorized.
NCDWQ Buffer Rules: Buffer rules apply as feature shows up on soils map. For our files,
please provide written authorization that the activity is authorized.
Please contact Chad Coggins [phone] or Byron Bateman at [phone] if you have
any questions or need additional information. Your time and effort are appreciated.
Res ectfully Yours,
J ?nW. Rouse, PE
E
Acting Division Engineer - Division 4
[phone] x 3532 [e-mail]
Post Office Box 3165, Wilson, North Carolina 27895-3165
AA-r?9 .
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P ~
Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.3 Dec 10 2008
Pre-Construction Notification PCN Form
A. Applicant Information
1. Processing
1 a. Type(s) of approval sought from the
Corps:
? Section 404 Permit ? Section 10 Permit
1 b. Specify Nationwide Permit (NWP) number: 14 or General Permit (GP) number:
1c. Has the NWP or GP number been verified by the Corps? ®Yes ? No
1 d. 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
1 g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h
below. ? Yes ® No
1 h. Is the project located within a NC DCM Area of Environmental Concern (AEC)? ? Yes ® No
2. Project Information
2a. Name of project: SR 1443 paving project
2b. County: Wilson
2c. Nearest municipality 1 town: Town Creek
2d. Subdivision name: N/A
2e. NCDOT only, T.I.P. or state
project no:
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 10
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: Jown W. Rouse, Acting 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]
49. 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 10
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):
1 b. Site coordinates (in decimal degrees): Latitude: 35.8123 Longitude: - 77.8072
(OD.DDDDDD) (-DD.DDDDDD)
1c. Property size: acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to
proposed project: Town Creek
2b. Water Quality Classification of nearest receiving water: C; NSW
2c. River basin: Tar River
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 silvicultural and agricultural.
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:
61'
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 /
project (including all prior phases) in the past?
Comments: on soils map

? Yes ? No ? Unknown
4b. If the Corps made the jurisdictional determination, what type
of determination was made?
? Preliminary ? Final
4c. If yes, who delineated the jurisdictional areas?
Name (if known): Byron Bateman and Chad Coggins Agency/Consultant Company:
Other: NCDOT/ Division 4 Environmental Staff
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
this project (including all prior phases) in the past? Yes ® No ? Unknown
5b. If yes, explain in detail according to "help file" instructions.
6. Future Project Plans
6a. Is this a phased project? ? Yes ® No
6b. If yes, explain.
Page 3 of 10
PCN Form - Version 1.3 December 10, 2008 Version
C. Proposed Impacts Inventory
1. Impacts Summary
la. Which sections were completed below for your project (check all that ap ply):
? 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.
Wetland impact 2d. 2e. 2f.

number - Type of impact Type of wetland
Permanent (P) or
i
k
Forested Type of jurisdiction
(Corps - 404, 10 Area of impact
(
f
nown)
Temporary T DWQ - non-404, other) (acres)
W1 ? P ? T ? Yes ? Corps
? No ? DWQ
W2 ? P ? T ? Yes ? Corps
? No ? DWQ
W3 ? P ? T El Yes El Corps
? No ? DWO
W4 ? P ? T ? Yes ? Corps
? No ? DWQ
W5 ? P ? T ? Yes ? Corps
? No ? DWQ
W6 ? P ? T ? Yes ? Corps
? 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 -
Permanent (P) or (PER) or
intermittent (Corps - 404, 10

DWQ -non-404 stream

width length

(linear
Temporary (T) (INT)? ,
other) (feet) feet)
S1 ®P ? T Pipe Placement UT of Town Creek ? PER
® INT ® Corps
? DWQ 3 5
S2 ? P ? T ? PER ® Corps
® 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
? INT ? DWQ
3h. Total stream and tributary impacts 5
3i. Comments:
Page 4 of 10
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 individuallv list all onPn water imnnrtc k-1-
4 a.
Open water 4b.
Name of waterbody 4c. r -- - - 4d.
4e.
impact number -
Permanent (P) or (if applicable) Type of impact Waterbody type Area of impact (acres)
Tem ora T
01 ?P?T
02 ?P?T
03 ?P?T
04 ?P?T
4f Total open water impacts

A, r.. ..a.,. 0
5. Pond or Lake Construction
If and or lake construction proposed, then corn fete the chart below.
5a. 5b. 5c. 5d.
5e.
Pond ID Wetland Impacts (acres) Stream Impacts (feet) Upland
Proposed use or purpose (acres)
number of pond
Flooded Filled Excavated 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:
Page 5 of 10
PCN Form - Version 1.3 December 10, 2008 Version
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 -
Permanent (P) or Reason
for
Stream name Buffer
mitigation Zone 1 impact
(square feet) Zone 2 impact
(square feet)
Temporary T impact required?
EC

B1 ®P ? T devices
and 5 ft
UT of Town Creek ? Yes
® No
1310
874
longer
pipe
B2 ?P?T ?Yes
? No
B3 ?P
?T ?Yes
[]
No
6h. Total buffer impacts 1310 874
6i. Comments:
D. Impact Justification and Mitigation
1. Avoidance and Minimization
1 a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
Impacts associated with this project are directly related to upsizing the existing crossline to accommodate the widened road
surface as well as stablizing stream banks within roadway facility . Increases in road width and crossline length will conform to
current engineering and safety standards.
1b. 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 USACE and 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 ? Yes ® No
impacts to Waters of the U.S. or Waters of the State?
2b. If yes, mitigation is required by (check all that apply): ? DWQ ? Corps
? Mitigation bank
2c. If yes, which mitigation option will be used for this
? Payment to in-lieu fee program
project?
? Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
3b. Credits Purchased (attach receipt and letter) Type Quantity
Page 6 of 10
PCN Form - Version 1.3 December 10, 2008 Version
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 Permittee Responsible Mitigation Plan
5a. If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
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 7 of 10
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
within one of the NC Riparian Buffer Protection Rules? ®Yes ? No
1b . If yes, then is a diffuse flow plan included? If no, explain why
.
Comments: See attached erosion control plan.
®Yes ? No
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, na rrative 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
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
? HQW
4a. Which of the following state-implemented stormwater management programs apply ? ORW
(check all that apply):
? Session Law 2006-246
® Other: NPDES
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
Page 8of10
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
use of public (federal/state) land? ®Yes ? No
1 b. 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 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):
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.
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 9 of 10
PCN Form - Version 1.3 December 10, 2008 Version
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