20110925 Ver 1_Application_20111019

ci[� — �y���V
OCT ` �
�� 19 �
�ti::..� `�a,v Sf"�as��q RZB�1
STATE OF NORTH CAROLINA ��H
DEPARTMENT OF TRANSPORTATION
; BEVERLY EAVES PERDUE. EUGENE A. CONTI,JR
GOVERNOR SECRETARY
OCTOBER I 1,2O ll
NCDENR Div Water Quality � 1 1 � 9 2 �
Mr. Brian Wrenn
512 North Salisbury Street
Raleigh, NC 27604
RE: Linear Transportation Project/ SR 1556 Krisay Prease Road /Columbus County
State Project 6C.024107
USACOE NWP!#14 /NCDENR WQC 3820
Dear Mr. Wrenn:
Enclosed, please find seven(7) copies of a PCN and related documentation for a Linear
Transportation Project along SR 1556 (Krissy Prease Road) in Columbus County. The project
will be completed in compliance with NCDENR Division of Water Quality General Certification
3820, and, USACE Nationwide Pernut #14.
This project is being submitted under the 401 Automated Payment Procedure. The State
Project Number is 6C.024107 and the permit fee is 2$ 40.00. •
A separate copy of this submission has been forwarded to Mason Hemdon of the
Fayetteville Regional Office.
If you should have any questions or comments regazding this notification, please feel free to
contact me.
' cerely, ��
LLu�v i �ws
ames J. Rerko, PWS
Division 6 Environmental Officer
P.O.Box 1 t30,Feyetteville,NC 28302-I 150-Telephonc(910)437-0207-Fae(910)486-1959

. . - �°°�� /��'/i:?
'4n�,
��'..,- � ��T.1 l�j�,�
°�-�° 9
S'CATE OF NORTH CAROLINA �o���N� ���I ��
'9ry�Sl�'y�U
DEPARTMENT OF TRANSPORTATION �'�i�q�Rry
BEVEa[v EavES PEaDUE Eugene A. �, Jr.
GOVERNOft SECRETARY
� September21,2011 � � �
U.S. Army Corps of Engineers � � 2 �
Wilminaton Reeulatorv Field Office
P.O. Bos 1890
WilmuLaton_ North Cazolina 28402-1890
ATTN: Mr. Ronnie Smith
\CDOT Coordinator
De�Ss
Subject: Notification for Nationw2de Permit 14 (ivfinor Road Crossing)
NCDENR 401 WQC 3820
Cu1veR Replacement SR-1556 (Krissy Prease Rd.) Columbus Counry
State Project Number: 6C.024107
The I�TOrth Cazolina Department of Transportation (NCDO"1� has scheduled to clear, grade, drain,
base and pave SR-1�56, Columbus County. Total project len�th is 0.75 miles. The roadway wiil
be �iidened to 20 feet within a Right of R'ay of 50 feet w�ith stabilized grass shoulders (4 foot)
provided. This project will require the replacemen[ of two (2) wet cross lines and fill in adjacent
wetlands as shown below:
Crossina Roadway Station Existina Culvert Proposed Culvert
j Pemut Site =1 Sta 31+74 27 LF 18" RCP 40 LF 24" RCP
i P�t Si*.:=� I ct� ?,'-08 � 36 L.F?8°CMP � "A I.F?8"RCP
Neu•Siream Impacts= 17linear jeet
Wetland � Roadwav Station Wetland Im acts
Permit Site �rl Sta. 31+20— Sta. 33+1� � 0.04 acres �
Neiv Gi�etland Impucts = 0.04 ncres
Construction of this project will require impacts to the waters of the United States in the Lumber
River Basin. Permit sites #1 and #2 are unnamed tributaries of Pine Log Branch (Class C, Sw).
The project is located within the 03040203 Hydrologic Unit, sub basin 03-07-58.
� P.0.Box 1 I i0,Faye[teville,NC 28302-1 I50-Tclephone(910)437-0207-Faz(910)486-19>9

. SR-1556 is located in Western Columbus County the majority of the surrounding country side is
agricultural farm fields. Krissy Prease itself serves as an entrance for farm fields, as well as
several homesites. There are both cleared portions and woods.
Permit Site #1 has both stream and wetland impacts. A perennial stream channel is located at
Station 31+74. The current culvert is 27 LF 18" RCP, NCDOT is proposing to increase that Yo a
40 LF 24" RCP. Headwater Forest wetlands are adjacent to the stream channel both up and
downstream. Wetlands are located upstream from Station 33+15—Station 32+30 and .
downstream from Station 32+51 — Starion 31+20.
Permit Site#2 has an existing 36 LF 48" CMP located at Station 13+08. NCDOT proposes to
replace this deteriorated culvert with a new 40 LF 48" RCP. This intermittent stream is an
unnamed tributary of Pine Log Branch. It rated a 25 utilizing the NC DWQ Stream Assessment
form.
RESOLRCE STA1tiS
In eeneraL tbere Hill be minor unpacts proposed as a result of the replacement of rhe cul�ert
alona SR-1»6 (3:rissy Prease Rd.) in Columbus Coimtc'. This culvert site has undereone human
manipulation_ A 1�'ationwide Permit#14/NCDE2�'R 401 WQC 3820 is required for the project.
Endangered Species: Plants and animals with Federal classification of Endangered(E) or
Threatened ('I) aze protected under provisions of Section 7 and Section 9 of the Endangered
Species Act of 1973, as amended. As of September ZZ, 2010, the U.S. Fish and Wildlife Service
lists eight(8) federally protected species for Columbus County.
Federall �Protected S ecies for Columbus Coun
SCIENTIFIC NAME COMMON NAME STATUS
A/ligator missrssippiensis American alligator T (S/A�
Prcoides boreolis Red-cockaded woodpecker E
ibfi�cteria americana I . Wood Stort: I E I
i !
! ___:_�r:'�vc;-?-_� � �Fi!_ i BGD_ i
Tnalicmrm cooleti-i I Coolzy`s mradowrue I E �
� L}-imochio aspenrlaefolia l Rou�h-leaved loosestrife I E �
j Aciperzser brerirostrum I Shormose snsezon I - E �
� II Menidia estensa Waccamaw silverside 'j'
"E"denotes Endangered(a species that is in danger of exti�ction throu�hout
all or a sia ificant portion of its ran�e). �
T(S/A)-Threatened due to similarity of appearance, a species that is threatened
Dae to similariry of appearance with other rare species and is listed for its
Protection. These species are not biologically endaogered or threatened and
Are not subject to Section 7 consultation.

A biological conclusion of"No Effect" was reached for all species during the February 24, 2011
survey for protected species. Protected species were not identified, nor, was the general habitat
for each species identitied.
REGULATORY APPROVALS
Application is hereby made for a Department of the Anny Nationwide Permit 14 /NCDENR 401
WQC 3820 as required by the above-described activities.
The National Register was reviewed in addition to conducting a field view of the project for
sienificant historic features.
T"ne proi�i impacts aze minor in nature and should not remove or de�ade existine�vater quality
u`es. Pine sizes proposed are ihe minimum necessarg to create a safe hiehw-a�-���hile
accommodating the 2�-yeaz design storm. There is no record witlun the NCDOT District 3
Omc� j Columbus Counh-) that the road experiences flood overtoppina. By utiliana the erosion
control measures, downstream�vater qualiri'standards will be protected. All appropriate B�1P's
�tiill be utilized during conswction.
Attached is a Preconstruction Notification Form, plan sheets, mazked county road map, quad
locarion map and photographs.
If you should have any questions, or need additional information please contact James J. Rerko,
Pws �r �9io�a��-ozo�.
Sincere �
i ,�T' U I� �
� James J Rerko_ PWS
Division 6 Environmental Officer
ATTACHMENTS
Cc: Brian Wren, Division of Water Quality (7 copies)
Mason Hemdon, Division of Water Quality (1 copy)
Greg Burns, P.E, Division Engineer

�F W A TE9
O� �G Offce Use Only:
� � �� Corps action ID no.
� ��� i o < DWQ project no.
Form Version 1.3 Dec 10 2008
Pre-Construction Notification PCN Form
A. A licant Information
1. Processing
1a. Type(s) of approval sought from the
� Section 404 Permit ❑ Section 10 Permit
Corps:
1 b. Specify Nationwide Permit (NWP) number: 14 or General Permit (GP) number: 3820
tc. Has the NWP or GP number been verified by the Corps? ❑ Yes � No
1 d. Type(s) oi aoproval sought from the DWQ (check all that apply):
� '�Z'4r� W��,;�5_'y C=r`u5catior—Regular ❑ Non-4C�Jurisdictional Gerieral Perm�t
❑401 Wa�r Quality Certification—r�cpress ❑ Riparian Bufrer Authorization
1=. Is ttis no�oon sdety for the record For the record only ior DWQ 401 For ttie record onty far Corps Pertnit
b�usa wrfuen aporoval is not required? Certifiption:
❑Yes � No ❑Yes � No
1 f. Is payment into a mitigation bank or in-lieu fee program proposed for mitigation �Yes � No
of impacts? If so, attach the acceptance Ietter from mitigation bank or in-lieu
fee program.
1 g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h ❑Yes � No
below.
1h. is the projed located within a NC DCM Area of Environmental Concem (AEC)? ❑Yes � No
2. Projeci lnformation
2a. Name of project: SR 1556-Krissy Prease Rd •
2b. County: Columbus �
2c. Nearest municipality/town: Whiteville
, 2d_ Subdivision r�me: NA
2e_ NCDOT oniy,T.I.P.or s�t= ( �:�_��i��
i �
�i� i
� 3. Owner[nfartnation (
3a. N�mz(s}on .°.xord-cd Deed: � N�,
3b. Dzed Book and Pag= No. j NA
3c. Responsible Party(for LLC if NA
applicable):
3d. Street address: NA
3e. City, state, zip: NA -
3f. Telephone no.: NA
3g. Fax no.: NA
3h. Email address: NA
Page 1 of 11
PCN Form—Version 1.3 December 10, 2008 Version

4
4. Applicant Information (if different from owner)
4a. Applicant is: �Agent ❑ Other, specify:
4b. Name: Greg Burns, P.E./ NCDOT/Division 6 Engineer
4c. Business name NCDOT
(if applicable):
4d. Street address: PO BOX 1150
4e. City, state, zip: Fayetteville, NC 28302
4f. Telephone no.: [phone]
4g. Fax no.: [phone]
4h. Email address: [e-mail]
5. AgenUConsultant Information (if applicable)
ISa. Name: James J Rerko, PWS
j Sb. 3usvs--"..as rtTe j c c
� CR aPPF�i2%=
I NCDOT!Division .. _nvironrrur=�I Oft�r
Sc. Street address: I PO Box 1150
i 5d. Cty. �=.�p: � Fayztieville. NC 28302
I 5e. Telephor,z no.: I [phone] x 26 �
5f. Fax no.: [phone]
Sg. 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): NA
Latitude: Longitude: -
1b. Site coordinates (in decimal degrees): PS#1 34.3656 -78.7725
PS#2 34.3702 -787697
(DD.DDDDDD) (-DD.DDDDDD)
1c. Property size: 4.6 acres
2. Surface Waters
2a. Name of nearest body of water(stream, river, etc.)to pine Log Branch
� proposed project:
� 2b. W�.ar QuafYy ClassmcaUon of nearest receiving water. � C; Sw
� 2c. Rivzr ba�rt j Lumber
i 3. Project Description
j 3a Descrtbe ti�°°�dsung conditiorts on the site and the general land usz in the vidnity af the projed at the time of this
apptis;�aen
Surroundng land use is agricultu2l fartn fields. Krissy Prease Rd also serves as an entrance for several residentiai
properties.
3b. List the total estimated acreage of all existing wetlands on the property:
0.04 acres
3c. List the total estimated Iinear feet of all existing streams(intermittent and perennial) on the property:
80 LF
3d. Explain the purpose of the proposed project:
By Statute NCDOT is required to pave all unpaved secondary roads. NCDOT purposes to bring SR 1556 up to the
minimum safety standard.
3e. Describe the overall project in detail, including the type of equipment to be used:
Impacts will be minimized as much as possible. Front end loaders will place fill material. Eventually a motor grader will
finish grade�e project prior to paving.
� 4. Jurisdictional Detertninations I
- �=�=-,- .�:�� � � I
i � :�v ay= �w=—= s s,=.1:�==-�-�s^y I �
C.O(YS O(��cT �'cQL''�i�Oi�O`�I(Icd fDT`t115 DTOQcI":j; .,
i pr�j�(utic'Lr�ng �ll orior pF�ses)in the past7 �Y°5 � No C Unknam
Comm�•s:
4b. If the Corps mada�e jurisdictional detzrmination,what type I ``i"��
of determination was made? �Preliminary ❑ Final
4c. If yes,who delineated the jurisdictional areas? Agency/Consultant Company: NCDOT
Name (if known): Helen Miller, DES II Other: NA
4d. If yes, list the dates of the.Corps jurisdictional determinations or State determinations and attach documentation.
NA
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.
NA
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.
NA
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. 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
W1 � P ❑ T I Fill I Headwater Forest � Yes � Corps I 0.04 ac
i ❑ No ❑ DWQ
i ; i I �y� I 0 Cp� i
I V�2 IJ P i', T i ❑ No ❑ DWQ I
W3 ❑ °❑ T ❑Yes ❑ Corps
f ❑ No ❑ DWQ I
W4 ❑ °LI T ( ❑ Yzs ❑ Corps I
❑ No ❑ DWQ
W5 ❑ P ❑T ❑Yes ❑ Corps
❑ No ❑ DWQ
W6 ❑ P ❑T ❑�'es ❑ Corps
❑ No ❑ DWQ
2e.To[al wetland impacts 0.04 ac
2h. Commznts: Upstream wetland comprised of 0.02 aaes and Downsfream wetland comprised of 0.02 aaes.
3. SVeam Impacts
If there are perennial or intermittent stream impacts (including temporary impads) proposed on the site, then complete this
question for all stream sites impacted.
3 a. 3b. 3c. 3d. 3e. 3f. 39
Stream impact Type of impact Stream name Perennial Type ofjurisdiction Average Impact
number- (PER)or (Corps-404, 10 stream length
Permanent (P)or � intertnittent DWQ—non-404, widih pinear
TvmPor�Y(�] � � ���� a�hes) {�� f�
+ � . Uf ei Pine! � � P� 1 �Carp� ! _ i t
I S1 � P I_i T � CuNai � Branch � � ❑ INT I � DWQ � 3 a I 13 � I
S2 � P Q T i Cuivert � �T of Pine Log ( 0 PER � Corps I 5 ft 4 LF
� Branch , 0 INT ❑ DWQ
S3 ❑ P ❑T ❑ PER ❑ Corps i
❑ INT ❑ DWQ
S4 ❑ P ❑T ❑ PER ❑ Corps
❑ INT ❑ DWQ
SS ❑ P ❑T ❑ PER ❑ Corps
❑ INT ❑ DWQ
S6 ❑ P ❑ T ❑ PER ❑ Corps
❑ INT ❑ DWQ
3h. Total stream and tributary impacts 17 LF
3i. Comments: NA
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
Tem ora T
01 ❑ P ❑ T NA
02 ❑ P � T
03 ❑ P ❑ T
04 ❑ P ❑ T
dE Total open w�ater impacts
4g. Comm2nu:
I
5. Pond or Lat= Construction
If pond or lak°construction proposed then complete thA chart below
I 5a. i 5b. Sc. Sd. 5e. (
i � WeUand Impacts(acr�) SV2am ImpaCs(feet) Uplar�d
Pono ID 1 Pmpos�d use or purpose (acres)
number i of pond
Flooded Filled F�ccavated Flooded Filled Excavated Flooded
P1 I NA
P2
Sf.Total I
5g. Comments:
Sh. Is a dam high hazard permit required?
❑Yes � No If yes, permit ID no:
5i. Expected pond surface area (acres): NA
5j. Size of pond watershed (acres): NA
5k. Method of constn�ction: NA
� 6. Buffer ImpaCs (for DWQ)
1 fi}7iLg'-?ZY.4��"'G 2 �.aT_*�.`-r� �_ �:!=�s'-f,F}Sci7 WPh�ic ulc Clcfi Dc"'�OW. �� ��6�.�3NiG�.s��5`i�Ola�i'd L.�E73C. �
j �low f=s-v��a�r�uv=mi5�+on then you 99UST frll out Sedion D of this iortn_ �
�
� ca.
❑ N=use ❑Tar-Pamlico ❑ Ofher.
Proj�;�is u�w5�� prc;�ad basir�? I ❑ Catawba ❑ Randleman
6b. 6c. 6d. 6e. 6f. 6g.
Buffer impaci
number— Reason Buffer Zone 1 impact Zone 2 impact
Permanent (P) or for Stream name mitigation (square feet) (square feet)
Tem ora T im act re uired?
B1 ❑ P �T NA ❑ Yes
❑ No
B2 ❑ P � T ❑ Yes
❑ No
63 ❑ P ❑ T ❑ Yes
❑ No
�6h. Total buffer impacts
6i. Comments: NA
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.
NCDOT proposes to bring this secondary road up to Statute. A 50 foot Right of Way has been obtained from property owners.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
NCDOT proposes to bring this road up to the necessary minimum standard. All construction BMP's shall be utilized.
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?
26. If yes, mitigation is required by(check all that apply): ❑ DWQ - ❑ Cofps �
❑ Mitigation bank
2c. l;yes,a�uC'� mi5gation option will be used for this o � � m
i �o�� � ❑ . aym_nt to irrlie�f__prognJn
i '
i ❑ Pertnitt� Responsiblz MiugaSon
3. Comntete if Using a Mitigation Bank
� 3a. t�tam=a�FSgation Bank NA
3b. Credits Purchased (attach receipt and letter) Type Quantiry
3c. Comments: NA
4. Complete if Making a Payment to In-Iieu Fee Program
4a.Approv3l letter from in-lieu fee program is attached. ❑Yes
4b. St2am mmgation requested: NA linear feet
4c. If using stream mitigation, stream temperature: ❑warm ❑cool Ocold
4d. Buffer mitigation requested (DWQ only): NA square feet
4e. Riparian wetland mitigation requested: NA acres
4f. Non-ri�rt�n vrtl�nd mitiga5on r�uested: ( Nr1 aaes
� 4a. Co�i C*.�i1 w-:�nd au5�on r�_�: �.NA aa:s
; . I
' =ri�. '" �u uaiu. T`�i . �
i 5. Compiete �Using a Permit[ee Responsible Mitigation Pian I
� Sa. If usina a permi�� resoonsibie mitigation plan, provide a d=..sc^:p5on oi the proposed mitigation plan.
NA
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 ❑ Yes � No
buffer mitigation?
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:
6c. 6d. 6e.
Zone Reason for impact Total impact Multiplier Required mitigation
(square feet) (square feet)
Zone 1 NA 3 (2 for Catawba)
Zone 2 1.5
I I 6f. Total buffer mitigation required: I
i 6g- If�!:;�,-���+: �r�uind, �:s�ass what type o�rr�ga5cr is�r000sed (e.a., payrrent to privat= rrtiiig3tian bank, �
p_rrr,�

E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Plan
1 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?
1 b. If yes, then is a diffuse flow plan included? If no, explain why.
❑ Yes � No
Comments:
2. Stormwater Mana ement Plan
2a. What is the overall percent imperviousness of this project? 33 %
I2b. Dozs this project require a Stormwater Management PIan7 I ❑Yes � No
� 2c. It uns pro;� �70�5 NOT require a Siormwater Managemert F'tan, explain vmy In agreement wiEn NCu`M�and NCDLic: i
NCDOT has iYs own individual NPDES Permit. SR 1556 is not located within a HWQ or ORW.
i2d. tf th's �aj��h?=5 2quirz a Sbrmwater Managem=nt Plan,�n provide a 6riet,nartative descriptior af�e plan:
NA
❑ Certified Local Govemment
2e. Who will be responsible for the review of the Stormwater Management Plan? ❑ DWQ Stormwater Program
❑ DWQ 401 Unit
3. Certifled Local Government Stormwater Review
3a. In which local govemmenYs jurisdiction is this project? Columbus County
❑ Phase II
3b. Which of the following locally-implemented stormwater management programs � NSW
❑ USMP
apply (check all that apply): ❑Water Supply Wate�shed
❑ Other:
I �
3c. Has+!:e=_corov=_d Stormwater Management Plan with proof of approval been � LI Yes � No
�i;?d'.,�=d? i �
� 4 DWQ SYnm�waffir?rogram Review !
' ❑ Ccastai courrtias
❑ HQW
4a. Whia� o��ie ioilowing s;ate-implementzd stortnwater mana9em=nt programs apply � ORW I
(check all that apply): ❑ 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
Page 9 of 11
PCN Form —Version 1.3 December 10, 2008 Version

F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
1 a. Does the project involve an expenditure of public(federal/state/local) funds or the � yes ❑ No
use of public(federal/state) land?
1 b. If you answered"yes"to the above, does the project require preparation of an
envirorYmental document pursuant to the requirements of the National or State ❑ Yes � No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1 c. If you answered"yes"to the above, has the document review been f nalized by the
State Clearing House? (If so, attach a copy of the NEPA or SEPA final approval
letter.) ❑ Yes ❑ No
Commenis: NA
� 2. Ytotz�zs(T�WQ RequiremenU l
I 2a. Is the sit�in violation of DWQ WeUand Rules (15A NCAC 2H .0500), Isolated
it� I
W� 2ui=s(75A NCAC 2H .1300). DWQ Surface W�ar w Wetland Standards, ❑Yes �No
� or Rip2rian Bufr�Rules(15A NCAC 26 .0200)7
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 vioiation(s): NA
3. Cumulative Impacts(DWQ Requirement)
3a. WII this project(based on past and reasonably anticipated future impads) resuft in �Yes � No
addi�ortal d2velopment, which could impact nearby dovmstream 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 descriptlon.
NA
4. Sewage Disposal (DWQ Requirement)
I ".?G�d���.:t��i7("'—��°Y=L'-3..�.f'C t'.t�--..yIOG�'.31�•ncrx�ci;inn (IHN?-L�[S(�Scf�7c 7�G15�.'T.R�1 1f 1f�^'��LS°"-''_�iN[il
1 �rT-'-o�--=�pr�-+.or�r_-t�- .^fa�dty oi�e subjad f:aTty_ �
� � ' I
Page 10 of 11
PCN Form -Version 1.3 December 10, 2008 Version

5. Endangered Species and Designated Critical Habitat(Corps Requirement)
Sa. Witl 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 Offce you have contacted.
❑ Asheville
5d. What data sources did you use to determine whether you�site would impact Endangered Species or Designated Critical
Habitat?
USFWS Endangered Species website, Natural Heritage GIS data layer(updated constantly), Preliminary Ground Survey
i
� 6. Essecctia; r�sh Habitat(Corps Requiremeny
6a_Wdl fiis prej�ct occur in or near an area designated as essenrial fish habita[? ❑Yes � No
' 6b. Wh�da�sources did you use to determine whether your site wouid impad Essential Fish Habitat?
USFWS websit�http://www/fws.gov/nc-es/fishlfish.html
7. Historic or Prehistoric Culturel Resources(Corps Requirement)
7a. Will this project occur in or near an area that the state,federal or Vibal
govemments have designated as having historic or cultural preservation �Yes � No
status(e.g., National Historic Trust designation or properties significant in
. Norfi CaroGna history and archaeology)?
7b. Nfiat data sources did you use to determine whether your site would impact historic or archeological resources?
In accordance with Programmatic Agreement an Internal NCDOT State Historic Preservation review was conducted.
8. Flood Zone Designation (COrps Requirement)
IEa WO thu oroiect oarir in a rEMf�-d�signated 106-yaar floodolain? ❑Y� � �
i
i 8b_ if yzs: �n now Droj:-ct r==c�:Mi r-�rnri;G�ti-,�: Nn i
i
Fsc.Whai souru:(sj did you usz to m,aka the floodpiain datertnination? NC Roodplain Mapping website-(Tile#0262) �
/ �
Grea Burns, P.E. ��� ! Sept 21, 2011
/
ApplicanUAgent's Printed Name ApplicanVAgent"s-Signature Date
(AgenPs signature is valid only if an authorization letter from the applicant
is rovided.
Page 11 of 11
PCN Form-Version 1.3 December 10, 2008 Version

PERMIT SITE # IIMPACTS
STREAM IMPACT = 13 LF
WETLAND IMPACT = 0.04 AC.
, � _
.
7 O ' �
MARKUS A. ELLIOTT AND XO �� �
/� MARY LAYTON ELLIOTT �� j � �� 14
@ 649/698/2001 i � '\��
iQ2, PARCEL " 86639 0.02 Acr. � i �
FA� �F ETLANDS � /m WORTHINGTON
/ p '�!�^�GF ��i 373/893/ 1980
i �
G., �✓i� �
J • -/`�j-^� ,v: j�
(„ . ���%n ` � I_. _
v I �_
\ < n.-.
p,�. "�p�J ��� „ , ��s ,���- ., I G- _C .- ���. qH.
�9,Q v�.O QC,A � � '-� - -
�''A � � �, �-
, ,
S I ATION 3 1+74 `^n `^� �! �<Ov ROBERT, RANDY, & BETSY
� ��� o WORTHINGTON
� � a 354/ 177/ 1984
i y PARCEL ° 6354
/ : r
� � � �%i �
� ° � � �C
r, I' I ;�
� � �
� ;; v rr,.
�v_
�� � � � 0.02 Acr. � `j
�M� ��I �� WETLADIDS �XS/
s i �P °�
i �m �
O �� �
•;; � w��� U
„
� . : .�.� :__-__ �
, , _ ._ _..
— ; .. �__.�„�o;�y��
;� :-:�ca� = zz_,
�� DWMH PLAN VI�W 0:
♦ �
i �
f ;'� EXISTING AND PROPOSED PIPE
� i SATELL DISH
.
.
, COLUMBUS COUNTY, N.C.
S.R. 1556 (KRISSY PREASE ROADI
PERMIT SITE ° IOF 2
SCALE I' = I00'
4/13/II

�
=n in
� � ii D O
, _ r
wm
�
- �
— f�o O
Q �O O
O '�' �
� � �
� �
r o
,, � -o
w =
� � z
-n �
< �
� T �X — ��
o �� / z �` .,
N � -� C r —
_ � :J 1 j - - � ,'
� � � � - y �
O �
Cs� — - �
� ,�
cr -_ �,
m �� 'I
i � p r'
�
--I
- � � �
i i �7 -p
� *k fTl O �- -' - - -r
W �, _ ,� � 1 �
o � � � �
� ° o I �
z
� �, cn --,
�--� � D
D � / r
(/� C � � � ' —
.� � i.� ° W =� �
� ( � _;
—� — = �
� _ JI Zj
O �� �
� z % � s � r
° � o -�; -*i
o � o
� �
� z
r C � N
� m W �
-� O �
� -� N C�
� �
m
�
o � o

OPERMIT SITE # 2 IMPACTS
�
BEULAH cuFroN STREAM IMPACT = 4 LF
FRANCES SELLERS ��\ � WETLAND IMPACT = O.00 ACe
760/782/2006 � \
PARCEL ° 91896 ��
\ \ �
/ \
���\S2
�� �
ioo�x ,00- s� ����
O � � �`� B�p �
, � S ;
. � �� �-�, ;.,
.-� ��n�
—_a-ce =i nvp � � • \ \ �iJ ^
0... i.'.]I�LJOO `� ' / \\\\\ .J
o_�^C� e O�POA � ! �- � \
/ \�
I �
- ! � „
v � � ✓-
� i �., n
�c i �
� �
` e �
`" ' I � 36 LF OF EXISTING 48' CMP
'-' . STREq �� RtPLACE WITH PROPOS�D
�..� _ �
��'X eb � I@ 40 L� OF 48° RCP
.,\ ` �
� STATION 13+08
� /pXs� ',� G��
/ 9 O< \9 /'� �<
� � � E� ,���."t- - -- .r�qy c i�_
� %I j . .. . - - ��::__ .ClL- rp-�
;/ %I�;l "-1� !=7�_= ':'.7:
iIt �t • � -� - _�=
=y�l',-� ' �_
PLAN VIEW OF
EXISTING AND PROPOSED PIPE
COWMBUS COUNTY, N.C.
S.R. 1556 (KRISSY PREASE ROAD)
PERMIT SITE " 2 OF 2
SCALE I' = 100'
4/13/II

' �
. � �,
. . ,
�, o I i— ;r,
Q Q , w �,
I � J �
� i �— W
U � � J
i O �
�
� i � � O
C� � � z � O
�
z M �— W
F— O �
� � z o
X � - z o
w � a O �
,� c9 v i--
O � �r� � � �
J � � NQ
� 1--- W
� ' ; z � �
� O
� UN � O
�- - - -- - � � �
I �, O W #
� � ii
, � � w � °
�--
U — I
I � � N
00 � C9
� O �
J � � O � `�'
( i i '-! E , � � !C� G e
� J _ � �
' z - � v
z J � �
o � � a
� z � �
w T1
N � � V
O ! O z O
� � J O
' � � J —
i �G I� Q
I �p r� �
w�, �I � MI z
J o M �n
in ¢ ��
v U= �
N �
I

l' tl... - I ,. � f � ' �1 1'4f/ 4 :� 4 ry �p
.F\' I . . ,i, i �� �y� t. u ( .���d iY e. Y s .,.. �' � .Y � �
� z � ' � '� � �� � �'� / 1 � ' � � ..�fi WW . � .. ,. +t,�.
s W s ji a �y��-��� ��o f` �I�ti' �" y'q �I If� �,. � � � � �
.� ��c ., ��� �, #i fy ti a ���� A ! � 1 { J� � i�„�„��r � 'w
k� 7• Tt 1 1 �.4;- yF �' � tW� �ilv��l�'ly�y I �I �� r � �l, i rtis� .yr, l"s :-
r ,.i �'k i � , , . r�;�� q�y, � i r �� � v � ?� , ,, � �� r> � � ,�a�_�
`�' . ,� 4 1 � �' u ' �
��•. f- . I ! q . . r .
/R -i, � on Lk � � �.� � 1 � ��� II� � �'' �4 r �f !1. � ��r�'8
Le'! q Y M'� 1-f'. C .2 I �' �. . IF�
"� "w" 5' ..qNs„R': �+�' 0, 4� �- " � '�' �q�� 4 ' �. ���, � !�. .
�y e�.}-jd�`�„Y. � �' � �'M{ �7 �� � "� 1 �� ',li�' 17,� I1n 1 ^ ��C �l.i x,,0 S - �+ yr%.�•.
� i, +� ' � "'\,� K .�� i ,= Ei ��I � �,� +fl� � R �R` A+I ' • �.
-.� `� Y R .-ty •'P � � ��,�1' S , � �`��i�, u '.� a( L .
h. 4� •
♦%�� ���� �� � � �, ,.i� /'S � i � i � . �!� F� �f � d�f� ,'.
���n �� W � �`� 9, 1 � ,f �{`yl�f` � J"pl ��`1y � `
ryk� '1 ; f � b' �I�l'� ' _
� ��- - �i�";`�Aw '� �ua I - - � g , '
. '
�i'„ S i .� `�t ��, ' `r�,. . � ,� � .,_ .
� ��;�.,r� .- . � �.� � (� "a�1 � ��
� ..i� � ��S '�k m� a� �' ,;e r�� ��t /�`�.
��,� `*. 4`'.�. /+' . .. `'y'�":;k �: . F � M ' . �� /�".'
q �1 i .�, !.,
y v �:.e�!' •� i . � , 5 , F�� v. � -.
�-.. -u �' -a iM�`�•���, � i c r:�.S'R�#v r .
' 7 tt , a
_ �� ��� � ���� . .
1'�,���?� �.".� �� �' '�. 4 . ; -,.
�,�a, �..t~ t. � . �' p: , � '� � ' .:
- i , . y�C -• rM� � �, ,� .
�D�:�� . _ �� t �, � � F ti -.�1 a��/ � u 1 • ya •
Y14 • � 1� � i'� �i'1 i� .� � �'Y Y� r � � IG
� � � e �� �=�' � ��� A'_�a �x gi f�� •'a 7 � Pi}; '�� c* � '"� �
r � y " M 3�, i , si �
� y'r ."�h+ �,.:r�✓"t° �r"'�'� r p '� i r i. � :. a� a� � „a. "�y� �
�' , t � � N. e 3� �. �n'R� ., .i..� ���yt0.'. K we� �� -
� � 4 Q 5" d ! "k�!T �
. �4" ' :kt �• �� , i :,, 4A .�?�/,
•t � .. Y '� e'♦ t e r ': J
.. „_,.yr � �,J „ M�� � w` } 1.1,� r ♦.., r 1� .0 �.
" '�' ' 4 �� < -.if � �w r s , .n h�� a{ q �� r ��,.,, •
�0 4l.,� � � � r . r��P e w � �i�x �y ��s•� � �T�.fl � y,�,.
.• a xe � ; i JiF`' 1 dA �y ': " � ' �,A � , u _@,.�, a/ ib f y
.�'.: s ����� , . w•w 7' � .,� ..y �„ . . . c�;, ��r � �m�:y.
� �E�£ 1556- Calzimb�s !C!� Pe�rgii"st, Site �#2- LT�st=eam � `� �::'�� i`
� ;a - _, :. . �- m.
.�i.d,,., " +� � . . . . . ,�:. . . " -
fo , , �;
4 +J ! ., , ;:31 "� �'i' � i . - ..
- . � . .. � � w :�5�- .
,,�,y„ �
i.. i�. ' ,�,�- 'n>'' ��
�F�-�Z.�.�'aSA. �. ��', u`s, 'y`�� �`..-. ,�-r�,..,.v;;�r+�y ' �,'�
n ..� . �, n c . ..-.� �. � '�.
� ~ '!� 4� ' �.�'i' ` . 4"� t, p � � ��.-
��, ` x� ��'�it�t-�'' '.: t � �.�, � !E ' e ,i .ee
� �.1�%; �S`• � tf. .F . e!' .,_-. .g.
a X,1 !�,� ��+n�F � . . � .
jn ' k
'$"r�`-' � ��;.
wJ�A�� . �� �� ����� �� � � �� " � �
y# �:.a 4� �a'�1� .�". s Z+-�,
��. s�.`� m.,{,r v' ,_ . ' _ . �W '� . _ • � ��^Y 1 ... . .
� S � ^ih
�.�� �ik .. � � . � .
1 . , v � ... .i: . .�
3Y �� :J £ � F t r '� � y��i-�_:
� 5�;��if >t'��1. y � - w;P� "F�� ° _
4`�i ,. 'f � i � ' _. �` �,�+ , r .'�' � . _
'..✓ ; ve , "RY.v",,`'c .iY
k'-
AI� �i' ��`� .NK f ? �p`�.�':T � ''�; �__a..
�� 1�� ����I �.
� I
e�S♦ � A. �I _
n�� �� Y
�� ` A . S.�„�'
1.� ., - ...��n
�, .v .. .. . .
9 � Y . �
�� ' L. . ti�.;� r - _ 'V. .,. m
'�� ._ . -n .. ' d.%��
.;,� +�. i" � . . -i,... :�� ;-
y` t . .. 't xar��.
.�.,�,;!i� t� _. . . c .� , - �h �.�„ k, � �„� .
�-9. . .w;- ,.�, r a ,_
�.��vd� �� ,� 'aT r.._.�.
R
I_� J ;" y ' `� S a-��
r��� . �t�
y�i..� � � :�"�, �9r..
`� L
ry�� � � � -_a ':.J ,:.... .
'G:" k.'� �.'� � .
4�y,y,� . .. .
��•' . � � Syit.:. �� ! l P 'xwY�:�P „ . . . • .
��-�ra _ - .- .
� p,,.;. . .. . " , .'��. , . .��
SR i5����o3umbus Eo- Permit Site #2- Downstream �n �(, , '"
.. ^ iJ 1� ��
,T'''
{�.

SR 1556- Krissy Prease- Columbus Co
',�.�� I"� ,� ' � �'� '� � I :�'` , t 'N � � f"
F_`"7 _; ,� � }�' . - '' + . ��.
,
;:`# ' '� ' /� �^ � '� ' E
: . '�j �' . � :1 �� : � i —� _ �
,•���;ii � % � � �.� , 1 f .� i -+
�', �'14'.�� - � ` r %^~;`-!�r � .
- �, � ,, ,r. , � �; � ffi
T -- - — —--T�. ,-- , <
'-��1'#1(�-�r--•--y',�� .L�. — ' ` `, .'_ _.�_...�_�.—
\ � .,:
�1- .' � � � ��., ' t �
_�: ; f� x ''•`� \ � � `_ � ,,.::, _ ;`�, i �
�t,�,,,` -� �l � � --� _ �```\�_'� ,
( � '`, —�
� ' F
n�'�� �:, ~'`�\o .Kr� � �. � ; ' ' i�
� �rb-\�; .� 'iaa l.. � _;'- __
, � _
;° � "ra�� � - j � r r
�<�_v��_ �`_'� �n �-= '_ - -
J . X.: � � '_ N' � Sir _�Y_�f�'�riy' '
r I ' \ \ �� +.. _i__ � . �'�lJ' ( _J I r. e� ,,� r
' .`� c S ,. �- i �- 1�i r-`�`- =
,
` � 1.� ' 'r. � r � ''r _� ��,
� ` � �1�'— � r+ Permit Srte#2 i �
, � .
� ' �
Permit Site#1 � � '�.����'"• c � ���
I; - �- � - � ' '. 1
� .{y
. , � i ,-V ,��ay��!� , ' � � I
�'� � � � � f.' . � '— 1 4
; _�.� - v � : � , C/, .y—� � .�,:�� �_r(Ii � q
I ^ � ' ���'. . .—
.r.� " I r � �� :�y� f � �' i `I�.� � j F
_ _ ., . I _, ..'y ' " � \_ , /
I _: _ .a, , � i
-��V ,4_�; .. , ..r- . .' � , r: `�, ) ♦,- ° - � . f"t�:4 �� f�l
� !
�,� „Z�_ ` ,t� '��\ i i� n r� � , �
f, z .✓ I ! .� )R c . l j1r i; 5 _ i .. � � �� ��
�'. - ! � ' � f � . �..,1 I�� i( !I I ' I J �C /� ,
'�:�. � � y, 1�, ��`N. t - ,�V1 �li 1 r � i . ��.��� ��
(� 1
1 _ . I _ •� ��� � , ti `��.. . r . 'I l� .." ';i� ..... ., ti i\�/�"i \dl.� ..
. � 1 V
� � \1m'�T�_ T—� � '�� ��� t. ' _� : .
/ � .� i �
r. 1.:a ` . � �'1� � � - �i �� � T�vr � ` �5,. .
�
1�� �.. �� 1 � _ ' �"1 ����.`j .. - � �V
—� �\Lr+7yJ -- �}�� 1j �
I' i' ' i`l I � - � �, ', �. i �i, � �. :1 i �-i.,�r ._ I l'}91`J�.
�'.�/ 7 s ': r_' ('� �� 1 I t'� 1 �;7 � f,
1 1 ; S /
� .,. �� 1. . `-�' rl � ' � � l :';, :. .-.— �
�7+ :� .. !��~, , 1 � ) •.' � I . I ..�: . � .
t � ��,� � `�A � I � ��t� � � �'
� -� ' �T-,.:�r
r i
.. t--=�-'w- � �-..��,..� .. ,- �;� �'.: a� : ' . . f .
� i —��,��fit�9m�,. ' 7�' - j�rs,�-•—
�, A � `~ n�s — ns� r ,��� I' �/1� , '
� `� � �, ' � � . `1
r. i � ' , ti ,'� _ ,
� �"' Z , ' '' t � � '- -_ � f 1� `�:Yd � I
� �
� � ,, {'.-� � :
_, � ,
,> ;-:� .,� --� .� — �w � � � � r� •F I
; f �;.�� r � � , + r�1 y�'_'__,—'�.. �,�sn ` -
� < � ; ,°� j ' . ` ' �^ y � .
�� ,�`, � � � i
� � y i �
;t � r" � i' �,�
`-1:i—f--^,— — �-1.— _��- -- r`
0 1,250 2500 5,000 Feet
1 inch equals 2,000 feet II