20110940 Ver 1_Application_20111021

a
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY DIVISION OF HIGHWAYS
GOVERNOR
October 19, 2011
Mr. Ronnie Smith
Regulatory Division
U.S. Army Corps of Engineers
PO Box 1890
Wilmington N.C. 28402
Subject: Nationwide Permit # 14
SR-1282 Moore County
Project# 8C.063028
Mr. Smith:
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LYNDO TS ETT
SECRETARliy
Ms. Sonia Carrillo
NCDWQ
401 Wetlands Unit
1650 Mail Service Center
Raleigh, NC 27699-1650
110940
The North Carolina Department of Transportation, Highway Division 8 is requesting a Nationwide
Permit Numbers 14, for project #8C.076131, on SR-1282 (Foster Road) in Moore County.
The proposed project will replace an existing deficient crossing pipe as follows:
Site 1- Replace existing 36"x 35' RCP with a 36" x 65' RCP.
This pipe is being replaced in anticipation of a scheduled grading and paving project. The amount of total pipe
length increase for this crossing (3 Oft.) is needed to improved hydraulic flow, and to allow for the widening of the
roadbed to provide enough area for a safe road shoulder at the location of the crossings.
The total percentage of impervious surface within the project area will be approximately 33%. All erosion zontrol
devices used on the project will be appropriate to the location and in compliance with the current version of the
NCDOT Best Management Practices Manual (BMP). The crossing is located on an Unnamed Tributaries of Mill
Creek, a Class WS-III stream within the Cape Fear River basin. All construction activities on this project will be
done in compliance with conditions listed in the current BMP manual, for projects built within areas of Class WS-III
streams. Construction will be done under dry conditions whenever possible. There were no threatened or endangered
species observed within the project area during the required minimum criteria check. There are no known
archeological sites or historical buildings associated with this project. This is a low volume dead end road. Phased
construction will be utilized to maintain traffic on the road during construction. '
If you require any additional information, please contact me.
Since' 'y'
Art C. Kin
Division Environmen I Officer
Highway Division 8
cc: Tim Johnson, PE
Chuck Dumas, PE
Barry Harrington
Mason Hemdon, NCDWQ
P.O. BOX 1067, ABERDEEN NORTH CAROLINA 28315
PHONE [phone] FAX [phone]
02 F W ArF99
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Office Use Only:
Corps action ID no.
DWO project no.
Form Version 1.3 Dec 10 2008
Pre-Construction Notification PC Form
A. Applicant Information
1. Processing
la. 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? ? 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 N 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 th
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: Foster Rd. (SR 1282)
2b. County: Moore
2c. Nearest municipality / town: Biscoe
2d. Subdivision name: N/A
2e. NCDOT only, T.I.P. or state
project no: 8C.063028
3. Owner Information
3a. Name(s) on Recorded Deed: NCDOT
3b. Deed Book and Page No.
3c. Responsible Party (for LLC if
applicable):
3d. Street address: 902 N. Sandhills Blvd.
3e. City, state, zip: Aberdeen, N.C. 28315
3f. Telephone no.: 910-944-2344
39. Fax no.: 910-944-5623
3h. Email address: [e-mail]
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:
4b. Name: Timothy Johnson
4c. Business name
(if applicable): North Carolina Department of Transportation
4d. Street address: 902 N. Sandhills Blvd.
4e. City, state, zip: Aberdeen, N.C. 28315
4f. Telephone no.: 910-944-2344
4g. Fax no.: 910-944-5623
4h. Email address: [e-mail]
5. Agent/Consultant Information (if applicable)
5a. Name: Sarah Foster
5b. Business name
(if applicable): North Carolina Department of Transportation
5c. Street address: 993 Priest Hill Rd.
5d. City, state, zip: Carthage, N.C. 28327
5e. Telephone no.: 910-947-2233
5f. Fax no.: 910-947-6195
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): N/A

1 b. Site coordinates in decimal degrees):
(
35.20N Longitude: - 79.42W
Latitude:
(DD.DDDDDD) (-DD.DDDDDD)
1c. Property size: acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to
proposed project: Mill Creek
2b. Water Quality Classification of nearest receiving water: WS-III
2c. River basin: Capr Fear
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:
Unpaved Secondary Road Crossing
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
3d. Explain the purpose of the proposed project:
Replace existing 36" rcp to meet current standards in conjunction with Secondary Roads Project.
3e. Describe the overall project in detail, including the type of equipment to be used:
Grade, Drain, Base, Pave, and Erosion Control. Utilizing backhoe, pan, dozer, motor grader, and excavator.
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:
? 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): Agency/Consultant Company:
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
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.
Temporary erosion control measures installed prior to clearing and grubbing phase. Ditchline measures placed as final
grade is established. Seeding as work progresses.
Page 3 of 10
PCN Form - Version 1.3 December 10, 2008 Version
C. Proposed Impacts Inventory
1. Impacts Summary
1a. 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
number -
Type of impact
Type of wetland
Forested Type of jurisdiction
(Corps - 404, 10
Area of impact
Permanent (P) or (if known) DWQ - non-404, other) (acres)
Temporary
? Yes ? Corps
W1 ? P ? T NA ? No ? DWQ
? Yes ? Corps
W2 ? P ? T ? No ? DWQ
? Yes ? Corps
W3 ? P ? T ? No ? DWQ
? Yes ? Corps
W4 ? P ? T ? No ? DWQ
? Yes ? Corps
W5 ? P ? T ? No ? DWQ
? Yes ? Corps
W6 E] P ? T ? No E] DWQ
2g. Total wetland impacts

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. 31b. 3c. 3d. 3e. 3f. 3g.
Stream impact Type of impact Stream name Perennial Type of jurisdiction Average Impact
m length
t
rea
number - (PER) or (Corps - 404, 10 s
width (linear
Permanent (P) or intermittent DWQ - nonA04,
feet)
9
other) (feet)
Temporary (T) (INT)
S1 NP ? T pipe UT of Mill Creek ? PER
® INT N Corps
N DWQ 5-8' 35'
? PER N Corps 25'
S2 ? P N T Dewatering N INT N 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 60'
3i cnmments
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 individually list all open water impacts below.
4a. 4b. 4c. 4d. 4e.
Open water
impact number - Name of waterbody
(if applicable)
Type of impact
Waterbody type
Area of impact (acres)
Permanent (P) or
Temporary
01 ?P?T NA
02 ?P?T
03 ?P?T
04 ?P?T
4f. Total open water impacts

4g. Comments:

5. Pond or Lake Construction
If and or lake construction proposed, then complete the chart below.
5a. 5b. 5c. 5d. 5e.
Wetland Impacts (acres) Stream Impacts (feet) Upland
Pond ID Proposed use or purpose (acres)
number of pond Flooded Filled Excavated Flooded Filled Excavated Flooded
P1 NA
P2
5f. Total
5g. Comments:
51h. 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) or for Stream name mitigation (square feet) (square feet)
Temporaa (T) impact required?
?Yes
B1 ?P?T NA ? No
? Yes
B2 ? P ? T ? No
?Yes
B3 ?P?T ? No
6h. Totat buffer impacts
6i. Comments:
Page 5 of 10
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. ,
Minimum pipe length installed to provide adequite flow and stability, and to provide a safe shoulder and roadway.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques..
Current version of NCDOT BMP's will be utilized during all phases of construction on this project.
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: NA
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
41b. 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.
Page 6 of 10
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.
e
Z Reason for impact Total impact Multiplier Required mitigation
on (square feet) (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. ? Yes ? No
Comments:
2. Stormwater Mana ement Plan

2a. What is the overall percent imperviousness of this project? 33%
2b. Does this project require a Stormwater Management Plan? ? Yes ® No
2c. If this project DOES NOT require a Stormwater Management Plan, explain why: project out side of HQW,ORW,Buffer
2d. If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
? 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? Moore County
? Phase II
31b. Which of the following locally-implemented stormwater management programs El 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
(check all that apply): ? HOW
? 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
Page 8 of 10
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 (federal/state) land?
11b. If you answered "yes" to the above, does the project require preparation of an
St
t
l
Yes
?
®No
or
a
e
environmental document pursuant to the requirements of the Nationa .
(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 El Yes ? No
letter.)
Comments:
2. Violations (DWQ Requirement)
2a. Is the site in violation of DWQ Wetland Rules (15A NCAC 2H .0500), Isolated
d
d
d St
? Yes
® No
ar
s,
an
Wetland Rules (15A NCAC 2H .1300), DWQ Surface Water or Wetlan
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?
31b . 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.
NA
Page 9 of 10
PCN Form -Version 1.3 December 10, 2008 Version
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?
ArcMap and on site survey by NCOOT personnel
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?
ArcMap and USF&W website
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 survey
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? Moore GIS Flood map

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