HomeMy WebLinkAbout20111043 Ver 1_Application_20111130 � �'�7ai�i7 -.
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DENR� i � y � � � � ��' � Corps action ID no
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i ��� i �y _ DWQ pro�ect no
Form Version 1 3 Dec 10 2008
Pre-Construchon Nohficahon C Form
A A Vcant Informahon
1 Process�ng
1 a Type(s)of apprpval sought from the
Corps �Section 404 Permit ❑ Section 10 Permit
1 b Specify Natiornnnde Permit(NWP)number 3 or Generai Permit(GP)number
1c Has the NWP or GP number been venfied by the Corps� ❑Yes � No
1 d Type�s)of approval sought from the DWQ(check all that apply)
�401 >>Vater Quality Certification—Regular ❑ Non-404 Junsdictional General Permit
[�401 Water Quality Certification—Express � Ripanan Buffer Authonzatian
1 e Is this nobficabon solely for the record For the record only for DWQ 401 For the record only for Corps Permit
because wntten approval is not reqwred� CertficaUon
❑Yes � No �Yes ❑ No
1f Is payment into a mitigation bank or in lieu fee program proposed for mitigation �Yes � No
of impacts� If so attach the acceptance letter from mitigation bank or in lieu
fee program
1 g Is the pro�ect located in any of NC s twenty coastal counties If yes answer 1 h ❑Yes � No
below
1 h Is the pro�ect located�nnth�n a NC DCM Area of Enwronmental Concem (AEC)� ❑Yes � No
2 Pro�ect Informat�on
2a Name of pro�ect Pm County C 35 NC 102 Over U/T uttle Corrtentnea Creek Box Culvert to Box Culvert
Replacement WBS Element Number 2B 107411
2b County Prtt County
2c Nearest murncapality/town Ayden
2d Subd�wsion name WA
2e NCDOT only T I P or state WgS Element Number 26 107411
pro�ect no
3 Owner Information
3a Name(s)on Recorded Deed North Carolina Department of Transportabon
3b Deed Book and Page No WA
3c Respons�ble Party(for LLC rf WA
applicable)
3d Street address 105 Pactolus Highway NC 33 P O Box 1587
3e Crty state z�p Greenvdle NC 27835
3f Telephone no 252 830-3490
3g Fax no 252 830-3341
3h Emad address �b�ohnson@ncdot gov
Page 1 of 10
PCN Form—Version 1 3 December 10 2008 Version
}
4 Applicant Infortnahon(if diffee�ent from owner)
4a Applicant is ❑Agent �Other speafy Division 2 Environmental Officer
4b Name Jay B Johnson
4c Busmess name North Carolina Depratment of Transportat�on
(if applicable)
4d Street address P O Box 1587
4e City state zip Greenvdie NC 27835
4f Telephone no 252 830-3490
4g Fax no 252-830-3341
4h Ema�l address �b�ohnson@ncdot gov
5 Agent/Consuftant Informat�on(�f appl�cable)
5a Name N/q
5b Business name
(if applicable)
5c Street address
5d City state ap
5e Telephone no
5f Fax no
5g Emad address
I
Pa e2of10
9
PE�}-Form—Version 1 3 December 10 2008 Version
B Pro�ect Informat�on and Pnor Pro�ect History
1 Property IdenUficahon
1a Property idenUficabon no (tax PIN or parcel ID) N/A
LaUtude N 35 472911 Longitude W
1 b Site coordinates(in decimal degrees) 77 471901
(DD DDDDDD) (DD DDDDDD)
1 c Property s¢e N/A acres
2 SurFace Waters
2a Name of nearest body of water(stream nver etc)to Little Corrtentnea Creek
proposed pro�ect
2b Water Quality Classficat�on of nearest receiv�ng water C S1nrNSW
2c Rrver basin Neuse River�asm Contentnea 03020203
3 Pro�ect Descnpt�on
3a Descnbe the ex�st�ng condifions on the site and the general land use in the v�anity of the pro�ect at the t�me of this
applicahon
Woods and Agncufture
3b List the total esbmated acreage of all exisUng wetiands on the property
N/A
3c Vst the total est�mated Imear feet of all ex�sting streams(intermittent and perenrnal)on the property
60 Stream is a part of a Larger System
3d Explain the purpose of the proposed pro�ect
The Exist�ng Box Culverts has deteonated and needs to be replaced
3e Descnbe the overall pro�ect in detad mduding the type of equipment to be used
The ExisUng 2@ 10 x 4 Re�nforced Concrete Box Culverts Nnll be replaced Hnth a Proposed 1@ 25 2 x 6 2"x 45
Aluminum Box Culvert UUlfies wnl!be relocated wrth no 404 Wetiand Impacts nor Buffer impacts
4 Junsd�chonal Determmabons
4a Have�unsdictional wetland or stream determinations by the
Corps or State been requested or obtamed for this property/
pro�ect(including all pnor phases) in the past� ❑Yes � No ❑ Unknown
Comments
4b If the Corps made the�unsdictional determmation what rype � prel�m�na F�nal
of determmation was made� ry �
4c If yes who delineated the�unsdicUonal areas� Agency/Consultant Company NCDOT
Name(�f krtown) Jay Johnson Other
4d if yes list the dates of the Corps�unsdictional determ�nat�ons or State determinaUons and attach documentabon
September 2011
5 Pro�ect H�story
5a Have permits or ce�tifications been requested or obtamed for �Yes � No ❑Unknown
this pro�ect(including all pnor phases)m the past�
5b if yes explain in detad according to help file instruchons
6 Future Pro�ect Plans
6a Is this a phased pro�ect� ❑Yes � No
6b If yes e�lain
Page 3 of 10
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 pro�ect(check all that apply)
�WeUands ❑ Streams tnbutanes � Buffers
❑ Open Waters ❑ Pond Construction
2 Wetland impacts
If there are weUand impacts proposed on the site then complete this quesbon for each weUand area impacted
2a 2b 2c 2d 2e 2f
Wetland impact Type of�unsdiction
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
W1 � P 0 T Fdl Bottomland �Yes � Corps
Hardwood Forest ❑ No ❑ DWQ 5 Sq Ft
W2 ❑ P ❑T ❑Yes ❑ Corps
❑ No ❑ DWQ
W3 ❑ P�T ❑Yes ❑ Corps
❑ No ❑ DWQ
W4 ❑ P �T ❑Yes ❑ Corps
❑ No ❑ DWQ
W5 ❑ P�T ❑Yes ❑ Corps
❑ No ❑ DWQ
W6 ❑ P❑T ❑Yes ❑ Corps
❑ No ❑ DWQ
2g Totat wetland impacts 5 Sq Ft
2h Comments 5 Sq Ft of 404 WeUand Impacts
3 Stream Impacts
If there are perennial or mtermittent stream impacts(induding temporary impacts)proposed on the site then complete this
quest�on for all stream sdes impacted
3a 3b 3c 3d 3e 3f 3g
Stream impact Type of�mpact Stream name Perennial Type of�unsdic6on Average Impact
number (PER)or (Corps-404 10 stream length
Permanent(P)or mtermitterrt DWQ—non�04 width (�mear
Temporary(� (�N�� other) (feet) feet)
Box Culvert Un Named
S1 � P❑T Bedding And Tnbutary of Little � PER ❑ Corps 20 8
Dewatenng Device Contentnea Creek � INT � DWQ
Box Culvert Un Named
S2 ❑ P�T Bedding And Tnbutary of Little � PER ❑ Corps 20 3
Dewatenng Device Contentnea Creek � �NT � DWQ
Box Culvert Un Named
S3 ❑ P �T Bedding And Tnbutary of Little � PER ❑ Corps 20 3
Dewatenng Device Contentnea Creek � �NT � DWQ
Box Culvert Un Named
S4 � P 0 T Bedding And Tnbutary of Little � PER ❑Corps 20 $
Dewatenng Device Contentnea Creek � �NT � DWQ
S5 ❑ P ❑T ❑ PER ❑ Corps
❑ INT ❑ DWQ
S6 ❑ P�T ❑ PER ❑ Corps
❑ INT ❑ DWQ
3h Total stream and tributary impacts 22LF
3i Comments 22 LF Stream Impacts For Dewatenng Dev�ces
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 estuanes tnbutanes sounds the Atlanfic Ocean or any other open water of
the U S then indiwdually 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 Temporary
01 ❑ P�T
02 ❑ PQT
03 ❑ P�T
04 ❑ P❑T
4f Total open water�mpacts p
4g Comments No Open Water Impacts `
5 Pond or L.ake Construcfion
If nd or lake construcfion ro sed then com lete the chart below
5a 5b 5c 5d 5e
Wetland Impacts(acres) Stream Impacts(feet) Upland
Pond ID Proposed use or purpose of (acres)
number pond
Flooded Fdled Excavated Flooded Fdled Excavated Flooded
P1
P2
Sf Total
5g Comments None
5h Is a dam high hazard permit reqwred�
❑Yes ❑ No If yes permit ID no
5i Expected pond surface area(acres)
5� S¢e of pond watershed(acres)
5k Method of construction
Page 5 of 10
RCN ForrR—Versiorr 'k 3 December 10 2008 Version
6 Buffer Impacts (for DWQ)
If pro�ect�nnll impact a protected npanan buffer then complete the chaR below if yes then individually list all buffer impacts
below If an im acts re wre miti ation then ou MUST fill out Section D of this form
6a
� Neuse ❑Tar Pamlico ❑ Other
Pro�ect is m 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 impact Stream name mibgat�on (square feet) (square feet)
or Temporary reqwred�
Box
Culvert Un Named Tnbutary of Little ❑Yes
B1 � P 0 T Bedding Contentnea Creek � No 380 Sq ft 350 Sq ft
and
Headwalls
Box
Culvert Un Named Tnbutary of Little ❑Yes
B2 � P�T Bedding Contentnea Creek � No 645 Sq ft 360 sq ft
and
Headwails
Box
Culvert Un Named Tnbutary of Little ❑Yes
B3 � P❑T Bedding Contentnea Creek � No 620 Sq ft 360 Sq ft
and
Headwalls
6h Total buffer impacts
6i Comments See Page 6-A for Totals
D Impact Justificat�on and M�Ugat�on
1 Avoidance and Mm�m¢abon
1 a Speafically descnbe measures taken to avoid or mirnmize the proposed impacts in desigrnng pro�ect
WeUand Impacts have been mirnmized to the exterrt feasible �nnth impacts occumng only where necessary to accommodate
the Proposed Box Culvert and Headwalls
1 b Specficaliy descnbe measures taken to avoid or minimize the proposed impacts through construction techniques
Use of e�asUng roadway to operate construction eqwpment no equipment wnll errter wetlands
2 Compensatory Mrtigation for Impacts to Waters of the U S or Waters of the State
2a Does the pro�ect require Compensatory Mitigation for ❑Yes � No
impacts to Waters of the U S or Waters of the State�
2b If yes mingahon is required by(check all that apply) ❑ DWQ ❑ Corps
❑ Mitigation bank
2c If yes which mitigation option�nnll be used for this pro�ect� ❑ Payment to in lieu fee program
❑ Permittee Responsibte Mitigation
3 Complete rf Us�ng a AArt�gat�on Bank
3a Name of Mitigation Bank
3b Credits Purchased(attach receipt and letter) Type Quant�ty
Page 6 of 10
PCN Form—Version 1 3 December 10 2008 Version
3c Comments
4 Complete�f Making a Payment to In-lieu Fee Program
4a Approval letter from m lieu fee program is attached ❑Yes
4b Stream mitigation requested linear feet
4c If using stream mitigation stream temperature ❑warm ❑cool ❑cold
4d Buffer mit�gat�on requested(DWQ only) square feet
4e R�panan wetland miUgation requested acres
4f Non-npanan we�and mit�gaUon requested acres
4g Coastai(t�dal)wetland mitigat�on requested acres
4h Comments
3 Complete rf Us�ng a Permittee Responsible Mrtigat�on Plan
5a If us�ng a permittee responsible mitigat�on plan prov�de a descnpbon of the proposed m�gat�on plan
6 Buffer Mrt�gation(State Regulated R�panan Buffer Rules)—reqwred by DWQ
6a Will the pro�ect result in an impact vinthin a protected npanan buffer that requires ❑Yes � No
buffer mitigation�
6b If yes then idenUfy the square feet of impact to each zone of the npanan buffer that requires mit�gat�on Caiculate the
amount of mfigat�on required
6c 6d 6e
Zone Reason for impact Total impact Muitiplier Reqwred m�Ugafion
(square feet) (square feet)
Zone 1 3(2 for Catawba)
Zone 2 � 5
6f Totai buffer mrhgat�on reqwred None
6g If buffer mit�gat�on is reqwred discuss what type of mibgation is proposed(e g payment to pnvate mit�gat�on bank
perm�ttee responsible npanan buffer restorafion paymerrt into an approved in lieu fee fund)
WA
6h Comments
Page 7 of 10
PE1d Form—Version ? 3 December 10 2008 Versbn
E Stormwater Management and DifFuse Fiow Plan (reqwred by DWQ)
1 D�ffuse F1ow Plan
1a Does the pro�ect include or is it ad�acent to protected npanan buffers identified
within one of the NC Ripanan Buffer Protection Rules� �Yes ❑ No
1b If yes then is a difFuse flow plan included� If no explain why
Comments Sheet Flow through the Vegetated Shouiders and Temporary Silt
Fence v�nll be used to treat Stormwater Run Off From the Road The Existing �Yes ❑ No
roadside ditches�nnll not be moved Installation of the Proposed Box Culvert will be
done in Low/No Flow condiUons and Sdt Bags�nnll be used to control sediment loss
and turbidity
2 Stormwater Mana ement Plan
2a What is the overall percent imperviousness of this proJect� WA Roadway/Bndge Pro�ect% �
2b Does this pro�ect require a Stormwater Management Plan� � Yes ❑ No �
2c If this pro�ect DOES NOT reqwre a Stormwater Management Plan expiain why
2d if this pro�ect DOES reqwre a Stormwater Management Plan then prov�de a bnef narraUve descnption of the plan
Sheet Flow through the Vegetated Shoulders and Temporary Sdt Fence�nnll be used to treat Stormwater Run Off From
the Road The Ex�st�ng roadside ditches wnll not be moved InstallaUon of the Proposed Box Culvert�nnll be done in LowMo
Flow conditions and Sdt Bags wnll be used to control sediment loss and turbidity
❑Certified Local Govemment
2e Who wdl be responsible for the review of the Stormwater Management Plan� ❑ DWQ Stormwater Program
� DWQ 401 Unit
3 Cert�fied Local Government Stormwater Rev�ew
3a in which local govemmenYs�unsdichon is this proJect� N/A
❑ Phase II
3b Which of the foilo�nnng locally implemented stormwater management programs ❑ NSW
apply(check all that apply) ❑ USMP
❑Water Suppiy Watershed
❑Other N/A
3c Has the approved Stormwater Management Plan�nnth proof of approval been ❑Yes � No
attached�
4 DWQ Stormwater P ram Rev�ew
❑ Coastal counties
❑ HQW
4a Which of the followmg state-implemented stormwater management programs apply � ORW
(check all that apply) ❑ Session Law 2006 246
� Other NPDES Permit
4b Has the approved Stormwater Management Plan wnth proof of approval been
attached� ❑Yes � No
5 DWQ 401 Unit Stormwater Review
5a Does the Stormwater Management Plan meet the appropnate requirements� ❑Yes ❑ No
Page 8 of 10
PCN Form—Version 1 3 December 10 2008 Version
�I
5b Have atl of the 401 Urnt submittal reqwrements been met� ❑Yes ❑ No
F Supplementary Informat�on
1 Environmentai DocumentaUon(DWQ Reqwrement)
1a Does the pro�ect invoive 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 pro�ect require preparation of an
enwronmentai document pursuant to the requirements of the National or State ❑Yes � No
(North Carolina) Environmental Policy Act(NEPA/SEPA)�
1 c ff you answered`yes to the above has the document review been final¢ed by tfie
State Cleanng House� (If so attach a copy of the NEPA or SEPA final approval
letter) ❑Yes ❑ No
Comments
2 Violabons(DWQ Reqwrement)
2a Is the s�te m violafion of DWQ Wetland Rules(15A NCAC 2H 0500) Isolated
Wetland Rules(15A NCAC 2H 1300) DWQ Surface Water or Wetland Standards ❑Yes � No
or Ripanan Buffer Rules(15A NCAC 2B 0200)�
2b Is this an after the-fact permit applicaUon� ❑Yes � No
2c If you answered"yes to one or both of the above quest�ons prov�de an explanabon of the v�olat�on(s)
3 Cumulabve Impacts(DWQ Reqwrement)
3a Will this pro�ect(based on past and reasonably antiapated future impacts)result in �Yes � No
additional development which could impact nearby downstream water quality�
3b if you answered�res to the above submd a quabtat�ve or quanMative cumulafire impact arralys�s m accordance wnth the
most recent DWQ policy If you answered no provide a short narrat�ve descnpUon
4 Searage Dosposa{(D1MQ Requirement)
4a Ciearty detad the ult�mate treatment methods and dispos�fion(non-discharge or discharge)of wastewater generated from
the proposed pro�ect or available capacity of the sub�ect fac�lity
N/A
Page 9 of 10
PCN Form—Version 1 3 December 10 2008 Version
5 Endangered Spec�es and Designated Cr�t�cal Habrtat(Corps Requirement)
5a Wiil this pro�ect occur in or near an area wnth federaily protected species or � Yes
habitat� � No
5b Have you checked with the USFWS concemmg Endangered Spec�es Act �Yes � No
impacts�
❑ Raleigh
5c If yes indicate the USFWS Field Office you have contacted
❑ Ashevdle
5d What data sources did you use to determine whether your site would impact Endangered Species or Designated CnUcat
Habitat�
Trav�s Wilson NCWRC On Site Habitat InvesUgat�on The Natural Herrtage Program and the USFWS Websde
6 EssenUal F�sh Habitat(Corps Requirement) --
6a Wdl this pro�ect occur m or near an area designated as essenUal fish hab�tat� ❑Yes � No
6b 1Nhat data sources did you use to determine whether your site would�mpact Essent�al Fish Habitat�
Trav�s Wlson NCWRC
7 Hrstonc or Preh�stonc Cultural Resources(Corps Reqwrement)
7a Wil1 this pro�ect occur in or near an area that the state federal or tnbal
govemments have designated as having histonc or cultural preservation �Yes � No
status(e g National Histonc Trust designation or properties s�gnificant m
North Carolina h�story and archaeology)�
7b What data sources did you use to determine whether your site wouid impact histonc or archeological resources�
Archaeology and Histonc Arch�tecture PDEA NCDOT
8 Flood Zone Des�gnation(Corps Reqwrement)
8a Wdl this pro�ect occur in a FEMA designated 100 year floodpla�n� � Yes ❑ No
8b If yes explain how pro�ect meets FEMA reqwrements Proposed Box Culvert is designed to no-nse standards
8c What source(s)did you use to make the floodplain determinat�on�FEMA FIRM Maps
Jay B Johnson November 17
2011
ApplicanUAgent's Pnnted Name Ap Age ignature Date
(AgenYs signature�s v d o an onzat�on letter from the app6pnt
ro ed
Page 10 of 10
PCN Form—Version 1 3 December 10 2008 Version
6 Buffer Impacts(for DWQ)
If pro�ed�nnll impact a protected npanan buffer then complete the chart below If yes then individuaity list all buffer impacts
below If an im acts re wre miti at�on then ou MUST fill out Sect�on D of this form
6a
� Neuse ❑Tar Pamlico ❑Other None
Pro�ect is in which protected bas�n� ❑ Catawba ❑ Randleman
6b 6c 6d 6e 6f 6g
Buffer impact
number— Reason Buffer Zone 1 impact Zone 2 impact
Permanent(P) for impact Stream name mit�gat�on (square feet) (square feet)
or Temporary required�
64 Box
Culvert Un Named Tnbutary of Little ❑Yes
61 � P❑T Bedding Contentnea Creek � No 630 Sq Ft 370 sq Ft
and
Headwalls
62 ❑ POT ❑Yes
❑ No
63 ❑ P❑T ❑Yes
❑ No
6h Total buffer impacts 2275 Sq Ft 1440 Sq Ft
6i Comments Buffer Zone 1 Impacts=0 05 Acres Buffer Zone 2 Impacts=0 03 Acres
D Impact Just�ficat�on and Mit�gat�on
1 Avoida�ce and Mmim¢adon
1 a Specfically descnbe measures taken to avo�d or minim�ze the proposed impacts in designing pro�ect
1 b Specfically descnbe measures taken to avoid or mmim�ze the proposed impacts through construction techniques
U
2 Compensatory Mitigat�on for impacts to Waters of the U S or Waters of the State
2a Does the pro�ect reqwre Compensatory Mitigation for ❑Yes � No
impacts to Waters of the U S or Waters of the State�
2b If yes mrtigat�on is requ�red by(check all that apply) ❑ DWQ ❑ Corps
❑ Mitigation bank
2c if yes which mitigation option�nnll be used for this pro�ect� ❑ Payment to in lieu fee program
❑ Permittee Responsible Mitigation
3 Complete rF Using a Mitagation Bank
3a Name of Mitigation Bank
3b Credits Purchased(attach rece�Pt and letter) Type Quantity
Pa e6of10 I
9
PCN Form—Version 1 3 December 10 2008 Version
Sutton, Michael W
From Wilson Travis W
Sent Wednesday October 19 2011 11 06 AM
To Sutton Michaei W
Cc Johnson Jay B
Sub�ect RE C 35 Pitt County
WRC does not have any specific concerns or recommendation for this pro�ect
-----Original Message-----
From Sutton Michael W
Sent Wednesday October 19 2011 10 50 AM
To Wilson Travis W
Cc Johnson Jay B
Sub�ect C 35 Pitt County
Good Morning Mr Travis Division 2 plans to rEplace C 35 an existing 2@10 x 4
Reinforced Concrete Box Culvert with Square Endwalls with a Proposed 1@ 25 -2 x 6 -2 x
45 Aluminum Box Culvert on NC 102 in an U/T Little Contentnea Creek We would like to
know if a moratorium exists in this location Thank You Sir mike
Email correspondence to and from this sender is sub�ect to the N C Public Records Law and
may be disclosed to third parties
1
�
C35 BOX CULVERT REPLACEMENT pITT COUNTY � Z°� -
NC 102 OVER UN-NAMED !19 � -�
TRIBUTARYOFLITTLE CONTENTNEA CREEK ? N
EXISTING 2@ 10'x 4'RCBC WITH SQUARE ENDWALLS
PROPOSED 25'-2"x 6'-2"z 45'ALUMINUMBOX CULijERT
AYDEN USGS QUAD MAP y�gS ELEMENT NUMBER 2B 107411 �_ "
SHEET NUMBER 62 A -`„-- w � '
OF THE SOIL SURVEYOFPITT COUNTY K
FIRM PANEL 9653 J CONTENTNEA 03020203 S
MAPNUMBER 3720465300 J NEUSE RIVER BASIN a
LITTLE CONTENTNEA CREEK C,Sw,NSW OCTOBER 19 2011 ;
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