20120098 Ver 1_More Info Received_20120314

STATE OF NORTH CAROLINA MAR142012
BEVERLY EAVES PERDUE EUGENE A CONTI 7R
GOVERNOR SECRETARY
March 13 2012
U S Army Corps of Engineers
Wilmington Regulatory Field Office
69 Darlington Avenue _ 0� C
Wilmington North Carolina 28403 lJ
ATTENTION Mr Brad Shaver
NCDOT Coordinator
SUBJECT Nationwide 14 Permit Application Additional Information for Secondary Road Improvement on
SR 1570 Jack and Jill Road Brunswick County WBS# 3C 010061 (DWQ Permit Fee $240)
Dear Mr Shaver
Please find enclosed the subject additional information that was requested by the US Army Corps of
Engineers and the NC Division of Water Quality (NCDWQ) in regard to the subject project By copy of this
letter I am addressing the NCDWQ requested info Specifically you should find the following included
1) A revised PCN application Several items within the PCN changed from that previously submitted
including the desired changes to impacts Please see the last paragraph for explanation
2) A revised Wetland Impact Summary Table
3) A revised stream form per your and Mr Herndon s visit to the site on February 8 2012 1 added
latitude longitude quad name and circled perennial stream on the form supplied by Mr Herndon
4) Numbered drawings 1 through 10 of 10 including two newly included drawings detailing the
stream channel reconstruction
5) The Stormwater Permit Exclusion has been received from the NC Division of Water Quality a
copy of which is included
6) The rip rap hand pressed into the stream bank has been removed from the drawing that is now
labeled as Drawing 6 of 10
The increased wetland impacts for Wetland A and B are resultant from internal discussions in which it was
decided that the previous proposal whereby an attempt was being made to not impact some narrow
wetland areas between the ROW and the road fill was impracticable Therefore you should note that
NCDOT is proposing to impact both Wetland A and B in their entirety within the ROW Also there was an
apparent error in the previous calculation for the area of Wetland B which has now been corrected If you
have any questions or need any additional information please contact me at [phone]
Since ly
Ston wall Mathis
Division Environmental Officer
Enclosures
cc
Mr Mason Herndon DWQ Fayetteville (1 copy)
Mr Brian Wrenn DWQ Raleigh (5 copies)
5501 BARBADOS BLVD CASTLE RAYNE NC 28429
PHONE [phone] FAX [phone]

11 �0F WA
I�QiI 0
Office Use Only
Corps action ID no
DWQ project no
Form Version 13 Dec 10 2008
Page 1 of 11
PCN Form — Version 1 3 December 10 2008 Version
Pre - Construction Notification C Form
A Applicant Information
1
Processing
1a
Type(s) of approval sought from the
Corps
®Section 404 Permit El Section 10 Permit
1b Specify Nationwide Permit (NWP) number 14 or General Permit (GP) number
1c
Has the NWP or GP number been venfied by the Corpse
FN 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
1e
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 1 h
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
Jack and Jill Road SR 1570
2b
County
Brunswick
2c
Nearest municipality / town
Boding Spring Lakes
2d
Subdivision name
n/a
2e
NCDOT only T I P or state
project no
3C 010061
3
Owner Information
3a
Name(s) on Recorded Deed
NC Department of Transportation
3b
Deed Book and Page No
n/a
3c
Responsible Party (for LLC if
applicable)
n/a
3d
Street address
n/a
3e
City state zip
n/a
3f
Telephone no
n/a
3g
Fax no
n/a
3h
Email address
n/a
Page 1 of 11
PCN Form — Version 1 3 December 10 2008 Version

4.
Applicant information (if different from owner)
4a
Applicant is
❑ Agent ® Other specify NCDOT Division 3 Engineer
4b
Name
Karen Fussell
4c
Business name
(if applicable)
NC Department of Transportation
4d
Street address
5501 Barbados Blvd
4e
City state zip
Castle Hayne NC 28429
4f
Telephone no
910 341 2000
4g
Fax no
910 -675 0143
4h
Email address
n/a
5
Agent/Consultant Information (if applicable)
5a
Name
Stonewall Mathis
5b
Business name
(if applicable)
NC Department of Transportation
5c
Street address
5501 Barbados Blvd
5d
City state zip
Castle Hayne NC 28429
5e
Telephone no
910 341 2000
5f
Fax no
910 -675 0143
5g
Email address
smathis @ncdot gov
Page 2 of 11
PCN Form — Version 1 3 December 10 2008 Version

i
B Project Information and Prior Project History
1 Property Identification
1a Property identification no (tax PIN or parcel ID)
Jack and Jill Road SR 1570
Latitude 34 0994437N Longitude
1b Site coordinates (in decimal degrees)
78 0256291W
(DD DDDDDD) (DD DDDDDD)
1c Property size
-2 3 acres
Z Surface Waters
2a Name of nearest body of water (stream river etc) to
Dews Creek
proposed project
2b Water Quality Classification of nearest receiving water
C Sw
2c River basin
Cape 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
The site is currently an unpaved secondary road and the general land use is residential and woodland
3b List the total estimated acreage of all existing wetlands on the property
0 088
3c List the total estimated linear feet of all existing streams (intermittent and perennial) on the property
-90 perennial
3d Explain the purpose of the proposed project
To improve the existing roadway by bringing it up to NCDOT standards to include paving to provide a better and safer
roadway for citizens land owners and school buses that utilize this facility
3e Describe the overall project in detail including the type of equipment to be used
This project will widen grade drain add base pave and stabilize the existing road to NCDOT secondary road standards
to 20 feet of travel lanes and 5 feet of grassed shoulders using standard road construction equipment
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
4b If the Corps made the jurisdictional determination what type
® preliminary ❑ Final
of determination was made?
4c If yes who delineated the jurisdictional areas?
Agency /Consultant Company
Name (if known) Stonewall Mathis
Other NCDOT
4d If yes list the dates of the Corps jurisdictional determinations or State determinations and attach documentation
Field visit on April 15 2011
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
Page 3 of 11
PCN Form - Version 1 3 December 10 2008 Version

i
& Future Project Plans
6a Is this a phased project? ❑ Yes ® No
6b If yes explain
Page 4 of 11
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
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
Fill
Bottomland
Hardwood Forest
❑ Yes
® No
® Corps
® DWQ
004
W2 ®P ❑ T
Fill and
Bottomland
❑ Yes
® Corps
0 022 Fill &
0 026
Excavation
Hardwood Forest
® No
® DWQ
Excavation
❑ Yes
❑ Corps
W3 ❑ P ❑ T
❑ No
❑ DWQ
❑ Yes
❑ Corps
W4 ❑ P ❑ T
❑ No
❑ DWQ
❑ Yes
❑ Corps
W5 ❑ P ❑ T
❑ No
❑ DWQ
❑ Yes
❑ Corps
W6 ❑ P ❑ T
❑ No
❑ DWQ
2g Total wetland impacts
2h Comments W1 is Wetland A and W2 is Wetland B
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)
Dewatering and
® PER
® Corps
80 perm
S1 ®P ®T
Channel
Dews Creek
[:11 NT
®DWQ
-4
&10
Reconstruction
temp
❑ PER
❑ Corps
S2 ❑ P ❑ T
❑ INT
❑ 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
31 Comments This is regarding the pipes and headwall installation at and about stations 20 +33 and 20 +75 80 feet of
permanent impacts are for items as follows (1) 2 for the extended pipe length going from the existing 30 long pipe to the
proposed 32 long pipe at station 20 +75 and 2 approximately 78 feet of channel and streambank reconstruction on the outlet
Page 5 of 11
PCN Form - Version 1 3 December 10 2008 Version

end of the pipes due to the headwall and pipe installation it will be necessary to work within the jurisdictional stream and
effectively alter the channel and stream bank nearest the road on the outlet end of the pipes in order to install the headwall
and pipe structure NCDOT proposes to reconstruct the stream channel and bank as shown in the attached drawings These
stream impacts and channel and streambank reconstruction are necessitated due to the unique configuration of the way the
stream parallels the roadway in such close proximity in this location The 10 feet of temporary impacts are for construction
purposes of dewatenng on the inlet end of the pipe at 20 +75 RT dewatenng devices will also be installed on the outlet end of
the pipe /headwall system however this impacted area is covered by the already discussed permanent impacts
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
Temporary
01 ❑P ❑T
02 ❑P ❑T
03 ❑P ❑T
04 ❑P ❑T
4f Total open water impacts
4g Comments
5 Pond or Lake Construction
If pond 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
P2
5f Total
5g Comments
5h Is a dam high hazard permit required?
❑ Yes ❑ No If yes permit ID no
51 Expected pond surface area (acres)
5j Size of pond watershed (acres)
5k Method of construction
Page 6 of 11
PCN Form — Version 1 3 December 10 2008 Version

3c Comments
4 Complete d 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 Permi tee 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 8 of 11
PCN Form — Version 1 3 December 10 2008 Version

E
Stormwater Management and Diffuse Flow Plan (required by DWQ)
1
Diffuse Flow Plan
la
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 Management Plan
2a
What is the overall percent imperviousness of this project?
40%
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 narrative description of the plan
NCDOT s BMPs for Construction and Maintenance Activities will be utilized to manage stormwater runoff during
construction Grass swales will be used to the maximum extent possible in compliance with NCDOT s NPDES Permit No
NCS000250 Post Construction Stormwater Program Grassed swales are proposed at specific locations as shown in the
attached plan sheets
❑ 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?
n/a
❑ Phase II
❑ NSW
3b
Which of the following locally implemented stormwater management programs
❑ 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
4b Has the approved Stormwater Management Plan with proof of approval been
®Yes El No
attached?
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)
la
Does the project involve an expenditure of public (federal /state /local) funds or the
® Yes
❑ No
use of public (federal /state) land?
lb
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
❑Yes
❑ No
letter)
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 213 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
n/a
Page 10 of 11
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
El 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?
I used the USFWS website ArcGIS layers and performed on site investigations
6 Essential Fish Habitat (Corps Requirement)
6a Will this project occur in or near an area designated as essential fish habitats
❑ Yes ® No
6b What data sources did you use to determine whether your site would impact Essential Fish Habitat?
NOAA Fisheries Website Mapper
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?
NCDOT Cultural Resources Review documentation is attached
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? NC Floodmaps website
Stonewall D Mathis
�, 4 rn vcjc��
03/13/2012
Applicant/Agent s Printed Name
Date
ApplicantKgentg Signature
(Agents signature is valid only if an authorization letter from the applicant
is provided )
Page 11 of 11
PCN Form — Version 1 3 December 10 2008 Version

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11

PVC Division of Water Quality — Methodology for Identification of Intermittent and
Perennial Streams and Their Origins v 4 1
NC DCVO Stream Identification Form Version 4 1
_
Date `_G� -L
Project/Site j(Z
I
Latitude 3 cF 11,01 :1 40 N
Evaluator f 85
County & w c
Longitude .78 0239>lp1ni
Total Points
least
Stream Determination (circ
Other
Stream is at intermittent
3 -15
Ephemeral Intermittent erennlal
g >�ul►%sd 0,1
e Quad Name
if a 19 or perennial d> 30
2
3
S D w\ T11 Zi I Z_
A Geomorphology (Subtotal = l g )
Absent
Weak
Moderate
Strong
1a Continuity of channel bed and bank
0
1
2
3
2 Sinuosity of channel along thalweg
0
1
2
3
3 In channel structure ex riffle pool step pool
ripple sequence
/�1
j
1
2
3
4 Particle size of stream substrate
0
1
2
3
5 Active /relict floodplain
0
1
2
3
6 Depositional bars or benches
0
1
2
3
7 Recent alluvial deposits
0
0
2
3
8 Headcuts
CC9
25 Algae
2
3
9 Grade control
0
05
1
1 5,
10 Natural valley
0
05
1
1 5
11 Second or greater order channel
No = 0
Yes - 3
artificial ditches are not rated see discussions in manual
B Hydrology (Subtotal = S
12 Presence of Baseflow
0
1
(-9) =7
3
13 Iron oxidizing bacteria
0
CD
2
3
14 Leaf litter
1 5
1
C 0 5 )
0
15 Sediment on plants or debris
0
0 5
1`
1 5
16 Organic debris lines or piles
0
05
1
1 5
17 Soil based evidence of high water table'?
No = 0
Yes r 3
C Biology (Subtotal = -7 25 )
18 Fibrous roots in streambed
3
2
1
0
19 Rooted upland plants in streambed
3
2
1
0
20 Macrobenthos (note diversity and abundance)
0
7
2
3
21 Aquatic Mollusks
0
1
2
3
22 Fish
11 0
05
1
1 5
23 Crayfish
0
0 5
1
f 1 5
24 Amphibians
0
05
1
1 5
25 Algae
0
05
1
1 5
26 Wetland plants in streambed
FACW =(0 7508L = 1 o
Other = 0
perennial streams may also be identified using other methods See p 35 of manual
Notes
Sketch
I
41
`>SD►ti
91141
i

NC®ENR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
March 2 2012
Division of Water Quality
Charles Wakild P E
Director
Stoney Mathis Division Environmental Officer
NCDOT
5501 Barbados Boulevard
Castle Hayne NC 28429
Subject Stormwater Permit Exclusion — NC DOT Linear Road Project
SR 1570 Jack and Jill Road Improvements
Stormwater Project No SW8 120212
Brunswick County
Dear Mr Mathis
Dee Freeman
Secretary
On February 7 2012 the Wilmington Regional Office of the Division of Water Quality received a
request to review the subject linear road / bridge project and provide confirmation that it is
excluded from Coastal Stormwater permitting requirements Staff review of the plans and
supporting documents has determined that the project proposes activities that are excluded
from State Stormwater permitting requirements as set forth in Section 2 (d)(1) of Session Law
2008 211 effective October 1 2008 and the stormwater rules under Title 15A NCAC 2H 1000
as amended
Therefore the Director of the Division of Water Quality is hereby providing confirmation that the
subject project is excluded from State Stormwater permitting requirements under the following
conditions 1) it is a linear road or bridge project of the NC DOT that is regulated in accordance
with the provisions of the NC DOT s National Pollutant Discharge Elimination System (NPDES)
Stormwater Permit and 2) the proposed BMP s are designed in accordance with the NCDOT
Tool Box design manual
Under Section 15A NCAC 2H 1003 any future development or changes to the proposed
development including but not limited to the locations of the built upon area and constructicin of
additional built -upon area may require approval or a Stormwater Management permit
application and permit issuance from the Division of Water Quality prior to construction Any
construction on the site prior to receipt of the required approval or permit will constitute a
violation of Title 15A NCAC 2H 1000 and Session Law 2008 211 and may result in the initiation
of appropriate enforcement action
Please keep in mind that this determination does not affect your legal obligation to obtain other
permits and approvals which may be required by Federal State or local government agencies
rule or law If you have any questions or need additional information concerning this matter
please contact Linda Lewis at (910) 796 -7215 R E C E I V EL2
Sinc rel
Y
MAR C 7 2012
�7a: Charles Wakild P E Director
Division of Water Quality DIVISION 3 OFFICE
GDS /arl S \WQS \Stormwater \Permits & Projects\2012 \120212 Exclusion \2012 03 Permit 120212
cc Wilmington Regional Office Stormwater File
Wilmington Regional Office
127 Cardinal Drive Extension Wilmington North Carolina 28405 One
Phone [phone] FAX [phone] DENR Assistance 1- 877 -623 6748 NorthCai olina
Internet www ncwaterquality org �/ 'j� m` upay
An Equal Opportunity 1 Affirmative Action Employer d`

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