20120249 Ver 1_401 Application_20120312

201 2024 9
OF W A TF�
oa pG Olfice Use Only
t Corps action ID no
DWQ project no _
Form Version 13, Dec 10 2008
--Pre Construction Notification (PCN) Form _
A Appimant Information
1 Processing
-4, rg
1a Type(s) of approval sought from the
Corps ® Section 404 Permit Q Section 10 P it
1b Specify Nationwide Permit (NWP) number NWP 3 and NWP 18 or General Permit (GP) number'`►.
1c Has the NWP or GP number been verified by the Corps? =0 Yes 0 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 For the record only for DWQ 401 For the record only for Corps Permit
because written approval is not required? Certification
_ ❑ 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 letter from mitigation bank or in lieu
fee program
I Is the project located in any of NC s twenty coastal counties If yes answer 1h ® Yes
below
1h Is the project located within a NC DCM Area of Environmental Concern (AEC)? ® Yes
2 Project Information
2a Name of project _____._ Rogersville Rd and Eastwood Rd Repair
2b County
2c Nearest municipality / town
2d Subdivision name
2e NCDOT only T I P or state
project no
3 Owner Information
3a Name(s) on Recorded Deed
3b Deed Book and Page No
3c Responsible Party (for LLC if
3d Street address
3e City state zip
3f Telephone no _
3g Fax no
3h Email address
New Hanover
Wilmington
❑ No
❑ No
ILDE
Matthew W Jordan PE CFPUA
235 Government Center Drive
Wilmington NC 28403
910 332 6542
910 799 6066 _
matt lordan @cfpua org
Page I of 11
PCN Form — Version 1 3 December 10 2008 Version

4 Applicant Information (if different from owner)
4a Applicant is
❑ Agent ❑ Other specify
4b Name
4c Business name
(if applicable)
4d Street address
4e City state` zip
4f Telephone no
4g Fax no
4h Emegl address
5 Agent/Consultant Information (if applicable)
5a Name
5b Business name
(if applicable)
Sc Street address
5d City state zip
5e Telephone no
5f Fax no
5g Email address
Page 2 of 11
PCN Form — Version 1 3 December 10 2008 Version

B
Project Information and Prior Project History
1
Property Identification
la
Property identification no (tax PIN or parcel ID)
DOT Right of Way
Latitude 34 13 5886 N Longitude
1 b
Site coordinates (in decimal degrees)
77 50 2448 W
(DD DDDDDD) ( DD DDDDDD)
1c
Property size
0 87 acres
2
Surface Waters
2a
Name of nearest body of water (stream river etc) to
Howe s Creek
proposed project
2b
Water Quality Classification of nearest receiving water
I SA ORW
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
Land is used for transport of wastewater underground through sewer lines Easements are maintained per Collection
System Permit WOCS00012 Herbaceous cover in a tidal marsh area
3b
List the total estimated acreage of all existing wetlands on the property
087
3c
List the total estimated linear feet of all existing streams (intermittent and perennial) on the property
appooximately 300 LF
3d
Explain the purpose of the proposed project
Immediate sewer construction is required to repair the main line and manhole failure between Rogersville Road and
Eastwood Road
3e
Describe the overall project in detail including the type of equipment to be used
The manhole shown on the survey which is noted as Structure 3 has dropped about 28 inches The sinking manhole had
created some serious flow and maintenance issue in this area The mainline pipe in this area is 21 inch DR 18 PVC
Shifting soil along the bank of the creek and sinking manhole generates a very serious concern that required immediate
attention to repair /replace before any shearing may occur There are no active existing services that will require
replacement in this area Corrective action will require the removal of two existing manholes and installing two new 5 foot
diameter extended base precast concrete manholes with appropriate boots to reconnect new main line pipe at the
specific locations and elevations Total manholes proposed for removal and replacement are two (2) in this specific
project area Removing the existing main line and installing new main line will be required in each direction of each new
manhole location At Structure three (3) on the survey map there is a 10 inch ductile iron pipe crossing the existing
stream coming from Structure 5 The existing piling for the 10 inch ductile pipe has shifted creating another concern The
section of line shown from structure 3 to Structure 5 will require replacement The ductile 10 inch line will be replaced
with new 10 inch restrained joint ductile iron pipe with 401 super coating for sewer application Contractor will be required
to utilize bypass operations to maintain sewer service to the resident within the proposed construction area and any other
customers that maybe connected or impacted due to the construction at this site Approximately 100 feet of sheet piles
will be required to stabilize bank are between structure 3 and the creek bed toward structure 5 Restore and stabilize the
soil on the bank slope from the top of the bank to the toe of the bank Retainer will be constructed approximately 6 toll 2
inches from the edge of the existing stream Excavators and sheet steel will be used in the project
Page 3 of 11
PCN Form — Version 1 3 December 10 2008 Version

4
Jurisdictional Determinations
4a
Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
Yes [I No C3 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 areas9
Agency /Consultant Company
Name (if known) Emily Hughes USACE
Other
4d
If yes list the dates of the Corps jurisdictional determinations or State determinations and attach documentation
On March 5 2012 Ms Hughes cam and marked the Corps jusidiction line in the project area
5
Protect History
5a
Have permits or certifications been requested or obtained for
El Yes ❑ No Unknown
this project (including all pnor phases) in the past?
5b
If yes explain in detail according to help file instructions
6
Future Project Plans
6a
Is this a phased project?
—[--]yes No
6b
if yes explain
Page 4 of 11
PCN Form Version 1 3 December 10 2008 Version

C Proposed Impacts Inventory
1 Impacts Summary
la Which sections were completed below for your project (check all that 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 T
W1 ®P ❑ T
Stabilization
Salt / Brackish
❑ Yes
® Corps
087
Activities
Marsh
® No
® DWQ
W2 ❑ PC] T
❑Yes
❑Corps
❑ No
❑ DWQ
W3 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W4 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W5 ❑ POT
❑ Yes
❑ Corps
❑ No
❑ DWQ
W6 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
2g Total wetland impacts
087
2h Comments The stabilization activity will have no significant impact on the area
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)
51 ❑ P ®T
Stabilization
Howe s Creek
® PER
® Corps
4
25
Tributary
❑ INT
I ® DWQ
S2 ❑ P ❑ T
❑ PER
(] Corps
❑ INT
❑ DWQ
S3 ❑ P [IT
❑ PER
❑ Corps
❑ INT
❑ DWQ
S4 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S5 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S6 ❑ P ❑ T
❑ PER
[] Corps
❑ INT
❑ DWQ
3h Total stream and
tributary impacts
25
31 Comments The ductile 10 inch line that is currently exposed in the creek will potentially be replaced with new 10 inch
restrained joint ductile iron pipe with 401 super coating for sewer application Rip rap will be placed near the pie to help
stabilize the line
Page S 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
Temporary T
01 ❑ PC] 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
Pond ID
Proposed use or purpose
Wetland Impacts (acres)
Stream Impacts (feet)
Upland
number
of pond
(acres)
Flooded
Filled
Excavated
Flooded
Filled
Excavated
Flooded
P1
P2
51' Total
5g Comments
5h Is a dam high hazard permit required?
❑ Yes No If yes permit ID no
51 Expected pond surface area (acres)
51 Size of pond watershed (acres)
5k Method of construction
6 Buffer Impacts (for DWO)
If project will impact a protected riparian buffer then complete the chart below If yes then individually list all buffer impacts
below If any 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)
Temporary T
impact
required?
81 ❑P[]T
El Yes
❑ No
82 ❑P❑T
❑Yes
❑ No
B3 ❑P ❑T
❑Yes
❑ No
6h Total buffer impacts
61 Comments
Page 6 of 11
PCN Form — Version 1 3 December 10 2008 Version

D Impact Justification and Mitigation
1 Avoidance and Minimization
to Specifically describe measures taken to avoid or minimize the proposed impacts in designing project
Approximately 100 feet of sheet piles will be required to stabilize bank are between structure 3 and the creek bed toward
structure 5 Restore and stabilize the soil on the bank slope from the top of the bank to the toe of the bank Retainer will be
constructed approximately 6 to12 inches from the edge of the existing stream Silt fence and other required erosion control
devices or material on the outer limits of the proposed construction site Devices shall be constructed or erected to prevent soil
or any other disturbed material from entering any stream catch basin or other access point to the storm water system or
ground water system
1 b Specifically describe measures taken to avoid or minimize the proposed Impacts through construction techniques
Contractor shall install one layer of Class B rip rap from the toe where the exposed piles are up about three feet The
contractor shall then pull the fabric that is over the sheet piles over the first three feet of rock and properly pin the fabric in
place along the edge of the fabric sheet Pins must be within 24 inches of each on the fabric edge After the fabric is properly
pinned over the layer of riprap the contractor shall start at the toe of the slope and install a complete covering layer of Class B
rip rap over the entire fabric covered area The Contractor shall install an 8 10 thick course of 4 6 nominal size Class B
Riprap material on top of Class 200 lb underlayment material Contractor shall review and inspect the first course of rip rap
Contractor may need to press rip rap into fabric as needed to assure proper seating of the stone After the inspection and
review of the first section is completed the contactor may start on the installation and placement of the second layer of rip rap
The contractor shall then install the second layer or course a 16 20 thick course of 50 to 2001b nominal size Class 1 Riprap
material over the existing Class B layer of material to help armor the slope and prevent a scouring action that occurs when
flows are elevated in the stream bed The leading or upstream edge of the restored bank area must tie into the existing soil
bank or stream bed Contractor will do final tamping and adjustments to help settle the stone and prevent migration into the
stream bed
2 Compensatory Mitigation for Impacts to Waters of the U S or Waters of the State
2a Does the project require Compensatory Mitigation for
❑ Yes ® No
impacts to Waters of the U S or Waters of the State?
2b If yes mitigation is required by (check all that apply)
❑ DWQ ❑ Corps
❑ Mitigation bank
2c If yes which mitigation option will be used for this
project?
❑ Payment to in lieu fee program
❑ Permittee Responsible Mitigation
3 Complete if Using a Mitigation Bank
3a Name of Mitigation Bank
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
4b Stream mitigation requested
linear feet
4c If using stream mitigation stream temperature
❑ warm ❑ cool ❑cold
4d Buffer mitigation requested (DWQ only)
square feet
4e Riparian wetland mitigation requested
acres
4f Non riparian wetland mitigation requested
acres
4g Coastal (tidal) wetland mitigation requested
acres
4h Comments
5 Complete if Using a Permittee Responsible Mitigation Plan
Page 7 of 11
PCN Form — Version 1 3 December 10 2008 Version

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 Oecember 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?
lb it 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?
0/
2b Does this project require a Stormwater Management Plan?
❑ Yes ® No
2c If this project DOES NOT require a Stormwater Management Plan explain why No Impervious acreage
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?
❑ DWO Stormwater Program
❑ DWO 401 Unit
3 Certified Local Government Stormwater Review
3a In which local government s jurisdiction is this project?
❑ Phase 11
3b Which of the following locally implemented stormwater management programs
❑ NSW
❑ USMP
apply (check all that apply)
❑ Water Supply Watershed
❑ Other
3c Has the approved Stormwater Management Plan with proof of approval been
❑ Yes ❑ No
attached?
4 DWO Stormwater Program Review
❑ Coastal counties
4a Which of the following state implemented stormwater management programs apply
❑ HOW
❑ ORW
(check all that apply)
❑ Session Law 2006 246
❑ Other
4b Has the approved Stormwater Management Plan with proof of approval been
attached?
Cl Yes ❑ No
5 DWO 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 (DWO 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?
1b
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)9
1 c
If you answered yes to the above has the document review been finalized by the
State Clearing House9 (If so attach a copy of the NEPA or SEPA final approval
letter )
❑ Yes
❑ No
Comments
2
Violations (DWO Requirement)
2a
Is the site in violation of DWO Wetland Rules (15A NCAC 2H 0500) Isolated
Welland Rules (15A NCAC 2H 1300) DWO Surface Water or Wetland Standards
❑ Yes
® No
or Riparian Buffer Rules (15A NCAC 2B 0200)?
2b
Is this an after the fact permit application?
❑ Yes
® No
2c
If you answered "yes to one or both of the above questions provide an explanation of the violation(s)
3
Cumulative Impacts (DWO 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 DWO policy If you answered no provide a short narrative description
4
Sewage Disposal (DWO 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
The existing line ties in to the Northside WWTP
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
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?
The NC Natural Heritage Program GIS layer was used to determine the presence of federally listed species No federally
protected species in or near the site were noted
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?
The NOAA Fisheries Essential Fish Habitat Mapper GIS program was used to determine the presence of essential fish
habitat
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?
The Natural Trust for Historic Preservation website mapping resource was used to determine the presence of cultural
resources No cultural resources were found
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? The NC Floodplain Mapping Information Sysytem
website was used to determine the boundaries of the 100 year floodplain
f
Matthew W Jordan 03/08/12
Applicant/Agent s Printed Name App icant/Agent s St a u e Date
(Agent s signature Is valid only if an author lion letter from the applicant
is pjovided _
Page I I of 11
PCN Form Version 1 3 December 10 2008 Version