20202010 Ver 1_ePCN Application_20210219

I I DWR
Division of Water Resources
Pre-Construction Notification (PCN) Form
October 26,2020 Ver 3.3
Initial Review
Has this project met the requirements for acceptance in to the review process?*
6 Yes
✓ No
Is this project a public transportation project?*
0 Yes r No
Change only if needed.
BIMS#Assigned* Version#*
20202010 1
Is a payment required for this project?*
✓ No payment required
6 Fee received Reviewing Office*
✓ Fee needed-send electronic notification Wilmington Regional Office-[phone]
Select Project Reviewer*
Joanne Steenhuis:eads\jhsteenhuis
Information for Initial Review
1a.Name of project:
SR 1707 Panther Creek Rd.Maintenance Excavation and Pipe Replacement
1a.Who is the Primary Contact?*
Sean Farrell
lb.Primary Contact Email:* 1c.Primary Contact Phone:*
[e-mail] [phone]
Date Submitted
2/19/2021
Nearest Body of Water
White Oak Branch
Basin
Cape Fear
Water Classification
C;Sw
Site Coordinates
Latitude: Longitude:
35.053042 -77.790635
Pre-Filing Meeting Information
ID# Version
20202010 1
Pre-fling Meeting or Request Date*
12/23/2020
Attach documentation of Pre-Filing Meeting Request here:*
laserficheConf.pdf 587.11KB
A. Processing Information C^U
County(or Counties)where the project is located:
Duplin

Is this a NCDMS Project
✓ Yes r No
Is this project a public transportation project?*
✓ Yes r No
Is this a NCDOT Project?*
✓ Yes r No
(NCDOT only)T.I.P.or state project number:
WBS#(')
3B.203111
1a.Type(s)of approval sought from the Corps:
fJ Section 404 Permit(wetlands,streams and waters,Clean Water Act)
r Section 10 Permit(navigable waters,tidal waters,Rivers and Harbors Act)
Has this PCN previously been submitted?*
✓ Yes
r No
lb.What type(s)of permit(s)do you wish to seek authorization?
fJ Nationwide Permit(NWP)
r Regional General Permit(RGP)
r Standard(IP)
1c.Has the NWP or GP number been verified by the Corps?
C Yes rNo
Nationwide Permit(NWP)Number: 03-Maintenance
NWP Numbers(for multiple NWPS):
Id.Type(s)of approval sought from the DWR:
17 401 Water Quality Certification-Regular r 401 Water Quality Certification-Express
r Non-404 Jurisdictional General Permit r Riparian Buffer Authorization
r Individual Permit
le.Is this notification solely for the record because written approval is not required? *
For the record only for DWR 401 Certification: r Yes r No
For the record only for Corps Permit: r Yes r No
If.Is this an after-the-fact permit application?*
✓ Yes r No
1g.Is payment into a mitigation bank or in-lieu fee program proposed for mitigation of impacts?
CYes rNo
1g.Is payment into a mitigation bank or in-lieu fee program proposed for mitigation of impacts?
✓ Yes rNo
Acceptance Letter Attachment
lh.Is the project located in any of NC's twenty coastal counties?
CYes rNo
1j.Is the project located in a designated trout watershed?
✓ Yes r No
B. Applicant Information
Id.Who is applying for the permit?
7 Owner r Applicant(other than owner)
le.Is there an Agent/Consultant for this project?*
✓ Yes r No
2.Owner Information
2a.Name(s)on recorded deed:
NC Department of Transportation Right-of-Way

2b.Deed book and page no.:
2c.Responsible party:
Mason Herndon
2d.Address
Street Address
5501 Barbados Blvd.
Address Line 2
Criy State/Rovince/legion
Castle Hayne NC
Postal/Zip Code Country
28429 USA
2e.Telephone Number: 2f.Fax Number:
[phone]
2g.Email Address:*
[e-mail]
....__.........
C. Project Information and Prior Project History
1. Project Information
lb.Subdivision name:
(if appropriate)
lc.Nearest municipality I town:
Pink Hill
2. Project Identification
2a.Property Identification Number: 2b.Property size:
2c.Project Address
Street Address
SR 1707 Panther Creek Road
Address Line 2
Oty State/Province/legion
Pink Hill NC
Postal/Zip Code Country
28572 USA
3.Surface Waters
3a.Name of the nearest body of water to proposed project:*
White Oak Branch
3b.Water Resources Classification of nearest receiving water:*
C;Sw
3c. What river basin(s)is your project located in?*
Cape Fear
3d.Please provide the 12-digit HUC in which the project is located.
030300070205
4. Project Description and History
4a.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 existing conditions on site include(2)36"x 50'Corrugated Aluminum Pipes(CAP)that convey the waters of White Oak Branch through SR 1707 Panther Creek Road.The stream
and crossline pipes have been accreting sediment for the past couple of years,likely due to a combination of agricultural runoff and severe storms.Due to the inability of the existing
pipes to adequately convey high flows during storm events,the roadway at the site has been overtopped and washed out multiple times,most recently after the November 11,2020
Rain Event(see photo of outlet washout).The general land use in the vicinity of the project is Agricultural.
4b.Have Corps permits or DWR certifications been obtained for this project(including all prior phases)in the past?*
r Yes l No r Unknown
4d.Attach an 8 1/2 X 11 excerpt from the most recent version of the USGS topographic map indicating the location of the project site.(for DWR)
HPOTopo.pdf 310.37KB
4e.Attach an 8 1/2 X 11 excerpt from the most recent version of the published County NRCS Soil Survey map depicting the project site.(for DWR)
WebSoil_Map.pdf 458.09KB

4f.List the total estimated acreage of all existing wetlands on the property:
4g.List the total estimated linear feet of all existing streams on the property:
130'in project area
4h.Explain the purpose of the proposed project:*
The purpose of the proposed project is to restore adequate conveyance of the waters of White Oak Branch through SR 1707 Panther Creek Road to meet our current NCDOT
Hydraulic Standards.
4i.Describe the overall project in detail,including indirect impacts and the type of equipment to be used:*
Adequate conveyance through SR 1707 will be restored by removing the existing(2)36"x 50'CAP and installing a new 95"x 67"in diameter x 45'in length Corrugated Aluminum Arch
Pipe(CAAP)with headwalls.Maintenance Excavation of the accreted sediment and roadbed material from previous washouts is proposed approximately 60'upstream and 70'
downstream of the crossing.Temporary sheet pile will be installed immediately downstream and upstream of the proposed maintenance excavation area and bypass pumping will be
utilized for site dewatering.Water from within the construction zone will be pumped into a silt bag for treatment prior to discharge back into the system.A temporary construction
easement will be obtained from the adjacent farm owner who owns the agricultural property on the southeast and southwest side of the crossing.An excavator will access via the
adjacent agricultural fields that abut the stream to perform the excavation.Any disturbed areas along the bank and adjacent fields will be matted with coir fiber and reseeded.The road
will be repaved following the existing pipe removal and new pipe installation.
4j.Please upload project drawings for the proposed project.
SR1707_planView.pdf 1.42MB
SR1707_profileView.pdf 47.08KB
5.Jurisdictional Determinations
5a.Have the wetlands or streams been delineated on the property or proposed impact areas?*
0' Yes r No C Unknown
Comments:
5b.If the Corps made a jurisdictional determination,what type of determination was made?*
✓ Preliminary r Approved G Not Verified C' Unknown r N/A
Corps AID Number:
5c.If 5a is yes,who delineated the jurisdictional areas?
Name(if known): Sean Farrell
Agency/Consultant Company: NCDOT
Other:
5d1.Jurisdictional determination upload
6. Future Project Plans
6a.Is this a phased project?*
✓ Yes 6 No
Are any other NWP(s),regional general permit(s),or individual permits(s)used,or intended to be used,to authorize any part of the proposed project or related activity?
D. Proposed Impacts Inventory L)
1. Impacts Summary
1a.Where are the impacts associated with your project?(check all that apply):
r Wetlands fJ Streams-tributaries r Buffers
r Open Waters r Pond Construction
3.Stream Impacts
3a.Reason for impact(?) 3b.lmpact type* 3c.Type of impact* 3d.S.name* 3e.Stream Type* 3f.Type of 3g.S.width* 3h.Impact
(?) Jurisdiction* length*
S1 Maintenance Excavation Permanent Excavation White Oak Branch Perennial Both 6 130
Average(feet) (linear feet)
3i.Total jurisdictional ditch impact in square feet:
0
3i.Total permanent stream impacts: 3i.Total temporary stream impacts:
130 0

3i.Total stream and ditch impacts:
130
3j.Comments:
E. Impact Justification and Mitigation U
1.Avoidance and Minimization
1a.Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
Proposed excavation of the existing stream channel will be minimized to depth necessary for 1'of cover over the proposed pipe invert elevations and
will be beneficial by removing roadbed material and debris from storm damage,restoring normal flows,restoring connectivity,and restoring aquatic
passage at the crossing.
lb.Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Strict adherence to applicable permit conditions and implementation of sediment and erosion control BMPs in accordance with NCDOT BMP manual.
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?
C Yes ( No
2b.If this project DOES NOT require Compensatory Mitigation,explain why:
Proposed impact fall within permittable thresholds under NW 3 and GC 4132 without requiring mitigation.
F. Stormwater Management and Diffuse Flow Plan (required by DWR)
1. Diffuse Flow Plan
la.Does the project include or is it adjacent to protected riparian buffers identified within one of the NC Riparian Buffer Protection Rules?
✓ Yes ( No
If no,explain why:
Project site not located within one of the NC Riparian Buffer Protection areas.
2.Stormwater Management Plan
2a.Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?*
( Yes r No
Comments:
No BUA(Built Upon Area)will be added and project will improve stormwater conveyance at the location of the crossing.Gentle and vegetated shoulder slopes will be implemented to
provide treatment of sheet flow.
G. Supplementary Information
1. Environmental Documentation
1a.Does the project involve an expenditure of public(federal/state/local)funds or the use of public(federal/state)land?*
( Yes rNo
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(North Carolina)
Environmental Policy Act(NEPA/SEPA)?*
✓ Yes ( No
Comments:*
Project falls within Minimum Criteria Determination thresholds under 19A NCAC 02F.0102,therefore not requiring an environmental document.
2.Violations(DWR Requirement)
2a.Is the site in violation of DWR Water Quality Certification Rules(15A NCAC 2H.0500),Isolated Wetland Rules(15A NCAC 2H.1300),or DWR Surface Water or Wetland Standards or
Riparian Buffer Rules(15A NCAC 2B.0200)?*
✓ Yes ( No
3. Cumulative Impacts(DWR Requirement)
3a.Will this project result in additional development,which could impact nearby downstream water quality?*
✓ Yes ( No
3b.If you answered"no,"provide a short narrative description.
Due to the minimal impact resulting from this roadway maintenance project,nearby land uses will not be influenced.A detailed indirect of cumulative
effects study will not be necessary.

4.Sewage Disposal(DWR Requirement)
4a.Is sewage disposal required by DWR for this project?*
✓ Yes r No r N/A
5. Endangered Species and Designated Critical Habitat(Corps Requirement)
5a.Will this project occur in or near an area with federally protected species or habitat?*
✓ Yes r No
5b.Have you checked with the USFWS concerning Endangered Species Act impacts?*
✓ Yes C• No
5d.Is another Federal agency involved?*
✓ Yes 6. No r Unknown
5e.Is this a DOT project located within Division's 1-8?
s Yes r No
5j.What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
IPaC and NC Natural Heritage Program GIS
Consultation Documentation Upload
6. Essential Fish Habitat(Corps Requirement)
6a.Will this project occur in or near an area designated as an Essential Fish Habitat?*
✓ Yes G No
6b.What data sources did you use to determine whether your site would impact an Essential Fish Habitat?*
NC Natural Heritage Program/NOAA EFH GIS data.
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 status?*
✓ Yes r No
7b.What data sources did you use to determine whether your site would impact historic or archeological resources?*
State Historic Preservation Office Web GIS.
7c.Historic or Prehistoric Information Upload
HPOTopo.pdf 310.37KB
8. Flood Zone Designation(Corps Requirement)
8a.Will this project occur in a FEMA-designated 100-year floodplain?*
✓ Yes 6' No
8c.What source(s)did you use to make the floodplain determination?*
Flood Risk Information System(FRIS)
Miscellaneous
Comments
Attached are Aerial&LiDAR Imagery,Site Photos,and copy of Pre-filing Meeting Request Form
Miscellaneous attachments not previously requested.
DWR Pre-Filing Meeting Request Form.pdf 51.29KB
SR1707_Imagery_Photos.pdf 1.69MB
WetlandlmpactSummarySheet.pdf 97.83KB
Signature
*
[J By checking the box and signing below,I certify that:
• The project proponent hereby certifies that all information contained herein is true,accurate,and complete to the best of my knowledge and belief;and
• The project proponent hereby requests that the certifying authority review and take action on this CWA 401 certification request within the applicable reasonable period of time.
• I have given true,accurate,and complete information on this form;
• I agree that submission of this PCN form is a"transaction"subject to Chapter 66,Article 40 of the NC General Statutes(the"Uniform Electronic Transactions Act");
• I agree to conduct this transaction by electronic means pursuant to Chapter 66,Article 40 of the NC General Statutes(the"Uniform Electronic Transactions Act");
• I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written signature;AND
• I intend to electronically sign and submit the PCN form.

Full Name:
Sean Farrell
Signature
Date
2/19/2021