20210521 Ver 1_ePCN Application_20210304

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?*
G Yes r No
Change only if needed.
BIMS#Assigned* Version#*
20210521 1
Is a payment required for this project?*
6 No payment required
✓ Fee received Reviewing Office*
✓ Fee needed-send electronic notification Washington Regional Office-[phone]
Select Project Reviewer*
Garcy Ward:eads\gpward
Information for Initial Review
1a.Name of project:
Southdock Dolphin Repair&Maintenance 2021
1a.Who is the Primary Contact?*
Brian Doliber
lb.Primary Contact Email:* 1c.Primary Contact Phone:*
[e-mail] [phone]
Date Submitted
3/4/2021
Nearest Body of Water
Pamlico Sound
Basin
Tar-Pamlico
Water Classification
SA/HQW
Site Coordinates
Latitude: Longitude:
35.189815 -75.780365
Pre-Filing Meeting Information
ID# Version
Pre-fling Meeting or Request Date*
3/4/2021
Attach documentation of Pre-Filing Meeting Request here:*
DWR No PMR Required.pdf 33.17KB
A. Processing Information C^U
County(or Counties)where the project is located:
Hyde

Is this a NCDMS Project
C- Yes f No
Is this project a public transportation project?*
6 Yes r No
Is this a NCDOT Project?*
6 Yes r No
(NCDOT only)T.I.P.or state project number:
WBS#(')
16.71001
1a.Type(s)of approval sought from the Corps:
r Section 404 Permit(wetlands,streams and waters,Clean Water Act)
fJ Section 10 Permit(navigable waters,tidal waters,Rivers and Harbors Act)
lb.What type(s)of permit(s)do you wish to seek authorization?
I7 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 C- No
Nationwide Permit(NWP)Number: 03-Maintenance
NWP Numbers(for multiple NWPS):
Id.Type(s)of approval sought from the DWR:
fJ 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: F Yes C' No
For the record only for Corps Permit: r Yes F No
lf.Is this an after-the-fact permit application?*
C- Yes 6- No
1g.Is payment into a mitigation bank or in-lieu fee program proposed for mitigation of impacts?
C- Yes r No
1g.Is payment into a mitigation bank or in-lieu fee program proposed for mitigation of impacts?
C- Yes C No
Acceptance Letter Attachment
I h.Is the project located in any of NC's twenty coastal counties?
C: Yes C- No
1i.Is the project located within a NC DCM Area of Environmental Concern(AEC)?
6 Yes C No C- Unknown
1j.Is the project located in a designated trout watershed?
✓ Yes z No
B. Applicant Information
Id.Who is applying for the permit?
fJ Owner r Applicant(other than owner)
le.Is there an Agent/Consultant for this project?*
C- Yes r No
2.Owner Information
2a.Name(s)on recorded deed:
NC DOT
2b.Deed book and page no.:

2c.Responsible party:
2d.Address
Street Address
159 Lucinda Lane
Address Line 2
Cly State/Bovine/Region
Powells Point NC
Postal/ZZp Code Country
27966 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)
1c.Nearest municipality/town:
Ocracoke
2. Project Identification
2a.Property Identification Number: 2b.Property size:
2c.Project Address
Street Address
Address Line 2
Cty State/Province/Region
Postal/ZZp Code Country
3.Surface Waters
3a.Name of the nearest body of water to proposed project:*
Pamlico Sound
3b.Water Resources Classification of nearest receiving water:*
SA/HOW
3c. What river basin(s)is your project located in?*
Tar-Pamlico
3d.Please provide the 12-digit HUC in which the project is located.
030201052306
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 ferry ramps on the north end of Ocracoke(Southdock)are used to load and off-load vehicles coming to and from Ocracoke.The dolphins(pile clusters)that lead into and surround
the ramps are in place to assist ferry navigation and prevent accidents from happening.They act as bumpers or cushions for the ferries as they are entering the basin and nearing the
ramps.
4b.Have Corps permits or DWR certifications been obtained for this project(including all prior phases)in the past?*
r Yes r 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)
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)
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:

4h.Explain the purpose of the proposed project:*
The North Carolina Department of Transportation(NCDOT)Ferry Division is requesting authorization to perform repair and maintenance on the dolphins at the Southdock Ferry
Terminal.Eight of the dolphins are in need of complete replacement,and six contain one or more piles that need to be removed and replaced.The footprint of all dolphins will remain
the same.
4i.Describe the overall project in detail,including indirect impacts and the type of equipment to be used:*
A vibratory hammer will be utilized to remove and install all piles.However,if a pile is broken off beneath the surface,a clamshell bucket will be used to break it loose and pull it.If the
vibratory hammer alone fails to drive a pile,then a pump would be implemented to assist driving the pile to the required depth.This is the methodology that the Ferry Division has
followed during all previous dolphin maintenance projects.
Skyco crane barge with attachments and pump will be used
4j.Please upload project drawings for the proposed project.
Southdock Dolphin Repairs 2021 Location Map.pdf 1.55MB
5.Jurisdictional Determinations
5a.Have the wetlands or streams been delineated on the property or proposed impact areas?*
✓ Yes r No r Unknown
Comments:
5b.If the Corps made a jurisdictional determination,what type of determination was made?*
✓ Preliminary r Approved r Not Verified r Unknown F N/A
Corps AID Number:
5c.If 5a is yes,who delineated the jurisdictional areas?
Name(if known):
Agency/Consultant Company:
Other:
5d1.Jurisdictional determination upload
6. Future Project Plans
6a.Is this a phased project?*
✓ Yes ( 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
1. Impacts Summary
1a.Where are the impacts associated with your project?(check all that apply):
r Wetlands r Streams-tributaries r Buffers
r Open Waters r Pond Construction
E. Impact Justification and Mitigation
1.Avoidance and Minimization
1a.Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
Only the piles that are in need of replacement will be replaced
lb.Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Efforts will be undertaken to attempt to remove and install all piles with the vibratory hammer
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 f No
2b.If this project DOES NOT require Compensatory Mitigation,explain why:
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 f No
If no,explain why:
2.Stormwater Management Plan
2a.Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?*
✓ Yes G No
2b.Does this project meet the requirements for low density projects as defined in 15A NCAC 02H.1003(2)?
✓ Yes r No
Comments:
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 r No
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(North Carolina)
Environmental Policy Act(NEPA/SEPA)?*
✓ Yes r: No
Comments:*
Existing dolphins
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 f• No
3b.If you answered"no,"provide a short narrative description.
4.Sewage Disposal(DWR Requirement)
4a.Is sewage disposal required by DWR for this project?*
✓ Yes (' Nor 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 C No
5b.Have you checked with the USFWS concerning Endangered Species Act impacts?*
✓ Yes ( No
5d.Is another Federal agency involved?*
✓ Yes ( No r Unknown
5e.Is this a DOT project located within Division's 1-8?
• Yes r No
5j.What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
Repair and maintenance within active ferry basin
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 ( No
6b.What data sources did you use to determine whether your site would impact an Essential Fish Habitat?*
N/A
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 6- No
7b.What data sources did you use to determine whether your site would impact historic or archeological resources?*
Within active ferry basin
7c.Historic or Prehistoric Information Upload
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?*
Within active ferry basin
Miscellaneous
Comments
Miscellaneous attachments not previously requested.
Signature
*
I7 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:
Brian Doliber
Signature
Atia4.Ae(ack
Date
3/4/2021