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Home My WebLink About20120786 Ver 1_Application_20120821STAIZ STATE OF NORTH CAROLINA 40G o 2 I ?0 J �R,bfyl, Ty DEPARTMENT OF TRANSPORTATION �Re'c MICHAEL F EASLEY GOVERNOR Ms Sonia Carrillo NCDWQ 401 Wetlands Unit 1650 Mail Service Center Raleigh NC 27699 1650 Subject Nationwide Permit # 14 SR -1513 Moore County Protect # 8C 063021 Ms Carrillo DIVISION OF HIGHWAYS August 14 2012 LYNDo TiPM -rr SECRETARY The North Carolina Department of Transportation Highway Division 8 is requesting a Nationwide Permit Number 14 for project # 8C 063021 on SR 1513 (Franklin Rd) in Moore County The proposed project will replace the existing deficient crossing pipe as follows Site 1 Replace existing 24 x 37 RCP with a 24 x 60 RCP This pipe is being replaced in anticipation of a scheduled grading and paving project The amount of pipe length increase (23ft ) is needed to allow for normal widening to raise the roadbed and to insure a safe road shoulder and stable slopes All proposed work will be in compliance with current NCDOT standards The total percentage of impervious surface within the project area will be approximately 33% All erosion control devices used on the project will be appropriate to the location and in compliance with the current version of the NCDOT Best Management Practices Manual (BMP) The crossing is located on an unnamed tributary of Fork Creek a Class C stream within the Cape Fear River basm All construction activities on this project will be done in compliance with conditions listed in the current BMP manual for projects built within areas of Class C streams Construction will be done under dry conditions whenever possible There were no threatened or endangered species observed within the project area during the required minunum criteria check After consultation with Gary Jordan of USF &W concerning the proximity to known Cape Fear Shiner habitat he has determined the project will have no affect The site has been screened for Prehistoric and Historic properties The result of the screening was a finding of no affect This project is on a dead end road Traffic must be maintained on the road during construction It may be possible to set this pipe in one day If you require any additional information please contact me Smce /� % ��v �— Art C King Division Environmenta icer Highway Division 8 cc Richard W Hancock PE P O BOX 1067 ABERDEEN NORTH CAROLINA 28315 PHONE (910) 944 -2344 FAX (910) 944 5623 Office Use Only Corps action ID no DWQ project no Form Version 1 3 Dec 10 2008 Page 1 of 10 PCN Form — Version 1 3 December 10 2008 Version Pre - Construction Notification PC Form A Applicant Information 1 Processing la Type(s) of approval sought from the Corps ®Section 404 Permit El Section 10 Permit 1 b Specify Nationwide Permit (NWP) number 14 or General Permit (GP) number 1c Has the NWP or GP number been verified by the Corps? ❑ Yes ® No 1 d 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 1 e 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 N 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 1h 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 Franklin Rd (SR 1513) 2b County Moore 2c Nearest municipality / town Robbins 2d Subdivision name N/A 2e NCDOT only T I P or state project no 8C 063021 3 Owner Information 3a Name(s) on Recorded Deed NCDOT 3b Deed Book and Page No 3c Responsible Party (for LLC if applicable) 3d Street address 902 N Sandhills Blvd 3e City state zip Aberdeen N C 28315 3f Telephone no 910 944 2344 3g Fax no 910 944 5623 3h Email address rwhancock @ncdot gov Page 1 of 10 PCN Form — Version 1 3 December 10 2008 Version 4 Applicant Information (if different from owner) 4a Applicant is ❑ Agent ® Other specify Division Engineer 4b Name Richard W Hancock 4c Business name (if applicable) North Carolina Department of Transportation 4d Street address 902 N Sandhdis Blvd 4e City state zip Aberdeen N C 28315 4f Telephone no 910 944 2344 4g Fax no 910 944 5623 4h Email address rwhancock @ncdot gov 5 Agent/Consultant Information (if applicable) 5a Name Sarah Foster 5b Business name (if applicable) North Carolina Department of Transportation 5c Street address 993 Priest Hill Rd 5d City state zip Carthage N C 28327 5e Telephone no 910 947 2233 5f Fax no 910 947 6195 5g Email address sfoster @ncdot gov Page 2 of 10 PCN Form — Version 1 3 December 10 2008 Version B Project Information and Prior Project History 1 Property Identification 1 a Property identification no (tax PIN or parcel ID) N/A 1b Site coordinates (in decimal degrees) Latitude 35 51038 Longitude 79 623128 (DD DDDDDD) (DD DDDDDD) 1 c Property size acres 2 Surface Waters 2a Name of nearest body of water (stream river etc ) to Fork Creek proposed project 2b Water Quality Classification of nearest receiving water Class C 2c River basin Capr 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 Unpaved Secondary Road Crossing 3b List the total estimated acreage of all existing wetlands on the property 0 3c List the total estimated linear feet of all existing streams (intermittent and perennial) on the property 60 3d Explain the purpose of the proposed project Replace existing 24 rcp to meet current standards in conjunction with Secondary Roads Project 3e Describe the overall project in detail including the type of equipment to be used Grade Drain Base Pave and Erosion Control Utilizing backhoe pan dozer motor grader and excavator 4 Jurisdictional Determinations 4a Have jurisdictional wetland or stream determinations by the Corps or State been requested or obtained for this property / El Yes ®No El Unknown project (including all prior phases) in the pasty 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 USCOE Name (if known) Ronnie Smith Other 4d If yes list the dates of the Corps jurisdictional determinations or State determinations and attach documentation 8 152012 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 6 Future Project Plans 6a Is this a phased project? ® Yes ❑ No 6b If yes explain Temporary erosion control measures installed prior to clearing and grubbing phase Ditchlme measures placed as final grade is established Seeding as work progresses Page 3 of 10 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 El Yes ❑Corps W1 ❑ P ❑ T NA ❑ No ❑ DWQ ❑ Yes ❑ Corps W2 ❑ P ❑ T ❑ No ❑ DWQ ❑ 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 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) S1 ®P ❑ T pipe UT of Fork Creek ❑ PER ® INT ® Corps ® DWQ 35 23 S2 ❑ P ®T dewatenng ❑ PER ® INT ® Corps ® DWQ 20 ❑ 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 43 31 Comments 23ft perm impacts and 20ft of temp impacts for dewatwenng Total =43ft 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 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 ❑P ❑T NA 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 I Filled I Excavated Flooded I Filled Excavated Flooded Pi NA 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) 51 Size of pond watershed (acres) 5k Method of construction 6 Buffer Impacts (for DWQ) If project will impact a protected riparian buffer then complete the chart below If yes then individually list all buffer impacts below If any im acts re uire mitigation then you MUST fill out Section D of this form 6a Project is in which protected basin? 6b 6c 6d Buffer impact number— Reason Permanent (P) or for Temporary T impact 131 ❑P ❑T B2 ❑P ❑T B3 ❑P ❑T 61 Comments ❑ Neuse ❑ Tar Pamlico ❑Other ❑ Catawba ❑ Randleman 6e I 6f I 6g Buffer Stream name mitigation required? ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No 6h Total buffer impacts Zone 1 impact Zone 2 impact (square feet) (square feet) Page 5 of 10 PCN Form — Version 1 3 December 10 2008 Version D Impact Justification and Mitigation 1 Avoidance and Minimization 1a Specifically describe measures taken to avoid or minimize the proposed impacts in designing project Minimum pipe installation to provide a safe roadway and road shoulder 1 b Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques All construction will be in accordance with current NCDOT BMP s 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 ® No 2b If yes mitigation is required by (check all that apply) ❑ DWQ ❑ Corps 2c If yes which mitigation option will be used for this projects ❑ Mitigation bank El 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 5a If using a permittee responsible mitigation plan provide a description of the proposed mitigation plan Page 6 of 10 PCN Form —Version 1 3 December 10 2008 Version 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 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 7 of 10 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? 33% 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 ❑ 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? NA ❑ 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 ❑ 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 8 of 10 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)? 1 c 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 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 (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 NA Page 9 of 10 PCN Form — Version 13 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 ❑ 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? NCDOT staff on site survey NCDOT SDV USF &F data layer 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? NCDOT SDV USF &F data layer 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? SHPO screening 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? Applicant/Agent s Printed Name Applicant/Agent s Signature (Agents signature is valid only if an authorization letter from the applicant Date is provided Page 10 of 10 PCN Form — Version 1 3 December 10 2008 Version kZ,;�`fi,;t a. 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