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Home My WebLink About20120838 Ver 1_401 Application_20120912THE WOOTEN COMPANY ENGINEERING PLANNING ARCHITECTURE 30i '�dest 14th Street Gepmvdle NG 27834 252.757 1095 fax 252 757 3221 TO: NCDENR — Division of Water Quality Attn: Bev Strickland & Laurie Dennison WBS Compliance & Permits Unit 1617 Mail Service Center Raleigh, NC 27699 -1617 WE ARE SENDING: ❑ Shop Drawings ❑ Copy of Letter ® Attached ❑ Prints ❑ Change Order 20120838 TRANSMITTAL Transmittal Sent Via: ® Regular Mail ❑ FedEx ® UPS ❑ Certified Mail ❑ Courier ❑ Pick -up DATE: September 4, 2012 TWC No.: 2290 -CA RE: Town of Windsor Elm Street Aerial Forcemain Replacement ❑ Under separate cover via _ ❑ Plans ❑ Samples ❑ Other the following items: ❑ Specifications COPIES DATE NO. DESCRIPTION 5 8/2/12 Pre- Construction Notification (PCN) Form and Half -Size Plans Original 6/23/12 4077 Check from the Town of Windsor in the amount of $240.00 THESE ARE TRANSMITTED as checked below: ® For Approval ® For Your Use ® As Requested ❑ For Review and Comment ❑ For Bids Due [ ] REMARKS: DCS /dsy ❑ Reviewed ❑ Revise and Resubmit ❑ Rejected ❑ Submit Copies for Distribution ❑ Corrected ❑ Return Corrected Print ❑ Other: ❑ Prints Returned after Loan to Us g SE - 6 2012 _ . pENR - - ATE-R _Q RITY SIGNED. Derrick C. Smith, PE If enclosures are not as noted, kindly notify us at once. 2 ®120838 OF W A rF, O`er pG Office Use Only: r Corps action ID no. o < DWQ project no. g, , . Form Version 1.3 Dec 10 2008 Pre - Construction Notification (PCN) Form A. Applicant Information 1. Processing 1 a. Type(s) of approval sought from the Corps: ®Section 404 Permit ❑Section 10 Permit 1b. Specify Nationwide Permit (NWP) number: 12 or General Permit (GP) number: 1c. Has the NWP or GP number been verified by the Corps? ® 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 1 e. Is this notification solely for the record because written approval is not required? For the record only for DWO 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 1 g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h below. ® Yes ❑ No 1 h. Is the project located within a NC DCM Area of Environmental Concern (AEC)? ❑ Yes ® No 2. Project Information 2a. Name of project: Town of Windsor Elm Street Aerial Forcemain Replacement 2b. County: Bertie 2c. Nearest municipality / town: Windsor 2d. Subdivision name: N/A 2e. NCDOT only, T.I.P. or state project no: N/A 3. Owner Information S 3a. Name(s) on Recorded Deed: Town of Windsor 718/388 W��R 3b. Deed Book and Page No. 3c. Responsible Party (for LLC if applicable): N/A a Brand, 3d. Street address: PO Box 508 3e. City, state, zip: Windsor, North Carolina 27983 3f. Telephone no.: (252) 794 -2331 3g. Fax no.: 3h. Email address: windsor.admin@mchsi.com Page 1 of 12 PCN Form — Version 1.3 December 10, 2008 Version 4. Applicant Information (if different from owner) 4a. Applicant is: ❑ Agent ❑ Other, specify: 4b. Name: Applicant is Owner 4c. Business name (if applicable): 4d. Street address: 4e. City, state, zip: 4f. Telephone no.: 4g. Fax no.: 4h. Email address: 5. Agent/Consultant Information (if applicable) 5a. Name: Derrick Smith 5b. Business name (if applicable): The Wooten Company 5c. Street address: 301 West 14th Street 5d. City, state, zip: Greenville, NC 27834 5e. Telephone no.: (252) 757 -1096 5f. Fax no.: (252) 757 -3221 5g. Email address: dsmith ®thewootencompany.com Page 2 of 11 PCN Form — Version 1.3 December 10, 2008 Version B. Project Information and Prior Project History 1. Property Identification 1a. Property identification no. (tax PIN or parcel ID): Portion of existing right -of -way 1b. Site coordinates (in decimal degrees): Latitude: 35.98555 Longitude: - 76.94049 (DD.DDDDDD) (- DD.DDDDDD) 1c. Property size: N/A acres 2. Surface Waters 2a. Name of nearest body of water (stream, river, etc.) to proposed project: Cashie River 2b. Water Quality Classification of nearest receiving water: B; Sw 2c. River basin: Roanoke 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 existing site consists of a maintained utility right -of -way adjacent to the Cashie River. The existing aerial forcemain was constructed in 1972 and is in need of replacement. The entire right -of -way from Elm Street is in juisdictional wetlands with the exception of a berm that was created when the original forcemain was constructed. 3b. List the total estimated acreage of all existing wetlands on the property: N/A 3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property: N/A 3d. Explain the purpose of the proposed project: The proposed project is to replace an existing aerial sewer forcemain with a buried sewer forcemain. 3e. Describe the overall project in detail, including the type of equipment to be used: The new 510 LF forcemain will be directional drilled so as to limit the impact to the adjacent wetlands. This method of construction consists of the excavation of a bore pit and receiving pit. An excavator will be used for these pits and will access the site along an existing maintenance berm. A directional drilling machine will be able to install the new forcemain from the uplands through the wetlands without disturbing the existing root mat. Once the new forcemain has reached the receiving pit dewatering pumps will be used to temporarily reduce the water table to a point where the connection to the existing forcemain can be completed. The ground water will be pumped to a sediment bag prior to re- entering the adjacent wetland. 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 [I Preliminary 0 Final of determination was made? 4c. If yes, who delineated the jurisdictional areas? Agency /Consultant Company: Name (if known): Other. 4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation. 5. Project History 5a. Have permits or certifications been requested or obtained for Yes ® No El Unknown this project (including all prior phases) in the past? 5b. If yes, explain in detail according to "help file" instructions. Page 3 of 12 PCN Form — Version 1.3 December 10, 2008 Version 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 1 a. 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 SPOT Sewer Replacement Forested ® Yes ❑ No ® Corps ❑ DWQ 0.006 W2 ❑ P ❑ T ❑ Yes ❑ Corps ❑ No ❑ DWQ W3 ❑ P ❑ T ❑ Yes ❑ Corps ❑ No ❑ DWQ W4 ❑ P ❑ T ❑ Yes ❑ Corps ❑ No ❑ DWQ W5 ❑ P ❑ T ❑ Yes ❑ Corps ❑ No ❑ DWQ W6 []POT ❑ Yes ❑ Corps ❑ No ❑ DWQ 2g. Total wetland impacts 0.006 2h. Comments: Disturbance is outside the CAMA AEC line. 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 [I PER [I Corps ❑ INT ❑ DWQ S2 ❑ P [IT ❑ PER ❑ Corps ❑ INT ❑ DWQ S3 ❑ P ❑ T ❑ PER ❑ Corps ❑ INT ❑ DWQ S4 ❑ P ❑ T ❑ PER ❑ Corps ❑ INT ❑ DWQ S5 ❑ P [IT ❑ PER ❑ Corps ❑ INT ❑ DWQ S6 ❑ POT ❑ PER ❑ Corps ❑ INT ❑ DWQ 3h. Total stream and tributary impacts 3i. Comments: Page 5 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 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. 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 5f. Total 5g. Comments: 5h. Is a dam high hazard permit required? ❑ Yes ❑ No If yes, permit ID no: 5i. Expected pond surface area (acres): 5j. 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: Roanoke 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? B1 ❑P ❑T El Yes ❑ No B2 ❑P ❑T El Yes ❑ No B3 ❑P ❑T ❑Yes []No 6h. Total buffer impacts 6i. Comments: Page 6 of 11 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. The project was designed using trenchless technology to limit the disturbance caused by heavy equipment. 1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques. The site currently has an upland berm used for maintenance of the exising aerial forcemain which could have been used to open -cut and direct bury the new forcemain. However, this method would have required extensive use of heavy equipment within the wetland habitat. The directional drilling of the forcemain is least possible impact to the wetlands even with the required temporary disturbance needed. 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): ❑ DWG ❑ Corps 2c. If yes, which mitigation option will be used for this project. ❑ Mitigation bank ❑ 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 ouantity 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 7 of 11 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 1.5 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 DWO) 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. Comments: Yes F1 No 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: The is no impervious area proposed, no permitting required by land quality and the project is outside CAMA jurisdiction. 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 II 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? ❑ 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) la. 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)? 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 letter.) ❑ Yes ® No Comments: 2. Violations (DWO Requirement) 2a. Is the site in violation of DWO Wetland Rules (15A NCAC 2H .0500), Isolated Wetland Rules (15A NCAC 2H .1300), DWO 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 (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 project will not generate any more wastewater than already exists. 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 [] Yes No habitat? 5b. Have you checked with the USFWS concerning Endangered Species Act ❑Yes ®No impacts? 5c. If yes, indicate the USFWS Field Office you have contacted. Raleigh ❑ ❑ Asheville 5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat? www .saw.usace.army.miVwetlands/esa Website supplied in PCN instruction documents. County Search results attached. NC Clean Water Trust Fund Mapping Tool (http: // 216. 237 .216.181CWMTFWeb /default.aspx) to search critical habitat 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? Website supplied in PCN instruction documents. http: // ocean. floridamadne .orglefh— coraVms/viewer.htm 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? Website supplied in PCN instruction documents. hnp://www.hpo.dcr.state.nc.us 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: project will be below grade 8c. What source(s) did you use to make the floodplain determination? NFIP rate maps Derrick Smith Applicant/Agent's Printed Name Applicant/Agent's Signature Date (Agent's signature is valid only 'rf an authorization letter from the applicant is provided.) Page 11 of 12 PCN Form — Version 1.3 December 10, 2008 Version S:'. IS 1`At° t�{ if6 �J6C1ttC4 Endangered Species, Threatened Species,Federal Species of Concern, and Candidate Species, Bertie County, North Carolina Updated: 09 -22 -2010 Common Name Vertebrate: American eel Bald eagle Cerulean warbler Eastern Henslow's sparrow Rafinesque's big -eared bat Red - cockaded woodpecker Shortnose sturgeon Southeastern myotis Invertebrate: Chowanoke crayfish Vascular Plant: Nonvascular Plant: Lichen: Scientific name Federal Record Status Status Anguilla rostrata FSC Current Haliaeetus leucocephalus BGPA Current Dendroica cerulea FSC Current Ammodramus henslowii susurrans FSC Current Corynorhinus rafinesguii FSC Current Picoides borealis E Current Acipenser brevirostrum E Current Myotis austroriparius FSC Current Orconectes virginiensis FSC Current Definitions of Federal Status Codes: E = endangered. A taxon "in danger of extinction throughout all or a significant portion of its range." T = threatened. A taxon "likely to become endangered within the foreseeable future throughout all or a significant portion of its range." C = candidate. A taxon under consideration for official listing for which there is sufficient information to support listing. (Formerly "CV candidate species.) BGPA =Bald and Golden Eagle Protection Act. See below. FSC = federal species of concern. A species under consideration for listing, for which there is insufficient information to support listing at this time. These species may or may not be listed in the future, and many of these species were formerly recognized as "C2" candidate species. T(S /A) = threatened due to similarity of appearance. A taxon that is threatened due to similarity of appearance with another listed species and is listed for its protection. Taxa listed as T(S /A) are not biologically endangered or threatened and are not subject to Section 7 consultation. See below. EXP = experimental population. A taxon listed as experimental (either essential or nonessential). Experimental, nonessential populations of endangered species (e.g., red wolf) are treated as threatened species on public land, for consultation purposes, and as species proposed for listing on private land. P = proposed. Taxa proposed for official listing as endangered or threatened will be noted as "PE" or "PT ", respectively. Bald and Golden Earle Protection Act (BGPA): In the July 9, 2007 Federal Register( 72:37346 - 37372), the bald eagle was declared recovered, and removed (de- listed) from the Federal List of Threatened and Endangered wildlife. This delisting took effect August 8,2007. After delisting, the Bald and Golden Eagle Protection Act (Eagle Act) (16 U.S.C. 668 -668d) becomes the primary law protecting bald eagles. The Eagle Act prohibits take of bald and golden eagles and provides a statutory definition of "take" that includes "disturb ". The USFWS has developed National Bald Eagle Management Guidelines to provide guidance to land managers, landowners, and others as to how to avoid disturbing bald eagles. For mor information, visit http://www.fws-gov/migratorybirds/baldeap-le.htm Threatened due to similarity of appearance(T(S/A)): In the November 4, 1997 Federal Register (55822 - 55825), the northern population of the bog turtle (from New York south to Maryland) was listed as T (threatened), and the southern population (from Virginia south to Georgia) was listed as T(S /A) (threatened due to similarity of appearance). The T(S /A) designation bans the collection and interstate and international commercial trade of bog turtles from the southern population. The T(S /A) designation has no effect on land management activities by private landowners in North Carolina, part of the southern population of the species. In addition to its official status as T(S /A), the U.S. Fish and Wildlife Service considers the southern population of the bog turtle as a Federal species of concern due to habitat loss. Definitions of Record Status: Current - the species has been observed in the county within the last 50 years. Historic - the species was last observed in the county more than 50 years ago. Obscure - the date and/or location of observation is uncertain. Incidental/migrant - the species was observed outside of its normal range or habitat. Probable /potential - the species is considered likely to occur in this county based on the proximity of known records (in adjacent counties), the presence of potentially suitable habitat, or both. AGENT AUTHORIZATION FORM PROPERTY LEGAL DESCRIPTION: LOT NO. N/A (Town right -of -way) PARCEL ID: _N /A (Town riaht -of -wa STREET ADDRESS: Elm Street Windsor, North Carolina 27983 Please print: Property Owner: Town of Windsor The undersigned, registered property owners of the above noted property, do hereby authorize Derrick Smith , of The Wooten Company (Contractor / Agent) (Name of consulting firm) to act on my behalf and take all actions necessary for the processing, issuance and acceptance of this permit or certification and any and all standard and special conditions attached. Property Owner's Address (if different than property above): PO Box 508 Windsor, North Carolina 27983 Telephone: _(252) 794 -3121 We hereby certify the above information submitted in this application is true and accurate to the best of our knowledge. Authorized Signature Date: '7 - O - Zol ? Z L7 F Z ch U ahu O .� �x0 a Lu 3 u Z Q < 0 q 0 �� A ° 7 °z ;ova Oi a; ip O � o O :(A g FIIGFIWAY 13 +V :N in �Y Q .Ul ; bop�• d : AQ O W W o Z ffig —w Q �w - W 2 0 U) z w LL. 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