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Home My WebLink About20130032 Ver 1_Application_20120114/0 O�ot W A "r 9;, /V ^I d e013 0 1 1 ✓p� r�T� �RTfi��} 5 Office Use Only Corps action ID no 3 0 0 3 DWQ protect no Form Version 1 3 Dec 10 2008 Page 1 of 8 PCN Form — Version 1 3 December 10, 2008 Version Ei Pre- Construct'1 6 Notification (PCN) Form A Applicant Information 1 Processing 1a Type(s) of approval sought from the Corps non - reporting Section 404 Permit El Section 10 Permit FN 1b Specify Nationwide Permit (NWP) number NWP 3 and NWP 13 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 1e Is this notification solely for the record because written approval is not required? For the record only for DWQ 401 ❑ No CMNY 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 1g Is the project located in any of NC's twenty coastal counties If yes, answer 1 h below ❑ Yes ® No 1h Is the project located within a NC DCM Area of Environmental Concern (AEC)? j ❑ Yes ® No 2 Project Information 2a Name of project NC 55 slope failure 2b County Wake 2c Nearest municipality / town Fuquay -Vanna 2d Subdivision name 2e NCDOT only, T I P or state project no 3 Owner Information 3a Name(s) on Recorded Deed NCDOT Division 5 3b Deed Book and Page No 3c Responsible Party (for LLC if applicable) 3d Street address 2612 N Duke Street 3e City, state zip Durham NC 27704 3f Telephone no (919)220 -4600 3g Fax no (919)560 -3371 3h Email address wbowman(a.ncdot gov 4 Applicant Information (if different from owner) N/A 5 Agent/Consultant Information (if applicable) N/A Page 1 of 8 PCN Form — Version 1 3 December 10, 2008 Version Ei B Project Information and Prior Project History - 1 Property Identification 1a Property identification no (tax PIN or parcel ID) 1b Coordinates (in decimal degrees) Site 1 Latitude 35 58519 Longitude -78 75652 (DD DDDDDD) ( DD DDDDDD) 1c Property size < 0 01 acres 2 Surface Waters 2a Name of nearest body of water (stream, river, etc ) to Black Creek proposed project 2b Water Quality Classification of nearest receiving water B NSW 2c River basin Neuse 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 proximity of an adjacent stream running parallel to NC 55 has resulted in a segment of slope failure Site is surrounded by wooded and residential lands Repeat scour of this area if left unattended would eventually result in failure of the roadway 3b List the total estimated acreage of all existing wetlands on the property NONE — However there are wetlands to the east side of the creek However no impacts to wetlands are proposed as all construction work is within the fill slope 3c List the total estimated linear feet of all existing streams (intermittent and perennial) on the property 60ft 3d Explain the purpose of the proposed project Repair fill slope and shoulder section to minimize risk of roadway failure 3e Describe the overall project in detail, including the type of equipment to be used Dewater, drain work site, repair failure by 60ft of hard armoring (sheet piling) and backfdling area to rebuild slope and shoulder section Equipment ma include a backhoe, excavator, and trucks 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 N/A 4b If the Corps made the jurisdictional determination, what type El Preliminary El Final of determination was made 4c If yes, who delineated the jurisdictional areas? Agency /Consultant Company N/A Name (if known) N/A Other N/A 4d If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation N/A 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 N/A Page 2 of 8 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 N/A C Proposed Impacts Inventory 1 Impacts Summary 1a 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 N/A N/A ❑ Yes ❑ No ❑ Corps ❑ DWQ N/A 2g Total Wetland Impacts NONE 2h Comments Note that wetlands across stream will not be impacted by the proposed activity 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) Site 1 ❑ P ❑ T fill UT to [-I PER ® Corps 6 N/A Stream 1 Black Creek ® INT ® DWQ Site 1 ® P ❑ T Hard armoring UT to ❑ PER ® Corps 6 60 Stream 1 using sheet piling Black Creek ® INT ® DWQ Site 1 ❑ P ® T UT to ❑ PER ® Corps 6 60 Stream 1 dewatering Black Creek ® INT ® DWQ concurrent 3h Total stream and tributary impacts 60 31 Comments Restoring existing toe of slope by hard armoring, no surface water loss proposed 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 impact number — waterbody Type of impact Waterbody type Area of impact (acres) Permanent (P) or (if applicable) Temporary T 01 ❑ P ❑ T N/A N/A N/A N/A 4f Total open water impacts NONE 4g Comments N/A Page 3 of 8 PCN Form — Version 1 3 December 10, 2008 Version 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 of (acres) number pond Flooded Filled Excavated Flooded Filled Excavated Flooded P1 N/A N/A N/A N/A N/A N/A N/A N/A P2 5f Total I NONE I NONE NONE NONE I NONE NONE NONE 5g Comments N/A 5h Is a dam high hazard permit required ❑ Yes El No If yes, permit ID no N/A 51 Expected pond surface area (acres) N/A 5j Size of pond watershed (acres) N/A 5k Method of construction N/A 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 impacts require mitigation, then you MUST fill out Section D of this form 6a ® Neuse El Tar-Pamlico ®Other Jordan Lake Project is in which protected basin? ❑ Catawba ❑ Randleman 6b 6c 6d 6e 6f 6g Buffer impact number — Reason for Buffer Zone 1 impact Zone 2 impact Permanent (P) or impact Stream name mitigation (square feet) (square feet) Temporary T required? Site ❑ P ❑ T ❑ Yes Buffer Impact 1 N/A N/A ❑ No N/A N/A 6h Total buffer impacts N/A N/A 61 Comments No new impacts within the buffers beyond the existing transportation facility (toe of slope) are proposed 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 impacts to the stream are necessary to repair fill slope and shoulder BMPs will be followed to maintain a dry work area This slope failure repair cannot be performed without stream impacts 1 b Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques Sediment and erosion control Best Management Practices for protection of surface waters, riparian buffers, and wetlands will be enforced during project construction Page 4 of 8 PCN Form — Version 1 3 December 10, 2008 Version 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 project? ❑ Mitigation bank El Payment to in -lieu fee program ❑ Permittee Responsible Mitigation 3 Complete if Using a Mitigation Bank 3a Name of Mitigation Bank N/A 3b Credits Purchased (attach receipt and letter) Type N/A Quantity N/A 3c Comments N/A 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 N/A linear feet 4c If using stream mitigation, stream temperature ❑ warm ❑ cool ❑cold 4d Buffer mitigation requested (DWQ only) N/A square feet 4e Riparian wetland mitigation requested N/A acres 4f Non - riparian wetland mitigation requested N/A acres 4g Coastal (tidal) wetland mitigation requested N/A acres 4h Comments N/A 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 N/A 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 N/A N/A 3 (2 for Catawba) N/A Zone 2 N/A N/A 1 5 N/A 6f Total buffer mitigation required NONE 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) N/A 6h Comments N/A Page 5 of 8 PCN Form — Version 1 3 December 10, 2008 Version E Stormwater Management and Diffuse Flow Plan (required by DWQ) 1 Diffuse Flow Plan 1a 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 If yes, then is a diffuse flow plan included? If no, explain why ❑ Yes ®No Comments these pipe extensions will not alter storm water runoff at this site 2 Stormwater Management Plan 2a What is the overall percent imperviousness of this project? 20% 2b Does this project require a Stormwater Management Plan? ❑ Yes ® No 2c If this project DOES NOT require a Stormwater Management Plan, explain why Impacts only to stabilize fill slope 2d If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan N/A ❑ 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? ❑ Phase II ❑ NSW 3b Which of the following locally - implemented stormwater management programs ❑ USMP apply (check all that apply) ❑ Water Su I Watershed ❑ Other 3c Has the approved Stormwater Management Plan with proof of approval been ❑ Yes ❑ No attached? N/A 4 DWQ Stormwater Program Review ❑ Coastal counties ❑ HQW 4a Which of the following state - implemented stormwater management programs apply ❑ ORW (check all that apply) N/A ❑ Session Law 2006 -246 ❑ Other 4b Has the approved Stormwater Management Plan with proof of approval been 1:1 Yes El No attached? N/A 5 DWQ 401 Unit Stormwater Review 5a Does the Stormwater Management Plan meet the appropriate requirements? N/A ❑ Yes ❑ No 5b Have all of the 401 Unit submittal requirements been met? N/A ❑ Yes ❑ No Page 6 of 8 PCN Form — Version 1 3 December 10, 2008 Version 0 F Supplementary Information 1 Environmental Documentation (DWQ Requirement) 1a 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)? 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 ❑ Yes ❑ No letter ) Comments N/A 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) N/A 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 N/A 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 N/A Page 7 of 8 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 LISFWS concerning Endangered Species Act ❑ Yes ® No impacts? ❑ Raleigh 5c If yes, indicate the LISFWS 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? Biological conclusion provided by NCDOT O N E Biological Surveys Group (see attached email) http / /www fws Qov /nc- es /es /countyfr html and NC Natural Heritage Program Database, Element Occurrences 6 Essential Fish Habitat (Corps Requirement) 6a Will this project occur in or near an area designated as essential fish ❑ Yes ® No habitat? 6b What data sources did you use to determine whether your site would impact Essential Fish Habitat? http / /ocean floridamanne orQ /efh coral /ims /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? (Note that this site is over 0 2 mile away from northern edge of the Green Level Historic District) HPO's historic layer using GIS ArcView database and http / /Qis ncdcr Qov /hpoweb/ 8 Flood Zone Designation (Corps Requirement) 8a Will this project occur in a FEMA - designated 100 -year fioodplain? ❑ Yes ® No 8b If yes, explain how project meets FEMA requirements N/A 8c What source(s) did you use to make the floodplain determination? http / /www ncfloodmaps com/ fo, J W Bowman, P E Q A/, 01/11/13 Applicant/Agent's Printed Name Applicant/Agent's Signatur j (Agent's signature is valid only if an authorization le inxn the applicant Date Is Provide d Page 8of8 PCN Form — Version 1 3 December 10, 2008 Version N I N� i I � i � I 1 0 S 1� y / - K I JI I d I� �Izz-s w � r v J � C o� � � � O N N \\j � N I N� i I � i � I 1 0 S 1� y / - K I JI I d I� �Izz-s w � r J � s 3 �\ 2 y d _ s 3 � 0 � o a � i , c 78 7661666- W 78 750 000° W I 78 733 333° W � •` �\ 1 ` J \ � /�� ,,• 1 r �\\ � 1 11 c- ems: - (�� ) l,1 .�/ '�C 7 •-- 366 1 � l` V �a 1101 f' r per ., ' tl ` : \\\ `1 ` Z 1��- 'I /'� lef rl / \� f • i o— M Ln M ,[j Tr ■der, <O _ \�( u �\ _ _ _ _ _ f, �� -� _ e/ I �r oU r• L , - Points 11 ,,,,,,,,, I gy 101 t y • {I\_ -�- ' 789° . 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In N L L O U V1 4J r-1 r-I ri 4-J M L E M w OL Looking North. Looking South. NC 55 Wake County Maintenance — Slope Failure Site