HomeMy WebLinkAbout20210974 Ver 1_401 Application_20210604
Pre-Construction Notification (PCN) Form
For Nationwide Permits and Regional General Permits
(along with corresponding Water Quality Certifications)
April 4, 2021 Ver 4
1a. Name of proje ct:
1a. Who is the Primary Contact?
1b. Primary Contact Email:1c. Primary Contact Phone :
Site Coordinates
Latitude :Longitude :
County (or Countie s) where the proje ct is locate d:
Ne are st Body of Wate r
Is this a NCDM S Proje ct *
Is this project a public transportation project?
Is this a NCDOT Proje ct?
(NCDOT only) T.I.P. or state proje ct numbe r:
WBS #(?)
1a. Type (s) of approv al sought from the Corps:
1b. What type (s) of pe rmit(s) do you wish to se e k authorization?
1c. Has the NWP or GP numbe r be e n v e rifie d by the Corps?
Nationwide Pe rmit (NWP) Numbe r:
NWP Numbe rs (for multiple NWPS):
1d. Type (s) of approv al sought from the DWR:
Pre-Filing Meeting Information
Curlew Street Ocean Outfall No. 1 Maintenance
Steve Trowell
sjtrowell@ncdot.gov (252)482-1876
35.971275 -75.630218
A. Processing Information
Dare
Yes No
Yes No
Yes No
1SP.10281.5
Section 404 Permit (wetlands, streams and waters, Clean Water Act)
Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)
Nationwide Permit (NWP)
Regional General Permit (RGP)
Standard (IP)
Yes No
7 - Outfall Structures/ Intake
401 Water Quality Certification - Regular 401 Water Quality Certification - Express
Non-404 Jurisdictional General Permit Riparian Buffer Authorization
Individual 401 Water Quality Certification
1e . Is this notification sole ly for the re cord be cause writte n approv al is not re quire d?
For the re cord only for DWR 401 Ce rtification:
For the re cord only for Corps Pe rmit:
1f. Is this an afte r-the -fact pe rmit application?
1g. Is payme nt into a mitigation bank or in-lie u fe e program propose d for mitigation of impacts?
Acce ptance Le tte r Attachme nt
1h. Is the proje ct locate d in any of NC's twe nty coastal countie s?
1i. Is the proje ct locate d within a NC DCM Are a of Env ironme ntal Conce rn (AEC)?
1j. Is the proje ct locate d in a de signate d trout wate rshe d?
1d. Who is applying for the pe rmit?
1e . Is the re an Age nt/Consultant for this proje ct?*
2. Owner Information
3. Applicant Information (if different from owner)
Is the a courtesy copy notification?
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No Unknown
Yes No
B. Applicant Information
Owner Applicant (other than
owner)
Yes No
2a. Name (s) on re corde d de e d:
2b. De e d book and page no.:
2c. Contact Pe rson:
2d. Addre ss
2e . Te le phone Numbe r:2f. Fax Numbe r:
2g. Email Addre ss:*
Town of Nags Head
City
Nags Head
State / Province / Region
North Carolina
Postal / Zip Code
27959
Country
USA
Street Address
2200 Lark Avenue
Address Line 2
(252)441-1122
sjtrowell@ncdot.gov
3a. Name :
3b. Business Name :
3c. Addre ss
Steve Trowell
NC Deptment of Transportation
1b. Subdivision name :
1c. Ne are st municipality / town:
2a. Prope rty Identification Numbe r:2b. Prope rty size :
2c. Proje ct Addre ss
3. Surface Waters
3a. Name of the ne are st body of wate r to propose d proje ct:
3b. Wate r Re source s Classification of ne are st re ce iv ing wate r:*
3d. Ple ase prov ide the 12-digit HUC in which the proje ct is locate d.
3c. What riv e r basin(s) is your proje ct locate d in?*
4. Project Description and History
4a. De scribe the e xisting conditions on the site and the ge ne ral land use in the v icinity of the proje ct at the time of this application:*
4b. Hav e Corps pe rmits or DWR ce rtifications be e n obtained for this project (including all prior phase s) in the past?*
4d. Attach an 8 1/2 X 11 e xce rpt from the most re ce nt v e rsion of the USGS topographic map indicating the location of the proje ct site . (for DWR)
4e . Attach an 8 1/2 X 11 e xce rpt from the most re ce nt v e rsion of the publishe d County NRCS Soil Surv e y map de picting the proje ct site . (for DWR)
4f. List the total e stimate d acre age of all e xisting we tlands on the prope rty:
4g. List the total e stimate d line ar fe e t of all e xisting stre ams on the prope rty:
4h. Explain the purpose of the propose d proje ct:*
4i. De scribe the ov e rall proje ct in de tail, including indirect impacts and the type of e quipme nt to be use d:*
3d. Te le phone Numbe r:3e . Fax Numbe r:
3f. Email Addre ss:
City
Edenton
State / Province / Region
North Carolina
Postal / Zip Code
27948
Country
USA
Street Address
113 Airport Drive
Address Line 2
(252)482-1876 (252)482-8722
sjtrowell@ncdot.gov
C. Project I nformation and Prior Project History
1. Project Information
(if appropriate)
Town of Nags Head
2. Project Identification
City
Town of Nags Head
State / Province / Region
NC
Postal / Zip Code
27959
Country
USA
Street Address
Address Line 2
Atlantic Ocean
SB
030102051404
Pasquotank
The site is on an ocean beach with high pedestrian traffic resulting from the adjacent residential and vacation homes.
Yes No Unknown
Topo Curlew Street Ocean Outfall No.1.pdf 1.02MB
20210525_13204501958_18_Soil_Map.pdf 338.84KB
N/A
N/A
Repair damaged pipe collars, reset pipes and secure collars around pipe to maintain drainage between the HWY 158 bypass and NC 12.
4j. Ple ase upload proje ct drawings for the propose d proje ct.
5. Jurisdictional Determinations
5a. Hav e the we tlands or streams be e n de line ate d on the prope rty or propose d impact are as?*
Comme nts:
5b. If the Corps made a jurisdictional de te rmination, what type of de te rmination was made ?*
Corps AID Numbe r:
5c. If 5a is ye s, who de line ate d the jurisdictional are as?
Name (if known):
Age ncy/Consultant Company:
Othe r:
5d1. Jurisdictional de te rmination upload
6. Future Project Plans
6a. Is this a phase d proje ct?*
Are any othe r NWP(s), re gional ge ne ral pe rmit(s), or indiv idual pe rmits(s) use d, or intende d to be use d, to authorize any part of the propose d project or re lated activ ity?
1. Impacts Summary
1a. Whe re are the impacts associate d with your proje ct? (che ck all that apply):
1. Avoidance and Minimization
1a. Spe cifically de scribe me asure s take n to av oid or minimize the propose d impacts in de signing the proje ct:
1b. Spe cifically de scribe me asure s take n to av oid or minimize the propose d impacts through construction te chnique s:
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Doe s the proje ct re quire Compe nsatory M itigation for impacts to Wate rs of the U.S. or Wate rs of the State ?
2b. If this proje ct DOES NOT re quire Compe nsatory M itigation, e xplain why:
1. Diffuse Flow Plan
1a. Doe s the proje ct include or is it adjace nt to prote cte d riparian buffers ide ntifie d within one of the NC Riparian Buffe r Prote ction Rule s?
The last 36' to 40' of the outfall pipe exposed on the beach face in the swash zone has been damaged. The stainless bolts that secure the concrete pipe collar around the pipe at a pipe
joint have sheared off. The pipe collars are shifting causing the pipes to separate. Failure of the outfall is eminent and the Town of Nags Head is concerned with maintaining optimal
drainage with the approaching tropical season. An excavator will dig down beside the collar to expose the bottom of the collar so that the damaged bolt can be removed. The pipe joint
will be reset and secured with the existing collar and a new bolt. This work should be completed within 2 working days. No equipment or materials will be left on the beach overnight. the
Curlew Street beach access will be used for access to the beach by heavy equipment and for overnight storage.
CURLEW ST OUTFALL #1 (5-19-2019).pdf 187.02KB
Yes No Unknown
Preliminary Approved Not Verified Unknown N/A
Yes No
D. Proposed Impacts Inventory
Wetlands Streams-tributaries Buffers
Open Waters Pond Construction
E. Impact Justification and Mitigation
All work will be undertaken within the existing footprint and will not require driving of pilings nor installation of a coffer dam with metal sheet piling.
All work will occur during daylight hours during periods of low tide. There will be no enlargement of the outfall structure and work will occur within the
existing footprint.
Yes No
F. Stormwater M anagement and Diffuse Flow Plan (required by DWR)
If no, e xplain why:
2. Stormw ater Management Plan
2a. Is this a NCDOT proje ct subje ct to compliance with NCDOT’s Indiv idual NPDES pe rmit NCS000250?*
Comme nts:
1. Environmental Documentation
1a. Doe s the proje ct inv olv e an e xpe nditure of public (fe de ral/state /local) funds or the use of public (fe de ral/state ) land?*
1b. If you answe re d “ye s” to the abov e , doe s the proje ct re quire pre paration of an e nv ironme ntal docume nt pursuant to the re quireme nts of the National or State (North Carolina)
Env ironme ntal Policy Act (NEPA/SEPA)?*
Comme nts:*
2. Violations (DWR Requirement)
2a. Is the site in v iolation of DWR Wate r Quality Ce rtification Rule s (15A NCAC 2H .0500), Isolate d We tland Rule s (15A NCAC 2H .1300), or DWR Surface Wate r or We tland Standards or
Riparian Buffe r Rule s (15A NCAC 2B .0200)?*
3. Cumulative Impacts (DWR Requirement)
3a. Will this proje ct re sult in additional de v e lopme nt, which could impact ne arby downstre am wate r quality?*
3b. If you answe re d “no,” prov ide a short narrativ e de scription.
4. Sewage Disposal (DWR Requirement)
4a. Is se wage disposal re quire d by DWR for this proje ct?*
5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this proje ct occur in or ne ar an are a with fe de rally prote cte d spe cie s or habitat?*
5b. Hav e you che cke d with the USFWS conce rning Endange re d Spe cie s Act impacts?*
5c. If ye s, indicate the USFWS Fie ld Office you hav e contacte d.
5d. Is anothe r Fe de ral age ncy inv olv e d?*
5e . Is this a DOT proje ct locate d within Div ision's 1-8?
5j. What data source s did you use to de te rmine whe the r your site would impact Endange re d Spe cie s or De signate d Critical Habitat?*
Consultation Docume ntation Upload
6. Essential Fish Habitat (Corps Requirement)
6a. Will this proje ct occur in or ne ar an are a de signate d as an Esse ntial Fish Habitat?*
Yes No
Pasquotank River Basin does not have a DWR Riparian Buffer Protection Rule
Yes No
G. Supplementary Information
Yes No
Yes No
Activity and impacts covered by Minimum Criteria Checklist
Yes No
Yes No
No, pipe will not be enlarged or provide increased drainage beyond existing capacity.
Yes No N/A
Yes No
Yes No
Raleigh
Yes No Unknown
Yes No
USFWS Raleigh Office
USFWS Consultaion 2021.pdf 90.7KB
20210524_ltr_USFWS_NCDOT_NagsHeadOceanOutfalls.pdf 177.68KB
Are the re subme rge d aquatic v e ge tation (SAV) around the proje ct v icinity?*
6b. What data source s did you use to de te rmine whe the r your site would impact an Esse ntial Fish Habitat?*
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
7a. Will this proje ct occur in or ne ar an are a that the state , fe de ral or tribal gov e rnme nts hav e de signate d as hav ing historic or cultural pre se rv ation status?*
7b. What data source s did you use to de te rmine whe the r your site would impact historic or arche ological re source s?*
7c. Historic or Pre historic Information Upload
8. Flood Zone Designation (Corps Requirement)
8a. Will this proje ct occur in a FEM A-designate d 100-ye ar floodplain?*
8b. If ye s, e xplain how proje ct me e ts FEM A require me nts:
8c. What source (s) did you use to make the floodplain de te rmination?*
Comme nts
M isce llane ous attachme nts not pre v iously re que ste d.
*
· 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 :*
Signature
Date
Yes No
Yes No Unknown
National Marine Fishery Service EFH Map website
Yes No
State Historic preservation Office Historic Properties Map Website
Yes No
N/A
NC Floodmaps.com, Zone VE
M iscellaneous
All work will be coordinated with the Town of Nags Head.
Signature
By checking the box and signing below, I certify that:
Steve John Trowell
5/26/2021