20211483 Ver 1_ePCN Application_20211011

I I DWR
Division of Water Resources
Pre-Construction Notification (PCN) Form
For Nationwide Permits and Regional General Permits
(along with corresponding Water Quality Certifications)
June 1,2021 Ver4.1
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?*
R Yes r No
Change only if needed.
BIMS#Assigned* Version#*
20211483 1
Is a payment required for this project?*
✓ No payment required
(7 Fee received Reviewing Office*
✓ Fee needed-send electronic notification Washington Regional Office-[phone]
Select Project Reviewer*
Garcy Ward:eads\gpward
Information for Initial Review
la.Name of project:
IMPROVEMENTS TO NC 12 AT INTERSECTION WITH COQUINA BEACH RD.AND BODIE ISLAND LIGHTHOUSE RD.
1a.Who is the Primary Contact?*
Paul Williams
1b.Primary Contact Email:* 1c.Primary Contact Phone:*
[e-mail] [phone]
Date Submitted
10/11/2021
Nearest Body of Water
Atlantic Ocean,Bodie Island Lighthouse Pond(Roanoke Sound)
Basin
Pasquotank
Water Classification
SB,SA;HQW
Site Coordinates
Latitude: Longitude:
35.831240 -75.559038
A. Processing Information L)
County(or Counties)where the project is located:
Dare
Is this a NCDMS Project
✓ Yes ( No
Is this project a public transportation project?*
( Yes r No
Is this a NCDOT Project?*
( Yes r No
(NCDOT only)T.I.P.or state project number:
B-2500C

WBS#(?)
32635.1.4
Pre-Filing Meeting Information
Is this a courtesy copy notification?*
✓ Yes G No
ID# Version
Pre-fling Meeting or Request Date
8/24/2021
Attach documentation of Pre-Filing Meeting Request here:
Click the upload button or drag and drcp files here to attach docurrent
Field Meeting 8-24-2021.pdf 100.49KB
Pie type mast be FCF
1a.Type(s)of approval sought from the Corps:
(7 Section 404 Permit(wetlands,streams and waters,Clean Water Act)
I—Section 10 Permit(navigable waters,tidal waters,Rivers and Harbors Act)
Has this PCN previously been submitted?*
✓ Yes
✓ No
lb.What type(s)of permit(s)do you wish to seek authorization?
I—Nationwide Permit(NWP)
fJ Regional General Permit(RGP)
I—Standard(IP)
1c.Has the NWP or GP number been verified by the Corps?
G Yes r No
Regional General Permit(RGP)Number: 201902350-Work associated with bridge construction,widening,replacement,and
interchanges
RGP Numbers(for multiple RGPS):
ld.Type(s)of approval sought from the DWR:
(7 401 Water Quality Certification-Regular r 401 Water Quality Certification-Express
I—Non-404 Jurisdictional General Permit r Riparian Buffer Authorization
I— Individual 401 Water Quality Certification
le.Is this notification solely for the record because written approval is not required? *
For the record only for DWR 401 Certification: F Yes r No
For the record only for Corps Permit: r Yes s No
If.Is this an after-the-fact permit application?*
✓ Yes ( No
1g.Is payment into a mitigation bank or in-lieu fee program proposed for mitigation of impacts?
6 Yes rNo
1g.Is payment into a mitigation bank or in-lieu fee program proposed for mitigation of impacts?
✓ Yes rNo
1h.Is the project located in any of NC's twenty coastal counties?
6 Yes rNo
1i.Is the project located within a NC DCM Area of Environmental Concern(AEC)?
✓ Yes 6 No r Unknown
1j.Is the project located in a designated trout watershed?
C Yes r No
B. Applicant Information C^U
Id.Who is applying for the permit?
7 Owner r Applicant(other than owner)
le.Is there an Agent/Consultant for this project?*

C Yes a No
2. Owner Information
2a.Name(s)on recorded deed:
NCDOT Right-of-way NC Highway 12
2b.Deed book and page no.:
2c.Contact Person:
Paul Williams
2d.Address
Street Address
113 Airport Dr.
Address Line 2
aly State/Bovine/Region
Edenton NC
Postal/Zip Code Country
27932 USA
2e.Telephone Number: 2f.Fax Number:
[phone] [phone]
2g.Email Address:*
[e-mail]
� I
C. Project Information and Prior Project History
1. Project Information
lb.Subdivision name:
(if appropriate)
1c.Nearest municipality/town:
Nags Head
2. Project Identification
2a.Property Identification Number: 2b.Property size:
20.2
2c.Project Address
Street Address
NC 12 at the intersection with Coquina Beach Road and Bodie Island Lighthouse Road on the Cape Hatteras National Seashore
Address Line 2
City State/Bovine/Region
Postal/Zip Code Country
3.Surface Waters
3a.Name of the nearest body of water to proposed project:*
Atlantic Ocean,Bodie Island Lighthouse Pond(Roanoke Sound)
3b.Water Resources Classification of nearest receiving water:*
SB,SA;HQW
3c. What river basin(s)is your project located in?*
Pasquotank
3d.Please provide the 12-digit HUC in which the project is located.
030102051502
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 land use in the area is primarily conservation(Cape Hatteras National Seashore)and includes a public beach access.Existing NC 12 is a two-lane roadway with 12 foot wide travel
lanes and 4-foot grass shoulders.Roadway includes turn-lanes into Bodie Island Lighthouse Road and Coquina Beach Road.
4b.Have Corps permits or DWR certifications been obtained for this project(including all prior phases)in the past?*
r Yes f No r Unknown
4f.List the total estimated acreage of all existing wetlands on the property:
2.58

4g.List the total estimated linear feet of all existing streams on the property:
0
4h.Explain the purpose of the proposed project:*
Project would provide longer turn lanes and tapers for all directions and would afford drivers with increased decision/reaction time as well as much needed storage for turning vehicles.
These improvements would create a safer functionality at this intersection for traffic on NC 12.Project is approximately 0.367 mi.long.
4i.Describe the overall project in detail,including indirect impacts and the type of equipment to be used:*
Extend northbound and southbound left turn lanes,extend southbound right turn lane onto Bodie Island Lighthouse Road,and add northbound right turn lane onto Coquina Beach
Road.Project would result in 0.13 acre of excavation in 404 wetlands.Existing water line is in conflict with project.Water line would be relocated by directional bore within the existing
NCDOT ROW and would not impact any wetlands.Standard road building equipment,such as trucks,pavers,and excavators will be used.
5.Jurisdictional Determinations
5a.Have the wetlands or streams been delineated on the property or proposed impact areas?*
6. Yes r No C Unknown
Comments:
Field verified,but written PJD verification is pending
5b.If the Corps made a jurisdictional determination,what type of determination was made?*
r Preliminary r Approved r Not Verified r Unknown r N/A
Corps AID Number:
5c.If 5a is yes,who delineated the jurisdictional areas?
Name(if known): Nathan Howell and James Mason
Agency/Consultant Company: Three Oaks
Other:
5d.List the dates of the Corp jurisdiction determination or State determination if a determination was made by the Corps or DWR
Field Meeting-8/24/2021
6. Future Project Plans
6a.Is this a phased project?*
CYes nNo
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?
In lieu of meeting Condition 43 on the B-2500 SUP,the National Park Service and the NC Department of Transportation have agreed to an intersection improvement project on NC 12 at
Coquina Beach Road and Bodie Island Lighthouse Road.Construction of turn lane improvements at this intersection will fulfill the conditions of the SUP.Although part of the B-2500
project funding,this project is separate from the bridge projects on NC 12.
LD. Proposed Impacts Inventory
1. Impacts Summary
1a.Where are the impacts associated with your project?(check all that apply):
7 Wetlands r Streams-tributaries r Buffers
r Open Waters r Pond Construction
2.Wetland Impacts
2a.Site#*(?) 2a1 Reason(?) 2b.Impact type*(?) 2c.Type of W.* 2d.W.name* 2e.Forested* 2f.Type of 2g.Impact
Jurisdicition*(?) area*
1 Ditch excavation P Non-Tidal Freshwater Marsh WA No Corps 0.036
(acres)
2 Ditch excavation P Non-Tidal Freshwater Marsh WL No Corps 0.005
(acres)
3 Ditch excavation P Non-Tidal Freshwater Marsh WC No Corps 0.078
(acres)
4 Ditch excavation P Non-Tidal Freshwater Marsh WC No Corps 0.015
(acres)
2g.Total Temporary Wetland Impact 2g.Total Permanent Wetland Impact
0.000 0.134
2g.Total Wetland Impact
0.134
2i.Comments:

See the attached permit summary impact table.
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:
Proposed cut slopes in wetlands have been set at 3:1 to reduce the impact footprint.Waterline relocations will be bored from high ground to high
ground.
lb.Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
The project will follow NCDOT guidelines and BMP's for erosion control.Erosion and Control measures will be placed along the entire project area to
reduce soil runoff prior to land disturbing activities.
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 r No
2c.If yes,mitigation is required by(check all that apply):
r"DWR fJ Corps
2d.If yes,which mitigation option(s)will be used for this project?
n Mitigation bank I7 Payment to in-lieu fee r Permittee Responsible
program Mitigation
4. Complete if Making a Payment to In-lieu Fee Program
4a.Approval letter from in-lieu fee program is attached.
✓ Yes f No
4b.Stream mitigation requested:
(linear feet) 4c.If using stream mitigation,what is the stream temperature:
0
4d.Buffer mitigation requested(DWR only): 4e.Riparian wetland mitigation requested:
(square feet) (acres)
N/A 0.098
4f.Non-riparian wetland mitigation requested: 4g.Coastal(tidal)wetland mitigation requested:
(acres) (acres)
0.036 0
4h.Comments
Approval letter will be submitted when received from DMS.
F. Stormwater Management and Diffuse Flow Plan (required by DWR) C"U
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 R No
If no,explain why:
NC Riparian Buffer Rules do not apply to the Pasquotank River Basin.
2.Stormwater Management Plan
2a.Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?*
6 Yes r No
Comments:
NCDOT will follow best management practices for soil and erosion control in compliance with N.C.Sediment and Pollution Control Act and NCDOT NPDES permit.Erosion control
devices will be installed and maintained during the project.
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 0' No

Comments:*
Activity and impacts covered by Categorical Exclusion,Type 1(A)-Ground Disturbing Action
26.Modernization of a highway by resurfacing,restoration,rehabilitation,reconstruction,adding shoulders,or adding auxiliary lanes(including
parking,weaving,turning,and climbing lanes),if the action meets the constraints listed in 23 CFR 771.117(e)(1-6).
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 C•- Nu
3. Cumulative Impacts(DWR Requirement)
3a.Will this project result in additional development,which could impact nearby downstream water quality?*
✓ Yes r No
3b.If you answered"no,"provide a short narrative description.
Intersection improvement project would enhance safety of existing traffic.Project would not increase traffic or development for the area.
4.Sewage Disposal(DWR Requirement)
4a.Is sewage disposal required by DWR for this project?*
✓ Yes r No 6 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 CNo
5b.Have you checked with the USFWS concerning Endangered Species Act impacts?*
✓ Yes r No
5d.Is another Federal agency involved?*
s Yes r No r Unknown
What Federal Agency is involved?
National Park Service-Outer Banks Group
5e.Is this a DOT project located within Division's 1-8?
ef Yes r No
5j.What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
Surveys have been conducted,but Seabeach Amaranth has not been documented in the project area.NCNHP review produced no records in close
proximity of the project.
6. Essential Fish Habitat(Corps Requirement)
6a.Will this project occur in or near an area designated as an Essential Fish Habitat?*
C Yes 6 No
6b.What data sources did you use to determine whether your site would impact an Essential Fish Habitat?*
Essential Fish Habitat Mapper
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?*
SHPO Assessment Letter dated April 26,2021 and attached below.
8. Flood Zone Designation(Corps Requirement)
8a.Will this project occur in a FEMA-designated 100-year floodplain?*
✓ Yes CNo
8b.If yes,explain how project meets FEMA requirements:
NCDOT Hydraulics Unit
8c.What source(s)did you use to make the floodplain determination?*
0.2%Annual Chance Flood Hazard,AE
Miscellaneous

Please use the space below to attach all required documentation or any additional information you feel is helpful for application review.Documents should be combined into one
file when possible,with a Cover Letter,Table of Contents,and a Cover Sheet for each Section preferred.
Click the upload button or drag and drop files here to attach docunant
ER-90-8304.pdf 164.15KB
B-2500C_PermitDrawings.pdf 4.01MB
280_009_B2500C_Ut_rdy4_UC4_psh.pdf 634.6KB
B-2500_Final_PJD.pdf 11.01MB
Soil_Map.pdf 350.44KB
Topo NC 12 at Coquina Beach Rd.-Bodie Island Lighthouse Rd..pdf 925.65KB
Aerial.pdf 1.58MB
USA15-5700-029 Park Signed NCDOT Amendment 3 Bonner Bridge Demolition.pdf 1.53MB
B-2500C-Tribal Coordination Letter-Catawba.pdf 126.57KB
Rle must be FCF or KW
Comments
A new Special Use Permit from the National Park Service will be required for project.SUP application has been submitted.SUP will be entered into Laserfiche when issued.Original SUP
for B-2500 is attached.
CAMA Major Permit will not be required for this project.
Mitigation for project will be provided by NC DMS.Acceptance Letter will be entered into Laserfiche when issued.
Signature
IJ 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:
Paul Collins Williams,Jr.
Signature
Date
10/11/2021